Industrielle Alliance, Insurance and Financial Services


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Life and Health Insurance

Description of Coverage - The Peek-a-Boo Plan


Eligibility

Extent of Protection

Exclusions



Eligibility


Any infant between the ages of 15 days and 12 months who resides permanently in Canada during the protection period and whose name appears on the Peek-a-Boo Plan application submitted to the head office of Industrial Alliance Insurance and Financial Services Inc.

Extent of Protection

The insurance coverage takes effect on the later of the following dates: the 15th day of life of the child or the date of receipt of the application form at the Company’s head office. The protection period is 12 months. The insured infant is covered 24 hours a day, worldwide.

Brief Description of the Product
Certain restrictions and exclusions apply. The issued contract is the only official document that is binding on the parties.

Benefits

Maximum Benefit

A.

Accidental Death
Accidental death

Accidental death while travelling on a public conveyance

 
$5,000

$15,000

B.

Natural Death

$2,500

C.

Dismemberment or Loss of Use
Loss of two limbs, or one limb and sight in one eye, or loss of sight in both eyes

 

Loss of hearing in both ears and loss of speech

 

Loss of hearing in both ears or loss of speech

 

Loss of one limb or sight in one eye

 

Loss of hearing in one ear

 

Loss of fingers or toes (each finger or toe)

 

Maximum Amount Payable Under This Clause


$50,000


$50,000

$25,000

$12,500

$3,000

$1,000

$50,000

D.

Hospital and Paramedical Expenses Resulting From an Accident
Medications

Initial purchase (but not the replacement) of prosthesis (artificial limbs)

Initial purchase (but not the replacement) of a hearing aid

Additional fees for a private or semi-private room

Nursing care

Rental or purchase (but not the replacement) of orthopedic appliances

Treatment by a physiotherapist or chiropractor

Emergency transportation expenses

Room and board for the person who must accompany the insured



Maximum Per Accident



Included

Max. $3,000


Max. $500


Max. $55/day

Included

Included


$15/visit,
max. 180/year

Max. $1,000

$100/day,
max. $500



$25,000

E.

Hospitalization Allowance
Lump-sum benefit (payable as of the first night)


$25/night,
max. $1,000

F.

Emergency Care Outside the Province of Residence
Services of a physician, hospital care and transportation by ambulance following an accident



Max. $5,000

G.

Childcare Expenses
Child under 18 years of age (insured child injured or other children of the parent or guardian)


$10/hour,
max. $100/year



Exclusions

 

No benefits are payable for:


A.


Hospital and paramedical expenses reimbursable by any other private or government insurance plan. In the case of a person who is not covered by a government health plan providing illness or injury benefits, the Company will reimburse only that portion of expenses which would have been reimbursed to a person covered by such a government health plan.


B.


Care or treatment given by a person who is related to the insured (except for transportation expenses).

An insured who is covered under several accident policies issued by the Company will receive benefits under the most advantageous contract.



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