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Insurances

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Specified Illness Plan

PLAN PROVISIONS | FIRST OCCURRENCE BENEFITS | ADDITIONAL OCCURRENCE BENEFITS | RE-OCCURRENCE BENEFITS | HEALTH SCREENING BENEFITS

With the group specified illness plan, our goal is to help you and your family cope with and recover from the financial stress of surviving a critical illness or condition.

According to medical statistics:

Over 1.3 million new cancer cases were expected to be diagnosed in 2005.

The National Institutes of Health estimated the overall costs for cancer in the year 2004 at $189.8 billion: $69.4 billion for direct medical costs and $120.4 billion for indirect costs.

An estimated 700,000 Americans were to have a new coronary attack in 2005. About 500,000 were to have a recurrent attack. It was estimated that a stroke occurred every 45 seconds in 2005.

The estimated direct and indirect cost of cardiovascular disease was $393.5 billion in 2005.

The good news is that many people with a specified illness survive these life threatening battles. Unfortunately, as the recovery process begins, people become aware of the medical bills that have piled up. Your recovery doesn't have to be spoiled by medical bills.

PLAN PROVISIONS
Employee coverage levels:

$ 5,000 For Plan Year 2008, no Medical Underwriting required

$10,000 For Plan Year 2008, no Medical Underwriting required

$20,000 Medical Underwriting required

$30,000 Medical Underwriting required

$40,000 Medical Underwriting required

$50,000 Medical Underwriting required

Lump-sum benefits paid directly to the insured following the diagnosis of each covered specified illness after you are hospital confined for the specified illness and charged for room and board. (See chart below for information on covered specified illnesses.)

Rates cannot be individually increased due to change in age, health or individual claim.

Simplified underwriting-answer only a few health questions.

The plan is portable* - take your coverage with you if you leave your job.

Available to employees age 18-69.

Benefits for participants reduced 50% at age 70.

Spouse coverage levels:

$5,000 benefit - No Medical Underwriting required for 2008 Plan Year
Same plan design as employee
Employee must have coverage for the spouse to have coverage
Rates are based on employee age

Child coverage:

Children covered at no additional cost

All children are covered at 10% of employee benefit amount

Children ages 0 - 24, if a dependent

Child coverage automatically added to existing employee coverage

Covered Critical Illnesses*

Illnesses Covered Under Plan

Percentage of Face Amount

Heart Attack

100%

Stroke

100%

Major Organ Transplant

100%

Renal Failure (End Stage)

100%

Internal Cancer

100%

Carcinoma in situ**

25%

Coronary Artery Bypass Surgery**

25%

*Certain stipulations apply to portability.
**A partial benefit (25%) is payable for carcinoma in situ and coronary artery bypass surgery. Payment of the partial benefit for carcinoma in situ will reduce the benefit for internal cancer. Payment of the partial benefit for coronary artery bypass surgery will reduce the benefit for a heart attack.

FIRST OCCURRENCE BENEFITS
After the Waiting Period, an insured may receive up to 100% of the benefit selected upon the first diagnosis of each covered critical illness.

ADDITIONAL OCCURRENCE BENEFITS
If an insured collects full benefits for a Critical Illness under the plan and later has one of the remaining covered illnesses, then we will pay the full benefit amount for any additional illness. Occurrences must be separated by at least 6 months.

RE-OCCURRENCE BENEFITS
If an insured receives full benefit for a covered condition and is later diagnosed with the same condition, we will pay the full benefit again. The two dates of diagnosis must be separated by at least 12 months or 12 months treatment free for Internal Cancer.

HEALTH SCREENING BENEFITS
An insured may receive a maximum of $50 for any one covered screening test per calendar year. We will pay this benefit regardless of the results of the test. Payment of this benefit will not reduce the amount payable for the diagnosis of a critical illness. There is no limit to the number of years the insured can receive the health screening benefit; it will be paid as long as the policy remains in force. This benefit is payable for the covered employee. The covered health screening tests include:

Stress test on a bicycle or treadmill
Fasting blood glucose test, blood test for triglycerides or serum cholesterol test to determine level of HDL and LDL
Bone marrow testing
Breast ultrasound
CA 15-3 (blood test for breast cancer)
CA 125 (blood test for ovarian cancer)
CEA (blood test for colon cancer)
Chest x-ray
Colonoscopy
Flexible sigmoidoscopy
Hemocult stool analysis
Mammography
Pap smear
PSA (blood test for prostate cancer)
Serum protein electrophoresis (blood test for myeloma)
Thermography

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