Hospital Indemnity The Hartford
EMPLOYEE BENEFITS
ABOUT HOSPITAL INDEMNITY This is an affordable supplemental plan that pays you should you be inpatient hospital confined. This plan complements your health insurance by helping you pay for costs left unpaid by your health insurance.
For full plan details, please visit your benefit website: www.mybenefitshub.com/jacksonvilleisd
Hospital Indemnity Low High Employee $17.50 $30.24 Employee + Spouse $32.16 $55.29 Employee + Child(ren) $29.92 $51.31 Family $46.64 $79.86 Plan Information Low High Coverage Type: On and Off Job 24 hour 24 hour Covered Events Illness and injury Illness and injury HSA Compatible Yes Yes Benefits Low High First Day Hospital Confinement – Up to 1 day per year $1,000 $2,000 Daily Hospital Confinement (Day 2+) – Up to 30 days per year $100 $100 Daily ICU Confinement (Day 2+) – Up to 10 days per year $200 $200 Features Low High Ability Assist EAP = 24/7/365 access to help for financial, legal or emotional issues Included Included HealthChampion – administrative and clinical support following serious illness or injury Included Included
Coverage Information – You have a choice of two hospital indemnity plans, which allows you the flexibility to enroll for the coverage the best meets your needs. Benefits amounts are based on the plan in effect for you or an insured dependent at the time the covered event occurs. Unless otherwise noted, the benefit amounts payable under each plan re the same for you and your dependent(s).
WHEN CAN I ENROLL? You may enroll during an y scheduled IS THIS COVEAGE HSA COMPATIBLE? If you – or any dependent(s) enrollment period or within 31 days of the date you have a – currently participate in a Health Savings Account (HSA) or if you change in family status. plan to do so in the future, you should be aware that the IRS WHEN DOES THIS INSURANCE BEGIN? Insurance will become limits the types of supplemental insurance you may have in effective in accordance with the terms of the certificate (usually addition to a HSA, while still maintaining the tax-exempt status of the first day of the month following the date you elect coverage). the HSA. You must be actively at work with your employer on the day your This plan design was designed to be compatible with HSAs. coverage takes effect. Your spouse and child(ren) must be However, if you have or plan to open an HSA, please consult you performing normal activities and not be confined (at home or in a tax and legal advisors to determine which supplemental benefits hospital/care facility). may be purchase by employees with an HSA. WHEN DOES THIS INSURANCE END? This insurance will end when WHO IS ELIGIBLE? You are eligible for this insurance if you are an your dependents no longer satisfy the applicable eligibility active full-time employee who works at least 20 hours per week conditions or when you reach the age of 80, premium is unpaid, on a regularly scheduled basis and are less than age 80. Your you are not longer actively working, you leave your employer or spouse and child(ren) are also eligible for coverage. Any child the coverage is no longer offered. (ren) must be under age 26. CAN I KEEP THIS INSURANCE IF I LEAVE MY EMPLOYER OR AM NO AM I GUARANTEED COVERAGE? This insurance is guaranteed LONGER A MEMBER OF THIS GROUP? Yes, you can take this issue. It is available without having to provide information about coverage with you. Your spouse/partner may also continue you or your family’s health. insurance in certain circumstances.
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