Senior Hospital Indemnity Insurance 4 th Quarter 2010

Transcription

1 + Competitive Intelligence Guide: Senior Hospital Indemnity Insurance 4 th Quarter 2010 Prepared January 24, 2011 by: Brynn Korolchuk CSG Actuarial, LLC 807 North 50th Street Omaha, NE info@csgactuarial.com

2 TABLE OF CONTENTS Section Exhibit Page Introduction 2 Company Data Overview 3 Company Data Table: Exhibit A 4 Product Benefit Comparisons Overview Product Benefit Table: Exhibit B 5 6 Underwriting Comparisons Overview 8 Underwriting Table: Exhibit C 9 Premium Rate Comparisons Overview 30 Premium Rate Tables: Exhibit D-1 31 Exhibit D-2 32 Exhibit D-3 33 Exhibit D-4 34 Exhibit D-5 35 Exhibit D-6 38 Exhibit D-7 Exhibit D-8 Exhibit D-9 Exhibit D-10 Exhibit D-11 Exhibit D CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

3 INTRODUCTION CSG Actuarial, LLC ( CSG ) has prepared this edition of Competitive Intelligence Guide: Senior Hospital Indemnity Insurance to provide our clients with a comprehensive overview of the Senior Hospital Indemnity marketplace. The guide contains information on the major companies actively marketing Senior Hospital Indemnity insurance, including company information, product benefit comparisons, underwriting data, and premium rate comparisons. This report is a summary of our comprehensive Senior Hospital Indemnity database that includes detailed information on premium rates, benefits, and underwriting data. The healthcare market is evolving into a consumer driven arena, with supplemental plans becoming more prevalent. Competition is fierce among carriers as consumers gain more decision making power in election of benefits, including health insurance policies. Life and Health carriers have been focused on developing enhancements in the form of ancillary policies to supplement the consumers primary health insurance policy. Senior Hospital Indemnity Plans provide timely cash reimbursement for veritably any non-occupational unexpected healthcare cost incurred. Due to an aging senior population the Senior Hospital Indemnity business is poised for substantial growth. Having timely competitive intelligence can be a valuable tool in an increasingly competitive insurance market. The benefits of this report include shortening the product development timeline, identifying competitive advantages/disadvantages, and reducing marketing research costs. The report is entirely self-contained so that the user can conveniently access the information needed to make actionable decisions regarding their business. The information provided has been obtained from public sources and every attempt has been made to verify the accuracy of the data. However, CSG does not guarantee or warrant the accuracy of the information provided in this report. The report is updated quarterly so that the information is always up to date and still relevant. CSG is an actuarial consulting firm located in Omaha, Nebraska that specializes in the individual life and health insurance markets. Please feel free to contact us if you have any questions about this report or suggestions to improve and enhance the content provided CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

4 COMPANY DATA The attached Exhibit A provides information on each company represented in CSG s Senior Hospital Indemnity competitive database. This includes contact information, AM Best ratings, and corporate structure. The user may find this information beneficial in evaluating the quality of the company relative to the specific product and rate information provided in the other sections of this report. This information was obtained from company websites and other public sources and may have changed since this report was compiled CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

5 Exhibit A - Company Information Hospital Indemnity INSURANCE COMPANY CONTACT INFORMATION TYPE OF COMPANY (STOCK/MUTUAL/FRATERN AL) HOLDING COMPANY FINANCIALS - AM FINANCIALS - BEST RATING OUTLOOK B+ Negative A- Negative B+ Negative Not Rated N/A A- Stable A- Stable B- Stable A Not Rated Stable N/A Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

6 Product Benefits Comparison The attached Exhibit B provides information on each company s Senior Hospital Indemnity product represented in CSG s Senior Hospital Indemnity competitive database. Information regarding a product s benefit design, available riders, rating characteristics, and benefit triggers are all included. Exhibit B can help users compare each company s product with others in the market as well as identify competitive advantages and disadvantages of their own product line. The information provided in Exhibit B is a summary of CSG Actuarial s Senior Hospital Indemnity database. The information does not provide state variations or specific detail on benefit limits and issue ages. Please contact CSG Actuarial, LLC to request a customized competitive intelligence report. This information was obtained from public sources and may have changed since this report was compiled CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

7 Exhibit B - Product Benefits Comparison Hospital Indemnity Issue Age Hospital Indemnity Benefit Limit for a Period of Care Days Payable per Period of Care Up to max benefit 10 Days 20 Days 90 Days 10 or 21 Days 10 Days 20 Days 90 Days Skilled Nursing Facility Indemnity Benefit Yes /Day Yes- 120/Day Waiting Period Days Private Hospital Room Indemnity Benefit Included Registered Nurse In-Hospital Indemnity 30/Shift Benefit Up to 2 Shifts/Day Registered Nurse At-Home Indemnity Benefit 30/Shift Up to 2 Shifts/Day Optional Daily Hospital Indemnity Benefit Rider Yes Ambulance Benefit - 100/Occurrence 2500 Lifetime Cap 150/Occurrence 2500 Lifetime Cap 200/Occurrence 2500 Lifetime Cap 200/Occurrence 2500 Lifetime Cap 100/Occurrence 2500 Lifetime Cap 150/Occurrence 2500 Lifetime Cap 200/Occurrence 2500 Lifetime Cap Durable Medical Equipment Benefit - Emergency Room Benefit (following accident or injury) Physician Visit Benefit (after hospital stay) - 200/Occurrence 2500 Lifetime Cap 300/Occurrence 2500 Lifetime Cap 400/Occurrence 2500 Lifetime Cap 30% of first 1,000/Year 200/Occurrence 2500 Lifetime Cap 300/Occurrence 2500 Lifetime Cap 400/Occurrence 2500 Lifetime Cap - 150/Visit 200/Visit 250/Visit - 150/Visit 200/Visit 250/Visit 25/Visit 75/Year Max 25/Visit 75/Year Max 25/Visit 75/Year Max - 25/Visit 75/Year Max 25/Visit 75/Year Max Optometrist/Dentist Visit Benefit Accidental Death & Dismemberment Rider ,000 or 10,000 for death; Variable for dismemberment Mental Health Facility Benefit /Day Up to 7 Days at an Inpatient Facility Surgical Indemnity Benefit Rider Lump Sum Cancer Rider - 1,000-10,000 for first diagnosis 1,000-10,000 for first diagnosis 1,000-10,000 for first diagnosis Lump Sum Hospital Confinement Waiver of Premium Benefit Yes- 8 weeks continuous confinement 250-1,000 for outpatient surgery up to 2x per year. 2,500-10,000 for first diagnosis Rider: once per confinement 25/Visit 75/Year Max ,000-10,000 for first diagnosis 1,000-10,000 for first diagnosis 1,000-10,000 for first diagnosis Guaranteed Renewal Yes Policy Fee Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

8 Exhibit B- Product Benefits Comparison Hospital Indemnity Issue Age Hospital Indemnity Benefit Limit for a Period of Care , /Day; 2X Daily Benefit in ICU 50/Day; 100/Day in ICU or Coronary Care Unit Days Payable per Period of Care - - Once for each Period of Care 360 Days; 30 Days 365 Days; 30 Days Skilled Nursing Facility Indemnity Benefit /Day Up to 90 Days Yes /Day - - Waiting Period 0-12 months dependent on condition 0-6 Months Variable 0-3 Days None Private Hospital Room Indemnity Benefit Registered Nurse In-Hospital Indemnity Benefit % of Hosp. Indem. Benefit - Registered Nurse At-Home Indemnity Benefit - Rider: Up to 30 Days 50/Shift or 100/Shift Up to 2 Shifts/Day for 30 Days after hospital confinement - - Optional Daily Hospital Indemnity Benefit Rider /Day Max of 30 Days Up to 21 Days 50; 100; 150; Ambulance Benefit Up to 3x/Year; 2,500 Lifetime Cap 100/Year 50% of Hosp. Indem. Benefit - Durable Medical Equipment Benefit Once per Year; 2,500 Lifetime Cap Emergency Room Benefit (following accident or injury) 150/Visit Physician Visit Benefit (after hospital stay) - Rider: Up to 100 Visits/Year Rider: 20/Visit 1000/Year Combined Max with Surg Indem. - - Benefit Optometrist/Dentist Visit Benefit /Visit; 100/Year Max Accidental Death & Dismemberment Rider - 2,500-7,500; Once per Year Mental Health Facility Benefit Surgical Indemnity Benefit Rider 150 for each outpatient surgery Max 10 Surgeries/Year 300/Surgery - - Lump Sum Cancer Rider Lump Sum Hospital Confinement 10,000-50,000 for first diagnosis on Cash Cancer Plan ; 1 Period of Care Maximum 5,000-10, Waiver of Premium Benefit - - Yes- 4 weeks continuous confinement - - Guaranteed Renewal Yes Yes Yes - Yes Policy Fee Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

9 UNDERWRITING CRITERIA COMPARISONS The attached Exhibit C provides an underwriting criteria comparison for each company represented in CSG s Senior Hospital Indemnity competitive database. This information was compiled from each company s application filed with the state insurance departments. Each application question was summarized based on the condition being asked and the look back period used for eligibility. Exhibit C is presented in the following sections: Exhibit C-1: Exhibit C-2: Exhibit C-3: Exhibit C-4: Exhibit C-5: Exhibit C-6: Exhibit C-7: Exhibit C-8: Exhibit C-9: Exhibit C-10: Exhibit C-11: Circulatory System Diabetes & Diabetes with Complications Digestive System Disabled Mental Disorders; Endocrine; Nutritional and Metabolic Diseases; Immunity Disorders; Genitourinary System, Infectious and Parasitic Diseases Musculoskeletal System and Connective Tissue Neoplasm Nervous System Respiratory System; Surgery, Medical Tests, Etc. Reproductive Organs Additional Underwriting Criteria The Exhibit C should be interpreted by reviewing each medical condition and the criteria used for declination. For example, on hepatitis, if the table states 2 years, this means the company will decline coverage for any applicant that has been diagnosed or treated for hepatitis within the last 2 years. If the table is blank for any specific condition the company does not ask any application questions for that particular condition. The actual application question may vary by company and could be more or less restrictive given the actual wording of the question. These tables should be viewed with caution and used only as a guide to the types of conditions and look back periods each company uses in evaluating Senior Hospital Indemnity applicants. In addition there may be slight variations in applications by state that are not reflected in the tables CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

10 Exhibit C-1: Underwriting Criteria - Circulatory System Company Aneurysm Angioplasty Any Circulatory Disorder Any Heart Abnormality/ Condition/ Disorder Cardiac Pacemaker Cardiomyopathy Congenital Heart Defect Congestive Heart Failure Yes- 1 Year Yes- 3 Years Yes-Ever Yes-Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

11 Exhibit C-1: Underwriting Criteria - Circulatory System Company Defibrillating Device Disease or Disorder of the Blood/Spleen/Bone Marrow Disease or Disorder of the Immune System Elevated Cholesterol Heart / Coronary / Carotid Artery Disease / Angina Heart Attack Heart Disease Heart Surgery Heart Valve Surgery High/Low Blood Pressure Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- Ever Yes- Ever Yes-2 Years The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

12 Exhibit C-1: Underwriting Criteria - Circulatory System Company Hospitalization due to Blood Disorder Hospitalization due to Circulatory Disease Hospitalization due to Heart/Artery Disease Hypertension Peripheral Vascular Disease Prescription Medication for Heart/Artery Disease or Stroke or Heart Rhythm disorders Stroke Transient Ischemic Attack (TIA) Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- Currently using 4+ Daily The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

13 Exhibit C-2: Underwriting Criteria - Diabetes; Diabetes with Complications Company Insulin Dependent Diabetes Insulin Use Insulin Dependent Diabetes + Heart Disorder Uncontrolled Diabetes Complications of Diabetes Yes- 1 Year Yes- Ever Yes- 50+ Units Insulin/Day Yes- 50+ Units Insulin/Day Yes- 50+ Units Insulin/Day Yes The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

14 Exhibit C-3: Underwriting Criteria - Digestive System Company Any Disease or Disorder of the Gallbladder Any Disease or Disorder of the Digestive Tract Any Disease or Disorder of the Intestines or Colon Any Liver Disease Chrohn's Disease Yes- 1 Year The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

15 Exhibit C-3: Underwriting Criteria - Digestive System Company Cirrhosis of the Liver Gallstones Hepatitis Hospitalization Due to Ulcerative Colitis Kidney Stones Open Colostomy Open Ileostomy Yes- 3 Years Yes- Ever Yes- Ever Yes- Hospitalization due to Hepatitis- 1 Year Yes- Ever Yes- 1 Year The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

16 Exhibit C-4: Underwriting Criteria - Disabled Company Confined to a Nursing Facility Confined to a Hospital Receiving Home Health Care Bedridden Use of Wheelchair Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- Currently Yes- Currently Yes- 90 Days Yes- Currently Yes- Currently Yes- 1 Year Yes-1 Year Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes-1 Year Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- Currently Yes- Currently Yes- Currently Yes Yes The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

17 Exhibit C-4: Underwriting Criteria - Disabled Company Use of Walker Amputation Caused by Disease Past Admission to a Hospital/ Clinic/ Other Medical Institution Yes- 3+ times in the last 2 Years Yes- 1 Year Yes- Ever Yes- 1 Year Yes- Ever Yes The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

18 Exhibit C-5: Underwriting Criteria - Mental Disorders; Endocrine; Nutritional and Metabolic Diseases; Immunity Disorders; Genitourinary System, Infectious and Parasitic Diseases Company Addison's Disease Any Disease or Disorder of the Kidney Any Mental or Emotional Disorder Alzheimer's Disease Chronic Kidney Disease Yes- 1 Year Yes- 1 Year Yes- 3 Years Yes- Ever Yes- Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

19 Exhibit C-5: Underwriting Criteria - Mental Disorders; Endocrine; Nutritional and Metabolic Diseases; Immunity Disorders; Genitourinary System, Infectious and Parasitic Diseases Company Dementia Renal Insufficiency Renal Failure Kidney Disease Requiring Dialysis Hospitalization due to Nephritis Yes- 1 Year Yes- 3 Years Yes- 3 Years Yes- 3 Years Yes- 1 Year Yes- Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

20 Exhibit C-5: Underwriting Criteria - Mental Disorders; Endocrine; Nutritional and Metabolic Diseases; Immunity Disorders; Genitourinary System, Infectious and Parasitic Diseases Company Organic Brain Disorder AIDS/AIDS Related Complex or HIV Disease of the Pancreas or Prostate Epilepsy/Seizure Disorder Hospitalization Due to Any Mental Disorder Yes- Ever Yes- 3 Years Yes- 1 Year Yes- 1 Year Yes- 1 Year Yes- Ever Yes- Ever Yes- Ever Yes- Ever Yes- Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

21 Exhibit C-6: Underwriting Criteria - Musculoskeletal System And Connective Tissue Company Any Disease or Disorder of the Bones, Joints, Spine, Knees or Musculoskeletal System Hernia Paget's Disease Rheumatoid or Disabling Arthritis Yes- 3 Years The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

22 Exhibit C-6: Underwriting Criteria - Musculoskeletal System And Connective Tissue Company Lupus or Other Bone or Connective Tissue Disorder Muscular Dystrophy Osteoporosis Arthritis Therapy Yes- 3 Years - Gold Shot Yes- Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

23 Exhibit C-7: Underwriting Criteria - Neoplasm Company Internal Cancer Leukemia Malignant Melanoma Hodgkin's Disease Yes- 1 Year; 10 Years for Cancer Rider Yes- 1 Year; 10 Years for Cancer Rider Yes- 1 Year; 10 Years for Cancer Rider Yes- 3 Years Yes- 3 Years Yes- 3 Years ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider Yes- 5 Years ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider Yes- 1 Year; 10 Years for Cancer Rider ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

24 Exhibit C-7: Underwriting Criteria - Neoplasm Company Lymphoma Sarcoma Radiation or Chemotherapy Doctor Scheduled Tests to Rule Out Disease Advised to Seek Treatment Yes- 1 Year; 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes- 3 Years for Cancer Rider Yes- 3 Years ; 10 Years for Cancer Rider ; 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes- 10 Years for Cancer Rider Yes Yes The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

25 Exhibit C-8: Underwriting Criteria - Nervous System Company Parkinson's Disease Myasthenia Gravis Multiple/Amyotrophic Lateral Sclerosis Paralysis Amyotrophic Lateral Sclerosis Any Neurological Disorder Any Neuromuscular Disorder Hospitalization Due to Any Nervous Disorder Yes- 3 Years Yes- 3 Years Yes- 3 Years Yes- 1 Year Yes- Ever Yes- Ever Yes- Ever The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

26 Exhibit C-9: Underwriting Criteria - Respiratory System; Surgery, Medical Tests, Etc. Company Any Disease/Disorder of the Lungs or Respiratory System Asthma Chronic Obstructive Lung Disease Chronic Obstructive Pulmonary Disorder Yes- 1 Year The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

27 Exhibit C-9: Underwriting Criteria - Respiratory System; Surgery, Medical Tests, Etc. Company Chronic Pulmonary Disease Requiring the Use of Oxygen, CPAP or Nebulizer Cystic Fibrosis Emphysema Hospitalization due to Chronic Respiratory Disorder Hospitalization due to Emphysema - Oxygen Yes- 1 Year Yes- 1 Year - Oxygen, CPAP, Nebulizer - Oxygen, CPAP, Nebulizer - Oxygen The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

28 Exhibit C-10: Underwriting Criteria -Reproductive Organs Company Any Disease or Disorder of the Reproductive Organs Any Disease or Disorder of the Urinary Tract Endometriosis Hemorrhoids Hospitalization Due to Chronic Cystitis Uterine Fibroids Expectant Mother/ Father Yes- 1 Year Yes The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

29 Exhibit C-11: Underwriting Criteria -Additional Underwriting Criteria Company Admitted to an Emergency Room or Urgent Care Center Any Chemical Use Alcohol or Drug Abuse Cataracts Received Medical Counseling Sickle Cell Anemia Organ Transplant Yes- 1 Year The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

30 Exhibit C-11: Underwriting Criteria -Additional Underwriting Criteria Company Surgery, Medical Tests, treatment, or therapy not performed Surgery Anticipated in Next 12 months Surgery Performed Taken Any Medication Recommended or Prescribed by a Physician Yes- 1 Year Yes- 1 Year Yes- 3 Years Yes Yes- 3 Years Yes- 1 Year Yes- 1 Year Yes- Ever Yes Yes Yes Yes-2 Years Yes- Ever Yes- 1 Year The conditions above are conditions for declination of benefits; they may vary by state. Disclaimer: CSG Actuarial, LLC does not guarantee or warrant the accuracy of the above information. Carriers may have made adjustments that have not yet been reflected in our database CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Insurance"

31 PREMIUM RATE COMPARISONS The attached Exhibit D provides a premium rate comparisons for each company represented in CSG s Senior Hospital Indemnity competitive database. Each table displays the annual premiums for the lowest rating by gender, and underwriting classes. The rates shown are comprehensive. Below is a summary of all the tables: Exhibit D-1: Exhibit D-2: Exhibit D-3: Exhibit D-4: Exhibit D-5: Exhibit D-6: Exhibit D-7: Exhibit D-8: Exhibit D-9: Exhibit D-10: Exhibit D-11: Exhibit D-12: For example, if a company offers non-tobacco rates, these are shown. If the company offers blended non-tobacco/tobacco, the blended rates are shown. However, the rates shown do not include any couples or household discounts, if applicable. Each of the companies in the study has slightly different benefit options and structures. For example, some companies may have specific riders or reimbursement based on varying criteria. Please refer to the attached Exhibit B for an analysis of the benefit options offered by each company CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity Q may not be shared outside the buyer s firm without permission from CSG Actuarial, LLC.

32 Exhibit D-1 Hospital Indemnity Rates Base Policy Age , Optional Daily Hospital Benefit Per 10/Day Benefit ` Skilled Nursing Facility Benefit** Per 10/Day Benefit Age 0- DAY 20-DAY 100-DAY **Elimination Day Rate is the number of days insured must be confined to a skilled nursing facility before benefits are valid. Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

33 Exhibit D-2 Hospital Indemnity Rates Lump Sum Cancer Daily Hospital Indemnity Benefit Rider Issue Age Per 1,000 Benefit , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

34 Exhibit D-3 Hospital Indemnity Rates Lump Sum Cancer Daily Hospital Indemnity Benefit Rider Issue Age Per 1,000 Benefit , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

35 Exhibit D-4 Hospital Indemnity Rates Lump Sum Cancer Daily Hospital Indemnity Benefit Rider Issue Age Per 1,000 Benefit , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,1 2, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

36 Exhibit D-5 Hospital Indemnity Rates Age Hospital Confinement Benefits Lump Sum Cancer Rider 10 Day Benefits 21 Day Benefits Lump Sum Hospital Confinement Rider Per 10/DAY Per 10/DAY ,500 5,000 7,500 10, N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

37 Exhibit D-5 (cont.) Hospital Indemnity Rates Skilled Nursing Facility Rider Outpatient Surgical Rider Ambulance Rider Durable Medical Equipment Rider Age 120/Day , /Service N/A N/A N/A N/A N/A 30% of the First 1, Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"

38 Exhibit D-5 (cont.) Hospital Indemnity Rates Accidental Death and Dismemberment Rider Durable Medical Equipment Rider AGE 5,000 10,000 30% of the First 1, N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Disclaimer: Information was found from Company websites or various other sources of public information CSG Actuarial, LLC. All rights reserved. Reproduction or redistribution strictly prohibited. This copy of Competitive Intelligence Guide: Hospital Indemnity"