New Benefits for Veolia This is a brief product overview only. The - - PowerPoint PPT Presentation

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New Benefits for Veolia This is a brief product overview only. The - - PowerPoint PPT Presentation

New Benefits for Veolia This is a brief product overview only. The plans have limitations and exclusions that may affect benefits payable. Refer to the plans for complete details, limitations, and exclusions. Continental American Insurance Company


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This is a brief product overview only. The plans have limitations and exclusions that may affect benefits payable. Refer to the plans for complete details, limitations, and exclusions. Continental American Insurance Company (CAIC ), a proud member of the Aflac family of insurers, is a wholly‐owned subsidiary of Aflac Incorporated and underwrites group coverage. Columbia, South Carolina

New Benefits for Veolia

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Agenda

  • Benefits of this new insurance coverage
  • New benefits for Veolia
  • Accident insurance
  • Critical Illness insurance
  • Hospital Indemnity insurance
  • Claims and Customer Service
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New coverage available for whatever life may throw at you.

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ACCIDENT HOSPITAL INDEMNITY CRITICAL ILLNESS

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Benefits of the new plans

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No pre-existing conditions limitation: Accident, Critical Illness and Hospital Indemnity plans Guaranteed- issue – no medical questions! Coverage available for employee, spouse and children No waiting period Your benefits won’t reduce at any age You can pay through convenient payroll deduction

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You May Continue Your Coverage

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  • When coverage is effective and would otherwise terminate because

you end employment with your employer, coverage may be continued.

  • You may continue the coverage that is in force on the date your

employment ends, including dependent coverage that is in effect.

  • Coverage may not be continued if you fail to pay any required

premium.

  • Premium for continued coverage is paid directly by you.
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Accident

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What is the Accident Plan?

  • Employee: ages 18+
  • Spouse: ages 18+
  • Child(ren): ages 0-26 (disabled Children may be covered past age 26)

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Provides cash benefits directly to you (unless otherwise assigned) to help with out-of-pocket expenses associated with treatment in the event of a covered accident.

Who is the eligible?

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Why Accident insurance may be right for you. Sample benefits include those payable for:

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Hospital Admission Ambulance Prescriptions Emergency Room Treatment Medical Appliances Fractures & Dislocations Physical Therapy, and more 2 plan options available: High and Low

See the product brochure for a full list of benefits and Limitations and Exclusions.

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Group Accident

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Wellness

  • $50 for each insured
  • Payable once per calendar year
  • Payable for wellness tests performed as the result of preventive care,

including tests and diagnostic procedures ordered in connection with routine examinations. Examples include:

  • Annual physical exams
  • Mammography
  • Eye examinations
  • Immunizations
  • Flexible Sigmoidoscopy
  • PSA Blood Tests
  • Pap Smears
  • Ultrasounds
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Group Accident – How it Works

Accident plan is selected. You injure your leg in a covered accident and go to hospital via ambulance. ER doctor diagnoses fracture and treats you. You leave the hospital on crutches.

The Accident plan pays

$2,160

Amount payable is based on High plan benefit amounts: Closed-Reduction Leg Fracture ($960), Emergency Room Treatment with XRay ($400), three Follow-up Treatments ($300), Ambulance ($400) and Appliance (Crutches) ($100).

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Critical Illness

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What is the Critical Illness Plan?

  • Employee: ages 18+
  • Spouse: ages 18+
  • Child(ren): ages 0-26 (disabled Children may be covered past age 26)

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Provides a lump sum benefit directly to you (unless otherwise assigned) to help with out-of-pocket expenses in the event of a covered critical illness.

Who is the eligible?

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Critical Illness

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What’s Covered?

Covered Conditions

% of Payable Benefit

Cancer (Internal or Invasive)

100%

Heart Attack (Myocardial Infarction) Stroke (Ischemic or Hemorrhagic) Sudden Cardiac Arrest Kidney Failure

(End-Stage Renal Failure)

Bone Marrow Transplant

(Stem Cell Transplant)

Major Organ Transplant Coma Severe Burn Paralysis Covered Conditions

% of Payable Benefit

Advanced Alzheimer’s Disease 25% Advanced Parkinson’s Disease 25% ALS / Lou Gehrig’s Disease

(Amyotrophic Lateral Sclerosis)

25% Coronary Artery Bypass Surgery 100%

Paid once per insured

2 plan options available: $10,000 or $20,000

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Critical Illness

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Additional Childhood Conditions

Childhood Conditions % of Payable Amount

Cystic Fibrosis

50%

Cerebral Palsy Cleft Lip or Cleft Palate Down Syndrome Phenyl nine Hydroxylase Deficiency Disease (PKU) Spina Bifida Type 1 Diabetes One-Time Payable Amount Autism Spectrum Disorder (ADS)

$3,000

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Critical Illness

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  • Initial Diagnosis Benefit
  • Dependent Children are automatically covered at 50% of the

employee benefit election.

  • Additional Diagnosis Benefit – separated by 6 months
  • Reoccurrence Benefit – separated by 6 months

No Pre-existing Limitation, however there is a Cancer Limitation See the product brochure for a full list of benefits and Limitations and Exclusions

Plan Features

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Hospital Indemnity

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What is the Hospital Indemnity Plan?

  • Employee: ages 18+
  • Spouse: ages 18+
  • Child(ren): ages 0-26 (disabled Children may be covered past age 26)

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Provides benefits directly to you (unless otherwise assigned) to help with

  • ut-of-pocket expenses associated with a covered hospital stay due to a

sickness or accidental injury.

Who is the eligible?

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Why Hospital Indemnity insurance may be right for

  • you. Benefits include those payable for:

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Features:

  • No pre-existing condition limitation
  • Pregnancy is covered; complicated and normal
  • Newborn coverage for 60 days
  • No termination age
  • Mental and Emotional Disorders are not excluded

Benefit Low High Hospital Admission $500 $1,000 Hospital Confinement $100 / Day $200 / Day Intensive Care Unit Day 1: $1,000 Days 2-30: $200 Day 1: $2,000 Days 2-30: $400

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Claims & Customer Service

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Thank you.

For more information, please visit www.yourveoliabenefits.com > Other Benefits > Supplemental Benefits or call 800-433-3036.