Humana Workplace Voluntary Benefits - Summary of Products Specially designed benefit options for small businesses
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Summary of Products
Humana Workplace Voluntary Benefits
Specially designed benefit options for small businesses
GCA094XHH 0710
The benefits and options featured in
this brochure are among the most
often selected by small businesses.
Help your employees be financially
prepared for the unexpected
Most American workers don’t plan for expenses such as loss of income,
childcare services, and travel to treatment centers that often result from a
Product overviews
serious illness or injury. In fact, unexpected illnesses and injuries cause
Disability................................. 2-5 350,000 personal bankruptcies each year.*
Life......................................... 6-7 Humana’s workplace voluntary benefits – disability, life, accident, critical
illness, cancer, and supplemental health – can help protect your employees’
Accident.................................... 8
finances if they can’t work due to an illness or injury.
Critical illness/cancer............. 9-12
Feel good about choosing Humana’s
Supplemental health................ 13
workplace voluntary benefits
Enrollment options ›› Expand your benefit options without increasing your benefits
Plan for a successful budget; voluntary benefits are 100 percent employee paid
enrollment............................... 14
›› Have the opportunity to possibly reduce
your payroll tax for each enrolled employee
›› Voluntary benefits can be added at any time;
no need to wait for annual renewal periods
›› Partner with a financially strong carrier recognized for service
›› Expect a simple, convenient, and professional
experience – saving you valuable time
* Council for Disability Awareness
1
Disability
Disability is one of the most sought-after benefits you as an employer can offer your employees, according
to LIMRA International. Disability coverage can be there to help pay the bills that won’t go away when
illnesses or accidents disable employees away from the workplace (coverage off the job). That enables
them to concentrate on their recovery and return to their jobs.
Disability Income Advantage – Long Term
Provides non-occupational (off-the job) coverage for disability resulting from injury or illness.
Benefits ›› Recurrent Disability: if insured becomes disabled again within
180 days of returning to work, the elimination period is
›› Non-occupational injury or sickness: one or two years
waived and benefits are immediately available for up to the
›› Benefit amount: $1,000/month up to 60% of monthly income remaining benefit from the previous disability
›› 80% disability qualifies as totally disabled: the insured, ›› Partial Disability Income: pays 50% of the total benefit when
due to a covered sickness or injury, is unable to perform insured cannot perform 20% to 80% of his or her normal
the substantial and material duties of his/her regular work schedule for up to six consecutive months
occupation for 80% of regular work hours, and is under
the care of a physician Optional benefits/riders
›› Elimination period: 90/90 ›› COBRA rider: Provides eligible candidates
›› Survivor Benefit: lump sum equal to three times the with reimbursement:
monthly benefit if insured dies while totally disabled and • $400 - employee
receiving benefits • $1,000 - employee and spouse
• $1,400 - family
›› Terminal Illness: lump sum up to 12 times the monthly benefit of COBRA premium when an employee is totally disabled.
after diagnosis of 12 months or less to live Benefit pays for the duration of the disability or until COBRA
›› Catastrophic Disability: insured loses sight in both eyes, benefits terminate, whichever occurs first. This benefit pays in
or loses use of a hand and foot, both hands, both feet, addition to the total disability benefit of the policy.
or any two limbs ›› Takeover benefit: Credit is given toward satisfying
›› Waiver of Premium: premium is waived if the insured is totally pre-existing condition requirements when replacing
disabled for more than 90 days or the elimination period, similar coverage and applicant qualifies.
whichever is longer; the elimination period is the time between
when an injury or illness occurs, and benefits start
Disability Income Advantage is Kanawha Insurance Company Individual Policy Form 80315 8/05. Benefits and riders may vary by state.
2
Disability Income Advantage – Short Term
Provides non-occupational (off-the job) coverage for disability resulting from injury or illness.
Benefits ›› Waiver of Premium: premium is waived if the insured is
totally disabled for more than 90 days or the elimination
›› Non-occupational injury or sickness: three month
period, whichever is longer; the elimination period is
benefit period
the time between when an injury or illness occurs, and
›› Benefit amount: $400/month up to 60% of monthly income benefits start
›› 80% disability qualifies as totally disabled: the insured, ›› Recurrent Disability: if insured becomes disabled again within
due to a covered sickness or injury, is unable to perform 180 days of returning to work, the elimination period is
the substantial and material duties of his/her regular waived and benefits are immediately available for up to the
occupation for 80% of regular work hours, and is under remaining benefit from the previous disability
the care of a physician
›› Partial Disability Income: pays 50% of the total benefit when
›› Elimination period: 0/7 or 14/14 insured cannot perform 20% to 80% of his or her normal
›› Survivor Benefit: lump sum equal to three times the work schedule for up to six consecutive months
monthly benefit if insured dies while totally disabled and
receiving benefits Optional benefits/riders
›› Terminal Illness: lump sum up to 12 times the monthly ›› Takeover benefit: Credit is given toward satisfying
benefit after diagnosis of 12 months or less to live pre-existing condition requirements when replacing similar
coverage and applicant qualifies.
›› Catastrophic Disability: insured loses sight in both eyes,
or loses use of a hand and foot, both hands, both feet,
or any two limbs
Disability Income Advantage is Kanawha Insurance Company Individual Policy Form 80315 8/05. Benefits and riders may vary by state.
3
Disability Income Plus - Long Term
Benefits provided for partial disability at 50 percent, and for recurrent disabilities if employee is disabled within 180 days of
returning to work.
Benefits Optional benefits/riders
›› Covers disabilities caused by an accidental injury or ›› COBRA rider: Provides eligible candidates with reimbursement:
sickness with varying elimination periods; the elimination • $400 - employee
period is the time between when an injury or illness occurs, and • $1,000 - employee and spouse
benefits start • $1,400 - family
of COBRA premium when an employee is totally disabled,
›› Benefit amount: $1,000/month up to 60% of monthly income
terminated, and receiving disability income benefits from
›› Benefit period: two years inforce coverage. Benefit pays for the duration of the disability
›› Elimination period: 90/90 or until COBRA benefits terminate, whichever occurs first.
This benefit pays in addition to the total disability benefit of
›› Waiver of Premium: premium is waived if the employee is
the policy.
totally disabled for more than 90 days or the elimination period,
whichever is longer; the elimination period is the time between ›› Portability: Before age 70, employees can take their coverage
when an injury or illness occurs, and benefits start with them at the same rate if they leave their jobs. Coverage
can continue as long as premiums are paid, the group master
›› Recurrent Disability: if employee becomes disabled again within
policy remains in force, and the employee is less than 70.
180 days of returning to work, the elimination period is waived
and benefits are immediately available for up to the remaining
benefit from the previous disability
›› Partial Disability Income: pays 50% of the total benefit when
employee cannot perform 20% to 80% of his or her normal
work schedule for up to six consecutive months
Disability Income Plus is Kanawha Insurance Company Group Policy Form 8014. Benefits may vary by state.
4
Disability Income Plus - Short Term
Benefits provided for partial disability at 50 percent, and for recurrent disabilities if employee is disabled within 180 days of
returning to work.
Benefits ›› Recurrent Disability: if employee becomes disabled again within
180 days of returning to work, the elimination period is waived
›› Covers disabilities caused by an accidental injury or
and benefits are immediately available for up to the remaining
sickness with varying elimination periods; the elimination
benefit from the previous disability
period is the time between when an injury or illness occurs,
and benefits start ›› Partial Disability Income: pays 50% of the total benefit when
employee cannot perform 20% to 80% of his or her normal
›› Benefit amount: $400/month up to 60% of income
work schedule for up to six consecutive months
›› Accident & Sickness with waiver of elimination period:
Provides coverage for disabilities caused by either an accidental Optional benefits/riders
injury or sickness, but waives the balance of the elimination
›› Portability: Before age 70, employees can take their coverage
period if the participant is confined to a hospital. The Waiver
with them at the same rate if they leave their jobs. Coverage
of Elimination Period enables the participant to begin receiving
can continue as long as premiums are paid, the group master
benefits before waiting for the elimination to end.
policy remains in force, and the employee is less than 70.
›› Benefit period: three months
›› Elimination period 0/7
›› Waiver of Premium: premium is waived if the employee is
totally disabled for more than 90 days or the elimination period,
whichever is longer; the elimination period is the time between
when an injury or illness occurs, and benefits start
A disabling injury can cause severe financial hardships for
families; 75% of Americans live paycheck to paycheck.
• Getting Paid in America survey, 2008
Disability Income Plus is Kanawha Insurance Company Group Policy Form 8014. Benefits may vary by state.
5
Life
Your employees will appreciate the peace of mind that life coverage provides, and their loved ones
will appreciate a benefit that can help secure their future if the unthinkable should happen. Term life
provides protection for a defined period, during which premiums stay the same. With whole life coverage,
employees and their loved ones have a solid foundation on which to build a long-term financial plan.
Term Life (CriticaLife®)
An employee can use the benefit from this term coverage to help pay for treatment of
a terminal illness.
Benefits ›› Portability and convertibility: with
portability, before age 70, employees
›› Benefits paid directly to employee:
can take their coverage with them
• $50,000 - employee
at the same rate if they leave their
• $10,000 - spouse
jobs; coverage can continue as long
• $5,000 - child
as premiums are paid, and the group
›› Begins with level term life insurance master policy remains in force
for 20 years, and protection is offered
through age 80 Optional benefits/riders
›› Coverage renews for each level term ›› Accidental death, dismemberment
period without evidence of insurability and loss of sight (AD&D): Offers
›› Defined benefit an additional payment of the life
insurance benefit, to a maximum of
›› Terminal Illness Benefit: accelerates up $50,000, when a loss results from a
to 50% of the base policy if diagnosed serious accident or death.
with a terminal illness (with 12 months
or less to live)
CriticaLife® is Kanawha Insurance Company Group Policy Form 8013. Benefits may vary by state.
6
Whole Life (Secure Life)
Individual whole life insurance policy includes coverage that can be used for paying expenses such as a mortgage and future expenses
such as education funds or retirement needs. Policy may be a good fit for groups with a combination of exempt and non-exempt
employees – employees only need to work 20 hours per week to qualify for coverage.
Benefits Optional benefits/riders
›› Premiums payable to age 65; once an employee reaches the ›› Accidental Death and Dismemberment (AD&D), and Loss of
selected age, he/she will then have coverage without any Sight: pays a death benefit as a result of an accidental death; a
additional premiums* percentage of the benefit is paid for dismemberment or loss of
sight due to an accidental injury
›› Benefit amount: $25,000 - employee; $25,000 - spouse
›› Employee level term to age 65: premiums are paid up at
›› Guaranteed death benefit, and guaranteed renewal for life
age 65, but coverage continues and employee may designate
›› Guaranteed cash value: the policy accumulates cash value that a beneficiary
can be withdrawn (at the policy’s surrender), borrowed against
as a loan, annuitized and paid out as a monthly income (at
the policy’s surrender), or used to purchase extended term or
reduced paid-up insurance
›› Terminal Illness Benefit: lump sum equal to 50% of face
amount if a terminal illness is diagnosed
›› Loans available against cash value
›› Individual portable policy
*Availability varies by market.
Secure Life is Kanawha Insurance Company Individual Policy Form 00455. Benefits and riders may vary by state.
7
Accident
Accident coverage offers supplemental coverage for accidents, injuries, ambulance services, and
accidental death. It’s available to your employees’ spouses and children – a plan that can protect the
whole family. The benefit is fully paid up to the amount selected for each accident, and is in addition
to any other coverage.
Accident (Accident Plus)
Off-the-job coverage for accidental injuries, hospital care, and accidental death benefits.
Benefits ›› Accidental death, dismemberment and loss of sight (AD&D):
›› Accident Medical Expense: pays actual charges, up to $1,000 • Loss of life $10,000
for physician’s treatment or other emergency treatment. ER • Any combination of two or more
subject to $50 deductible hands, feet, or eyes $10,000
• Loss of single hand, foot or eye $5,000
›› Ambulance Benefit: pays actual charges, up to $500, for • Multiple fingers and/or toes $1,000
ground ambulance service and emergency air transportation • Single finger or toe $500
in 100-mile radius
Optional benefits/riders
›› Hospital Confinement: pays a daily benefit for hospital room
charge for a maximum of 30 days, up to $150, when the ›› Fracture and dislocation: Pays a $1500 benefit when a
injury is a result of a covered accident covered person suffers one of the fractures or dislocations
listed. The benefit payable will equal the percentage shown,
›› AD&D: pays a death benefit up to $10,000 as a result of
of the unit selected, for the injury. Pays 150% of the larger
an accidental death; a percentage of the benefit is paid for
loss of two or more covered losses.
dismemberment or loss of sight due to an accidental injury
Nearly 44% of self-reported episodes of injury leading to
hospitalization occurred in or around the home.
• National Center for Health Statistics
Group Accident Plus is Kanawha Insurance Company Policy Form 7006 1/04 or Form 8006 11/04 and Individual Accident Plus is Policy form 60830 9/03.
Benefits and riders may vary by state.
8Critical Illness
With critical illness coverage, your employees receive a benefit after a serious illness or a condition
such as a heart attack, stroke, or coronary artery disease. During their recovery, they and their loved
ones can rest a little easier knowing they won’t have to rely solely on their savings accounts or take on
additional debt to cover day-to-day living expenses.
Critical Illness
One-time lump-sum payment of $10,000 ($5,000 for spouse/child) at diagnosis of a covered Critical Illness.
Plan options Other Critical Illnesses Coverage
›› Pays 100% of benefit amount at initial diagnosis of:
›› Critical Illness – Vascular and Other Critical Illness Coverage
• Transplant, other than heart
Plan includes: • End-stage renal failure
›› Waiver of Premium: available on policies sold through age • Loss of sight, speech, or hearing
55 and covers any disability beginning on or before age 60. • Coma, severe burns
Premium is waived if the employee is totally disabled for • Permanent paralysis due to an accident
more than 90 days or the elimination period, whichever is • Occupational HIV
longer; the elimination period is the time between when an
injury or illness occurs, and benefits start. Optional benefits/riders
›› Health screening: Benefit pays $150 per calendar year
Covered conditions
for covered health screenings. There are 18 covered tests
Vascular Coverage including mammograms, colonoscopies, and stress tests.
›› Pays 100% of benefit amount at initial diagnosis of:
• Heart attack
• Transplant as a result of heart failure
• Stroke
›› Pays 25% of benefit amount at initial diagnosis of:
• Coronary artery bypass surgery as a result of
coronary artery disease
Critical Advantage Series is Kanawha Insurance Company Group Policy Form 8011. Benefits may vary by state.
9Cancer
With critical cancer coverage, your employees receive a benefit after cancer is diagnosed. During their
recovery, they and their loved ones can rest a little easier knowing they won’t have to rely solely on
their savings accounts or take on additional debt to cover day-to-day living expenses.
Cancer Expense (Cancer Plus)
Benefits are reinstated each year, which helps offset the long-term costs that may be associated with cancer.
Benefits ›› Policy pays 100% of usual and customary charges for inpatient
or outpatient services, supplies, and treatments to policy
›› Benefit paid directly to employee: $10,000
maximums per calendar year for each family member insured,
›› Pays in addition to other coverage including:
›› No deductible ›› Hospital room, board, and miscellaneous services
›› Benefit is restored at beginning of plan year ›› Prescription drugs
›› Issue ages 18 – 69 ›› X-ray, cobalt, and other radiation treatment
›› Family coverage ›› Laboratory services
›› Guaranteed renewable for life (premiums subject to change) ›› Medical or surgical services, and anesthesia
›› Wellness benefit pays up to $150 per year for an annual exam ›› Services of a licensed professional nurse
for cancer screening, such as a pap smear.
›› Braces, crutches, and wheelchairs
›› Cancer travel benefit: Pays $200 per day maximum for
travel to and from a cancer treatment center in connection Preferred optional benefit/rider
with surgery, chemotherapy, radiation therapy, or medical
›› Cancer lump sum first diagnosis: Pays a one-time lump-sum
evaluation by a physician. Travel must be at least 60 miles each
payment of 50% of the face amount at first diagnosis of a
way outside the area of residence.
covered cancer. This benefit is not included in the calendar year
maximum. This rider does not include coverage for skin cancer
other than malignant melanoma.
Cancer Plus is Kanawha Insurance Company Individual Policy Form 70240 4/98. Benefits and riders may vary by state.
10Cash Cancer Plus
Plan pays a lump-sum benefit up to $10,000 and offers an optional
rider to refund premiums if no claims are made after 20 years.*
Benefits
›› One-time cash payment at diagnosis: $10,000
›› Issue ages 18 – 69
›› Guaranteed level benefits: same amount for all
covered family members regardless of age
›› 20-Pay: Pay premiums for 20 years and policy is paid up for life or
until claim is incurred. Paid up for all covered persons while they
qualify as spouse or dependent.
U.S. men have slightly
less than a 1 in 2 risk of ›› Treatment is not required to receive benefit
developing cancer; for ›› Pays in addition to any benefits in place; no coordination of benefits;
women, the risk is a no copayments or deductibles
little more than 1 in 3. ›› Guaranteed renewable for life if premiums are paid; policy terminates
• when a claim has been paid for a covered person
American Cancer Society
Cash Cancer Plus is Kanawha Insurance Company Individual Policy Form 70160 2/98. Benefits and riders may vary by state.
11Critical illness/cancer
With critical illness/cancer coverage, your employees receive a benefit after a serious illness or a
condition such as a heart attack, stroke, coronary artery disease, or cancer is diagnosed. During their
recovery, they and their loved ones can rest a little easier knowing they won’t have to rely solely on
their savings accounts or take on additional debt to cover day-to-day living expenses.
Critical Illness and Cancer
One-time lump-sum payment of $10,000 ($5,000 for spouse/child) at diagnosis for the covered illnesses.
Plan options Cancer Coverage
›› Pays 100% of benefit amount at initial diagnosis
›› Critical Illness – Vascular and Other Critical Illness Coverage
of internal cancer or malignant melanoma
Plan includes: ›› Pays 25% of benefit amount at initial diagnosis of
›› Waiver of Premium: available on policies sold through age carcinoma in situ
55 and covers any disability beginning on or before age 60.
Premium is waived if the employee is totally disabled for Optional benefits/riders
more than 90 days or the elimination period, whichever is ›› Health screening: Benefit pays $150 per calendar year
longer; the elimination period is the time between when an for covered health screenings. There are 18 covered
injury or illness occurs, and benefits start. tests including mammograms, colonoscopies, and
stress test
Covered conditions
Vascular Coverage
›› Pays 100% of benefit amount at initial diagnosis of:
• Heart attack
• Transplant as a result of heart failure
• Stroke
›› Pays 25% of benefit amount at initial diagnosis of:
• Coronary artery bypass surgery as a result of
coronary artery disease
Other Critical Illnesses Coverage
›› Pays 100% of benefit amount at initial diagnosis of:
• Transplant, other than heart
• End-stage renal failure
• Loss of sight, speech, or hearing
• Coma, severe burns
• Permanent paralysis due to an accident
• Occupational HIV
Critical Advantage Series is Kanawha Insurance Company Group Policy Form 8011. Benefits may vary by state.
12Supplemental health
Humana’s supplemental coverage may benefit your employees by providing additional reimbursements
for medical costs such as physician’s office and emergency room services. It also can be used to help
offset the loss of income, experimental treatments, transportation to doctors and treatment facilities,
or for normal living expenses.
Humana Supplemental Health
Coverage helps employees meet their financial obligations when they are
hospitalized or incur expenses when receiving outpatient or inpatient treatment.
Benefits
›› Hospital Confinement: $200 per day up to 15 days
›› Hospital first occurrence: If a covered person is confined as an inpatient
in a hospital for the first time during a calendar year, pays $500 per day
up four days
›› Pays in addition to any benefits in place; no coordination of benefits;
no copayments or deductibles
Unexpected illnesses
Optional benefit and injuries cause
›› Health screening: Maximum of $50 per calendar year and one test 350,000 personal
per covered person per calendar year or three tests per family. bankruptcies
Review certificate for complete listing of covered tests. each year.
•
Council of Disability Awareness
Humana Supplemental Health is Kanawha Insurance Company Individual Policy Form 8015. Benefits may vary by state.
13Plan for a successful enrollment
After you select the workplace voluntary benefits that are right for your business,
you’ll want to talk to your agent about an enrollment method that works best
for you and your employees. Some factors to consider include: product mix, age
of employee population, available technologies, and culture.
A well-planned communication and enrollment strategy can lead to higher
employee participation rates.
Choose the enrollment option that fits your business
›› Enroll employees at the workplace in one-to-one meetings. These
meetings provide a highly personalized experience for the employee, and as
a result participation and satisfaction rates generally are higher compared to
other methods.
›› Enroll employees at the workplace in group meetings. This allows
employees to learn about these valuable benefits along with their peers.
Employees may feel more comfortable in a larger group setting and can ask
both the enroller or peers questions they have about the benefits. This method
is faster than face-to-face meetings but is not as personalized.
›› Have employees enroll on their own through the Web. Online enrollment
is an ideal enrollment solution for clients who have an employee population
Call your agent or log on to that’s comfortable using online technology. With this method, you lose the
the secure employer section of personal interaction of an onsite benefit counselor; however, interactive
Humana.com to order payroll presentations can be used to help educate employees. Online enrollment is
inserts and posters. available for groups with 100 or more employees.
Personal one-to-one meetings with employees generally result in higher
participation and satisfaction compared to other enrollment methods.
1480 percent of employees
perceive voluntary
benefits to be valuable.
•
AON Consultingthank
you for considering Humana
Workplace Voluntary Benefits
1617
The products and services referenced may not be available in all
jurisdictions and may vary by state. The information and descriptions are
not intended to be complete descriptions of all terms, exclusions, and
conditions applicable to the products and services.
Underwritten by Kanawha Insurance Company – a member of the Humana family of companies
GCA094XHH 0710You can also read
