Blanket AccidentInsurance

EX-10.9 5 dex109.htm BLANKET ACCIDENT INSURANCE Blanket Accident Insurance

EXHIBIT 10.9

 

[GRAPHIC]

 

 

Blanket Accident Insurance

 

Declarations

    

Chubb Group of Insurance Companies

15 Mountain View Road

Warren, NJ 07059

Policyholder’s Name and Mailing Address

    
    

Policy Number     6404-48-82

RYERSON TULL, INC.

2621 WEST 15TH PLACE

CHICAGO, IL 60608

  

Effective Date     JANUARY 1, 2004

ProducerNo    0030794

  

Issued by the stock insurance company indicated below.

FEDERAL INSURANCE COMPANY

Incorporated under the laws of INDIANA

      

Producer      AON CONSULTING, INC

200 E RANDOLPH ST 13TH F

CHICAGO, IL 60601-0000

    

 

Section I - Policy Period

 

From: JANUARY 1, 2004             To: JANUARY 1, 2005

 

12:01 A.M. standard time at the Policyholder’s mailing address shown above.

 

Section II - Persons Insured

 

The following are the Persons Insured under this policy:

 

Class

  

Description


1    ALL NON-EMPLOYEE DIRECTORS AND OFFICERS (ON FILE WITH THE HOLDER) OF THE POLICYHOLDER.

 

If an Insured Person is included in more than one Class, the Insured Person will be covered for only the Benefit Amount applicable to one Class. The Insured Person will be considered a member of the applicable Class that provides the Insured Person the largest Benefit Amount for the particular Accident and Loss that has occurred.

 

An Insured Person is added for coverage as a Class member at any time during the policy period that the Insured Person fits the Class description. An Insured Person will be deleted from a Class and coverage ends at any time the Insured Person no longer fits the Class description. All premium adjustments will be made according to the terms of this policy.

 

Section III - Hazards

 

The following are the Hazards during which coverage applies:

 

Hazards


  

Form Number


BUSINESS TRAVEL   

44-02-0897 (01/95)

 

     continued
Form 44-02-0893(Ed. 1-95)                        Declarations    Page 01


(continued)

 

Section IV - Benefits

 

BENEFIT AMOUNTS

 

Accidental Loss of Life and Scheduled Benefits

 

The following are Loss of Life Benefit Amounts for each Class and corresponding Hazards:

 

Class


   Benefit Amounts

       BUSINESS TRAVEL

1

   $ 500,000

 

¨ Multiple of salary applies, refer to the Supplemental Benefit Amounts Declarations.

 

The following are Losses covered and the corresponding Scheduled Benefit Amounts.

 

Accidental Loss of


   Percent of Loss of Life
Benefit Amount


Life

   100%

Speech and Hearing

   100%

Speech and one of: Hand, Foot or Sight of One Eye

   100%

Hearing and one of: Hand, Foot or Sight of One Eye

   100%

Both Hands, Both Feet or Sight of Both Eyes or a Combination of a Hand, a Foot or Sight of One Eye

   100%

One Hand or One Foot or Sight of One Eye

   50%

Speech or Hearing

   50%

Thumb and Index Finger of the same Hand

   25%

 

PERMANENT TOTAL DISABILITY MONTHLY BENEFIT

 

The following are Permanent Total Disability Benefit Amounts for each Class. The same Hazards apply as stated above for Accidental Loss of Life.

 

Class


   Benefit Amount

   Elimination Period

1

   $ 500,000    12 MONTHS

 

If an Insured Person has multiple Losses as the result of one Accident, we will pay only the single largest Benefit Amount applicable to the Losses suffered.

 

SEAT BELT

 

10 percent of the Accidental Loss of Life Benefit Amount.

 

     continued
Form 44-02-0893(Ed. 1-95)                        Declarations    Page 02


[GRAPHIC]

 

Blanket Accident Insurance

 

Declarations

 

Effective Date JANUARY 01, 2004

 

Policy Number 6404-48-82

 

(continued)

 

Section V - Maximum Limit Of Insurance

 

The following are the maximum amounts we will pay:

 

Limit of Insurance

 

$5,000,000                     per         ACCIDENT

 

If more than one (1) Insured Person suffers a Loss in the same Accident, we will not pay more than the maximum Limit of Insurance shown above. If an Accident results in Benefit Amounts becoming payable, which when totalled, exceed the applicable Limit of Insurance shown above, the maximum Limit of Insurance will be divided proportionally among the Insured Persons, based on each applicable Benefit Amount.

 

Coverage only applies for the Classes, Hazards, Benefit Amounts and Losses that are specifically indicated as covered.

 

     last page
Form 44-02-0893(Ed. 1-95)                        Declarations    Page 03


[GRAPHIC]

 

Blanket Accident Insurance

 

Insuring Agreement     
    

Chubb Group of Insurance Companies

15 Mountain View Road

Warren, NJ 07059

Policyholder’s Name and Mailing Address

    
    

Policy Number     6404-48-82

RYERSON TULL, INC.

2621 WEST 15TH PLACE

CHICAGO, IL 60608

  

Effective Date     JANUARY 1, 2004

    

Issued by the stock insurance company
        indicated below, herein called the company.

    

FEDERAL INSURANCE COMPANY

ProducerNo.    0030794

  

Incorporated under the laws of INDIANA

Producer      AON CONSULTING, INC

200 E RANDOLPH ST 13TH F

CHICAGO, IL 60601-0000

    

 

Company and Policy Period

 

Insurance is issued by the Company in consideration of payment of the required premium.

 

This policy begins and ends at 12:01 AM Standard Time at the Policyholder’s address on the dates shown below:

 

From: JANUARY 1, 2004                  To: JANUARY 1, 2005

 

The Policyholder’s acceptance of this policy terminates, any prior policy of the same number issued to the Policyholder by the Company, effective with the inception of this policy.

 

This Insuring Agreement, together with the Premium Summary, Schedule Of Forms, Declarations, Contract, Hazards, Common Policy Conditions and Endorsements comprise this policy. If this policy is a renewal, we have only reissued to you those policy documents containing changes from your previous policy period coverages and any new additional coverages or policy provisions. All other policy documents continue in effect.

 

The Company issuing this policy has caused this policy to be signed by its authorized officers, but this policy shall not be valid unless also signed by a duly authorized representative of the Company.

 

FEDERAL INSURANCE COMPANY (incorporated under the laws of Indiana)

 

    Illegible           Illegible
   
         
    President           Secretary

 

Authorized Representative

  Illegible

 

      
Form 44-02-0893(Ed. 1-95)                        Insuring Agreement    Page 1 of 1