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Beneit Resource
Guide
Hospital Indemnity
Hospital Guardian’s Hospital Indemnity plan pays the beneits below if you are
Indemnity hospitalized. Beneits are paid tax-free, directly to you.
Hospital Beneits
New in 2016 Hospital admission (per coninement) $1,000 (max 1x/year)
Hospital coninement (per day beneit)
$200
Maximum days payable 30 days per year
Hospital ICU coninement (per day beneit) $400
Maximum days payable 30 days per year
Plan Conditions
Pre-existing condition limitation 3 month look back period
12 month exclusion period
Rate per Pay Period
Age <50 Age 50–59 Age 60–64 Age 65–69
Employee only $10.03 $13.87 $22.41 $31.35
Employee + spouse $20.05 $28.28 $45.57 $63.01
Employee + child(ren) $17.25 $21.09 $29.63 $38.50
Family $27.72 $35.50 $52.80 $70.23
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Guide
Hospital Indemnity
Hospital Guardian’s Hospital Indemnity plan pays the beneits below if you are
Indemnity hospitalized. Beneits are paid tax-free, directly to you.
Hospital Beneits
New in 2016 Hospital admission (per coninement) $1,000 (max 1x/year)
Hospital coninement (per day beneit)
$200
Maximum days payable 30 days per year
Hospital ICU coninement (per day beneit) $400
Maximum days payable 30 days per year
Plan Conditions
Pre-existing condition limitation 3 month look back period
12 month exclusion period
Rate per Pay Period
Age <50 Age 50–59 Age 60–64 Age 65–69
Employee only $10.03 $13.87 $22.41 $31.35
Employee + spouse $20.05 $28.28 $45.57 $63.01
Employee + child(ren) $17.25 $21.09 $29.63 $38.50
Family $27.72 $35.50 $52.80 $70.23
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