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6. COVERED ACCIDENT BENEFITS Ambulance Benefit (Air) An Ambulance Benefit is payable for a licensed professional air ambulance company to transport an Insured to or from a Hospital, or between medical facilities for Treatment of Injuries received in a Covered Accident. Ambulance Benefit (Ground) An Ambulance Benefit is payable for a licensed professional ambulance company to transport an Insured by ground, to or from a Hospital or between medical facilities for Treatment of Injuries received in a Covered Accident. Blood/Plasma/Platelet Transfusion Benefit A Blood/Plasma/Platelet Transfusion Benefit is payable for each Insured who requires a transfusion, administration, cross matching, typing and processing of blood, plasma or platelet as a result of Injuries received in a Covered Accident. Burn Benefit A Burn Benefit is payable for each Insured who sustains covered burns shown in the Benefit Highlights as the result of Injuries received in a Covered Accident. The Insured must be treated by a Physician. If the Insured meets more than one of the burn classifications, we will pay only the greater benefit amount as shown in the Benefit Highlights. Catastrophic Accident Benefit A Catastrophic Accident Benefit is payable if an Insured sustains the following: · Loss of Hand—both hands; · Loss of Foot—both feet; · Loss of Arm or Loss of Leg—both arms or both legs; · Loss of Hand and Loss of Foot—one hand and one foot; · Loss of Arm and Loss of Leg—one arm and one leg; · Loss of an Eye—both eyes; · irrecoverable Loss of Sight—both eyes; or · any combination equaling two or more losses from: Loss of Arm, Loss of Hand, Loss of Leg, Loss of Foot, or Loss of an Eye; due to Injuries received in a Covered Accident. Loss of Arm and Loss of Hand or Loss of Leg and Loss of Foot on the same side of the body are counted as one loss. If the insured loses one arm or one leg and later loses the other arm or leg as the result of the same Covered Accident, we will subtract the amount we paid for that loss of an arm or leg from the benefit we pay for the Catastrophic Accident Benefit. If the Injury is diagnosed as temporary blindness and then results in permanent irrecoverable Loss of Sight of both eyes as a result of the same Covered Accident, we will subtract from the Catastrophic Accident Benefit the amount we paid for the Brain Injury Benefit if the sole reason for paying the Brain Injury Benefit was due to blindness. Coma Benefit A Coma Benefit is payable for each Insured who is in a Coma as the result of Injuries received in a Covered Accident. 16-AC-C-01 Page23

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