Applied Technology Group - 2021 Employee Benefits Guide FINAL
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VOLUNTARY HOSPITAL INDEMNITY<br />
INSURANCE<br />
CARRIER: USAble Life<br />
Hospital Indemnity Insurance helps protect your<br />
finances if an unexpected hospital stay occurs and<br />
those expenses are not covered by your health plan.<br />
This benefit would pay in addition to any other<br />
coverage(s) you may already have.<br />
HIGHLIGHTS OF BASIC PLAN INCLUDE:<br />
● Hospital Admission (10 per year): $750<br />
● Hospital Confinement (10 per year: $150 per day<br />
● Intensive Care Confinement: $225 per day, up to 15 days<br />
● Ambulance-Air/Ground (3 per year): $750/$120<br />
● Wellness Benefit: $30<br />
BASIC PLAN Semi-Monthly Rates<br />
AGE EMPLOYEE SPOUSE CHILD<br />
Up to 49 $9.21 $9.14 $4.85<br />
50 - 54 $13.45 $13.42 $4.25<br />
55 - 59 $16.09 $15.98 $3.71<br />
60 – 64 $19.79 $19.69 $3.23<br />
HIGHLIGHTS OF ULTRA PLAN INCLUDE:<br />
● Hospital Admission (10 per year): $1,500<br />
● Hospital Confinement (10 per year: $300 per day<br />
● Intensive Care Confinement: $450 per day, up to 15 days<br />
● Ambulance-Air/Ground (3 per year): $1,500/$240<br />
● Wellness Benefit: $30<br />
ULTRA PLAN Semi-Monthly Rates<br />
AGE EMPLOYEE SPOUSE CHILD<br />
Up to 49 $17.91 $17.78 $9.70<br />
50 - 54 $26.39 $26.33 $8.49<br />
55 - 59 $31.67 $31.46 $7.41<br />
60 – 64 $39.08 $38.87 $6.45<br />
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