Page 45 - SIH 2022 Re-Enrollment Guide
P. 45
2022
SIH Benefits Re-Enrollment
Group Accident Coverage Group Term to Age 100 Life
Group Accident coverage pays you cash beneits Insurance
for covered accidents and includes coverage You choose the coverage that’s right for you and
for a variety of occurrences, such as: hospital your family. With planning, the death beneit can
coninement, physician treatment, dislocation or pass to your beneiciaries free from state or federal
fracture, ambulance services, physical therapy, and estate taxes.* You choose the death beneit amount
more. to leave behind. Premiums are afordable and
remain level to age 100 unless you make changes to
Following are a few highlights of the plan: your coverage. Premiums are conveniently payroll
X $200 for Emergency Room Services ($150 for deducted. Guaranteed minimum death beneit is
Urgent Care or Accident Physician’s Treatment) level for 5 years; current non-guaranteed death
X $1,000 for Initial Hospital Coninement beneit is projected to remain level to age 100.
Beneit options available are $30,000, $45,000,
X $200 for Daily Hospital Coninement $60,000, and $75,000.
X $300 for X-ray
X Up to $6,000 for Dislocation or Fracture Evidence of Insurability is required for any employee
over 65.
Group Accident coverage is administered by Allstate
Beneits. Group Term to Age 100 Life Insurance is
administered by Allstate Beneits.
Please note: if your spouse is also an employee of * Consult with your tax advisor for speciic information
SIH, you will need to choose employee coverage
under your own plan or spouse or family coverage
under your spouse’s plan. You cannot be enrolled in Allstate Beneits Critical Illness, Hospital Indemnity, and
Accident products cannot pay beneits to you if you have
both. coverage through Medicaid. If you are covered by Medicaid,
you should not enroll in these products. If only your child
or children are eligible for Medicaid beneits, you may still
beneit from the Allstate products, but you should not
enroll your child(ren).
Refer to Allstate Benefits brochure for full description of benefits, limitations,
and exclusions.
45
SIH Benefits Re-Enrollment
Group Accident Coverage Group Term to Age 100 Life
Group Accident coverage pays you cash beneits Insurance
for covered accidents and includes coverage You choose the coverage that’s right for you and
for a variety of occurrences, such as: hospital your family. With planning, the death beneit can
coninement, physician treatment, dislocation or pass to your beneiciaries free from state or federal
fracture, ambulance services, physical therapy, and estate taxes.* You choose the death beneit amount
more. to leave behind. Premiums are afordable and
remain level to age 100 unless you make changes to
Following are a few highlights of the plan: your coverage. Premiums are conveniently payroll
X $200 for Emergency Room Services ($150 for deducted. Guaranteed minimum death beneit is
Urgent Care or Accident Physician’s Treatment) level for 5 years; current non-guaranteed death
X $1,000 for Initial Hospital Coninement beneit is projected to remain level to age 100.
Beneit options available are $30,000, $45,000,
X $200 for Daily Hospital Coninement $60,000, and $75,000.
X $300 for X-ray
X Up to $6,000 for Dislocation or Fracture Evidence of Insurability is required for any employee
over 65.
Group Accident coverage is administered by Allstate
Beneits. Group Term to Age 100 Life Insurance is
administered by Allstate Beneits.
Please note: if your spouse is also an employee of * Consult with your tax advisor for speciic information
SIH, you will need to choose employee coverage
under your own plan or spouse or family coverage
under your spouse’s plan. You cannot be enrolled in Allstate Beneits Critical Illness, Hospital Indemnity, and
Accident products cannot pay beneits to you if you have
both. coverage through Medicaid. If you are covered by Medicaid,
you should not enroll in these products. If only your child
or children are eligible for Medicaid beneits, you may still
beneit from the Allstate products, but you should not
enroll your child(ren).
Refer to Allstate Benefits brochure for full description of benefits, limitations,
and exclusions.
45
