Optional Plan Packages

Transcription

1

2 Optional Plan Packages Additional Benefit Package # 1: In Situ Cancer (25%) Severe Burns (100%) Paralysis (100%) Coronary Artery Bypass (25%) Coma (100%) Additional Benefit Package # 2: Loss of Sight (100%) Loss of Hearing (100%) Loss of Speech (100%) Additional Benefit # 3: Health Screening Benefit ($50) Subject to state availability.

3 Group CriticalCare COVERAGE SPECIFICATIONS Benefit plan(s) Abacus Series Benefit description First diagnosis benefit: Provides a lump-sum payment upon the first diagnosis of a covered critical illness subject to the benefit reduction at age 60 Additional diagnosis Additional benefit upon the diagnosis of a subsequent critical illness condition, for which benefits have not been previously paid, subject to the benefit reduction at 70. There is no time period that must separate the two critical illness conditions. The additional occurrence is payable for the partial benefits of in situ cancer, coronary artery bypass and coma Recurrence If benefits have been paid for a covered condition and subsequently, the insured experiences a reoccurrence of the same condition, the benefit will be paid again. The subsequent diagnosis must occur more than 12 months following the initial diagnosis, subject to the benefit reduction at 70. Recurrence benefit is not payable for the following illness: in situ cancer, organ transplant, coma, coronary artery bypass and loss of sight, speech and hearing. This applies to invasive cancer, stroke, renal failure and heart attack Employee benefit amount $5,000 to $50,000 Dependent spouse benefit amount $5,000 to $50,000 (employee must apply). Dependent child benefit amount 25% of the employee amount (employee must apply); No additional cost Issue ages Employee and spouse: 18 to 69 Dependent child: under 19; to 23 if full-time student. Number of hours worked Actively at work at least 20 hours per week as defined by the employer Group eligibility 10 enrolled employees Guarantee issue (GI) and participation Employer Paid: $5,000 GI with 100% participation Employee Paid Buy-up: $5,000 GI with no participation required Voluntary Employee Paid: Lives - $5,000 GI with 50% participation Lives - $10,000 GI with 40% participation Lives - $15,000 GI with 30% particiption 75+ Lives - $20,000 GI with 25% participation Continuation of coverage when employment terminates Continuation privilege available Continuation ceases at age 70, upon nonpayment of premium or when group policy terminates, and if not in an eligible class Waiting period 30 days from the effective date of coverage Pre-existing condition 12/12, State variations may apply Benefit reduction At age 70, benefit reduces to 50 percent of the original face amount. Rate guarantee Two years This proposal 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 terms, conditions, limitations and exclusions of the policy. The underwriting risks, financial and contractual obligations and support functions associated with the products underwritten by The Abacus Group and issued by American General Life Insurance Company of Delaware are its responsibility. American General Life Insurance Company of Delaware does not solicit business in the state of New York.

4 Group CriticalCare (Employer-Funded Base Plan) Guarantee Issue: $5,000 WEEKLY RATES Primary Insured: Primary Insured and Spouse: or Guarantee Issue: $5,000 WEEKLY RATES Composite Rate - No Census Required $2.25 for $5,000 benefit $4.50 for $5,000 benefit Uni-Smoker - Primary Insured Issue Age 5, (Voluntary Buy-up to Base Plan) Guarantee Issue: $5,000 WEEKLY RATES NO PARTICIPATION REQUIREMENT Primary Insured: $3.15 for $5,000 benefit Primary Insured and Spouse: $6.30 for $5,000 benefit Offered only as an addition to the Employer Funded Base Plan

5 Voluntary (Employee-Paid) Uni-Smoker - Primary Insured Issue Age 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50, Uni-Smoker - Primary Insured and Spouse Issue Age 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50, Benefit Amounts: $5,000 to $50,000 in $5,000 increments. Dependent coverage is 25% of employee amount. Participation: 10 enrolled Guarantee Issue: Based on Participation Lives: $5,000 with 50% Participation Lives: $10,000 with 40% Participation Lives: $15,000 with 30% Participation 75+ Lives: $20,000 with 25% Participation

6 Pre-Existing Conditions and Limitations (state variations may apply) Benefits under this policy are not payable in connection with a preexisting condition during the initial 12 consecutive months the insured person has been enrolled for coverage under this policy. A critical illness resulting from a pre-existing condition commencing thereafter will be covered unless otherwise excluded from the policy. A pre-existing condition generally means an injury or sickness for which you incurred charges, received medical treatment, consultation, care or services, including diagnostic measures, took prescribed drugs or medicines, or had symptoms for which an ordinarily prudent person would have consulted a physician during the 12 months immediately preceding the coverage effective date under this policy. Exclusions (state variations may apply) This policy does not cover any loss caused in whole or in part by, or resulting in whole or part from the following: The insured person s suicide, or intentional self-inflicted injury or sickness, while sane or insane. The insured person s being under the influence of an excitant, depressant, hallucinogen, narcotic, other drug; or intoxicant including those taken as prescribed by a physician. The insured person s commission of or attempt to commit an assault or felony. The insured person s engaging in an illegal activity or occupation. The insured person s voluntary participation in a riot. Any illness, loss or condition specifically excluded from the definition of any critical illness. War, whether declared or not, however this does not include loss due to terrorism. Balloon angioplasty, laser relief of an obstruction, and/or other intraarterial procedure. Any injury or sickness covered under any state or federal workers compensation, employer s liability law or similar law. Policy issued by: American General Life Insurance Company of Delaware Wilmington, Delaware Policy Form Number GCI American General Life Companies, is the marketing name for the insurance companies and affiliates comprising the domestic life operations of American International Group, Inc., including American General Life Insurance Company of Delaware. American General Life Companies insurers offer a broad spectrum of life insurance, fixed annuities, accident and health products and worksite benefits to serve the financial and estate planning needs of customers throughout the United States. The underwriting risks, financial and contractual obligations and support functions associated with products issued by American General Life Insurance Company of Delaware are its responsibility. American General Life Insurance Company of Delaware does not solicit business in the state of New York. Policies are not available in all states. 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 All rights reserved FILL R02/11