Long Term Care Insurance (LTC) Insurance Education Part #5

Features Available to employee, spouse, parents and parents-in-law  Medical evidence of good health required for spouse, parents and parents-in-law Insured by Aetna To receive benefits, subscriber must be unable to perform certain activities of daily living (ADLs), varying with subscriber’s LTC plan chosen Long Term Care Insurance

Examples of ADLs  Bathing  Eating  Dressing  Transferring  Continence  Toileting (cont.) Insured by Aetna Long Term Care Insurance

Benefits allowed, according to plan of choice, for in-home care, nursing home or adult daycare facility  Service Reimbursement Plan - must be unable to perform two of the six ADLs  Disability Plan - must be unable to perform three of the six ADLs (cont.) Insured by Aetna Long Term Care Insurance

Benefits also for custodial care for chronic, long-lasting diseases or disabilities, including Alzheimer’s disease (cont.) Insured by Aetna Long Term Care Insurance

Premiums Based on:  Age at time of purchase  Selected daily benefit amount May continue coverage upon retirement or leaving employment Insured by Aetna Long Term Care Insurance

Disability Plan Cash benefit, regardless of expenses incurred $50 - $250 Daily Benefit Amount (DBA) options Insured by Aetna Long Term Care Insurance

May increase coverage (“buy-up”)  Under inflation protection every two years without evidence of good health  While receiving benefits as long as subscriber has not turned down previous offer to increase coverage under inflation protection (cont.) Insured by Aetna Long Term Care Insurance

Insured by Aetna Long Term Care Insurance (cont.) Restoration of benefits feature  Restore lifetime maximum if Subscriber recovers (certain limitations apply) and Has not been exhausted

Service Reimbursement Plan Reimbursement of expenses for defined set of covered services $50 - $350 daily benefit amount (DBA) Insured by Aetna Long Term Care Insurance

Insured by Aetna Long Term Care Insurance (cont.) May increase coverage (“buy-up”) under inflation protection  Every two years without evidence of good health  While receiving benefits as long as subscriber has not turned down previous offer to increase coverage under inflation protection

Insured by Aetna Long Term Care Insurance (cont.) Restoration of benefits feature  Restore lifetime maximum if Subscriber recovers (certain limitations apply) and Has not been exhausted

Plan FeaturesDisability PlanService Plan Benefit Triggers (ADLs: Bathing, dressing, eating, toileting, transferring, continence) 3 out of 6 ADLs or if subscriber has severe cognitive impairment 2 out of 6 ADLs or if subscriber has severe cognitive impairment Expenses CoveredNursing home: 100% of daily benefit amount (DBA) Assisted living: 50% of DBA * Community-based services: 50% of DBA * Nursing home: 100% of DBA * Assisted living: 100% of DBA * Community-based services: 50% or 100% of DBA * Spousal Premium Discount N/A10% - for both employee/retiree & spouse Insured by Aetna Long Term Care Insurance