1 40 frederick memorial hospital Term Life Insurance There is no way to know what will happen tomorrow, but there is a way to help protect your family against the unexpected. Colonial Life s Term Life 1000 insurance product helps meet life s changes today and tomorrow. Term Life 1000 Insurance Helps Provide Financial Support for Your Family in Times of Need With Term Life 1000, you can help to secure your family s future if something happens to you or your loved ones. Buying life insurance is a decision that should not be put off. Prudent financial planning with Colonial Life term insurance can help protect your family s future and give you peace of mind. Colonial Life Benefits are Easy to Understand Colonial Life offers guaranteed level premiums for 10 years, and then are subject to increase beginning in year 11. Term Life 1000 is guaranteed renewable to age 95. Premiums are paid through the convenience of payroll deduction. Accelerated Death Benefit for Terminal Illness is included. Child Term Insurance Rider is available. Maximum Face Amount Employee: Age 15 75: $unlimited Spouse: Age 15 75: $unlimited Underwriting Health questions will be asked Employee: Age 15 50: 3x salary to $100,000; Spouse $25,000 Age 51 60: 3x salary to $75,000; Spouse $10,000 Age 61 75: 2x salary to $25,000; Spouse $10,000 For questions on your policy or to file a claim call Underwritten by Colonial Life & Accident Insurance Company Full-Time Bi-Weekly Employee Costs (*non-smoker) Minimum Face Amount Employee: $10,000 Spouse: $10,000 Age $25,000 $50,000 $100, $3.16 $5.77 $ $3.16 $5.77 $ $4.72 $10.44 $ $8.58 $22.04 $28.77 Interest Sensitive Whole Life Employee Life Option (ELOP) Voluntary Interest Sensitive Whole Life insurance is a product that offers employees the best of both worlds in that it combines traditional lifetime guarantees, affordable premium costs, and cash values with the advantage of cash accumulation at current interest rates. The policy endows at 95 with coverage to age 95. ELOP is available to all eligible employees ages who are actively at work. You decide what is right for you and your family and the premiums would be conveniently payroll deducted from your paycheck. You own the policy so you can keep it at the same rates, even if you leave the company. Maximum Dollar Purchase Amounts: Minimum Dollar Purchase Amount: Employee: $30/wk ages Employee and Spouse: $2/wk Spouse: $15/wk ages Guaranteed Issue Employee: $18/wk Modified Issue Spouse: $3/wk For questions on your policy or to file a claim call Underwritten by Boston Mutual Life Insurance Company The following are sample insurance amounts based on dollar purchase non-smoker rates: Face Amount Bi-Weekly Deduction Age 25 Age 35 Age 45 Age 55 $4.00 $10,947 $7,203 $4,497 $2,685 $8.00 $25,328 $16,668 $10,406 $6,212 $12.00 $39,693 $26,120 $16,307 $9,736 Optional riders available include: Accidental Death Benefit, Payor Waiver of Premium, and Children s Term Rider. These riders are available at an additional cost. Please see a benefit counselor for rider rates. This provides a general description of the important features of this coverage. Please refer to the brochure or the certificate for further detail regarding benefits, limitations, and exclusions. Policy Series ICC13 END-95 (ESO) 3/13 and END-95 (ESO) 3/13
2 voluntary Benefits 41 Supplemental Disability Insurance Full-Time Employees budgeted to work 40 hours or more per pay period can supplement their employer-provided short term disability by purchasing an additional guaranteed issue* short term disability benefit that offers a tax free benefit of 30% of salary up to $4,000 per month. Benefits provided for both partial and total disability. The plan can be set up in a variety of plan designs with benefit durations of 6 or 12 months. Elimination periods, the length of time you must be out of work before benefits are payable to you, may be 14 or 30 days. You cannot receive any more than 100% of your salary in disability benefits between your FMH plan and this voluntary plan. Benefits are paid to the employee monthly. You can continue this policy should you no longer be employed at FMH. Coverage is guaranteed renewable until age 70. For questions on your policy or to file a claim call To calculate your cost for this benefit use the following formula: Your annual salary divided by 12, times.30 (= monthly benefit**), divide by 100, times the rate (see table below), times 12, divided by 26 equals your payroll deduction. Guaranteed issue disability benefits are available to all newly benefit-eligible employees hired as of 11/01/2013. Underwritten by Colonial Life & Accident Insurance Company Bi-Weekly Premium per $100 of Monthly Benefit Age 14/14/6 30/30/6 14/14/12 30/30/ Bi-Weekly $2.55 $1.70 $3.25 $ Bi-Weekly $3.40 $2.60 $4.30 $3.25 Supplemental Disability Insurance Part-Time Employees budgeted to work 40 hours or more per pay period can supplement their employer-provided short term disability by purchasing an additional guaranteed issue* short term disability benefit that offers a tax free benefit of 30% of salary up to $4,000 per month. Benefits provided for both partial and total disability. The plan can be set up in a variety of plan designs with benefit durations of 6 or 12 months. Elimination periods, the length of time you must be out of work before benefits are payable to you, may be 14 or 30 days. You cannot receive any more than 100% of your salary in disability benefits between your FMH plan and this voluntary plan. Benefits are paid to the employee monthly. You can continue this policy should you no longer be employed at FMH. Coverage is guaranteed renewable until age 70. For questions on your policy or to file a claim call To calculate your cost for this benefit use the following formula: Your annual salary divided by 12, times.30 (= monthly benefit**), divide by 100, times the rate (see table below), times 12, divided by 26 equals your payroll deduction. Guaranteed issue disability benefits are available to all newly benefit-eligible employees hired as of 11/01/2013. Underwritten by Colonial Life & Accident Insurance Company Bi-Weekly Premium per $100 of Monthly Benefit Age 14/14/6 30/30/6 14/14/12 30/30/ Bi-Weekly $2.55 $1.70 $3.25 $ Bi-Weekly $3.40 $2.60 $4.30 $3.25 *Guaranteed issue has a 12/12 pre-existing conditions exclusion clause even though no health questions are asked. **Round your monthly benefit down to the nearest 100 before dividing by 100 in calculation above. *Guaranteed issue has a 12/12 pre-existing conditions exclusion clause even though no health questions are asked. **Round your monthly benefit down to the nearest 100 before dividing by 100 in calculation above. Did you know... American Workers without Disability Insurance lost over $4.6 billion in payroll in In 2011 seventeen percent of American workers will go out on disability and won t have any income replacement.
3 42 frederick memorial hospital Critical Illness Insurance Critical illness insurance is available for employees who are actively at work and working a minimum of 40 hours per pay period. Critical illness insurance pays a lump sum benefit if you are diagnosed (while this coverage is in force) with one of the covered Specified Critical Illnesses (cancer, myocardial infarction, stroke, major organ transplant, end stage renal disease, Alzheimer s disease, coma, paralysis, severe burns, ALS (Lou Gehrig s disease), loss of sight, speech or hearing and benign brain tumor). A partial benefit (30%) is payable for carcinoma in situ, coronary artery bypass and angioplasty and stent insertion. A one-time $300 benefit is payable for skin cancer. A $50 annual health screening benefit is included if you have any one or more of the defined screening tests. Children are automatically included in this coverage at 25% of the employee amount at no additional premium. You may also apply for coverage for your spouse (age 69 or under) at 50% of your amount. Once you are continuously covered for at least one month, you can continue this coverage should you no longer be employed at FMH. For questions on your policy or to file a claim call Underwritten by Boston Mutual Life Insurance Company Sample Bi-Weekly Premium Rates (non-smoker) Issue Age $10,000 $20,000 $30,000 $40,000 $50, $2.38 $4.20 $6.02 $7.84 $ $3.92 $7.28 $10.64 $14.00 $ $6.60 $12.64 $18.70 $24.74 $ $10.92 $21.30 $31.66 $42.04 $ $18.22 $35.88 $53.56 $71.22 $88.88 Accident Insurance Accidents do happen! When an accident does occur, the last thing on your mind is the accumulating expenses. These costs add up fast. That is why FMH is offering employees accident insurance. This coverage provides benefits for the treatment of injuries suffered as the result of each covered accident. You can use the benefits to help cover deductibles, out-of-pocket costs and lost wages. Employees who are actively at work are eligible and coverage for spouse and children is also available. You can continue this coverage should you no longer be employed at FMH. Policy Features No limit on the number of claims Supplements and pays regardless of any other insurance coverage Provides 24-hour coverage Benefits for both inpatient and outpatient treatment of covered accidents Guarantee issue: No underwriting required to qualify for coverage For questions on your policy or to file a claim call Underwritten by Boston Mutual Life Insurance Company Sample Bi-Weekly Premium Rates E employee Employee Employee Employee, Only & Spouse & Children Spouse & Children Base Plan Premium $7.30 $10.94 $13.30 $16.94 This provides a general description of the important features of this coverage. Please refer to the brochure or the policy for further detail regarding benefits, limitations and exclusions. Sample rates are based on the state of MD for the base plan. If Riders are included, the rates would be higher. Rates and benefits may vary for other states. Policy Series WS-ACC 8/08 This provides a general description of the important features of this coverage. Please refer to the brochure or the certificate for further detail regarding benefits, limitations and exclusions. Policy Series WS-CI 4/12 MD Important Note The current average cost of a nursing home is $50,000 $85,000 per year with the average stay being 2.5 years. This benefit is designed to provide financial assistance for our employees and their spouses.
4 Accidental Death and Dismemberment Insurance In addition to accident insurance for healthcare expenses, protection in the case of a loss of life is also important. That is why FMH offers a voluntary accidental death policy to employees and their families. This policy supplements the basic AD&D policy that FMH offers to you free of charge. Employees can choose amounts in increments of $25,000 up to $500,000. Benefit amounts over $250,000 are limited to 10 times Annual Compensation. Your family Your spouse s benefit amount will be 40% of yours, or 50% if you have no dependent children. Each of your covered childrens benefit amount will be 10% of yours, or 15% if you have no eligible spouse. Your spouse s benefit cannot exceed $250,000. The benefit amount per child cannot exceed $25,000. Underwritten by CIGNA Bi-Weekly Costs Your Benefit Cost for You Cost for You Amount Only and Your Family $500,000 $5.08 $10.38 $400,000 $4.06 $8.31 $300,000 $3.05 $6.23 $200,000 $2.03 $4.15 $100,000 $1.02 $2.08 $50,000 $0.51 $1.04 $25,000 $0.25 $0.52 Enrolling in CIGNA s Accidental Death and Dismemberment insurance also provides you, at no additional cost, access to CIGNA Secure Travel. Secure Travel provides emergency medical and travel services, as well as helpful pre-trip planning assistance, when traveling more than 100 miles from home on company business or vacation. The CIGNA Secure Travel toll-free customer service center is available 24 hours a day, 365 days a year. voluntary Benefits Pet Insurance Let s face it: pets get hurt. They get sick, too. And sometimes, the cost to make them better can really take a bite out of your budget. You can t predict your pet s accidents and illnesses but you can prepare for them with Veterinary Pet Insurance (VPI ). FMH is pleased to offer FMH employees the opportunity to provide health insurance for your pets. VPI offers affordable, comprehensive plans that you can use with any veterinarian worldwide including specialists and emergency providers. VPI plans cover dogs, cats, birds, ferrets, reptiles and other exotic pets for surgeries, diagnostic tests, hospitalization, prescriptions and more. Plus, optional CareGuard wellness coverage is available to complement any medical plan. For more information or to enroll call 877-PETS-VPI and mention Frederick Memorial Hospital or visit PetsVPI.com and type in Frederick Memorial Hospital. Insurance plans are offered and administered by Veterinary Pet Insurance Company in California and DVM Insurance Agency in all other states. Underwritten by Veterinary Pet Insurance Company (CA), Brea, CA, an A.M. Best A rated company (2012); National Casualty Company (all other states), Madison, WI, an A.M. Best A+ rated company (2012) Veterinary Pet Insurance Company. Veterinary Pet Insurance and the VPI logo are service marks of Veterinary Pet Insurance Company. Nationwide Insurance is a service mark of Nationwide Mutual Insurance Company. Bi-Weekly Employee Costs Major Medical Plan Medical Plan Age of Dog Choose a Deductible Choose a Deductible $100 $250 $500 $1,000 $100 $250 $500 $1,000 8 weeks 2 years $12.90 $11.09 $9.03 $6.45 $9.80 $8.43 $6.86 $ years $14.83 $12.75 $10.38 $7.42 $11.27 $9.69 $7.89 $ years $16.76 $14.42 $11.74 $8.38 $12.74 $10.95 $8.92 $6.37 Bi-Weekly Employee Costs Major Medical Plan Medical Plan Age of Cat Choose a Deductible Choose a Deductible $100 $250 $500 $1,000 $100 $250 $500 $1,000 8 weeks 2 years $8.64 $7.43 $6.05 $4.32 $6.57 $5.65 $4.60 $ years $9.94 $8.55 $6.96 $4.97 $7.55 $6.49 $5.29 $ years $11.23 $9.66 $7.86 $5.62 $8.54 $7.34 $5.97 $4.27 Rates shown are bi-weekly rates for a medium sized dog or cat, including a 5% group discount. Premiums vary based on the age of the pet, species, size (as an adult), plan type, deductible and state of residence. Rate discounts apply to the base medical plan only. 43
5 44 frederick memorial hospital Auto and Home Insurance As an employee of Frederick Memorial Healthcare, you may qualify for extra savings on your auto insurance through Liberty Mutual s Auto and Home Insurance Program.* It s your personal space, your weekend getaway. So if you are in an accident, we ll work hard to get you back on the road quickly, so you can get your life back in order. When you do have a claim to report, one call puts the claim process in motion. We ll keep you informed with regular status reports so you re not left chasing each step. Let Liberty Mutual help you decide which coverage options and limits you may need Liability Medical Payments/Personal Injury Protection Uninsured/Underinsured Motorists Collision Comprehensive Towing and Labor Unlimited Rental Products Available to FMH Employees Automobile Insurance Homeowners Insurance Renters Insurance Condo Insurance Flood Insurance Personal Liability Motorcycle Insurance Rewarding You With Savings Small Boat and Yacht ATV and Golf Cart Fixed Annuities Pension Maximization Term Life Insurance Permanent Life Insurance Whether you have a home or auto insurance policy with us, our goal is the same to provide you with the right coverage and services at the right price. And with auto discounts such as Antitheft Device and Antilock Brakes you could save money off our already competitive rates. And, don t forget to ask us about our multipolicy discount for insuring both your auto and your home! Did you know... One thing that homeowners need adequate insurance for is personal liability if someone were to get injured on their property. That can range from a slip and fall to a dog bite. Medical bills and punitive damages quickly add up. On a typical bodily injury claim, insurance companies pay out $15,854 and another $3,055 in medical bills. You don t want to have to assume those kinds of costs yourself.
6 voluntary Benefits 45 Home Insurance That Gives You Peace of Mind When your home is damaged, Liberty Mutual handles claims quickly, often getting emergency repairs underway within 24 hours. Your policy covers personal property, temporary additional living expenses, and liability claims. Coverage protecting your property from hazards: Smoke, fire or lightning Falling objects Freezing of a plumbing, heating, air conditioning or automatic sprinkler Windstorm, hail or weight of ice, snow or sleet Theft, vandalism or mischief Additional benefits and discounts: Loss forgiveness program Insured to value Newly purchased home Multi-policy (home and car) Protective devices Inflation protection New/renovated home Get More. Save More. Find out just how much more today. Contact Ian and mention you are an FMH employee, client # Call Meghan Stark, LUTCF (your local FMH Personal Insurance Agent) at: Office: x51578 Cell: Fax: Underwritten by Liberty Mutual Insurance Company Responsibility. What s your policy? *Discounts and credits are available where state laws and regulations allow, are subject to eligibility requirements and may vary by state. To the extent permitted by law, applicants are individually underwritten; not all applicants may qualify. Individual premiums and savings will vary. Coverage provided and underwritten by Liberty Mutual Insurance Company and its affiliates, 175 Berkeley St., Boston, MA. A consumer report from a consumer reporting agency and/or motor vehicle report on all drivers listed on your policy, may be obtained where state laws and regulations allow 2012 Liberty Mutual Insurance Company. All rights reserved. Avoiding auto accidents... Driving distractions take the driver s attention off the road. Only a split-second of negligence is necessary to cause an accident. Distractions include but are not limited to: passengers, cell phones, music and other electronic devices, and eating while driving.
7 46 frederick memorial hospital Identity Theft Shield Plan You don t have to pay expensive premiums to get expert KROLL Licensed Investigators* to restore your identity! Your Credit Report Log in to our secure website for instant access to your up-to-date credit report based on data from Experian. Your Personal Credit Score and Analysis In addition to your credit report, we also provide a detailed analysis of your Personal Credit Score with your first credit report. Potential discrepancies? Report them through a toll free number after enrollment. Continuous Monitoring Activate your continuous credit monitoring through our secure site. Your Experian credit file will be monitored continuously. If activity occurs, you will receive an alert of the activity via , which will direct you to our secure site where you log in to view alert data. For peace of mind, each month an will be sent confirming no activity to your credit file. Our monitoring services alert you to changes on your credit report such as: Change of address/tradeline/derogatory/public record/inquiry. Identity Theft Consultation and RESTORATION Services Receive expert advice from KROLL Licensed Investigators* Start-to-finish Identity Restoration through KROLL Licensed Investigators* to ensure your identity is restored to what it was before the fraud occurred. Fraud alert notifications to Social Security Administration, FTC, USPS. Proactive searches of applicable local and national databases such as US Criminal Records, DMV, Social Security Database, and more. Use Licensed Attorneys where appropriate to perform these duties. NOTE: Safeguard for Minors identity theft coverage INCLUDED for any dependent up to age 18, protecting up to 8 children (Restoration included). *IMPORTANT NOTE: Your personal information will be handled by Licensed Investigators from KROLL, the world s #1 Risk Management Company. These Investigators go through FBI & TBI Criminal Background Checks. Kroll is the only company that exclusively uses experienced Licensed Investigators (not Customer Service Reps) to handle your private and valuable information. Underwritten by LegalShield Legal Services Plan LEGAL is the common denominator in a household. Get the help you need without the worry of cost on everyday LIFE ISSUES such as: Consumer, credit, and bills Wills, guardianships, and powers of attorney Health and medical, finances and taxes Home and property Traffic tickets Family law Business And much more Instead of spending $200 $300 per hour in legal fees, which can quickly wipe out your paycheck, for only 51 a day, or a latté a week, you get a comprehensive package of legal services from top quality attorneys. Coverage includes: Legal consultation and advice from attorneys in all areas of law (get answers on your personal and business matters as well as pre-existing conditions) Letters written/phone calls made by attorneys on your behalf on any subject. Wills customized for you & your spouse, including Durable Health Care Power of Attorney & Living Will done for FREE! ($500/$1,000 value) Mortgage document assistance when buying, selling or refinancing a home Motor vehicle/tickets/tragic accident representation Help with adoption, separation, divorce Trial defense, IRS audits 24/7 Emergency access to attorneys Portable benefit at discounted rate For more information, go to then call Leslie at , or Scott at , for questions or to enroll. Underwritten by LegalShield Bi-Weekly Employee Costs Coverage Cost Legal Plan only (Employee, Spouse & Dependents to age 26) $7.36 IDT only (Employee, Spouse & Safeguard for Minors to age 18) $6.90 Combination (at a discount): Legal Plan & IDT $11.95
8 Identify Protection Insurance More Layers of Security for Greater Levels of Protection LifeLock is the industry leader, offering cutting-edge technology. 24/7 vigilance and a commitment to protection your identity, all backed by LifeLock s $1 Million Total Service Guarantee. LifeLock provides the most comprehensive service and now provides alerts when new checking or savings accounts are opened or changes to existing bank accounts are detected with LifeLock Ultimate TM. LifeLock is capable of detecting new account fraud up to 60 days sooner than credit monitoring. LifeLock offers a full suite of identity theft protection services to help safeguard all you ve worked for. With an industry-leading 360 degrees of security and distinct areas of protection, LifeLock offer more than just identity theft protection it offers peace of mind. Eligibility Ages: LifeLock services are available to employees and their spouses age 18+. Protection for dependent children is available from birth to age 26. However, children under age 18 are only eligible for standard LifeLock Identity Theft Protection service. Upon reaching age 18, enrolled dependent children will receive whatever level of protection the employee selects. Portability: An employee/member has the option to continue LifeLock protection by paying the LifeLock membership fee directly to LifeLock within 31 days after employee terminates. LifeLock will charge the membership fee directly to the employee/member s credit card. Availability and Participation: All employees are eligible for Life Lock. How to Apply: Visit to complete an application. LifeLock will notify you of your effective date. Enrollment: Enrollment information will be managed through spreadsheet enrollment. Visit or call toll free Underwritten by LifeLock Benefit Solutions Bi-Weekly Employee Costs Coverage LifeLock Identity Theft LifeLock Command Center LifeLock Ultimate Employee $3.92 $5.88 $9.80 Employee + Spouse $7.84 $11.76 $19.62 Employee + Child $6.86 $9.32 $14.22 Employee + Family $10.80 $15.20 $24.02 voluntary Benefits LifeLock LifeLock LifeLock Identity Theft Command Center Ultimate Notification of credit and non-credit within LifeLock s extensive network Removal from pre-approved credit offers Access to the member portal and alerts dashboard Monitoring of known black market websites for illegal trading of personal information Scans of national databases for new address information Live phone support, 24 hours a day, 7 days a week, 365 days a year Stolen or lost wallet remediation services to help cancel and replace credit/debit cards Direct access to fraud resolution teams within LifeLock s extensive network of lenders and service providers Enhanced, consolidate reporting of threats Resolution team works directly with lenders and service providers LifeLock Service Guarantee Identity Theft Insurance with zero deductible Referral for additional services such as legal, investigative and accounting Expanded scope, including public and court records 3 3 Patrols for use of known alternate routes 3 3 Monitoring for payday loans nationwide 3 3 Alerts when credit inquiries appear on your credit reports 3 Alerts when new checking and savings accounts are opened 3 Most comprehensive Identity Theft Protection in the industry 3 Tri-bureau credit report inquiries 3 Scans for changes to contact information on existing checking and savings accounts 3 Anytime, online access to your annual TransUnion credit report and score 3 Monitoring of all three credit bureaus (Experian, Equifax, and TransUnion) 3 Unlimited online access to your credit report information 3 notification of changes in your score 3 47