Group Hospital Indemnity Insurance

Group Hospital Indemnity Insurance  

Overview

If you become injured or ill and are hospitalized, your health insurance will pay a portion of your costs. But no plan pays for everything. Your share of the hospital bill, including coinsurance, copays and deductibles could be costly—let alone the extra out-of-pocket expenses that might occur.

 

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With Group Hospital Indemnity Insurance, you receive cash benefits for covered hospital stays and expenses. The money can help offset the hospital bill, take care of day-to-day expenses, or pay for anything you need. Plus, this insurance offers these advantages:

  • The Hospital Confinement Benefit pays a daily benefit amount of $200 per day (high plan) or $100 per day (low plan), up to a maximum of 31 days per confinement for each covered sickness or accident for each insured (see brochure for details). This lump sum cash benefit is paid directly to you (unless otherwise assigned) and is paid in addition to your medical insurance.
  • You pay an employee group rate. For rate information, please refer to the rate chart under the References section
  • Guaranteed-issue provided you enroll during the enrollment periods.
  • Flexibility to use the benefit money to address out-of-pocket-expenses like transportation and meals for family members, help with child care, or lost income from missing work.
  • Ability to keep your coverage if you leave your employer (with certain stipulations)
  • Who is eligible?

    • You— if you are an active, full-time or part-time employee

    Your spouse — 18 years of age and older. Coverage is available only if Employee coverage is elected

    Your child(ren) — to age 26. Coverage is available only if Employee coverage is elected

 

AGC2100307 EXP 3/22

Enrollment

You are eligible to enroll during any qualifying event (new hires, life events) or during the open enrollment period.

 

To enroll, call 1-800-698-2849, or click the “Enroll Now” button below.

Enroll Now

 

COVID-19

For questions surrounding the plan and the COVID-19 virus, call the Aflac Customer Service Center M-F, 7a-7p CT at 1-800-433-3036.

References

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

Group Hospital Indemnity Guide
Rate Chart
Claim Form
Customer Service Website

How It Works

Contact Us

 Phone:
1-800-698-2849
 Hours
 M-F 8a-5p CT
 Email
customer.service@mercer.com

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.

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  • Who is the provider?

    Aflac

     

    Aflac is a Fortune 500 company, providing financial protection to more than 50 million people worldwide. When an insured gets sick or hurt, Aflac pays cash benefits fairly and promptly directly to the insured (unless assigned otherwise). For more than six decades, Aflac voluntary insurance plans have given insureds the opportunity to focus on recovery, not financial stress.

    Continental American Insurance Company (CAIC), a proud member of the Aflac family of insurers, is a wholly-owned subsidiary of Aflac Incorporated and underwrites group coverage. CAIC is not licensed to solicit business in New York, Guam, Puerto Rico, or the Virgin Islands. This is a brief product overview only. Products and benefits vary by state and may not be available in some states. Plan design and optional benefits are selected at the employer level. The plan has limitations and exclusions that may affect benefits payable. Refer to the plan for complete details, limitations, and exclusions.

     

    For groups sitused in California, group coverage is underwritten by Continental American Life Insurance Company. For groups sitused in New York, coverage is underwritten by American Family Life Assurance Company of New York.

  • How can this help me?

    This plan pays a daily benefit if you have a covered stay in a hospital. The benefit amount is determined based on the number of days you stay. This coverage is a limited benefit plan. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

     

    Benefits of the plan include:

    • Hospital Confinement Benefit
    • Hospital Admission Benefit
    • Hospital Intensive Care Benefit
    • Intermediate Intensive Care Step-Down Unit
    • Successor Insured Benefit

     

    Below are a few examples of how your insurance benefit could be used (coverage amounts may vary):

    • Medical expenses
    • Travel, food and lodging expenses for family members
    • Child care
    • Everyday expenses such as utilities and groceries

  • When can I enroll?
    As a new hire, you can enroll during your new hire enrollment period. Outside of your new hire enrollment period, enrollment is limited to a qualified life event or the open enrollment period.

  • How much will this coverage cost?
    Your cost is based on several factors including the plan design and whether you’d like coverage for you, your spouse and/or children. To get a free, no-obligation online quote, click the “Enroll-Now” hyperlink.

  • What if my employment status changes?
    When you leave or retire from your current employer, you can continue your coverage without interruption, subject to applicable law and the plans' terms and conditions. Although payroll deduction will no longer be available, you can opt for other payment methods such as direct bank account deduction, credit card billing or home billing. Higher rates may apply.

Mercer's Role & Compensation

Details of the Mercer disclosure of the compensation.
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