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18

ADDITIONAL PROGRAM FEATURES

Group Hospital Indemnity

Unum’s Group Hospital Indemnity Insurance can complement your health insurance to help you pay for the costs

associated with a hospital stay. It can also provide funds for the out-of-pocket expenses your medical plan may not

cover, such as co-insurance, co-pays and deductibles. A Hospital Admission would pay the insured $1,500 once per

calendar year. You may also purchase coverage for your spouse and dependent children.

Exclusions and limitations apply; see full description of benefits for full list

LegalShield Identity Theft

Everyone needs a good Identity Theft Protection Plan. This plan isn’t just credit monitoring. This plan protects you and

your family from many forms of Identity Theft and restores your credit, medical records and any other destruction back

to the pre-theft status at no cost to you. Upon a compromise, Kroll steps in and takes the lead for you doing the work

necessary to restore your ID back to pre-theft status, regardless of the time or cost it takes them. With all the recent

compromises, Target, T-Mobile, Anthem Blue Cross and many other companies, we need to protect ourselves.

LegalShield Legal Plan

Have you ever needed assistance with a speeding ticket, a landlord not refunding your deposit, a creditor, bankruptcy,

divorce, child support, review of mortgage documents or any of the 101 reasons we can help with our legal plan (see

your enrollment portal for a full listing). Each state has their own law firm based on what state you live in. Please see the

document showing the Law Firms by State posted on your enrollment portal.

Monthly Weekly

Bi-Weekly

LegalShield Legal Plan All States

$18.95

$4.37

$8.75

LegalShield Legal Plan (New York)

$15.95

$3.68

$7.36

Identity Theft All States

$14.95

$3.45

$6.90

Combined Legal/Identity Theft All States

$28.90

$6.67

$13.34

Combined Legal/identity Theft (New York)

$25.90

$5.98

$11.95

Voluntary Accident Premium

Accident Coverage Monthly Premium

(Includes Wellness)

EE only

$12.02

EE + Spouse

$19.32

EE + Childre

$22.57

EE + Family

$29.87

$1,500 Hospital Indemnity Premium

$1,500 Hospital Indemnity Monthly Premium

age band

Employee

Emp + SP

Emp +Ch

Emp + Fam

17- 49

$15.77

$28.19

$22.41

$34.83

50 - 59

$20.32

$40.43

$26.96

$47.07

60 - 64

$28.49

$59.31

$35.13

$65.95

65 +

$40.16

$83.34

$46.80

$89.98

Critical Illness Monthly Premium

Without Cancer

per $5,000 (Includes Wellness)

With Cancer

per $5,000 (Includes Wellness)

Issue Ages

Non-Tobacco

Tobacco

Non-Tobacco

Tobacco

< 25

$2.75

$3.25

$3.60

$4.40

25-29

$2.75

$3.40

$3.80

$4.95

30-34

$3.30

$4.35

$4.80

$6.65

35-39

$3.85

$5.45

$6.00

$9.05

40-44

$4.75

$7.30

$7.80

$12.50

45-49

$5.75

$9.20

$10.15

$16.70

50-54

$7.00

$11.25

$12.85

$21.70

55-59

$8.65

$13.60

$16.40

$27.25

60-64*

$10.70

$16.55

$20.60

$32.30

65-69

$12.30

$17.40

$22.95

$33.65

70 +

$22.25

$29.15

$39.85

$53.20

Critical Illness Premiums

oluntary Accident Premium

Accident Coverage Monthly Premium

(Includes Wellness)

EE only

$12.02

EE + Spouse

$19.32

EE + Children

$22.57

EE + Family

$29.87

pital Indemnity Premium

$1,500 Hospital Indemnity Monthly Premium

Employee

Emp + SP

Emp +Ch

Emp + Fam

$15.77

$28.19

$22.41

$34.83

$20.32

$40.43

$26.96

$47.07

$28.49

$59.31

$35.13

$65.95

$40.16

$83.34

$46.80

$89.98

$22.25

$29.15

$39.85

$53.20

Accident Coverage

Unum’s Accident Insurance can pay benefits based on the injury you receive and the treatment you need, including

emergency-room care and related surgery. The benefit can help offset the out-of-pocket expenses that medical

insurance does not pay, including deductibles and co-pays. Family coverage is available. There is an added wellness

benefit on this play, which can pay an annual $50 benefit for preventive care. See schedule of benefits for a full list of

covered injuries and treatments.