Accidental death and dismemberment $($ADSD$)$ coverage is common to most group insurance and indwidual extended health insurance plans. It pays a benefit if the plan member dies or loses the use of cerain limbs or functions as a consequence of an accident.

Listed below are a number of occurrences Which may be covered under ADSD

Loss of life

Loss or loss of use of thoth arins or both legs

Complete loss of sight in both eyes

Complete loss of hearing in both ears

complete loss of hearing in one ear

Loss of Speech

Plese select the covered occurrences from the list above

Select one:

$3.$

$1,2,3,486$

b$.$

All of the above

c$.$

$1,2,3$&$4$

d$.$

$1\mathrm{.}2385$