Long Term Care
Plan 1:
- Long Term Care Facility – 100% of Facility Monthly Benefit Amount*
- Professional Home and Community Care - 100% of Facility Monthly Benefit Amount*
“Professional Home and Community Care Services” means Qualified Long Term Care Services provided to the insured for at least one hour or more per day by/through a Licensed Home Health Care Agency, by a Licensed Home Health Care Professional, or in an Adult Day Care Facility.
Plan 2:
- Long Term Care Facility - 100% of Facility Monthly Benefit Amount*
- Total Choice Home Care - 50% of Facility Monthly Benefit Amount*
“Total Choice Home Care Services” means Qualified Long Term Care Services provided to the insured by anyone including a Family Member, by/through a Licensed Home Health Care Agency, by a Licensed Home Health Care Professional, in an Adult Day Care Facility or by an informal caregiver.
Plan 3:
- Long Term Care Facility - 100% of Facility Monthly Benefit Amount*
- Professional Home and Community Care - 100% of Facility Monthly Benefit Amount*
- 5% Simple Inflation Protection: The insured’s Facility Monthly Benefit will increase each year on the Policy Anniversary by 5% of his/her original Facility Monthly Benefit.
Plan 4:
- Long Term Care Facility - 100% of Facility Monthly Benefit Amount*
- Total Choice Home Care - 50% of Facility Monthly Benefit Amount*
- 5% Simple Inflation Protection
* Facility Monthly Benefit Amount:
Choose a minimum of $1,000 per month up to an overall maximum of $9,000 per month in $1,000 increments. During Open Enrollment employees have the opportunity of Guarantee Issue (GI). GI allows employees to enroll in a benefit amount up to $6,000 with no medical underwriting (no health questions). The GI enrollment deadline is April 13.
Facility Benefit Duration:
Choose benefit duration of 3 years, 6 years or Lifetime. Under the Guarantee Issue provision employees can enroll in benefit duration up to 6 years with no medical underwriting (no health questions). GI enrollment deadline is April 13.
Lifetime Maximum:
The Lifetime Maximum is the total dollar amount of benefits that will be paid under the policy. For example, if a person selects a $3,000 Facility Monthly Benefit and a three year Benefit Duration, the Lifetime Maximum would be calculated as follows:
Facility Benefit Amount x (Facility Benefit Duration x 12) = Lifetime Maximum
$3,000 x (3 years x 12 months) = $108,000
NOTE: 10% employee participation required to implement this Long Term Care benefit program
