Your Source for Employer Group Solutions

Transcription

1 AIG Benefit Solutions Your Source for Employer Group Solutions Product Guide

2 AIG Benefit Solutions With one of the industry s broadest and most diverse portfolios of products and services, we are ideally positioned to work in close partnership with you to create a benefits plan that is customized to meet your unique challenges.

3 Employer Group Solutions Our products and services for employers include employer-funded and employee-paid insurance plans for greater flexibility in building benefits packages. Protection Solutions Supplemental Medical Solutions Employer Risk Solutions Multi-Product Solutions Value-Added Solutions Term Life Accidental Death & Dismemberment (AD&D) Universal Life Short-Term Disability Long-Term Disability Business Travel Accident (Ambassador) Critical Illness Accident Hospital Indemnity Organ Transplant Medical Stop Loss Captive Solutions Packaged Products (ProtectPak SM ) My Life Values SM AIG Benefits Travel Assist SM Instant Access Account SM Family and Medical Leave Act (FMLA) Administration Program Employee Assistance Program e-solutions Catastrophic Medical Management (MedCAT ) Dedicated and experienced Taft-Hartley unit 3

4 Protection Solutions Group Term Life (Employer-Funded) 1,2 Groups of 2 9 Employees Flexible plan options to meet specific needs High coverage amounts (groups of 2 4 eligible employees: up to $100,000; 5 9 eligible employees: $200,000) Guaranteed issue for new groups: 2 4 enrolled employees: $10, enrolled employees: $75,000 Conversion option to a permanent plan Waiver of premium to age 65 Accelerated death benefit Domestic partner coverage available 3 Dependent coverage available for spouse and children 4 My Life Values 5 at no extra cost Instant Access Account 5 at no extra cost Additional Features for Groups of 10-Plus Employees Guaranteed issue (calculated based on group size and participation) Coverage amounts up to $500,000 Spouse coverage amounts up to $50,000 Waiver of premium available to age 65 or 70 Employee Assistance Program (EAP) with telephonic and online Work/Life services 6 Group AD&D (Employer-Funded) 1,2 Groups of 2 9 Employees Sold with Group Term Life policies High coverage amounts (groups of 2 4 eligible employees: up to $100,000; 5 9 eligible employees: $200,000) Covers injuries on or off the job, 24 hours a day, 7 days a week, every day of the year Definition of loss is 365 days Seat belt and airbag benefit Exposure and disappearance benefit My Life Values 5 at no extra cost Instant Access Account 5 at no extra cost AIG Benefits Travel Assist 5 at no extra cost Additional Features for Groups of 10-Plus Employees Coverage amounts up to $500,000 Additional buy-up options: Tier-One AD&D: Repatriation of remains, spouse and child tuition, and child day care Tier-Two AD&D: All of tier-one provisions plus permanent and total disability benefits, paralysis benefits, and common carrier provisions Group Term Life (Employee-Paid) 1,2 Groups of 2 9 Employees Multiple life coverages are available Available at a minimum of just two lives Coverage amounts up to $400,000, depending on plan design Waiver of premium to age 65 Accelerated death benefit Portable and convertible options available Domestic partner coverage available 3 Dependent coverage available for spouse and children 4 Instant Access Account 5 at no extra cost Additional Features for Groups of 10-Plus Employees Guarantee issue amounts up to $150,000 (depending on group size and participation) Spouse coverage amounts up to $400,000 4

5 Protection Solutions Group and Personal AD&D (Employer-Funded and Employee-Paid) 1,2,7 Sold as a stand-alone policy Coverage amounts up to $300,000, depending on plan design Covers injuries on or off the job, 24 hours a day, 7 days a week, every day of the year Definition of loss is 365 days Seat belt and airbag benefit Exposure and disappearance benefit Instant Access Account 5 at no extra cost AIG Benefits Travel Assist 5 at no extra cost 40+ additional buy-up riders, including: Repatriation of remains benefit Tuition benefit Waiver of premium benefit Coma benefit Common disaster benefit Conversion privilege benefit Emergency evacuation benefit 5

6 Protection Solutions Personal Universal Life (Employee-Paid) 1,2 Flexible underwriting available, including guaranteed issue, contingent guaranteed issue and simplified issue Employee coverage up to $500,000 Spouse coverage up to $200,000 Child coverage up to $25,000 Spouse and dependent child coverage available without employee purchase Guaranteed renewable individual contracts that cannot be cancelled as long as all premiums are paid on time Fully portable Convenient payroll deduction Optional riders include Accidental Death Benefit Rider (82012), Children s Insurance Rider (82410), Waiver of Premium Rider (82001), Accelerated Death Benefit for Terminal Illness Rider (91401) and Future Guaranteed Insurability Benefit Rider (95101) 8 Personal Term Life (Employee-Paid) 1 Flexible underwriting available, including contingent guaranteed issue and simplified issue Employee coverage up to $150,000 Spouse coverage up to $50,000 Child coverage up to $10,000 Guaranteed renewable individual contracts that cannot be cancelled as long as all premiums are paid on time Coverage can be converted to permanent life insurance Fully portable Convenient payroll deduction Optional riders include Accidental Death Benefit Rider (82012), Children s Insurance Rider (82410), Waiver of Premium Rider (82001) and Accelerated Death Benefit for Terminal Illness Rider (91401) 8 Did You Know? Seven out of 10 American families would find their lifestyles in jeopardy if the primary breadwinner died. 9 6

7 Protection Solutions Group Short-Term Disability (STD) (Employer-Funded) 1,2 Group Long-Term Disability (LTD) (Employer-Funded) 1,2 New Jersey Temporary Disability Benefits (NJTDB) (Employer-Funded) 2 New York Disability Benefits Law (NY DBL) (Employer-Funded) 2 Groups of 2 9 Employees Groups of 2 9 Employees Groups of 50-Plus Employees Groups of 2-Plus Employees Standard benefit percentage: 60; other percentage options: 40 and 50 or flat amount Maximum benefit up to $1,500 weekly Standard benefit duration is 26 weeks, with 13 weeks as a cost-saving option 12-month rate guarantee Option to cover maternity as any other covered condition Plans available in CA, NJ, NY and RI to supplement state plans $25 minimum weekly benefit Waiver of disability premium Partial disability provision Simplified issue My Life Values 5 at no extra cost Additional Features for Groups of 10-Plus Employees Additional benefit percentage options: 66-2/3 and 70 or flat amount Weekly maximums up to $3,000 for preferred industries Option of 52-week benefit duration Option of 24-month rate guarantee Maternity covered as any other covered condition Rehabilitation program and rehab benefits provision 24-month rate guarantee Minimum monthly benefit Partial disability benefit provision Several elimination period and benefit duration options Return-to-work incentives Waiver of disability premium Survivor benefit Zero-day elimination period Child care expense benefit provision Workplace modification provision Simplified issue My Life Values 5 at no extra cost Additional Features for Groups of 10-Plus Employees Additional benefit option of 66-2/3 percent Maximum monthly benefit up to $10,000 Optional conversion privilege Optional catastrophic disability benefit Optional cost-of-living adjustment Employee Assistance Program (EAP) with telephonic and online Work/Life services 6 7/7 elimination period 26-week duration 66-2/3 percent of employee salary to the current state-mandated amount Available on its own or in conjunction with other disability plans Level premium throughout the year 7/7 elimination period 26-week duration 50 percent of employee salary to the current state-mandated amount Available on its own or in conjunction with other disability plans Level premium throughout the year 7

8 Protection Solutions Group Short-Term Disability (STD) (Employee-Paid) 1,2 Available at a minimum of just two lives; guaranteed issue available if greater than 10 enrolled and 25 percent participation Standard benefit percentage: 60; other percentage options: 40 and 50 Choice of 13- or 26-week benefit durations $25 minimum weekly benefit Maximum benefit up to $750 weekly for preferred industries Up to 12-month rate guarantee Option to cover maternity as any other covered condition Waiver of disability premium Additional Features for Groups of 10-Plus Employees Maternity covered as any other covered condition Advice-to-pay services available for groups of 100-plus employees Group Long-Term Disability (LTD) (Employee-Paid) 1,2 Available at a minimum of just two lives; guaranteed issue available if greater than 10 enrolled and 25 percent participation Standard benefit percentage: 60; other percentage options: 40 and 50 Maximum monthly benefit of $6,000 Rehabilitation program and rehab benefits provision Workplace modification provision Several elimination period and benefit duration options Minimum monthly benefit 24-month rate guarantee Waiver of disability premium Partial disability benefit provision Survivor benefit Zero-day elimination period Did You Know? Nearly seven in 10 employed consumers agree that most people need disability insurance, and half agree that they need it personally. 10 8

9 Protection Solutions Ambassador Business Travel Accident (Employer-Funded) 7 24-hour Accidental Death & Dismemberment insurance for business and/or personal travel anywhere in the world AIG Benefits Travel Assist 5 at no extra cost Flexibility to cover all employees or specific classes of employees (e.g., all managers) with varying benefits and coverages for each class Core coverages include emergency evacuation, repatriation of remains, war risk coverage, security evacuation, and out-of-country accident and emergency sickness medical Optional insurance coverages include bereavement and trauma counseling, commuting benefit, carjacking, kidnap and ransom, accident medical expense, paralysis, permanent total disability, family relocation, coma, and baggage/personal effects loss Family coverage available Did You Know? Obtaining medical treatment and hospital care abroad can be expensive, and medical evacuation to the United States can cost more than $50,

10 Group Critical Illness (Employer-Funded and Employee-Paid) 1 Covers a broad array of the conditions most likely to result in major lifestyle changes, including heart attack and stroke Pays a lump-sum benefit upon first diagnosis of a covered critical illness Dependent coverage available for spouse and children 4 Child coverage available at no additional cost 30-day waiting period for first diagnosis of critical illness Additional diagnosis and recurrence benefits available No waiting period for additional diagnosis of a critical illness that is medically unrelated to the first critical illness diagnosis Health screening benefit for all insureds No medical examination required Guaranteed issue and simplified issue coverage available Convenient payroll deduction Continuation of coverage available as long as the master policy remains in force Health Savings Account (HSA) Compatible this plan is compliant for employers that offer a health savings account to their employees alongside a high-deductible health plan 12 Group Accident (Employer-Funded and Employee-Paid) 1 Pays cash directly to the insured for a covered injury, regardless of what is covered by other sources Available as nonoccupational or 24-hour coverage Dependent coverage available for spouse and children 4 Guaranteed issue coverage available Convenient payroll deduction Continuation of coverage available as long as the master policy remains in force Health Savings Account (HSA) Compatible this plan is compliant for employers that offer a health savings account to their employees alongside a high-deductible health plan 12 Group Hospital Indemnity (Employer-Funded and Employee-Paid) 1 Covers a broad array of costs associated with hospital care, including surgery, anesthesia, emergency room care for accidents and physician office visits Delivers timely payments directly to the insured, regardless of what is covered by other policies Dependent coverage available for spouse and children 4 Includes routine well-child exam benefit for children under 12 months Guaranteed issue and simplified issue coverage available Convenient payroll deduction Health Savings Account (HSA) compatible plan options available Supplemental Medical Solutions 10

11 Supplemental Medical Solutions Personal Critical Illness (Employee-Paid) 1 Flexible underwriting available, including guaranteed issue and simplified issue No family history question Covers 11 critical illnesses, such as heart attack, stroke, cancer, coma, severe burns, paralysis and organ transplant Available with and without cancer coverage Guaranteed issue up to $10,000 Simplified issue coverage up to $50,000 Guaranteed renewable individual contracts that cannot be cancelled as long as all premiums are paid on time Dependent coverage available for spouse and children on same policy 4 Fully portable Convenient payroll deduction Benefit Extension Rider (100879) pays a benefit on a second or third critical illness, or on a second diagnosis of the same illness 8,13 Loss of Independent Living Rider (04805) covers the inability to perform daily activities without assistance 8 Occupational HIV Rider (04806) for employees working in the medical field 8 Personal Accident (Employee-Paid) 1 Guaranteed issue underwriting; no health questions Covers a wide range of injuries, including injuries that occur during organized sporting events Not coordinated or integrated with any other insurance or government benefits; benefits are paid directly to the policyholder regardless of what is covered by other sources hour coverage Guaranteed renewable individual contracts that cannot be cancelled as long as all premiums are paid on time Dependent coverage available for spouse and children 4 Fully portable Convenient payroll deduction Optional riders include Accidental Death & Dismemberment Rider (04022), Accident-Only Disability Income Benefit Rider (04023) and Hospital Cash Benefit Rider (04025) 8 Did You Know? Approximately every 25 seconds, an American will suffer a coronary event. And someone in the U.S. has a stroke every 40 seconds, on average

12 Employer Risk Solutions Group Organ Transplant (Self-Funded) percent coverage for in-network transplant-related claims from first dollar (including evaluations, hospital, physician, procurement and drugs) No deductibles, co-insurance or out-ofpocket expenses for in-network services Experienced transplant case coordination of the patient with on-staff registered nurses Choice of qualified transplant centers throughout the United States Covers evaluation and up to 365 days after transplant operation Generous travel and lodging allowance for patient and companion Group Medical Stop Loss (Self-Funded) 7 Benefits of self-funding (lower fixed costs, greater control) with reduced risks Specific stop-loss coverage protects against individual catastrophic claims Aggregate stop-loss coverage protects against an abnormal number of claims over a plan year Additional healthcare savings through discounts on administrative services, cost management tools and network access fees Coverage for employers, Taft-Hartley groups and associations Group Captive Solutions (Self-Funded) Provides a practical option between the extremes of purchasing a fully insured product and going fully self-funded (or self-funded with stop-loss protection) Self-funding, coupled with cutting-edge cost management tools and appropriate managed care networks, offers a greater ability to reduce and control healthcare costs Pricing discounts on administrative services, cost-management tools and network access fees Opportunity to achieve a return of some of the premium they pay for the coverage if the cost-management tools they put in place effectively reduce large claims 12

13 Multi-Product Solutions ProtectPak SM (Employee-Paid) 1 Two packages of insurance plans that provide well-rounded coverage and affordability ProtectPak 3 provides coverage for term life, accident and critical illness ProtectPak 4 provides coverage for term life, accident, critical illness and short-term disability Did You Know? 44 percent of Americans name the cost of care as one of their top two economic concerns, compared to 59 percent that talk about jobs, and 37 percent that mention the budget deficit

14 Value-Added Solutions Resources Included for Group Life, AD&D and/or Disability Family and Medical Leave Act (FMLA) Administration 18 Employee Assistance Program (EAP) 19 e-solutions My Life Values SM5 Online Work/Life resources included with select group life and disability products for groups of 2 9 employees Valuable research and informationgathering capabilities, including child care, elder care and college searches Dining and entertainment recommendations Online buying discounts at hundreds of national vendors AIG Benefits Travel Assist SM5 Included with Ambassador, Group Term Life and AD&D plans Provides travel-related information and assistance, including: Travel Medical Assistance Worldwide Travel Assistance Security Assistance Services VIP Concierge Services Identity Theft Assistance hour access via toll-free phone number and members-only website Instant Access Account SM5 Included with select Group Term Life and AD&D plans Provides beneficiaries with interest-bearing checking accounts Makes accessing benefits much easier for those who have suffered a loss For Groups of 100-Plus Employees In-house administration through our disability claims center All state and federal regulations embedded in the system ensures compliance with FMLA laws Single-source intake of absence notification Ability to track leaves concurrently with disability claims Generation of all required documents and forms Self-service website for custom reports on utilization and activity Core telephonic EAP with online Work/Life services included with employer-funded group LTD plans with 10 or more employees Master s and Ph.D. level counselors available 24 hours a day for personal and confidential counseling Work/Life resource connects employees to tools and live coaches providing a confidential service to support healthy lifestyle changes Unlimited consultation with subject-matter experts on issues such as adult care, child care and convenience services Free 30-minute legal counseling as well as self-service preparation of will Free 30-minute tax consultation with CPA or expert financial counseling and 25 percent off providers fees thereafter An array of online do-it-yourself legal documents that cover subjects such as power of attorney, consumer credit, affidavits and estate planning, among other things Includes funeral support program offering employees or their household members help with funeral preparation, memorial service preparation, local funeral services and assistance resources Online management resources that provide guidance for conducting effective performance reviews and assessments, as well as access to an extensive article library Additional EAP Buy-Up Options Telephonic EAP with full (telephone and online) Work/Life services Face-to-face EAP with full (telephone and online) Work/Life services Flexible programs and services to facilitate a smooth enrollment experience for groups of any size Consultative personal enrollment support Customized communications that build awareness, promote participation and educate employees Wide range of flexible enrollment methods (face-to-face, call center, Web-based or an integrated solution combining the options that work best for your business) Employee reminders and directional signage for face-to-face enrollment meetings Custom report site to track enrollment progress, as well as specific reports that provide key enrollment details Secured servers and a series of security features to protect sensitive information Post-enrollment reports with participation statistics and tips 14

15 Value-Added Solutions Catastrophic Medical Management (MedCAT ) Integrated catastrophic medical management solution Cancer care management Renal dialysis management Neonate management Transplant network Hemophilia management Dedicated and Experienced Taft-Hartley Unit Actively at work provisions waived Dedicated, experienced Taft-Hartley unit that has an excellent record working with both traditionally administered and selfadministered plans No new laser options are available for renewing business Stop-loss policy provides comprehensive coverage over the plan document to help minimize potential coverage gaps Early rate lock-in is available for qualified groups Organ transplant product is a fully insured, first-dollar carve-out benefit which covers organ and tissue transplant costs, including all transplant-related physician, hospital and drug expenses, as well as most travel expenses, so there are no out-of-pocket costs for the member To find out more about how our products and services can benefit your business, contact your agent, broker or AIG Benefit Solutions representative, or visit aigbenefits.com. 15

16 1. Policies underwritten by American General Life Insurance Company. 2. Policies underwritten by The United States Life Insurance Company in the City of New York. 3. Domestic partner coverage not available in ID, KS, LA or OH. 4. Amount of dependent coverage may vary by state law and is subject to limits imposed by individual states. 5. Not an insurance product. Not available in all states. 6. Employee Assistance Program (EAP) and Work/Life services are provided by Harris, Rothenberg International (HRI), Inc. These services are not insurance and are not provided by one of the American General companies. 7. Policies underwritten by National Union Fire Insurance Company of Pittsburgh, Pa. 8. Not all riders are available in all states. There may be a charge for each rider selected. Adding or deleting riders and increasing or decreasing coverage under existing riders can have tax consequences. Policy owners should consult a qualified tax advisor. See the rider for details regarding the benefit descriptions, limitations and exclusions. 9. LIMRA (Life Insurance Market Research Association) website, LIMRA.com, February Insurance Barometer Study, The Life and Health Insurance Foundation for Education (LIFE), U.S. Department of State. Tips for Traveling Abroad, Although American General Life Insurance Company has attempted to ensure that the benefits included in this policy are HSA-compatible, employers need to consult their own advisors as to whether the inclusion of these benefits into the employer s offerings creates coverage that would make an employee ineligible to contribute to an HSA. 13. Benefit Extension Rider is only available with cancer coverage included. 14. Does not apply to Medicaid situations. See policy for details. 15. Heart and Stroke Statistics, 2012 Update, American Heart Association. 16. The Kaiser Family Foundation, Kaiser Health Tracking Poll, 08/ Identity theft services are not available for residents in New York or outside the United States. 18. FMLA administration program is available with the purchase of an insured disability or life product not sold stand-alone. 19. Program is not basic health insurance. Not available in VT and MT. Hospitals not available in AK, HI, RI, MD, VT, WV and WY. Discount medical services not available in AK, FL, IN, KS, MT, ND, SD and VT. Policies issued by: American General Life Insurance Company Houston, Texas Policy form numbers: C11657, GCI50001, G-DIS-41000, G-LAD-40000, N20000, 03800, 04120, and The United States Life Insurance Company in the City of New York New York, New York Policy form numbers: 08450N, 08451N, C11960NY, G-DIS-31000, G DBL and G-L National Union Fire Insurance Company of Pittsburgh, Pa. New York, New York Policy form series: C11656(REV 3-99)DBG, C11860DBG, C22438DBG, C36026NUFIC, M20005-NUFIC, N20000 and N20000NUFIC et al. AIG Benefit Solutions is the marketing name for the domestic benefits division of American International Group, Inc. The underwriting risks, financial and contractual obligations, and support functions associated with products issued by American General Life Insurance Company, The United States Life Insurance Company in the City of New York, and National Union Fire Insurance Company of Pittsburgh, Pa., are the issuing insurer s responsibility. The United States Life Insurance Company in the City of New York is authorized to conduct insurance business in New York. National Union Fire Insurance Company of Pittsburgh, Pa., maintains its principal place of business in New York, N.Y., and is authorized to conduct insurance business in all states and the District of Columbia. NAIC No Not all policies are available in all states. Important Note: Guarantees are subject to the claims-paying ability of the issuing insurance company. This is a summary only of products and services offered. Actual offerings may vary by group size and are subject to state insurance law, and the benefits/provisions as described may vary due to such law. All products are subject to the terms, conditions, limitations and exclusions of the policy. Please see policy and certificate for details. Group Critical Illness is the marketing name for the Group Critical Illness Insurance Policy. Group Accident is the marketing name for the Group Accident Indemnity Insurance Policy. Group Hospital Indemnity is the marketing name for the Group Accident and Sickness Indemnity Insurance Policy. For critical illness, comprehensive medical coverage may be required in some states in order to apply for or maintain this coverage. An employer-funded program may be funded 100 percent by the employer or a combination of both employer and employee funding All rights reserved. AIGB R11/13 16