Colonial Life CANCER ASSIST – Flashcards
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1) Base Plan 2) Cancer Wellness Health Screening Benefit 3) Optional Riders
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CANCER ASSIST includes the following
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-4 benefit levels : 1,2,3,4 All levels offer the same benefits Benefit amounts VARY by level
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Cancer Assist BASE PLAN includes
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1) initial diagnosis of cancer rider 2) Initial diagnosis of Cancer PROGRESSIVE PAYMENT Rider 3) Specified Disease HOSPITAL CONFINMENT Rider
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Cancer Assist 3 OPTIONAL RIDERS
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1) Benefit Flexibiltity-CHOICE OF BENEFIT LEVELS 2) Indemnity Benefits-LUMP SUM BENEFIT 3) Felxible Family Coverage Options-NAMED INSURED, NAMED +SPOUSE, 1 PARENT, 2 PARENT FAMILY 4) HSA Compatible
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Cancer Assist COMPETITIVE ADVANTAGES
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Which of the 4 benefit levels to offer If Cancer Wellness/Health Screening Benefit is included - if it is, how much? $25, $50,$75,$100 Available to ALL employees regardless of Benefit level
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Employer Chooses...
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-Benefit Level - Family Coverage Options -Optional Riders
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Employee Chooses...
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30+ plans available that include: -Treatment Benefits -Surgery Benefits -Travel Benefits -Additional Benefits Avialible in all four benefit levels
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Standard CANCER ASSIST Plan Benefits
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PART 1 -covers 24 tests -payable once per covered person per year PART 2 -covers additional invasive diagnostic test or surgery -payable after abnormal result from one of the covered wellness tests in part 1
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Cancer Wellness/Health Screening Benefit
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-Purchased in $1000 units up to $10k -payable once per covered person by rider -Kids benefit pays 2.5x amount for named insured (no skin cancer/pre-existing cancer condition during waiting period payment)
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Cancer Assist Optional Rider - INITIAL DIAGNOSIS OF CANCER
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Payable once per covered person insured by rider (no skin cancer/pre-existing cancer condition during waiting period payment)
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Cancer Assist Optional Rider-INITIAL DIAGNOSIS PROGRESSIVE PAYMENT RIDER
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Pays $300 per day when covered person is hospitalized for a specified disease IF: -date of diagnosis is after waiting period -date of diagnosis is while poicy is in force -covered person is dconfined to a hospital for treatment of a specified disease -specified disease is not excluded by name or specific description in the rider
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Cancer Assist Optional Rider-SPECIFIED DISEASES HOSPITAL CONFINEMENT RIDER
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Benefits are payable for cancer treatment (incl skin cancer) if: -Date of diagnosis is after waiting period -date of diagnosis is while policy is in force -cancer or treatment is not excluded BY NAME
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Cancer Assist ELIGIBILITY (base plans & riders)
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-Full Time-17.5 hrs/week -meets issue age requirements -Answer NO to internal cancer question on AccHlth application. (if YES to Skin Cancer; will be issued with SKIN CANCER EXCLUSION RIDER -Have never been diagnosed with AIDS / AIDS related condition
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Cancer Assist ELIGIBILITY: EMPLOYEE
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-meets issue age req. -Answered NO to Internal Cancer question -No AIDS
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Cancer Assist ELIGIBILITY :SPOUSE
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-meets dependent child definition -NO to internal cancer question -no AIDS
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Cancer Assist ELIGIBILITY : DEPENDENT CHILD
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17-75 premium rates are the same regardless of risk class or age
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Issue Ages
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-Spouse may be listed as primary insured if Employee isn't eligible -Submit AccHlth Appl & Underwriting HIPPA Authorization form with each application -ADDITIONAL FORMS -skin cancer exclusion rider -cancer history form -guide to Health insurance for People with Medicare -Medicare Certification Notice -Medicare Notice - No restriction of # of LEVELS that may7 be offered (employer can limit # of levels) -Cant be sold with critical illness plan that includes cancer -applies to both new & existing accts AND both GROUP & INDIVIDUAL CRITICAL ILLNESS products
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UNDERWRITING
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NOT allowed -may transfer to CANCER ASSIST from a DIFFERENT POLICY -New application with health questions must be completed -if insured has had cancer within past 5 years cannot transfer to Cancer Assist but family members may
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Transfers
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-Not allowed -Insureds can have only one cancer policy at a time
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Stacking
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Portable
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Portability
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Employees can keep it for Life as long as premiums are paid
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Guaranteed Renewability