211239 - Hospital Indemnity Plan Summary

BENEFIT PAYMENT EXAMPLE

Benefit Amount 6

Covered Benefit 2

Susan wakes up in the middle of the night experiencing chest pain. An ambulance takes her to the emergency room (ER) at a local hospital. Upon arrival, the ER doctor examines Susan and advises that she requires immediate admission to the Intensive Care Unit for further evaluation and treatment. After 1 day in the Intensive Care Unit, Susan moves to a standard room and spends 2 additional days recovering in the hospital. Susan was released to her primary care physician for follow-up treatment and observation. Her primary doctor is now keeping a close watch over Susan’s overall health. Depending on her health insurance, Susan’s out-of-pocket costs could run into hundreds of dollars to cover expenses like insurance co-payments and deductibles. MetLife Group Hospital Indemnity Insurance payments can be used to help cover these unexpected costs or in any other way Susan sees fit.

Admission - Intensive Care Unit Coverage (Sickness) Confinement for 1 day- Intensive Care Unit Coverage (Sickness) Confinement for 2 days – Hospital Coverage (Sickness) Benefits paid by MetLife Group Hospital Indemnity Insurance

$1,000

$200

$400

$1,600

Benefit amount is based on a sample MetLife plan design. Actual plan design and plan benefits may vary.

QUESTIONS & ANSWERS

How do I enroll? Enroll for coverage at www.metlife.com/mybenefits website.

Who is eligible to enroll for this Hospital Indemnity coverage? You are eligible to enroll yourself and your eligible family members 7 . You need to enroll during your Enrollment Period and be actively at work for your coverage to be effective. Dependents to be enrolled may not be subject to a medical restriction as set forth in the Certificate. Some states require the insured to have medical coverage. How do I pay for my Hospital Indemnity coverage? Premiums will be conveniently paid through payroll deduction, so you don’t have to worry about writing a check or missing a payment. What happens if my employment status changes? Can I take my coverage with me? Yes, you can take your coverage with you. You will need to continue to pay your premiums to keep your coverage in force. Your coverage will only end if you stop paying your premium or if your employer offers you similar coverage with a different insurance carrier. 8 Who do I call for assistance? Contact a MetLife Customer Service Representative at 1 800-GET-MET8 (1-800-438-6388), Monday through Friday from 8:00 a.m. to 8:00 p.m., EST.

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