Aflac Group Accident Advantage Plus Insurance

What Is Group Accident Advantage Plus?

Group Accident Advantage Plus (GAAP) is a voluntary, supplemental insurance product offered by Aflac to employees through their employer. It provides a cash benefit when an employee suffers an accidental injury, helping to cover medical expenses, lost wages, and other outofpocket costs that traditional health plans often do not fully reimburse.

Key Benefits

• Immediate cash payout: A fixed amount is paid directly to the insured, taxfree, as soon as a claim is approved.
• Flexible use: Benefits can be used for medical bills, transportation, childcare, or any other need that arises after an accident.
• Portable coverage: The policy stays with the employee even if they change jobs, as long as premiums are paid.
• Customizable coverage levels: Employers can offer multiple benefit options (e.g., $5,000, $10,000, $20,000) so employees choose the amount that best fits their budget.
• No medical underwriting: No health questions or exams are required to qualify.

How It Works

1. Enrollment: During the open enrollment period, employees select the benefit amount they want and consent to payroll deductions.
2. Coverage activation: Once payroll deductions begin, the policy is active immediately.
3. Accident occurs: If the covered employee experiences a qualifying accident, they or a designated representative files a claim with Aflac.
4. Claim review: Aflacs claims team verifies the accident and the required documentation (medical records, police report, etc.).
5. Payout: Upon approval, the agreedupon cash benefit is mailed or deposited directly to the insured.

Covered Accidents

GAAP covers a broad range of accidental injuries, including but not limited to:

• Fractures and broken bones
• Burns (firstdegree to thirddegree)
• Concussions and traumatic brain injuries
• Spinal cord injuries
• Softtissue injuries (sprains, strains, whiplash)
• Accidental loss of limbs or vision
• Hospitalization due to an accident

Each claim is evaluated based on the severity of the injury and the specific benefit level selected.

Exclusions & Limitations

While GAAP offers extensive protection, certain situations are not covered:

• Injuries resulting from selfinflicted harm or suicide.
• Preexisting conditions that are aggravated by an accident.
• Acts of war, terrorism, or civil unrest.
• Nonaccidental medical conditions (e.g., illness, natural disease).
• Injuries sustained while under the influence of illegal substances.

Employees should review the policys full exclusion list before enrolling.

Cost to Employees

Premiums are deducted from payroll on a pretax basis, which can lower the employees taxable income. Typical monthly costs range from $5 to $15 per $5,000 of coverage, depending on the employers negotiated rates and the employees age group.

Because the program is voluntary, employees can start, increase, or decrease their coverage during any open enrollment window or qualifying life event (marriage, birth, etc.).

Why Employers Offer GAAP

Offering Group Accident Advantage Plus can help employers attract and retain talent by providing a valuable, lowcost benefit that addresses a real financial concern. It also demonstrates a commitment to employee wellbeing beyond standard health insurance.

• Competitive edge: Differentiates the company in a crowded job market.
• Costeffective: Premiums are typically lower than those for fully insured health plans.
• Employee satisfaction: Workers appreciate the peace of mind that comes with supplemental coverage.
• Reduced absenteeism: Faster financial recovery can help employees return to work sooner.

How to Enroll

Employees interested in GAAP should follow these steps:

1. Log in to the employers benefits portal during the open enrollment period.
2. Review the plan details, coverage options, and cost tables.
3. Select the desired benefit amount and confirm consent for payroll deductions.
4. Submit the enrollment form; an instant confirmation will be sent via email.
5. Keep a copy of the policy summary for personal records.

If you miss the open enrollment window, you may still enroll after a qualifying life event by contacting your HR department.

Frequently Asked Questions

Is the benefit taxable?

No. Accident benefits paid under GAAP are generally taxfree under IRS guidelines, provided the policy is not classified as a wage replacement plan.

Can I have GAAP and my own private accident policy?

Yes. GAAP is a supplemental policy and can be combined with any other accident or health coverage you already have.

What if I leave the company?

Coverage can continue as long as you keep paying the premiums directly to Aflac. You will need to contact Aflacs customer service to arrange continuation.

How quickly will I receive the payout?

Most claims are processed within 710 business days after all required documentation is submitted.

Contact Information

For more details, call Aflac at 18003522222 or visit the Aflac website. Your HR department can also provide planspecific brochures and enrollment assistance.