Critical Illness

Aetna

ABOUT CRITICAL ILLNESS

Critical illness insurance can be used towards medical or other expenses. It provides a lump sum benefit payable directly to the insured upon diagnosis of a covered condition or event, like a heart attack or stroke. The money can also be used for non-medical costs related to the illness, including transportation, child care, etc.

For full plan details, please visit your benefit website: www.mybenefitshub.com/lakeworthisd

EMPLOYEE BENEFITS

Critical Illness Plan Benefits

Face Amounts Spouse Face Amount Child(ren) Face Amount Critical Illness Benefits Heart Attack (Myocardial Infarction) Stroke Coronary Artery Condition Requiring Bypass Surgery Major Organ Failure End-Stage Renal Failure

Paralysis Loss of Sight (Blindness) Loss of Speech Loss of Hearing Occupational HIV Coma

$10,000, $20,000 or $30,000 100% of EE Face Amount 100% of EE Face Amount Percent of Face Amount (Employee): 100% 100% 25% 100% 100%

100% 100% 100% 100% 100% 100%

Benign Brain Tumor Third-Degree Burns Alzheimer's Disease Parkinson's Disease 100% 100% 25% 25%

Lupus Multiple Sclerosis Muscular Dystrophy

Childhood Critical Illness Benefits Cerebral Palsy Cleft Lip or Cleft Palate Cystic Fibrosis Down Syndrome Spina Bifida Cancer Benefits 25% 25% 25%

Percent of Face Amount (Employee): 25% 25% 25% 25% 25% Percent of Face Amount (Employee):

Cancer (invasive) 100%

Carcinoma in Situ (non-invasive)

25% Skin Cancer $1,000 Skin cancer benefit provides coverage for invasive malignant melanoma in the dermis or deeper or skin malignancies that have become metastatic

Aetna

EMPLOYEE BENEFITS

Additional Plan Benefits Subsequent Critical Illness Diagnosis Benefit Recurrence Critical Illness Diagnosis Benefit Recurrence Cancer (invasive) Diagnosis Benefit Recurrence Carcinoma in Situ Diagnosis Benefit (non-invasive) *Health Screening – Optional at the Employer Level Maximum 1 day per plan year

Critical Illness With Cancer Percent of Face Amount (Employee): 100% after 180 days 100% after 180 days 100% after 180 days 100% after 180 days $50

$10,000

$20,000

$30,000 Employee Age Employee Only Employee and Spouse <20

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+ <20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+

<20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+ $3.30

$3.76 $4.47 $5.34 $6.65 $8.81 $12.63 $18.96 $27.28 $41.80 $60.76 $82.49 $5.08 $6.00 $7.40 $9.15 $11.77 $16.09 $23.74 $36.38 $53.04 $82.07 $119.98 $163.45

$6.85 $8.23 $10.33 $12.96 $16.89 $23.37 $34.84 $53.81 $78.79 $122.34 $179.21 $244.41 $7.53

$8.53 $9.90 $11.77 $14.69 $19.90 $28.51 $42.75 $63.10 $89.35 $122.13 $153.59 $11.84 $13.84 $16.58 $20.31 $26.15 $36.58 $53.79 $82.29 $122.98 $175.48 $214.03 $303.96

$16.16 $19.15 $23.26 $28.85 $37.61 $53.26 $79.08 $121.82 $182.85 $261.61 $359.93 $454.33

Employee and Child(ren) $3.30

$3.76 $4.47 $5.34 $6.65 $8.81 $12.63 $18.96 $27.28 $41.80 $60.76 $82.49 $5.08 $6.00 $7.40 $9.15 $11.77 $16.09 $23.74 $36.38 $53.04 $82.07 $119.98 $163.45

$6.85 $8.23 $10.33 $12.96 $16.89 $23.37 $34.84 $53.81 $78.79 $122.34 $179.21 $244.41

Family $7.53

$8.53 $9.90 $11.77 $14.69 $19.90 $28.51 $42.75 $63.10 $89.35 $122.13 $153.59 $11.84 $13.84 $16.58 $20.31 $26.15 $36.58 $53.79 $82.29 $122.98 $175.48 $214.03 $303.96

$16.16 $19.15 $23.26 $28.85 $37.61 $53.26 $79.08 $121.82 $182.85 $261.61 $359.93 $454.33