www.reliancematrix.com Reliance Standard Life Insurance Company (Home Office Schaumburg, IL) is licensed in all states (except New York), the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. First Reliance Standard Life Insurance Company (Home Office New York, NY) is licensed in New York and Delaware. Standard Security Life Insurance Company of New York (Home Office New York, NY) is licensed in all states. Absence services are provided by Matrix Absence Management, Inc. Product features and availability may vary by state. Plan Highlights Hospital Indemnity Meyers Nave, A Professional Corporation COVERAGE Hospital indemnity insurance provides a range of fixed, lump-sum daily benefits to help cover costs associated with a hospital admission, including room and board costs. These benefits are paid directly to the insured following a hospitalization that meets the criteria for benefit payment. ELIGIBILITY All eligible Employee and their Dependents as defined by Meyers Nave, A Professional Corporation and reflected in your Certificate of Insurance. Note: The definition of dependent may vary by state. A person may not have coverage as both an Employee and Dependent. BENEFITS AMOUNTS See Full Schedule of Benefits on the following pages. BENEFIT FEATURES • Guaranteed issue; no medical questions • No lifetime maximum • Hospitalizations due to mental & nervous or Substance Abuse not excluded • No maternity waiting period • Observation status (23 hours) covered as Hospital Admission • Hospital Daily Confinement benefit begins on day one • Portability- you can take your coverage with you at the same rates • Wellness Benefits- Any preventative health screening or test including but not limited to, annual physicals, immunizations, dental exams and mental health screenings BENEFIT PROVISIONS Nursery Care Coverage for routine well baby care provided to your newborn baby while the baby is Confined from birth. MONTHLY PREMIUM Coverage Standard Employee Only $19.14 Employee and Spouse $36.89 Employee and Child(ren) $26.86 Family $44.15