1 Protecting against the unexpected, wherever they are. Life is full of unexpected moments. That’s why Your Medical Home is now offering supplemental benefits through Colonial Life to help employers have added financial protection for unexpected healthcare costs. Your Medical Home 2024 Voluntary Benefits GuideACCIDENT INSURANCE helps offset unexpected medical expenses that can result from a fracture, dislocation or other covered accidental injury. MEDICAL BRIDGE helps cover out of pocket expenses associated with hospital stays or out-patient surgeries.DISABILITY INSURANCE cover your paycheck when off of work for an illness or injury (including pregnancy).CRITICAL ILLNESS INSURANCE supplements major medical coverage with a lump-sum benefit that can be used to pay for the direct and indirect costs related to a covered critical illness.CANCER COVERAGE can be included on the Critical Illness benefit to include diagnosis of internal cancer and has coverage for skin cancer.INDIVIDUAL TERM LIFE provides a wide range of options when it comes to financial protection for employees and their families. Benefits Available
Preferred24-hour coverage - covers accidents on and off the job
Active Lifestyles If Active Lifestyles is included, this benefit increases benefit amounts by an extra 20% for specific benefits related to active lifestyles. Eligible benefits: • Concussion• Connective tissue damage• Connective tissue surgery• Dislocations• Dislocations – surgical repair• Emergency dental repair• Eye injury• Eye surgery• Fractures• Fractures – surgical repair• General surgery – abdominal,thoracic, cranial, exploratory• Knee cartilage (meniscus)injury• Knee cartilage (meniscus)surgery• Lacerations• Medical imaging• Ruptured or herniated disc• Ruptured or herniated discsurgery• X-ray or ultrasoundo Annual Benefit amount: $50o Payable once per calendar year per covered persono 30-day waiting period Covered tests*: o Annual physical (Included with Max level) – Includes annual exams, sports physicals, and well-child visitso Blood test for triglycerideso BRCA1 or BRCA2 testingo Breast ultrasound o CEA (blood test for colon cancer)o Chest x-rayo Colonoscopyo Immunizations (included with Max level)o Mammography o Pap smear o PSA (blood test for prostate cancer)o Serum cholesterol test to determine level of HDL and LDLo Stress test on a bicycle or treadmill o ThinPrep pap test o Virtual colonoscopy Wellbeing Assistance - MAX Level*See brochure for full list of covered testsRates per 26 pay periods
Group Medical Bridge - Plan 2 Pre-ex waived during initial enrollment.Employee Chooses Benefit Level23Rates per 26 pay periodsISSUE AGE NAMED INSURED EMPLOYEE & SPOUSE ONE PARENT FAMILY TWO PARENT FAMILYHOSPITAL CONFINEMENT LEVELLevel 3: $150017-99 $14.12 $28.46 $19.92 $34.26ISSUE AGE NAMED INSURED EMPLOYEE & SPOUSE ONE PARENT FAMILY TWO PARENT FAMILYHOSPITAL CONFINEMENT LEVELLevel 5: $250017-99 $21.69 $44.68 $30.26 $53.257501,500$1,500 or $2,500Annual Wellness Benefit $_________50_____________
Group Short Term DisabilitylOff-Job Accident and Off-Job Sickness3 Month Benefit PeriodELIMINATION PERIOD ISSUE AGE $1,000* $1,500* $2,000* $2,500* $3,000**monthly benefit amount7 days Accident/7 days Sickness 17-49 $12.55 $18.83 $25.11 $31.38 $37.6650-64 $14.45 $21.67 $28.89 $36.12 $43.3465-74 $17.49 $26.24 $34.98 $43.73 $52.4814 days Accident/14 days Sickness 17-49 $8.12 $12.18 $16.25 $20.31 $24.3750-64 $9.78 $14.68 $19.57 $24.46 $29.3565-74 $12.46 $18.69 $24.92 $31.15 $37.386 Month Benefit PeriodELIMINATION PERIOD ISSUE AGE $1,000* $1,500* $2,000* $2,500* $3,000**monthly benefit amount7 days Accident/7 days Sickness 17-49 $15.78 $23.68 $31.57 $39.46 $47.3550-64 $21.00 $31.50 $42.00 $52.50 $63.0065-74 $27.28 $40.92 $54.55 $68.19 $81.8314 days Accident/14 days Sickness 17-49 $11.17 $16.75 $22.34 $27.92 $33.5150-64 $14.12 $21.18 $28.25 $35.31 $42.3765-74 $18.83 $28.25 $37.66 $47.08 $56.49Sample Rates for monthly benefit amounts below shown per 26 pay periodsAdditional benefit amounts and elimination periods availableAA Risk RatingYou never know when a disability could impact your way of life. Fortunately, there’s a way to help protect your income. If a covered accident or sickness prevents you from earning a paycheck, disability insurance can provide a monthly benefit to help you cover your ongoing expenses.Guarantee Issue up to $4,000 monthly benefitCovers Own-Occupation and includesTotal and Partial disability benefitsIncludes Waiver of Premium
GCI 6000 - Group Critical Illness Critical Illness Percentage of Applicable Face Amount • Benign Brain Tumor• Coma• End Stage Renal (Kidney) Failure• Heart Attack (Myocardial Infarction)• Loss of Hearing• Loss of Sight• Loss of Speech• Major Organ Failure Requiring Transplant• Occupational Infectious HIV or OccupationalInfectious Hepatitis B, C, or D• Stroke• Sudden Cardiac Arrest100% Coronary Artery Disease 25% One-Parent or Two-Parent Family Coverage Additional Covered Conditions for Dependent Children: • Cerebral Palsy• Cleft Lip or Palate• Cystic Fibrosis• Down Syndrome• Spina Bifida100% 17Plans 1 and 2 Critical illness insurance helps supplement major medical coverage by providing a lumpsum benefit the policyholder can use to pay for expenses associated with a heart attack, stroke or other covered critical illness. These benefits can help pay for recovery expenses, additional medical procedures or any other way they choose. Benefit Amount: $5,000 - $50,000Spouse coverage is available at 50% of the employee coverage Coverage is Guarantee Issue and Pre-ex waived* during the initial enrollmentPlan 1: Includes Critical Illness Annual Wellness Benefit:$50 per covered person per calendar year
Dates of diagnoses of covered critical illnesses must be separated by more than 180 days. There is no maximum benefit amount under the Benefit Payable Upon Subsequent Diagnosis of a Critical Illness. Diagnosis We may pay: Invasive Cancer (Including all Breast Cancer) 100% of face amount Non-Invasive Cancer 25% of face amount Skin Cancer Initial Diagnosis $400 per lifetime The plan includes Reoccurrence of Invasive Cancer (Including all Breast Cancer) • If a covered person has been diagnosed with and received a benefit for Invasive Cancer (Includingall Breast Cancer) and is diagnosed with a reoccurrence of invasive cancer, we may pay anamount equal to 25% of the initial benefit amount for the invasive cancer diagnosed if thecovered person is treatment free for at least 12 months and in complete remission prior to thedate of reoccurrence.The Benefit Payable Upon Reoccurrence of Invasive Cancer (Including all Breast Cancer) is not payable for non-invasive or skin cancer. *Diagnosis must occur after the effective date of the policy.• If the covered person receives a benefit for a critical illness and is later diagnosed with the same critical illness (except those listed below), we may pay 25% of the applicable face amount. Criticalillnesses that do not qualify include:▪ Coronary Artery Disease; ▪ Loss of Hearing;▪ Loss of Sight;▪ Loss of Speech; and▪ Occupational Infectious HIV or Occupational Infectious Hepatitis B, C or D.The plan includes coverage for subsequent diagnosis of the same critical illness. Plan 2: Includes Critical Illness benefits above AND Cancer diagnosis:
Covered Heart Procedures Percentage of Applicable Face Amount • Abdominal Aortic Aneurysm Surgery• Aortic Valve Replacement or Repair• Mitral Valve Replacement or Repair100% Coronary Artery Bypass Graft Surgery 75% • Atherectomy• Automatic Implantable (or internal) Cardioverter Defibrillator (AICD)• Balloon Angioplasty• Heart Catherization• Laser Angioplasty• Pacemaker Placement• Stent Implantation• Thrombectomy (clot removal) using catheters such as AngioJet10% Progressive Diseases Rider:• The benefit is payable at 25% of the face amount for any of the covered progressive diseases if the covered person is unable to perform two or more activities of daily living and the 90-dayelimination period has been met.• The benefit is payable for each progressive disease once per covered person per lifetime.A covered progressive disease means one of the following: • Amyotrophic Lateral Sclerosis (ALS)• Dementia (Including Alzheimer’s Disease)• Huntington’s Disease• Lupus• Multiple Sclerosis (MS)• Muscular Dystrophy• Myasthenia Gravis• Parkinson’s Disease• Systemic Sclerosis (Scleroderma)Heart Benefits Rider:• The rider provides a benefit for a covered heart procedure if it is the result of one of the following:Acute Coronary Syndrome, Atherosclerosis, Coronary Artery Disease, Cardiomyopathy, or ValvularHeart Disease.• The benefit is payable for each heart procedure once per covered person per calendar year. Iftwo or more heart procedures occur on the same day, we may pay only one heart benefit. Wemay pay the larger of the two heart benefits.18GCI 6000 - Optional Riders**Requires health questions**
GCI Plan 1 Rates - Critical Illness Benefit19lPlan 1 - Critical Illness, Wellbeing Assistance Benefit - $50 BenefitNon-Tobacco RatesISSUE AGE NAMED INSURED NAMED INSURED ANDSPOUSENAMED INSURED ANDDEPENDENT CHILD(REN)NAMED INSURED, SPOUSEAND DEPENDENT CHILD(REN)$10,000 17-24 $2.36 $3.51 $2.36 $3.5125-29 $2.72 $4.06 $2.72 $4.0630-34 $3.09 $4.62 $3.09 $4.6235-39 $3.97 $6.00 $3.97 $6.0040-44 $4.89 $7.34 $4.89 $7.3445-49 $6.32 $9.70 $6.32 $9.7050-54 $7.99 $12.37 $7.99 $12.3755-59 $10.11 $15.65 $10.11 $15.6560-64 $13.34 $20.63 $13.34 $20.6365-69 $14.45 $22.30 $14.45 $22.3070-74 $16.43 $25.34 $16.43 $25.34Tobacco RatesISSUE AGE NAMED INSURED NAMED INSURED ANDSPOUSENAMED INSURED ANDDEPENDENT CHILD(REN)NAMED INSURED, SPOUSEAND DEPENDENT CHILD(REN)$10,000 17-24 $3.14 $4.66 $3.14 $4.6625-29 $3.83 $5.68 $3.83 $5.6830-34 $4.52 $6.70 $4.52 $6.7035-39 $6.09 $9.10 $6.09 $9.1040-44 $7.71 $11.54 $7.71 $11.5445-49 $10.34 $15.79 $10.34 $15.7950-54 $13.29 $20.59 $13.29 $20.5955-59 $17.17 $26.50 $17.17 $26.5060-64 $22.99 $35.45 $22.99 $35.4565-69 $24.92 $38.50 $24.92 $38.5070-74 $28.48 $43.99 $28.48 $43.99Rates per 26 pay periods for $10,000
GCI Plan 2 Rates - Critical Illness and Cancer BenefitlPlan 2 - Critical Illness & Cancer, Wellbeing Assistance Benefit - $50 BenefitNon-Tobacco RatesISSUE AGE NAMED INSURED NAMED INSURED ANDSPOUSENAMED INSURED ANDDEPENDENT CHILD(REN)NAMED INSURED, SPOUSEAND DEPENDENT CHILD(REN)$10,000 17-24 $3.19 $4.71 $3.19 $4.7125-29 $3.97 $5.91 $3.97 $5.9130-34 $4.80 $7.11 $4.80 $7.1135-39 $6.65 $9.93 $6.65 $9.9340-44 $8.49 $12.70 $8.49 $12.7045-49 $11.54 $17.40 $11.54 $17.4050-54 $14.54 $22.11 $14.54 $22.1155-59 $18.69 $28.43 $18.69 $28.4360-64 $25.02 $38.03 $25.02 $38.0365-69 $30.37 $46.25 $30.37 $46.2570-74 $30.37 $46.25 $30.37 $46.25l Tobacco RatesISSUE AGE NAMED INSURED NAMED INSURED ANDSPOUSENAMED INSURED ANDDEPENDENT CHILD(REN)NAMED INSURED, SPOUSEAND DEPENDENT CHILD(REN)$10,000 17-24 $4.29 $6.28 $4.29 $6.2825-29 $5.59 $8.22 $5.59 $8.2230-34 $6.88 $10.16 $6.88 $10.1635-39 $9.83 $14.59 $9.83 $14.5940-44 $12.79 $19.06 $12.79 $19.0645-49 $17.63 $26.59 $17.63 $26.5950-54 $22.43 $34.11 $22.43 $34.1155-59 $29.08 $44.26 $29.08 $44.2660-64 $39.19 $59.63 $39.19 $59.6365-69 $47.77 $72.70 $47.77 $72.7070-74 $47.77 $72.70 $47.82 $72.74Rates per 26 pay periods for $10,000
Term Life InsuranceIf something happened to you, the last thing your family should have to worry about is financial burdens. Plan for the future with Term Life Iinsurance. Spouse and Child coverage available10, 15, 20, and 30-year term options availbleISSUE AGE $25,000 $50,000 $75,000 $100,000 $150,00025 $4.90 $4.72 $6.15 $7.58 $10.4435 $5.98 $5.20 $6.87 $8.54 $11.8945 $7.81 $8.60 $11.98 $15.35 $22.1055 $15.90 $16.79 $24.26 $31.73 $46.6765 $20.93 $40.00 $59.08 $78.16 $116.3175 $62.48 $123.11 $183.75 $244.38 $365.64Tobacco RatesISSUE AGE $25,000 $50,000 $75,000 $100,000 $150,00025 $9.23 $8.20 $11.37 $14.54 $20.8935 $10.53 $9.10 $12.72 $16.35 $23.6045 $14.51 $18.89 $27.41 $35.93 $52.9755 $34.40 $45.27 $66.98 $88.69 $132.1165 $43.23 $84.62 $126.00 $167.38 $250.1575 $93.33 $184.80 $276.28 $367.76 $550.71l20-Year Term Base PlanNon-Tobacco RatesISSUE AGE $25,000 $50,000 $75,000 $100,000 $150,00025 $4.97 $4.87 $6.38 $7.89 $10.9135 $6.11 $5.35 $7.10 $8.85 $12.3545 $8.41 $10.06 $14.17 $18.27 $26.4855 $18.07 $21.39 $31.16 $40.92 $60.4665 $28.41 $54.96 $81.52 $108.08 $161.19Tobacco RatesISSUE AGE $25,000 $50,000 $75,000 $100,000 $150,00025 $9.33 $8.41 $11.69 $14.97 $21.5235 $10.75 $9.52 $13.36 $17.20 $24.8745 $15.57 $20.99 $30.55 $40.12 $59.2555 $36.39 $48.95 $72.49 $96.04 $143.1365 $47.86 $93.87 $139.87 $185.88 $277.90l10-Year Term Base PlanNon-Tobacco RatesSample Rates for face amounts below shown per 26 pay periods Additional benefit amounts available up to $500,000
Filing online means never waiting for mail or dealing with fax machines and complex paper forms . Our guided question wizard walks you through the process and checks for missing information that could cause delays. Opting for direct deposit can also get approved payments to you up to a week faster than paper check. NEED TO FILE A CLAIM?Here’s what you can do on Colonial Life for Policyholders:Update yourpersonal info& preferencesFile claimswith a simple,guided form Opt for instant alerts by email or textView claim statusor policy details anytimeCheck your claim status by logging into your account at ColonialLife.com/access. You can also sign up for text or email alerts so you know instantly if status changes or more information is needed. For your convenience, you can login anytime with a mobile device to photograph and upload documents with your camera.AFTER YOU FILE:Find out how simple your claims and benefits experience can be by learning more about the Colonial Life for Policyholders portal. Just visit ColonialLife.com to see what this online account administration platform can do for you.LEARN MOREBECOME A MEMBER TODAY:Go to ColonialLife.com/access to register.Click “create an account”, fill out the required information and click Submit.Enjoy faster service and improved benefits awareness.123THE PORTALOFFERS YOU:Faster service than calling/emailingConfirmation when a claim has been submittedSimplified bill payment and managementAnswers to frequently asked questions and live chat assistance if you don’t see what you are looking for.Colonial Life for Policyholders PortalA faster, simpler way to manage your benefitsColonial Life for Policyholders is an online portal created with you in mind. It’s the most convenient and ecient way to file a claim and manage your benefits. Colonial Life products are underwritten by Colonial Life & Accident Insurance Company, Columbia, SC. ©2022 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a registered trademark and marketing brand of Colonial Life & Accident Insurance Company.43233-41Set up directdeposit forapproved payments
5YOUR COLONIAL LIFE REPRESENTATIVE JAMIE POPE 409-782-1910JAMIE@COLONIALTX.COM COMPENSATION DISCLOSURE: Colonial Life compensates producers to facilitate the sale and delivery of our voluntary benefits. This compensation might include commissions as well as various incentives and awards. We support disclosure of our compensation programs. Colonial Life representative can provide you with complete details about these programs. You may also contact our Plan Administrator Service Center at 1-800-256-7004. Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC. Dental plans are underwritten by Colonial Life & Accident Insurance Company, Columbia, SC. Some dental plans are administered by Starmount Life Insurance Company. ©2020 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a registered trademark and marketing brand of Colonial Life & Accident Insurance Company.