(Form Nos. R I0762 (base policy insured) and R I0763 (other insured))
The Critical Illness Benefit Rider will pay a benefit if an insured person receives a first-ever diagnosis or procedure for one of the specified critical illnesses shown in the chart below. The amount payable is the percentage of the benefit amount found in the chart multiplied by the benefit amount.
Availability: Available at time of application only to the base policy insured and one other insured. The other insured must have an insurance relationship with the policyowner and have been approved for the Other Insured Level Term Rider. Other insured premiums are based on their gender, underwriting class and age.
Issue Ages: age last birthday, as follows -
• 10-year and 15-year level premium periods, 18 through 65
• 20-year level premium period, 18 through 60
• 30-year level premium period, 18 through 50
Termination Age: 75
Benefit Amounts:
• Base Policy Insured – $20,000 through $100,000, but not exceeding the base policy benefit amount
• Other Insured – $20,000 through $100,000, but not exceeding the Other Insured Level Term Rider benefit amount
• Maximum amounts are based on all in-force and applied-for critical illness coverage.
Issue Limitations: Only available through Table 2 (150 percent). The rider itself cannot be rated.
Underwriting: Based on personal history, family history and motor vehicle report; subject to full underwriting.
Benefits Payable in the Same Category: If an insured receives a percentage of the benefit amount for one specified critical illness within a category and then becomes eligible for benefits for another specified critical illness within the same category, the benefit amount payable for the subsequent illness within the same category is the lesser of the percentage amount payable or 100 percent minus the percentage of the benefit amount received for all previous specified critical illnesses within the same category.
After 100 percent of the benefit amount shown on the rider schedule has been paid to an insured person within a category in the chart below, Assurity will not pay any additional benefits for any specified critical illness in that category for that insured person.
Benefits Payable in Different Categories: If benefits have been paid for a specified critical illness within one category for an insured person, no benefits will be payable for a subsequent specified critical illness within a different category for that insured person unless the date of diagnosis of the subsequent specified critical illness is separated by at least 180 days from the date of diagnosis of the immediately preceding specified critical illness.
CRITICAL ILLNESS BENEFIT RIDER BENEFIT CHART | |||
Category
|
Specified Critical Illness
|
Percentage of Benefit Amount Payable for Each Specified Critical Illness
|
Maximum Percentage of Benefit Amount for Category
|
Category 1 (Heart and Stroke) |
Heart Attack |
100% |
100% |
Major Organ Transplant – any transplant incl. heart |
100% | ||
Stroke |
100% | ||
Coronary Bypass Surgery |
25% (payable once per lifetime) | ||
Angioplasty |
10% (payable once per lifetime) | ||
Category 2 (Other Illnesses / Procedures) |
Kidney (Renal) Failure |
100% |
100% |
Major Organ Transplant - not covered in Category 1 |
100% | ||
Paralysis – not as a result of stroke |
100% | ||
Category 3 (Cancer) |
Invasive Cancer |
100% |
100% |
Carcinoma in situ (non-invasive cancer) |
25% (payable once per lifetime) |