Hospital Indemnity Insurance Benefit Summary

This document outlines the coverage and benefits provided by hospital indemnity insurance, including financial support details for hospital stays and specific situations like ICU confinement.

Page 1 Group name: Peter Corporation Policy number: 027008 Form created: 03/22/2026 Benefit plan and features Class definition: Class 1 – All Active Full Time Employees Included Benefits Benefit Amount First Day Hospital $500, once per year First Day Hospital Intensive Care Unit (ICU) Confinement $1,000, once per year Daily Hospital Confinement $100, up to 365 days per year Daily Hospital ICU Confinement $200, up to 60 days per year Daily Hospital Rehabilitation Unit $50, up to 60 days per year Annual Wellness Screening $50, once per year per insured Admission and Confinement benefits are not additive.

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