Page 8 - 2022 Benefit Guide FNA Combustion

Supplemental Health Insurance

Eligibility
• You Coverage Summary
• Your spouse – under age 70 (at the time of enrollment) • No medical questions or medical tests
• Your children – to age 26 • Benefits are paid directly to you
• Do not need to be enrolled in a Fives Health Plan
Wellness Benefit (Accident and Critical Illness Insurance) • Portable – may continue the policy after employment ends.
• Benefit payable of $50 for you and spouse each and $25 for Log on to: presents.voya.com/EBRC/Fives for more information
child(ren) for completing a health screening test. or call 1-877-236-7564 and reference Compass Supplement
Insurance Plans

Compass Accident Insurance Compass Critical Illness Insurance

Accident Insurance that helps protect you and your family from the Critical Illness provides a lump-sum payment if you or a covered
costs of unexpected injuries and events resulting from a covered family member is diagnosed with a covered medical condition and
accident. meet the policy and certificate requirements. Examples include:
Cancer, Heart Attack, Stroke, Coma, Kidney Failure and certain
Examples of services eligible for benefits: diseases. (see benefit summary for full details)
• Hospital and Emergency Care due to an accident
• Common Injuries – lacerations, burns, concussion
Benefits Payable:
• Fractures and Dislocations
Employee: $10k, $20k or $30k policy
• Surgery, x-rays and physician exams due to the covered
• Employee must enroll in a minimum $10k policy, then spouse
accident and/or children may enroll for any level of coverage.
• An additional 25% benefit if covered accident is the result of Spouse: $5k, $10k or $15k policy
an organized sport activity Child(ren): $5k or $10k policy
• Includes hospitalization due to a sickness Cost: Employee and Spouse premiums are based on age bands.
• Benefits payable vary based on the services provided due to the See benefits at a glance.
covered accident. (see benefit summary for complete details)
Log on to: presents.voya.com/EBRC/Fives for more information

Compass Hospital Insurance
Hospital Confinement pays a benefit if you have a covered hospital, Accident Insurance Premium
critical care or rehabilitation facility stay. Semi-Monthly
Low
High
Benefits are paid for the following:
Daily Benefit Amount: Initial Confinement Benefit:
• Low Plan: $200 Low Plan: $1,000
• High Plan $600 High Plan: $3,000
Hospital Benefit: 1x daily benefit up to 30 days
Critical Care Benefit: 2x daily benefit up to 15 days.
Rehabilitation Facility: .5x daily benefit up to 30 days

Above is a brief summary of the insurance. Refer to the brochures and certificate of coverage for complete
provisions, conditions of benefit determination, exclusions and limitations. The Accident, Hospital and Critical Illness
Insurance is issued by ReliaStar Life Insurance Company, a member of the Voya family of companies.

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