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Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000


                                               SIDE-BY-SIDE COMPARISON

                                                          COLONIAL LIFE                                       COLONIAL LIFE
                                                      Group Medical Bridge 1.0                               Medical Bridge 3000
                                                           Released 2011                                       Released 2007

Payroll/Non-Payroll                               Payroll                                            Payroll
Platform                                          Group                                              Individual
Product Type                                      Indemnity                                          Indemnity
Plan Design Options                               •    Plan 1: Hospital Confinement + at             •  Plan 1: Base Plan
                                                       least one Optional Benefit                       - Hospital Confinement Benefit
                                                  •    Plan 2: Hospital Confinement +                   - Wellness Benefit
                                                       Outpatient Surgical Procedure
                                                                                                        - Rehabilitation Unit Benefit
                                                       Benefit
                                                                                                        - Waiver of Premium Benefit
                                                  •    Plan 3: Hospital Confinement +
                                                       Outpatient Surgical Procedure                 • Plan 2: Base Plan + Outpatient
                                                       Benefit + Diagnostic Procedure +                 Surgical Procedure Benefit
                                                       Emergency Room Visit Benefit                  • Plan 3: Base Plan + Outpatient
                                                  •    Plan 4: Hospital Confinement +                   Surgical Procedure Benefit +
                                                       Outpatient Surgical Procedure                    Diagnostic Procedure/Emergency
                                                       Benefit +Doctor Office Visit Benefit             Room (ER) Visit Benefit
                                                  •    Plan 5: Hospital Confinement +                • Plan 4: Base Plan + Outpatient
                                                       Outpatient Surgical Procedure                    Surgical Procedure Benefit +
                                                       Benefit + Diagnostic Procedure +                 Doctor Office Visit Benefit
                                                       Emergency Room Visit + Doctor                 • Plan 5: Base Plan + Outpatient
                                                       Office Visit Benefit                             Surgical Procedure Benefit +
                                                                                                        Diagnostic Procedure/ER Visit +
                                                                                                        Doctor Office Visit Benefit
Optional Benefits                                 •  Health Screening Benefit                        None
                                                  •  Second Day and Subsequent Day
                                                     Hospital Confinement Benefit
                                                  • Accident Only Emergency Room
                                                     Visit Benefit (available with Plan 1
                                                     only)
HSA-Compliant Plan                                Available in Plan 1 (in most states)               Available in Plan 1
Guaranteed Renewable                              •    No                                            •    Yes
Portability                                       •    No                                            •    Yes
Situs State                                       •    Yes                                           •    No




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 1 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000



                                               Colonial Life                                                    Colonial Life
                                           Group Medical Bridge 1.0                                            Medical Bridge 3000
Rate Structure                •     Age-banded                                               •      Age-banded
                              •     Composite
                              •     Discounted Composite

                              See Underwriting section for requirements
Issue Ages                    • 17-49, 50-59, 60-64, 65+ (may vary by                         •      17-49, 50-59, 60-64, 65-74 (may vary by
                                 state)                                                              state)

                             See Underwriting section for requirements
PLAN BENEFITS

Hospital                      Available in Plans 1-5                                         Available in Plans 1-5
Confinement Benefit
                              Ten benefit levels:                                            Six benefit levels:
                              • Level 1: $500                                                • Level 1: $500
                              • Level 2: $1,000                                              • Level 2: $1,000
                              • Level 3: $1,500                                              • Level 3: $1,500
                              • Level 4: $2,000                                              • Level 4: $2,000
                              • Level 5: $2,500                                              • Level 5: $2,500
                              • Level 6: $3,000                                              • Level 6: $3,000
                              • Level 7: $3,500
                              • Level 8: $4,000
                              • Level 9: $4,500
                              • Level 10: $5,000

                              Payable once per covered person per calendar
                              year                                                           No calendar year maximum
Outpatient Surgical           Available in Plans 2-5                                         Available in Plans 2-5
Procedure Benefit
                                  Outpatient     Option 1      Option 2       Option 3
                                  Surgery                                                         Outpatient     Option       Option       Option
                                  Tier 1            $500          $750         $1,000             Surgery          1            2            3
                                  Tier 2           $1,000        $1,500        $2,000             Tier 1          $500         $750        $1,000
                                  Calendar-        $1,500        $2,500        $3,000             Tier 2         $1,000       $1,500       $2,000
                                  Year Max                                                        Calendar-      $1,500       $2,500       $3,000
                                  (per covered                                                    Year Max
                                  person)                                                         (per covered
                                                                                                  person)
                              •     One Outpatient Surgical Procedure Benefit
                                    option per plan design.                                  •      One Outpatient Surgical Procedure
                                                                                                    Benefit option per plan design.
                              •     No anesthesia required.
                              •     Includes a sample of payable surgeries
                                                                                             •      No anesthesia required.
                                                                                             •      Includes a sample of payable surgeries




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 2 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000



                                              Colonial Life                                                  Colonial Life
                                          Group Medical Bridge 1.0                                          Medical Bridge 3000
Diagnostic                    Available in Plans 3 and 5                                     Available in Plans 3 and 5
Procedure Benefit
                              32 listed procedures                                           •    31 listed procedures
                              •    Same procedures as Medical Bridge 3000
                                   plus added Amniocentesis                                       Diagnostic        Option      Option      Option
                                                                                                  Procedure         1           2           3
                                   Diagnostic       Option       Option     Option                                  $250        $250        $500
                                   Procedure        1            2          3
                                                    $250         $500       $1,000
                              •    Payable once per covered person per                       •    Payable once per covered person per
                                   calendar year                                                  calendar year
                              •    Diagnostic option does not have to                        •    Diagnostic option must correspond with
                                   correspond with the Outpatient Surgery                         the Outpatient Surgery option selected
                                   option selected
Emergency Room                Available in Plans 3 and 5                                     Available in Plans 3 and 5
Visit Benefit                                                                                $150 benefit per person per calendar year for
                              •    $150 benefit per person per calendar year                 an emergency room visit for a covered
                                   for an emergency room visit for a covered                 accident or sickness
                                   accident or sickness
Doctor Office Visit           Available in Plans 4 and 5                                     Available in Plans 4 and 5
Benefit
                              •    $25 for three Doctor Office Visits per                    •  $25 for three Doctor Office Visits per
                                   calendar year for employee only coverage;                    calendar year for employee only
                                   five visits combined for family coverage                     coverage; five visits combined for family
                              •    Wellness and Physical Exams included                         coverage
                              •    No exclusions and limitations                             • Wellness and Physical Exams included
                                                                                             • No exclusions and limitations
Rehabilitation Unit           Benefit not available                                          Available in Plans 1-5
Confinement                                                                                  • $100/day for 15 days up to 30 days per
                                                                                                calendar year for each covered person’s
                                                                                                confinement to a rehabilitation
Waiver of Premium                                                                             • After 30 continuous days of the named
                              Benefit not available
                                                                                                 insured’s covered hospital confinement




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 3 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000


EMPLOYER                                      Colonial Life                                                 Colonial Life
OPTIONAL                                                                                                 Medical Bridge 3000
                                          Group Medical Bridge 1.0
BENEFITS
Health                        •    $50 for one covered test per covered person               Not an optional benefit
Screening/Wellness                 per calendar year                                         Available in Plans 1 -5
Benefit
                              •    Applies to 24 health screening tests                      •    $50 for one covered test per calendar
                                                                                                  year for employee only coverage or two
                                                                                                  covered tests per calendar year
                                                                                                  combined for family coverage
                                                                                             •  Applies to 17 health screening tests
Accident Only                 •    $150 payable once per covered person per                  Benefit not available
Emergency Room                     calendar year for accidents
Visit Benefit                 •    Optional benefit in Plan 1 only (employer’s
                                   choice)
Second Day and                                                                               Benefit not available
Subsequent Day                •    $500 per day benefit, up to 10 days per
Hospital                           person per calendar year
Confinement Benefit           •    Payments begin on the second day of a
                                   hospital confinement
UNDERWRITING

Coverage Types                •    Named Insured (employee)                                  •    Employee only
                              •    Named Insured and Spouse                                  •    Employee and Spouse
                              •    Named Insured and Dependent Children                      •    Employee and Dependent Children
                              •    Named Insured, Spouse and Dependent                       •    Employee, Spouse and Dependent
                                   Children                                                       Children
Minimum Account               •    10 enrolled                                               •    3 payors
Size
Underwriting                  Always Guaranteed Issue                                        •    Standard Underwriting
Options
                              •    Guaranteed Issue with Pre-ex Included for                      - Simplified Issue (SI)
                                   all Covered Insureds (GI)                                      - Simplified Issue (SI) Level 1
                              •    Guaranteed Issue with Pre-ex Waived for all               •    Post-Enrollment Guaranteed Issue
                                   Covered Insureds (GX2)                                         (PEGI) with Pre-ex
                                                                                             •    True Guaranteed Issue with Pre-ex
                                                                                                  Waived (GX)




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 4 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000



                                             Colonial Life                                                  Colonial Life
                                        Group Medical Bridge 1.0                                         Medical Bridge 3000
Age-Banded Rates,             GI Underwriting                                                Standard Underwriting: full underwriting
Requirements and              •    No employer contribution required
Underwriting                                                                                 Post-Enrollment Guaranteed Issue
Options                       •    For Hospital Confinement Levels 1-6                       (PEGI)
                                   ($500-$3,000): participation: greater of 10                  • Minimum account size is 15
                                   enrolled lives or 15% participation                              employees
                              •  For Hospital Confinement Levels 7-10                           • Participation: greater of 15 lives or
                                 ($3,500-$5,000): participation: greater of 10                      20% participation
                                 enrolled lives or 20% participation                            • Available for the employee and
                              GX2 Underwriting                                                      spouse
                               • No employer contribution required                              • Pre-ex applies
                               • Available with all Hospital Confinement
                                  Levels                                                     True Guaranteed Issue with Pre-ex
                               • Participation: greater of 10 enrolled lives or              Waived (GX) for the Employee
                                  50% participation                                             • Not available in: FL, NV or PA
                                                                                                • No pre-ex and no Birth Limitation for
                                                                                                    the employee only
                                                                                                • Minimum: 15 lives
                                                                                                • Participation: greater of 15 lives or
                                                                                                    50% participation
                                                                                                • GI for spouse, but pre-ex applies

Composite Rates,              GI Underwriting                                                Composite rates not available
Requirements and
Underwriting                  •    At least 50% employer contribution
Options                       •    Available with all Hospital Confinement
                                   Levels
                              •    Participation: greater of 10 enrolled lives or
                                   25% participation

                              GX2 Underwriting
                              • At least 50% employer contribution
                              • Available with all Hospital Confinement
                                  Levels
                              • Participation: greater of 10 enrolled or 50%
                                  participation
Discounted                    GX2 Underwriting only                                          Discounted composite rates not available
Composite Rates,              • 100% employer contribution
Requirements and              • Available with all Hospital Confinement
Underwriting                      Levels
Options                       • Minimum of 25 certificates enrolled
Pre-existing                  12/12, when applicable                                         12/12, when applicable
Condition Limitation




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 5 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000


                                                       Sample Monthly Premiums
                                                Colonial Life                                                    Colonial Life
                                           Group Medical Bridge 1.0                                           Medical Bridge 3000
                                        Plan 2 Hospital Confinement $1,000                           Plan 2 Hospital Confinement $1,000
                                            Outpatient Surgery Option 1                                 Outpatient Surgery Option 1
                                         Plus the Health Screening Benefit                         Rehabilitation Unit Confinement Benefit
                                                                                                     Plus: the Health Screening Benefit,
                                17-49 Age Band                                                    17-49 Age Band
Age-Banded Rates
                                Named Insured                                    $17.02           Named Insured                 $18.50
                                Named Insured/Spouse                             $30.51           Named Insured/Spouse          $39.65
                                Named Insured/Children                           $25.20           Named Insured/Children        $31.55
                                Named Insured/Spouse/Children                    $38.70           Named Insured/Spouse/Children $48.05

                                50-59 Age Band                                                    50-59 Age Band

                                Named Insured                                    $22.59           Named Insured                               $25.60
                                Named Insured/Spouse                             $43.70           Named Insured/Spouse                        $54.70
                                Named Insured/Children                           $30.77           Named Insured/Children                      $38.10
                                Named Insured/Spouse/Children                    $51.88           Named Insured/Spouse/Children               $62.10

                                60-64 Age Band                                                    60-64 Age Band

                                Named Insured                                    $29.70           Named Insured                                $33.40
                                Named Insured/Spouse                             $59.92           Named Insured/Spouse                         $72.70
                                Named Insured/Children                           $37.88           Named Insured/Children                       $46.80
                                Named Insured/Spouse/Children                    $68.10           Named Insured/Spouse/Children                $58.60

                                65+ Age Band                                                      65-74 Age Band

                                Named Insured                                    $38.63           Named Insured                                $41.90
                                Named Insured/Spouse                             $79.08           Named Insured/Spouse                         $91.05
                                Named Insured/Children                           $46.81           Named Insured/Children                       $58.60
                                Named Insured/Spouse/Children                    $87.27           Named Insured/Spouse/Children                $98.80




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 6 of 7
Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products
                    Group Medical Bridgesm 1.0 and Medical Bridgesm 3000
Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000


                                                     Colonial Life                                              Colonial Life
                                                Group Medical Bridge 1.0                                     Medical Bridge 3000
                                             Plan 2 Hospital Confinement $1,000                      Plan 2 Hospital Confinement $1,000
                                                 Outpatient Surgery Option 1                             Outpatient Surgery Option 1
                                              Plus the Health Screening Benefit                      Plus: the Health Screening Benefit,
                                                                                                     Rehabilitation Unit Confinement

Composite Rates                       Named Insured                                    $20.56        Not applicable
(requires at least 50%                Named Insured/Spouse                             $40.14
Employer Contribution)                Named Insured/Children                           $29.15
                                      Named Insured/Spouse/Children                    $48.72


                                                                                                     Not applicable
Discounted Composite                  Named Insured                                    $17.47
Rates (requires 100%                  Named Insured/Spouse                             $34.11
Employer Contribution)                Named Insured/Children                           $24.77
                                      Named Insured/Spouse/Children                    $41.41




CONFIDENTIAL

 This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits
 counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief
 description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and
 limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011


Page 7 of 7

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Side By Side Group Medical Bridge 1 0 Vs Colonial Life Medical Bridge 3000

  • 1. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 SIDE-BY-SIDE COMPARISON COLONIAL LIFE COLONIAL LIFE Group Medical Bridge 1.0 Medical Bridge 3000 Released 2011 Released 2007 Payroll/Non-Payroll Payroll Payroll Platform Group Individual Product Type Indemnity Indemnity Plan Design Options • Plan 1: Hospital Confinement + at • Plan 1: Base Plan least one Optional Benefit - Hospital Confinement Benefit • Plan 2: Hospital Confinement + - Wellness Benefit Outpatient Surgical Procedure - Rehabilitation Unit Benefit Benefit - Waiver of Premium Benefit • Plan 3: Hospital Confinement + Outpatient Surgical Procedure • Plan 2: Base Plan + Outpatient Benefit + Diagnostic Procedure + Surgical Procedure Benefit Emergency Room Visit Benefit • Plan 3: Base Plan + Outpatient • Plan 4: Hospital Confinement + Surgical Procedure Benefit + Outpatient Surgical Procedure Diagnostic Procedure/Emergency Benefit +Doctor Office Visit Benefit Room (ER) Visit Benefit • Plan 5: Hospital Confinement + • Plan 4: Base Plan + Outpatient Outpatient Surgical Procedure Surgical Procedure Benefit + Benefit + Diagnostic Procedure + Doctor Office Visit Benefit Emergency Room Visit + Doctor • Plan 5: Base Plan + Outpatient Office Visit Benefit Surgical Procedure Benefit + Diagnostic Procedure/ER Visit + Doctor Office Visit Benefit Optional Benefits • Health Screening Benefit None • Second Day and Subsequent Day Hospital Confinement Benefit • Accident Only Emergency Room Visit Benefit (available with Plan 1 only) HSA-Compliant Plan Available in Plan 1 (in most states) Available in Plan 1 Guaranteed Renewable • No • Yes Portability • No • Yes Situs State • Yes • No CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 1 of 7
  • 2. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 Colonial Life Colonial Life Group Medical Bridge 1.0 Medical Bridge 3000 Rate Structure • Age-banded • Age-banded • Composite • Discounted Composite See Underwriting section for requirements Issue Ages • 17-49, 50-59, 60-64, 65+ (may vary by • 17-49, 50-59, 60-64, 65-74 (may vary by state) state) See Underwriting section for requirements PLAN BENEFITS Hospital Available in Plans 1-5 Available in Plans 1-5 Confinement Benefit Ten benefit levels: Six benefit levels: • Level 1: $500 • Level 1: $500 • Level 2: $1,000 • Level 2: $1,000 • Level 3: $1,500 • Level 3: $1,500 • Level 4: $2,000 • Level 4: $2,000 • Level 5: $2,500 • Level 5: $2,500 • Level 6: $3,000 • Level 6: $3,000 • Level 7: $3,500 • Level 8: $4,000 • Level 9: $4,500 • Level 10: $5,000 Payable once per covered person per calendar year No calendar year maximum Outpatient Surgical Available in Plans 2-5 Available in Plans 2-5 Procedure Benefit Outpatient Option 1 Option 2 Option 3 Surgery Outpatient Option Option Option Tier 1 $500 $750 $1,000 Surgery 1 2 3 Tier 2 $1,000 $1,500 $2,000 Tier 1 $500 $750 $1,000 Calendar- $1,500 $2,500 $3,000 Tier 2 $1,000 $1,500 $2,000 Year Max Calendar- $1,500 $2,500 $3,000 (per covered Year Max person) (per covered person) • One Outpatient Surgical Procedure Benefit option per plan design. • One Outpatient Surgical Procedure Benefit option per plan design. • No anesthesia required. • Includes a sample of payable surgeries • No anesthesia required. • Includes a sample of payable surgeries CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 2 of 7
  • 3. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 Colonial Life Colonial Life Group Medical Bridge 1.0 Medical Bridge 3000 Diagnostic Available in Plans 3 and 5 Available in Plans 3 and 5 Procedure Benefit 32 listed procedures • 31 listed procedures • Same procedures as Medical Bridge 3000 plus added Amniocentesis Diagnostic Option Option Option Procedure 1 2 3 Diagnostic Option Option Option $250 $250 $500 Procedure 1 2 3 $250 $500 $1,000 • Payable once per covered person per • Payable once per covered person per calendar year calendar year • Diagnostic option does not have to • Diagnostic option must correspond with correspond with the Outpatient Surgery the Outpatient Surgery option selected option selected Emergency Room Available in Plans 3 and 5 Available in Plans 3 and 5 Visit Benefit $150 benefit per person per calendar year for • $150 benefit per person per calendar year an emergency room visit for a covered for an emergency room visit for a covered accident or sickness accident or sickness Doctor Office Visit Available in Plans 4 and 5 Available in Plans 4 and 5 Benefit • $25 for three Doctor Office Visits per • $25 for three Doctor Office Visits per calendar year for employee only coverage; calendar year for employee only five visits combined for family coverage coverage; five visits combined for family • Wellness and Physical Exams included coverage • No exclusions and limitations • Wellness and Physical Exams included • No exclusions and limitations Rehabilitation Unit Benefit not available Available in Plans 1-5 Confinement • $100/day for 15 days up to 30 days per calendar year for each covered person’s confinement to a rehabilitation Waiver of Premium • After 30 continuous days of the named Benefit not available insured’s covered hospital confinement CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 3 of 7
  • 4. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 EMPLOYER Colonial Life Colonial Life OPTIONAL Medical Bridge 3000 Group Medical Bridge 1.0 BENEFITS Health • $50 for one covered test per covered person Not an optional benefit Screening/Wellness per calendar year Available in Plans 1 -5 Benefit • Applies to 24 health screening tests • $50 for one covered test per calendar year for employee only coverage or two covered tests per calendar year combined for family coverage • Applies to 17 health screening tests Accident Only • $150 payable once per covered person per Benefit not available Emergency Room calendar year for accidents Visit Benefit • Optional benefit in Plan 1 only (employer’s choice) Second Day and Benefit not available Subsequent Day • $500 per day benefit, up to 10 days per Hospital person per calendar year Confinement Benefit • Payments begin on the second day of a hospital confinement UNDERWRITING Coverage Types • Named Insured (employee) • Employee only • Named Insured and Spouse • Employee and Spouse • Named Insured and Dependent Children • Employee and Dependent Children • Named Insured, Spouse and Dependent • Employee, Spouse and Dependent Children Children Minimum Account • 10 enrolled • 3 payors Size Underwriting Always Guaranteed Issue • Standard Underwriting Options • Guaranteed Issue with Pre-ex Included for - Simplified Issue (SI) all Covered Insureds (GI) - Simplified Issue (SI) Level 1 • Guaranteed Issue with Pre-ex Waived for all • Post-Enrollment Guaranteed Issue Covered Insureds (GX2) (PEGI) with Pre-ex • True Guaranteed Issue with Pre-ex Waived (GX) CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 4 of 7
  • 5. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 Colonial Life Colonial Life Group Medical Bridge 1.0 Medical Bridge 3000 Age-Banded Rates, GI Underwriting Standard Underwriting: full underwriting Requirements and • No employer contribution required Underwriting Post-Enrollment Guaranteed Issue Options • For Hospital Confinement Levels 1-6 (PEGI) ($500-$3,000): participation: greater of 10 • Minimum account size is 15 enrolled lives or 15% participation employees • For Hospital Confinement Levels 7-10 • Participation: greater of 15 lives or ($3,500-$5,000): participation: greater of 10 20% participation enrolled lives or 20% participation • Available for the employee and GX2 Underwriting spouse • No employer contribution required • Pre-ex applies • Available with all Hospital Confinement Levels True Guaranteed Issue with Pre-ex • Participation: greater of 10 enrolled lives or Waived (GX) for the Employee 50% participation • Not available in: FL, NV or PA • No pre-ex and no Birth Limitation for the employee only • Minimum: 15 lives • Participation: greater of 15 lives or 50% participation • GI for spouse, but pre-ex applies Composite Rates, GI Underwriting Composite rates not available Requirements and Underwriting • At least 50% employer contribution Options • Available with all Hospital Confinement Levels • Participation: greater of 10 enrolled lives or 25% participation GX2 Underwriting • At least 50% employer contribution • Available with all Hospital Confinement Levels • Participation: greater of 10 enrolled or 50% participation Discounted GX2 Underwriting only Discounted composite rates not available Composite Rates, • 100% employer contribution Requirements and • Available with all Hospital Confinement Underwriting Levels Options • Minimum of 25 certificates enrolled Pre-existing 12/12, when applicable 12/12, when applicable Condition Limitation CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 5 of 7
  • 6. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 Sample Monthly Premiums Colonial Life Colonial Life Group Medical Bridge 1.0 Medical Bridge 3000 Plan 2 Hospital Confinement $1,000 Plan 2 Hospital Confinement $1,000 Outpatient Surgery Option 1 Outpatient Surgery Option 1 Plus the Health Screening Benefit Rehabilitation Unit Confinement Benefit Plus: the Health Screening Benefit, 17-49 Age Band 17-49 Age Band Age-Banded Rates Named Insured $17.02 Named Insured $18.50 Named Insured/Spouse $30.51 Named Insured/Spouse $39.65 Named Insured/Children $25.20 Named Insured/Children $31.55 Named Insured/Spouse/Children $38.70 Named Insured/Spouse/Children $48.05 50-59 Age Band 50-59 Age Band Named Insured $22.59 Named Insured $25.60 Named Insured/Spouse $43.70 Named Insured/Spouse $54.70 Named Insured/Children $30.77 Named Insured/Children $38.10 Named Insured/Spouse/Children $51.88 Named Insured/Spouse/Children $62.10 60-64 Age Band 60-64 Age Band Named Insured $29.70 Named Insured $33.40 Named Insured/Spouse $59.92 Named Insured/Spouse $72.70 Named Insured/Children $37.88 Named Insured/Children $46.80 Named Insured/Spouse/Children $68.10 Named Insured/Spouse/Children $58.60 65+ Age Band 65-74 Age Band Named Insured $38.63 Named Insured $41.90 Named Insured/Spouse $79.08 Named Insured/Spouse $91.05 Named Insured/Children $46.81 Named Insured/Children $58.60 Named Insured/Spouse/Children $87.27 Named Insured/Spouse/Children $98.80 CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 6 of 7
  • 7. Colonial Life & Accident's Supplemental Hospital Confinement Indemnity Products Group Medical Bridgesm 1.0 and Medical Bridgesm 3000 Source: Group Medical Bridge 1.0: certificate form GMB1.0-C. Medical Bridgesm 3000: form number MB3000 Colonial Life Colonial Life Group Medical Bridge 1.0 Medical Bridge 3000 Plan 2 Hospital Confinement $1,000 Plan 2 Hospital Confinement $1,000 Outpatient Surgery Option 1 Outpatient Surgery Option 1 Plus the Health Screening Benefit Plus: the Health Screening Benefit, Rehabilitation Unit Confinement Composite Rates Named Insured $20.56 Not applicable (requires at least 50% Named Insured/Spouse $40.14 Employer Contribution) Named Insured/Children $29.15 Named Insured/Spouse/Children $48.72 Not applicable Discounted Composite Named Insured $17.47 Rates (requires 100% Named Insured/Spouse $34.11 Employer Contribution) Named Insured/Children $24.77 Named Insured/Spouse/Children $41.41 CONFIDENTIAL This comparison has been prepared for the training and education of the Colonial Life & Accident Insurance Company employees and benefits counselors only. It should not be shown or given to prospective insureds or employers of prospective insureds. This comparison provides a very brief description of some of the important features of these plans. May vary by state. This is not an exact description. This product has exclusions and limitations that may affect benefits payable. Any other use of this comparison has not been authorized by Colonial Life. JLP 2-18-2011 Page 7 of 7