NE member said, "It seems like when one of us has an 

 accident everybody gets his medical expenses paid except 

 ''■''^' the member and his family and friends who are injured 

 while riding with him." 



To fill this need the Illinois Agricultural Mutual offers its policy- 

 holders a Medical Expense Endorsement. Many thousands of 

 Farm Bureau members have already taken advantage of this 

 added protection. " ''" 



// you have not added the medical expense endorsement to your 

 policy fill out the application below, attach a check for $2.50 and 

 mail to the company's agent located in your county or send direct 

 to the company: 



ILLINOIS AGRICULTURAL MUTUAL INSURANCE CO. 



Application for 



Medical Expense Endorsement 



I 



(There miist be separate Application for each Motor Vehicle) 

 Policy Fee $1.00 . . . Semi-annual Premium $1.50 



I hereby make application for the MEDICAL EXPENSE ENDORSEMENT 



to be attached to my Policy No 



covering the motor vehicle described below. 



Name ol Insured 



Address County 





IT IS FOR YOU — FOR YOUR FAMILY — 

 FOR YOUR FRIENDS 



Regardless of legal liability if you have 

 this endorsement added to your auto pol- 

 icy neither you, your family nor friends 

 need to worry about medical expense 

 when the automobile covered by the pol- 

 icy is involved in on accident. 



SECTION A — for Bodily Injury 



A The loss resulting from reasonable and 

 necessary expense actually incurred 

 within six months from the date of acci- 

 dent for ambulance, medical, surgical, 

 dental, hospital or registered nurse services or 

 medical supplies, not to exceed the sum of 

 Three Hundred Dollars ($300.00) for each such 

 injured person. (Insured also included.) 



SECTION B — For Death 



BIf such bodily injury shall result in death 

 within six months from the date of acci- 

 dent, the sum of Five Hundred Dollars 

 ($500.00) less all amounts paid under Sec- 

 tion A on behalf of such person, and, if such 

 person is the "Named Insured" under the pol- 

 icy, an additional sum of Five Hundred Dollars 

 ($500.00). 



LIMITS I 



Th« maximum aggr«ga<« b«naiita payable on account 

 of any one accident for bodily injury to or death 

 of other persons than "Named Insured" ore Fifteen 

 Hundred Dollars (SISOO.OO). The maximum beneiitt 

 payable on account of any one Occident for bodily 

 injury to or death of the Insured are One Thousand 

 DoUars ($1,000.00). — TOTAL — Two Thousand Five 

 Hundred Dollars (S2,500.00). 



I, 





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