Sagicor Fit Booklet

Page 1

Health Insurance for Small Business





MEDICAL CHARGES NOT COVERED Charges for which benefits are payable in accordance with:

Workmen’s Compensation Law to the extent of such coverage. Intentional self-inflicted injury. Charges incurred because of alcoholism or drug addiction. Injuries sustained while committing a felony.

TERMINATION Coverage for an employee terminates when:

Non-payment of premiums. Termination of your insurance contract with Sagicor. Termination of employment with the employer.

BENEFICIARY Beneficiaries are to be appointed for Group Life coverage. Beneficiaries under the age of 18 years are required to have a Trustee appointed.

CONVERSION Terminating employees have an option to convert to an individual health and/or life insurance policy within 31 days, without medical assesment. BENEFITS

SCHEDULES.

There are 6 benefit plans to choose from:


DOCTOR’S VISITS Benefits Schedules





SURGERY + MATERNITY BENEFITS Benefits Schedules





PREVENTATIVE CARE + OTHER MEDICAL SERVICES Benefits Schedules





MAJOR MEDICAL + DENTAL & OPTICAL + LIFE BENEFITS Benefits Schedules


+








Special Life Insurance

PACKAGE JUST FOR YOU





COMPANY DATA 1. Name of Company Tel

2. Address 3. Principal Officer:

Title:

Email:

4. Plan Administrator

Title:

Email:

5. Type of Business: 6. Nature of Business: 8. Type of Industry:

Sole Proprietorship

Retail Trade

Manufacturing or Wholesaling

Transportation

Partnership

Multi-Industry

Construction or Maintenance

Corporation

Agriculture or Commerce

Other

(a) Number of Full-time Employees/Total Membership (b) No. of Employees with Eligible Dependents

Participation: Dependents Members

n/a

n/a

(c) No. of Employees enrolling (d) No. of Employees with Dependents enrolling

n/a n/a

(e) Will Employees contribute to Employee Coverage?

Yes

No

(f) Will Employees contribute to Dependent Coverage?

Yes

No

Yes

No

10. Company’s Probation Period (Eligibility Period) 11. Name of Subsidiaries and/or Associated Companies:

12. Are the employees of companies given in (9) included in this proposal? 13. Are any classes of employees (other than part-time employees) to be excluded from participation in your plan due to eligibility reasons?

Yes

No

14. Are any of your employees related by blood or marriage?

Yes

No

15. Does this coverage for which you are applying and described herein

Yes

No

replace any other group insurance presently in force? If yes, please answer the following questions and include a copy of your in-force booklet or certificate and final premium billing statement: 1. Name of Insurance Company ................................................................................................................................ 2. Type of Coverage ...................................................................................................................................................... 3. Termination Date ....................................................................................................................................................... 4. Number of Covered Employees as of Termination Date ............................................................................ 5. How long was prior coverage in force? ............................................................................................................

16. Have you, or any of your employees or their dependents incurred any claims in excess of $50,000 during the past 12 months? 17. Have you, or any of your employees or their dependents incurred any claims in excess of $50,000 during the past 12 months? If the answer to any of the above questions was ‘Yes’, explain. (Attach extra sheet if necessary).

EBD-APP02-08-J04/0412

Yes

No

Yes

No




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