PIH 2023 Benefit Guide

Basic Life Insurance

Supplemental Health Insurance

Guardian  | 1-800-600-1600 | www.guardiananytime.com | Group Number: 00534925

Cigna | 1-800-244-6224 | www.mycigna.com | Group Number: 3332287

PIH provides you with Basic Life and Accidental Death & Dismemberment (AD&D) insurance at no cost through Guardian . All full-time hourly and salaried employees receive: • $50,000 of coverage for yourself, • $10,000 of coverage for your spouse, and • $2,000 of coverage for child(ren) ages 6 months to 26 years, or $1,000 of coverage for child(ren) live birth to 6 months. You will need a beneficiary for this policy. You can update your beneficiaries at any time during the year by visiting the HR self-service app>benefits>my benefits. Download the App here: bit.ly/HRIS-App. Salaried Employees Buy-Up Option Salaried employees may increase their Basic Life and AD&D coverage up to 3x annual salary (up to an additional $250,000). Additional coverage premiums are based on your annual salary and only costs between $2.00 and $5.15 per week! PIH pays 65% of the cost, and you only pay 35% of the additional coverage amount.

PIH offers 3 different Cigna supplemental health insurance policies through payroll deductions at a Group Payroll Rate! When you experience a major health event, supplemental insurance policies help pay for many expenses that aren’t covered by your primary health insurance. Cigna Accidental Injury Insurance

Accidental Injury Weekly Premiums

An accident can happen to anyone at any time. Even with medical coverage, out-of-pocket expenses can quickly add up. That's why having Cigna Accidental Injury insurance is important. There is one plan to choose from for this benefit. Examples of coverages offered include:

Employee Only EMP + Spouse EMP + Child(ren)

$2.70 $5.00 $6.35 $8.65

• Dislocations: up to $6,000 • Burns: up to up to $10,000 • Emergency Dental: up to $150 • Plus a lot more benefits!

EMP + Family

• Emergency Care: $100 • Hospital Admission: $1,000 • General Anesthesia: $100 • Fractures: up to $8,000

The plan also offers Accidental Death and Dismemberment (AD&D) coverages. Please see your plan document for more details. Cigna Hospital Care Insurance

Supplemental Life Insurance

Guardian  | 1-800-600-1600 | www.guardiananytime.com | Group Number: 00534925

Hospital Care Weekly Premiums

A hospital stay can happen at any time, and it can be costly. Cigna Hospital Care can help you and your loved ones have additional financial protection. We can help cover these unexpected events - so you can focus on getting better. Cigna's Hospital Indemnity policy covers costs associated with a hospital stay, such as: • Wellness Treatment, Health Screening Test and Preventive Care Benefit: $50 per person enrolled, per year • Hospital Admission: $1,000 per person enrolled, per year • Hospital Stay: $200 per day up to 30 days • Hospital Intensive Care Unit Stay: $400 per day up to 30 days • Newborn Nursery Care Stay: $200 per day up to 30 days Cigna Critical Illness Insurance Being diagnosed with a critical illness can happen to anyone at any time. Even with the medical coverage, out-of-pocket expenses can quickly add up. That's why having Cigna Critical Illness insurance is important. Covered Critical Illnesses include: Cancer, Heart Attack, Stroke, Renal Failure (End Stage), Carcinoma in Situ, Coronary Artery Disease and more. Employees can elect coverage in the amounts of $5,000,

Employee Only EMP + Spouse EMP + Child(ren)

$3.98 $12.90 $8.53 $17.45

In addition to the Basic Life insurance provided by PIH, you have the option to purchase Supplemental Life/AD&D insurance through Guardian . You may purchase: • Employee coverage in increments of $20,000 up to a maximum of $500,000. Newly hired employees may purchase the first $200,000 without Evidence of Insurability. • Spousal coverage may be purchased in increments of $1,000 up to $100,000, but must not exceed 50% of the employee purchase amount. Newly hired employees may purchase the first $50,000 without Evidence of Insurability. • Child(ren) coverage: • $500 of coverage on child(ren) age birth to 6 months. • $10,000 of coverage on child(ren) age 6 months to 26 years (if a full-time student). • The full amount is available without Evidence of Insurability.

Employee and Spouse Rates - Monthly Cost per $1,000 of Coverage Age Rate <30 $0.08 30-34 $0.09 35-39 $0.13 40-44 $0.21 45-49 $0.35 50-54 $0.62 55-59 $1.02 60-64 $1.36 65-69 $2.12 70+ See Plan Details Dependent Children $0.08 per $1,000

EMP + Family

Critical Illness Weekly Premiums Employee Only

Click here to access CI Cost Calculator

EMP + Spouse EMP + Child(ren) EMP + Family

Example of Voluntary Term Life Premium Calculations

Monthly Rate Per $1,000

Benefit in $1,000’s

Monthly Premium

Age

$10,000, $20,000 or $30,000. Spouse coverage is also available for 50% of the issued employee benefit amount. Each dependent child (birth to age 26 or age 26+ if disabled) can be covered at 50% of the employees insured amount. There are no age based reductions for this benefit.

Yours

36

$0.13

X 100 =

$13.00

Spouse

32

$0.09 $0.08

X

50

=

$4.50 $0.80 $18.30

Child(ren)

X 10 =

Total

10

11

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