Page 18 - Non-NC OE Guide
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Specified Disease




Specified Disease—NEW!
Covered Conditions
(Paid at 100% of Elected Speciied Disease insurance by UNUM, often referred to as Critical
Amount Unless Otherwise Illness insurance, pays you a lump-sum beneit if you are diagnosed
Noted Below) with a covered illness. You can choose the level of coverage you want

„ Cancer and can use the money any way you see it. Much like a life insurance

„ Carcinoma in situ * policy which pays your beneiciary a lump sum upon death, this speciied
disease policy pays a beneit to YOU if you or a covered dependent are
„ Heart attack
diagnosed or incur a covered speciied disease.
„ Coronary artery bypass surgery *
X Guaranteed issue—each year during the initial open enrollment,
„ Stroke you can elect this coverage without medical questions; each year

„ End stage renal (kidney) failure during open enrollment, you may elect coverage without providing

„ Major organ failure evidence of insurability
Z Employee: up to $20,000
„ Permanent paralysis as the result
of a covered accident Z Spouse: up to $10,000

„ Coma as the result of severe Z Child(ren): 25% of employee-elected amount for no additional
traumatic brain injury cost

„ Blindness X Portable—coverage is portable which means you can take this plan

„ Benign brain tumor with you if you no longer work for Mitchell Gold + Bob Williams
X Issue age rates—your rates lock in at your current age and do not
„ Occupational HIV
increase as you age
„ Additional covered conditions
for dependent children: cerebral X Wellness—this plan also includes an annual $50 wellness beneit,
palsy, cleft lip or palate, cystic payable to a covered employee and spouse one time per year for
ibrosis, down syndrome, and certain wellness procedures and tests
spina biida
X Pre-existing conditions—none apply; pre-existing conditions have
* Paid at 25% of elected beneit amount
been waived from this plan which means that coverage applies for
any of the covered speciied diseases that are diagnosed or occur 30
days after the plan’s effective date

X Waiting period—diagnosis must occur at least 30 days after the
coverage effective date to be eligible for beneits

Premiums are based on your current age and tobacco usage and will be
available through the MG+BW Lockton Marketplace online website as
well as additional plan details.





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2015 Open Enrollment
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