Supplemental medical source list

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1 Aegis Administrative Services Inc Limited Health Benefit Plans Defined benefits for inpatient hospital admissions, surgery, outpatient, physician office visits, pharmacy and dental All Guarantee issue, no pre-existing conditons exclusion AIGILIS Corp ehealth Companion Personal health care management system for HSAs and HRAs. All Available to all employees ehealth Companion is a personal health care management System designed to help companies and their employees successfully transition to Consumer Directed Health plans. AIGILIS Corp Way2SaveRX Discount pharmacy card All States Minimum age is 18 - no maximum age 53,000 participating pharmacies - no enrollment or membership fees - savings average 22 percent with potential savings of up to 50 percent AlterNet Benefits Fusion- Limited Benefit combined with Catastrophic Medical Guarantee Issue Limited Benefit Plan with voluntary major medical. Great for groups or indiviuals All except Idaho, Minnesota, New York, Vermont and Washington From $750-$15,000 on catasrophic medical Guaranteed issue base plan with catastrophic medical American Fidelity Assurance Co Hospital GAP Plan Supplemental coverage to help offset out-of-pocket costs that employees may experience due to deductibles and coinsurance of the underlying major medical plan All except Idaho, Maryland, Minnesota, New Hampshire, New Jersey, New York, North Dakota and Washington (18 & over for groups of 20 or more) No

2 American Public Life Insurance Co Hospital Indemnity Limited Benefit Hospital Indemnity plans with option benefits for surgery and anesthesia, outpatient sickness, emergency accident, wellness and more. Custom plan designs available. Group and individual plans available. All except New Jersey, New York and Vermont Individual plan: Group contract, groups less than 20 lives: Group contract, groups of 20 lives or more: 18 and over (individual product) Flexible plan designs. Includes Rx discount. Additional network discounts and savings plans available. American Public Life Insurance Co MEDlink Helps to offset out-of-pocket costs that employees may experience due to deductibles and coinsurance of the underlying major medical plan (groups under 20 lives) 18 and over (groups of 20 lives or more) inpatient: none outpatient: varies by plan from $0 to $1000 No Flexible plan designs including inpatient, outpatient, and physician benefits. Includes Rx discount. Pre-ex waived with participation. American Worker Plans Inc., The The American Worker plan Limited Benefit Medical Plans Mimi-med Plans Critical Illness Benefits Dental Coverage Short-term Disability Coverage All except Hawaii, Massachusetts and New York No Equitable Life & Casualty EquiChoice Standardized Medicare Supplement plans A,B,C,D,E,F,HDF,G,H,I,J,HDJ,L, in all states, except NC, SC, PA, VA, WV, MI, AL only offer A, H, J, HDJ and L. All except AK,CA,CT,DE,DC,FL,GA,HI,ME,MD,MA,MN,NH,NJ,NY,RI,VT,WA,WI 65+ / Under 65 disability only in open enrolment period for plan A in OK and TX. The states of CO, KY, KS, LA, MO, MS, PA, SD, IL, OR, any plan within open enrolment. NC plans A, J and HDJ within open enrolment. N/A yes Policies are guaranteed renewable. Premiums are attained age in all states except AR, AZ, ID and MO, which are issue age. Great American Supplemental Benefits Group Medicare Supplement Plans Available Medicare Spplement Plans: A, B, C, D, F, G, H, I & J All except Alaska, DC, Hawaii, Massachusetts, New Jersey and New York Per Medicare guidelines Guaranteed Issue Senior Life Policy with underwritten Med Supp policies. Discount prescription drug card. Free membership in American Senior Benefits Association.

3 Harbor Insurance Marketing Supplemental medical source list The Gap Plan Hospital benefit. Plan is designed to fill in gaps in group major medical plans. Plan is very flexible with many optional riders. All except California, Conencticut, Florida, Minnesota,Montana, NewJersey, New York, North Dakota and Vermont and actively at work 15 or more hours per week. No, but can be continued via COBRA. Optional Riders: Surgery, Anesthesia, Outpatient Surgical Facility, Dr. Office Visits, Neighborhood Clinic Visits, Diagnostic Testing, Wellness Visits, Ambulance, ER, Accident, Rx Drug Card, Critical Illness Harbor Insurance Marketing Hospital Indemnity+ Hospital Indemnity $50 - $1,000 per day 18 through 64 Riders: AD&D, CI, Diagnostic, Emergency Accident, First Hospital Admission, ICU, Outpatient Sickness, Private Duty Nursing, Surgical & Anesthesia, Wellness

4 Harbor Insurance Marketing The Answer Plan Medical Expense for Injuries - Inpatient & Outpatient up to $250,000 per covered person per injury /2 Inpatient - Outpatient $250 - $1,000. Optional AD&D also available up to $10,000 HealthPlan Services Golden Rule Medicare Supplement Varies AK AR CO IL IN IA LA MD MI MS MO NE OH OK SC TN TX VA WV 65+ if disabled and under social security 65 where approved by state Varies yes

5 Key Benefit Resources Supplemental medical source list KeyGap and KeySelect KeyGap- Group Supplemental Out-of-Pocket Medical expense policy KeySelect- Limited Benefit Group Healthcare plan All except California, Connecticut, Delaware, Florida, Massachusetts, New Hampshire,NY,WA 18 years and no limit on maximum age COBRA eligible Keygap- Assignment of Benefits feature KeySelect- Option of Dependent Only coverage MagnaBenefits Solutions Inc ; Retiree Group Health and Prescription Drug Plans Retiree Group Health and Prescription Drug Plans All States Pre-65 year old Retirees and Spouses Medicare Eligible, Retirees and Spouses Custome designed by Group yes Dental, Vision, Legal Plans, Identity Theft

6 Transamerica Worksite Marketing TransChoice Plus Standalone group hospital indemnity insurance policy intended to provide group limited benefit hospital indemnity insurance to part-time, full-time and entry level employees who cannot afford, or are not eligible, for their employer s traditional major medical plan. The benefits help pay basic medical expenses related to hospitalization. All except CA,CT,HI,NH,NJ,NY,VT,WA There are no age restrictions for TransChoice Plus and Life AD&D plans. For the optional disability coverage, the employee must be 18 years old. TransChoice Plus offers first dollar indemnity coverage no deductible, co-payment or co-insurance. Outpatient Physician Office Visit Indemnity Benefit; Outpatient Diagnostic X-Ray and Laboratory Indemnity Benefit ; Surgical and Anesthesia Indemnity Benefit; In-Hospital and Inpatient Surgical Additional Indemnity Benefit; Off-the-Job Accidental Injury Benefit; Prescription Drug Indemnity Benefit; Wellness Indemnity Benefit; Critical Illness Indemnity Benefits; Subsequent Critical Illness Indemnity Benefit; Emergency Room Sickness Benefit; Intensive Care Indemnity Benefit; Daily Inpatient Drug and Alcohol Indemnity Benefit; Daily Inpatient Mental and Nervous Indemnity Benefit; Ambulance Indemnity Benefit; Daily Skilled Nursing Benefit Rider; Non-Insurance Discount Programs (Employer Elected) Employee Discount Card; Vision Discount Plan; Nurses Hotline; TelaDoc Counseling Service; Hearing Aid Savings; Prescription Drug Discount Card; PPO Network; TransChoice Plus Additional Coverages Unum MedSupport Hospital confinement and outpatient surgery (in base plan); diagnostic tests (if selected by ER); Emergency Care rider also available All except CT,FL,KS,MA,MN,NJ,NY,WA EE and spouse Unum s MedSupport insurance provides benefits for covered hospital stays, outpatient surgery, diagnostic tests and emergency room benefits for an employee or family member. This individual policy is designed to complement group medical coverage and to help protect against the financial impact of covered health events.

2014-15 EMPLOYEE BENEFITS GUIDE

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