Page 19 - FY21_FOB_Guide_(New_Hire)

FOCUS ON BENEFITS 2021

Goodwill-Easter Seals Minnesota

OTHER VOLUNTARY BENEFITS

HOSPITAL INDEMNITY COVERAGE

Hospital indemnity insurance through Cigna is designed to provide
you and your family with additional financial protection in case of a

hospitalization. If you are hospitalized, you must file a claim with
Cigna to receive the reimbursement amount illustrated below. The
HOSPITAL INDEMNITY RATES
claim form is available on the Insider or at cigna.com under “Find a
Form.”
Status Per Payroll Rates
Features Employee $4.98
Hospital Admission $1,000 per admission Employee +Spouse $10.80
Hospital Chronic Condition Admission $50 per day Employee +Child(ren) $9.97
Hospital Stay $100 per day Family $16.62
Hospital Intensive Care Unit Stay $200 per day

Hospital Observation Stay $100 per 24-hour period

CRITICAL ILLNESS COVERAGE

This coverage is designed to help offset the financial effects of a
catastrophic illness with a lump sum cash benefit if you or a loved
one are diagnosed with a covered critical illness. The critical illness
benefit is based on the amount of coverage in effect on the date of
diagnosis of a critical illness or the date treatment is received
according to the terms and provisions of the policy.

Features Percentage of benefits payable
Cancer 100%
Heart Attack 100%

Stroke 100%
Renal (Kidney) Failure 100%

Major Organ Transplant 100%
Paralysis 100%
Amyotrophic Lateral Sclerosis (ALS) 100%
Blindness 100%
Coronary Artery Bypass Graft 25%
Carcinoma in situ 25%

Rates are available through the enrollment portal.

18