Page 12 - CRITICAL ILLNESS, ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ADMIN MANUAL
P. 12
THE HARTFORD’S EMPLOYEE CHOICE BENEFITS
SM
PORTABILITY AND EXTENDED CONTINUATION
Email: Once you, as the employer, have reported that the Critical Illness,
customerservice@ Accident and/or Hospital Indemnity coverage has terminated or there
has been a loss in benefit due to a qualifying event for an employee and/
selmaninsurance.com
Phone# 1-877-320-0484 or spouse, then an opportunity to port or continue coverage exists. Your
policy booklet will outline if your group is covered under an extended
Fax# 1-440-646-9393 continuation plan or a portability plan (select states require extended
Monday–Friday, continuation in lieu of portability).
9:00am – 7:00 pm EST
Under an extended continuation provision the employee and/or dependent
Mailing Address: can continue coverage under the current group plan design at current group
Selman & Company rates. Under a portability provision the employee and/or spouse can port
P.O. BOX 248108 their coverage into one of three portability plan designs available through
Cleveland, OH The Hartford’s group portability policy(ies).
44124-8108 If an employee and/or spouse elects to continue coverage under
extended continuation or portability they will need to complete the
Overnight: necessary request for coverage and submit it with the initial premium
payment (via check or money order). The request and payment should
Selman & Company be submitted within 31 days of the date coverage would otherwise end
Administrator for under your group plan. An extension of the request period is available
The Hartford in certain circumstances, but in no event will a request be accepted
6110 Parland Blvd. more than 91 days from the date coverage would otherwise end under
Cleveland, OH 44124 your group plan.
On an ongoing basis a bill will be sent directly to the portee and he/
she will be responsible for remitting premium directly. With each bill,
the portee will have the option to continue receiving bills and remitting
payment via check/money order, or he/she can choose to have premium
drawn from a bank account via ACH/EFT.
You as the employer are responsible for notifying employees of their
right to port or continue coverage. The request forms packages for
portability and extended continuation are available online through
www.employerview.com or the above contact information.
CALCULATING PREMIUM FOR CRITICAL, ACCIDENT AND
HOSPITAL INDEMNITY COVERED EMPLOYEES
Rates for Critical Illness are based upon the employee's age, tobacco
usage (if applicable), and who is being covered by the plan. Rates will
be based on a traditional monthly billing cycle.
Rates for Accident are based upon who is being covered by the plan
(employee only, employee and spouse, employee and children, and
employee and family) as well as the level of coverage chosen. Rates will
be based on a traditional monthly billing cycle.
Rates for Hospital Indemnity are based upon who is being covered by
the plan (employee only, employee and spouse, employee and children,
and employee and family) as well as the level of coverage chosen. Rates
will be based on a traditional monthly billing cycle.
12
SM
PORTABILITY AND EXTENDED CONTINUATION
Email: Once you, as the employer, have reported that the Critical Illness,
customerservice@ Accident and/or Hospital Indemnity coverage has terminated or there
has been a loss in benefit due to a qualifying event for an employee and/
selmaninsurance.com
Phone# 1-877-320-0484 or spouse, then an opportunity to port or continue coverage exists. Your
policy booklet will outline if your group is covered under an extended
Fax# 1-440-646-9393 continuation plan or a portability plan (select states require extended
Monday–Friday, continuation in lieu of portability).
9:00am – 7:00 pm EST
Under an extended continuation provision the employee and/or dependent
Mailing Address: can continue coverage under the current group plan design at current group
Selman & Company rates. Under a portability provision the employee and/or spouse can port
P.O. BOX 248108 their coverage into one of three portability plan designs available through
Cleveland, OH The Hartford’s group portability policy(ies).
44124-8108 If an employee and/or spouse elects to continue coverage under
extended continuation or portability they will need to complete the
Overnight: necessary request for coverage and submit it with the initial premium
payment (via check or money order). The request and payment should
Selman & Company be submitted within 31 days of the date coverage would otherwise end
Administrator for under your group plan. An extension of the request period is available
The Hartford in certain circumstances, but in no event will a request be accepted
6110 Parland Blvd. more than 91 days from the date coverage would otherwise end under
Cleveland, OH 44124 your group plan.
On an ongoing basis a bill will be sent directly to the portee and he/
she will be responsible for remitting premium directly. With each bill,
the portee will have the option to continue receiving bills and remitting
payment via check/money order, or he/she can choose to have premium
drawn from a bank account via ACH/EFT.
You as the employer are responsible for notifying employees of their
right to port or continue coverage. The request forms packages for
portability and extended continuation are available online through
www.employerview.com or the above contact information.
CALCULATING PREMIUM FOR CRITICAL, ACCIDENT AND
HOSPITAL INDEMNITY COVERED EMPLOYEES
Rates for Critical Illness are based upon the employee's age, tobacco
usage (if applicable), and who is being covered by the plan. Rates will
be based on a traditional monthly billing cycle.
Rates for Accident are based upon who is being covered by the plan
(employee only, employee and spouse, employee and children, and
employee and family) as well as the level of coverage chosen. Rates will
be based on a traditional monthly billing cycle.
Rates for Hospital Indemnity are based upon who is being covered by
the plan (employee only, employee and spouse, employee and children,
and employee and family) as well as the level of coverage chosen. Rates
will be based on a traditional monthly billing cycle.
12
