cancer, heart attack or stroke insurance policy with chronic...

Marketed by

PSI11-014MN Rev. 10-2-2018

Insurance coverage underwritten by

Cancer, Heart Attack or Stroke Insurance Policy with Chronic Illness

SUPPLEMENTAL INSURANCE POLICY

Markets customized insurance policies to customers throughout the Midwest

Rated A with the Better Business Bureau

Knowledgeable customer service representatives who are licensed agents available to help you

No automated phones— Real people providing real service

Platinum proudly offers policies that are underwritten by State Mutual Insurance Company

Located in Rome, Georgia

Mutual Insurance Company

Founded in 1936

Platinum Supplemental Insurance, Inc.Based in Dubuque, Iowa

Serving 17 states and growing!

Fighting cancer or chronic illness can be costly. It creates two types of expenses:

Medical Expenses such as doctor or hospital bills.

Medical insurance typically covers most of these expenses.

Nonmedical Expenses are unavoidable expenses

(caused by your illness) that you pay for out of your own pocket.

Your out-of-pocket expenses:

• Alzheimer’s disease is the 6th leading cause of death in the U.S.6

• About 86% of people survive heart attacks.4 • 60% of the total cost of cancer is nonmedical and is not paid for by major medical insurance.3

• Stroke is a leading cause of long-term disability.5

How will you pay for these extra expenses?

• Spend savings • Sell assets • Borrow from your retirement • Assistance from family

The facts are:

1 in 3 people will be diagnosed with cancer at some point in

their lives.1

1Source: Cancer Facts & Figures 2014. American Cancer Society. Retrieved from http://www.cancer.org/acs/groups/content/@research/documents/webcon-tent/acspc-042151.pdf. 2,6Source: Ward B.W., Schiller J.S., Goodman R.A. Multiple chronic conditions among US adults: a 2012 update. (2012). Retrieved on July 24, 2017, from https://www.cdc.gov/chronicdisease/overview/index.htm#ref1.3American Cancer Society. Cancer Facts & Figures 2014. Page 3.4Source: Heart Disease and Stroke Statistics 2017 At-a-Glance. American Heart Association. https://www.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_491265.pdf.5Million Hearts. Costs & Consequences. Retrieved from https://millionhearts.hhs.gov/learn-prevent/cost-consequences.html on Sept. 5, 2017.

1 in 2 adults in the U.S. has a chronic illness. 2

A better solution: Insurance policies marketed by

Platinum Supplemental Insurance

Medical Expenses: • Deductibles• Co-payments• Benefit limitations• Experimental treatments

Living Expenses: • Mortgage or rent• Car payments• Utilities• Groceries

Additional Expenses: • Transportation • Hotels• Special diets• Family care

Loss of Income: If you or your spouse need time off from work, or are caring for a family member.

Percentage of lump sum benefit restored over 5 years

10%

25%

100%

50%

$5,000

$12,500

$50,000

$25,000

YEARS BETWEEN OCCURENCES

1 Year 2–3 Years 4 Years 5 Years

Recurrence Benefit7, 8

After you recover, your lump sum benefit starts to restore!The Recurrence Benefit is a percentage of the lump sum benefit. The Cancer Lump Sum Benefit is payable after a covered person has been in a period of remission for at least one full year from a previous diagnosed cancer. For Heart Attack or Stroke Lump Sum benefit, recurrence must be at least one full year from payment of the lump sum Benefit.

An estimated 1 in 3 Americans reports

having difficulty paying medical bills.9

Pays the lump sum benefit amount when a covered person is diagnosed as having cancer. Pays 25 percent of lump sum benefit for limited cancer, including cancer in situ. Nonmalignant melanoma skin cancer will pay a onetime benefit of $500.

Pays the lump sum benefit amount when a covered person is diagnosed as having heart attack or stroke. Pays 50 percent of lump sum benefit for coronary artery bypass surgery. Coronary angioplasty will pay 25 percent of lump sum benefit.

50,000*CANCER LUMP SUM BENEFIT

50,000*HEART ATTACK OR STROKE LUMP SUM BENEFIT

Cancer Lump Sum Benefit7Focus on recovery, not expenses.

Heart Attack or Stroke Lump Sum Benefit8

$

$

7Cancer Lump Sum and Recurrence Indemnity Benefit Insurance Policy8Heart Attack and Stroke Lump Sum Benefit Insurance Policy9Pollitz, Karen; Cox, Cynthia; Lucia, Kevin; Keith, Katie. (2014, Jan. 7). Medical Debt Among People with Health Insurance. Kaiser Family Foundation. Retrieved from http://kff.org/private-insurance/report/medical-debt-among-people-with-health-insurance/. *Benefit amounts listed are based on the Plan F benefit plan. Other benefit plans are available. Premiums will vary by plan.

10Cancer Indemnity Benefit Rider and Heart Attack and Stroke Indemnity Benefit Rider*Example uses daily benefit multiplied by assumed 30 days per month.**This benefit is payable up to the same number of days you received the Hospital Confinement Benefit.

Benefits are paid directly to you.

7Cancer Lump Sum and Recurrence Indemnity Benefit Insurance Policy8Heart Attack and Stroke Lump Sum Benefit Insurance Policy9Pollitz, Karen; Cox, Cynthia; Lucia, Kevin; Keith, Katie. (2014, Jan. 7). Medical Debt Among People with Health Insurance. Kaiser Family Foundation. Retrieved from http://kff.org/private-insurance/report/medical-debt-among-people-with-health-insurance/. *Benefit amounts listed are based on the Plan F benefit plan. Other benefit plans are available. Premiums will vary by plan.

Cancer, Heart Attack & Stroke Treatment Benefits10

Hospital Confinement Benefit Days 1–90 $500/day // $15,000/Month*Pays per day when you are confined to the hospital for at least 18 hours as a direct result of cancer, heart attack or stroke. NO LIFETIME MAXIMUM

Catastrophic Hospital Confinement Benefit Days 91+ $1,500/day // $45,000/Month*Pays beginning on the 91st day of being continuously confined to a hospital. Pays in addition to all other benefits except the Hospital Confinement Benefit. NO LIFETIME MAXIMUM

Drugs and Medicine // $250/dayNO LIFETIME MAXIMUMPays each day for FDA-approved medication received during a covered hospital confinement.

Attending Physician // $125/day NO LIFETIME MAXIMUMPays each day a covered person receives services from an attending physician during a covered hospital confinement.

Private Nurse // $250/dayNO LIFETIME MAXIMUMPays each day a covered person receives full-time services from a private nurse while hospital confined.

Skilled Nursing Facility // $250/dayNO LIFETIME MAXIMUMPays each day a covered person is skilled nursing facility confined. The nursing confinement must begin within 14 days after the covered person is discharged from a hospital.**

Screening // $250/year NO LIFETIME MAXIMUMPays for a covered person’s diagnostic test to screen for cancer, heart attack or stroke. Must be at least 18 years old.

Experimental Treatment // $12,500 per cancer occurrence

Pays for experimental drugs and chemicals, surgery

or therapy endorsed by either the NCI or ACS for

experimental studies in the treatment of cancer.

Hospice Benefit // $7,500/month BASED ON 30-DAY MONTH

6 MONTH MAXIMUM Pays each day that a terminally ill covered person receives hospice

care as a direct result of cancer, heart attack or stroke.

Lodging // $100/dayNO LIFETIME MAXIMUMUP TO 30 DAYS PER CALENDAR YEAR

Pays lodging each day for a covered person or an adult companion

when insured is receiving treatment from a medical facility located

more than 100 miles from their home.

TransportationNO LIFETIME MAXIMUM

Common Carrier (Air, Rail or Bus) // up to $2,000/tripLIMITED TO 2 ROUND TRIPS PER PERSON, PER CALENDAR YEAR.

Pays the benefit amount for a covered person and one adult

companion to travel to or from the hospital.

Private Vehicle // up to $2,000/trip$0.60/MILE UP TO THE BENEFIT AMOUNT. PAYS FOR UNLIMITED TRIPS.

Pays the benefit amount for a covered person to travel to or from the

hospital located more than 50 miles from the home.

AmbulanceNO LIFETIME MAXIMUMPays per trip to or from a hospital where insured is confined as

an inpatient.

Ground // $250/trip LIMITED TO 4 TIMES PER CALENDAR YEAR Air // $1,500/trip LIMITED TO 1 TRIP PER CALENDAR YEAR

Chemotherapy and Radiation Benefits*11

11Cancer Chemotherapy and Radiation Indemnity Benefit Rider *Benefit amounts listed are based on the Plan F benefit plan. Other benefit plans are available. Premiums will vary by plan.

UP TO $9,000 per monthORAL CHEMOTHERAPY Pays per medication, maximum of 3 medications per month. LIMITED TO 36 MONTHS

UP TO $1,000 per day INJECTED CHEMOTHERAPY Pays per day for covered injected chemotherapy treatments. NO LIFETIME MAXIMUM

UP TO $1,000 per dayRADIATION Pays per day for covered radiation treatments. NO LIFETIME MAXIMUM

UP TO $500 per monthANTI-NAUSEA DRUGS Pays per month for prescribed antinausea drugs while an insured person is receiving chemotherapy, radiation or experimental treatment on an outpatient basis. NO LIFETIME MAXIMUM

UP TO $250 per monthSUPPORTIVE DRUGS Pays per month for supportive or protective care drugs prescribed in connection or conjunction with injected chemotherapy. NO LIFETIME MAXIMUM

Each day, an average of 79 people

receive organ transplants.13

Page 7

COMA // Pays the Coma Lifetime Benefit amount when a covered person has been in a coma for a period of 30 consecutive days.

PERMANENT PARALYSIS // Pays the Permanent Paralysis Lifetime Benefit amount when a covered person is diagnosed with permanent paralysis.

HUMAN ORGAN TRANSPLANT // Pays the Organ Transplant Lifetime Benefit amount if a covered person is the recipient of a human organ transplant because the organ can no longer adequately function, causing a covered person to be at greater risk of death.

ALS // Pays the ALS Lifetime Benefit amount when you are diagnosed with ALS. This diagnosis must be supported by investigations including typical MRI findings, lumbar puncture, blood and urine studies, and electromyography which unequivocally confirm the diagnosis.

MULTIPLE SCLEROSIS // Pays the Multiple Sclerosis Lifetime Benefit amount if you are diagnosed with Multiple Sclerosis and the diagnosis is supported with all of the following: (i) investigations including typical MRI and cerebral spinal fluid (CSF) findings which unequivocally confirm the diagnosis to be MS; and (ii) current clinical impairment of motor or sensory function has persisted for a continuous period of at least six months.

PARKINSON’S // Pays the Parkinson’s Lifetime Benefit amount if you are diagnosed with Parkinson’s disease and all of the following conditions are met: (i) the Parkinson’s disease cannot be controlled with medication; (ii) there exists an objective sign of progressive impairment; and (iii) there is an inability of the covered person to perform at least three Activities of Daily Living for a continuous period of at least three months.

$100,000 GROWS TO $200,000 IN 20 YEARS The benefits listed below increase by 5 percent every year for 20 years.

Transplant & Chronic Benefits12*

12Chronic Disease and Intensive Care Indemnity Benefit Insurance Policy. Benefits decrease by half at age 70. *Benefit amounts listed are based on the Plan F benefit plan. Other benefit plans are available. Premiums will vary by plan. 13Organ Donation Statistics. Retrieved May 26, 2015, from http://www.organdonor.gov/about/data.html.

14Chronic Disease and Intensive Care Indemnity Benefit Insurance Policy. Benefits decrease by half at age 70. *Benefit amounts listed are based on the Plan F benefit plan. Other benefit plans are available. Premiums will vary by plan. 15Source: The Growing Crisis of Chronic Disease in the United States. Partnership to Fight Chronic Disease. https://www.fightchronicdisease. org/sites/ default/files/docs/GrowingCrisisofChronicDiseaseintheUSfactsheet_81009.pdf.

Transplant & Chronic Benefits14*

ALZHEIMER’S BENEFIT // Pays the Alzheimer’s Lifetime Benefit amount if a covered person is diagnosed by a physician with Alzheimer’s disease and such person, as a result of Alzheimer’s, is confined to a licensed nursing facility for at least 60 days.

DONOR BENEFIT // Pays the Donor Benefit amount when a covered person is the recipient of a transplant covered under this rider

STEM CELL TRANSPLANT // Pays the Stem Cell Transplant Lifetime Benefit amount if a covered person is the recipient of a human stem cell transplant. This benefit is not payable for a harvesting of peripheral blood cells or stem cells and subsequent reinfusion.

BONE MARROW TRANSPLANT // Pays the Bone Marrow Transplant Lifetime Benefit amount if a covered person is the recipient of a human bone marrow transplant. This benefit is not payable for the harvesting, storage and subsequent reinfusion of bone marrow from the recipient.

END-STAGE RENAL FAILURE // Pays the End-Stage Renal Failure Lifetime Benefit amount when a covered person is diagnosed with end-stage renal failure as a result of sickness or disease.

$50,000 GROWS TO $100,000 IN 20 YEARS

$25,000 GROWS TO $50,000 IN 20 YEARS

Intensive Care Benefit14

$100 per day // CONFINED FOR ILLNESS OR INJURYPays the daily benefit amount when you are confined to an intensive care unit of a hospital as a result of a covered loss due to sickness or injury. Each day must include an overnight stay. For step-down care confinement, the benefits are reduced by 50 percent.

Chronic diseases

are responsible for

7 out of every 10

deaths in the U.S.15

Policy Advantages• You’re paid regardless of any other insurance you may have, and the cash

benefits are paid directly to you. You decide how to use the money.*

• Policy is guaranteed renewable as long as you pay your premiums on time.

• Your premiums do not increase because you get older.

Annual Benefit ExamplePrimary Insured Age ____________ Premium _________

Example assumes eligibility for all listed benefits. See limitations and exclusions. Premium payable for the base policy and riders.

Probable Annual Benefits Without Diagnosis

Primary Insured

Spouse

Dependents 18+

Dependents Under 17

TOTALS

N/A

N/A

Annual Annual Heart Attack Cancer Screening16 or Stroke Screening17 (1/person/year) (1/person/year)

$250 $250

PROBABLE BENEFIT EXAMPLE

16Cancer Indemnity Benefit Rider17Heart Attack and Stroke Indemnity Benefit Rider* The benefits may be paid directly to the hospital or other healthcare facility if an assignment of benefits is made.

$ ___________________ Plan Level

$ ______________________________

$ ___________________ Plan Level

$ ______________________________

$ __________________ Plan Level

$ ______________________________

Your Age ____________

Policy Options

Return of Premium

APPLICANTS AGE 64 AND UNDER18

We will return all premiums paid (less any claims paid) every 20 years.

APPLICANTS AGE 65 TO 7919

We will return all premiums paid (less any claims paid) if you pass away within 10 years

of the issue date or your death occurs prior to age 80, whichever is later.

Premium Paid In Claims Paid Refund Amount

Example 1 $15,000 $150,000 Claims No RefundExample 2 $15,000 $5,000 Claims $10,000Example 3 $15,000 $0 Claims $15,000

1820 Year Return of Premium Indemnity Benefit Rider19Return of Premium Upon Death Indemnity Benefit Rider

Plan A Plan B Plan C Plan D Plan E Plan F

Cancer Lump Sum and Recurrence $5,000 $10,000 $20,000 $30,000 $40,000 $50,000

Nonmalignant Melanoma Skin Cancer $500 $500 $500 $500 $500 $500Limited Cancer $1,250 $2,500 $5,000 $7,500 $10,000 $12,500

Heart Attack or Stroke Lump Sum and Recurrence $5,000 $10,000 $20,000 $30,000 $40,000 $50,000

Coronary Angioplasty $1,250 $2,500 $5,000 $7,500 $10,000 $12,500Coronary Artery Bypass $2,500 $5,000 $10,000 $15,000 $20,000 $25,000

Cancer, Heart Attack or Stroke Hospital Confinement Days 1-90 $500 $500 $500 $500 $500 $500 Days 91+ $1,500 $1,500 $1,500 $1,500 $1,500 $1,500

Hospice Care $250 $250 $250 $250 $250 $250Drugs & Medicine $250 $250 $250 $250 $250 $250Attending Doctor $125 $125 $125 $125 $125 $125Screening Benefit $250 $250 $250 $250 $250 $250Private Nurse $250 $250 $250 $250 $250 $250 Skilled Nursing Facility $250 $250 $250 $250 $250 $250 Ground Ambulance $250 $250 $250 $250 $250 $250 Air Ambulance $1,500 $1,500 $1,500 $1,500 $1,500 $1,500 Private Vehicle - $0.60/mile $2,000 $2,000 $2,000 $2,000 $2,000 $2,000Common Carrier $2,000 $2,000 $2,000 $2,000 $2,000 $2,000Lodging $100 $100 $100 $100 $100 $100Experimental Treatment* $12,500 $12,500 $12,500 $12,500 $12,500 $12,500

Chemotherapy Injected $100 $200 $300 $500 $800 $1,000 Chemotherapy Oral/Topical $300 $600 $900 $1,500 $2,400 $3,000 Radiation $100 $200 $300 $500 $800 $1,000 Anti-Nausea Drug $50 $100 $150 $250 $400 $500 Supportive Drug $25 $50 $75 $125 $200 $250

Chronic Illness** Human Organ Transplant $10,000 $20,000 $40,000 $60,000 $80,000 $100,000

Bone Marrow Transplant $5,000 $10,000 $20,000 $30,000 $40,000 $50,000 Stem Cell Transplant $5,000 $10,000 $20,000 $30,000 $40,000 $50,000 Living Organ Donor $5,000 $10,000 $20,000 $30,000 $40,000 $50,000 Alzheimer’s Lifetime $5,000 $10,000 $20,000 $30,000 $40,000 $50,000Coma $10,000 $20,000 $40,000 $60,000 $80,000 $100,000 Permanent Paralysis $10,000 $20,000 $40,000 $60,000 $80,000 $100,000End-stage Renal Failure $2,500 $5,000 $10,000 $15,000 $20,000 $25,000ALS Lifetime Benefit $10,000 $20,000 $40,000 $60,000 $80,000 $100,000Multiple Sclerosis $10,000 $20,000 $40,000 $60,000 $80,000 $100,000Parkinson’s $10,000 $20,000 $40,000 $60,000 $80,000 $100,000

Intensive Care Unit** $100 $100 $100 $100 $100 $100

Cancer, Heart Attack & Stroke with Chronic Illness List of Benefit Levels

Scheduled Benefits

* Experimental Treatment is only available with the Cancer Indemnity Benefit Rider

** Chronic Illness, Chronic Disease & Intensive Care Indemnity Benefit Insurance Policy

Insurance Coverage underwritten by

Platinum Building, 137 Main Street, Dubuque IA 52001 • www.pltnm.com 563.557.2504 • Fax: 563.557.9180 • For customer assistance, call 1.877.822.0582

Marketed by

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Insurance coverage underwritten by

This brochure is intended to provide a general description of the policy benefits. Policy provisions and benefits may vary from state to state. Please see the policy and riders for exact details for costs and further details of coverage, including exclusions, any restrictions, limitations and the terms under which the policy may be continued in force. With questions, see your agent or contact the insurance company. This is a solicitation of insurance and an agent may contact you.

THIS IS A LIMITED POLICY. READ YOUR POLICY CAREFULLY.

Pre-existing conditions are not covered during the first six months after the policy date.

Waiting Periods: A waiting period is the number of days for which no benefits are payable. The Screening Benefit under the Cancer Lump Sum and Recurrence Indemnity Benefit Insurance Policy and Heart Attack and Stroke Lump Sum Benefit Insurance Policy are subject to a 90-day waiting period. The benefits under the Cancer Lump Sum and Recurrence Indemnity Benefit Insurance Policy, and the Heart Attack and Stroke Benefit Insurance Policy, the Cancer Surgical Procedures Indemnity Benefit Rider, and the Cancer Indemnity Benefit Rider, the Cancer Chemotherapy and Radiation Indemnity Benefit Rider, and the Chronic Illness Indemnity Benefit Rider, and Heart Attack and Stroke Indemnity Benefit Rider are subject to a 30-day waiting period.

Right to Return: If you are not satisfied with your policy, send it back to Customer Service within thirty (30) days after you receive it and the insurance company will return your money, less any claims paid.

The policy/riders are limited health coverage that provide benefits in addition to other insurance you may have.

A hospital is an institution licensed or certified as a hospital in the state in which it is located. It does not include other facilities that provide institutional care, such as nursing facilities, rehabilitation facilities, alcohol, drug, or substance abuse treatment facilities, or extended care facilities.

Hospital confinement period begins with the first day of confinement as an inpatient in a hospital. It ends when an insured has been out of the hospital 60 consecutive days.

NOTICE TO BUYER: This policy and riders provide limited benefits. They may not cover all the costs incurred by the buyer during the period of coverage. The buyer is advised to carefully review all policy limitations, exclusions, terms and conditions. PLEASE READ YOUR ACCOMPANYING OUTLINE OF COVERAGE.

This brochure is designed to be a marketing aid and is not to be construed as a contract for insurance.This brochure provides a brief description of the important features of policy form(s)

SMCA2015, SMCCRR, SMCAIR, SMICUR, SMCSPR, SMHS2015, SMHSIR, SMROPD, SM20ROP and SMCIC2015

Toll Free 1-877-822-0582Our customer service specialists are friendly and knowledgeable licensed agents.

If you have a question, please call us.

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