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| Benefits | $50,000 Plan | $100,000 Plan | Accident Disability | $500 | $1,000 | Hospital Accident | $50 | $100 | Accidental Death | $50,000 | $100,000 | | | Rates | | | Insured Person | $53.70 | $102.00 | Rates and/or benefits may be changed on a class basis. Coverage ends at age 65. To pay on an annual basis, double the semiannual rates. Underwritten By Hartford Life and Accident Insurance Company, Simsbury, CT. Form 7582 A2 (HLA) (11039) Return to SAF Comprehensive Accident Plan Information Page |