Page 37 - 2018 Capgemini Enrollment
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You may choose coverage for yourself or your entire family. If you select coverage, you can How to apply for Critical
choose coverage from $1,000 to $50,000 with Evidence of Insurability (EOI) required if you elect Illness Insurance and Voluntary
more than $20,000. If you choose coverage for your spouse, you can choose coverage from Accident Coverage.
$1,000 to $30,000 (EOI required if you elect more than $10,000). If you choose coverage for your To apply, visit www.unum_capgemini.
dependent children, the coverage will be 25% of your coverage amount for no additional cost bswift.com or call toll-free at
(EOI required if you elect more than $5,000). Rates are based on your current age and tobacco 1-877-279-3639 .
status. Beneits start after you have had the coverage for 30 days. Pre-existing condition
exclusions apply. Refer to the carrier policy for details.
➤ Additional covered conditions for dependent children:
• Cerebral palsy
• Cleft lip or palate
• Cystic ibrosis
• Down syndrome
• 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.
CAPGEMINI 2018 BENEFITS GUIDE 34
choose coverage from $1,000 to $50,000 with Evidence of Insurability (EOI) required if you elect Illness Insurance and Voluntary
more than $20,000. If you choose coverage for your spouse, you can choose coverage from Accident Coverage.
$1,000 to $30,000 (EOI required if you elect more than $10,000). If you choose coverage for your To apply, visit www.unum_capgemini.
dependent children, the coverage will be 25% of your coverage amount for no additional cost bswift.com or call toll-free at
(EOI required if you elect more than $5,000). Rates are based on your current age and tobacco 1-877-279-3639 .
status. Beneits start after you have had the coverage for 30 days. Pre-existing condition
exclusions apply. Refer to the carrier policy for details.
➤ Additional covered conditions for dependent children:
• Cerebral palsy
• Cleft lip or palate
• Cystic ibrosis
• Down syndrome
• 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.
CAPGEMINI 2018 BENEFITS GUIDE 34
