Transcript Rely on Reliance

Evangelical Lutheran Education Association
Critical Illness & Accident Insurance
Overview
New Coverage Effective January 1st, 2012
ELEA and Reliance Standard are pleased to announce the addition of
Critical Illness and Accident insurance effective 1/1/12.
Each active full-time
Employee working at least 20 or more hours per week will be eligible to take
advantage of these voluntary coverages.
During the following slides you’ll be given an overview on both coverages
Please review your policy documents for additional information
The information given in these slides does not represent a contract. Please refer to
Your policy document for details
How does Critical Illness insurance work?
Critical Illness insurance is designed to pay a lump-sum benefit at the diagnosis of
a covered critical illness.
Pays the benefit directly to the insured so you can spend the money as you see fit
and stay focused on getting well.
You can choose the level of coverage most appropriate you and your family.
Who can enroll
Benefit Amounts
Guarantee Issue
Employee
$5,000 - $50,000
$15,000
Spouse
$5,000 - $50,000
$15,000
Children
25% of approved
Employee Amount
All Amounts
What is covered?
Category 1
Life Threatening Cancer
(100%)
Cancer in Situ (25%)
Category 2
Category 3
Coronary Artery Bypass (25%)
Blindness (100%)
Heart Attack/Myocardial Infarction (100%)
Coma (100%)
Stroke (100%)
Kidney (Renal) Failure (100%)
Ruptured Cerebral, Carotid/Aortic
Aneurysm (100%)
Major Organ Transplant (100%)
Paralysis (100%)
Severe Brain Damage (100%)
Key Advantage:
Covered Critical Illnesses are divided into 3 different categories, This allows
for the insured to Collect a benefit multiple times.
Why are there different categories?
Collect multiple benefits from the same category
You can collect 50% of your benefit if you suffer from a 2nd diagnosis from the
same category. This must occur no sooner than 18 months after the original
diagnosis.
Collect a Benefit twice from a different category
You can collect 100% of the benefit amount if you suffer a diagnosis from a
Different category. This must occur no sooner the 6 months after the original
diagnosis
Each category has a 200% lifetime maximum allowing the coverage to pay up to 6x
the chosen benefit amount.
Wellness
Wellness Benefit
An insured is eligible to receive a $50 benefit every 12 months upon the
completion of a wellness screening. Some examples of accepted screenings are
below
Stress Test
Blood Glucose Test
Bone Marrow Test
CEA
Chest X-Ray
Mammography
Colonoscopy
Pap Smear
PSA
Breast Ultrasound
Serum Cholesterol
Serum Protein
Triglycerides Test
Blood Glucose Test
CA 15-13
CA 125
Sigmoidoscopy
Hemoccult Analysis
$10,000 of Family Coverage for a 35 year old = $162.00
Minus (3) $50 Wellness Benefits - $150.00
Total Cost per Year = $12.00
Included Features
Portability
Allows the insured to continue coverage if he/she ceases to be eligible.
Coverage must be in force for at least 12 months prior to exercising
portability.
Pre-Existing Limitation (12/12)
Conditions diagnosed or treated within 12 months of the policy effective date
will be covered after coverage has been in place for 12 months.
Guaranteed Issue Coverage (Special One Time Offer)
Employees and Spouses who apply for coverage under $15,000 will not have
to answer medical questions or be medically underwritten.
VOLUNTARY ACCIDENT INSURANCE
How does Accident insurance work?
Accident insurance is designed to pay a pre-defined benefit based on an accidental
injury or a qualifying event.
•
Pays the benefit directly to you so you can choose how the money is best spent.
•
You can choose the level of coverage most appropriate you and your family.
•
There are no health questions to answer, enrolling is easy.
•
No Network, you can choose your own treatment.
In 2005 over 30 million people sought emergency treatment for an accident and
Almost 3 million were hospitalized.
What is covered?
Voluntary accident insurance will pay a benefit for over 100 different
accident related injuries or treatments. These benefits fall into one of these categories.
Covered Categories
Dislocations
Fractures
Cuts
Burns
Surgery
Prosthesis and
Paralysis
Emergency
Care
General
Treatment
Injury and
Treatment
Accidental
Death
Please refer to your brochure for the full list of occurrences
Key Advantage:
Your accident insurance has no dollar limit, regardless of how often you
utilize your benefit.
Voluntary Accident Insurance – Sample Benefit
Sample Benefit from a fractured ankle
Injury
Benefit
1. Fractured Ankle
$450
2. Ambulance Transportation
$150
3. Office Visit
$75
4. (5) Rehabilitative sessions
$175
5. Follow-up Physicians visit
$75
Total Benefit
$925
These are only 5 of the over 100 ways Reliance Standards Voluntary Accident Insurance
Can provide a benefit to an injured insured!
Wellness
Wellness Benefit
An insured is eligible to receive a $75 benefit every 12 months upon the
completion of a wellness screening. Some examples of accepted screenings are
below
Stress Test
Blood Glucose Test
Bone Marrow Test
CEA
Chest X-Ray
Mammography
Colonoscopy
Pap Smear
PSA
Breast Ultrasound
Serum Cholesterol
Serum Protein
Triglycerides Test
Blood Glucose Test
CA 15-13
CA 125
Sigmoidoscopy
Hemoccult Analysis
Employee and Spouse coverage = $454.20
Minus (2) $75 Wellness Benefits - $150.00
Total Cost per Year = $304.00
Included Features
Portability
Allows the insured to continue coverage if he/she ceases to be eligible.
Coverage must be in force for at least 12 months prior to exercising
portability.
Enrollment Details
Your opportunity to enroll:
October 1st, 2011
November 30th, 2011
Please mail your completed application to:
Nancy Bond Insurance
201 West Lemon Avenue
Monrovia, CA 91016
Questions about coverage or the enrollment process?
Contact Nancy Bond Insurance
(866)899-8559