Page 13 - 2020 Benefits Guide Sample
P. 13
2020
Benefits Enrollment
ADDITIONAL VOLUNTARY COVERAGE
Regular expenses, big and small, can add up. Think about your ability Critical Illness Coverage
to pay for those expenses if you or your family member experienced a There are a lot of expenses
covered accident, illness, or hospitalization. [Carrier’s] Accident, Critical associated with a critical illness
Illness, and Hospital Indemnity coverage can supplement your health plan and a major medical plan usually
and provide you and your family with the additional inancial protection won’t cover them all. Critical
you may need. These plans pay beneits directly to you and you decide Illness coverage helps you focus
how to use the beneit. on recuperation instead of being
distracted by the extra expenses
Accident Coverage you may be facing. Similar to
Accidents can happen in an instant. When they do, medical bills can life insurance which pays your
pile up quickly. Our accident insurance pays you a tax-free beneit after beneiciary a lump-sum beneit
a covered accident so you can focus on what’s truly important—getting upon death; a critical illness plan
better. More than 150 events resulting from non-work-related injuries or pays you a cash beneit upon a
accidents are covered by this plan. diagnosis of a covered illness.
Covered diagnoses include but are
Accident Premiums not limited to the following.
Coverage Level You Pay Cancer
Employee Heart attack
Employee + Spouse
Employee + Child(ren) Organ Failure
Family Stroke
Example: Broken Ankle $ Paid to You Critical Illness Premiums
Emergency Room $ Insert according to plan document Coverage Level You Pay
X-Ray $ Insert according to plan document Employee
Broken Ankle, Closed Reduction $ Insert according to plan document Employee + Spouse
(no surgery)
Ankle Brace $ Insert according to plan document Employee + Child(ren)
Crutches $ Insert according to plan document Family
Physical Therapy (six sessions) $ Insert according to plan document
Physician Follow-Up $ Insert according to plan document
Total Dollars Payable To Employee $ Wellness Benefit
This beneit pays $XX per calendar
year per insured individual 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 certiicate.
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ADDITIONAL VOLUNTARY COVERAGE
Regular expenses, big and small, can add up. Think about your ability Critical Illness Coverage
to pay for those expenses if you or your family member experienced a There are a lot of expenses
covered accident, illness, or hospitalization. [Carrier’s] Accident, Critical associated with a critical illness
Illness, and Hospital Indemnity coverage can supplement your health plan and a major medical plan usually
and provide you and your family with the additional inancial protection won’t cover them all. Critical
you may need. These plans pay beneits directly to you and you decide Illness coverage helps you focus
how to use the beneit. on recuperation instead of being
distracted by the extra expenses
Accident Coverage you may be facing. Similar to
Accidents can happen in an instant. When they do, medical bills can life insurance which pays your
pile up quickly. Our accident insurance pays you a tax-free beneit after beneiciary a lump-sum beneit
a covered accident so you can focus on what’s truly important—getting upon death; a critical illness plan
better. More than 150 events resulting from non-work-related injuries or pays you a cash beneit upon a
accidents are covered by this plan. diagnosis of a covered illness.
Covered diagnoses include but are
Accident Premiums not limited to the following.
Coverage Level You Pay Cancer
Employee Heart attack
Employee + Spouse
Employee + Child(ren) Organ Failure
Family Stroke
Example: Broken Ankle $ Paid to You Critical Illness Premiums
Emergency Room $ Insert according to plan document Coverage Level You Pay
X-Ray $ Insert according to plan document Employee
Broken Ankle, Closed Reduction $ Insert according to plan document Employee + Spouse
(no surgery)
Ankle Brace $ Insert according to plan document Employee + Child(ren)
Crutches $ Insert according to plan document Family
Physical Therapy (six sessions) $ Insert according to plan document
Physician Follow-Up $ Insert according to plan document
Total Dollars Payable To Employee $ Wellness Benefit
This beneit pays $XX per calendar
year per insured individual 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 certiicate.
13

