Comatose Benefit Clause Samples
The Comatose Benefit clause provides for the payment of benefits if the insured individual falls into a coma as defined by the policy. Typically, this clause outlines the medical criteria that must be met for a coma, such as a minimum duration of unconsciousness and the absence of voluntary actions, and may specify the amount or percentage of the policy benefit payable upon such an event. Its core practical function is to offer financial support to the insured or their beneficiaries in the event of a severe medical emergency, addressing the risk of long-term incapacitation due to coma.
POPULAR SAMPLE Copied 3 times
Comatose Benefit. If an insured employee sustains an accidental bodily injury that results in a lapse into a comatose state within 365 days of the accident, a benefit equal to two percent (2%) of the Principal Sum shall be payable on the 32nd day of the coma and each month thereafter for a maximum of 50 months, or until death, if earlier, at which time any balance would be paid. If the employee regains consciousness, benefits shall cease and coverage for optional group accident insurance would resume only upon re-enrollment and payment of premiums. If the employee elects family coverage, the spouse or same-sex domestic partner as defined in Letter C-41 of Exhibit B is covered for an amount equal to fifty percent (50%) of the employee’s coverage and each other eligible dependent is covered for ten percent (10%) of the employee’s coverage.
Comatose Benefit. If an insured employee sustains an accidental bodily injury that results in a lapse into a comatose state within three hundred sixty-five (365) days of the accident, a benefit equal to two percent (2%) of the Principal Sum shall be payable on the thirty-second (32nd) day of the coma and each month thereafter for a maximum of fifty (50) months, or until death, if earlier, at which time any balance would be paid. If the employee regains consciousness, benefits shall cease and coverage for optional group accident insurance would resume only upon re-enrollment and payment of premiums. If the employee elects family coverage, the spouse is covered for an amount equal to fifty percent (50%) of the employee’s coverage and each eligible child is covered for ten percent (10%) of the employee’s coverage.
Comatose Benefit. In the event an Insured Person suffers a Bodily Injury which results in the Insured Person being in a Hospital and in a Comatose State within thirty (30) days of the date of the Accident, the Company will pay the Insured Person the Sum Insured as shown on the Policy Schedule. Comatose State means a state of unconsciousness that persists for at least ninety six (96) hours. This diagnosis must be supported by evidence of all of the following: • No response to external stimuli for at least ninety six