Specified Disease Rider (Form No. R G1722C; not available with Prime plan) (HSA compatible)

The Specified Disease Rider provides a lump sum benefit for each insured person upon diagnosis of certain specified diseases. The amount payable is 100% for each specified disease multiplied by the selected benefit amount.

 

Policy provisions relative to the Additional Diagnosis Benefit apply to this rider.

 

Eligible Persons:  Employee, spouse, insured children and dependent grandchildren

Benefit Amount:  Same as selected for the policy; each specified disease is payable once per lifetime for each insured person

 

Specified Diseases

Adrenal Hypofunction (Addison’s Disease)

Primary Biliary Cirrhosis

Antibiotic Resistant Bacteria

Primary Sclerosing Cholangitis (WP Disease)

Bacterial Meningitis

Q Fever

Botulism

Rabies

Brucellosis

Reye’s Syndrome

Bubonic Plague

Rheumatic Fever

Budd-Chiari Syndrome

Scarlet Fever

Cerebrospinal Meningitis

Sepsis

Cholera

Small Pox

Diphtheria

Systemic Lupus

Encephalitis

System Sclerosis (Scleroderma)

Hansen’s Disease

Tay-Sachs Disease

Histoplasmosis

Tetanus

Huntington’s Chorea

Thalassemia

Legionnaire’s Disease

Toxic Epidermal Necrolysis

Mad Cow Disease

Toxic Shock Syndrome

Malaria

Trichinosis

Muscular Dystrophy

Tuberculosis

Myasthenia Gravis

Tularemia

Necrotizing Fasciitis

Typhoid Fever

Osteomyelitis

Yellow Fever

Poliomyelitis