US - Jagged Peak Benefit Guide 2018

LONG TERM DISABILITY INSURANCE

Jagged Peak provides Long Term Disability insurance to all full-time employees working 30 or more hours per week. The chart below provides an overview of the plan and who pays the cost.

What is Long Term Disability (LTD)? LTD insurance provides you with a monthly cash benefit to help you pay your bills if a covered disability prevents you from working for an extended period of time.

Long Term Disability

Benefit % of Monthly Covered Payroll

60%

Monthly Maximum

$6,000

Elimination Period

90 days

All Florida Employees and Ohio Salary/ Exempt: Normal Social Security Retirement Age

Benefit Duration

Ohio Hourly/ Non-exempt: 2 year maximum

Jagged Peak pays 100% of the Long Term Disability cost for all employees.

HOSPITAL INSURANCE

Jagged Peak provides Voluntary Hospital insurance to all full-time employees working 30 or more hours per week. The chart below provides an overview of the plans and rates.

Hospital Benefit Summary

Subcategory

Benefits

Low Plan

High Plan

Non- ICU Hospital Admission payable 1 time per Accident

$500

$1,000

Accident – Hospital Admission Benefit

Intensive Care Unit Admission payable 1 time per Accident

$1,000

$2,000

Non- ICU Hospital Confinement is payable for up to 31 days per covered person (starting on day 1) ICU Accident Hospital Confinement is payable for up to 31 days per covered person (starting on day 1) Inpatient Rehabilitation Benefit is payable for up to 15 days per covered person per accident, but not to exceed 30 days per calendar year.

$100

$200

Accident – Hospital Confinement Benefit

$200

$400

Rehab

$100

$200

Non-ICU Hospital Admission payable 1 time(s) per calendar year

$500

$1,000

Sickness – Hospital Admission Benefit

Intensive Care Unit Admission payable 1 time(s) per calendar year

$1,000

$2,000

Non-ICU Sickness Hospital Confinement is payable for up to 31 days per covered person (starting on day 1) ICU Sickness Hospital Confinement is payable for up to 31 days per covered person (starting on day 1)

$100

$200

Sickness – Hospital Confinement Benefit

$200

$400

Employee Cost Per Pay Period

Low Plan

High Plan

Employee Only

$ 3.76 $ 7.29 $ 6.81 $11.58

$ 7.52 $14.58 $13.61 $23.16

Employee + Spouse Employee + Child(ren)

Family

11

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