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My Lifeline
When you think about your family have any of
them experienced a heart attack, stroke, kidney failure, or
life-threatening cancer? If you answered yes, then you understand the
emotional and financial impact a critical illness can have on your
hard-earned savings.
Today, advancements in medical technology
can mean an increase in the chances of surviving a critical illness or
living with a critical illness for months, perhaps even years. Are you
or your family financially prepared in the event you survive a critical
illness?
Just think about the chances of becoming
critically ill or living with a critical illness and consider these
statistics:
- Stroke is the leading cause of
serious, long-term disability in the United States.1
- At age 40, the lifetime risk of
developing Heart Failure for both men and women is one in five.1
- 13,200,000 victims of angina, heart
attack, and other forms of coronary heart disease are still living.2
- About 76% of all cancers are
diagnosed in persons 55 and older.3
- In the U.S., men have slightly less
than a 1 in 2 lifetime risk of developing cancer; for women,
the risk is a little more than 1 in 3.3
The good news is that Allstate Workplace
Division’s Group Voluntary Critical Illness product pays a lump sum
benefit to each covered person at the time of diagnosis. This benefit
can be used to help meet expenses which are not normally covered under
traditional health insurance. Which means you and your family can
concentrate on getting well without worrying about having enough money
to cover the bills.
If you were diagnosed
with a critical illness today, would your finances be there for
tomorrow?
1. Heart Disease and Stroke Statistics
Update, American Heart Association, 2006.
2. American Heart Association Website, www.americanheart.org.
3. Cancer Facts & Figures, American Cancer Society, 2007.

Offered to the employees of:
Brandsource
Group
Voluntary Critical Illness Benefits
What You Get
- Your choice of a $10,000 or
$20,000 basic benefit amount.
- The maximum amount payable by AWD
for Categories 1, 2, and 3 is 100% of the basic benefit amount.
- Benefits paid directly to you unless
you assign them to someone else.
- Individual, spouse, and child(ren)
coverage is available. Spouse and child(ren) basic benefit amount is
50% of the primary insured.
- Portable coverage. If you leave the
company or employment is terminated, you can continue coverage as
long as premiums are paid to Allstate Workplace Division.
- Coverage that does not replace your
other group medical benefits. Instead, it is designed to supplement.
Group critical illness coverage only
provides benefits as defined, or other optional benefits described
in your certificate. The amount paid for each illness listed in
Categories 1, 2, and 3 (except Coronary Artery By-Pass Surgery,
Alzheimer’s Disease, and Carcinoma in Situ) is at 100% of the basic
benefit amount. Coronary Artery By-Pass Surgery, Alzheimer’s
Disease, and Carcinoma in Situ are at 25% of the basic benefit
amount. No more than $10,000 is payable in each category for the Low
Option and $20,000 for the High Option.
|
Benefit Category 1 -
Group Critical Illness Coverage |
Low Option |
High Option |
|
Heart Attack - The death of a portion of
heart muscle as a result of inadequate blood supply to
the relevant area. Diagnosis must be based on both new
electrocardiographic changes; and elevation of cardiac
enzymes or biochemical markers showing a pattern and to
a level consistent with a diagnosis of heart attack. |
$10,000 |
$20,000 |
|
Heart Transplant - The surgical
transplantation of the heart from a patient who died and
whose heart was intact and capable of functioning in the
recipient. The transplanted organ must come from a human
donor. |
$10,000 |
$20,000 |
|
Stroke - Death of a portion of the brain
producing neurological sequelae including infarction of
brain tissue, hemorrhage and embolization from an
extra-cranial source. There must be evidence of
permanent neurological deficit. Transient ischemic
attacks (TIA’s), head injury, chronic cerebrovascular
insufficiency and reversible ischemic neurological
deficits are excluded. |
$10,000 |
$20,000 |
|
Coronary Artery By-Pass Surgery -
Undergoing a surgical operation to correct narrowing or
blockage of one or more coronary arteries with bypass
grafts on the advice of a cardiologist registered in the
United States. Angiographic evidence to support the
necessity for bypass surgery will be required. The
following procedures are not considered by-pass surgery:
balloon angioplasty; laser embolectomy; atherectomy;
stent placement; or other non-surgical procedures. |
$2,500 |
$5,000 |
|
Benefit Category 2 -
Group Critical Illness Coverage |
Low Option |
High Option |
|
Major Organ Transplant (other than heart)
- The surgical transplantation of a lung, liver,
pancreas, or kidney. The transplanted organ must come
from a human donor. |
$10,000 |
$20,000 |
|
End Stage Renal Failure - Failure of both
kidneys to perform their essential functions, with the
covered person undergoing peritoneal dialysis or
hemodialysis or a renal transplant. |
$10,000 |
$20,000 |
|
Paralysis (not as a result of a stroke) -
Complete and permanent loss of use of two or more limbs.
Paralysis as a result of stroke is excluded. |
$10,000 |
$20,000 |
|
Alzheimer’s Disease - A clinically
established diagnosis of the disease by a psychiatrist
or neurologist, resulting in the inability to perform,
independently, 3 or more of the following activities of
daily living: bathing; or dressing; or toileting; or
eating; or taking medication. |
$2,500 |
$5,000 |
|
Benefit
Category 3 - Optional/Additional Critical Illness Cancer
Coverage |
Low Option |
High Option |
|
Invasive Cancer - AWD pays this benefit if
a covered person is diagnosed with a new form or type of
invasive cancer, which means a malignant tumor
characterized by the uncontrolled growth and spread of
malignant cells and the invasion of tissue. This
includes Leukemia and Lymphoma. This is subject to all
of the following: clear and definitive diagnosis by
either a pathological or clinical method; and the date
of diagnosis is after the effective date of coverage;
and the date of diagnosis is while this optional benefit
is in force; and the illness is not excluded by name or
specific description in the certificate. |
$10,000 |
$20,000 |
|
Carcinoma in Situ - AWD pays this benefit
if a covered person is diagnosed with a new form or type
of cancer wherein the tumor cells still lie within the
tissue of origin without having invaded neighboring
tissue. Cancer in Situ includes: early prostate cancer
diagnosed as stage A or equivalent staging; and melanoma
not invading the dermis. Carcinoma in Situ does not
include: other skin malignancies; or pre-malignant
lesions (such as intraepithelial neoplasia); or benign
tumors or polyps. This is subject to all of the
following: clear and definitive diagnosis by either a
pathological or clinical method; and the date of
diagnosis is after the effective date of coverage; and
the date of diagnosis is while this optional benefit is
in force; and the illness is not excluded by name or
specific description in the certificate. |
$2,500 |
$5,000 |
|
Optional/Additional Benefits |
Low Option |
High Option |
|
Wellness Benefit (Cancer Screenings and Heart
Screenings) - AWD pays $25 for each unit of
coverage, up to a maximum of 4 units, each calendar year
per covered person, for one of the following cancer
screening tests or heart screening tests performed while
not hospital confined: Bone Marrow Testing; CA15-3
(blood test for breast cancer); CA125 (blood test for
ovarian cancer); CEA (blood test for colon cancer);
chest X-ray; colonoscopy; flexible sigmoidoscopy;
hemocult stool analysis; mammography, including breast
ultrasound; Pap Smear, including ThinPrep Pap Test; PSA
(blood test for prostate cancer); Serum Protein
Electrophoresis (test for myeloma); biopsy for skin
cancer; stress test on bike or treadmill;
electrocardiogram (EKG); carotid doppler;
echocardiogram; lipid panel (total cholesterol count);
and blood test for triglycerides. There is no limit to
the number of years a covered person can receive cancer
screening tests. This benefit is paid regardless of the
result of the test(s) and is limited to one test per
calendar year per covered person. |
$100
4 units |
$100
4 units |
|
Recurrence Benefit - AWD pays this benefit
if a covered person is diagnosed more than once with the
same specified critical illness listed in category 1 or
2 for which a benefit was previously paid if: there is
more than 18 months between each diagnosis; and
treatment was not received during that 18 month period
(for purposes of the preceding statement, treatment does
not include medications and follow-up visits to your
physician); and the subsequent date of diagnosis is
while coverage is in force; and the specified critical
illness is not excluded by name or specific description
in the certificate. • AWD will pay an amount equal to
25% of the specified critical illness basic benefit
amount previously paid for that specified critical
illness. AWD will pay no more than one recurrence
benefit per previously paid specified critical illness
under category 1 and 2. |
25% of
previously
paid
Category
1 or 2
benefits |
25% of
previously
paid
Category
1 or 2
benefits |
|
Example
of how benefits are paid under the $10,000 Low Option |
Benefit
If you have |
Amount
Payable |
After 100% of the basic
benefit amount of the certificate has been paid within a
category (Category 1, Category 2, or Category 3), AWD
does not pay any more benefits for any illness
associated with that category. Once the covered person
has exhausted all basic benefit maximums in Category 1,
2, and 3 and the Optional/ Additional Recurrence
Benefit, coverage is terminated. |
| • |
Coronary Artery By-Pass
Surgery then - |
• |
Coronary Artery By-Pass
Surgery at 25% = $2,500 |
| • |
a Heart Attack then - |
• |
Heart Attack at 75% = $7,500
(Since By-Pass Surgery paid) |
| • |
Alzheimer’s Disease then - |
• |
Alzheimer’s at 25% = $2,500 |
| • |
a Cancer Screening Test then
- |
• |
CEA (blood test for colon
cancer) = $100 (4 units) |
| • |
Invasive Cancer then - |
• |
Invasive Cancer at 100% =
$10,000 |
| • |
a second Heart Attack 2
years later |
• |
Heart Attack covered under
Optional
Recurrence Benefit at 25% = $1,875 |
Total Category 1, Category
2, Category 3, Wellness Benefits and Recurrence Benefit
paid = $24,475
The covered person is still eligible for up to $7,500
under Category 2 benefits. |
|
Low Option
and High Option Premiums |
Weekly |
Issue Age:
18-35 |
The Low Option package and premiums consist of:
Category 1 and Category 2 Group Voluntary Critical
Illness benefits; Optional/Additional Category 3
Critical Illness Cancer Coverage; Optional/Additional
Wellness Benefit (4 units); and Optional/Additional
Recurrence Benefit. |
Non-Tobacco
Employee Only
Employee and Spouse
Employee and Child(ren)
Family |
Low
Option
$2.15
$3.31
$2.27
$3.45 |
High Option
$3.37
$5.11
$3.60
$5.39 |
The High Option package and premiums consist of:
Category 1 and Category 2 Group Voluntary Critical
Illness benefits; Optional/Additional Category 3
Critical Illness Cancer Coverage; Optional/Additional
Wellness Benefit (4 units), and Optional/Additional
Recurrence Benefit. |
Tobacco
Employee Only
Employee and Spouse
Employee and Child(ren)
Family |
Low
Option
$3.17
$4.81
$3.28
$4.95 |
High Option
$5.40
$8.11
$5.63
$8.39 |
| Issue ages: 18 and over |
|
|
|
|
Weekly |
Issue Age: 36-49 |
Issue Age: 50-59 |
Issue Age: 60-64 |
Issue Age: 65-69 |
Issue Age: 70+ |
Non-
Tobacco
Emp Only
Emp & Spouse
Emp & Child(ren)
Family |
Low
Option
$4.32
$6.54
$4.46
$6.65 |
High
Option
$7.71
$11.57
$7.99
$11.80 |
Low
Option
$8.61
$12.86
$8.73
$13.00 |
High
Option
$16.30
$24.22
$16.53
$24.49 |
Low
Option
$13.13
$19.58
$13.27
$19.69 |
High
Option
$25.34
$37.65
$25.62
$37.88 |
Low
Option
$16.23
$24.17
$16.37
$24.31 |
High
Option
$31.53
$46.83
$31.80
$47.11 |
Low
Option
$18.97
$28.19
$19.09
$28.32 |
High
Option
$37.02
$54.86
$37.25
$55.14 |
Tobacco
Emp Only
Emp & Spouse
Emp & Child(ren)
Family |
Low
Option
$7.62
$11.41
$7.73
$11.52 |
High
Option
$14.31
$21.31
$14.54
$21.54 |
Low
Option
$15.90
$23.69
$16.04
$23.80 |
High
Option
$30.88
$45.86
$31.16
$46.09 |
Low
Option
$21.65
$32.18
$21.77
$32.29 |
High
Option
$42.37
$62.85
$42.60
$63.08 |
Low
Option
$24.23
$35.99
$24.35
$36.10 |
High
Option
$47.54
$70.46
$47.77
$70.69 |
Low
Option
$26.27
$39.01
$26.40
$39.15 |
High
Option
$51.60
$76.51
$51.88
$76.79 |
Eligibility
- Your employer determines the criteria for eligibility (such as length
of service and hours worked each week). Issue ages are 18 and over if
actively at work for the number of hours determined by your employer.
You cannot be covered under both the Individual and Group Voluntary
Critical Illness Insurance Plans with Allstate Workplace Division (AWD).
Dependent Coverage
- Family members who are eligible for coverage are: your spouse (or
domestic partner); your unmarried children including adopted children,
step children (child(ren) of domestic partner), or legal ward who is
under 22 years of age, or under 26 years of age and full-time students
at an educational institution of higher learning beyond high school.
Children must be dependent on you for support or reside with you over
50% of the time in a regular parent-child relationship and be named on
the enrollment or evidence of insurability form. Children born to you or
your spouse while Individual and Child(ren) coverage or Family coverage
is in force will be eligible for coverage. Coverage begins at the moment
of birth.
Portability Privilege - AWD will provide Group Voluntary
Critical Illness insurance portability coverage, subject to the
following provisions. Coverage will not be available to an employee or
member unless: coverage under the policy terminates as stated in the
“Termination of Coverage” provision; and we receive a written request
and payment of the first premiums for the portability coverage no later
than 30 days after such termination; and the request is made on a form
we furnish or approve for that purpose. Specific criteria for coverage,
premiums, grace period and termination of insurance provisions are
included with this privilege; refer to the policy or certificate for
complete details. This option is not available to an employee or member
if they failed to make the required monthly premium payments.
Continuation of
Coverage (COBRA) - The coverage provided under the policy is
subject to the federal COBRA continuation requirements. In general, this
allows you to continue insurance under the policy for 18 months after
your employment terminates. If your dependent should lose coverage due
to your death, divorce, or attainment of the limiting age for
eligibility of dependents, the coverage may be continued for up to 36
months. If the policy is terminated by your employer before the end of
the COBRA continuation period, you are entitled to continue coverage
under the Portability Provision.
Termination of Coverage - Coverage
under the policy ends on the earliest of: the date the policy is
canceled; or the last day of the period for which any required premium
payments were made; or the last day you are in active employment or
membership, except as provided under the “Temporary Layoff, Leave of
Absence, or Family and Medical Leave of Absence” provision; or the date
you are no longer in an eligible class; or the date your class is no
longer eligible; or the date you have received the maximum total
percentage of the basic benefit amount for each critical illness
category, including the Optional Recurrence Benefit, if applicable.
Pre-Existing
Condition Limitation - AWD does not pay for any loss due to a
pre-existing condition, as defined, during the 12 month period beginning
on the date you became an insured. A pre-existing condition means a
disease or physical condition for which medical advice or treatment has
been received by an insured within 90 days immediately prior to becoming
covered under this policy. The condition shall be covered after an
individual has been insured for more than 12 months under this policy.
Exclusions &
Limitations - AWD does not pay benefits for an illness due
to, or resulting from, (directly or indirectly): any act of war, whether
or not declared, participation in a riot, insurrection or rebellion; or
intentionally self-inflicted injuries; or injury incurred while engaging
in an illegal occupation or committing or attempting to commit a felony;
or attempted suicide, while sane or insane; or any loss sustained or
contracted as a consequence of intoxication or being under the influence
of narcotics or any other controlled substance or drug, unless
administered on the advice of a physician; or participation in any form
of aeronautics except as a fare paying passenger in a licensed aircraft
provided by a common carrier and operating between definitely
established airports; or alcohol abuse or alcoholism, drug addiction or
dependence upon any controlled substance. State variations exist.
This information is for
use in the Brandsource enrollment which is sitused in Pennsylvania.
This material is valid as long as information remains current, but
in no event later than March 1, 2012. Group Voluntary Critical Illness
benefits provided by policy form GVCIP1, or state variations thereof.
This guide highlights some features of the policy but is not the
insurance contract. Only the actual policy provisions control. The
policy itself sets forth, in detail, the rights and obligations of both
the policyholder (employer) and the insurance company. This is a limited
benefit Critical Illness Policy with optional benefits, which provides
stated benefits for specified illnesses or other benefits that may be
added. The policy does not provide benefits for any other sickness or
condition. The policy and optional benefits are not a Medicare
Supplement Policy. Subject to COBRA continuation of coverage.
Underwritten by American Heritage Life Insurance Company. Allstate
Workplace Division is the marketing name used by American Heritage Life
Insurance Company (Home Office, Jacksonville, FL), a wholly-owned
subsidiary of The Allstate Corporation. ©2009 Allstate Insurance
Company. The Workplace Marketer®. www.allstate.com or allstateatwork.com
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