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All full-time Knox students are automatically enrolled in an accident insurance plan that provides specified medical benefits in the event you are accidentally injured either on or off campus. An annual $83 fee (prorated for students beginning in winter or spring term) is assessed to all students for this coverage. Please note the Knox policy number is 35-0255-2013.
The accident insurance plan only covers medical expenses due to a covered accident with no deductible. No benefits are available to pay for medical tests or care due to sickness, illness, or any pre-existing conditions. The accident plan benefits are subject to limitations and exclusions and may not pay for 100 percent of all medical expenses.
Note: We are committed to helping you find the right option to ensure your well-being, which is why all Knox students are strongly advised to have comprehensive health insurance while in college. While basic health care is available through Health Services on campus, chronic or extended medical conditions, prescriptions, x-rays, lab tests, emergency medical care, and hospital visits are your financial responsibility. Under the new federal Affordable Care Act (ACA) guidelines, you can remain on family plans until age 26. If you have a primary insurance provider or are enrolled in a voluntary health insurance program, please bring that provider card/information with you to campus.
Voluntary Health Insurance: Although Knox does not administer or provide comprehensive health insurance for students, we have identified options through Lawrence E. Smith & Associates, Inc. for international and U.S. students. International students can learn more about the plan and receive a cost estimate by visiting HTH Worldwide. For U.S. students, more information about the United Healthcare student health insurance plan will be available on August 1.
If you have questions about the accident insurance plan, or student health services, contact the Office of Student Development at email@example.com or 309-341-7863.
No policy benefits will be paid to cover any expense or loss not caused exclusively by a covered accidental injury or any expense or loss resulting from, or for:
Covered Accident means bodily injury of the student, which results directly and independently of all other causes from an accident. Self-inflicted injuries caused by prolonged over-exertion, stress or strain, illness or disease process, or aggravation of an existing condition are expressly excluded from coverage under this Policy.
Pre-existing Condition means any condition or residual, reoccurrence, complication, or aggravation of a prior condition that occurred before the date that the student is covered under the Knox College Accident Insurance Plan.
The Knox College accident insurance policy is EXCESS COVERAGE. This means that if an injured student is eligible to receive benefits from any other source of coverage, including parent's insurance, an HMO or PPO, the student must also file a claim with the student's other available source of coverage. The Knox College plan benefits will be limited to the eligible expenses not collectible from other primary coverage sources. If the student elects to or fails to follow the proper procedures to obtain primary coverage from the student's other available source of coverage, the Knox College accident plan scheduled benefits will be reduced by 50 percent.
The accident insurance policy coverage for all full-time students starts August 13, 2012, and ends on August 13, 2013. Any student that is not actively attending classes or withdraws from college within the first 31 days of 2012 scheduled classes will not be eligible for policy benefits. No refunds will be made for any reason.
The accident insurance policy is underwritten by The Reliance Standard Life Insurance Company, Philadelphia, Pennsylvania. All claims will be processed by Lawrence E. Smith and Associates, Inc., P.O. Box 411216, St. Louis, Missouri 63141. Phone: 800-325-1350. All claims and claim questions should be directed to Lawrence E. Smith & Associates, Inc.
Knox College does not process or pay claims. To obtain a claim form, contact:
Lawrence E. Smith & Associates, Inc.
P.O. Box 411216
St. Louis, Missouri 63141
Instructions will be provided with the claim form to assist students in the claim filing process. Any questions regarding accident claims should be addressed to Lawrence E. Smith & Associates, Inc.
To be eligible for policy benefits, medical treatment by a licensed physician must be rendered within 90 days from the date of the original accident. The policy will pay the specified policy benefits necessary to treat the covered injuries that are incurred and rendered within one (1) year from the original date of the covered accident. This policy has no deductible.
|Maximum Medical Expense (payable per covered accident)
Intercollegiate Sports Related Accidents Maximum Policy Benefit
Motor Vehicle Related Accidents Maximum Policy Benefit
|Up to $12,500.00
Up to $1,000.00
Up to $2,000.00
|Loss of Life, due to covered accident
|Inpatient Hospital Charges
|Outpatient Hospital or Same-Day Surgi-Center Charges
(Including all supplies, implantable devices, and services)
|Physician's Non-Surgical Office or Hospital Visits, Consultations
(Includes physician's assistant fees if no physician is available to render exam or treatment; 8 visit maximum per accident)
|$60 initial visit/
|Physician's Surgery Fees||UCR* (see note)|
|Anesthesiology and Assistant Surgeons Fees||20% of Surgery Fee Benefit|
|Outpatient Lab, X-Rays, MRI, CAT, and Other Scans
(Includes interpretation and reading fees)
|Outpatient Physical Therapy Treatment Visits
(Limited to 10 visits per covered injury)
|$40.00 per visit
|Emergency Ambulance Service (Air or Ground)||$500.00|
|Drug Store Prescriptions Prescribed by Physician||$150.00|
(Total amount payable per injured tooth; includes X-rays and supplies)
|$300.00 per tooth|
|Replacement Eyeglasses or Hearing Aids
(If broken during a covered accident requiring medical treatment)
|Orthopedic Appliances/Braces/Implantable Devices or Equip Rentals
(Payable when physician prescribed for rehab purposes only)
|*NOTE: 'UCR' refers to 'usual, customary and reasonable' fees as referenced in the Fair Health, Inc. fees survey.|