All Fingerhut customers age 18 – 80 are eligible for six months of Permanent Total Disability Accident Insurance (age 18-69 $10,000; age 70-80 $5,000). Premiums for this coverage are paid as indicated on the enrollment form and rate schedule below. THERE IS NO COST TO YOU for the first six months of coverage compliments of Fingerhut. In order to initiate your coverage, YOU MUST COMPLETE THE ENROLLMENT FORM.
Who is Eligible
All Fingerhut customers age 18 - 80 and their spouses are eligible for coverage. On joint accounts, the person who completes the enrollment form will be the Primary Insured Person. Only the primary insured is eligible for the complimentary coverage.
Coverage Provided
Permanent Total Disability: If you or your Insured Spouse’s (If Joint Coverage elected) injury results in Permanent Total Disability within 90 days after the date of the covered accident (subject to the conditions detailed in the Insurance Documents), and the disability continues for six months, we will pay the $10,000 complimentary benefit amount and the additional benefit amount for the plan you select. PERMANENTLY TOTALLY DISABLED/PERMANENT TOTAL DISABILITY - means that an insured person: (1) Has suffered a Paralysis, Double Dismemberment or other covered condition as explained in your Insurance Documents due to a covered accident; (2) Is Permanently unable to engage in any of the usual activities of a person of like age and sex whose health is comparable to the insured person immediately prior to the accident and (3) Is under the care of a Doctor.
Hospitalization – Weekly Benefit: For the additional and automatic coverages, if you are, or your Insured Spouse (if Joint Coverage elected) is, confined in a hospital as a result of an injury due a covered accident, we will pay a daily benefit up to 365 days. The daily benefit is equal to 1/7 of the weekly benefit for the plan you select The term “hospital” does not include certain facilities that provide institutional care such as a nursing home, convalescent home or extended care facility.
Emergency Treatment Benefit: For the additional and automatic coverages, if you are, or your Insured Spouse (if Joint Coverage elected) is, required to receive Emergency Treatment in a hospital emergency room as a result of a covered injury, we will pay the maximum benefit amount for the plan you select.
Full Description of Coverage
No Insurance Underwriting Restrictions
All eligible Fingerhut customers who complete the enrollment form will be accepted. There are no medical questions or physical examinations required for enrollment.
Termination of Coverage
No-cost coverage terminates on the earlier of six months from the effective date shown on the Insurance Documents or the date the Master Policy is terminated. Additional and automatic coverage terminates on the earliest of: the date you request termination, the date you cease to be eligible for Coverage, or the date you fail to pay any required premium or the date the master policy is terminated. The Disability benefit terminates at age 85.
Automatic Coverage
After the first six months of no-cost coverage, unless you call to cancel, your coverage will automatically be upgraded to $100,000* of coverage and the monthly premium of $5.95 will be automatically charged quarterly to your CIT Bank / Fingerhut credit account. Coverage can be cancelled by calling the toll free number included in your Insurance Documents.
Joint Coverage/Additional Coverage
A Joint plan, if selected, will insure you for the Additional Coverage checked on your enrollment form and your spouse for 50% of the Additional Coverage (benefits reduce by 50% at age 70). For the monthly premium, please refer to the "Additional Coverage Rate Schedule".
Effective Date of Coverage
The no-cost coverage, if selected, will become effective on the date shown on the schedule page of your Insurance Documents.
The Automatic coverage, if selected, will become effective on the first day after the six months of no-cost coverage, unless you call to cancel.
If the Additional coverage is selected, it will become effective on the date your account is billed for coverage.
Important Notice to Persons On Medicare
This insurance duplicates some Medicare Benefits. This is not Medicare Supplement Insurance. This insurance pays a fixed dollar amount, regardless of your expenses, for each day you meet the policy conditions. It does not pay your Medicare deductibles or coinsurance, and is not a substitute for Medicare Supplemental insurance. This insurance duplicates Medicare benefits when any expenses or services covered by the policy are also covered by Medicare. Medicare generally pays for most or all of these expenses.
Medicare pays extensive benefits for medically necessary services regardless of the reason you need them. These include hospitalization; physician services; outpatient prescription drugs if you are enrolled in Medicare Part D; and other approved items and services.
Before you buy this insurance check the coverage in all health insurance policies you already have. For more information about Medicare and Medicare Supplement Insurance, review the Guide to Health Insurance for People with Medicare, available from the insurance company. For help in understanding your health insurance, contact your state insurance
Covered Activities
Coverage is provided for all activities except while riding as a fare paying passenger on a commercial airline. [Note: This coverage is also subject to the limitations regarding travel or flight on an aircraft as explained in General Exclusion # 7below.]
General Exclusions
No coverage shall be provided under the Policy and no payment shall be made for any loss resulting in whole or in part from, or contributed to by, or as a natural and probable consequence of any of the following excluded risks:
(1) suicide or any attempt at suicide or intentionally self-inflicted injury or any attempt at self-inflicted injury or autoeroticism;
(2) sickness, disease, mental incapacity or bodily infirmity whether the loss results directly or indirectly from any of these;
(3) commission of or attempt to commit a felony;
(4) infections of any kind regardless of how contracted, except bacterial infections that are caused by botulism, ptomaine poisoning or an accidental cut or wound independent and in the absence of any underlying sickness, disease, or condition, including but not limited to diabetes;
(5) declared or undeclared war, or any act of declared or undeclared war; except if specifically provided by this policy;
(6) full-time active duty in the armed forces, National Guard or organized reserve corps of any country or international authority (unearned premium for any period for which You are not, or Your Insured Spouse is not, covered due to active duty status will be refunded; loss caused while on short-term National Guard or reserve duty for regularly scheduled training purposes is not excluded);
(7) travel or flight in or on (including getting in or out of, or on or off of) any vehicle used for aerial navigation, if the Insured Person is: a.) riding as a passenger in any aircraft not intended or licensed for the transportation of passengers.; or b.) performing, learning to perform or instructing others to perform as a pilot or crew member of any aircraft, unless specifically provided for under the Policy or c.) riding as a passenger in an aircraft owned, leased or operated by the Policyholder or the Insured's employer, unless specifically provided for under the Policy.
(8) being under the influence of intoxicants;
(9) being under the influence of drugs unless taken under the advice of and as specified by a Physician;
(10) the medical or surgical treatment of sickness, disease, mental incapacity or bodily infirmity whether the loss results directly or indirectly from the treatment;
(11) stroke or cerebrovascular accident or event; cardiovascular accident or event; myocardial infarction or heart attack; coronary thrombosis; aneurysm;
(12) riding in or driving any type of motor vehicle as part of a speed contest or scheduled race, including testing such vehicle on a track, speedway or proving ground; or;
(13) any loss incurred while outside the United States, its Territories, or Canada.
Each person participating in the plan will receive Insurance Documents describing the exact coverage and benefits provided.
