Page 20 - NextCare Holdings 2021 Annual Benefits Enrollment
P. 20
Critical Illness Employee Employee + Employee + Family
Child(ren)
Spouse
Only
The Hartford Critical Illness insurance can Attained Age Uni-Tobacco Cost Per Pay Period for $10,000
complement existing medical coverage and help ill Coverage Amount
inancial gaps caused by out-of- pocket expenses, 18-24 $1 .78 $2 .88 $3 .56 $4 .96
such as mortgage payments, college tuition, hiring 25-29 $2 .17 $3 .48 $3 .81 $5 .39
$5 .51
$3 .84
$2 .44
$3 .89
30-34
household help, or treatment not covered by your 35-39 $3 .08 $4 .85 $4 .34 $6 .31
medical plan. Beneits are paid regardless of what is 40-44 $4 .27 $6 .67 $5 .40 $7 .98
covered by medical insurance. Payments are made 45-49 $6 .54 $10 .19 $7 .64 $11 .47
$9 .03
directly to covered employees to spend as they choose. 50-54 $12 .26 $14 .05 $10 .09 $15 .30
$13 .32
$20 .32
55-59
$19 .08
A full summary of this beneit can be found on the 60-64 $17 .17 $26 .69 $18 .22 $27 .90
NextCare Intranet. 65-69 $23 .39 $36 .16 $24 .43 $37 .38
70-74 $31 .01 $47 .84 $32 .05 $49 .06
There are three options of coverage to choose from: 75-79 $40 .49 $62 .23 $41 .53 $63 .45
Employee Employee + Employee + Family
$10,000 of coverage Only Spouse Child(ren)
$20,000 of coverage Attained Age Uni-Tobacco Cost Per Pay Period for $20,000
Coverage Amount
$30,000 of coverage 18-24 $3 .10 $4 .87 $4 .88 $6 .95
$5 .50
$6 .00
$3 .86
25-29
$7 .91
30-34 $4 .38 $6 .78 $5 .77 $8 .40
35-39 $5 .65 $8 .69 $6 .91 $10 .15
40-44 $7 .99 $12 .26 $9 .12 $13 .58
45-49 $12 .50 $19 .23 $13 .60 $20 .51
50-54 $17 .48 $26 .95 $18 .54 $28 .20
55-59 $23 .94 $37 .01 $25 .00 $38 .24
60-64 $33 .76 $52 .21 $34 .80 $53 .43
65-69 $46 .19 $71 .15 $47 .23 $72 .36
70-74 $61 .43 $94 .52 $62 .47 $95 .74
75-79 $80 .39 $123 .30 $81 .43 $124 .52
Employee Employee + Employee + Family
Only Spouse Child(ren)
Attained Age Uni-Tobacco Cost Per Pay Period for $30,000
Coverage Amount
18-24 $4 .42 $6 .86 $6 .20 $8 .94
25-29 $5 .54 $8 .51 $7 .18 $10 .43
30-34 $6 .31 $9 .67 $7 .71 $11 .29
35-39 $8 .22 $12 .53 $9 .48 $13 .99
40-44 $11 .71 $17 .86 $12 .84 $19 .17
45-49 $18 .46 $28 .27 $19 .56 $29 .55
50-54 $25 .93 $39 .85 $27 .00 $41 .09
55-59 $35 .63 $54 .93 $36 .68 $56 .16
60-64 $50 .35 $77 .74 $51 .40 $78 .95
65-69 $68 .99 $106 .14 $70 .03 $107 .35
70-74 $91 .85 $141 .19 $92 .89 $142 .41
75-79 $120 .29 $184 .37 $121 .33 $185 .58
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Child(ren)
Spouse
Only
The Hartford Critical Illness insurance can Attained Age Uni-Tobacco Cost Per Pay Period for $10,000
complement existing medical coverage and help ill Coverage Amount
inancial gaps caused by out-of- pocket expenses, 18-24 $1 .78 $2 .88 $3 .56 $4 .96
such as mortgage payments, college tuition, hiring 25-29 $2 .17 $3 .48 $3 .81 $5 .39
$5 .51
$3 .84
$2 .44
$3 .89
30-34
household help, or treatment not covered by your 35-39 $3 .08 $4 .85 $4 .34 $6 .31
medical plan. Beneits are paid regardless of what is 40-44 $4 .27 $6 .67 $5 .40 $7 .98
covered by medical insurance. Payments are made 45-49 $6 .54 $10 .19 $7 .64 $11 .47
$9 .03
directly to covered employees to spend as they choose. 50-54 $12 .26 $14 .05 $10 .09 $15 .30
$13 .32
$20 .32
55-59
$19 .08
A full summary of this beneit can be found on the 60-64 $17 .17 $26 .69 $18 .22 $27 .90
NextCare Intranet. 65-69 $23 .39 $36 .16 $24 .43 $37 .38
70-74 $31 .01 $47 .84 $32 .05 $49 .06
There are three options of coverage to choose from: 75-79 $40 .49 $62 .23 $41 .53 $63 .45
Employee Employee + Employee + Family
$10,000 of coverage Only Spouse Child(ren)
$20,000 of coverage Attained Age Uni-Tobacco Cost Per Pay Period for $20,000
Coverage Amount
$30,000 of coverage 18-24 $3 .10 $4 .87 $4 .88 $6 .95
$5 .50
$6 .00
$3 .86
25-29
$7 .91
30-34 $4 .38 $6 .78 $5 .77 $8 .40
35-39 $5 .65 $8 .69 $6 .91 $10 .15
40-44 $7 .99 $12 .26 $9 .12 $13 .58
45-49 $12 .50 $19 .23 $13 .60 $20 .51
50-54 $17 .48 $26 .95 $18 .54 $28 .20
55-59 $23 .94 $37 .01 $25 .00 $38 .24
60-64 $33 .76 $52 .21 $34 .80 $53 .43
65-69 $46 .19 $71 .15 $47 .23 $72 .36
70-74 $61 .43 $94 .52 $62 .47 $95 .74
75-79 $80 .39 $123 .30 $81 .43 $124 .52
Employee Employee + Employee + Family
Only Spouse Child(ren)
Attained Age Uni-Tobacco Cost Per Pay Period for $30,000
Coverage Amount
18-24 $4 .42 $6 .86 $6 .20 $8 .94
25-29 $5 .54 $8 .51 $7 .18 $10 .43
30-34 $6 .31 $9 .67 $7 .71 $11 .29
35-39 $8 .22 $12 .53 $9 .48 $13 .99
40-44 $11 .71 $17 .86 $12 .84 $19 .17
45-49 $18 .46 $28 .27 $19 .56 $29 .55
50-54 $25 .93 $39 .85 $27 .00 $41 .09
55-59 $35 .63 $54 .93 $36 .68 $56 .16
60-64 $50 .35 $77 .74 $51 .40 $78 .95
65-69 $68 .99 $106 .14 $70 .03 $107 .35
70-74 $91 .85 $141 .19 $92 .89 $142 .41
75-79 $120 .29 $184 .37 $121 .33 $185 .58
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