Insurance Application

IESMA continues to offer its members a low cost VFIS insurance plan to cover accidental death or injuries sustained on duty or while participating in EMA/ESDA sponsored projects.

WHEN DOES COVERAGE APPLY? Coverage is provided when a Member performs any normal duty of the department, whether it is an emergency or non-emergency duty. Travel to and from these duties is covered. The activity must be performed under the direction of an officer. Good Samaritan Acts are also covered.

TERM OF COVERAGE : The term of this insurance policy is January 1 to December 31 of any given calendar year. The policy cannot be pro-rated, but late enrollment is allowed.

CLASS I - PLAN A - $10.00 PER YEAR - (For members not employed)
Accidental Death Benefit– Maximum Amount $10,000
Accidental Dismemberment Benefit, Max Amt: $10,000
Accident Medical Expense Benefit—Maximum amount $1,000
Weekly Accident Indemnity Benefit—Weekly Maximum Amt: NONE

CLASS II - PLAN B - $16.00 PER YEAR- (For members employed)
Accidental Death Benefit—Max. Amt. $10,000
Accidental Dismemberment Benefit, Max Amt: $10,000
Accidental Dismemberment Benefit, Max Amt: $10,000
Accident Medical Expense Benefit—Max Amt $1,000
Weekly Accident Indemnity Benefit—Weekly Max Amt $100 Max # Weeks: 104 weeks

CLASS III - Plan C - $29.00 PER YEAR—(For full-time, salaried EMA Coordinators)
Accidental Death Benefit—Max. Amt $10,000
Accidental Dismemberment Benefit, Max Amt: $10,000
Accident Medical Expense Benefit—Max Amt $1,000
Weekly Accident Indemnity Benefit—Weekly Max Amt $100 Max # of weeks: 104 weeks

Interested in IESMA's VFIS Insurance Packages? If so, click on the link below:

VFIS Insurance Application (pdf)