Business Travel Accident Insurance Business Travel Accident at a Glance 1) The Teradyne Business Travel Accident (BTA) Insurance Plan covers you when you are travelling on company business. Any benefits you may receive from this plan are in addition to any benefits provided through the group life insurance plan or other programs. 2) You're automatically covered if you are a regular employee. 3) Teradyne covers the entire cost of the plan. Who's Eligible for Business Travel Accident You are automatically eligible for coverage through this plan if you are an active full-time U.S. or International employee working 20 or more hours per week or an active part-time U.S. and International employee (excluding those International employees who reside and are employed in Europe), an active LitePoint employee listed on file with Teradyne or a Co-op and Intern in the United States. Coverage begins on the date you start work and continues for as long as you remain employed by Teradyne. Business Travel Accident Coverage 24 Hour Business Travel Accident 24-Hour Business Travel Accident (BTA) coverage applies to circumstances arising from and occurring while you are traveling on assignment by or at the direction of Teradyne. Your spouse and dependent children traveling with you are also covered, provided the trip is authorized and at the expense of Teradyne. Coverage begins at the actual start of a trip; whether it is your home or regular Teradyne office location, whichever occurs last. Coverage ends immediately upon return to your home or regular Teradyne office location, whichever occurs first. Teradyne s BTA Insurance Plan contains numerous coverage enhancements such as sojourn/personal deviation, extraordinary commutation, on premises bomb scare, hijacking, exposure to elements and disappearance. For more information, you or your beneficiary should contact Teradyne s Human Resources Service Center. Travel Guard Assist Twenty-four hours, seven days a week, you can reach toll free emergency telephone assistance service while traveling at one of the following numbers in the event of a travel-related emergency: In the event of a travel-related emergency call: Toll Free/Free Phone (within the U.S.): 1-877-244-6871 Collect/Reverse Charge (outside the U.S.): +1-715-346-0859 Email: travelassist@aigbenefits.com Travel Medical Assistance Emergency medical evacuation Referrals to hospitals and providers Emergency prescription replacement Medical case management Medical payment arrangements Worldwide Travel Assistance Lost/stolen baggage assistance Lost passport/travel documents ATM locator Roadside assistance Emergency telephone interpretation Legal referrals/bail bond Security Assistance Services Security evacuation assistance with immediate, on-the-ground physical response 24-hour response services to assist employees and their families during an incident Security and safety advisories Global risk analysis Up-to-the-minute information on current world situations
VIP Concierge Services Restaurant referrals and reservations Event ticketing Ground transportation coordination Golf referrals/tee-time reservations Wireless device assistance Corporate event planning Identity Theft Assistance2 Account activity monitoring Financial account investigation Credit review and fraud detector Social Security personal earnings and benefits statement assistance Criminal prosecution assistance BTA Benefit Amounts You may receive benefits from this plan if you have an accident while traveling on business for Teradyne. The benefit you may receive is based on your regularly scheduled hours and the coverage level for the loss you suffer. The maximum benefit amount payable is $20,000,000 per accident. If an accident results in benefit amounts which when totaled exceeds $20,000,000; the benefit will be divided proportionally. Benefits for Employees Who Work 20 or More Hours per Week and Employees who are active LifePoint Employees listed on file with Teradyne Your full benefit amount is five times your basic annual earnings at the time of the accident, rounded to the nearest $1,000. The minimum benefit is $150,000, and the maximum is $1 million. Basic annual earnings means model compensation. It includes targeted commission earnings or a model variable compensation; however, it does not include overtime pay, shift differentials, commissions or incentive payments. Benefits for Employees Who Work Up to 20 Hours per Week and Co-op and Named Interns of Teradyne Your full benefit amount and maximum benefit is $100,000. War Risk Maximum If more than one employee suffers a loss as a result of declared or undeclared war or act of terrorism, anywhere in the world except the United States, Iran, Iraq, Afghanistan, or the Insured Person s Country of permanent residence, the maximum benefit amount payable is $10,000,000. If an accident results in benefit amounts which when totaled exceeds $10,000,000; the benefit will be divided proportionally. Full Benefits If the result of a business travel accident is one of the following losses, you (or your beneficiary) may receive the corresponding benefit amount: ACCIDENTAL LOSS OF: Accidental Loss of within 365 Days Life 100%* Both Hands or Both Feet 100% One Hand and One Foot 100% Sight in Both Eyes 100% Speech and Hearing in Both Ears 100% One Hand and Sight in One Eye 100% One Foot and Sight in One Eye 100% One Hand or One Foot 50% PERCENT OF BENEFIT AMOUNT
Sight in One Eye 50% Speech or Hearing in Both Ears 50% Thumb and Index Finger of Same Hand 25% * An additional $50,000 or 10% of the Principal Sum, (whichever is less) will be paid in the event of accidental death where you are operating or riding as a passenger in an automobile and wearing a properly fastened, original, factory-installed seat belt. An additional $25,000 or 10% of the Principal Sum (whichever is less) will be paid if the seat belt benefit is payable and if the insured is positioned in a seat protected by a properly functioning, original factory installed Supplemental Restraint System that inflates on impact. Under certain circumstances, such as loss of a limb, loss of use of a limb, loss of speech of hearing, lapsing into a coma, or if you suffer one or more losses as a result of a Carjacking of an Automobile, Teradyne s BTA Insurance Plan contains reduced benefits. For more information you or your beneficiary should contact Teradyne s Human Resources Service Center. Home Alteration or Vehicle Modification In the event of an accidental dismemberment or an accidental loss of use that benefits are payable, covered Home Alteration and Vehicle Modification Expenses that are incurred within one year after the date of the accident can be covered up to a maximum of $25,000. Rehabilitation In the event of an accidental dismemberment or accidental loss of use that benefits are payable, covered Rehabilitative Expenses can be reimbursed. Covered expenses must be incurred within two years after the date of the accident causing that injury, up to a maximum of $25,000. Bereavement & Trauma Counseling In the event of an accidental death, accidental dismemberment or an accidental loss of use for which a benefit is payable under the Policy, or if Coma benefits are payable, there is coverage for Bereavement and Trauma Counseling Expenses that are incurred within one year after the date of the accident, up to a maximum of $150 per session for up to 10 sessions. Emergency Medical Evacuation Benefit If an Insured Person suffers an Injury or Emergency Sickness that warrants their Emergency Evacuation while they are outside a 100 mile radius from their place of primary residence, the covered expenses reasonably incurred for Emergency Evacuation Expenses will be paid up to a maximum of $250,000. The Physician ordering the Emergency Evacuation must certify that the severity of the Insured Person s Injury or Emergency Sickness warrants their Emergency Evacuation. All Transportation arrangements made for the Emergency Evacuation must be by the most direct and economical conveyance and route possible. Repatriation of Remains Benefit If an Insured Person suffers loss of life due to injury while outside a 100 mile radius from their current place of primary residence, the covered expenses reasonably incurred to return their body to its current place of primary residence will be paid up to a maximum of $250,000. Security Evacuation Expense In the event of the need for a security evacuation due to certain events taking place in the country you are traveling (provided it is a covered country) such as hostile political or military actions or verifiable physical attacks upon you, our coverage will provide $100,000 of expenses needed to cover an evacuation to the nearest place of safety determined by the Designated Security Consultant.
They are not responsible for the availability of Transport services. Where a Security Evacuation becomes impractical because of hostile or dangerous conditions, a Designated Security Consultant will endeavor to maintain contact with you until a Security Evacuation becomes viable. Out-of-Country Accident & Emergency Sickness Medical Coverage with 24/7 Assistance Services If you suffer a covered injury or contract an emergency sickness that requires you to be treated by a physician while traveling outside of your country of permanent residence during any trip as defined by the policy, the coverage will pay the usual and customary charges incurred for covered medical services received due to that injury or emergency sickness up to the benefit maximum of $100,000. There is no deductible, the benefit period is 26 weeks and your trip length for these benefits is 180 days. Family Loss of Life Coverage If a business travel accident results in loss of life of your spouse and/or unmarried dependent children traveling with you as authorized and at the expense of Teradyne, you or (or your beneficiary) may receive the corresponding benefit amount: Family Member: Benefit Amount Spouse $50,000.00 Each Dependent Child $25,000.00 BTA Exclusions Business Travel Accident Plan coverage does not apply to accidents occurring in the following situations: Suicide or any attempt at suicide or intentionally self-inflicted injury or any attempt at intentionally selfinflicted injury or auto-eroticism; Travel or flight in or on (including getting in or out of, or on or off of) any vehicle used for aerial navigation, whether as a Passenger, pilot, operator or crew member, unless specifically provided by this policy; Declared or undeclared war, or any act of declared or undeclared war; unless specifically provided by this policy; Sickness, disease, mental incapacity or bodily infirmity whether the loss results directly or indirectly from any of these; Infections of any kind regardless of how contracted, except bacterial infections that are directly caused by botulism, ptomaine poisoning or an accidental cut or wound independent and in the absence of any underlying sickness, disease, or condition including but not limited to diabetes; Full-time duty in the armed forces, National Guard or organized reserves corps of any country or international authority. (Unearned premium for any period for which the insured Person is not covered due to his or her active duty status will be refunded.)(losses caused while on short-term National Guard or reserve duty for regularly scheduled training purposes is not excluded); The insured person being under the influence of intoxicants while operating any vehicle or means of transportation or conveyance; The Insured person being under the influence of drugs unless taken under the advice of and as specified by a Physician; Insured person's commission of or attempt to commit a felony; The medical or surgical treatment of sickness, disease, mental incapacity or bodily infirmity whether the loss results directly or indirectly from the treatment;
Stroke or cerebrovascular accident or event; cardiovascular accident or event; myocardial infarction or heart attack; coronary thrombosis; aneurysm. How to File a BTA Claim To file a claim, you or your beneficiary should contact: Human Resources Service Center, MS NR-700-2-1 700 Riverpark Drive North Reading, MA 01864 978-370-3041 Our Human Resource Service Center will provide the proper claim forms and/or assist you in notifying the insurance company. Proof of Loss Written proof of loss must be furnished to the company within 90 days after the date of the loss, or is soon as is reasonably possible. If the loss is one for which this Policy requires continuing eligibility for periodic benefit payments, subsequent written proofs of eligibility must be furnished at such intervals as the company may reasonably require. Claim Payments For all claims with monthly benefits, you or your beneficiary will receive the applicable benefit amount no less frequently than monthly during the continuance period. At the end of this period, the carrier will pay any remaining balance of the benefit amount immediately. All payments are subject to receipt of complete Proof of Loss. For all other claims, you or your beneficiary will receive the benefit immediately upon receipt of due written proof of loss. Beneficiary Your loss of life benefits will be paid to the beneficiary you have designated. If your beneficiary is deceased, or you have not elected a beneficiary, the benefit will be paid in the following order: Your spouse; In equal shares to your surviving children; In equal shares to your surviving parents, In equal shares to your surviving brothers and sisters; To your estate. All other benefits amounts will be paid to you. Terms of Contract Business Travel Accident Plan benefits are subject to the terms of the contract between Teradyne, Inc. and the insurance carrier, National Union Fire Insurance Company of Pittsburgh, Pa. Teradyne has no responsibility to pay benefits beyond those that can be provided by the contract terms.