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Published byLaura Craig Modified over 9 years ago
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Long Term Care Unum
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February 2010 2 APRIL 2010 Long-Term Care Optional buy-ups Inflation Protection Reduced Paid-up
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February 2010 3 APRIL 2010 Base Benefits 100% of Benefit Level (Nursing Home Facility) 60% of Benefit Level (Assisted Living Facility, at home by professionals or non-professionals) LTC Facility Daily Benefit ALF or Home Care Daily Benefit Lifetime Maximum Benefit $75$45$136,875 $100$60$182,500 $125$75$228,125
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February 2010 4 APRIL 2010 Optional Buy Ups Inflation Protection: Protects your long term care benefit from the impact of inflation Every January 1, your monthly benefit amount and your lifetime maximum will increase by 5% Calendar Year of PolicyMonthly Maximum 1$1,000.00 2$1,050.00 3$1,102.50 4$1,157.62 5$1,215.51
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February 2010 5 APRIL 2010 Optional Buy Ups Reduced Paid-Up: If you have paid premiums for at least five full years, and discontinue, coverage will continue automatically with a reduced lifetime maximum benefit The percentage of lifetime maximum is based on the number of years premiums were paid Ex) 5 years of payments = 10% Lifetime max. Ex) 25 years of payments = 40% Lifetime max.
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February 2010 6 APRIL 2010 When Benefits Are Paid Eligibility will be based on the following: Lose ability to perform 3 of 6 Activities of Daily Living, OR Suffer a severe cognitive impairment, and Receive services in a long term care facility, assisted living facility, or at home, and Satisfy the 90-day elimination period, and Physician certifies your condition
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February 2010 7 APRIL 2010 When Benefits Are Paid Activities of Daily Living (ADL) Unum utilizes to measure ability to function independently (Bathing, Dressing, Toileting, Transferring, Continence or Eating) Severe Cognitive Impairment is a deterioration or loss of intellectual capacity (i.e. loss of memory, orientation, or deductive reasoning) which results from advanced age, Alzheimer’s disease, or similar forms of dementia
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February 2010 8 APRIL 2010 Return of Premium Survivor’s Benefit provided by Unum All premiums that have been paid for coverage will be returned to your survivor if you: I.Die before age 66 II.Are an active plan participant III.Paid premiums until the date of your death, and IV.Had never received payments from Unum for long term care benefits
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February 2010 9 APRIL 2010 Return of Premium NOTE: If the deceased dies between the age of 66 and 75, and meet points 2, 3, and 4, the amount of accrued premiums returned to the survivor will be reduced 10% per year
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February 2010 10 APRIL 2010 Medical Underwriting Newly eligible employees are not required to complete Medical Underwriting Spouse, Parents, and Parents-in-laws are always subject to Medical Underwriting May enroll at anytime Employee does not have to be enrolled for eligibility
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