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1 Secure Care Exclusively for AIMC Partners and Producers A Hospital Confinement and Other Fixed Indemnity Plan Offered by Family Life AGENT TRAINING ONLY Policy Form Series FHCS11
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2 SECURE CARE HOSPITAL CONFINEMENT AND OTHER FIXED INDEMNITY INSURANCE POLICY
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3 Secure Care is the RIGHT plan for Individuals and their Families
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4 Secure Care Advantages Client An Indemnity Plan that pays scheduled benefit No more guessing what is covered and what is not Easy to Qualify Claims are paid to the Insured (or may be assigned) Affordable –rates begin at $122.83 Individual and Family Coverage Flexible Covers inpatient only; or Add outpatient and or Rx benefits Issue Ages 18-64 No Deductibles
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5 Secure Care Advantages Agent Affordability and Flexibility for a Client A commission you can live with Easy Submission Process Fax Submission of Applications Online Submission Simplified Underwriting Random PHI Script Check and MIB
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6 Affordable A modestly priced Base Plan plus optional riders, are ideal for any budget Premium payments by: Monthly Credit Card or Bank Draft Quarterly, semi-annual or annual direct bill.
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7 Flexible No Network- Insured’s keep their own doctors Individual or Family Coverage Available 2 Ways to sell, with or without outpatient benefits First Occurrence Benefit for Dread Disease and Internal Cancer Monthly Benefit for Internal Cancer Rider Emergency Room/Urgent Care Benefit
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8 Base Plan Design Hospital Benefits $3,000 Per Inpatient day $1,000 additional Hospital Admission Benefit $600 additional Intensive Care Benefit –limit 10 days per CY $300 ER or Urgent Care per CY Benefits available for Pre-Existing conditions after continuously insured under this plan for 12 months Lifetime Maximum of $2 million. $200,000 maximum per CY for all inpatient confinements
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9 Base Plan Design- Surgical Benefits Pays Based on a Schedule of 1.5 times Houston factors for Medicare RBRVS Anesthesia Benefit 20% of surgical scheduled benefit Assistant Surgeon 20% of surgical scheduled benefit $50,000 Per CY Surgical Benefit maximum
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10 Base Plan Design Ground and Air Ambulance $200 per trip for ground transportation $2,000 per trip for air transportation Maximum of 2 trips per calendar year for all transportation
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11 Base Plan Design- Internal Cancer Benefit Upon Diagnosis of an Internal Cancer: We will pay a First Occurrence Benefit And A monthly benefit of $500/month for up to 6 months.
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12 Base Plan Design First Occurrence Benefit Upon Diagnosis of: Internal Cancer, Coma, End Stage Renal Failure, or Paralysis, We will pay a First Occurrence Benefit of $5,000. The First Occurrence benefit doubles in the 6 th policy year And As part of the First Occurrence Benefit, we will pay 50% of the benefit amount ($2,500 or $5,000 in policy year 6), for Coronary Artery By-Pass Surgery, Major Human Organ Transplant, heart attack or stroke.
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13 Optional Out-Patient Benefit Rider Doctor’s Office Visits $50 per office visit 6 Visits per Year Allergy Shots and Immunizations $20 Per immunization for children $10 Per allergy shot $100 Per Year for all allergy shots and immunizations And Radiology and Lab Services
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14 Optional Out-Patient Benefit Rider Radiology and Lab Services $100 per mammogram $200 per CT scan $250 per MRI or PET scan $50 per radiology services, including x-ray and ultra sound $25 for other Outpatient event not listed $100 per surgical pathological test $25 per laboratory service, excluding surgical pathology
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15 Brochure
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16 MONTHLY RATES Age Group Insured Benefit Package 18-29 30-39 40-49 50-64 Individual Base Plan122.83149.17187.73262.51 RX Rider11.2313.5216.4921.15 OP Rider16.3719.7224.0530.84 Individual & Spouse Base Plan245.65298.34375.45525.02 RX Rider22.4627.0432.9842.30 OP Rider32.7439.4448.1061.68 Individual & Child(ren) Base Plan387.06439.75516.86666.43 RX Rider27.9530.2433.2137.87 OP Rider54.2657.6161.9468.73 Family Base Plan418.48471.17548.28697.85 RX Rider42.9047.4853.4262.74 OP Rider79.0585.7594.41107.99 Individual, Base Plan324.21376.90454.01603.58 Spouse, RX Rider31.7536.3342.2751.59 1 Child OP Rider53.7960.4969.1582.73
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17 ADULT BUILD TABLE HeightMALEHeightFEMALE Feet Inches Avg.Decline FeetInches Avg.Decline 50 129209+ 48 107185+ 51 133215+ 49 110190+ 52 138224+ 410 113195+ 53 143232+ 411 115199+ 54 147238+ 50 118204+ 55 151245+ 51 121209+ 56 156253+ 52 124215+ 57 160259+ 53 128221+ 58 165267+ 54 131227+ 59 170275+ 55 134232+ 510 174282+ 56 137237+ 511 179290+ 57 141244+ 60 184298+ 58 145251+ 61 190308+ 59 150260+ 62 195316+ 510 153265+ 63 201326+ 511 159275+ 64 206334+ 60 164284+ 65 211342+ 61 168291+ 66 217352+ 62 172298+
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18 CHILD BUILD TABLE JUEVENILE HEIGHT/WEIGHT CHART- MALE & FEMALE AgeMINMAXAgesMINMAXAgesMINMAX 0 – 2 Yrs.LBS. 3 – 9 Yrs.LBS. 10 – 14 Yrs.LBS. 20"51430”184048"4492 24"82334”224452"54108 26"102638”265456"63126 28"133142”326460"74144 30"153646”387864"87166 32"184050”469468"100186 34"214254”5611166"94176 36"234558”6612872"113206 38"264876"126228 40"2952
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19 How to Fill out the Application Use Application form# FHCSAPP11 Be sure to ask the proposed insured’s ALL health questions and the answers recorded on the application exactly as stated to you. All applicants age 18 or older must sign the application. Questions 1-19 must be answered by applicant. The agent statement has questions 1-4 that must be answered and signed by writing agent. Primary applicant will be designated by the oldest participant age.
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20 Secure Care The people you work with on Med Supp, are the people you will work with on Secure Care. PLEASE FAX APPLICATIONS TO 713-583-2738. Questions on Underwriting? Or Customer Service? Call 1-800-877-7703
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21 SECURE CARE APPLICATION Page 1 *Please be sure to fill out the names, social security numbers, relationship to primary applicant, sex, date of birth, age, height, current weight and weight 1 year ago for each applicant. Use Form # FHCSAPP11 *Please be sure to answer ALL HEALTH QUESTIONS. Question 14 is a knock out question
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22 SECURE CARE APPLICATION Page 2 QUESTIONS 1 – 19 MUST be answered by the APPLICANT.
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23 SECURE CARE APPLICATION Page 3 ALL Applicants 18 or older must sign the application. Primary Applicant must sign and date the application. Primary applicant will be determined by the oldest participant’s age. The AGENT’S STATEMENT has questions 1 – 4 that MUST BE Answered and Signed by the writing agent.
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24 SECURE CARE APPLICATION Page 4 * NOTE: PLEASE BE SURE TO INCLUDE A FAX TRANSMITTAL SHEET AND A COPY OF A VOIDED CHECK WITH EACH APPLICATION.
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25 Secure Care Questions? Thank you
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