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Long Term Care Summary - Unum

January 1, 2007 - December 31, 2007

 

Medical     Dental     Vision     Vol. Accident     Life/AD&D     Addt'l Life/AD&D    

STD     LTD     LTC     Flex

 

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Information provided is in summary format.  Any difference between the summary provided and actual contract will be settled in favor of the contract.

Elimination Period

90 consecutive days

Newly Hired Employees

Once eligible, 30 days to sign up for Guarantee Issue coverage.

All Active Employees and Newly Hired Employees

If enrolling after the Guarantee Issue enrollment period or choosing benefits over the Guarantee Issue limits will be required to fill out medical questionnaire

Medical Underwriting Effect Date

The effective date for those applicants passing medical underwriting between the 1st and 15th of the month is the first month following their date of approval.  For those approved between the 16th and the end of the month, their effective date is the first of the month following their date of approval.

Medical Underwriting means that you must answer all questions on a medical questionnaire.  In some cases, an interview may also be necessary.

Delayed Effective Date

If you are absent from work because you are injured, sick, temporarily laid off or on a leave of absence, your coverage will not begin on your otherwise expected effective date.

Medical Underwriting for Employees and Family

 

     Employees

Your employer funded basic plan, as well as additional benefit amounts of up to and including $6,000 and a Facility Benefit Duration of 3 or 6 years, is being offered on a Guarantee Issue basis.  This does not require completion of the Long Term Care Insurance Application (medical questionnaire) if you apply during your initial eligibility period.  The Long Term Care Insurance Application is required if enrolling after your initial eligibility period or if you choose to buy $7,000, $8,000 or the Unlimited Duration coverage.

     Retirees and all Family
     Members

Must complete the Benefit Election Form, the Long Term Care Insurance Application and must be approved for coverage in order to enroll in the Long Term Care plan.  All Medical Questionnaires must accompany a signed return of the Authorization to request Medical Information Form #6720-03 located in the kit.

Benefit Duration 3 Years
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6 Years
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Unlimited Duration
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Employee Facility Benefit Amount
Per $1,000 Increments
$2,000 to $8,000 $2,000 to $8,000 $2,000 to $8,000
Family Facility Benefit Amount
Per $1,000 Increments
$1,000 to $8,000 $1,000 to $8,000 $1,000 to $8,000
Assisted Living Facility Percent 60% 60% 60%
Lifetime Maximum
Per $1,000 Increments
$36,000 $72,000 Unlimited
Non Forfeiture Shortened Benefit Period Shortened Benefit Period Shortened Benefit Period
Professional Home Care 50% 50% 50%
Total Home Care - Option 50% 50% 50%
Inflation Protection - Option Compound Uncapped Compound Uncapped Compound Uncapped
Lifetime Maximum

The Lifetime Maximum is the maximum benefit dollar amount UNUM will pay over the life of your coverage.  This dollar amount is based on the Facility Benefit Amount and Benefit Duration.  For Example:  If you choose $3,000 Facility Monthly Benefit Amount and 3 Year Duration, your Lifetime Maximum is calculated as follows:  $3,000 per Month X 12 Months X 3 Years = $108,000 Lifetime Maximum.

Insurance Age

Insurance Age is used to determine the cost of your coverage.  Insurance Age is your age on the plan effective date if you enroll for coverage prior to the plan effective date.  If you enroll for coverage on or after the plan effective date, insurance age is your age on the date you sign the enrollment form.

Questions

Call 1-800-227-4165

 

 



Mann Mortgage

1220-B Whitefish Stage Road

Kalispell, MT 59901

Phone: (406) 751-6251

Fax: (406) 751-6253 


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