• This offer is available to actively-at-work members (excluding temporary and seasonal work), and their spouses.
• Guaranteed Issue maximum benefit of $150,000 for eligible members ages 18-70.
  
• Simplified Issue maximum benefit of $250,000 by answering health questions for employees ages 18-70.
• Working spouse ages 18-70 Guaranteed Issue up to $40,000 death benefit.
• Non-working spouse Guaranteed Issue up to $10,000 death benefit.
• Eligible members ages 71-80 are not eligible for long-term care benefit, but still have access to the whole life benefit.
• Members ages 71-80 require Simplified Issue underwriting for all benefit levels, and will have to answer health questions with a maximum benefit of $250,000.
• Child Guaranteed Issue ages 0-18 up to $20,000 maximum death benefit; Simplified Issue ages 19-25 up $50,000 maximum death benefit. (dependent and a full-time student or actively at work)

This program is a Whole Life Insurance Policy with Accelerated Death Benefit for Long Term Care (LTC). It provides dual protection for the cost of LTC and financial support for your beneficiaries after you are gone.

When you elect a life insurance benefit amount, you will also receive an LTC benefit. The LTC coverage amount is 6 percent of the Life Insurance benefit amount per month.

There are generally two ways you might use the policy:

If you need LTC coverage, the benefit will pay a monthly benefit of 6% of the total amount of Life Insurance you buy once you qualify for benefits. For example, if you buy $100,000 in Life Insurance coverage, you could receive $6,000 a month for up to 17 months (about 1.5 years) for a total potential benefit of $100,000. Once the full death benefit has been paid in advance for LTC, the Extension of Benefits feature may continue the same monthly LTC benefit for up to an additional 17 months—doubling the value. In total, you could receive $6,000 a month for up to 34 months, for a total potential LTC benefit of $200,000.

If you use your entire death benefit on long term care, the Restoration of Death Benefit Rider restores the life insurance coverage, therefore assuring a death benefit up to the age of 121, whether or not you need Long Term Care.

Long Term Care benefits begin to be paid once you have satisfied a 90-day waiting period for an eligible claim.

If you don't need LTC in your lifetime, there is still a death benefit available to your beneficiaries. Again, using the example, if you buy $100,000 of life insurance and don't use any LTC expenses, your beneficiaries would still receive up to $100,000 in death benefit.

Long term care is the personal care and/or supervision (custodial, supervisory, or skilled care) needed by persons of all ages for an extended period.

Often this is because of conditions associated with the effects of aging, but LTC may be needed at any time due to an accident or illness. At some point in our lives, it is estimated that more than 60 percent of us will need assistance with things like getting dressed, driving to appointments, or making meals.

It is a common misconception that LTC is covered by health or disability insurance. LTC services are typically not covered by Medicare, Medicaid, private health or disability insurance.

• Medicare: Only pays for skilled services or rehabilitative care for a limited time.
• Medicaid: Pays for the largest share of LTC services but has strict income and eligibility requirements.
• Employer / Private Health Insurance: Typically covers the same limited services as Medicare.
• Disability Insurance: Covers lost income for protection during working years but does not cover the cost of LTC services.

If you already have LTC insurance, great! You may want to use this enrollment as an opportunity to review your coverage. It is often recommended to keep your original coverage because of the value it provides. However, if you would like to review your existing plan in more detail, you can meet with one of the LTC insurance specialists supporting this enrollment to review your coverage and options.

The premium is based on how much death benefit you select, the age that you are at the time of application and your smoking status.  

The best way to see your pricing is to click "Build Your Benefit" for an estimate and then "Enroll Today" to begin the enrollment process for pricing specific to you. You are under no obligation to purchase once you start the enrollment process and can exit anytime.

You will enter some personal information and choose a death benefit from $25,000 - $250,000.

Yes, coverage under this plan is available for spouses.

Spouses age 18-70 are eligible for Guaranteed Issue up to a maximum of $40,000 for a working spouse and $10,000 for a non-working spouse. 

Spouses may be able to qualify for a benefit amount up to $150,000 by answering medical questions through Simplified Issue underwriting. Acceptance is not guaranteed.

Guaranteed Issue is available only in year one, for new hires, and qualifying life events. You may request to increase your existing insurance coverage during specific enrollment periods but would require evidence of insurability and not to exceed the maximum policy limit. If approved, the increase in coverage will be based on your current (attained) age.

Yes, if you select a death benefit within the program’s Guaranteed Issue amount and are between the ages of 18 and 70, actively-at-work, and during the special enrollment period, there are no medical questions and acceptance is guaranteed. Guaranteed issuance is unique to special enrollment periods and may not re-occur every year. Guaranteed issue maximums differ depending on if you're an eligible member, or the spouse of an eligible member.

If you qualify for LTC benefits, where you receive care is up to you (at home, assisted living, adult day care, nursing home). ‍However, the policy will only pay LTC benefits for care received in the United States.  

Death benefits are paid anywhere in the world. 

Once you have completed the enrollment, you will receive a confirmation email that your application has been submitted. Your policy will be mailed approximately 30 days after the effective date.

There is a pre-existing condition clause included in this plan, but fear not. It will not preclude you from receiving coverage for your pre-existing condition forever. Here's how it works:

If you have a pre-existing condition that existed within 6 months prior to your policy's effective date, benefits will not be paid for a period of 6 months following your policy's effective date.

Benefits will be paid for this pre-existing condition after the period of 6 months following your effective date have passed.

Death Benefit - pays a lump-sum cash benefit when the insured dies; or

Maturity Benefit - pays a lump-sum cash benefit if the insured is still living at age 121.

This policy is completely portable – meaning you take the coverage with you even if you leave ODA, as long as you continue to pay the premiums.

Your premium is based on your age at the time of issue and is not expected to increase as you age. The life insurance portion of the premium is guaranteed level for life. This is a majority of the total premium. The LTCi portion of the premium is guaranteed renewable, which means that it can be changed on a class basis, but not based on your individual health. If the insurance company files for a rate increase, it has to be actuarially justified and approved by the state and would impact a minority of the total premium.

During the application process, you will enter your bank account information to authorize a bank draft from the insurance company. 

Life and LTCi benefits paid are generally received tax-free. However, as with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. The insurance company has no responsibility for any tax consequences of any benefits paid under this policy. The LTC rider is filed to be a federally tax-qualified LTC insurance contract.

The insurance company requires SSN to set up the policy as it is used for tax purposes and claims. Height and weight are used in underwriting if you are ineligible for Guarantee Issue underwriting and are required to answer health questions.

Benefits paid may or may not be taxable. Whether or not you or your beneficiary incur a tax liability when benefits are paid depends on how the IRS interprets applicable portions of the Tax Code. As with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit. The insurance company has no responsibility for any tax consequences of any benefits paid under this policy. The rider for LTC insurance is not intended to be a federally qualified LTC insurance contract.

BuddyIns collaborates with benefit brokers, insurance companies, and financial professionals to provide employees and association members with the long term care education and enrollment processes they need to make the best decision for their futures.

Please be prepared to provide the following information:

• Name and contact information
• Social security number
• Are you actively at work at least 20 hours per week?
• Date of hire (can be an estimated date)
• Is this replacing another life insurance policy? If yes, what is the face amount of that policy? (can provide an estimated amount)
• If you are applying for benefit amounts that require simplified issue underwriting, you will be asked questions pertaining to your health history