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Medical

Medical and prescription drug 

Understanding your options 

Chubb offers a range of medical plan options with different coverage levels, price points, and carriers, so you can select what’s right for you. Each medical plan includes prescription drug coverage.  

How the Medical Plans Work 
No Cost Shared Cost Cost Limits

In-network preventive care is at no cost to you

Services such as annual physicals, recommended immunizations and routine cancer screenings are fully covered, so you pay nothing. Coverage for non-preventive care with an annual deductible For most non-preventive care, you pay 100% of costs until you meet the annual deductible.

Coinsurance reduces your costs

Once the deductible is met, you and the plan share any further health expenses until you meet the out-of-pocket maximum.

Out-of-pocket maximums limit your annual expenses

Each plan protects you by capping the total amount you’ll pay each year for medical care. Once you meet the out- of-pocket maximum, the plan pays 100% of your eligible expenses for the rest of the year. Keep in mind that there are separate deductibles, coinsurance and out-of-pocket maximums for in-network vs. out-of-network coverage.

Compare the plans

In-network coverage

You save money by seeing in-network providers. Remember, your out-of-network expenses do not count toward your in-network deductible or out-of-pocket maximum. 

Plan Aetna Plans
$1,850 Deductible $4,500 Deductible

Annual deductible (Individual/Family)

$1,850/$3,700

$4,500/$9,000

HSA eligible

Yes

Yes

Out-of-pocket maximum (Individual/Family)

$4,000/$8,000

$6,550/$13,100

Coinsurance

You pay 20%, plan pays 80%

You pay 30%, plan pays 70%

Medical care: Your costs

Preventive care

You pay $0 when you get services in-network.

Office visit

20% after deductible

30% after deductible

Urgent care visit

20% after deductible

30% after deductible

Emergency room visit

20% after deductible

30% after deductible

Covering dependents? 

Learn how your family’s expenses accumulate toward the in-network deductible and out-of-pocket maximum. 

How do I... If I’m covering dependents...

In the $1,850 Deductible Plan

In the $4,500 Deductible Plan

Meet the in-network deductible?

You must spend $3,700 toward in-network expenses (your entire family deductible) before the plan begins to pay coinsurance for any family member. The individual deductible does not apply.

The plan begins to pay coinsurance for each family member when their individual deductible ($4,500) is met, OR for everyone when the family deductible ($9,000) is met.

Meet the in-network out-of-pocket maximum?

You must spend $8,000 toward in-network expenses (your entire family out-of-pocket maximum) before the plan begins to pay 100% of covered expenses for any family member. The individual out-of-pocket maximum does not apply.

The plan begins to pay 100% of covered expenses for each family member when their individual out-of-pocket maximum ($6,550) is met, OR for everyone when the family out-of-pocket maximum ($13,100) is met.

Find in-network providers 

Aetna

www.aetna.com/docfind

Kaiser (Hawaii only)

www.kp.org

Search as a member by logging into your Aetna account or search as a guest. When prompted to select a plan, you can select "Aetna Choice® POS II (Open Access)"

Click “Find doctors and locations,” choose your region and enter your search criteria.

Out-of-network coverage

You have the flexibility to see any provider you wish, but you’ll pay more when you go out-of-network. Your in-network expenses do not count toward your out-of-network deductible or out-of-pocket maximum. 

Plan Aetna Plans
$1,850 Deductible $4,500 Deductible

Annual deductible (Individual/Family)

$3,700/$7,400

$9,000/$18,000

HSA eligible

Yes

Yes

Out-of-pocket maximum (Individual/Family)

$8,000/$16,000

$13,100/$26,200

Coinsurance

You pay 40%, plan pays 60%

You pay 50%, plan pays 50%

Medical care: Your costs

Preventive care

40% after deductible

50% after deductible

Office visit

40% after deductible

50% after deductible

Telehealth visit

Varies; visit your medical carrier site for details.

Urgent care visit

40% after deductible

50% after deductible

Emergency room visit

20% after deductible

30% after deductible

Covering dependents? 

Learn how your family’s expenses accumulate toward the out-of-network deductible and out-of-pocket maximum. 

How do I... If I’m covering dependents...

In the $1,850 Deductible Plan

In the $4,500 Deductible Plan

Meet the out-of-network deductible?

    You must spend $7,400 toward out-of-network expenses (your entire family deductible) before the plan begins to pay coinsurance for any family member. The individual deductible does not apply.

The plan begins to pay coinsurance for each family member when their individual deductible ($9,000) is met, OR for everyone when the family deductible ($18,000) is met.

Meet the out-of-network out-of-pocket maximum?

    You must spend $16,000 toward out-of-network expenses (your entire family out-of-pocket maximum) before the plan begins to pay 100% of covered expenses for any family member. The individual out-of-pocket maximum does not apply.

The plan begins to pay 100% of covered expenses for each family member when their individual out-of-pocket maximum ($13,100) is met, OR for everyone when the family out-of-pocket maximum ($26,200) is met.

Coverage Level & Who Can Be Covered 
  • Employee only 

  • Employee + spouse/partner 

  • Employee + child(ren) 

  • Employee + family  

You may cover the following dependents as long as you are enrolled in a plan yourself and can provide documentation to confirm eligibility: 

  • Your spouse/partner 

  • You or your spouse/partner’s eligible children up to age 26 (their eligibility ends the last day of the month the child turns 26). 

  • Your disabled children of any age, if they are covered under your medical plan and disabled prior to losing eligibility. They must also be legally or financial dependent as defined by the IRS for federal tax purposes). 

Eligibility

To be eligible for company provided benefits (medical (including prescription), vision, dental, life insurance, disability, AD&D, hospital indemnity, critical illness, accident and the health care or dependent care FSAs) with Chubb, U.S. employees of the Combined Field Agent Division must meet and maintain an annual income threshold each payroll year of $20,000 or more in net first-year commissions and overrides. 

Employees who do not meet this required annual income threshold must wait until February 1 following the calendar year in which the employee has met the minimum income requirements to participate in company provided benefits. 

Benefits eligibility for Agents

First day in the field

After 90 days of continuous service from your first day in the field

After one year of continuous service from your first day in the field

  • Basic AD&D insurance
  • Supplemental AD&D insurance
  • Employee Assistance Program
  • Medical/Rx plan
  • Health savings and flexible spending accounts
  • Vision plan
  • Supplemental medical plans (accident, hospital indemnity, critical illness)
  • Basic life insurance
  • Dental plan
  • Supplemental employee life insurance
  • Long-term disability

What Will You Pay  

 You pay for your medical coverage through medical plan premiums deducted from your paycheck. The amount you pay depends on: 

  • The plan you choose. The lower deductible plan has higher premiums; the higher deductible plan has lower premiums. 

  • The dependents you cover. Premiums are lower for individual coverage and higher if you cover dependents. 

  • Your spouse’s/partner’s access to coverage. If you cover a spouse/partner who has access to medical coverage through his/her employer, a surcharge of $100 per month will be applied to your medical plan premiums. 

  • Your tobacco-use status. Chubb medical plans include a tobacco premium surcharge for employees and/or covered spouses/partners who use tobacco products: 

    • $50 per month (one user) or $100 per month (both users). 

Medical Rates

Aetna

Plans & coverage tiers Weekly rates*

$1,850 Deductible Plan (High Deductible)

EE Only

$151.43

EE + Spouse/Partner**

$421.90

EE + Child(ren)**

$266.16

EE + Family**

$451.68

Weekly rates*
Plans & coverage tiers < 10 Years of service > 10 Years of service

$4,500 Deductible Plan (High Deductible)

EE Only

$113.82

$92.39

EE + Spouse/Partner**

$285.92

$228.74

EE + Child(ren)**

$180.20

$144.16

EE + Family**

$339.51

$275.31

Kaiser (for employees in Hawaii)

Plans & coverage tiers Weekly rates*

EE Only

$12.86

EE + Spouse/Partner**

$143.33

EE + Child(ren)**

$110.90

EE + Family**

$205.81

*Rates do not include relevant surcharges.
**Includes partner and/or partner’s child(ren).

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