Critical Illness Plan Design Standard/Requested Quoted Coverage Amounts Select from drop down options below OR use open text as appropriate Participation Requirement Carrier Specific- preference is all participation requirements waived Pre-Existing Conditions Waiver of pre-existing conditions Employee Guarantee Issue Amount $10,000, $20,000 and $30,000 Spouse Guarantee Issue Amount 100% of Employee benefit Child Guarantee Issue Amount 100% of Employee benefit Additional Benefits Additional Benefit (payment for multiple conditions) Included; please disclose separation period if there is one Reoccurrence Benefit (payment for same condition) Included; please disclose separation period if there is one Wellness $75, per annual calendar year, Included (Indicate if COVID testing and/or immunizations are covered) Covered Critical Illnesses Cancer 100% Heart Attack 100% Stroke 100% Major Organ Transplant 100% End-Stage Renal (Kidney)Failure 100% Non-Invasive Cancer/Carcinoma in Situ 50%-100% (Carrier Specific) Coronary Bypass Surgery/Graft 50%-100% (Carrier Specific) COVID-19 Carrier Specific; included Skin Cancer Carrier Specific; included Childhood Conditions Carrier Specific; included Additional Covered Illnesses - 100% Carrier Specific Additional Covered Illnesses - 50% Carrier Specific Additional Covered Illnesses - 25% Carrier Specific Additional Covered Illnesses - 10% Carrier Specific Additional Carrier Specific Portability Included Rate Guarantee At least 3 years Benefit Reduction None Premiums Based On Attained Age and Issue Age, Uni-smoker Rates Provide monthly and bi-weekly rates Base Commission Rate Heaped at the employee level, provide % HSA Compatible Yes Considered ERISA None
