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HomeMy WebLinkAboutRESPONSE - RFP - P902 BENEFITSProposal for The City of Fort Collins Voluntary Long Term Care TransCare Options Presented by: Christi Johnson Broker - Proffitt Benefit Services 5250 E Arapahoe Rd F7-209 Centennial, CO Toll Free 1-866-796-9471 And Transamerica Occidental Life Insurance Company General Agent — Colorado Group Brokerage Denver, CO. Mr. James B. O'Neill II, CPPO, FNIGP The City of Fort Collins Purchasing Department 215 North Mason St, 2nd Floor Reference RFP P902 PO Box 580 Fort Collins, CO 80522 Dear Mr. O'Neill, Transamerica does not have any specific written performance guarantees, other than their reputation and a strong financial history. The number of group cases they have (2,698) bears evidence to their unwritten commitment to performing excellent customer service and claims payment. Proffitt Benefit Services believes we are in partnership with our clients, a partnership of commitment. A commitment of whatever time is needed to provide information and act as an advocate on behalf of our clients. We provide a toll free number, e-mail access and 24-hour response to client concerns and questions. One of our best references in regard to our commitment to our clients and their employees would be your own benefits department. Sincerely, a Christi Johnson Proffitt Benefit Services 5250 E Arapahoe Rd F7-209 Centennial, CO 80122 1-866-796-9471 Transamerica - Financial Overview http://www.transamerica Qom/company_profile/about_transamerica/f... ■ About Transanterita • About the Pyramid Transamerica Affiliates ■ News & Events ■ Careers ■ Contact Us Home : Company Profile : About Transamerica Financial Overview Financial Overview I Transamerica History I About Transamerica Insurance & Investment Group Financial Overview Transamerica's life insurance subsidiaries have sterling reputations for fiscal responsibility, integrity, and Financial strength. High Industry Ratings Our consistently high ratings are a direct reflection of the care with which we manage our business. Transamerica's life Insurance subsidiaries have received high ratings from the industry's most respected independent rating services. Financial Strength Ratings for Transamerica Occidental Life Insurance Company, Transamerica Life Insurance and Annuity Company, and Transamerica Financial Life Insurance Company. Agency Rating* Description A.M. Best A+ Superior Standard & Poor's AA Very Strong Moody's Aa3 Excellent Fitch AA+ Very Strong -Ratings as of April 2003 Ratings shown represent current and Independent opinions from the leading providers of ratings of Insurance companies. After evaluating a company's financial condition and operating performance, these agencies assign ratings of a company's financial strength and ability to meet obligations to policyholders. A.M. Best's A+ rating is the second highest of 16 ratings; Standard & Poor's AA rating is the third highest of 21 ratings; Moody's Aa3 rating is the fourth highest of 21 ratings; Fitch's AA+ rating Is the second highest of 24 ratings. Financial Strength The following figures are for Transamerica Occidental Life Insurance Company (TOLIC) and Transamerica Life Insurance and Annuity Company (TALIAC) as of December 31, 2002. (in billions) TOLIC TALIAC Life Insurance In Force $495.5 $0.1 Total Assetsl $24.1 $23.2 Total Liabilities $21.6 $22.1 Statutory Surplus $2.5 $1.1 IThese figures are reported on a statutory basis, as prescribed by the National Association of Insurance Commissioners. The Asset Valuation Reserve Is excluded from Total Liabilities and is included in Statutory Surplus. Transamerica Occidental Life Insurance Company, Transamerica Life Insurance and Annuity Company, and Transamerica Financial Life Insurance Company are members of the AEGON Insurance Group, based in The Hague, The Netherlands. For additional information about AEGON, please visit www.aegon.com. Top of Page Privacy Policy & Terms of Use I Customer Privacy Notice I Company Directory Resources 101 AEGON 2002 Annual Report 02003 Transamerica Corporation. All Rights Reserved. 1 of 1 8/26/2003 10:00 PM Contents of Section Eight 1. Checklist 2. Proposal Specifics Side by side product outline. Rates, with Plan Outline There are 2 sheets for each of the three plans, one for single and one for married. Each rate sheet provides the 5 Benefit Increase Options (BIO) No BIO GPO — Guarantee Purchase Option Step -Rated — Provides for lower premium in early years Simple Interest at 5% Compound Interest at 5% 3. Implementation Timeline 4. Sample Policy CHECKLIST OF ITEMS INCLUDED WITH PROPOSAL Yes No Description of Item l✓ Signature of Authorized Proposal for Group Life Insurance, AD&D and Supplemental Life Proposal for Group Voluntary Life Proposal for Voluntary Group Life and AD&D Proposal for Group Long Term Disability Proposal for Group Dental Proposal for Vision Care Proposal for Transplant Coverage Proposal for Long Term Care Signed Proposal Compliance Letter Signed Plan Design Confirmation Completed and Signed Questionnaire(s) Dental Network Access Analysis (if applicable) Vision Network Access Analysis (if applicable) Copy of your EOB for Dental and/or Vision Services (if applicable) Proposed Implementation Timeline for The City. Audited Financial Statements and/or Department of Insurance filings for the past two years (Only if requested by The City) Provider "Report Cards" used to provide feedback on clinical and non -clinical performance measures Copy of your Policy Assuring Member Satisfaction Samples of all Standard and Optional Reports you are proposing to provide on an account specific basis Copy of your Banking Services Agreement Copy of your Customer Satisfaction Survey Copy of your Insurance Contract that will be in effect January 1, 2004 City of Fort Collins, RFP 2003 11 PLAN DESIGNS Benefit Structure Plan A Plan B Plan C Maximum Daily Benefit $ 60.00 $ 120.00 $ 150.00 Benefit Period 4 Year 6 Year Lifetime Elimination Period 60 Day 60 Day 30 Da Maximum Benefit in Pool $87,600.00 $262,800.00 Unlimited Coverage Amounts 100% NH 100% NH 100% NH NH — Nursing Home 50% AL 100% AL 100% AL AL — Assisted Living 50% HHC 50% HHC 100% HHC HHC — Home Health Care Discounts Available Worksite 10% Worksite 10% Worksite 10% The worksite discount is available Preferred Preferred Preferred because the City sponsors the plan. 20% 20% 20% The discount is provided to all eligible Married Married Married individuals. 40% 40% 40% Rate Guarantee 3 Years 3 Years 3 Years Standard Benefits Included All All All Waiver of Premium NH Bed Reservation Hospice Contingent Nonforfeiture Care Coordination Benefit All All All Monthly Home Care Respite Care Therapeutic Device Home Modifications Medical Alert System Care Giver Training Benefit Increase Individual Choice Individual Choice Individual Option (BIO) Choice Simple — Automatic 5% May choose no May choose no Compound — Automatic 5% BIO or any of those BIO or any of those May choose no Step -Rated — Increase annually by 5% listed. listed. BIO or any of each year until you reach the level those listed. desired. Guaranteed Purchase — Offer the right to purchase additional coverage without evidence of insurability. Payment Options Payroll Deduct Payroll Deduct Payroll Deduct Annual Annual Annual Limited Pay Limited Pay Limited Pa TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson 100% Nu. _ __.g Home, 50% Assisted Living, and 50% Home Health Care Coverage 4 Year Benefit Period, $87,600.00 Maximum Benefit, 60 Day Elimination Period, $60 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan A Displayed by 1310 Option Age Voluntary Single Preferred Rates Voluntary Single Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 1840 $12.06 $12.18 $16.52 $22.18 $39.80 $15.08 $15.23 $20.66 $27.74 $49.75 41 $12.71 $12.84 $17.42 $23.39 $41.33 $15.90 $16.06 $21.78 $29.25 $51.67 42 $13.37 $13.50 $18.31 $24.58 $42.78 $16.71 $16.88 $22.89 $30.74 $53.47 43 $14.02 $14.16 $19.21 $25.80 $44.30 $17.52 $17.70 $24.01 $32.25 $55.37 44 $14.67 $14.82 $20.11 $26.85 $45.62 $18.34 $18.52 $25.11 $33.56 $57.03 45 $15.64 $15.80 $21.27 $28.62 $48.02 $19.56 $19.76 $26.60 $35.80 $60.06 46 $16.30 $16.46 $22.17 $29.67 $49.41 $20.38 $20.58 $27.72 $37.09 $61.74 47 $16.96 $17.12 $23.05 $30.84 $50.51 $21.19 $21.40 $28.82 $38.56 $63.14 48 $17.60 $17.78 $23.94 $31.87 $51.95 $22.01 $22.23 $29.94 $39.83 $64.92 49 $18.59 $18.78 $25.28 $33.65 $54.27 $23.22 $23.45 $31.58 $42.03 $67.82 50 $19.23 $19.42 $26.17 $34.62 $55.58 $24.04 $24.28 $32.69 $43.28 $69.48 51 $20.22 $20.42 $27.50 $36.40 $57.62 $25.27 $25.52 $34.38 $45.49 $72.02 52 $20.86 $21.07 $28.37 $37.56 $58.84 $26.09 $26.35 $35.49 $46.96 $73.56 53 $22.16 $22.38 $29.93 $39.68 $61.60 $27.72 $28.00 $37.42 $49.61 $77.05 54 $23.47 $23.70 $31.45 $41.78 $64.08 $29.35 $29.64 $39.32 $52.23 $80.12 55 $24.47 $24.71 $32.79 $43.55 $65.80 $30.57 $30.88 $40.97 $54.42 $82.25 56 $25.76 $26.02 $34.25 $45.59 $67.99 $32.20 $32.52 $42.83 $56.99 $85.00 57 $27.06 $27.33 $35.73 $47.91 $70.36 $33.82 $34.16 $44.65 $59.87 $87.94 58 $28.03 $28.31 $36.72 $49.33 $71.20 $35.05 $35.40 $45.91 $61.69 $89.03 59 $29.34 $29.63 $38.13 $51.05 $72.77 $36.68 $37.05 $47.68 $63.82 $90.96 60 $30.31 $30.61 $38.81 $52.45 $73.67 $37.91 $38.29 $48.53 $65.57 $92.11 61 $31.62 $31.94 $40.16 $54.39 $74.94 $39.53 $39.93 $50.20 $67.99 $93.67 62 $32.60 $32.93 $41.08 $55.75 $75.31 $40.75 $41.16 $51.35 $69.68 $94.14 63 $35.86 $36.22 $44.83 $60.62 $80.69 $44.83 $45.28 $56.04 $75.77 $100.88 64 $39.44 $39.83 $48.90 $66.27 $85.99 $49.31 $49.80 $61.15 $82.84 $107.50 65 $42.70 $43.13 $52.10 $70.89 $90.53 $53.38 $53.91 $65.13 $88.61 $113.18 66 $46.29 $46.75 $56.02 $76.38 $94.90 $57.87 $58.45 $70.02 $95.48 $118.63 67 $49.56 $50.06 $59.46 $80.78 $98.62 $61.95 $62.57 $74.34 $100.97 $123.27 68 $55.42 $55.97 $65.95 $89.22 $106.96 $69.28 $69.97 $82.45 $111.54 $133.71 69 $60.97 $61.58 $71.34 $96.32 $114.01 $76.21 $76.97 $89.17 $120.41 $142.52 70 $66.83 $67.50 $77.53 $103.59 $121.62 $83.55 $84.39 $96.91 $129.49 $152.05 71 $72.38 $73.10 $82.50 $110.01 $127.39 $90.47 $91.37 $103.14 $137.51 $159.22 72 $78.24 $79.02 $88.41 $117.37 $133.01 $97.80 $98.78 $110.51 $146.71 $166.26 73 $89.66 $90.56 $100.41 $131.80 $148.82 $112.08 $113.20 $125.53 $164.75 $186.05 74 $101.07 $102.08 $112.18 $146.55 $163.73 $126.33 $127.59 $140.21 $183.18 $204.65 75 $112.47 $113.59 $123.73 $160.84 $176.59 1 $140.58 $141.99 $154.65 $201.04 $220.71 State: CO These rates are for illustration purposes only. TCW ILL CO 403 Page 1 of 7 Date: 08/21/2003 TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson 100% Nu. _ _.,g Home, 50% Assisted Living, and 50% Home Health Care Coverage 4 Year Benefit Period, $87,600.00 Maximum Benefit, 60 Day Elimination Period, $60 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan A* Displayed by 1310 Option Age Voluntary Married Preferred Rates Voluntary Married Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 18-40 $7.00 $7.07 $9.59 $12.88 $23.10 $8.74 $8.83 $11.98 $16.09 $28.86 41 $7.38 $7.45 $10.11 $13.58 $24.00 $9.21 $9.30 $12.62 $16.95 $29.95 42 $7.77 $7.85 $10.64 $14.28 $24.84 $9.69 $9.79 $13.28 $17.82 $31.00 43 $8.13 $8.21 $11.14 $14.97 $25.71 $10.16 $10.26 $13.92 $18.69 $32.11 44 $8.52 $8.61 $11.66 $15.58 $26.47 $10.64 $10.75 $14.56 $19.46 $33.08 45 $9.09 $9.18 $12.36 $16.63 $27.91 $11.35 $11.46 $15.44 $20.77 $34.83 46 $9.46 $9.55 $12.87 $17.22 $28.67 $11.82 $11.94 $16.08 $21.52 $35.82 47 $9.83 $9.93 $13.38 $17.90 $29.32 $12.29 $12.41 $16.71 $22.37 $36.61 48 $10.22 $10.32 $13.90 $18.50 $30.15 $12.76 $12.89 $17.36 $23.10 $37.63 49 $10.78 $10.89 $14.66 $19.53 $31.50 $13.48 $13.61 $18.33 $24.39 $39.34 50 $11.16 $11.27 $15.18 $20.09 $32.27 $13.96 $14.10 $18.97 $25.11 $40.32 51 $11.74 $11.86 $15.95 $21.12 $33.44 $14.66 $14.81 $19.94 $26.39 $41.77 52 $12.12 $12.24 $16.47 $21.81 $34.16 $15.12 $15.27 $20.56 $27.23 $42.65 53 $12.86 $12.99 $17.35 $23.01 $35.76 $16.07 $16.23 $21.69 $28.77 $44.68 54 $13.61 $13.75 $18.24 $24.25 $37.19 $17.01 $17.18 $22.80 $30.28 $46.46 55 $14.19 $14.33 $19.01 $25.25 $38.17 $17.74 $17.92 $23.76 $31.57 $47.70 56 $14.95 $15.10 $19.87 $26.45 $39.45 $18.68 $18.87 $24.85 $33.07 $49.31 57 $15.70 $15.86 $20.73 $27.80 $40.83 $19.63 $19.83 $25.91 $34.73 $51.01 58 $16.27 $16.43 $21.31 $28.64 $41.33 $20.33 $20.53 $26.64 $35.78 $51.63 59 $17.03 $17.20 $22.14 $29.64 $42.24 $21.27 $21.48 $27.64 $37.01 $52.75 60 $17.59 $17.77 $22.52 $30.44 $42.76 $21.98 $22.20 $28.13 $38.03 $53.41 61 $18.34 $18.52 $23.30 $31.55 $43.47 $22.93 $23.16 $29.12 $39.43 $54.34 62 $18.92 $19.11 $23.83 $32.35 $43.71 $23.64 $23.88 $29.79 $40.41 $54.60 63 $20.81 $21.02 $26.02 $35.18 $46.83 $26.00 $26.26 $32.50 $43.95 $58.50 64 $22.88 $23.11 $28.37 $38.45 $49.89 $28.59 $28.88 $35.46 $48.03 $62.33 65 $24.79 $25.04 $30.23 $41.14 $52.55 $30.96 $31.27 $37.76 $51.39 $65.64 66 $26.87 $27.14 $32.51 $44.33 $55.08 $33.55 $33.89 $40.60 $55.37 $68.78 67 $28.75 $29.04 $34.50 $46.86 $57.21 $35.92 $36.28 $43.11 $58.56 $71.49 68 $32.17 $32.49 $38.28 $51.80 $62.09 $40.17 $40.57 $47.80 $64.68 $77.54 69 $35.37 $35.72 $41.39 $55.89 $66.15 $44.19 $44.63 $51.70 $69.83 $82.64 70 $38.79 $39.18 $45.00 $60.11 $70.59 $48.45 $48.93 $56.21 $75.09 $88.17 71 $42.01 $42.43 $47.89 $63.86 $73.94 $52.47 $52.99 $59.81 $79.75 $92.34 72 $45.40 $45.85 $51.31 $68.12 $77.19 $56.72 $57.29 $64.11 $85.08 $96.44 73 $52.04 $52.56 $58.28 $76.51 $86.38 $64.99 $65.64 $72.79 $95.52 $107.88 74 $58.65 $59.24 $65.10 $85.04 $95.01 $73.26 $73.99 $81.32 $106.22 $118.68 and Married discounts may apply. Married rates are only available if both spouses purchase identical coverage. These rates are for illustration purposes only. TCW ILL CO 403 Page 2 of 7 Date: 08/21/2003 TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson Phone:(303)796-9471 100% Nu- _,g Home, 100% Assisted Living, and 100% Home Health Care Coverage 6 Year Benefit Period, $262,800.00 Maximum Benefit, 60 Day Elimination Period, $120 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan B Displayed by 1310 Option Age Voluntary Single Preferred Rates Voluntary Single Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 18-40 $43.85 $44.29 $60.07 $80.68 $144.74 $54.84 $55.39 $75.12 $100.91 $180.94 41 $46.24 $46.70 $63.36 $85.08 $150.26 $57.80 $58.38 $79.20 $106.37 $187.87 42 $48.60 $49.09 $66.59 $89.43 $155.51 $60.74 $61.35 $83.21 $111.76 $194.37 43 $50.98 $51.49 $69.84 $93.80 $161.09 $63.73 $64.37 $87.31 $117.26 $201.33 44 $53.32 $53.85 $73.05 $97.58 $165.83 $66.68 $67.35 $91.35 $122.02 $207.37 45 $56.90 $57.47 $77.39 $104.13 $174.65 $71.11 $71.82 $96.70 $130.12 $218.30 46 $59.28 $59.87 $80.61 $107.89 $179.60 $74.07 $74.81 $100.75 $134.81 $224.45 47 $61.64 $62.26 $83.82 $112.18 $183.69 $77.04 $77.81 $104.77 $140.21 $229.59 48 $64.01 $64.65 $87.07 $115.87 $188.85 $80.01 $80.81 $108.83 $144.81 $236.04 49 $67.56 $68.24 $91.88 $122.29 $197.28 $84.44 $85.28 $114.83 $152.83 $246.54 50 $69.93 $70.63 $95.10 $125.89 $202.12 $87.41 $88.28 $118.89 $157.33 $252.61 51 $73.49 $74.22 $99.95 $132.28 $209.43 $91.85 $92.77 $124.92 $165.34 $261.77 52 $75.85 $76.61 $103.17 $136.55 $213.90 $94.83 $95.78 $128.97 $170.67 $267.40 53 $80.62 $81.43 $108.85 $144.32 $224.09 $100.76 $101.77 $136.02 $180.36 $280.11 54 $85.34 $86.19 $114.36 $151.89 $232.96 $106.66 $107.73 $142.94 $189.87 $291.18 55 $88.89 $89.78 $119.10 $158.24 $239.09 $111.12 $112.23 $148.88 $197.79 $298.88 56 $93.65 $94.59 $124.56 $165.75 $247.23 $117.06 $118.23 $155.69 $207.20 $309.04 57 $98.38 $99.36 $129.87 $174.14 $255.79 $122.99 $124.22 $162.35 $217.67 $319.73 58 $101.94 $102.96 $133.56 $179.39 $258.89 $127.40 $128.67 $166.89 $224.26 $323.60 59 $106.67 $107.74 $138.66 $185.61 $264.54 $133.32 $134.65 $173.32 $231.97 $330.65 60 $110.25 $111.35 $141.13 $190.73 $267.92 $137.80 $139.18 $176.36 $238.39 $334.86 61 $114.96 $116.11 $146.01 $197.75 $272.49 $143.68 $145.12 $182.46 $247.13 $340.54 62 $118.53 $119.71 $149.36 $202.70 $273.81 $148.18 $149.66 $186.70 $253.38 $342.28 63 $130.40 $131.70 $163.01 $220.37 $293.41 $162.98 $164.61 $203.75 $275.45 $366.70 64 $143.42 $144.85 $177.83 $240.97 $312.63 $179.26 $181.05 $222.28 $301.15 $390.77 65 $155.28 $156.83 $189.44 $257.76 $329.18 $194.09 $196.03 $236.80 $322.19 $411.44 66 $168.29 $169.97 $203.64 $277.70 $345.03 $210.38 $212.48 $254.55 $347.11 $431.29 67 $180.17 $181.97 $216.20 $293.67 $358.54 $225.19 $227.44 $270.25 $367.07 $448.12 68 $201.49 $203.50 $239.79 $324.41 $388.87 $251.88 $254.40 $299.72 $405.53 $486.12 69 $221.64 $223.86 $259.32 $350.18 $414.45 $277.05 $279.82 $324.15 $437.75 $518.09 70 $242.97 $245.40 $281.85 $376.60 $442.22 $303.73 $306.77 $352.34 $470.80 $552.80 71 $263.15 $265.78 $299.97 $399.96 $463.13 $328.91 $332.20 $374.97 $499.92 $578.87 72 $284.46 $287.30 $321.43 $426.69 $483.57 $355.59 $359.15 $401.83 $533.38 $604.51 73 $325.96 $329.22 $365.08 $479.15 $541.10 $407.44 $411.51 $456.32 $598.93 $676.33 74 $367.47 $371.14 $407.89 $532.81 $595.30 $459.29 $463.88 $509.80 $665.99 $744.06 75 1 $408.92 $413.01 $449.82 $584.75 $641.98 1 $511.14 $516.25 $562.25 $730.91 $802.50 State: CO These rates are for illustration purposes only. TCW ILL CO 403 Page 3 of 7 Date: 08/21/2003 TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson Phone:(303)796-9471 100% Nu:. .g Home, 100% Assisted Living, and 100% Home Health Care Coverage 6 Year Benefit Period, $262,800.00 Maximum Benefit, 60 Day Elimination Period, $120 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan B* Displayed by B10 Option Age Voluntary Married Preferred Rates Voluntary Married Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 18-40 $25.45 $25.70 $34.88 $46.84 $83.99 $31.79 $32.11 $43.56 $58.49 $104.93 41 $26.83 $27.10 $36.76 $49.36 $87.21 $33.50 $33.83 $45.90 $61.66 $108.90 42 $28.22 $28.50 $38.66 $51.92 $90.26 $35.23 $35.58 $48.27 $64.83 $112.72 43 $29.59 $29.89 $40.53 $54.44 $93.48 $36.95 $37.32 $50.63 $67.99 $116.76 44 $30.96 $31.27 $42.40 $56.65 $96.28 $38.65 $39.04 $52.96 $70.74 $120.23 45 $33.01 $33.34 $44.91 $60.43 $101.35 $41.23 $41.64 $56.08 $75.46 $126.61 46 $34.40 $34.74 $46.80 $62.63 $104.22 $42.96 $43.39 $58.42 $78.19 $130.18 47 $35.77 $36.13 $48.65 $65.10 $106.60 $44.70 $45.15 $60.78 $81.34 $133.16 48 $37.15 $37.52 $50.54 $67.23 $109.58 $46.41 $46.87 $63.13 $84.01 $136.91 49 $39.21 $39.60 $53.33 $70.97 $114.48 $48.96 $49.45 $66.58 $88.62 $142.98 50 $40.59 $41.00 $55.21 $73.07 $117.28 $50.68 $51.19 $68.94 $91.24 $146.49 51 $42.65 $43.08 $57.99 $76.76 $121.53 $53.26 $53.79 $72.43 $95.89 $151.80 52 $44.02 $44.46 $59.85 $79.22 $124.13 $54.99 $55.54 $74.80 $98.98 $155.08 53 $46.77 $47.24 $63.15 $83.72 $13Q.05 $58.43 $59.01 $78.89 $104.60 $162.43 54 $49.52 $50.02 $66.34 $88.13 $135.21 $61.85 $62.47 $82.87 $110.08 $168.86 55 $51.59 $52.11 $69.14 $91.84 $138.76 $64.44 $65.08 $86.36 $114.71 $173.34 56 $54.35 $54.89 $72.30 $96.22 $143.49 $67.89 $68.57 $90.30 $120.13 $179.21 57 $57.09 $57.66 $75.36 $101.05 $148.43 $71.31 $72.02 $94.14 $126.22 $185.42 58 $59.16 $59.75 $77.49 $104.12 $150.24 $73.89 $74.63 $96.81 $130.05 $187.67 59 $61.90 $62.52 $80.48 $107.72 $153.52 $77.33 $78.10 $100.53 $134.54 $191.77 60 $63.97 $64.61 $81.90 $110.68 $155.49 $79.92 $80.72 $102.31 $138.26 $194.18 61 $66.72 $67.39 $84.74 $114.76 $158.12 $83.33 $84.16 $105.83 $143.33 $197.52 62 $68.78 $69.47 $86.66 $117.61 $158.89 $85.92 $86.78 $108.27 $146.91 $198.49 63 $75.69 $76.45 $94.62 $127.91 $170.29 $94.51 $95.46 $118.15 $159.72 $212.67 64 $83.24 $84.07 $103.21 $139.84 $181.46 $103.95 $104.99 $128.91 $174.64 $226.62 65 $90.11 $91.01 $109.94 $149.60 $191.03 $112.56 $113.69 $137.32 $186.82 $238.61 66 $97.68 $98.66 $118.21 $161.19 $200.24 $122.02 $123.24 $147.65 $201.33 $250.14 67 $104.55 $105.60 $126.45 $170.43 $208.06 $130.62 $131.93 $156.76 $212.91 $259.93 68 $116.94 $118.11 $139.17 $188.28 $225.68 $146.06 $147.52 $173.80 $235.15 $281.88 69 $128.62 $129.91 $150.50 $203.23 $240.55 $160.67 $162.28 $188.00 $253.86 $300.46 70 $140.99 $142.40 $163.54 $218.54 $256.62 $176.13 $177.89 $204.32 $273.01 $320.54 71 $152.71 $154.24 $174.09 $232.11 $268.77 $190.74 $192.65 $217.44 $289.94 $335.72 72 $165.07 $166.72 $186.57 $247.63 $280.62 $206.20 $208.26 $233.00 $309.31 $350.54 73 $189.15 $191.04 $211.86 $278.07 $313.99 $236.27 $238.63 $264.63 $347.33 $392.21 74 $213.22 $215.35 $236.66 $309.17 $345.43 $266.35 $269.01 $295.65 $386.22 $431.48 75 $237.30 $239.67 $261.03 $339.35 $372.56 $296.43 $299.39 $326.08 $423.90 $465.39 *Preferred and Married discounts may apply. Married rates are only available if both spouses purchase identical coverage. State: CO These rates are for illustration purposes only. TCW ILL CO 403 Page 4 of 7 Date: 08/21/2003 TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson Phone: 100% Nu_ g Home, 100% Assisted Living, and 100% Home Health Care Coverage Lifetime Benefit Period, Unlimited Maximum Benefit, 30 Day Elimination Period, $150 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan C Displayed by BIO Option Age Voluntary Single Preferred Rates Voluntary Single Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 18-40 $66.67 $67.34 $91.36 $122.70 $220.05 $83.37 $84.20 $114.21 $153.41 $275.12 41 $70.40 $71.10 $96.47 $129.56 $228.83 $87.98 $88.86 $120.52 $161.90 $285.99 42 $74.10 $74.84 $101.52 $136.34 $237.10 $92.61 $93.54 $126.88 $170.39 $296.35 43 $77.79 $78.57 $106.57 $143.13 $245.82 $97.24 $98.21 $133.19 $178.93 $307.28 44 $81.52 $82.34 $111.66 $149.15 $253.51 $101.87 $102.89 $139.56 $186.46 $316.87 45 $85.22 $86.07 $115.89 $155.94 $261.61 $106.51 $107.58 $144.84 $194.92 $326.98 46 $88.92 $89.81 $120.93 $161.83 $269.42 $111.16 $112.27 $151.18 $202.31 $336.78 47 $92.65 $93.58 $126.03 $168.62 $276.10 $115.82 $116.98 $157.52 $210.77 $345.14 48 $96.32 $97.28 $131.00 $174.34 $284.15 $120.42 $121.62 $163.77 $217.95 $355.20 49 $100.03 $101.03 $136.02 $181.05 $292.09 $125.03 $126.28 $170.03 $226.32 $365.10 50 $103.72 $104.76 $141.04 $186.69 $299.72 $129.66 $130.96 $176.33 $233.38 $374.71 51 $107.43 $108.50 $146.10 $193.40 $306.21 $134.30 $135.64 $182.61 $241.73 $382.72 52 $111.14 $112.25 $151.14 $200.04 $313.40 $138.93 $140.32 $188.95 $250.06 $391.75 53 $114.85 $116.00 $155.05 $205.55 $319.23 $143.55 $144.99 $193.80 $256.93 $399.05 54 $118.56 $119.75 $158.88 $211.05 $323.64 $148.17 $149.65 $198.57 $263.77 $404.53 55 $120.42 $121.62 $161.37 $214.34 $323.91 $150.51 $152.02 $201.69 $267.90 $404.86 56 $124.13 $125.37 $165.10 $219.68 $327.69 $155.11 $156.66 $206.31 $274.57 $409.52 57 $127.79 $129.07 $168.67 $226.19 $332.26 $159.73 $161.33 $210.86 $282.74 $415.34 58 $138.93 $140.32 $181.99 $244.48 $352.87 $173.64 $175.38 $227.46 $305.60 $441.04 59 $150.04 $151.54 $195.04 $261.05 $372.10 $187.54 $189.42 $243.79 $326.32 $465.07 60 $162.97 $164.60 $208.60 $281.93 $396.01 $203.72 $205.76 $260.77 $352.43 $495.03 61 $174.13 $175.87 $221.15 $299.50 $412.68 $217.65 $219.83 $276.41 $374.36 $515.84 62 $185.23 $187.08 $233.38 $316.73 $427.86 $231.53 $233.85 $291.73 $395.93 $534.87 63 $205.60 $207.66 $257.00 $347.45 $462.62 $257.02 $259.59 $321.26 $434.37 $578.28 64 $224.12 $226.36 $277.91 $376.52 $488.57 $280.15 $282.95 $347.39 $470.65 $610.70 65 $244.49 $246.93 $298.29 $405.86 $518.31 $305.62 $308.68 $372.85 $507.32 $647.90 66 $264.90 $267.55 $320.53 $437.08 $543.05 $331.07 $334.38 $400.61 $546.26 $678.71 67 $283.38 $286.21 $340.05 $461.93 $563.93 $354.25 $357.79 $425.11 $577.44 $704.94 68 $318.59 $321.78 $379.15 $512.94 $614.89 $398.24 $402.22 $473.91 $641.17 $768.60 69 $351.95 $355.47 $411.75 $556.07 $658.13 $439.91 $444.31 $514.70 $695.08 $822.67 70 $387.10 $390.97 $449.02 $600.02 $704.50 $483.88 $488.72 $561.30 $750.01 $880.65 71 $420.44 $424.64 $479.32 $639.07 $739.98 $525.58 $530.84 $599.17 $798.88 $925.02 72 $453.81 $458.35 $512.80 $680.71 $771.48 $567.26 $572.93 $641.00 $850.89 $964.34 73 $537.16 $542.53 $601.62 $789.64 $891.69 $671.42 $678.13 $751.99 $986.98 $1,114.57 74 $620.49 $626.70 $688.76 $899.72 $1.005.18 $775.61 $783.37 $860.95 $1.124.62 $1.256.48 75 1 $703.83 $710.87 $774.21 $1,006.48 $1,105.01 1 $879.79 $888.59 $967.76 $1,258.08 $1,381.29 State: Co These rates are for illustration purposes only. TCW ILL CO 403 Page 5 of 7 Date: 08/21/2003 1*14X411119M1**II]aMMC'l'1 The City of Fort Collins began offering Voluntary LTC through Proffitt Benefit Services in November 1996. The decision to offer this product was made in order to offer the employees protection for potential post -retirement expenses. The original offering was Lifecare 2000 through First Penn/Lincoln National. There are 21 employee/spouse policies still in effect with the Lifecare 2000 product. In September of 2001 the decision was made to offer a traditional LTC product. Transamerica was chosen because it provided the following: Discounts for employees and their extended families, Three plans, each providing for a different type of planning choice, A Tax Qualified policy, Contract provisions, Competitive rates, Strong financial and service background, and most importantly, Coverage for uninsurable employees during initial enrollment. Proffitt Benefit Services works to make the process one of fully educating employees to assist them in making an informed decision. We accomplish this by: Providing educational seminars, Being available during the majority of open enrollment, Using a consulting sales process, Answering questions by e-mail, phone or mail, and Providing www.itcworksite.com/iohnson as an educational opportunity. The three plans provided in this proposal are the 3 plans originally chosen to offer to the employees. Detailed information on the plans and the rates are provided in Section Eight. There are no additional charges to the City for providing the plan. Proffitt Benefit Services letterhead contains these words, SERVICE — Our Goal, Your Guarantee. This is a commitment we do not make lightly. It is a commitment of whatever time is needed to provide information and act as an advocate on behalf of our clients. It is a commitment to a partnership with our clients. We are in close contact with the individuals with whom we work at the City, our other clients and their employees. We provide a toll free number, e-mail access and 24-hoar response to client concerns and questions. One of our best references in regard to our commitment to our clients and their employees would be your own benefits department. TransCare Options for the Worksite Presentation prepared especially for City of Fort Collins Presented by: Christi Johnson Phone:(303)796-9471 100% Nu_ ..g Home, 100% Assisted Living, and 100% Home Health Care Coverage Lifetime Benefit Period, Unlimited Maximum Benefit, 30 Day Elimination Period, $150 Maximum Daily Benefit Lifetime Premium Paying Period, 3 Year Rate Guarantee 10% Worksite Discount Monthly Premium Cost per Person Voluntary Premium Rates for Plan C* Displayed by 1310 Option Age Voluntary Married Preferred Rates Voluntary Married Standard Rates Step -Rated Simple Compound Step -Rated Simple Compound No BIO GPO BIO BIO BIO No BIO GPO BIO BIO BIO 18-40 $38.70 $39.09 $53.01 $71.21 $127.70 $48.31 $48.79 $66.20 $88.92 $159.48 41 $40.85 $41.26 $55.97 $75.17 $132.76 $51.02 $51.53 $69.92 $93.89 $165.89 42 $43.00 $43.43 $58.91 $79.13 $137.62 $53.72 $54.26 $73.61 $98.85 $171.94 43 $45.13 $45.58 $61.83 $83.06 $142.65 $56.39 $56.95 $77.27 $103.74 $178.22 44 $47.31 $47.78 $64.81 $86.56 $147.13 $59.09 $59.68 $80.97 $108.13 $183.76 45 $49.45 $49.94 $67.24 $90.50 $151.82 $61.76 $62.38 $83.99 $113.04 $189.60 46 $51.62 $52.14 $70.23 $93.94 $156.41 $64.45 $65.09 $87.64 $117.29 $195.28 47 $53.75 $54.29 $73.10 $97.82 $160.19 $67.17 $67.84 $91.36 $122.24 $200.16 48 $55.89 $56.45 $76.03 $101.16 $164.87 $69.83 $70.53 $94.97 $126.40 $205.97 49 $58.06 $58.64 $78.96 $105.11 $169.53 $72.52 $73.25 $98.63 $131.27 $211.75 50 $60.19 $60.79 $81.84 $108.35 $173.96 $75.21 $75.96 $102.28 $135.35 $217.33 51 $62.36 $62.98 $84.81 $112.24 $177.72 $77.89 $78.67 $105.91 $140.19 $221.98 52 $64.49 $65.14 $87.70 $116.09 $181.86 $80.56 $81.37 $109.55 $145.01 $227.19 53 $66.65 $67.32 $89.99 $119.32 $185.30 $83.27 $84.10 $112.42 $149.06 $231.47 54 $68.79 $69.48 $92.17 $122.47 $187.78 $85.93 $86.79 $115.14 $152.95 $234.59 55 $69.86 $70.56 $93.61 $124.36 $187.97 $87.28 $88.15 $116.96 $155.38 $234.81 56 $72.04 $72.76 $95.82 $127.49 $190.16 $89.98 $90.88 $119.70 $159.26 $237.56 57 $74.17 $74.91 $97.89 $131.30 $192.81 $92.65 $93.58 $122.30 $163.98 $240.88 58 $80.60 $81.41 $105.59 $141.88 $204.73 $100.68 $101.69 $131.90 $177.23 $255.76 59 $87.07 $87.94 $113.18 $151.49 $215.92 $108.76 $109.85 $141.39 $189.27 $269.73 60 $94.58 $95.53 $121.08 $163.62 $229.83 $118.15 $119.33 $151.24 $204.39 $287.10 61 $101.06 $102.07 $128.36 $173.84 $239.52 $126.24 $127.50 $160.34 $217.11 $299.20 62 $107.48 $108.56 $135.43 $183.78 $248.28 $134.27 $135.61 $169.17 $229.61 $310.16 63 $119.30 $120.49 $149.14 $201.62 $268.44 $149.05 $150.54 $186.31 $251.88 $335.34 64 $130.04 $131.34 $161.25 $218.47 $283.51 $162.45 $164.07 $201.45 $272.93 $354.15 65 $141.88 $143.30 $173.09 $235.54 $300.80 $177.24 $179.01 $216.25 $294.22 $375.74 66 $153.74 $155.28 $186.04 $253.66 $315.14 $192.01 $193.93 $232.34 $316.82 $393.62 67 $164.47 $166.11 $197.37 $268.09 $327.29 $205.44 $207.49 $246.53 $334.87 $408.83 68 $184.88 $186.73 $220.00 $297.67 $356.82 $230.95 $233.26 $274.84 $371.82 $445.74 69 $204.25 $206.29 $238.96 $322.74 $381.93 $255.11 $257.66 $298.49 $403.08 $477.06 70 $224.65 $226.90 $260.60 $348.21 $408.87 $280.62 $283.43 $325.51 $434.97 $510.71 71 $243.99 $246.43 $278.16 $370.89 $429.45 $304.78 $307.83 $347.46 $463.27 $536.42 72 $263.36 $265.99 $297.61 $395.06 $447.73 $328.97 $332.26 $371.74 $493.47 $559.25 73 $311.72 $314.84 $349.12 $458.24 $517.45 $389.39 $393.28 $436.14 $572.42 $646.41 74 $360.09 $363.69 $399.71 $522.13 $583.33 $449.81 $454.31 $499.29 $652.22 $728.68 75 1 $408.47 $412.55 $449.30 $584.09 $641.30 1 $510.20 $515.30 $561.21 $729.60 $801.02 *Preferred and Married discounts may apply. Married rates are only available if both spouses purchase identical coverage. State: CO these rates are for illustration purposes only. TCW ILL CO 403 Page 6 of 7 Date: 08/21/2003 Disclaimer Information A Word about Premium Rates The Policy allows the company to adjust premiums as needed, with prior regulatory approval, if required in your state. We cannot increase your premiums during any applicable rate guarantee period. If you purchase additional years of rate guarantee, the premium amount charged for the additional rate guarantee will be dropped at the expiration of the rate guarantee period. When the rate guarantee period ends, your premium will be adjusted by any premium increases that may occur during the rate guarantee period. However, if you purchase a limited pay plan with a matching rate guarantee period, your premiums will not be affected by any premium increases. We cannot single you out for a premium rate increase, but we can change your premium based on our experience with all insureds in your same premium class. Once we issue your coverage, we cannot cancel your Policy as long as you pay your premium on a timely basis. This is an illustration only, not a contract. Actual coverage is subject to the terms and conditions of the Policy. Please see the accompanying Outline of Coverage and sales brochure for a description of benefits, exclusions and limitations, as well as the terms under which the policy may continue in force. Premium and benefit amounts will vary, depending upon the plan selected. The actual premium may differ as a result of any applicable discounts. In addition, the actual premium paid will be impacted by the premium payment mode selected. Final premium amounts are subject to underwriting approval. The Schedule Page of your policy will reflect the actual premium. Policy Number: TOL 1-FP 402 TCW ILL CO 403 Page 7 of 7 Date: 08/21/2003 City of Ft. Collins Long Term Care IMPLEMENTATION TIMELINE August 18, 2003 Obtain Employee Census August 20 Obtain Rates for Plans A, B, C September 1 Update Education and Enrollment Website September 15 Review implementation schedule with Gwen Feit Schedule group/individual meetings Set up phone, meeting rooms etc. September 18 Attend City Health Fair October 29 Attend department designee meeting Hold first Education Seminar on LTC November 3-14 Hold second education session on LTC Attend employee group meetings Hold individual employee sessions December 5 Final date for Payroll Deduct applications December 12 Provide billing contact with list of new deductions January 1, 2004 Family and annual pay applications due January Update payroll deduction information January Policies delivered, as they are issued January Bill reconciliation, upon receipt by HR 1 TRANSAMERICA ® O CC I D E N T A L L IF E Transamerica Occidental Life Insurance Company Home Office: Cedar Rapids, Iowa A Capital Stock Company ,inafter called: the Company, We, 0 Long Term Care Division Administrative Office: P.O. Box 92106 Bedford, TX 76095-9106 14800) 227-3740 , or This Policy is intended to be a qualified long term care insurance contract the Internal Revenue Code of 1986, as amended. THIS IS A LONG TERM CARE POLICY. PLEASE READ IT AP We are pleased to issue this Policy to You. It has many important feature WeC It is issued in exchange for Your application and payment of the Initial Pre THIS POLICY IS GUARANTEED RENEWABLE FOR L' Your timely payment of premiums is all that is needed to keep this Policy in fc exhausted. We cannot cancel or refuse to renew this Policy if t emium is I the Premium Paying Period, You must pay any premium due o or betthe be received by Us at Our Administrative Office prior to the expirati oace WE HAVE A RIGHT TO At We can change Your premiums based on Your pr iu of Insurance, if required. Premium class means po it having similar characteristics, such as issue ag issue options or other criteria. The change in pre ma c expired and only during the Premium Pa ng Pe ' d sh least 30 days written notice before We ch ge our m a change in Your age or health. section 770213(b) of it carefully. unt' benefits have been onlime. To renew during 9m Due Date and it must Rlass subjecTtb approval by the Department gio segment classified by Our actuaries as y r, rate classification, and selected benefit mr I after the Rate Guarantee, if any, has the Schedule. We must give You at u Your premiums will not increase due to 30-D R GHME Ili YOUR POLICY You have 30 days from the day You ceiv Policy o examine and return it to Us if You decide not to keep it. You do not have to tell Us Your son r Wing the Policy. Simply return it, within 30 days of its receipt, to Us at Our Administ 've Office, o the agent or office through which it was purchased and We will refund the full amount of,�any pre ' aid a the Policy will be void from the start. MP"T CAU ON ABOUT THE APPLICATION The issuance of this Policy i bas up a answers to the questions on the application. A copy of the application is attached. If any swe are incorrect or untrue, We may have the right to deny benefits or rescind the Policy he est time o cl r up any question is now, before a claim arises! If, for any reason, any of the answ rs rre in plete or untrue, contact Us at Our Administrative Office. Our address is shown above. ur - roe numbe is shown on the Schedule page. Notice to Buy • Thi olic m not cover all the costs associated with long term care incurred during the period of coverage. Th buyer ' advised to review carefully all Policy limitations. THIS POLICY IS NOT EDICARE SUPPLEMENT POLICY: If an Insured Person is eligible for Medicare, review the Medicare Supplement Buyer's Guide available from Us. Ex utivaL� a Vice PraseK General Counsel and Corporate Secretary Prasldo -Life I ura Division LONG PERM CARE INSURANCE POLICY GUARANTEED RENEWABLE NON -PARTICIPATING TOL 1-FP 402 FP-1 OPTIONS OPTIONS TABLE OF CONTENTS SUBJECT Page Guaranteed Renewable; Right to Change Premiums...................................................... FP-1 Important Caution about the Application........ FP-1 Schedule.......................................................... S-1 General Provisions ........................................ GP-1 Effective Date, Premium Payment, and Termination Provisions ................................ EPT-1 Claims Information ........................................... C-1 SUBJECT Page General Exclusions and Limitations............ GEL-1 General Definitions .... ............................ GD-1 Eligibility Definif ns ..... ................ ............. ED-1 Benefit Eligibili ........ ................... BE-1 General Benefit Informa ` .................... GBI-1 B fit Sec ' ns TOL 1-TC 1001 TC-1 OPTIONS OPTIONS SCHEDULE Policy Number: 1234567601 Policyholder: John Doe Premium Paying Mode: Quarterly Initial Premium: $200.00 Our toll fri Note: The the Effecti benefits ai REQUIRE[ Benefits sL Nursi NH - Assis ALF - HomE Hosp Resp Maximum Eliminatio Benefits fc Period. Nursing F M( N1 Restoratic Assisted K Al Maximum Number of Days per Calendar Year Home Health Care and Adult Day Care Benefits Maximum Daily Professional Services Benefit Maximum Daily Basic Services Benefit Maximum Daily Adult Day Care Benefit Hospice Care Benefit Maximum Daily Benefit Effective Date: 2/15/2020 Policyholder's Age: 72 Premium Paying Period: Lifetime Mode Premium: $200.00 effective on deletion of 2 Unlimited 90 Days e Elimination Included $100.00 30 Days Included Included $100.00 30 Days Included $100.00 $100.00 $100.00 Included $100.00 TOL 1-S 1001 S-1 OPTIONS Care Coordination Benefit Maximum Respite Care Benefit Maximum Daily Benefit Maximum Number of Days per Calendar Year Thernnai e- navira Rannfi4 Home I Modica Caregl% Monthly Alternal Full Re Waiver Joint A Lifetime Spouse Simple Compoi Maximum Multiple Step -Rated Compound Benefit Increase Option Benefit Increase Percentage Premium Increase Percentage Premium Increase Frequency Guaranteed Purchase Option Included Unlimited Included $100.00 30 Days Included $5,000.00 Included $5,000.00 Included $50.00 $5,000.00 Included $1,000.00 Included Included $1,000.00 Imium $50.00 Included imium $50.00 Included 180 Days mium $50.00 mium $50.00 5% mium $50.00 5% 2 Times Elected - Premium $50.00 5% 5% Every year on the anniversary date of the Policy Elected - Premium $50.00 TOL 1-S 1001 S-2 OPTIONS Return of Premium Elected -Premium $50.00 Full Return of Premium Nonforfeiture Benefit Contingent Nonforfeiture Benefit Rate Guarant Period TOTAL PREN TOTAL PREN Elected - Premium $50.00 Elected - Premium $50.00 Included Included 3 Years $200.00 $500.00 TOL 1-S 1001 S-3 OPTIONS Mr. James B. O'Neill II, CPPO, FNIGP The City of Fort Collins Purchasing Department 215 North Mason St, 2"d Floor Reference RFP P902 PO Box 580 Fort Collins, CO 80522 Dear Mr. O'Neill, Enclosed please find my response to your RFP in reference to Voluntary Long Term Care. To the best of our ability I have provided the information requested in your RFP in the format requested. Proffitt Benefit Services has been working with the City of Fort Collins on the delivery of Long Term Care as a voluntary offering since November 1996. We currently have 48 employees covered on existing LTC policies. Additionally we have 13 spouses covered and other family members either covered or waiting to be covered once health conditions resolve. I welcome the opportunity to continue educating and assisting the employees of the City of Fort Collins. Sincerely, Christi Johnson Proffitt Benefi ervices 5250 E Arapahoe Rd F7-209 Centennial, CO 80122 1-866-796-9471 OPTIONS GENERAL PROVISIONS This section describes: the documents that form this contract; the importance of a truthful application; and other basic rights and obligations. THE CONTRACT Entire Contract: The entire contract between You and Us will consist of: (1) this Policy; and (2) the application; and (3) any riders, endorsements or amendments made a part of this Policy. Modifications of Contract: No agent has authority to change or waive any part of this Policy. To be valid, any change or waiver must be: (1) in writing; and (2) approved by one of Our executive officers; and (3) made a part of this Policy by Us. After an Insured Person's coverage has been in force for at least 2 years, We may only rescind the coverage upon a showing that the person knowingly and intentionally misrepresented relevant facts relating to his or her health. CORREY" OF MISTAKES As hard as We try _ ke�sure We get things right, We acknowledge ro a-t -time, mistakes will happen. When e d _ n r mistake or You bring it to Our aisn r the right to correct it. We reserve th t;,_ rrect any errors or mistakes We make whe he premium calculation and tion process 'n t ` policy issue process, in the nefit ment r s, or in some other aspect of Our ntrac ref nship. The benefit selections After this Policy is issued or reinstated, any rider or endorsement must be accepted in writing by Y u, unless We do not require Your acceptance or i th change is required by law. on the ` ` plication and by any signature ant used to determine what policy should be issued. Premiums will be collected those benefits You selected and purchased. OTHER PROVISIONS icipating: This Policy does not participate in Our :s or surplus earnings. MISSTATEMENT OF AGE If the age of an Insured Person has bee Wvi all onformity with Law: If anything in this Policy does not benefits payable are those which the pre ' m comply with a law to which it is subject on its Effective would have purchased at the correct age. If the tree Date, that provision is amended to conform to such age exceeded the maximum ag at We wo law. have issued this Policy, Our li ility all be lim to Time Periods: All time periods begin and end at 12:01 the refund of all premiums paid thi P cy. A.M. Standard time at Your Home. Time Limit on Ce ain e . Wh�i Wan Insured Person's coverag h een in -f ce less than 6 months, We may escind a ve age or deny an otherwise valid claim i urred or disability that starts before the en of th month period upon a showing of misrepresentation that is material to Our decision to issue You the coverage. When an Insured Person's coverage has been in force for at least 6 months but less than 2 years, We may rescind the coverage or deny an otherwise valid claim for a loss incurred or disability that starts before the end of the 2 year period upon showing of misrepresentation that is both material to Our decision to issue You the coverage and which pertains to the conditions for which benefits are sought. TOL 1-GP 1001 GP-1 OPTIONS EFFECTIVE DATE, PREMIUM PAYMENT AND TERMINATION PROVISIONS This section explains: when this Policy becomes effective; how and when to pay premiums; the importance of paying premiums on time; what happens if premiums are not paid on time; and when this Policy ends. THE POLICY TAKING EFFECT Effective Date and Consideration: This Policy is issued based on the answers to the questions on the application and payment of the Initial Premium. It takes effect on the Effective Date shown on the Schedule, provided the Initial Premium is paid. Any new benefit added and any increase or decrease in benefit amounts will be effective from the effective date shown on the endorsement for such benefit addition, increase or decrease. PAYING PREMIUMS After payment of the Initial Premium, each ai premium, if any, is due at the end of the pe which the prior premium was paid. The F Paying Mode shown on the Schedule statepKk premiums are to be paid. The Premium ; a -I- You select will impact Your overall cost ins The Premium Paying Period shown on the states how long premiums are to; aid. Pr are to be paid to Us at Our Ad nistrative Any Rate Guarantee is only appli ble`fio th inal Policy Effective Date. Any subsequ ' `chan swill not have a Rate Guarante WHAT HAPPENS HC�# PRE UM ARE NOT PAID Grace Period: A G ce Pe ` d of 1 ays following the Premium Due Date is a o or ` e payment of each premium, if any, after th remium. During this period, this Policy will remain in force. At the end of the Grace Period, Your coverage will Lapse as of the last Premium Due Date, subject to the Third Party Notification provision. Third Party Notification: If You have designated a third party to be notified in the event Your premium is not received by the end of the Grace Period, We will mail a notice to the person(s) You have designated, as well as to You. This Policy will not Lapse until 35 days after the date on the notice We have mailed to You and the third party. You have the right, at any time, to change the third party to be notified by providing Us with written notice of the change. If You do not designate a third party to be notified in the event Your premium is not received by the end of the Grace Period, Your Policy will Lapse if We do not receive the premium _ the Grace Period ends. If You designate a th be notified in the event Your premium is -' c y _:_ end of the Grace Period, Your P if not receive the premium within _ ate on the notice We mail to the desio rtv. G THI _; CY BACK IN FORCE �_ Policy Lapses, We may or p force (reinstate) at Our option. �quir pplication for reinstatement, and if :ation is approved by Us, this Policy will be in force as of the Lapse date, upon payment i-due premiums. Ydtlrfstated Policy will only provide benefits for sses that result from an Injury sustained after the of reinstatement or Sickness that starts more than days after such date. In all other respects, Your rights and Our rights will be the same as before this Policy Lapsed, unless there are special conditions that apply to the reinstatement. If there are, they will be endorsed on or attached to the reinstated Policy. Unintentional Lapse: If Your Policy Lapses, We will reinstate Your coverage if: (1) We receive the request for reinstatement in Our Administrative Office within 180 days of the last Premium Due Date; and (2) We receive Your Licensed Health Care Practitioner's written certification that You were diagnosed, using generally accepted medical diagnostic methods and tests, with Cognitive Impairment or as being unable to perform at least the Required Number of Activities of Daily Living shown on the Schedule at the time the Policy Lapsed. It must be documented in Your Licensed Health Care Practitioner's records that an event had occurred prior to the Lapse that would have resulted in a diagnosis of Cognitive Impairment or inability to perform at least the Required Number of Activities of Daily Living, which made You unable to pay the premium; and TOL 1-EPT 1001 EPT-1 OPTIONS (3) We receive all past -due premiums for the benefits that were in force at the time the Policy Lapsed. Coverage will be continuous subject to these requirements. Any claim incurred during the 180-day period will be considered for benefits subject to all other PoIICy nrnvicinnc W We will not or end this of mental or Termination: provision to following: (1) the date (2) the date (3) the da exhausts (4) the nex receipt coverage for the request this Pol anniver cancella Payment c termination Upon notific Paying Perii refund any Paying PE provisions amount of premiums F refunded premiums to Your estate. Should We receive a written request from You to cancel this Policy, We will refund to You any premiums paid which apply to the Premium Paying Period following the Policy monthly anniversary on which the Policy terminated. TOL 1-EPT 1001 EPT-2 OPTIONS CLAIMS INFORMATION This section informs You of: when to tell Us of a claim; what to send to Us; where to send it; how We pay benefits; and other rights and obligations under this Policy. TELLING US OF A CLAIM Notice of Claim: We must be noted in writing when there is a claim for benefits. Notice must be received by Us at Our Administrative Office within 60 days of the date the covered loss starts. Failure to notify Us within 60 days may result in claim denial if We are prejudiced by the delay. The notice should include at least: the claimant's name, Policy Number, and the address to which the claim form should be sent. Someone else may be authorized to act for the claimant in filing a claim. HOW TO FILE A CLAIM Claim Forms: When We receive notice of a claim, We will send out a claim form to be used to file Proof'af Loss.' The claim form has instructions on how t I it and where to send it. Please read the fly'. m car Answer all questions and send all requi inf to the address on the form. _ If the claimant or his representa ' e not get`tta\e claim form within 15 days, Pro f of oss can d without it by sending Us a left vah h scribes he occurrence, the nature, and the a tV t loss for which claim is made. T letter m t be sent to Us within the time perio state in then t_p graph. At a minimum, the de ri uld II such things as: the claimantn e, s social security number, and polic num th ty a of benefits for which claim is being made, n." es and addresses of the medical professio care providers who are aware of the claimant's condition or have provided care covered by this Policy; the diagnosis; and the periods for which benefits are being claimed. WHEN TO FILE A CLAIM Proof of Loss: We must receive written Proof of Loss within 90 days after the end of each month for which benefits may be paid. If it was not reasonably possible to give Us written proof in the time required, We will not reduce or deny a claim for being late if the proof is filed as soon as reasonably possible and as long as We are not prejudiced by the delay. Unless the claimant is not legally capable, the required proof must always be given to Us no later than one year from the time specified. HOW AND W CLAIMS ARE PAID Time of Payment _ ai After We receive the proper written Pr L _ a ill pay benefits for covered service , en `' ad and are then due: (1) monthly, when to `xpected to result in ongoing benefits; or (2) iT-&aiiately, when/ bility has ended. k 'paid to You in fin► You may request in writing for to be a to someone other than You. You ake this request no later than the time Proof is filed. We will assume no liability for an nt of benefits. Ants unpaid at Your death will be paid to Your state. f benefits are payable to Your estate, or if You are of competent to give a valid release, We may pay to $1,000 to any relative of Yours, or any other person who has cared for or looked after Your affairs and who is deemed by Us to be justly entitled to the benefits. We will be discharged to the extent of any such payment made in good faith. Our Claims Evaluation Process: We will work with the claimant, his or her Licensed Health Care Practitioner, and other caregivers to obtain information about the state of the claimant's health and the degree to which care covered by this Policy is needed. We will then make an objective review of that information to determine whether the claimant qualifies for benefits, and, if so, the level of benefits for which he or she qualifies. We reserve the right, as part of the review, to do a telephonic or face-to-face assessment or to require the claimant to take a physical examination paid for by Us. Similar assessments and examinations may be required, at reasonable intervals, to determine the claimant's eligibility for continued benefits, but not more often than once every three months. TOL 1-C 1001 C-1 OPTIONS We may use an outside service to assist in evaluating the claimant's condition. We will pay for any outside services used to assist in the evaluation. HOW TO APPEAL A CLAIM Appeal Process: We evaluate a claim based on the provisions of this Policy and the information given to Us. If You do not agree with a claim decision, You may ask for a review. Your request must be in writing to Us and include the names, addresses and phone numbers of any of the following providers who You think We should contact to learn more about the claimant's health and the care received: the Doctors and other health care professionals who treated the claimant and the facilities from which the care or treatment was received. No special form is needed. Your request should be sent to Our Administrative Office within 3 years of the time of filing written Proof of Loss. You may authorize someone else to act for You under this review procedure. Within 60 days after receiving Your request necessary supporting documents, We will send Your representative Our decision. Our decision in writing with Our reasons stated clearly---" make available all information directly lattq denial. Legal Actions: An Insured Perso cannot brin"al action before 60 days after wri n Pro oss hlas been given to Us, as requir b Is Policy. n Insured Person cannot bring leg acts fter ars from the time written Proof of Lo Is req ed to be given. We have the right to reco a o erpayment made because of an error m e ss` g of a claim. Also, We will recover by offset n ounts that have not been previously recovered at the time We make another benefit payment. Subrogation: If an Insured Person sustains an Injury or Sickness as a result of the act or omission of a third party and receives covered care or services, We shall provide benefits for such Injury or Sickness in accordance with the terms of this Policy. Acceptance of such benefits will constitute consent to the provisions of this section. In the event of any payments for benefits provided to an Insured Person under this Policy, We shall be subrogated, to the extent of such payments, to all rights of recovery such Insured Person has against any person or entity. The Insured Person shall execute and deliver such instruments and papers as may be required and do whatev r else is necessary to secure such rights to Us. A unt returned to Us shall be reduced by the prysus(ed7ersok of legal fees and court costs incurred by We shall have )err orrYfu" s received by the Insured Person up to a arm of benefits provided to the Insured Person. give notice of that lien to an p who ma' ve caused or contributed to the All ds r eshall be deemed to be for benefits id by s or for the account of the nsur Per r ' ' Bless of the characterization of fu ds. In event that the Insured Person ec 1ve funds on which We have a lien, such funds 11 sfrall held in trust until paid over to Us. We decide, We may be subrogated to the Insu erson's rights to the extent of the benefits ived under this Policy. This includes Our right to br suit against a third party in the Insured Person's n me. We or our designee, upon giving thirty days written notice to the Insured Person, shall have the right to bring suit and take such action as necessary in the name of the Insured Person to recover the amount of benefits paid under this Policy, if the Insured Person or anyone acting on his or her behalf has not taken action against such third party to obtain a judgment, settlement, or other recovery. Any action taken without the consent of the Insured Person shall be without prejudice to such Insured Person. The Insured Person must take such action, furnish such information and assistance, and execute such instruments as We may require to facilitate enforcement of Our rights under this provision. The Insured Person shall take no action prejudicing Our rights and interests under this provision. TOL 1-C 1001 C-2 OPTIONS GENERAL EXCLUSIONS AND LIMITATIONS This Policy will not pay benefits when an Insured Person is eligible for confinement, treatment, services or care: (1) resultinn frnm ninnhnikm rinin nririirtinn nr (2) (3) (4) (5) (6) (7) (8) chemic< medicatl arising attempt( or provides required payable except coinsur program no chat insuranc received for whic federal or occul that are of Care; that are governin rendere( Immedis (a) he orga sery (b) the treal (c) he c the or h The exclusi Person's Immediate Family and confinement, treatment, services or care received outside the United States or Canada will not apply to the Alternative Payment Benefit provision. Coverage will be provided in accordance with the terms of this Policy for mental conditions, including Alzheimer's disease, Parkinson's disease and senile dementia. TOL 1-GEL 1001 GEL-1 OPTIONS GENERAL DEFINITIONS This section informs You of some of the special words and phrases used in this Policy. Other words and phrases may be defined in other sections of the Policy. Please see the Definition Information provision in the General Benefit _____A!-_ LL_ ..�� of definitions in Someone, other and licensed to within the scot does not includ an Insured Pei normally reside anyone who h employee of, a the Plan of Can Any place wher a Nursing Homi or other acute ( An Insured Pi related to an (including adol parent, grandp< aunt, uncle, firs Any accidental after the Effecti, Anyone who is on the Schedule page Insured. as the Policyholder or an LAPSE At the end of the Grace Period, if Your premium is not paid, Your coverage will have terminated as of the last Premium Due Date, subject to the Third Party Notification provision. LICENSED HEALTH CARE PRACTITIONER Any Doctor, registered professional nurse, licensed social worker, or other individual who meets such requirements as may be prescribed by the Secretary of the Treasury. ct," Title XVIII of 1965 as then �r: or 1). son's Immediate in an Insured provided by a Initial Premium, olicy. )E edule, with which rvL.1%. r This contract between You and Us. SICKNESS An illness or disease, as determined by a Doctor. A legal spouse. SPOUSE GD-1 OPTIONS YOU, YOUR, YOURS The Policyholder named in the Schedule. TOL 1-GD 1001 NURSING HOME A facility, or that part of a facility, which: (1) is licensed by the state in which it is located as a nursing home or an Alzheimer's disease facility; and (2) is engaged in providing, in addition to room and board accommodations, 24-hour Nursing Services 7 days a week by an on -site Registered Nurse and related services on a continuing inpatient basis; and (3) has a planned program of policies and procedures developed with the advice of, and periodically reviewed by, at least one Doctor; and (4) maintains a clinical record of each patient. A Nursing Home may be either a freestanding fac" or a distinct part of a facility such as a ward, ng, unit, or swing bed of a hospital or other instltu the facility complex to which an Insured erso ' is confined consists of wards, wings, floor un swing -beds, the area of the facility i whi Insured Person is confined must be lice Nursing Home and the Insured Person's assign tie, must be included as a part of sucy'rceme,` The term "Nursing Home" d s o clude, or example: (1) a hospital (except as rove d o ; (2) a rehabilitation hospital, 3 a place whichs primarily for treatment of men or"' ervous d s (except Alzheimer's disease d , or oholism; (4) a home for the ag ; ( rest home, community living center, or a plac that p` Ide d` mestic, resident, retirement or educa a ; ) assisted living facilities; (7) personal car 'hom ", (8) residential care facilities; (9) adult foster care facilities; (10) congregate care facilities; (11) family and group assisted living facilities; (12) personal care boarding homes; (13) domiciliary care homes; (14) basic care facilities; or (15) similar facilities. TOL 1-NHD 1001 ASSISTED LIVING FACILITY A facility which is licensed, certified, or registered by the appropriate authority in the state- in which it is located and which charges a, fee to provide inpatient care for persons who are not in need of the level of care provided in a hospital or Nursing Home but who are in need of assis _ ith Activities of Daily Living or are Cognitively I h facility: (1) provides Mal n r ce er al Care Services by on -site f 3 a day, including special diets, (2) has procedures : ` ablishing appropriate r , s__ protocol for medics anagement and the h g and adi nlstration of drugs and prove ncy call system and on -site to respond to and meet both uled a npredictable needs of residents on -hour-a-day basis, including supervision of ty and security, and who are aware of the w abouts of the residents at all times; and has central dining room, living room or parlor, a, _common activity areas; and has a Registered Nurse on -site .or on contract to provide Nursing Services specified in the Plan of Care. Regardless of name, any properly licensed, certified, or registered facility providing the services shown. above will qualify as an Assisted Living Facility. As an example, this could include adult foster care facilities, congregate care facilities, basic care facilities, residential care facilities, family and 'group assisted living facilities, personal care boarding homes, domiciliary care homes and personal care homes. An Assisted Living Facility is not a nursing home, hospital, or rehabilitation hospital, although it may be a separate and distinct wing or section of such an institution, if such wing or section, including an Insured Person's assigned bed, is appropriately licensed, certified, or registered to provide the level of care defined above. An Assisted Living Facility is also not an independent living apartment. TOL 1-ALFD 1001 GD-2 OPTIONS MAINTENANCE OR PERSONAL CARE SERVICES Any care the primary purpose of which is to provide needed assistance with any of the disabilities that cause an Insured Person to meet the requirements of the Benefit Eligibility provision (including the protection from threats to health and safety due to Cognitive Impairment.) TOL 1-MPCD 1001 HOME HEALTH CARE Services provided for care in an Insured Person's Home and while such Insured Person is not confined to any hospital or Nursing Home. Professional Services are services that are beyond the scope of care that can be provided by a Basic Services provider. The services are for other than monitoring the patient or supervising the patient's care. Professional Services must be provided by a licensed (1) Registered Nurse (RN); Practical Nurse (LP ; Vocational Nurse (LVN); or (2) speech therapist or audiologist; or (3) respiratory therapist; or (4) occupational therapist; or (5) physical therapist; or (6) chemotherapy specialist; or (7) nutritional specialist ! _ Basic Services are services than those included in the Services. Basic Services are (1) a home health (2) a homemaker; (3) a companion. TOL 1-HCD 1001 HOME HEALTH CARE AGENCY An entity that provides care and services in accordance with a Plan of Care in an Insured Person's Home; is primarily engaged in providing Home Health Care services; and (1) is licensed by state law or certified by Medicare as a Home Health Care Agency; or (2) is accredited as a Home Health Care Agency or as a provider of Home Health Care services by the National League of Nursing, or the Joint Commission on Accreditation of Healthcare Organizations, or any other associations that have substantially the same accreditation standards; or (3) an entity that is t state licensed or Medicare certified, provide entity: (a) is a format ed ge hat has been organized to provi H e under a Plan of Care, ich is,_Su_ "rvi /or monitored at least eve da y on -staff Registered Nurse or licen soci orker; and (b) hich maintains ritten record for each di t, includi cumentation of all services = delive a a an of Care. ADULT DAY CARE v. es, including health, social and related support vices rovided by and at an Adult Day Care Center itag y part of the day, on less than a 24-hour 1-ADCD 1001 ADULT DAY CARE CENTER A facility or organization which is licensed, registered or certified to provide Adult Day Care, if the state in which it is located provides licensing, registration or certification of Adult Day Care Centers. If licensing, registration, or certification is not required by the state, it is that part (or separate center) of a facility which provides Adult Day Care and meets all of the following requirements: (1) it operates at least 5 days a week for a minimum of 5 hours per day and is not an overnight facility; and (2) it maintains a written record for each client, which includes a Plan of Care and a record of all services provided; and (3) it has established procedures for obtaining appropriate aid in the event of a medical emergency; and (4) it has formal arrangements for providing for the services of: (a) a dietitian; (b) a licensed physical therapist; (c) a licensed speech therapist; and (d) a licensed occupational therapist; and GD-3 OPTIONS CHECKLIST OF ITEMS INCLUDED WITH PROPOSAL Yes No Description of Item ✓ Proposal for Group Life Insurance, AD&D and Supplemental Life t✓ Proposal for Group Voluntary Life Proposal for Voluntary Group Life and AD&D i✓ Proposal for Group Long Term Disability ✓ Proposal for Group Dental Proposal for Vision Care ✓� Proposal for Transplant Coverage Proposal for Long Term Care ✓ Signed Proposal Compliance Letter Signed Plan Design Confirmation Completed and Signed Questionnaire(s) Dental Network Access Analysis (if applicable) Vision Network Access Analysis (if applicable) Copy of your EOB for Dental and/or Vision,Services (if applicable) Proposed Implementation Timeline for The City. Audited Financial Statements and/or Department of Insurance filings for the past two years (Only if requested by The City) Provider "Report Cards" used to provide feedback on clinical and non -clinical performance measures Copy of your Policy Assuring Member Satisfaction Samples of all Standard and Optional Reports you are proposing to provide on an account specific basis Copy of your Banking Services Agreement Copy of your Customer Satisfaction Survey Copy of your Insurance Contract that will be in effect January 1, 2004 City of Fort Collins, RFP 2003 (5) its staff includes all of the following: (a) a full-time director; (b) one or more nurses in attendance during operating hours for at least 4 hours a day; and (c) not less than 3 full-time staff members. TOL 1-ADCCD 1001 GD-4 OPTIONS Note: Coverage is provided in accordance with the ELIGIBILITY DEFINITIONS terms of this Policy for Alzheimer's disease and similar forms of senility and irreversible dementia that result in ACTIVITIES OF DAILY LIVING (ADLS) Cognitive Impairment. Each of the following six (6) functional areas performed without the assistance of another person is considered an Activity of Daily Living: PLAN OF CARE A written, face-to-fac-___ stematic, standardized, and (1) Bathing: The ability to wash oneself by comprehensive as n = of one's functional and sponge bath; or in either a tub or cognitive capacity tl d eeds, strengths, and shower, including the task of getting abilities, sped ' g. ' u _ ion . uency, type and into and out of the tub or shower. scope of service f car- . The Plan of Care (2) Continence: The ability to maintain control of must be based c in " from the Insured bowel and bladder function; or, when Person's comprehensive s ent. The Plan of Care unable to maintain control of bowel or must prescribed, app' ed, and signed by a bladder function, the ability to perform Lice sed alth C ractitioner, and must be in associated personal hygiene confer err at_ ast once each 60 days. The (including caring for a catheter or , and vicee u er the Plan of Care must be colostomy bag). requ` beca person is Cognitively Impaired or /eVrabl to perfo m the Required Number of Activities (3) Dressing: The ability to put on and take off all f ai Living shown on the Schedule. items of clothing and any necessary braces, fasteners or artificial limbs If pos ' e, a copy of the Plan of Care should be sent (4) Eating: The ability to feed oneself by etting to s re the care and services are received, or, at food into the body from a rece c the la st, at the time the first claim under the Plan of (such as a plate, cup or or y _ is submitted. Unless otherwise stated in this a feeding tube or intrav ous . Icy, the Plan of Care must be submitted no later (5) Toileting: The ability to get to a fro than 60 days after the care and services begin and toilet, to get on and off the t ' a must document by assessment that the Insured Person perform a ted pers al- met the requirements in the Benefit Eligibility provision h hygiene. during that 60-day period. (6) Transferring: The ability to ve,' to nd out a A Plan of Care must be approved by a Licensed bed, chair or wh Icha' . Health Care Practitioner who does not have a financial interest in, or is not an employee of, the facility, COGNITIVE IMPAAIM UNCWDl E TERM agency, center or provider administering such plan. Severe deterioratio or loss rson's intellectual capacity as certifi .ce ed Health Care Practitioner and diagnos usin generally accepted medical diagnostic metho s and tests that reliably measure impairment in the areas of: (1) short or long term memory; and (2) orientation as to person (such as who one is and who others are), place (such as one's location) and time (such as day, date and year); and (3) deductive or abstract reasoning; and (4) judgment as it relates to safety awareness. TOL 1-ED 1001 ED-1 OPTIONS BENEFIT ELIGIBILITY This section describes the requirements that must be met before any benefits provided under this Policy can be paid. ELIGIBILITY FOR T41F PAYMFNT nF RFNFFITS To be eligible fc Policy, We must specifies what cai needed because certified within th Health Care Practil (1) requiring con include cuein4 or other demc protect the In: or her healtl Impairment; or (2) requiring the I arm's reach d least the Requ Living, shown at least 90 d present within supervise of intervention. If an Insured Pei requirements shoe the requiremen considered a Chn requirement is ne qualify for favon, law. TOL 1-BE 1001 BE-1 OPTIONS GENERAL BENEFIT INFORMATION In order for benefits to be payable, Benefit Eligibility and all confinements, care and services must begin after the Effective Date of this Policy and while Your coverage is in force. All charges must be incurred while the applicable Benefit Section is in force, unless otherwise stated in the applicable Benefit Section. NOTE: If more than one type of covered care is received on the same day, only the daily benefit Providing the largest payment will be payable, unless otherwise stated in a Benefit Section. Limitations or Conditions on Eligibility for Benefits The applicable Elimination Period, benefits and benefit limits are shown on the Schedule. Below is a description of the Elimination Period and some benefit limits. ELIMINATION PERIOD If the Schedule and the Benefit Sections an Elimination Period is applicable to the b are payable, no such benefits will expenses have been incurred for the nurr shown on the Schedule. You will be responsible for the expenses i days. Senefrts subject to the expense;. d be paid during this elimination in on Pe days have been accumulated to s n. sfy is Period, it need never be satisfied Elimination Period an pn��"f �__gain'< The Elimination P 'o on which the exp nses in pe covered under this Period. An Insured Persy confined or received care or Elimination Period is required satisfy an Elimination Period. separate )eere satisfied by days uld otherwise be no Elimination ually have been services for which an on any day used to Days on which expenses that would also be eligible for coverage under this Policy, except for the Elimination Period, and are reimbursed by Medicare will also be credited toward the Elimination Period. Benefits subject to MAXIMUMBENEFIT Maximum Benefit are listed on the Schedule. As shown on the Schedule, the Maximum Benefit Payable for each Insured Person for all the benefits listed on the Schedu dollar amount oava �- the total Maximum Benefit When the Max benefits for su unless otherwise pro of another provision of I Paid, no further Will be payable, Je with the terms D TIO INFORMATION ial rds an, phrases are given defined mean! s in ri s sections of this Policy, if a of a Ord or phrase is found in any t!o of this Policy, it shall have meta' Ing throughout the Polic the same eco op Y To help You g these special words and phrases, the fi le r of each word, or word in the phrase, is capita zed wherever it appears. BENEFIT SECTIONS The following sections describe the coverage available for care and services covered under this Policy. Read the benefit provisions carefully. Care Coordination is not required to access benefits under this policy unless otherwise specified in a benefit section. Premiums for this Policy must be paid when due in order for the coverage to remain in force. Remember, the Schedule will only show the benefits and benefit amounts You elected and We initially issued. Any benefits You subsequently add or delete and any increases or decreases You request in benefit amounts, and their respective effective dates, will be indicated by endorsement and all Policy and benefit provisions, waiting Periods and elimination periods will be calculated addition. from the effective date of such increase or TOL 1-G81 1001 GBI-1 OPTIONS NURSING HOME BENEFIT We will pay the actual charges incurred for each day an Insured Person is confined in a Nursing Home subject to: (1) the Benefit Eligibility provision; (2) the Elimination Period; (3) the Maximum Daily Benefit; (4) the Maximum Benefit; and (5) care and services must be provided in a facility that is licensed by the state as a Nursing Home. EXTENSION OF THE NURSING HOME BENEFIT Subject to the Maximum Benefit, termination of this Policy will not affect any claim for a covered Nursing Home stay if such stay began while this Policy was in force and continues without interruption after termination of this Policy. We will not, however, pay benefits for new Nursing Home confinements or for any part of a confinement during which the reason for the confinement becomes unrelated to the reason for e confinement prior to the termination of the Policy _ e will not pay the portion of the Nursing Home enefi which is in excess of those benefits We would Oe paid had this Policy continued in force. T ' i will not apply to any other benefit in this , licy. NURSING HOME BED RESERVATION BENE When an Insured Person is a ebS^nt tbr-a reas (except discharge) during a Nur ng H"con fine t, the benefit will be one or a com` in Ion of the following: (1) if the absence occ r the limi ion Period has been met, a w` the 'c I Nursing Home charges c ' re or Too an board while the room in th N ing e ` being reserved during each da su d erson's absence, up to the Maximum Da' Bene or (2) if the absence oc hile satisfying the Elimination Period and room and board charges are incurred from the Nursing Home to hold the room, We will give credit toward the Elimination Period for each day the Insured Person is absent. This benefit is available for the Maximum Number of Days per Calendar Year shown on the Schedule and subject to the Benefit Eligibility provision. TOL 1-NH 1001 RESTORATION OF NURSING HOME BENEFITS This provision only describes how benefits can be restored. The requirements found in the Benefit Eligibility provision, therefore, shall not apply to this provision. This provision, however, is subject to the requirements described below. Following a Nursin ,_ -`e _ nfinement for which We have been payin = Ho_ a Benefit, We will restore such g oamounts to the remaining apple i t- enefit if certain requirements are meK �- ' es any increases to the Maximum Benefit tha ave occurred under a Benef' , rease Opt'if' elected. The amounts appli to . Kestor ill only be applicable to the Nursing _ r subsequent Nursing Home y he sto amount will not exceed the Bene able. for Restoration of Nursing Home r a -pliod of 180 consecutive days, the Insured Per ust not meet the requirements found in the nefit Eligibility provision for Cognitive Impairment and Vtiv nability to perform at least the Required Number of ities of Daily Living shown on the Schedule page. The 180 consecutive day period begins on the day a Licensed Health Care Practitioner certifies that the Insured Person does not meet the requirements for Benefit Eligibility and such certification is filed with Us. The Policy must remain in force during this time period. TOL 1-NROB 402 ASSISTED LIVING FACILITY BENEFIT We will pay the actual charges incurred for room and board, not to exceed the charge for a one -bedroom unit, and for the necessary Maintenance and Personal Care Services for each day an Insured Person is confined in an Assisted Living Facility subject to: (1) the Benefit Eligibility provision; (2) the Elimination Period; (3) the Maximum Daily Benefit; (4) the Maximum Benefit; and (5) care and services must be provided while confined in a licensed, certified, or registered Assisted Living Facility. OPTIONS ASSISTED LIVING FACILITY BED RESERVATION BENEFIT When an Insured Person is absent for any reason (except discharge) during an Assisted Living Facility confinement, the benefit will be one or a combination of the following: (1) if the absence occurs after the Elimination Period has been met, We will pay the actual Assisted Living Facility charges incurred for room and board while the room in the Assisted Living Facility is being reserved during each day of the Insured Person's absence, up to the Maximum Daily Benefit; or (2) if the absence occurs while satisfying the Elimination Period and room and board charges are incurred from the Assisted Living Facility to hold the room, We will give credit toward the Elimination Period for each day the Insured Person is absent. as required by the state to provide such services and is approved by the Care Coordinator. For any day during which an Insured Person receives both Professional and Basic Services, We will pay up to the Maximum Daily Professional Services Benefit. The Home Health nefit is not subject to, nor will it satisfy, the EJ oryRgriod. We will pay the a I cha?cfes ' curred for each day an Insured Person rece s A Day Care, subject to: (1) th enefit Eligibili _pro"` ion; (2) a Ma um Da' It Day Care Benefit; (3) th 71M This benefit is available for the Maximum Number of v goidi Days per Calendar Year shown on the Schedule d subject to the Benefit Eligibility provision. Th TOL 1-ALF 1001 atlsfy, i HOME HEALTH CARE AND ADULT f Y C BENEFITS Neither Home Health Care nor Adult Da - Ca benefits will be payable on any tan Ins d Person is confined as an in tien in a ho or Nursing Home. However, su b n may be payable on a day that the sur P rs n is admitted for confinr dis arge following such confinement. erso HOME EALTH BE EFIT We will pay the ac a Inc rred for each day an Insured Person receive Hom ealth Care, subject to: (1) the Benefit Eligibility provision; (2) the Maximum Daily Professional Services Benefit or Maximum Daily Basic Services Benefit; (3) the Maximum Benefit; and (4) Basic Services must be provided by or through a Home Health Care Agency, unless the Insured Person is receiving the Care Coordination Benefit. If the Insured Person is receiving the Care Coordination Benefit, Basic Services may be provided by a provider who is licensed or certified or sere s must be provided by and at alt "re Center; and Day Care must be received for at least 4 during any day for which benefits are Day Care Benefit is not subject to, nor will it Elimination Period. 1-HHAD 1001 HOSPICE CARE BENEFIT DEFINITIONS HOSPICE CARE A coordinated, interdisciplinary program for meeting the special physical, emotional, social and spiritual needs of dying individuals, by providing palliative and supportive services during the illness to individuals who have no reasonable prospect of cure and, as estimated by a Doctor, have a life expectancy of 6 months or less. HOSPICE CARE FACILITY A facility which is licensed or certified by the state in which it is located to provide Hospice Care. HOSPICE CARE PROVIDER Any hospital, related institution, Home Health Care Agency, Hospice Care Facility or other licensed provider which provides Hospice Care. OPTIONS HOSPICE CARE BENEFIT We will pay the actual charges incurred for each day an Insured Person receives Hospice Care subject to: (1) the Benefit Eligibility provision; (2) the Insured Person must have no reasonable prospect of cure and, as estimated by his or her Doctor, have a fife expectancy of 6 months or less; (3) the Maximum Daily Benefit; (4) the Maximum Benefit; and (5) Hospice Care must be provided by a Hospice Care Provider. Benefits for Hospice Care are not subject to, nor will they satisfy, the Elimination Period. We will not pay for more than 180 days of Hospice Care. TOL 1-HC 1001 CARE COORDINATION BENEFIT DEFINITIONS CARE COORDINATION The development of a comprehensive, fa e-to- assessment of a person's functional an co capacity. A Care Coordinator will = coo ' `ate appropriate services and monitor the deli v of services including: (1) development, completion, i tation coordination of the Plan of e; (2) monitoring of services provi u he Pla of Care; (3) completion of a comprehensive eas ssment of the Plan of Care, nee ed; and (4) discharge from a en n he Plan of Care, when ap rop A person contracted by wh a Licensed Health Care Practitioner and provides Care Coordination services. "Care Coordinator" will not include anyone who has an ownership interest in or is an employee of any provider of the care or services received. CARE COORDINATION BENEFIT In order to obtain a Care Coordinator, an Insured Person must contact Us at the toll -free number shown on the Schedule and select a Care Coordinator contracted by Us from Our list. The Care Coordinator will objectively review the Insured Person's care needs, address concerns he or she may have and provide advocacy for him or her and the family. While working with the Insured Person, the family, and Doctor, the Care Coordinator will help to establish an individualized Plan of Care. Upon the Insured Person's request, the Care Coordinator will - ' e him or her with a list of care providers and -` s . his or her area for the Insured Person o -r. either the Care Coordinator n _ gsu or recommend providers or guar care by any of the providers or service ftsta_1 ' ever, it will be a starting point for the - `' Person to use when seekin re directly f m ese providers. The Care Coor II mai -= n ongoing relationship with the Ins 3 e family, monitor the Insured s p ` working with his or her Doctor, modify a Pla f, re to adapt to changing needs. "won n to other benefits paid under this Policy, We wig, ` for the Care Coordinator to initially assess and eveloP _ Plan of Care. Thereafter, We will pay for the Ca ' Co dination services of the Care Coordinator for yIn as the Insured Person meets or is expected to the requirements in the Benefit Eligibility provision he or she is receiving or is expected to receive other benefits payable under this Policy. If the Care Coordinator determines it is necessary, and if the Insured Person desires, the Care Coordinator will assist the Insured Person in obtaining the services recommended in the Plan of Care. This assistance will be limited to referring the Insured Person to providers and help in coordinating such referrals. There will be no charge to You for the covered Care Coordination services of the Care Coordinator and no amount will be deducted for such covered Care Coordination services from the maximum benefits payable under the Policy. The Care Coordination Benefit includes the services of the Care Coordinator to arrange for services to assist the Insured Person in remaining at Home, such as: (1) home health care services; (2) durable medical equipment and supplies; (3) emergency medical call system; (4) companion services; (5) shopping services; and OPTIONS (6) transportation services. The benefits for the covered Care Coordination services provided by the Care Coordinator are not subject to, nor will they satisfy, the Elimination Period. TOL 1-CC13 1001 RESPITE CARE BENEFIT If an Insured Person is receiving the Care Coordination Benefit, this additional benefit is available. DEFINITION Care Coordinator must approve the provider of the Therapeutic Device. DEFINITION THERAPEUTIC DEVICE Special equipment tha is appropriate for an Insured Person's condition a at his or her Home. The following are exam - of equipment that may be considered T ut ` Ice (1) special ho s; (2) crutches; (3) wheelchairs; (4) inf Ion pumps; or (5) ro�s. /\ RESPITE CARE Respite or relief for an Insured Person's primary A Ther utic v` does not include any drug, caregiver. Respite Care covers temporary confinements reed ' e, equt ` ent implanted in an Insured in a Nursing Home, Assisted Living Facility, or care PIT ' body, porarily or permanently. Also, not received in an Insured Person's Home. ncl d is any Home modification, motorized scooter, o s ing, protective, athletic or exercise equipment. RESPITE CARE BENEFIT If an Insured Person is being cared for by his r h THERAPEUTIC DEVICE BENEFIT primary caregiver on a continuous basis and uc a wi I pay the actual charges incurred for rental or caregiver is not compensated by You for is pur hase of a Therapeutic Device subject to: services, We will pay the actual charg i ` o the Insured Person receiving the Care Coordination Respite Care, subject to: Benefit; (1) the Benefit Eligibility provision; (2) the Benefit Eligibility provision; (2) the Respite Care Maximum D ' efit; (3) the Maximum Lifetime Therapeutic Device Benefit; (3) the Respite Care Maximu Number o e (4) the Maximum Benefit; and Calendar Year; (5) the equipment must be used in the Insured (4) the Maximum Benefit; and Person's Home. (5) Respite Care must be rovided a N ing Home, Assisted Living F Ity, r in the nsur Person's We will decide whether a rental or purchase of the Home Therapeutic Device would be more appropriate. Benefits for Respi Care n t s bject to, nor will For purposes of the Therapeutic Device definition and they satisfy, the Elim d, the Therapeutic Device Benefit, an Insured Person's Home shall not include an Assisted Living Facility. Benefits for Respite Care not be payable when other benefits, except for Care Coordination, are The Therapeutic Device Benefit is not subject to, nor payable under this Policy. will it satisfy, the Elimination Period. TOL 1-RC 1001 TOL 1-TDB 1001 THERAPEUTIC DEVICE BENEFIT If an Insured Person is receiving the Care Coordination Benefit, this additional benefit is available. To qualify for this additional benefit, the HOME MODIFICATION BENEFIT If an Insured Person is receiving the Care Coordination Benefit, this additional benefit is available. To qualify for this additional benefit, the Care Coordinator must approve the provider, labor, equipment and supplies. Prior to any modification OPTIONS or installation, We must agree to the modification or installation. HOME MODIFICATION BENEFIT We will pay the actual charges incurred for labor, equipment, and supplies for minor modifications to an Insured Person's Home that will enhance his or her ability to perform the Activities of Daily Living and allow the Insured Person to remain in his or her Home safely, subject to: (1) the Insured Person receiving the Care Coordination Benefit; (2) the Benefit Eligibility provision; (3) the Maximum Lifetime Home Modification Benefit; and (4) the Maximum Benefit. Examples of Home modification include such things as: installing a ramp in an Insured Person's Home or installing grab bars in an Insured Person's bathroom and similar accessibility modifications. 1-1 Home modification does not include things home repair, cosmetic changes, elevators, rooms, remodeling, installation of a h swimming pool, or any similar modificatio VI pay for the purchase of any tools. Also, pay for the removal or reversal of ar modification that was previously benefit. For purposes of the Home Mo ificatipn/Be fi an Insured Person's Home shall not ud a Assisted Living Facility. /--- The Home Modific0lo it is t s'v6ject to, nor will it satisfy, the E in rt P ' TOL 1-HMB 1001 MEDICAL ALERT SYSTEM BENEFIT If an Insured Person is receiving the Care Coordination Benefit, this additional benefit is available. To qualify for this additional benefit, the Care Coordinator must approve the provider. Prior to any modification or installation, We must agree to the modification or installation. DEFINITION MEDICAL ALERT SYSTEM A communication system installed in an Insured Person's Home that is used solelyfor the purpose of calling for assistance in the event of a medical emergency. We will pay for __: _ _ w- rf either: (1) the actual mo _ monitoring charges incurred up to t edical Alert System Benefit; or (2) th aI purchas9Ispst. We wil 9R, �=Would rental or a purchase of the la►l aI, Ale = ysi be more appropriate. Alert System Benefit is subject to: ed Person receiving the Care Coordination the _ efit Eligibility provision; (3) aximum Medical Alert System Benefit; and W the Maximum Benefit. 09 will not pay for any charges for normal telephone service, or for a home security system, or any other similar service or device. For purposes of the Medical Alert System definition and the Medical Alert System Benefit, an Insured Person's Home shall not include an Assisted Living Facility. The Medical Alert System Benefit is not subject to, nor will it satisfy, the Elimination Period. TOL 1-MAS13 1001 CAREGIVER TRAINING BENEFIT If an Insured Person is receiving the Care Coordination Benefit, this additional benefit is available. To qualify for this additional benefit, the Care Coordinator must approve the provider of the training. DEFINITIONS CAREGIVER TRAINING Appropriate training and instruction provided by a person approved by the Care Coordinator to provide the knowledge and skills necessary for: OPTIONS (1) the proper use and care of a therapeutic device and/or disposable medical aids, including but not limited to catheters; ostomy bags; or suctioning tubes; or (2) the performance of appropriate caregiving procedures, such as changing of wound dressings, repositioning a patient in bed, or giving insulin injections. VOLUNTEER CAREGIVER The person who has the primary responsibility of caring for an Insured Person in his or her Home. A person who is paid for caring for an Insured Person cannot be a Volunteer Caregiver. CAREGIVER TRAINING BENEFIT We will pay the actual charges incurred for Caregiver Training for an Insured Person or a Volunteer Caregiver to assist an Insured Person, subject to: (1) the Insured Person receiving the Care Coordination Benefit; (2) the Benefit Eligibility provision; (3) the Maximum Lifetime Caregiver Training Be fit (4) the Maximum Benefit; and (5) the Caregiver Training must not r e included free of charge by an equipm nt supp vendor. The Caregiver Training Benefit is t subject to will it satisfy, the Elimination Per' TOL 1-CTB 1001� MONTHLY ME ARE B EFI If an Insured P rs )addit l the Care Coordination Be efi is nal benefit is available. To qua' for nal benefit, the Care Coordinator m a provider of the care or services. MONTHLY HOME CARE BENEFIT We will pay, in lieu of the Home Health Care Benefit and Adult Day Care Benefit, the actual charges incurred for Home Health Care and Adult Day Care on the basis of the services received during each continuous 30-day period rather than on a daily basis, subject to: (1) the Insured Person receiving the Care Coordination Benefit; (2) the Benefit Eligibility provision; and (3) the Maximum Benefit. The maximum benefit payable during each continuous 30-day period will be limited to an amount calculated by multiplying the Maximum Daily Basic Services Benefit shown on the Schedule by 30. TOL 1-MHC 1001 ALTE T/ErPA' E ENEFIT Once an Insur Person s b rtified to meet the requirements foun t-her. ligibility provision for Cognitive Impairment o e n 'dity to perform at least the R ired Number of vities of Daily Living as sho on Sched d We have received a Plan of Ca W y Y u the Monthly Benefit shown e S " ufe n ance for each calendar month the I ure er n continues to meet those alire " nts. We will pay this benefit in lieu of all l r ` nefits for care or services provided under this Polic . I n I ured Person meets the Benefit Eligibility equir ents and We receive a Plan of Care for only p of a calendar month, We will prorate the Monthly efit payment. We will not pay this Benefit for any time period prior to the time We receive the Plan of Care. We must receive a Plan of Care at least once each 60 days. This benefit is also subject to the Maximum Benefit. We will not pay this benefit when an Insured Person is confined in a hospital or rehabilitation hospital. We will stop paying this benefit to You on the day that the Insured Person no longer meets the requirements in the Benefit Eligibility provision. We will also stop paying this benefit if We do not receive a Plan of Care as required or when an Insured Person chooses to receive other benefits payable for care and services that are covered under this Policy. The Alternative Payment Benefit is not subject to, nor will it satisfy, the Elimination Period. TOL 1-APB 1001 FULL RESTORATION OF BENEFITS This provision only describes how benefits can be restored. The requirements found in the Benefit Eligibility provision, therefore, shall not apply to OPTIONS Mr. James B. O'Neill II, CPPO, FNIGP The City of Fort Collins Purchasing Department 215 North Mason St, 2nd Floor Reference RFP P902 PO Box 580 Fort Collins, CO 80522 Dear Mr. O'Neill, Please consider this my confirmation that the benefits offered in this proposal are the same benefits currently being offered by Transamerica through the City of Fort Collins. Sincerely, Christi Johnson Proffitt Benefit Services 5250 E Arapahoe Rd F7-209 Centennial, CO 80122 1-866-796-9471 this provision. This provision, however, is subject to the requirements described below. Following a period during which We have been paying benefits, We will restore such benefit amounts that We paid to the remaining Maximum Benefit, if the Insured Person meets certain requirements. This includes any increases to the Maximum Benefit that may have occurred under a Benefit Increase Option, if elected. The amounts applied to the restoration will only be available for subsequent stays or care subject to the restored Maximum Benefit. The restored amount will not exceed the Maximum Benefit payable. Requirements for Full Restoration of Benefits For a period of 180 consecutive days, the Insured Person must not meet the requirements found in the Benefit Eligibility provision for Cognitive Impairment and the inability to perform at least the Required Number of Activities of Daily Living shown on the Schedule page. The 180 consecutive day period begins on the day a Licensed Health Care Practitioner certifies that Insured Person does not meet the requirement .for: Benefit Eligibility and such certification is filed w' The Policy must remain in force during this time pe TOL 1-FROB 402 WAIVER OF PREMIUM BENEFIT We will automatically change Y ur m Pay Mode to monthly and not requi ayment o r monthly premium when an Insur Pe on qu if�e`"' for the Waiver of Premium Benefit. To qualify for the iverf Premi nefit, the Insured Person mus . (1) meet the req ire is the -Benefit Eligibility provision; (2) satisfy the Elimina ion applicable; and (3) be receiving Nursi e, Assisted Living Facility, Home Health Care, Adult Day Care, or Alternative Payment Benefits. We will stop waiving the premium when the Insured Person no longer qualifies for the Waiver of Premium Benefit. The Waiver of Premium Benefit will end on the date the Maximum Benefit has been exhausted. To keep Your Policy in force when the Waiver of Premium Benefit ends or after an Insured Person no longer qualifies for the Waiver of Premium Benefit, premiums must be paid as they become due. Any unearned premiums on deposit with the Company at the time the Waiver of Premium period began will be applied following the = of the Waiver of Premium period. TOL 1-WP13 1001 JOINT WAWREMIUM We wil waive all premiu or Your Policy for the same_ no s that W waiving the premiums for Your _ of -: i er the Waiver of Premium B fit. uin s d=y aiving the premiums for Your oficjf rider isA vision when We are no longer yvanting _ e premi s for Your Spouse's policy. ity for Joint Waiver of Premium: This benefit I[y; _ ailable if: both" ou and Your Spouse have coverage in e with Us as a married couple on the same policy form series which includes this Joint Waiver of Premium Benefit; and Your Spouse qualifies for and receives the Waiver of Premium Benefit under the same policy form series. This Joint Waiver of Premium Benefit ends when the Maximum Benefit has been exhausted under either Your Policy or Your Spouse's policy. To keep Your Policy in force when Your Joint Waiver of Premium Benefit ends or We are no longer waiving the premium, premiums must be paid as they become due. Any unearned premiums on deposit with the Company for Your Policy at the time the Waiver of Premium period began will be applied following the end of the Waiver of Premium period. Premiums will not be waived under this provision if premiums are being waived for Your Spouse under a Lifetime Waiver of Premium provision. TOL 1-JWP 1001 LIFETIME WAIVER OF PREMIUM After an Insured Person has been continuously confined in a Nursing Home for the Consecutive Day Waiting Period shown on the Schedule, We will not OPTIONS require payment of any future premium that would otherwise come due for benefits in force on the date such waiver begins. During the entire Consecutive Day Waiting Period, the Insured Person must have been confined in a Nursing Home or hospital and have been satisfying the Elimination Period or receiving the Nursing Home Benefit. However, the days during which the Insured Person is confined in a hospital will not be credited toward satisfying the Consecutive Day Waiting Period. We will refund the unearned portion of any premium You have paid. The premium for any benefit added after the Lifetime Waiver of Premium Benefit begins will not be waived under this provision. The Lifetime Waiver of Premium Benefit will end on the date the Maximum Benefit has been exhausted. TOL 1-LWP 1001 SPOUSE SURVIVORSHIP — WAIVER OF PREMIU If You and Your Spouse both have coverage in orc with Us under this policy form series and Your u9 dies while both policies are in force, We ill w Your premiums for life following the later o . (1) the date of death of Your Spouse; V) the tenth anniversary of the Effective �ofl`a>� Policy. Any benefit added or increased usS e t least 10 years from the date ofincreas or addition before the premium will fo such benefit. The premium for Your Spouse will You must notify U TOL 1-SSWP 1001 K,& death of its provision. Spouse. SIMPLE BENEFIT INCREASE OPTION If You elected the Simple Benefit Increase Option, every dollar benefit amount will increase annually on each anniversary of the effective date of this option. Each increase will be equal to the percentage shown on the Schedule or endorsement of the original dollar benefit amounts in effect on the effective date of this option (without regard to any claims paid). These increases will continue as long as this option is in force, even if an Insured Person is receiving benefits on the date of the increase. Any benefit amounts You add in order to increase the amount of Your coverage after the effective date of this option will not increase until the amount of the increase has been in effect one fMll year. TOL 1-SBI0 1001 COMPO D BENEI It R E OPTION If You elected the ornpou B efit Increase Option, every dollar benefit a unt w' increase annually on each iversary of the a tive date of this option. Eac inc: re a will b al to the percentage shown on th Sched o en rsement of the current dollar It a nts m ef, t (without regard to any claims paid). Thes 'ncr ases will continue up to the Imu Multiply shown on the Schedule of the Ina dollar benefit amounts as long as this option is in fo e, even if an Insured Person is receiving benefits lZn the to of the increase. ny kflefit amounts You add in order to increase the a unt of Your coverage after the effective date of this ion will not increase until the amount of the increase has been in effect one full year. TOL 1-CBIO 1001 STEP -RATED COMPOUND BENEFIT INCREASE OPTION If You elected the Step -Rated Compound Benefit Increase Option as shown on the Schedule or by endorsement, in consideration of future increases in premium amounts, every dollar benefit amount will increase annually on each anniversary of the effective date of this option. Each increase will be equal to the Benefit Increase Percentage shown on the Schedule of the current dollar benefit amounts in effect (without regard to any claims paid). These increases will continue as long as this option is in force, even if benefits are being received on the date of the increase. Your current premium will be increased by the Premium Increase Percentage shown on the Schedule. The increase in premium will occur at the Premium Increase Frequency shown on the Schedule, as long as this option is in force. OPTIONS to all of the I insurancewe will be SU eve date of (6) the add1wI the Policy, from to terminate r415ions °f and remium is being no u5 in )NOW9e option. the increase', becomes paid -up or p will can a �° additional increa� anY t►me, Y°u Benefit Increase insulting �7) ;{ Goverag death, - Premium Rated Compound amounts a due to a remium Cha n the date of Step- benefit next anniversary of waived a in dollar a date We only be available at ra * in eff Bach- Insured e increases s will stop on will be at Our table _ based on increase Option following to bon Your date of Purr emium date of this P mate this P purchase, and nt A entiv, a not►ce to terra and premium amount attain eceive Your Duals fined level. Your person s - dollar benefit n current atta►ned th to Our right t0 increase 10p1 , - r wal remain at the ?OL 1 GPO ; ��, BENEFIT fit remain 5ublect tbens premiums RETURN 0 to a contrary, Eve Date, premiums any provisw rce from its EF8 Sons have 100 Sublet lanuousl Insured policy 1 should 10L 1SRB10 TION has er all OP 85 to this benefit if the �y5 of the pURGHA$E a be 90 GUA k%TEED reach age the a urs within lion, until You the a Bath as due. You have the insurance °n ant w of all amounts of every Three Yea's -Y a emium paym additional ich wil Date a ' ast Pr sum less Purchase on pates of the EffectNe benefit will be the sums) Purchase Dpathe third annrrers'ing conditwns: of this waived pram the terms to the fa r The _ m0U paid (excluding anY ursuanl to Beginning on { of insurabiRy; hnefds Paid P of tht5 benefit uP of this poUcY, subj wire any evidence the Purchase t of any Effective Date �1} We will not reA force on the from the ris death, Must be ►n �2) this Policy the last Insured Pe to Us of the Purchase Pn da a of the 1 I me in one lump sums option Dates; not more to as Show in (3) upon noffic�tion by Us in writing D of benefits wig will be If there must natrfy Purchase w . Payment Your beneficiary by You• Date, Y°u fore or after the -_ iarl later Chang date of Your days be additional Your bane 31 wish to purchase rf You do n Your applicat'O" �Nin9 beneficiary Yourhestate . if You. not is no named to and You are under nod 10 if You do the benefila will be paid Vving this Pe Purchase er t death, at all time by 9 the within anY On beneficiary date of anal insurance on is a Your is add` fit terming 5.w+ ►in Chang us, She effective the change this bane do no "no nal You may date Dates, 7� if You tc notice will be pelf You die before We not 0 Rate, written U5, effect age of aye ►on five. period or if You d0 Tar Pur beneficiary teCorded by ill not be on a portico n be receivedd Ter the change w I ina ran t 16°!° recelve this benefit termin a 'on ate is (4) the amount af P chase Amounts greater 10L 1-R0P 1001 EFIT sed pREM1UM ben ofr amoun t m / Y= ' urchaepuaddi9o�l RETURN OF contrary, if this Date Of less You FULI. the Effective u an endorsement to to anY provision to from its than rovision• dollar Subject in force persons hoo under this We will av se all of the been continuouad after all Insured policy shoo increa regard to any claims a benefd will be P efit if the 90 days of t insurance, which a this ben Your Policy is without We will also pay occurs within benefit amoun will be at di�ep$e and the last death due, i insuran h date of pre Payment was paid); for the additiona last p remium in effect on h Insured date the (5) d On ou table and rates Will On bhe dal of Purchase*' person 5' a,V,,ed 9 09-f 10l The amount of this benefit will be the sum of all premiums paid (excluding any waived premiums) for the Policy, from the Effective Date of this benefit up to the date of the last Insured Person's death. Payment of benefits will be made in one lump sum to Your beneficiary. Your beneficiary will be as shown in Your application unless later changed by You. If there is no named or living beneficiary on the date of Your death, the benefits will be paid to Your estate. You may change Your beneficiary at any time by giving written notice to Us. The effective date of the beneficiary change will be the date the change is received and recorded by Us. If You die before We receive the request, the change will not be effective. If all benefits under this Policy have been exhausted and it would otherwise terminate but an Insured Person is still alive, We will continue to pay benefits under this Policy up to the sum of all premiums paid for this Policy (excluding any waived premiums). No additional payment of premium will be r uir Payment of benefits will be subject to all of the t conditions and requirements of this Pol' . o d death occur while any amount remains u aid We then pay the beneficiary the remaining am nt. TOL 1-FROP 1001 NONFORFEITURE BENEFIT — OK�Efd D BEN T PERIOD �/ After Your coverage has been in a ect f at least 3 full years, this Bene pro des for a verage to continue on a limit i Id erwise have Lapsed for nonpay en premium. The daily benefit ar�or�rrt'; bl will be the same amounts available at the e t coverage under this Policy would have Lapsed. a total benefit amount in force under this Benefit will be equal to all of the premium paid, excluding waived premiums, for all coverage combined, including this Benefit. The minimum benefit provided under this Benefit will be equal to 30 times the Nursing Home Maximum Daily Benefit at the time of Lapse. Combined benefits under Your Policy and this Benefit will not exceed the maximum amount payable for each benefit nor the total benefits that would have been payable under Your Policy if it had remain in premium paying status. All of the eligibility requ' —' its, including waiting periods, elimination periods o1 ed " ' e amounts that applied in order for a 1 r rso o be eligible for payment of be is ti Y `r coverage would have Lapsed will E ent that any such eligibility requirement or aiting periods were satisfie under Your cover at the time it would have Laps d will alsoAsatisfied under this Shortened V= If, at a time Your coverage would have Lapsed, You haye a nefit in force that would allow coverage to beco paid -up or premium to be waived for life at e tir11a Youcoverage would have Lapsed, a fit ncrease ption benefit of any kind was in e benefits will NOT continue to increase. sbgie future date, this Benefit will only apply if erage would have Lapsed before the date when coverage would otherwise have become paid -up or the waiver of premium would begin. This Benefit will terminate on the date coverage becomes paid -up or premium is waived under any such provision. If, at the time Your coverage would have Lapsed, a return of premium benefit was in force, that benefit will terminate as of the date Your coverage under the Policy would have Lapsed due to nonpayment of premium, and no return of premium benefit will be paid under this coverage. TOL 1-NFB 1001 RATE GUARANTEE Premiums for this Policy are guaranteed from the Policy's Effective Date for the period of time shown on the Schedule. TOL 1-RG 1001 OPTIONS CONTINGENT NONFORFEITURE BENEFIT After the expiration of the rate guarantee, if any, if We increase Your premium rates to a level which results in a cumulative increase of the annual premium equal to or exceeding the percentage of Your Initial Premium set forth below and You are unable to afford the increased premium, You may choose one of the two coverage options offered in this provision. We will notify You at least 30 days prior to the due date of the premium reflecting the rate increase. Your Initial Premium is based on Your age when the Policy was issued, plus the p = m for any benefits that You have added since then, and/or minus the premium for any benefits that You h since Your Policy was issued. for a Substantial Premium Over Initial fiver Initial a Premium �' Premium and under 200% 30 - 34 190% 35 - 39 170% 40 - 44 150% 45 - 49 130% Coverage If a Trigger for a S to Pr i Increase should occur and You are unable to afford the increased premium, We will notify You that You m elect : (1) reduce Your current benefits, but not less than an amount that is currently available, so that required premium payments are not increased, or (2) convert Your coverage as provided under the Shortened Benefit Period described below. This option must be elected anytime during the 120 days following the Premium Due Date for the increased premium. However, should Your Policy Lapse during this 120-day period, the Shortened Benefit Period will automatically take effect. _ 34% 74 32% 75 30% 76 28% 77 26% 78 24% 79 22% 80 20% 81 19% 82 18% 83 17% 84 16% 85 15% 86 14% 87 13% 88 12% 89 11% 90 and over 10% Shortened Benefit Period Your coverage will continue on a limited basis if this option is put into effect. The daily benefit amounts available will be the same amounts available at the time Your Policy would have Lapsed. The minimum benefit provided under this Shortened Benefit Period will be equal to 30 times Your Nursing Home Maximum Daily Benefit at the time of Lapse. OPTIONS If You have a benefit increase option of any kind in force, the benefits available will NOT continue to increase. The maximum benefit amount in force will be equal to all premiums paid, excluding waived premiums, for all Your coverage combined. All of the eligibility requirements, including waiting periods, elimination periods, or deductible amounts that applied in order for an Insured Person to be eligible for payment of benefits at the time Your p&Wage would have Lapsed will apply. To the extent that any such eligibility requirements and/or waiting periods weA isf d under Your coverage at the time it would have Lapsed, they will also be satisfied under this Shortened B ey The daily benefits payable under Your Policy and this Shortened Benefit Perio will ;rroteke daily benefits that would have been payable under Your Policy if You had continued paying pre t I combined benefits payable under Your Policy and this Shortened Benefit Period will not exceed the tot a enefi ` that would have been payable under Your Policy if You had continued paying premiums. Once the maximum benefit amount in force under this Shortened Be n Pen h ">S n paid, no further benefits will be payable and all coverage will terminate. If You have a benefit in force that allows coverage to be date this Contingent Nonforfeiture Benefit will only appli paid up or the waiver of premium begins. Otherwise this up or on the date TOL 1-CNFB 1001 kt►e up` r premiuhf to be waived for life at some future if c er ge apses before the date the coverage becomes �rtefit will' erminate on the date the coverage becomes paid OPTfONS No Text No Text No Text PLAN DESIGNS Benefit Structure Plan A Plan B Plan C Maximum Daily Benefit $ 60.00 $ 120.00 $ 150.00 Benefit Period 4 Year 6 Year Lifetime Elimination Period 60 Day 60 Day 30 Da Maximum Benefit in Pool $87,600.00 $262,800.00 Unlimited Coverage Amounts 100% NH 100% NH 100% NH NH — Nursing Home 50% AL 100% AL 100% AL AL — Assisted Living 50% HHC 50% HHC 100% HHC HHC — Home Health Care Discounts Available Worksite 10% Worksite 10% Worksite 10% The worksite discount is available Preferred Preferred Preferred because the City sponsors the plan. 20% 20% 20% The discount is provided to all eligible Married Married Married individuals. 40% 40% 40% Rate Guarantee 3 Years 3 Years 3 Years Standard Benefits Included All All All Waiver of Premium NH Bed Reservation Hospice Contingent Nonforfeiture Care Coordination Benefit All All All Monthly Home Care Respite Care Therapeutic Device Home Modifications Medical Alert System Care Giver Training Benefit Increase Individual Choice Individual Choice Individual Option (BIO) Choice Simple —Automatic 5% May choose no May choose no Compound —Automatic 5% BIO or any of those BIO or any of those May choose no Step -Rated — Increase annually by 5% listed. listed. BIO or any of each year until you reach the level those listed. desired. Guaranteed Purchase — Offer the right to purchase additional coverage without evidence of insurability. Payment Options Payroll Deduct Payroll Deduct Payroll Deduct Annual Annual Annual Limited Pay Limited Pay Limited Pa QUESTIONNAIRE RESPONSES 1. How long has your organization offered LTC coverage? Transamerica has been selling LTC since 1989. Proffitt Benefit Services has been selling LTC since 1992 2. How many contracts do you have currently in force? There are 2,698 group contracts for LTC with Transamerica. As of year-end 2002, there are 57,352 individual contracts in place. There are currently 37 contracts for LTC in place with Transamerica on the plans sponsored by the City. 3. How many contracts have been cancelled in the past two years, and what has been the primary cause of cancellations? Transamerica has excellent LTC persistency. Their lapse ratio is under 1 %. Transamerica does not terminate the relationship with the employer. The employer sponsoring the plan would cancel a group contract. They may choose to offer a different carrier or discontinue the plan. Two Transamerica contracts, through the City, have been terminated since they were sold. One terminated because the employee could not afford to pay the premium when he lost his job. The other policyholder terminated her annually paid policy at the end of the first year because she didn't have the annual premium to pay. 4. Besides employees, which family members are eligible for coverage? Spouses, children over the age of 18, brothers, sisters, aunts, uncles, parents, grandparents and in-laws are eligible for coverage AND receive the discount available through the City. 5. How much in benefits has been paid by your organization during the past two years? Generally, LTC is considered to be a policy that pays benefits during the retirement years. However, benefits can be paid at any age and often are. Current City employees with LTC policies have, as of yet, not utilized their plan benefits. Specific company wide claim numbers are not available. 6. What is Transamerica's financial rating? A.M. Best A+ Superior Standard & Poors AA Very Strong Moody's Aa3 Excellent Fitch AA+ Very Strong 7. What type of contracts do you offer? The contract offered is "a qualified long term care insurance contract under section 7702B(b) of the Internal Revenue Code of 1986, as amended." It is guaranteed renewable and non -participating. See Section Eight for a sample contract. 8. Please provide a side -by -side comparison of your various plan options. See chart attached at end of questionnaire. 9. How are benefits funded? Benefits are traditional LTC benefits, funded by paid premiums and income on such premiums. The benefits are not linked to other products/policies. 10. Will you accommodate payroll deducted contributions? Will you permit a single annual payment at a discounted rate? Per our agreement with the City, payroll deduction is available for employees their spouses and children living at home. All other policies are paid through PAC or discounted annual payment. Currently there are 7 employees and 5 spouses paying annually for their policies, 4 employees or spouses are paying PAC and the balances of policies (21) are through payroll deduction. 11. Will you provide a toll free telephone number for employees to call with questions about claims and plan provisions? Proffitt Benefit Services — 866-796-9471 Transamerica — 866-745-3544 12. Please indicate the method used to calculate premiums. Do premiums remain stable through the life of the contract? The rates in this proposal are based on age, smoker status, plan design chosen and available discounts. During the underwriting process individual premiums may vary from the provided rates based on current medical conditions. The applicant agrees to the premium adjustment or refuses the coverage. We currently have 2 spouses waiting for health issues to resolve so they can apply and then both they and their spouse will receive the married discount. Premiums are guaranteed renewable. The premium will not be raised because of payment of benefits or increase in age. There is an initial 3-year rate guarantee. Transamerica "can change your premium based on your premium class, subject to approval by the Department of Insurance, if required. Premium class means a population segment classified by our actuaries as having similar characteristics, such as issue age, issue year, rate classification and selected benefit options or other criteria." Additionally, plans can be purchased that provide for payment on other than a lifetime basis thereby providing a cut-off point on potential rate increases. 13. Additional checklist items. None PLAN DESIGNS Benefit Structure Plan A Plan B Plan C Maximum Daily Benefit $ 60.00 $ 120.00 $ 150.00 Benefit Period 4 Year 6 Year Lifetime Elimination Period 60 Day 60 Day 30 Da Maximum Benefit in Pool $87,600.00 $262,800.00 Unlimited Coverage Amounts 100% NH 100% NH 100% NH NH — Nursing Home 50% AL 100% AL 100% AL AL — Assisted Living 50% HHC 50% HHC 100% HHC HHC — Home Health Care Discounts Available Worksite 10% Worksite 10% Worksite 10% The worksite discount is available Preferred Preferred Preferred because the City sponsors the plan. 20% 20% 20% The discount is provided to all eligible Married Married Married individuals. 40% 40% 40% Rate Guarantee 3 Years 3 Years 3 Years Standard Benefits Included All All All Waiver of Premium NH Bed Reservation Hospice Contingent Nonforfeiture Care Coordination Benefit All All All Monthly Home Care Respite Care Therapeutic Device Home Modifications Medical Alert System Care Giver Training Benefit Increase Individual Choice Individual Choice Individual Option (BIO) Choice Simple — Automatic 5% May choose no May choose no Compound —Automatic 5% BIO or any of those BIO or any of those May choose no Step -Rated — Increase annually by 5% listed. listed. BIO or any of each year until you reach the level those listed. desired. Guaranteed Purchase — Offer the right to purchase additional coverage without evidence of insurability. Payment Options Payroll Deduct Payroll Deduct Payroll Deduct Annual Annual Annual Limited Pay I Limited Pay Limited Pa