Carillon Benefits
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Assurity

Assurity Basic Pro - Group Hospital Indemnity

Increasing Lump Sum Benefit
Pays a benefit for an insured person's hospital confinement according to policy schedule.
Benefit Amount According to Days Confined
Day 1 - $500    Day 2 - $500    Day 3 - $1,000    Day 4 - $1,000    Day 5 - $1,000    Day 6+ - $1,000
​The benefit amount will not exceed $5,000 for each calendar year.
​Hospital Confinement 
Pays $100 benefit per day for hospital confinement (at least 20 continuous hours) due to a covered sickness or injury
Critical Illness Rider
Pays a lump sum benefit for each insured person upon diagnosis of specified illnesses, conditions and procedures.
  • $5,000 (Plan A) or $10,000 (Plan B) benefit for heart attack, stroke or invasive cancer
  • $1,250 (Plan A) or $2,500 (Plan B) benefit for coronary artery bypass surgery or non-invasive cancer
  • $500 (Plan A) or $1,000 (Plan B) benefit for angioplasty, and
  • $250/year for skin cancer
Additional benefits may be paid for a diagnosis of a different critical illness or from the re-occurrence of a covered condition or treatment. (see policy for details)
Preventive Care Rider
Pays a $50 benefit per year when an insured person undergoes blood screening for triglycerides, cholesterol, HDL or LDL, fasting blood glucose test for diabetes, annual physical exams, routine eye exams or immunizations
Outpatient Accident Rider
Pays benefits when an insured person receives services for an injury sustained in a covered accident diagnosed by a physician. (see policy for details)
  • Outpatient Treatment - $50 per visit for physician's office or urgent care; $100 per visit to ER
  • Telemedicine Treatment - $40 per service
  • ER Observation Unit - $60 per stay if held 4 to 20 hours; $100 per stay if held more than 20 hours
Supportive Care Rider - Accident Only
Pays benefits when an insured person receives diagnostic exams for a covered sickness or injury.
Pays $200 (once per calendar year) for CT, CAT, MRI or EEG exams.

Plan A - $5,000 (Rates per Paycheck)

Issue Ages
Employee
Employee & Spouse
Employee & Child
Family
18-49
$12.99
$26.43
$25.85
$38.01
50-59
$25.60
​$50.99
$37.81
​$61.74
60-64
$38.47
$76.49
​$51.58
$88.02
65+
$49.06
​$97.41
$62.16
$108.89

 Plan B - $10,000 (Rates per Paycheck)

Issue Ages
Employee
Employee & Spouse
Employee & Child
Family
18-49
$14.25
$28.93
$27.23
$40.63
50-59
$30.39
​$60.59
$42.75
​$71.48
60-64
$45.69
$90.95
​$58.94
$102.61
65+
$59.17
​$117.60
$72.39
$129.22

Disclaimer: Galbraith Group is providing the domain and hosting this Employee Benefits Center (EBC) to the benefit of Carillon, its employees, and its participants.  The content available through this EBC is the property of Carillon and Carillon remains solely responsible for content information, accuracy, and completeness.  This EBC only explains the general purposes of the insurance described, but in no way changes or affects the policy as actually issued. In the event of any discrepancy between any of these documents and the policy, the terms of the policy apply.  Complete coverage information is in the certificate of insurance booklet issued to each insured individual. Please read it carefully and keep it in a safe place with your other important papers.

NOTE: Links to external websites are provided as a convenience for our employees and do not imply our company's sponsorship or approval of these sites, their products, and/or services.
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