Accident & Sickness Forms
Don't have your claim delayed because of these four simple errors!
INSTRUCTIONS:
Please contact Customer Service for assistance before completing your Application, Payroll Card, or Claim form.
CCPOA Member Line:
888-211-6157
Submit Finished Claims: claims@argbenefits.com
FORMS & PUBLICATIONS
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WHAT DOES ACCIDENT & SICKNESS DO?
The Accident Plus pays cash direct to you. Any time. Any day. On-the-job. Off-the-job. Starting on Day One.
Accident Plus is a supplemental policy that helps cover the “money gap” left from any other coverage you may have. It will pay cash DIRECTLY TO YOU or to whomever you choose, and is PAID IN ADDITION to benefits provided by any other insurance policy, workers compensation, social security, even your Gold Shield plan.
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VAULT’S SHIELD PLUS: If an injury or illness leaves you unable to work, Shield Plus pays cash benefits to help cover expenses such as:
• Deductibles and co payments on your medical insurance
• Other out-of-pocket medical costs
• Monthly expenses such as mortgage or rent, car payments, utility bills and more
• Everyday needs like childcare, grocery and transportation
• Guarantee Issue -you cannot be denied coverage
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One form for both Accident Champion & Sick Pay Plus
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VAULT Accident & Sickness Brochure and Price List
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Pricing for Accident Champion & Shield Plus
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For Non-Custody Only
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Authorize deductions from your pay warrant
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Certificate of coverage outlines the important benefits of your coverage.
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Certificate of coverage outlines the important benefits of your coverage.
