Page 36 - 2017 US Benefits Guide - for all Capgemni employees in the FS SBU
P. 36
You may choose coverage for yourself or your entire family. If you select coverage, you can While medical plans often provide
choose coverage from $1,000 to $50,000 with Evidence of Insurability (EOI) required if you elect coverage for hospital and medical
more than $20,000. If you choose coverage for your spouse, you can choose coverage from expenses arising from a critical illness,
$1,000 to $30,000 (EOI required if you elect more than $10,000). If you choose coverage for your there are still many expenses associated
dependent children, the coverage will be 25% of your coverage amount for no additional cost with a critical illness that many medical
(EOI required if you elect more than $5,000). Rates are based on your current age and tobacco plans are not typically designed to pay:
status. Beneits start after you have had the coverage for 30 days. Pre-existing condition ➤
exclusions apply. Refer to the carrier policy for details. Co-insurance and
co-pay amounts
➤ Additional covered conditions for dependent children:
➤ Deductibles
• Cerebral Palsy
➤ Experimental treatments
• Cleft Lip or Palate
➤ Additional childcare
• Cystic Fibrosis
• Down Syndrome ➤ Lost earnings from a spouse
• Spina Biida
Voluntary Accident Coverage
Voluntary Accident Insurance pays cash beneits (tax free) based on the injury and treatments
you receive, such as:
➤ Emergency room and urgent care treatment
➤ Fractures or dislocations
➤ Concussions
➤ Intensive care unit coninement
➤ Ambulance
➤ Hospital admissions
➤ … and more
The plan is guaranteed issue and portable.
How to Apply
To apply, visit www.unum_capgemini.bswift.com or call toll-free at 1-877-279-3639.
CAPGEMINI 2017 BENEFITS GUIDE 33
choose coverage from $1,000 to $50,000 with Evidence of Insurability (EOI) required if you elect coverage for hospital and medical
more than $20,000. If you choose coverage for your spouse, you can choose coverage from expenses arising from a critical illness,
$1,000 to $30,000 (EOI required if you elect more than $10,000). If you choose coverage for your there are still many expenses associated
dependent children, the coverage will be 25% of your coverage amount for no additional cost with a critical illness that many medical
(EOI required if you elect more than $5,000). Rates are based on your current age and tobacco plans are not typically designed to pay:
status. Beneits start after you have had the coverage for 30 days. Pre-existing condition ➤
exclusions apply. Refer to the carrier policy for details. Co-insurance and
co-pay amounts
➤ Additional covered conditions for dependent children:
➤ Deductibles
• Cerebral Palsy
➤ Experimental treatments
• Cleft Lip or Palate
➤ Additional childcare
• Cystic Fibrosis
• Down Syndrome ➤ Lost earnings from a spouse
• Spina Biida
Voluntary Accident Coverage
Voluntary Accident Insurance pays cash beneits (tax free) based on the injury and treatments
you receive, such as:
➤ Emergency room and urgent care treatment
➤ Fractures or dislocations
➤ Concussions
➤ Intensive care unit coninement
➤ Ambulance
➤ Hospital admissions
➤ … and more
The plan is guaranteed issue and portable.
How to Apply
To apply, visit www.unum_capgemini.bswift.com or call toll-free at 1-877-279-3639.
CAPGEMINI 2017 BENEFITS GUIDE 33
