Critical Illness Benefits Summary

Employer Plan Summary for: 12856000 - Total Education Solutions Critical Illness Coverage Details Symetra's voluntary Critical Illness insurance provides a lump sum payment if a covered condition is diagnosed after coverage takes effect for the individual. Covered conditions include critical illnesses and/or conditions, as specified below. Core Benefits Invasive Cancer: 100%, Non-Invasive Cancer: 25%, Skin Cancer: $250, Heart Attack: 100%, Stroke: 100%, Coronary Artery Disease Needing Surgery or Angioplasty: 25%, Major Organ Failure: 100%, End- Stage Renal Failure: 100%, Loss of Sight: 100%, Loss of Speech: 100%, Loss of Hearing: 100%, Paralysis: 100% (Covers Sickness and Accident), Stem Cell Transplant: 25% Neurological ALS/Other Motor Neuron Disease: 100%, Advanced Alzheimer's: 100%, Parkinson's Disease: 100%, Conditions Advanced Multiple Sclerosis: 100%, Coma: 100% (Covers Accident and Sickness), Benign Brain Tumor: 25% Childhood Conditions Major Congenital Structural Anomaly: 100%, Congenital Metabolic Disorder: 100%, Congenital Chromosomal Abnormality: 100%, Chronic Medical Condition Commonly Diagnosed in Childhood: 100% Other Benefits Specified Infectious Diseases: 25% (Minimum Hospital Stay: 5 Days) Additional If you are diagnosed with a Covered Critical Illness, and you are then, at least one day later, diagnosed Occurrences with a different Covered Critical Illness, we will also pay the additional Critical Illness benefit for the second covered condition. Options Health Screening Pays an annual benefit amount of $50 for x-ray and laboratory tests only incurred by the employee, Benefit spouse, or child. Recurrence Benefit Pays an additional benefit of 100% of the critical illness benefit when a specific critical illness recurs more than 6 month(s) after the first diagnosis. Each condition is payable an unlimited number of times unless otherwise specified in the certificate. Waiver of Premium None Employee Benefit Amount(s) Critical Illness Employee Benefit: $10,000, $20,000, or $30,000 Guaranteed Issue Benefit: Up To $10,000, $20,000, or $30,000 Dependent Benefit Amount(s) Spouse Benefit: 50% of the benefit amount, Child Benefit: 50% of the benefit amount Definitions Guaranteed Issue Guaranteed issue is the benefit amount available without the need for evidence of insurability at the time an individual is first eligible for coverage.