Your critical illness coverage
Neurological Disorders
CRITICAL ILLNESS
Alzheimer's Disease – Early
50%
Alzheimer’s Disease – Advanced
100%
ALS (Lou Gehrig's Disease)
100%
Dementia – other causes
100%
Huntington's Disease
30%
Multiple Sclerosis – Early
50%
Multiple Sclerosis – Advanced
100%
Myasthenia Gravis
30%
50%
Parkinson's Disease – Early
100%
Parkinson's Disease – Advanced
Childhood Illnesses and Disorders Autism Spectrum Disorder Cerebral Palsy Cleft Lip/Cleft Palate Club Foot Congenital Heart Defect Cystic Fibrosis Diabetes – Type 1 Down Syndrome Hemophilia Multisystem Inflammatory Disease (MLS) Muscular Dystrophy
100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Spina Bifida
May choose a lump sum benefit of $10,000 to $30,000 in $10,000 increments up to 100% of the employee's lump sum benefit.
Spouse Benefit
50% of employee's lump sum benefit
Child Benefit- children age Birth to 26 years
We Guarantee Issue up to: $30,000
Guarantee Issue: The ‘guarantee’ means you are not required to answer health questions to qualify for coverage up to and including the specified amount, when you sign up for coverage during the initial enrollment period or the annual open enrollment period.
For a spouse:
For a child: All Amounts
$30,000
Health questions are requiredifthe elected amount exceeds the Guarantee Issue.
Bi-weekly Premiums Displayed Election Cost Per Age Bracket
<30
30-39
40-49
50-59
60-69
70+
Employee $10,000
$1.80
$3.05
$5.72
$10.80
$18.00
$30.51
$3.60
$6.09
$11.45
$21.60
$36.00
$61.02
$20,000
$5.40
$9.14
$17.17
$32.40
$54.00
$91.52
$30,000
Benefit Amount Up To 100% of Employee Amount to a Maximum of $30,000 Spouse $10,000 $1.80 $3.05
$5.72
$10.80
$18.00
$30.51
$3.60
$6.09
$11.45
$21.60
$36.00
$61.02
$20,000
$5.40
$9.14
$17.17
$32.40
$54.00
$91.52
$30,000
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