BENEFITS HOME

CRITICAL ILLNESS PROTECTION

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Policy #303972

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FORMS & RESOURCES

Critical Illness and Dependents can only be changed or cancelled during Annual Enrollment or due to a qualifying event

INSURANCE ELIGIBILITY

LIST OF QUALIFYING EVENTS

ENROLLMENT FORM

PREMIUM RATE SHEET

HOW TO FILE A CLAIM

CLAIM FORM

PORTABILITY FORM

WELLNESS BENEFIT CLAIM FORM

CERTIFICATE OF COVERAGE

SUMMARY OF BENEFITS

Critical Illness Protection

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LSU partners with UnitedHealthcare to provide you and your family with valuable Critical Illness insurance. This benefit is designed to help protect you and your family’s financial health. Critical Illness insurance can help fill a financial gap if you or a family member experiences a severe, life-threatening illness, such as cancer, heart attack, and major organ transplant. Upon diagnosis of a covered illness, you can receive a lump-sum benefit. 

What is Covered? 

Base Additional Conditions  
  • Benign Brain Tumor
  • Cancer - Invasive
  • Cancer - Non-Invasive*
  • Chronic Renal Failure
  • Stroke
  • Coronary Artery Disease*
  • Heart Attack
  • Heart Failure
  • Major Organ Failure
  • Permanent Paralysis
  • Amyotrophic Lateral Sclerosis (ALS)
  • Complete Blindness
  • Complete Loss of Hearing
  • Advanced Alzheimer's
  • Advanced Multiple Sclerosis
  • Advanced Parkinson's 

 

 

      Child Only Conditions

  • Cerebal Palsy
  • Cleft Lip/Palate
  • Cystic Fibrosis
  • Down Syndrome
  • Muscular Dystrophy
  • Spina Bifida

25% of Employee's Amount

One benefit payable per covered child

*Partial Benefit -- See Benefit Summary or Certificate of Coverage for specific  

Eligibilitiy and Effective Dates

Timely Applicant: If enrolled within first 30 days of full-time employment, coverage will be effective the first of the month following the first full calendar month of employment. 

Late Applicant: If an employee did not enroll coverage within the 30 days of employment, enrollment can occur at any time, but an Evidence of Insurability Application (medical underwriting) must be completed. Effective date of coverage will be first of month after approval. 

Guarantee Issue Limits*

Employee: $10,000 or $20,000

Spouse: $5,000 or $10,000

Child(ren): $2,500
*If you purchase coverage for yourself, you may buy coverage for your eligible dependents.  

Critical Illness Protection Premiums 

Rates for employee and spouse are the same and based on age of employee. The child(ren) rate is $0.56 for $2,500 coverage. To calculate your monthly premium, look for the employee age band and coverage amount you would like. Add spouse rate and child-(ren) rate, if applicable. Premiums are deducted post-tax.

Employee Premiums - 12-Month 

Age Bands $10,000 $20,000 $30,000
< 24 $3.30 $6.60 $9.90
25-29 $5.20 $10.40 $15.60
30-34 $6.00 $12.00 $18.00
35-39 $7.50 $15.00 $22.50
40-44 $10.00 $20.00 $30.00
45-49 $15.00 $30.00 $45.00
50-54 $19.50 $39.00 $58.50
55-59 $27.50 $55.00 $82.50
60-64 $38.20 $76.40 $114.60
65-69 $54.60 $109.20 $163.80
70-74 $79.40 $158.80 $238.20
75 <  $102.70 $205.40 $308.10

Spouse Premiums - 12-Month

Age Bands $5,000 $10,000 $15,000
< 24 $1.65 $3.30 $4.95
25-29 $2.60 $5.20 $7.80
30-34 $3.00 $6.00 $9.00
35-39 $3.75 $7.50 $11.25
40-44 $5.00 $10.00 $15.00
45-49 $7.50 $15.00 $22.50
50-54 $9.75 $19.50 $29.25
55-59 $13.75 $27.50 $41.25
60-64 $19.10 $38.20 $57.30
65-69 $27.30 $54.60 $81.90
70-74 $39.70 $79.40 $119.10
75 > $51.35 $102.70 $154.05

Child(ren) Premiums - 12-Month

$2,500 $5,000 $7,500
$0.38 $0.75 $1.13

Wellness Benefit

The plan will pay up to $100 per year if you have certain health-screening tests, such as a mammogram, colonoscopy, or chest x-ray. You must file a wellness claim form in order to receive this payment. A more detailed list of approved wellness exams can be found on the claim form. 

Restoration Benefit

Under the Restoration Benefit, UnitedHealthcare will reinstate 100% of the Maximum Benefit Amount and will cover the recurrence of the same Critical Illness or an occurrence of another covered Critical Illness within each benefit category.