Cmpass Critical Illness Insurance Enrllment at a glance An affrdable way t help prtect against the financial stress f a serius illness. Fr the emplyees f: ACME Truck Line, Inc.
D yu knw smene wh has had a serius illness like a heart attack r strke? Yu prbably d but dn t expect t ever experience ne yurself. The prblem is, n ne thinks it culd happen t them and when it des, they may nt be prepared fr the financial ramificatins. On tp f the medical bills, there are still everyday expenses t pay fr, which can be challenging during recuperatin. Plus, yu may need help with day-t-day tasks like huse maintenance, child care and transprtatin. That s where Critical Illness Insurance can help. What is Critical Illness Insurance? Critical Illness Insurance pays a lump-sum benefit if yu are diagnsed with a cvered illness r cnditin n r after yur cverage effective date. Critical Illness Insurance is a limited benefit plicy. It is nt health insurance and des nt satisfy the requirement f minimum essential cverage under the Affrdable Care Act. Features f Critical Illness Insurance include: Guaranteed Issue: N medical questins r tests are required fr cverage. Flexible: Yu can use the benefit payments fr any purpse yu like. Payrll deductins: Premiums are paid thrugh cnvenient payrll deductins. Prtable: If yu leave yur current emplyer r retire, yu can take yur cverage with yu. Hw can Critical Illness Insurance help? Belw are a few examples f hw yur Critical Illness Insurance benefit culd be used (cverage amunts may vary): Medical expenses, such as deductibles and cpays Child care Hme healthcare csts Mrtgage payment/rent and hme maintenance Wh is eligible fr Critical Illness Insurance? Yu Drivers that have earned n average $375 a week during their testing perid and all ther active emplyees wrking 30+ hurs per week. Yur spuse under age 70. If yu are cvered, yu may elect spuse cverage. Yur children t age 26. If yu are cvered, yu may elect children cverage. Fr what critical illnesses and cnditins are benefits available? Critical Illness Insurance prvides a benefit payment fr the fllwing illnesses and cnditins. Cvered illnesses/cnditins are brken ut int grups called mdules. Benefits are paid at 100% f the Maximum Critical Illness Benefit amunt unless therwise stated. Fr a cmplete descriptin f yur benefits, alng with applicable prvisins, cnditins n benefit determinatin, exclusins and limitatins, see yur certificate f insurance and any riders. Base Mdule Heart attack* Majr rgan failure Strke Permanent paralysis Crnary artery bypass (25%) End stage renal (kidney) failure Cma *Cardiac arrest is nt a heart attack Cancer Mdule Cancer Carcinma in situ (25%) Skin cancer (10%)
When is my cverage effective? The effective date f cverage is the date yu are eligible t begin filing claims. The injury must ccur n r after the cverage effective date. 2018 Open Enrllment Yur cverage becmes effective n January 1, 2018, fllwing the electin f cverage. Cverage fr yur spuse and/r children becmes effective n the same date as yur cverage. What Maximum Critical Illness Benefit am I eligible fr? Fr yu Emplyee-paid/Supplemental: All eligible emplyees have the pprtunity t purchase an additinal Critical Illness Benefit f $5,000 t $20,000 in $5,000 increments regardless f yur medical electin. Fr yur spuse Emplyee-paid/Supplemental: All eligible emplyees als have the pprtunity t purchase an additinal Critical Illness Benefit f $5,000 r $10,000 fr yur spuse regardless f yur medical electin. Fr yur children Emplyee-paid/Supplemental: All eligible emplyees als have the pprtunity t purchase an additinal Maximum Critical Illness Benefit f $10,000 r $1,000, $2,500, r $5,000 fr each cvered child regardless f yur medical electin. Hw many times can I receive the Maximum Critical Illness Benefit? Usually yu are nly able t receive the Maximum Critical Illness Benefit nce fr each cvered cnditin. Yur plan includes the Recurrence Benefit*, which allws yu t receive a benefit fr the same cnditin a secnd time. It s imprtant t nte that in rder fr the secnd ccurrence f the illness t be cvered, it must ccur after 12 cnsecutive mnths withut the ccurrence f any cvered critical illness named in yur certificate, including the illness frm the first benefit payment. If yu have reached the benefit limit by receiving the maximum benefit fr each cvered cnditin, yu may chse t end yur cverage; hwever, if yu have cverage fr yur spuse and/r children, yu must cntinue yur cverage in rder t keep their cverage active. Please see yur certificate f cverage fr details. *This benefit des nt apply t the cancer mdule. Meet James When James lks at his life, he thinks he s in pretty gd health. Sure, he has a sedentary jb, but James feels he ffsets sitting 40 hurs a week by eating fairly well, getting enugh sleep and taking regular walks arund his neighbrhd. That s why the heart attack he suffered just three mnths after his 42 nd birthday came as such a shck. While James is expected t make a full recvery, he recuperatin culd have been mre challenging had it nt been fr the benefit paid by his Critical Illness Insurance. Expenses incurred ver tw mnths: $5,000 Out-f-pcket medical expenses $2,800 Mrtgage $1,500 Fd and utilities $800 Car payment $150 Car insurance $500 Other living expenses $10,750 Ttal ut-f-pcket expenses $5,000 Maximum Critical Illness Benefit paid under James s emplyer paid plicy $10,000 Critical Illness Benefit paid under James s emplyee paid supplemental plicy The amunts shwn are fr illustrative purpses nly. Actual csts/results may vary. The benefit amunt assumes the emplyee is enrlled in ne f ACME Trucking Line s High Deductible Medical Plans and has als elected a Critical illness Benefit f $10,000 f supplemental cverage. Yur emplyer may ffer/prvide different amunts r ptins.
What ptinal benefits are available? Yu may chse t include the ptinal benefits belw with yur critical illness cverage. Fr a list f standard exclusins and limitatins, please refer t the end f this dcument. Fr a cmplete descriptin f yur available benefits, alng with applicable prvisins, exclusins and limitatins, see yur certificate f insurance and any riders. Spuse Critical Illness Insurance must be elected if yu are nt enrlled in ne f the High Deductible Plans ACME Truck Line ffers: If yu have cverage n yurself, yu may enrll yur spuse, as lng as yur spuse is under age 70 and is nt cvered under yur emplyer s plan as an emplyee. Yur spuse will be cvered fr the same cvered cnditins as yu are. Yur spuse will be able t receive a benefit the same number f times as yu, as utlined abve. Guaranteed issue: N medical questins r tests are required fr cverage Children s Critical Illness Insurance must be elected if yu are nt enrlled in ne f the High Deductible Plans ACME Truck Line ffers: If yu have critical illness cverage n yurself, yur natural children, stepchildren, adpted children, r children fr whm yu are a legal guardian, are eligible t be cvered under yur emplyer s plan, up t the age f 26. Yur children will be cvered fr the same cvered cnditins as yu are with the exceptin f carcinma in situ and crnary artery bypass; hwever, actual benefit amunts may vary. Yur children will be able t receive a benefit the same number f times as yu, as utlined abve. One premium amunt cvers all f yur eligible children. Guaranteed issue: N medical questins r tests are required fr cverage. If bth yu and yur spuse are cvered under the plicy as an emplyee, then nly ne, but nt bth, may cver the same children fr Critical Illness Insurance. If the parent wh is cvering the children stps being insured as an emplyee then the ther parent may apply fr children s cverage. Hw much des the Emplyee Paid Supplemental Critical Illness Insurance cst? See the chart belw fr the premium amunts fr emplyees that are nt enrlled in ne f ACME Truck Line s, High Deductible medical plans. Rates shwn are guaranteed until January 1 st, 2021. Emplyee Cverage Spuse Cverage* Children Cverage Mnthly Rates Mnthly Rates Mnthly Rates Uni-Tbacc Uni-Tbacc Cverage Attained Attained $5,000 $10,000 $15,000 $20,000 $5,000 $10,000 Amunt Age Age Rate Under 25 $3.25 $6.50 $9.75 $13.00 Under 25 $2.30 $4.60 $1,000 $0.17 25-29 $3.50 $7.00 $10.50 $14.00 25-29 $2.55 $5.10 $2,500 $0.43 30-34 $3.65 $7.30 $10.95 $14.60 30-34 $2.90 $5.80 $5,000 $0.85 35-39 $4.40 $8.80 $13.20 $17.60 35-39 $3.75 $7.50 $10,000 $1.70 40-44 $6.60 $13.20 $19.80 $26.40 40-44 $5.95 $11.90 45-49 $10.15 $20.30 $30.45 $40.60 45-49 $8.95 $17.90 50-54 $15.80 $31.60 $47.40 $63.20 50-54 $12.80 $25.60 55-59 $24.05 $48.10 $72.15 $96.20 55-59 $17.35 $34.70 60-64 $31.20 $62.40 $93.60 $124.80 60-64 $21.55 $43.10 65-69 $38.65 $77.30 $115.95 $154.60 65-69 $27.25 $54.50 70+ $50.95 $101.90 $152.85 $203.80 70+ $35.95 $71.90
*Spuse rates are based n the age f the Spuse. Exclusins and Limitatins Benefits are nt payable fr any critical illness caused in whle r directly by any f the fllwing*: Participatin r attempt t participate in a felny r illegal activity. Suicide, attempted suicide r any intentinally self-inflicted injury, while sane r insane. War r any act f war, whether declared r undeclared, ther than acts f terrrism. Lss that ccurs while n full-time active duty as a member f the armed frces f any natin. We will refund, upn written ntice f such service, any premium which has been accepted fr any perid nt cvered as a result f this exclusin. Alchlism, drug abuse, r misuse f alchl r taking f drugs, ther than under the directin f a dctr. Benefits reduce 50% fr the emplyee and/r cvered spuse n the plicy anniversary fllwing the 70 th birthday, hwever, premiums d nt reduce as a result f this benefit change. *See the certificate f insurance and any riders fr a cmplete list f available benefits, alng with applicable prvisins, exclusins and limitatins. Wh d I cntact with questins? Fr mre infrmatin n this benefit, please call Vya Emplyee Benefits Custmer Service at (877) 236-7564. If yu have questins n any f yur ther benefits, please call TrueNrth at (877) 745-6302 r email them at benefitshelp@truenrthcmpanies.cm Yu als may reach ut t ACME Truck Line s Human Resurces team at (800) 825-6246. This is a summary f benefits nly. A cmplete descriptin f benefits, limitatins, exclusins and terminatin f cverage will be prvided in the certificate f insurance and riders. All cverage is subject t the terms and cnditins f the grup plicy. If there is any discrepancy between this dcument and the grup plicy dcuments, the plicy dcuments will gvern. T keep cverage in frce, premiums are payable up t the date f cverage terminatin. Critical Illness Insurance is underwritten by ReliaStar Life Insurance Cmpany, a member f the Vya family f cmpanies. Plicy Frm #RL-CI3-POL-12; Certificate Frm #RL-CI3-CERT- 12; and Rider Frms: Spuse Critical Illness Rider Frm #RL-CI3-SPR-12, Children's Critical Illness Rider Frm #RL- CI3-CHR-12, and Recurrence Rider Frm #RL- CI3-REC-12 Frm numbers, prvisins and availability may vary by state. CN1221-29904-1217 ACME Truck Line, Inc., Grup #70310-9, Acct #0001 Date Prepared: 11/14/2017 172508-02/20/2017