JATC Apprentice/Journeyman/Instructor
Insurance Plan - Benefit Summary

The Accident Insurance Plan provides insurance for Apprentices and Trainees while participating in, including direct travel to and from, apprenticeship and training classes and meetings sponsored by the participating Local.

$25,000 Accident Medical Expense Benefit
(after a deductible of $25 per accident)

Accidental Death & Dismemberment Benefit:

$25,000 Accidental Death
$25,000 for the loss of either two hands, two feet, two eyes, or any combination of any two of the above.
$12,500 for the loss of either one hand, one foot, or one eye

Optional Benefit:

$200 or $400 Maximum Weekly Disability Benefit
(Maximum number of weeks: 52 weeks)

If you have an accident that results in medical expenses, contact your Local's administrative office. You will have to complete a claim form and submit with itemized medical bills to:

Mass Benefits Consultants, Inc.
P.O. Box 828
Annandale, VA 22003-0828

Claim payments come directly from AIG (the insurance company) and generally take about 4 weeks from the time the completed claim is received.

You can call Mass Benefits with any benefit or claim questions. Our toll-free phone number is 1-800-221-3083. Our office hours are 8:30 am to 4:30 pm eastern time, Monday - Friday.


ENROLLMENT FORM

CLAIM FORMS:
Special Risk Accident and Sickness
Temporary Total Disability Accident and Sickness
Claimant Authorization
Coordinator Statement