What it does

Helps protect you from unexpected financial stress if you or a covered family member has an accident. It supplements your primary medical plan by providing cash benefits in cases of covered accidental injuries.

Protects you from the financial impact of covered illnesses, including heart attack, cancer and stroke. You receive a lump-sum cash payment to cover out-of-pocket expenses for anything you need.

Pays cash from day one if you are admitted to a hospital for a covered illness or injury. It will continue to pay a daily lump-sum benefit for each day you remain in the hospital.

Enrollment

Enroll during Annual Enrollment

Payment

You pay the full cost of coverage through after-tax premiums

Coverage

• Accidental death
• Emergency room treatment
• Dislocation or fracture
• Initial hospital confinement
• Intensive care
• Ambulance
• Medical expenses
• Outpatient physician’s treatment

The actual benefit amounts depend on the type of injuries you have and the medical services you need.

Wellness Benefit—pays you $100 per family member per year after you go for one of more than 30 covered health screenings, including Chubb's Biometric Screening.

To see your costs and enroll, visit the Chubb Benefits Portal

Two options:

• $15,000 lump sum
• $30,000 lump sum

If you choose to cover your dependents, the covered spouse/partner and covered children benefit amount is 50% of your benefit amount.

Illnesses must be diagnosed after your coverage takes effect for benefits to be paid.

Wellness Benefit—pays you $50 per family member per year after you go for one of more than 30 covered health screenings!

To see your costs and enroll, visit the Chubb Benefits Portal

Two Options:

Standard:

• $500 hospital admission benefit
• $100 daily hospital confinement benefit (up to a maximum of nine days per plan year)
• $200 daily ICU benefit (up to a maximum of 10 days per plan year)

Enhanced:

• $1,000 hospital admission benefit
• $250 daily hospital confinement benefit (up to a maximum of nine days per plan year)
• $500 daily ICU benefit (up to a maximum of 10 days per plan year)

Rehabilitation Confinement Benefit—pays you the same Standard or Enhanced confinement benefit when you are admitted to a rehabilitation facility.

To see your costs and enroll, visit the Chubb Benefits Portal

Employee Only

$2.54

Employee + Spouse/Partner

$5.70

Employee + Child(ren)

$6.53

Employee + Family

$9.69

18-25

$3.19

$4.23

$3.19

$4.23

26-30

$3.45

$4.63

$3.45

$4.63

31-35

$4.25

$5.83

$4.25

$5.83

36-40

$5.72

$8.04

$5.72

$8.04

41-45

$7.28

$10.37

$7.28

$10.37

46-50

$9.94

$14.37

$9.94

$14.37

51-55

$12.49

$18.18

$12.49

$18.18

56-60

$17.12

$25.14

$17.12

$25.14

61-65

$23.15

$34.17

$23.15

$34.17

66-70

$29.31

$43.41

$29.31

$43.41

71

$37.50

$83.68

$37.50

$55.70

18-25

$5.59

$7.68

$5.59

$7.68

26-30

$6.11

$8.47

$6.11

$8.47

31-35

$7.72

$10.87

$7.72

$10.87

36-40

$10.66

$15.29

$10.66

$15.29

41-45

$13.76

$19.94

$13.76

$19.94

46-50

$19.10

$27.94

$19.10

$27.94

51-55

$24.19

$35.58

$24.19

$35.58

56-60

$33.45

$49.48

$33.45

$49.48

61-65

$45.51

$67.56

$45.51

$67.56

66-70

$57.82

$86.03

$57.82

$86.03

71

$74.21

$110.61

$74.21

$110.61

18-25

$4.60

$6.15

$4.60

$6.15

26-30

$5.08

$6.88

$5.08

$6.88

31-35

$6.53

$9.05

$6.53

$9.05

36-40

$9.19

$13.05

$9.19

$13.05

41-45

$12.11

$17.42

$12.11

$17.42

46-50

$17.11

$24.92

$17.11

$24.92

51-55

$22.15

$32.48

$22.15

$32.48

56-60

$30.62

$45.18

$30.62

$45.18

61-65

$41.75

$61.88

$41.75

$61.88

66-70

$54.23

$80.61

$54.23

$80.61

71

$70.71

$105.32

$70.71

$105.32

18-25

$8.01

$11.12

$8.01

$11.12

26-30

$8.99

$12.59

$8.99

$12.59

31-35

$11.88

$16.92

$11.88

$16.92

36-40

$17.20

$24.91

$17.20

$24.91

41-45

$23.04

$33.65

$23.04

$33.65

46-50

$33.03

$48.65

$33.03

$48.65

51-55

$43.12

$63.78

$43.12

$63.78

56-60

$60.05

$89.18

$60.05

$89.18

61-65

$82.31

$122.57

$82.31

$122.57

66-70

$107.28

$160.03

$107.28

$160.03

71

$140.23

$209.45

$140.23

$209.45

Employee Only

$1.43

$2.28

Employee + Spouse/Partner

$3.14

$5.14

Employee + Child(ren)

$3.28

$5.43

Employee + Family

$4.57

$7.43