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Hospital Indemnity Benefits Summary Beam Hospita

Hospital Indemnity Benefit Summary Dash Delivery Inc. Plan: Beam Hospital Indemnity - Ultra Policy effective date: 2024-10-01 GROUP #: OR00704 Policy length: 12 months Hours worked: 30+ hours/week* Plan overview information Employee coverage: Voluntary Provides a per-day benefit for inpatient Eligible group size: 50 - 100 eligible employees confinement in a hospital due to a Participation requirement: nonoccupational accident or illness. Payment is 10 lives for groups with 50 - 100 eligible employees made directly to the employee, regardless of *An employee must be actively at work on the effective other health insurance coverage. date in order to be eligible for benefits. Employers located in New York may elect a minimum of 20 or 30 hours. Benefit per day per covered person $500 ($1,000 for ICU admissions) Benefit maximum Maximum confinement days (Calendar year): 30 days per covered person Pre-existing condition Pre-Existing condition lookback 12 months* Pre-Existing condition exclusion period 12 months** *6 months in CA, CO, FL, ID, IN, NV, OK; 3 months in PA **6 months in CA, CO Termination age Employee 65 Spouse 65 Child 26 (unmarried) BEAM SUPPORT LEARN MORE [email protected] | (800) 648 1179 beambenefits.com BM-SOB-0038-202401 1 of 3

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