Page 16 - Guide
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Voluntary Critical Illness Coverage
Critical illness coverage, available X Child(ren) are covered at 25% of the employee-level amount, for no additional
through Unum, is designed to cost
help you offset the inancial X Coverage is portable which means you can take this plan with you if you no
effects of a catastrophic illness longer work for the company
with a lump sum beneit if you X
or a loved one are diagnosed Diagnosis must occur at least 30 days after the coverage effective date to be
with a covered critical illness. eligible for beneits
The critical illness beneit X A 6-month pre-existing condition limitation applies only to conditions in which
is based on the amount of you have had ongoing or sought medical advice for; view plan document for
coverage in effect on the date additional details
of diagnosis of a critical illness Percentage of Benefit
or the date treatment is received Covered Conditions Amount Payable
according to the terms and Cancer 100%
provisions of the policy. Carcinoma in Situ 25%
Coronary Artery Bypass Surgery 25%
Rates lock in at your current age Stroke 100%
and do not increase unless you End Stage Renal (kidney) Failure 100%
make a change to your coverage. Major Organ Failure 100%
If you wait to enroll, the cost for Permanent Paralysis (as the result of a covered accident) 100%
your coverage may be higher. Coma (as the results of a severe traumatic brain injury) 100%
Blindness 100%
During Beneits Enrollment, you Benign Brain Tumor 100%
can elect this coverage without Occupational HIV 100%
medical questions. Child Specified Conditions
Cerebral Palsy 100%
X Employee: up to $20,000 Cleft Lip or Palate 100%
based upon the covered Cystic Fibrosis 100%
conditions and payable Down Syndrome 100%
amount Spina 100%
X Spouse: up to $10,000 based Rates are based on your age and amount of coverage elected.
upon the covered conditions
and payable amount View plan information and rates during Beneits Enrollment.
Wellness Benefit
This benefit pays $75 per calendar year per covered member if a covered health screening
test is performed, including blood tests, chest x-rays, stress tests, mammograms, and
colonoscopies. A full list of covered tests will be provided in your certificate.
16 ClearChoice
Critical illness coverage, available X Child(ren) are covered at 25% of the employee-level amount, for no additional
through Unum, is designed to cost
help you offset the inancial X Coverage is portable which means you can take this plan with you if you no
effects of a catastrophic illness longer work for the company
with a lump sum beneit if you X
or a loved one are diagnosed Diagnosis must occur at least 30 days after the coverage effective date to be
with a covered critical illness. eligible for beneits
The critical illness beneit X A 6-month pre-existing condition limitation applies only to conditions in which
is based on the amount of you have had ongoing or sought medical advice for; view plan document for
coverage in effect on the date additional details
of diagnosis of a critical illness Percentage of Benefit
or the date treatment is received Covered Conditions Amount Payable
according to the terms and Cancer 100%
provisions of the policy. Carcinoma in Situ 25%
Coronary Artery Bypass Surgery 25%
Rates lock in at your current age Stroke 100%
and do not increase unless you End Stage Renal (kidney) Failure 100%
make a change to your coverage. Major Organ Failure 100%
If you wait to enroll, the cost for Permanent Paralysis (as the result of a covered accident) 100%
your coverage may be higher. Coma (as the results of a severe traumatic brain injury) 100%
Blindness 100%
During Beneits Enrollment, you Benign Brain Tumor 100%
can elect this coverage without Occupational HIV 100%
medical questions. Child Specified Conditions
Cerebral Palsy 100%
X Employee: up to $20,000 Cleft Lip or Palate 100%
based upon the covered Cystic Fibrosis 100%
conditions and payable Down Syndrome 100%
amount Spina 100%
X Spouse: up to $10,000 based Rates are based on your age and amount of coverage elected.
upon the covered conditions
and payable amount View plan information and rates during Beneits Enrollment.
Wellness Benefit
This benefit pays $75 per calendar year per covered member if a covered health screening
test is performed, including blood tests, chest x-rays, stress tests, mammograms, and
colonoscopies. A full list of covered tests will be provided in your certificate.
16 ClearChoice
