Page 15 - Thompson Coburn 2021 Annual Benefits Enrollment

2021
Enrollment Guide

Voya Hospital Indemnity Plan

Hospital indemnity insurance is designed to provide
inancial assistance for an event that results in a
hospital coninement, to supplement your current
coverage. Employees can use the beneit shown below
at their discretion. These amounts may help you pay
for any out-of-pocket expenses and extra bills that can
occur. Beneits are paid directly to you, regardless of
the actual cost of treatment.

Hospital Event Hospital
Beneit
First day hospital coninement beneit $1,000
(once per year)
Daily hospital coninement beneit $200
(30-day max)
Hospital ICU coninement beneit $400
(15-day max)
Rehabilitation coninement beneit $100
(30-day max)
Maternity hospitalization Included
Waiver of pre-existing conditions Included

Hospital Indemnity Plan Premiums

Coverage Tier Per Pay Period Monthly Rate
Employee $12.60 $25.19
Employee + spouse $25.05 $50.10
Employee + child(ren) $18.18 $36.36
Family $30.64 $61.27

Note: Spouse coverage—under age 70. Coverage is available only if
employee coverage is elected.

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