DAILY IN-HOSPITAL CONFINEMENT BENEFIT. This Benefit is payable regardless of any other coverage in force (not on an excess basis). The plan will pay the Daily In- Hospital Confinement Benefit amount for each day the “named member” is registered as an In-patient in a hospital if: A) The “named member” is hospitalized as a result of an accident only; and B) The “named member” is under a medical doctor’s care; and C) The “named member” is confined for at least the Minimum Confinement Period; and D) The hospital provides at least a full day’s Room and Board; and E) The accident occurs subsequent to the effective date of this membership. For the purpose of this benefit, the term “hospital” means the institution that provides primary medical or surgical care to the “named member.” Rehabilitation, convalescent, psychiatric, and/or nursing home facilities are specifically excluded from this definition. $125 per day (Benefit stated is the most we will pay for any one loss.) Benefit is not per person. CLAIMS: If a loss should occur, please contact National Adjustment Bureau; 000 Xxxxxx Xxxx, Xxxxx 000; Xxxx Xxxxx, XX 00000 and/or #000-000-0000. NOTICE OF CLAIM: Written notice of claim must be given to National Adjustment Bureau within 20 days after a loss occurs or begins. The notice must include your name, the name of the “named member”, the date of loss, and the member number. It should be sent to National Adjustment Bureau; 000 Xxxxxx Xxxx, Xxxxx 000; Xxxx Xxxxx, XX 00000. CLAIM FORMS: Once we receive notice of a claim, we will provide claim forms. You can also obtain claim forms at xxx.xxxxxxxxxx.xxx. The written proof of loss requirement will be met by you or the beneficiary by sending us written proof as described below. WRITTEN PROOF OF LOSS: Proof of loss must describe the incident, extent and the type and date of loss. For death claims, proof of loss must include a certified copy of the death certificate, autopsy report (if performed), coroner, medical examiner and/or justice of the peace reports, police motor vehicle accident report, police incident report, fire department incident reports, or any other documentation that we reasonably request. Written proof of loss must be sent to us at the address shown above. If the claim is for a continuing loss for which we make periodic payments, the claimant must give us written proof of loss within 60 days after the end of each period that benefits are payable. For any other loss, written proof must be given to us within 60 days after the date of loss. ...
DAILY IN-HOSPITAL CONFINEMENT BENEFIT. These Benefits are payable regardless of any other coverage in force (not on an excess basis). The plan will pay the Daily In-Hospital Confinement Benefit amount for each day the “named member” is registered as an In-patient in a hospital if:
