Supplemental Benefits
Critical Illness Benefit Summary
Benefit Amount
$10,000
Cancer Type I, Heart Attack, Kidney Failure, Organ Transplant, Stroke, Cancer Type II (Non-Invasive), Coronary Artery Bypass Graft
Covered Conditions
100% of employees lump sum benefit *Spouse rate is based on employee age
Spouse Benefit
Child Benefit
25% of employees lump sum benefit
AGE
Deductions Employee – Spouse* $10,000 Benefit
AGE
Deductions Employee - Spouse $10,000 Benefit
Deductions Child $2,500
<24
$ 1.84
50-55
$15.29
$ .49
25-29
$ 2.82
55-59
$18.42
30-34
$ 4.03
60-64
$20.70
35 – 39
$ 5.84
65-69
$23.34
40-44
$ 8.53
70+
$30.78
45 – 49
$11.76
*Spouse Rate will be in addition to the employee rate.
Accident Benefit Summary
Accident Coverage Type
24-Hour
Employee: $25,000 Spouse: $10,000 Child: $5,000
AD&D Benefit Amount
Portability
Included
Emergency Room Visits, Burns, Dental, Stitches, Fractures, Surgeries, and so much more!
Example of Covered Benefits
Hospital & Sickness Rider
Admission ICU Admission Confinement ICU Confinement
$1,000 $1,500
$200 (per day, up to 365 days) $400 (per day, up to 15 days per accident)
Employee Deductions
Accident Coverage
Accident with Hospital/Sickness Coverage
Employee Only
$ 5.64
$11.88
Employee & Spouse
$ 9.21
$23.95
Employee & Child(ren)
$ 9.88
$23.81
Employee & Family
$13.41
$34.59
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