AD&D Rate Calculator (LNG-2025)

Quotes are non-binding and for indicative use only.

For Agent Use Only.

Estimated Monthly Total

(Please select one)

Maximum Benefit (Per Accident) Single Family Plus One
$500.00 $0.00 $0.00 $0.00
$1,000.00 $0.00 $0.00 $0.00
$1,500.00 $0.00 $0.00 $0.00
$2,500.00 $0.00 $0.00 $0.00
$3,000.00 $0.00 $0.00 $0.00
$3,500.00 $0.00 $0.00 $0.00
$4,000.00 $0.00 $0.00 $0.00
$5,000.00 $0.00 $0.00 $0.00
Requires Home Office Approval
$6,000.00 $0.00 $0.00 $0.00
$7,500.00 $0.00 $0.00 $0.00
$10,000.00 $0.00 $0.00 $0.00
$12,500.00 $0.00 $0.00 $0.00

Questions? Contact Us: LNICWSHelp@lifeshieldnational.com

AD&D with Accident
Medical Expense

Accidents can happen every day that could lead to major injuries or even death. Many believe their major medical plan will cover most of the medical expenses accrued. However, there may be additional charges that are not covered which may lead to a financial crisis.

Accidental Death and Dismemberment with Accident Medical Expense benefits are paid as a lump sum payment that can be used towards funeral costs, deductibles, utility bills, mortgage payments, etc. Making it easier for families to determine where financial help is needed the most.

Coverage Benefits
Issue Ages for Insured & Spouse 18-65. Dependent Children Up to Age 25.

ACCIDENTAL DEATH AND DISMEMBERMENT*

TYPE OF LOSS

PRINCIPAL SUM PAID

Life

100%

Life when two or more Insured Persons covered
under the same certificate are in the same
accident covered by the policy

200% for all insured persons covered
under the same certificate

Loss of both hands or both feet or sight of both eyes

100%

Loss of one hand and one foot

100%

Loss of one hand or one foot and sight of one eye

100%

Loss of speech and hearing

100%

Loss of one hand or one foot or sight of one eye

50%

Loss of speech or hearing

50%

Loss of thumb and index finger on same hand

25%

Pre-Existing Sickness or Injury

Will not pay if accident occurred before
the certificate effective date

Accident Medical Expense

Hospital Room and Board

Medical Services and Supplies

Ancillary Hospital Charges

Dental Services

Medical Emergency Care and Treatment

Prescription Drugs

Outpatient Surgical Charges in an
Outpatient Surgical Facility

Eyeglasses, Contact Lenses,
and Hearing Aids

Physicians Services

Artificial Instruments

Physical Medicine (Physiotherapy)

Rehabilitation Treatment

Ambulance Services

Skilled Nursing Facility

Medical Equipment Rental

*For AD&D benefit, eligible spouse or domestic partner coverage included coverage at 50% of the primary insured’s benefit and dependent children’s coverage at 25% of the primary insured’s benefit amount.

LNG-2025

(RV: 2/2024)

Benefit Amounts

and Premiums

lifeshield-logo

Monthly Premiums

Benefit Amount Single Plus One Family

Accidental Death and Dismemberment

____________

with Accident Medical Expense

____________

____________

____________

____________

Plan Code

abc123

abc123

abc123

Quotes are non-binding and for indicative purposes only.

Warning: Any person who knowingly presents a false or fraudulent claim for payment of a loss of benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof.

LifeShield National Insurance Co. (LNIC) is an Oklahoma domiciled life insurance company and has assets in excess of $100 million. Together with its affiliates, LNIC has been protecting individuals and families for nearly 50 years.

Available in: AL, AR, AZ, CA, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, ND, NE, NJ, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WY

This brochure is not a contract of insurance. For complete details of all policy provisions and benefits, please read the policy documents carefully. This brochure applies to policy form numbers: LNG-2025, LNG-2026, and LNG-2027.

This coverage is supplemental only.

THIS IS A LIMITED HEALTH COVERAGE POLICY AND IS NOT A SUBSTITUTE FOR MAJOR MEDICAL COVERAGE. No benefits will be provided during the first two years following the policy effective date for any claims resulting from pre-existing conditions for any covered person.

LNG-2025

(RV: 2/2024)

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