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City of Auburn General Information
Maintain Choice & Control Advancing age, chronic illness & injury. These are some of the reasons you may need long term care. UNUM's Long Term Care (LTC) insurance allows you to maintain choice and control over your life, should you find yourself needing long term care. CHOICE You choose who will give you care. CONTROL You maintain control over your assets. Table of Contents Who can Apply? Employees - All regular, unaffiliated, active employees working at least
20 hours per week. What is Guarantee Issue vs. Medical Underwriting? Guarantee Issue means that you do not have to fill out a medical questionnaire. All Active Employees & Newly Hired Employees - who enroll after the Guarantee Issue enrollment period or choose benefits over the Guarantee Issue limits will be required to fill out a medical questionnaire. You will find complete details on the Guarantee Issue limits in your enrollment kit. Eligible Family Members & Retirees - must complete a medical questionnaire, and in some instances, a face-to- face assessment may be required. The effective date for all those needing medical underwriting is the first of the month following approval into the plan. What are the different levels of care? Long Term Care/Nursing Home Facility: A long term care facility or nursing home is an institution or distinctly separate part of a hospital that provides skilled, intermediate or custodial care under state licensing and certification laws. Assisted Living Facility: An assisted living facility is licensed by the appropriate agency (if required) to provide ongoing care and services to a minimum of 10 inpatients in one location. Professional Home Care: Includes visits to your home by a licensed Home Health Care Provider during which skilled nursing care, physical, respiratory, occupational, dietary or speech therapy, or homemaker services are provided. The City of Auburn provides a three year benefit of $1,000 per month for Home Care, Assisted Living Facility and/or Nursing Home Care. You may purchase up to $6,000* per month, a 6 year** lifetime benefit period and an inflation protection. All at low group rates. *$4,000 per month guarantee issue **6 year plan guarantee issue Higher benefits available but with Medical Underwritten OPTIONS: Total Home Care: Includes Professional Home Care services, as well as care received from any care provider of your choosing, including relatives and friends who provide care in your home. Inflation Protection: Compound Growth Uncapped. Your pool of benefit dollars will increase each year so that after 14 years the pool of benefit dollars will double and continue to increase year after year. How long is the Elimination Period? Your plan's Elimination Period of 90 days is the amount of time you must wait before benefits become payable. This time period must be satisfied only once during the life of your plan. Given today's high nursing home costs, it's not surprising that 72% of those admitted are impoverished within one year. Health insurance won't cover these costs, and government programs like Medicare and Medicaid fall short as well. Without insurance protection, your assets could disappear quickly, along with your ability to make choices and maintain control over your life. UNUM's Long Term Care insurance will help give you choices-who will provide care and where it will be received-and help pay for those choices. And remember employees signing up for coverage during the enrollment period and within the Guarantee Issue limits may do so without completing a medical questionnaire. Your enrollment kit contains detailed information about the plan available, enrollment forms, and other information, some of which may be required by Washington State.
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