This document provides information about various insurance policies offered by My FamilyProtect including accident, critical illness, cancer, accidental death & dismemberment, hospital indemnity, and funeral expense policies. The accident policy provides coverage for medical expenses from covered accidents. The critical illness policy provides a lump sum payment for heart attacks, strokes, or invasive cancer diagnoses. The cancer-only critical illness similarly provides payments for cancer diagnoses. The accidental death & dismemberment policy provides payments for accidental death or dismemberment. Details are given on benefit amounts, coverage options, eligibility, and coordination of benefits for each policy type.
A health insurance roadmap takes a look at some simple solutions to the complex issues facing health insurance, medicare, medicaid, long term care insurance, and the high cost of health expenses in retirement.
This will work because so much of this is already in place and a lot of the rest would be quick and easy to implement. As in all areas, knowledge is power. Consumers can take control of your insurance portfolio by becoming educated about insurance. Better education and understanding will lead to positive results for consumers and for the insurance industry.
Enjoy Chapter 1 of our E-Book, "The Ultimate Guide to Paying for Therapy In Georgia!" Visit http://www.thegeorgecenter.com/the-ultimate-guide-to-paying-for-therapy-in-georgia/ to download the whole book and learn how to get the most out of your insurance coverage.
A health insurance roadmap takes a look at some simple solutions to the complex issues facing health insurance, medicare, medicaid, long term care insurance, and the high cost of health expenses in retirement.
This will work because so much of this is already in place and a lot of the rest would be quick and easy to implement. As in all areas, knowledge is power. Consumers can take control of your insurance portfolio by becoming educated about insurance. Better education and understanding will lead to positive results for consumers and for the insurance industry.
Enjoy Chapter 1 of our E-Book, "The Ultimate Guide to Paying for Therapy In Georgia!" Visit http://www.thegeorgecenter.com/the-ultimate-guide-to-paying-for-therapy-in-georgia/ to download the whole book and learn how to get the most out of your insurance coverage.
Effect of State Regulations on Health Insurance PremiumseHealth , Inc.
Overall, these results provide solid evidence that the state-level regulations of health insurance are correlated with higher premiums. The regression model estimates that the presence of health plan liability laws increases monthly premiums by $21.84. Laws that give subscribers direct access to specialists increase monthly premiums by $31.15. Provider due process laws increase premiums by
$16.62. Finally, each additional mandated benefit increases premiums by $0.75. All of these findings achieve statistical significance.
Review this presentation to understand how health insurance actually works and then visit us online at www.selectmycoverage.com to obtain a quote and apply
Understanding the vocabulary of health insurance helps in selecting and using coverage effectively. eHealthInsurance commissioned a national study to determine public awareness of select health insurance terminology and the specifics of health insurance coverage. Americans admit to a health insurance vocabulary deficit.
Only a fourth (23%) feel they are very sure of what the terminology used in their health insurance policy actually means.
A third are somewhat sure of what the terminology actually means (32%).
One-fourth are not very sure (13%) or have no idea (10%) what the terminology used in their health insurance policy means.
One-fifth report they don’t have health insurance (21%).
The public demonstrates its lack of familiarity with health insurance terminology by not knowing what some of the key abbreviations stand for.
Only one-third of Americans (36%) can volunteer that HMO stands for health maintenance organization.
Only one-fifth (20%) recall that PPO stands for Preferred Provider Organization.
Only one out of nine (11%) recalls that HSA stands for Health Savings Account.
When asked how sure they were with some of the specifics of their health insurance policy, most people said they were very sure of the amount of their co-payment (61%), but half or fewer were very sure they knew the amounts of other basic elements of their coverage:
Half said they were very sure of what they paid for their health insurance premiums (50%).
45% were very sure of their annual deductible.
41% were very sure of the level of their plan’s co-insurance.
35% were very sure of their maximum annual out-of-pocket costs.
For each of these items, one-fifth indicated that the questions were not relevant since they did not have health insurance (21%).
A Woman's Guide to Health Care in RetirementDolf Dunn
Health care in retirement can be one of the largest expense items for people, especially women. It is crucial you plan on these costs in your retirement budget. Need help? Give us a call.
Dr. Pam Silberman, President and CEO of the N.C. Institute of Medicine, provides an overview of the Affordable Care Act in North Carolina as part of a NCACC Annual Conference workshop on Aug. 24, 2013.
http://ekinsurance.com/personal/how-to-buy-long-term-care-insurance/
Statistics indicate that over half of all people over age 50 will require long-term care.
캐주얼아케이드 모바일게임 플립플립 입니다.
조이스틱과 버튼을 활용해 플레이하는 방식의 게임으로
씨앗으로 캐릭터를 만들어 아기자기함을 표현하였습니다.
구글 플레이 다운 경로:
https://play.google.com/store/apps/details?id=com.H2Holic.FLIPFLIP
Agile and Lean have delivered fantastic results for optimizing flow of value to customers, but sooner or later agile teams bump into limitations in the surrounding organisation.
Sociocracy has delivered fantastic results for optimising organisational governance, enabling dynamic steering and generating cross organisational collaboration, yet until recently has been applied predominantly within traditional organisational systems.
Sociocracy 3.0 builds on The Sociocratic Method, is influenced by Holacracy and radically applies lean and agile principles to dynamically steer and evolve organization.
• Tap collective intelligence and incrementally process available information into continuous improvement of products, processes and skills
• Grow dynamic organizations that support effective flow of value and information
• Make the best use of the talent already present in an organization
• Take a painless iterative approach for implementing into existing organisations of any size
Effect of State Regulations on Health Insurance PremiumseHealth , Inc.
Overall, these results provide solid evidence that the state-level regulations of health insurance are correlated with higher premiums. The regression model estimates that the presence of health plan liability laws increases monthly premiums by $21.84. Laws that give subscribers direct access to specialists increase monthly premiums by $31.15. Provider due process laws increase premiums by
$16.62. Finally, each additional mandated benefit increases premiums by $0.75. All of these findings achieve statistical significance.
Review this presentation to understand how health insurance actually works and then visit us online at www.selectmycoverage.com to obtain a quote and apply
Understanding the vocabulary of health insurance helps in selecting and using coverage effectively. eHealthInsurance commissioned a national study to determine public awareness of select health insurance terminology and the specifics of health insurance coverage. Americans admit to a health insurance vocabulary deficit.
Only a fourth (23%) feel they are very sure of what the terminology used in their health insurance policy actually means.
A third are somewhat sure of what the terminology actually means (32%).
One-fourth are not very sure (13%) or have no idea (10%) what the terminology used in their health insurance policy means.
One-fifth report they don’t have health insurance (21%).
The public demonstrates its lack of familiarity with health insurance terminology by not knowing what some of the key abbreviations stand for.
Only one-third of Americans (36%) can volunteer that HMO stands for health maintenance organization.
Only one-fifth (20%) recall that PPO stands for Preferred Provider Organization.
Only one out of nine (11%) recalls that HSA stands for Health Savings Account.
When asked how sure they were with some of the specifics of their health insurance policy, most people said they were very sure of the amount of their co-payment (61%), but half or fewer were very sure they knew the amounts of other basic elements of their coverage:
Half said they were very sure of what they paid for their health insurance premiums (50%).
45% were very sure of their annual deductible.
41% were very sure of the level of their plan’s co-insurance.
35% were very sure of their maximum annual out-of-pocket costs.
For each of these items, one-fifth indicated that the questions were not relevant since they did not have health insurance (21%).
A Woman's Guide to Health Care in RetirementDolf Dunn
Health care in retirement can be one of the largest expense items for people, especially women. It is crucial you plan on these costs in your retirement budget. Need help? Give us a call.
Dr. Pam Silberman, President and CEO of the N.C. Institute of Medicine, provides an overview of the Affordable Care Act in North Carolina as part of a NCACC Annual Conference workshop on Aug. 24, 2013.
http://ekinsurance.com/personal/how-to-buy-long-term-care-insurance/
Statistics indicate that over half of all people over age 50 will require long-term care.
캐주얼아케이드 모바일게임 플립플립 입니다.
조이스틱과 버튼을 활용해 플레이하는 방식의 게임으로
씨앗으로 캐릭터를 만들어 아기자기함을 표현하였습니다.
구글 플레이 다운 경로:
https://play.google.com/store/apps/details?id=com.H2Holic.FLIPFLIP
Agile and Lean have delivered fantastic results for optimizing flow of value to customers, but sooner or later agile teams bump into limitations in the surrounding organisation.
Sociocracy has delivered fantastic results for optimising organisational governance, enabling dynamic steering and generating cross organisational collaboration, yet until recently has been applied predominantly within traditional organisational systems.
Sociocracy 3.0 builds on The Sociocratic Method, is influenced by Holacracy and radically applies lean and agile principles to dynamically steer and evolve organization.
• Tap collective intelligence and incrementally process available information into continuous improvement of products, processes and skills
• Grow dynamic organizations that support effective flow of value and information
• Make the best use of the talent already present in an organization
• Take a painless iterative approach for implementing into existing organisations of any size
Slides are designed as a crowd sourced approach template to organise campaigns that help with the problems of Internally Displaced Persons IDPs, in and around North East Nigeria due to strife caused by the terror group Boko Haram.
Critical illness insurance is a source of funds you can use to help cover the indirect costs that arise when a
serious illness strikes. By providing money when you need it most, upon diagnosis of a serious illness (as
defined in the policy), critical illness insurance can help relieve worry about your finances so that you can focus
on getting well.
Critical illness insurance pays you a lump sum of money upon diagnosis of a covered condition. This money is
yours to use for any purpose, with no restrictions. For example, critical illness insurance proceeds can be used
to pay:
* Mortgage or rent payments, as well as any other bills you may have;
* Health insurance deductibles, coinsurance and/or co-payments;
* The costs of receiving out-of-network medical treatment, including possible travel and lodging expenses;
* Treatments not covered by traditional health insurance;
* Child care expenses during treatment or hospitalization;
* Modifications to your home or vehicle; and/or
* Shorter-term home health care.
Since the premiums paid for critical illness insurance are not tax deductible, the benefits are not considered as
income and are received 100% free of income tax.
Residents of NY, NJ and CT - contact: J. Sadler Hayes, II / 845-639-0492 / sadlerhayes@gmail.com
Receiving a cancer diagnosis can be one of life's most frightening events. Unfortunately, statistics show you probably know someone who has been int his situation.
You can't predict the future, but you can plan for it. We invite you to put yourself in Good Hands with Critical Illness insurance from Allstate Benefits.
This is based on Health assurance, what will be the benefit for purchasing health assurnace. just check it out and plz give comment on lokeshpayasi@gmail.com
1. My FamilyProtect
Program Guide
Accident, Critical Illness, Cancer,
Accidental Death & Dismemberment,
Hospital Indemnity, Funeral Expense
and Bereavement Counseling
SMARTSM Accident Plus products are underwritten by one of the following, depending on the state:
Life of the South Insurance Company, Southern Financial Life Insurance Company, Bankers Life of Louisiana, and Response Indemnity of California.
2. Protect What
You Love.
Accident Insurance
More than 62% of all personal bankruptcies are caused
by the cost of overwhelming medical expenses.1
Missing work due to an accident can put your family
at serious financial risk. A new study done by Harvard
University suggests that more than 62% of all personal
bankruptcies are caused by the cost of overwhelming
medical expenses.1
SMARTSM
Accident Plus allows you to select the coverage
you need, with benefit amounts in increments of $5,000
up to $15,000. You choose! We recognize that you
and your family have unique needs working within
your budget. That is why we offer this affordable
coverage in such a flexible manner.
Due to changes in medical insurance legislation, many
employers and individuals are choosing medical insurance
plans with higher deductibles and co-payments. With this
type of plan, there are major trade offs. The price you pay
for a lower premium is shouldering more of your out-of-
pocket health care costs.
With SMARTSM
Accident Plus, you can lower your out-
of-pocket medical expenses in the event of a covered
accident or critical illness.
Peace of mind is invaluable, and SMART Accident
Plus is an affordable way to protect your family.
3. Flexible, affordable coverage.
You choose from 3 benefit
amounts.
The unexpected happens.
Timely coverage when you need it the most.
l Benefits paid regardless of other coverage you may have. *
l Help reduce the burden of out-of-pocket expenses associated with co-pays and other expenses not covered by your
primary medical plan.
l Reimbursement for a wide variety of costs associated with unexpected, covered accidents.
l Reduce the out-of-pocket expense of emergency room visits, ambulance costs, and major diagnostic exams.
l Additional coverage can include Critical Illness, Cancer Only Critical Illness, Accidental Death & Dismemberment,
Hospitalization, and Funeral & Bereavement Insurance.
Recommended Additional
Protection
* Current or future Medicaid Eligibility may affect benefits provided by the policy.
Accident
Benefits
Benefit
Amounts
(Each
Calendar
Year)
Three
Op8ons:
$5,000,
$10,000
or
$15,000
Covered
Expenses
Ambulance
benefits,
emergency
care,
in-‐pa8ent
hospital
and
follow-‐up
care.
Also
covers
drug
benefit
costs
while
in
a
facility,
fracture
benefits,
major
diagnos8c
exams,
x-‐ray
benefits,
physical
therapy
and
prosthe8c
devices.
Family
Coverage
Op:ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Age
64
and
under.
Driving
record
may
be
reviewed.
Brief
Medical
Ques8onnaire.
Coordina:on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi8on
to
those
received
from
other
insurance
policies.*
Deduc:ble
(Amount
of
covered
medical
costs
you
are
responsible
for
paying)
Five
op8ons:
$0,
$250,
$500,
$750
or
$1,000
Calendar
Year
Deduc8ble
*Current or future Medicaid Eligibility may affect benefits provided by the policy.
Accident
Benefits
Benefit
Amounts
(Each
Calendar
Year)
Three
Op8ons:
$5,000,
$10,000
or
$15,000
Covered
Expenses
Ambulance
benefits,
emergency
care,
in-‐pa8ent
hospital
and
follow-‐up
care.
Also
covers
drug
benefit
costs
while
in
a
facility,
fracture
benefits,
major
diagnos8c
exams,
x-‐ray
benefits,
physical
therapy
and
prosthe8c
devices.
Family
Coverage Op:ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Age
64
and
under.
Driving
record
may
be
reviewed.
Brief
Medical
Ques8onnaire.
Coordina:on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi8on
to
those
received
from
other
insurance
policies.*
Deduc:ble
(Amount
of
covered
medical
costs
you
are
responsible
for
paying)
Five
op8ons:
$0, $250,
$500,
$750
or
$1,000
Calendar
Year
Deduc8ble
4. Critical Illness & Cancer
l Every year, about 785,000 Americans have a first coronary attack. Another 470,000 who have already had one or
more coronary attacks have another attack. 2
l Stroke is a leading cause of death in the United States. Over 800,000 people die in the U.S each year from
cardiovascular disease and strokes. 2
l Compared to the general population, bankruptcy rates are nearly twice as high among cancer patients one year
after diagnosis. 4
If you were to suffer from a heart attack, stroke,
or be diagnosed with cancer, would your family be
able to handle the financial burden?
Optional Coverage
**Invasive cancer, or cancer that requires an invasive surgery.
**
Cri$cal
Illness
Covered
Cri)cal
Illness
Heart
A0ack,
Stroke,
Invasive
Cancer
Benefit
Amounts
(Benefits
are
Payable
per
Life$me
per
Insured)
Five
Op$ons:
$5,000,
$10,000,
$15,000,
$20,000
or
$25,000
Family
Coverage
Op)ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Brief
Medical
Ques$onnaire.
Coordina)on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi$on
to
those
received
from
other
insurance
policies.*
Deduc)ble
No
deduc$ble.
Receive
a
lump
sum
if
you
are
diagnosed
with
a
covered
cri$cal
illness.
* Current or future Medicaid Eligibility may affect benefits provided by the policy.
5. Recovery after a critical illness can be a long road.
Coverage gives you peace of mind, reducing your
burden so you can focus on what’s important.
Cancer is one of the most financially devastating diseases.
The American Cancer Society estimates that the 2010
total cost of cancer in the U.S. rose to $263.8 billion.3
A new study by the Fred Hutchinson Cancer Research
Center shows a close link between cancer diagnosis and
personal bankruptcy.4 Compared to the general
population, bankruptcy rates are nearly twice as high
among cancer patients one year after diagnosis.4
Of the bankruptcies caused by a cancer, a surprising 78%
reported having some form of health insurance. This
disproves the myth that medical bills only really affect
the uninsured.4
According to Duke University Medical Center, the average
out-of-pocket cost for cancer patients is currently $1,266
per month. Medical bills for these patients can quickly
wipe out retirement accounts, college savings funds,
and home equity.5
Cancer Only Critical Illness is an affordable addition
to your policy that can give you the financial help you
need to reduce your burden and focus on what’s
important - getting healthy for your family.
Recommended Additional
Protection
Cri$cal
Illness
–
Cancer
Only
Covered
Cri)cal
Illness
Invasive
Cancer
Benefit
Amounts
Five
Op$ons:
$5000,
$10,000,
$15,000,
$20,000
or
$25,000
Family
Coverage
Op)ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Brief
Medical
Ques$onnaire.
Coordina)on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi$on
to
those
received
from
other
insurance
policies.
*
Deduc)ble
No
deduc$ble.
Receive
a
lump
sum
if
you
are
diagnosed
with
a
covered
invasive
cancer.
* Current or future Medicaid Eligibility may affect benefits provided by the policy.
6. Accidental Death
& Dismemberment
Comprehensive Accidental Death and Dismemberment (AD&D) Coverage.
No one likes to think about the worst, but this affordable coverage is an intelligent way for you and your family to be ready
for the unexpected. This coverage makes an excellent supplement to traditional life insurance and can help bridge the gap
between expenses and lost income. If you were involved in an accident that left you unable to provide for your
family, AD&D provides a lump sum benefit due to various types of bodily injuries or loss of life.
Accidental
Death
&
Dismemberment
Coverage
Accidental
Death
&
Dismemberment
Benefit
Amount
Minimum
$25,000
to
maximum
$100,000.
Available
in
increments
of
$25,000.
Accidental
Death
Benefit
for
Loss
of
Life
Pays
100%
of
the
Accidental
Death
&
Dismemberment
Benefit
Amount
for
accidental
death
occurring
in
Policy
Month
7
or
later.
No
benefit
for
Accidental
Death
occurring
in
Policy
Month
1
through
6.
Accidental
Dismemberment
Benefit
due
to
dismemberment.
• Pays
100%
of
the
Accidental
Death
&
Dismemberment
Amount
for
accidental
dismemberment
occurring
in
Policy
Month
7
or
later.
No
benefit
for
accidental
dismemberment
occurring
in
Policy
Month
1
through
6.
• Both
Hands
or
Both
Feet
• Sight
in
Both
Eyes
• One
Hand
and
One
Foot
• One
Hand
and
the
Sight
in
One
Eye
• One
Foot
and
the
Sight
of
One
Eye
Pays
50%
of
the
Accidental
Death
Benefit
for
the
loss
of:
• One
Hand
or
One
Foot
• The
Sight
of
One
Eye
Primary
and
Spouse,
18-‐64
|
Children,
0-‐17
Premium
Rate
Bands
Ages:
18-‐24
|
25-‐39
|
40-‐54
|
55-‐64
Renewability
Guaranteed
Renewable
to
age
65
Benefit
Payment
Condi@ons
Will
pay
the
applicable
benefit
amount
if
the
insured’s
loss
occurs
within
90
days
of
the
date
of
the
accidental
injury
that
causes
the
loss.
If
more
than
one
loss
is
sustained
by
an
insured
person
as
a
result
of
the
same
accident,
only
one
amount,
the
largest,
will
be
paid.
Common
Carrier
Benefit
If
riding
as
a
fare-‐paying
passenger
in
or
on
a
licensed
public
conveyance
operated
by
a
common
carrier
for
the
regular
transport
of
passengers,
the
benefit
amount
will
be
doubled.
7. Funeral Expense and
Bereavement Counseling
Funeral Expense and Bereavement Coverage
The loss of a loved one because of an accident can be the hardest thing anyone ever has to endure. Along with the emotional
burden,funeralexpensescanadduptothousandsof dollars. Paymentforfinal expensestendstobedueimmediately-
adding more stress to your loved ones in an already difficult situation. Funeral Expense and Bereavement Counseling
provides up to $2,000 to cover funeral expenses and compassionate counseling for your grieving family.
Additional Accident Insurance
Information
Hospital Indemnity
Hospital Indemnity
Hospital expenses add up. If you suffer an accidental injury that requires you to be confined to a hospital as an inpatient,
the Hospital Indemnity Benefit will provide you and your family with needed coverage to ease the financial burden.
Hospital
Indemnity
Benefit
Amounts
Two
Op3ons:
$100
or
$250
per
day
Maximum
Benefits
Coverage
up
to
90
days
Family
Coverage
Op9ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Brief
Medical
Ques3onnaire.
Coordina9on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi3on
to
those
received
from
other
insurance
policies.*
* Current or future Medicaid Eligibility may affect benefits provided by the policy.
Funeral
Expense
and
Bereavement
Counseling
Benefit
Amounts
$2,000
Maximum
Benefits
Up
to
$250
for
family
members
listed
on
the
policy.
Hospital
Indemnity
Benefit
Amounts
Two
Op3ons:
$100
or
$250
per
day
Maximum
Benefits Coverage
up
to
90
days
Family
Coverage Op9ons
Spouse
and/or
children
may
be
included
in
the
policy.
How
to
Qualify
for
Policy
Brief
Medical
Ques3onnaire.
Coordina9on
of
Benefits
This
plan
does
not
coordinate
with
other
health
insurance
coverage.
Benefits
are
paid
in
addi3on
to
those
received
from
other
insurance
policies.*
8. 1. “Medical Bankruptcy in the United States, 2007: Results of a National Study by Elizabeth Warren of Harvard Law School,” The American Journal of Medicine, August 2009
2. Center for Disease Control and Prevention
3. The American Cancer Society
4. Fred Hutchinson Cancer Research Center
5. Duke University Medical Center
SMARTSM
Accident Plus.
Affordable peace of mind you and your family deserve.
We hope you found this Program Guide useful. We
understand that the benefits offered in this program are
ones you or your loved ones hope you will never need.
With this accident insurance you can have the peace of
mind that we can be there in your time of need to use. No
one likes to think about the worst, but it is important to
plan for the unexpected.
We have thoughtfully put together this package in order to
provide you with options for affordable, flexible
coverage that fits the unique needs of your family. We
understand that not every family is the same and
coverage of this nature is not one-size-fits-all. That’s why
the accident plan can be purchased alone, or with
additional, optional coverages as outlined in this guide. If
in the process of reviewing this Program Guide you need
clarity on any of the information you can reach our
licensed agents, not telemarketers, for a respectful
consultation.
Our brand promise is to ensure you and your family have
peace of mind - there is help when they need it most. Our
claims process is easy and hassle-free, and we are there to
help you receive your benefits when you need them. We
recognize that our promise does not end with your
enrollment into SMARTSM
Accident Plus. Our promise
is that you have affordable peace of mind and coverage
when you need it the most.
SMARTSM
Accident Plus
References
9. Renewability
Coverage can be continued for each insured person until the policy anniversary on or following the insured person’s 65th birthday, subject
to the policy’s termination and insured child provisions, by paying all premiums when they are due. We will not add any restrictive riders or
endorsements while this policy is in force. We reserve the right to change the premium charged for this policy. Any change in premium will be
made on a class basis only, as we determine, and will be based on the insured person’s age on the effective date. No change in premium will
become effective until 45 days after we deliver to you, or mail to your last known address, a written notice of premium change. Premiums may
not be changed more often than once every 12 months.
Exclusions
Accident Coverage and Accidental Death & Dismemberment Coverage No benefits will be paid under this policy if covered services provided
are not related to a covered accident or any loss caused in whole or in part by, or resulting in whole or in part from the following:
l Any illness, loss or condition specifically excluded from the definition of any Accident.
l The Insured Person’s suicide or attempt at suicide, or intentional self-inflicted injury, or any attempt at intentional self-inflicted injury while
sane or insane;
l The Insured Person being under the influence of a stimulant (such as – amphetamines or nitrates), depressant, hallucinogen, narcotics; or
any other drug intoxicant including those prescribed by a Physician that are misused by the Insured Person;
l The Insured Person’s Commission of or attempt to commit an assault or felony;
l The Insured Person Engaging in an illegal activity or occupation;
l The Insured Person’s Voluntary participation in any riot or civil insurrection;
l The Insured Person’s participation in declared or undeclared war, or any act of declared or undeclared war;
l The Insured Person Operating, learning to operate, serving as a crew member of, or jumping, parachuting, or falling from an aircraft or hot
air balloon, including those which are not motor driven;
l The Insured Person Engaging in hang gliding, bungee jumping, parachuting, sail gliding, parasailing, or para kiting or any similar activity;
l The Insured Person Riding in or driving any motor vehicle in a race, stunt show or speed test;
l The Insured Person Practicing for or participating in any semi-professional or professional competitive athletic contest for which such
Insured Person receives any compensation or remuneration;
l The Insured Person Operating any type of land, water, or air vehicle while having a blood alcohol content at or above the level made illegal
for operation of such vehicle by the jurisdiction where the Accidental Injury occurred.
Critical Illness
PREEXISTING CONDITION LIMITATION We will pay NO benefits for critical Illness that are caused by a Preexisting Condition unless the critical
illness commences after this Rider has been in force for 12 months from the Effective Date or most recent reinstatement date. We will not
use the existence of a Preexisting Condition to deny benefits after this Rider has been in force for a period of 12 months following the date of
application for this Rider.
For any Insured Person:
(a) We will pay NO benefits for any critical illness that is Incurred or Manifests, whichever is applicable, and/or Diagnosed before the first 30 days
after the date coverage on the Insured Person becomes effective under this Policy. However, an Insured Child born after the Effective Date of this
Policy or any subsequent reinstatement will be covered from birth for the Critical Illnesses stated in the Policy Schedule.
(b) We will pay NO benefits for any Critical Illness or any loss caused in whole or in part by, or resulting in whole or in part from:
(i) any illness, loss, or condition specifically excluded from the definition of any Critical Illness; or
(ii) balloon angioplasty, laser relief of an obstruction, and/or other intra-arterial procedure
Critical Illness - Cancer Only
PREEXISTING CONDITION LIMITATION We will pay NO benefits for critical Illness that are caused by a Preexisting Condition unless the critical
illness commences after this Rider has been in force for 12 months from the Effective Date or most recent reinstatement date. We will not
use the existence of a Preexisting Condition to deny benefits after this Rider has been in force for a period of 12 months following the date of
application for this Rider.
For any Insured Person:
(a) We will pay NO benefits for any Critical Illness that is Incurred or Manifests, whichever is applicable, and/or diagnosed before the first 30
days after the date coverage on the Insured Person becomes effective under this Policy. However, an Insured Child born after the Effective Date
of this Policy or any subsequent reinstatement will be covered from birth for the Critical Illnesses stated in the Policy Schedule.
(b) We will pay NO benefits for any Critical Illness or any loss caused in whole or in part by, or resulting in whole or in part from any illness, loss,
or condition specifically excluded from the definition of any Critical Illness.