Compass Critical Illness Insurance Benefits at a glance An affordable way to help protect against the financial stress of a serious illness.

Please download to get full document.

View again

of 6
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Information Report
Category:

Medicine, Science & Technology

Published:

Views: 3 | Pages: 6

Extension: PDF | Download: 0

Share
Description
Compass Critical Illness Insurance Benefits at a glance An affordable way to help protect against the financial stress of a serious illness. For the employees of: St. Luke s Episcopal-Presbyterian Hospital
Transcript
Compass Critical Illness Insurance Benefits at a glance An affordable way to help protect against the financial stress of a serious illness. For the employees of: St. Luke s Episcopal-Presbyterian Hospital What is Critical Illness Insurance? Critical Illness Insurance pays a lump-sum benefit if you are diagnosed with a covered illness or condition on or after your coverage effective date. You have the option to elect Critical Illness Insurance to meet your needs. Critical Illness Insurance is a limited benefit policy. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act. Features of Critical Illness Insurance include: Guaranteed Issue: No medical questions or tests are required for coverage. Flexible: You can use the benefit payments for any purpose you like. Payroll deductions: Premiums are paid through convenient payroll deductions. Portable: If you leave your current employer, you can take your coverage with you. For what critical illnesses and conditions are benefits available? Critical Illness Insurance provides a benefit payment for the following illnesses and conditions. Covered illnesses/conditions are broken out into groups called modules. Benefits are paid at 100% of the Maximum Critical Illness Benefit amount unless otherwise stated. For a complete description of your benefits, along with applicable provisions, conditions on benefit determination, exclusions and limitations, see your certificate of insurance and any riders. Base Module Heart attack* Major organ failure Stroke Permanent paralysis Coronary artery bypass (25%) End stage renal (kidney) failure Coma *Cardiac arrest is not a heart attack Module A Benign brain tumor Occupational HIV Deafness Blindness Module B Multiple sclerosis Alzheimer s disease Amyotrophic lateral sclerosis (ALS) Infectious disease Parkinson s disease Cancer Module Cancer Carcinoma in situ (25%) Skin cancer (10%) How can Critical Illness Insurance help? Below are a few examples of how your Critical Illness Insurance benefit could be used (coverage amounts may vary): Medical expenses, such as deductibles and copays Child care Home healthcare costs Mortgage payment/rent and home maintenance Who is eligible for Critical Illness Insurance? You all active employees working 16+ hours per week. Your spouse** under age 70. Coverage is available only if employee coverage is elected. Your children*** to age 26. Coverage is available only if employee coverage is elected. **The use of spouse in this document means a person insured as a spouse as described in the certificate of insurance or rider. Please contact your employer for more information. ***The definition of child may vary by state. Please contact your employer for more information. When is my coverage effective? The effective date of coverage is the date you are eligible to begin filing claims. The condition or illness must occur on or after the coverage effective date Open Enrollment Your coverage becomes effective on January 1, 2018, following the election of coverage. Coverage for your spouse and/or children becomes effective on the same date as your coverage. What Maximum Critical Illness Benefit am I eligible for? For you o You have the opportunity to purchase a Maximum Critical Illness Benefit of $10,000, $20,000, or $30,000. For your spouse o You have the opportunity to purchase a Maximum Critical Illness Benefit of $5,000, $10,000, or $15,000 for your spouse. For your children o You have the opportunity to purchase a Maximum Critical Illness Benefit of $5,000 or $10,000 for each covered child. How many times can I receive the Maximum Critical Illness Benefit? Usually you are only able to receive the Maximum Critical Illness Benefit once for each covered condition. Your plan includes the Recurrence Benefit, which allows you to receive a benefit for the same condition a second time. It s important to note that in order for the second occurrence of the illness to be covered, it must occur after 12 consecutive months without the occurrence of any covered critical illness named in your certificate, including the illness from the first benefit payment. If you have reached the benefit limit by receiving the maximum benefit for each covered condition, you may choose to end your coverage; however, if you have coverage for your spouse and/or children, you must continue your coverage in order to keep their coverage active. Please see your certificate of coverage for details. Meet Julie When Julie looks at her life, she thinks she s in pretty good health. Sure, she has a sedentary job, but Julie feels she offsets sitting 40 hours a week by eating fairly well, getting enough sleep and taking regular walks around her neighborhood. That s why the heart attack she suffered just three months after her 42 nd birthday came as such a shock. While Julie is expected to make a full recovery, her recuperation could have been more challenging had it not been for the benefit paid by her Critical Illness Insurance. Expenses incurred over two months: $5,000 Out-of-pocket medical expenses $2,800 Mortgage $1,500 Food and utilities $800 Car payment $150 Car insurance $500 Other living expenses $10,750 Total out-of-pocket expenses $10,000 Maximum Critical Illness Benefit paid under Julie s policy The amounts shown are for illustrative purposes only. Actual costs/results may vary. The benefit amount assumes a Maximum Critical illness Benefit of $10,000 of base coverage. Your employer may offer/provide different amounts or options. What does my Critical Illness Insurance include? The benefits listed below are included with your Critical Illness Insurance coverage. There may be some variation by state. For a list of standard exclusions and limitations, please refer to the end of this document. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders. Wellness Benefit: This provides an annual benefit payment if you complete a health screening test. You may only receive a benefit payment once per year, even if you complete multiple health screening tests. o Examples of health screening tests include but are not limited to: Pap test, serum cholesterol test for HDL and LDL levels, mammography, colonoscopy, and stress test on bicycle or treadmill. o The annual benefit amount is $50 for completing a health screening test. o If your spouse and/or children are covered for Critical Illness Insurance, they are also covered by the Wellness Benefit. Your spouse s benefit amount is also $50. The benefit for child coverage is 50% of your benefit amount per child with an annual maximum of $100 for all children. What optional benefits are available? You may choose to include the optional benefits below with your critical illness coverage. For a list of standard exclusions and limitations, please refer to the end of this document. For a complete description of your available benefits, along with applicable provisions, exclusions and limitations, see your certificate of insurance and any riders. Spouse* Critical Illness Insurance: If you have coverage on yourself, you may enroll your spouse, as long as your spouse is under age 70 and is not covered under your employer s plan as an employee. o Your spouse will be covered for the same critical illness benefits as you are. o Your spouse will be able to receive a benefit the same number of times as you, as outlined above. o Guaranteed issue: No medical questions or tests are required for coverage Children s Critical Illness Insurance: If you have critical illness coverage on yourself, your natural children, stepchildren, adopted children, or children for whom you are a legal guardian, are eligible to be covered under your employer s plan, up to the age of 26. o Your children will be covered for the same covered conditions as you are with the exception of carcinoma in situ and coronary artery bypass; however, actual benefit amounts may vary. o Your children will be able to receive a benefit the same number of times as you, as outlined above. o One premium amount covers all of your eligible children. o Guaranteed issue: No medical questions or tests are required for coverage. o In addition, there are benefits if your children are diagnosed after the benefit s effective date with: Down syndrome, cerebral palsy, cystic fibrosis and congenital birth defects. o If both you and your spouse are covered under the policy as an employee, then only one, but not both, may cover the same children for Critical Illness Insurance. If the parent who is covering the children stops being insured as an employee then the other parent may apply for children s coverage. How much does Critical Illness Insurance cost? See the chart below for the premium amounts. Rates shown are guaranteed until January 1, Employee Coverage Monthly Rates Includes Wellness Benefit Rider Non-Tobacco User Tobacco User Attained Age $10,000 $20,000 $30,000 Attained Age $10,000 $20,000 $30,000 Under 30 $5.40 $10.80 $16.20 Under 30 $7.10 $14.20 $ $6.20 $12.40 $ $8.90 $17.80 $ $11.40 $22.80 $ $17.30 $34.60 $ $24.90 $49.80 $ $39.00 $78.00 $ $37.20 $74.40 $ $59.70 $ $ $48.40 $96.80 $ $71.50 $ $ $72.50 $ $ $ $ $ Spouse Coverage* Monthly Rates Includes Wellness Benefit Rider Non-Tobacco User Tobacco User Attained Age $5,000 $10,000 $15,000 Attained Age $5,000 $10,000 $15,000 Under 30 $3.35 $6.70 $10.05 Under 30 $4.55 $9.10 $ $3.65 $7.30 $ $5.20 $10.40 $ $6.55 $13.10 $ $9.85 $19.70 $ $15.85 $31.70 $ $25.00 $50.00 $ $24.55 $49.10 $ $40.05 $80.10 $ $29.15 $58.30 $ $43.50 $87.00 $ $37.95 $75.90 $ $55.95 $ $ Children Coverage Monthly Rates Includes Wellness Benefit Rider Coverage Amount Rate $5,000 $2.25 $10,000 $4.50 Exclusions and Limitations Benefits are not payable for any critical illness caused in whole or directly by any of the following*: Participation or attempt to participate in a felony or illegal activity. Suicide, attempted suicide or any intentionally self-inflicted injury, while sane or insane. War or any act of war, whether declared or undeclared, other than acts of terrorism. Loss that occurs while on full-time active duty as a member of the armed forces of any nation. We will refund, upon written notice of such service, any premium which has been accepted for any period not covered as a result of this exclusion. Alcoholism, drug abuse, or misuse of alcohol or taking of drugs, other than under the direction of a doctor. Benefits reduce 50% for the employee and/or covered spouse on the policy anniversary following the 70 th birthday, however, premiums do not reduce as a result of this benefit change. *See the certificate of insurance and any riders for a complete list of available benefits, along with applicable provisions, exclusions and limitations. How do I enroll? You will be able to enroll for benefits October 18, 2017 November 3, Watch for more details coming soon. Who do I contact with questions? For more information, please call the Voya Employee Benefits Customer Service Team at (877) or log on to https://presents.voya.com/eb/landingpage/stlukesstl. This offer is contingent upon participation requirements being met. This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of insurance and riders. All coverage is subject to the terms and conditions of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. To keep coverage in force, premiums are payable up to the date of coverage termination. Critical Illness Insurance is underwritten by ReliaStar Life Insurance Company, a member of the Voya family of companies. Policy Form #RL-CI3-POL-12; Certificate Form #RL-CI3-CERT- 12; and Rider Forms: Spouse Critical Illness Rider Form #RL-CI3-SPR-12, Children's Critical Illness Rider Form #RL- CI3-CHR-12, Wellness Benefit Rider Form #RL- CI3-WELL-12, and Recurrence Rider Form #RL- CI3-REC-12 Form numbers, provisions and availability may vary by state. CN St. Luke s Episcopal-Presbyterian Hospital, Group # , Acct #002 Date Prepared: 09/25/ /20/2017
Recommended
View more...
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks
SAVE OUR EARTH

We need your sign to support Project to invent "SMART AND CONTROLLABLE REFLECTIVE BALLOONS" to cover the Sun and Save Our Earth.

More details...

Sign Now!

We are very appreciated for your Prompt Action!

x