protective criticalanswer sm life/critical illness... · *sources: information american cancer...
TRANSCRIPT
Consumer Product Guide
PLC.1917.01.06 01/06
ProtectiveCRITICALanswer
SM
CRITICALanswerSM
can help you preparefor the unexpected.
In the next four minutes, nine Americans will
have a heart attack.
In the next four minutes, five Americans will
have a stroke.
In the next four minutes, ten people in the
United States will be diagnosed with cancer.
In the next four minutes, five American families
will be forced to declare bankruptcy because of
a medically related financial hardship.*
THE GOOD NEWS IS that medical advances are helping us live
longer and survive critical illnesses that earlier would have been a
death sentence. The bad news is that many medical insurance plans
will not pay all the costs of recovery. This can result in your survival
turning into a financial life sentence.
Critical illness insurance can help ensure that you and your loved
ones will have monetary resources in the event of a critical illness to
help cover mortgage payments, out-of-pocket medical expenses or
medical treatments from out- of-network specialists, and necessary
home renovations – resources to spend any way you wish.
*Sources: www.mercola.com-bankruptcy informationAmerican Cancer Society (www.cancer.org)-cancer informationAmerican Heart Association (www.americanheart.org)-heart attack and stroke information
TH E R E I S A
S O L U T I O N T O
H E L P P R E V E N T A
C R I T I C A L I L L N E S S
F R O M B E C O M I N G
A F I N A N C I A L
C ATA S T R O P H E
A N D D E S T R O Y I N G
L I V E S .
Are you prepared in the event of a critical illness?
RECOVERING FROM A CRITICAL ILLNESS CAN TAKE TIME. If you are one
of the fortunate individuals with a disability insurance plan in place,
in many instances, it can take up to 90 days before coverage is
activated. The majority of working Americans do not have the
financial resources to survive months, and especially not years,
without an additional income source while they are either totally or
partially not able to conduct their routine profession.
Single individuals may not have a financial safety net for those
times when a critical illness demands added financial resources.
Without a spouse or other people to provide options, it is especially
important to be prepared through careful and responsible planning.
For all income levels and for those considered young, middle
aged, or senior, critical illness coverage is a smart responsibility to
embrace.
THE FOLLOWING RESEARCH SHOWS THE IMPACT ON MANY AMERICANS.
• According to the U.S. Department of Housing and Urban
Development, 50% of home foreclosures are the result of the
homeowner suffering from a critical illness.1
• American Heart Association estimates Americans paid about $368
billion in 2004 for heart disease related medical costs and disability.2
• Research shows 33% of all families deplete all or most of their
savings because of a serious illness.1
1 “Critical Illness Insurance: A Lump-Sum Review”. LIMRA’s Marketfacts Spring 2002.
2 “Know the Facts, Get the Stats: American Heart Association 2002-2004”. (55-0576). 2003.
With advances in medical technology being made everyday, more patients are finding successful treatment andliving for years to come.
Surviving Critical Illness
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0Coronary Attack4 Cancer3
Yearly Deaths Yearly Survivors
Stroke2
What is critical illness?
A critical illness is a health-related
condition — such as heart attack, stroke,
invasive cancer or cancer in situ, major
burns, and a number of other conditions —
where the patient has a good chance of
surviving. Critical Illness insurance, such as
CRITICALanswerSM, provides a lump-sum
cash benefit payable to the policy owner upon
first occurrence and diagnosis of a covered
condition.
• Advanced Alzheimer’s Disease
• Blindness
• Deafness
• Paralysis
• Major Burns
• Accidental Loss of Speech
• Cancer In Situ (25%)
• Coronary Bypass Surgery (25%)
• Angioplasty (10%)
Covered conditions
• Heart Attack
• Stroke
• Invasive Cancer
• Major Organ Transplant
• End-Stage Renal Failure
• Other Illnesses:
These benefits vary widely by state.
Financial commitments continue even during illness.
A critical illness can have a significant impact on your personal
lifestyle and your family. If you are diagnosed with a critical illness,
you could be faced with:
• Loss of income — even with disability insurance, income replacement
usually covers only a portion of current income and waiting periods
may apply.
• Medical expenses including deductibles, co-payments, prescription
medications, private nursing care, or durable medical equipment may
not be covered by your group health insurance.
• Alterations to your home such as wheelchair accessibility.
• Outstanding and mounting personal living expenses such as mortgage
and car payments, credit card debt, utilities, childcare, and food.
Taking into account the financial strains posed by a critical illness,
you can see how important it is to have a plan in place that will
provide a living benefit – so that you won’t have to worry about how
you are going to pay the bills. Instead, you can focus on getting better.
Surviving A Critical IllnessHow many of us can say that we have afriend, business associate, or even a familymember that has recently been diagnosedwith a critical illness? The good news isthat with continued advancements inmedical technology, the chances ofsurviving a critical illness have increased.Unfortunately, there can be substantialexpense associated with surviving acritical illness and the financial impactcan be devastating. CRITICALanswerSM
can help guide you down the road torecovery giving you options you may nothave otherwise.
The Cold Hard Facts
• Every 45 seconds, someone will havea stroke. This number 3 killer is theleading cause of severe, long-termdisability. The average cost of astroke within just the first 30 days ofan acute event is $13,019 for mildischemic strokes and $20,346 forsevere ischemic strokes.1
• The leading cause of disease inwomen is cardiovascular disease,more than cancer, and only 13% ofwomen consider cardiovasculardisease their greatest health risk.And, 40,000 more women than menhave a stroke annually.1
• In 2000, 9.6 million Americans werealive having survived a history ofcancer.2
1 “Heart Disease and Stroke Statistics - 2005 Update”.
American Heart Association. Dallas, Texas. 2005.
2 “Heart Disease and Stroke Statistics - 2004 Update”.
American Heart Association. Dallas, Texas. 2004.
CRITICALanswerSM
is a living benefit.CRITICALanswerSM is designed to provide coveragewhen you need it most – upon first occurrence anddiagnosis of a covered critical illness. This insurancecan help you focus on recovery with peace of mindinstead of worrying about how to make ends meet ordraining savings set aside for later years. It provides aliving benefit.
CRITICALanswerSM can help guide the way to financial security for
one or two-income families, single individuals, and business owners.
Even for those individuals employed by companies too small for
group disability coverage or with disability coverage only for limited
types of employees, CRITICALanswerSM can be there for you.
Understanding the Features of CRITICALanswerSM
An answer to many of your potential critical illness needs, this
coverage is a limited benefit health coverage policy. CRITICALanswerSM
will pay you a lump sum amount upon the first occurrence and
diagnosis of a covered condition. The initial benefit amount is the
amount of critical illness insurance coverage requested by the insured
and approved by the company.. The initial benefit amount reduces by
50% at age 65, or 5 years after issue if later, with no reduction in
premium.
Covered conditions vary widely by state.* If the covered condition is diagnosed as Invasive or In Situ Cancer, the reduced benefit period shall be 90 days, beginning on the policy effective
date of this policy. If such covered condition occurs and is diagnosed during the first 90 days of coverage after the policy effective date, there shallbe a benefit payment of 10% for Invasive Cancer or 2.5% for Cancer In Situ, and the policy will terminate.
** There are states which have fewer than 90 days of Reduced Benefit; please refer to your policy.
100% of the Benefit Amount is
payable for:
• Heart Attack
• Stroke
• Invasive Cancer*
• Major Organ Transplant
• End-Stage Renal Failure
• Advanced Alzheimer’s Disease
• Blindness
• Deafness
• Paralysis
• Major Burns
• Accidental Loss of Speech
25% of the Benefit Amount is
payable for:
• Cancer In Situ*
• Coronary Bypass Surgery
10% of the Benefit Amount is
payable for:
• Angioplasty
Coverage for a LifetimeCRITICALanswerSM is guaranteed renewable for life,
subject to changes in premiums due to class. The
owner may renew the policy by paying each
renewal premium when due or by the end of its
grace period. If the insured is age 60 or older on
the policy effective date, the remaining benefit
amount will be reduced by 50% on the 5th
anniversary. In all other cases, the benefit amount
will be reduced by 50% on the policy anniversary
following the insured's 65th birthday.
Return of Premium Upon Death Feature If an insured dies while this policy is in force, this
benefit pays the policy owner, beneficiary, or the
estate an amount equal to the total amount of
premiums paid, less any benefits received from the
policy, to the extent that the premiums paid exceed
the benefits under this policy. This feature is built
into the policy and is not an additional cost provided
by a rider to the policy. With this flexibility, the
decision to apply for coverage becomes an even easier
one to make.
No Waiting Period on Most CoveredConditionsWith the exception of a reduction of benefits for
certain cancers, there are no waiting periods. If the
insured is diagnosed with a covered condition of
Invasive or In Situ Cancer, the reduced benefit
period shall be 90 days, beginning on the policy
effective date. If such covered condition occurs and
is diagnosed during the first 90** days of coverage
after the policy effective date, there will be a benefit
payment of 10% for Invasive Cancer or 2.5% for
Cancer In Situ, and the policy will terminate.
Multiple Payment Benefit Feature
Perhaps one of the most significant features of CRITICALanswerSM is the
Multiple Payment Benefit. It is a feature of the policy which allows for
multiple payments from the three categories (detailed in the chart
below) of covered conditions. The payment of benefits under each
category shall not exceed 100% of the initial benefit amount for each
category. You can receive multiple benefit payments if that covered
condition meets the terms and conditions of the policy. The total of
benefit payments can be up to three times the initial benefit amount.
After the initial benefit payment under the policy, you can choose to
continue paying the premiums and possibly receive additional benefit
payments. This feature is an inherent benefit of the policy and is
provided at no additional cost.
Anne’s Use of theMultiple Payment Benefit Feature
Anne has a
CRITICALanswerSM
policy with a face
amount of
$100,000. Soon after
her policy effective date, she was diagnosed
with her first heart attack and filed a claim
for $100,000 and was paid. Anne continued
to pay her premiums and eight months
later, she was diagnosed with invasive
cancer and filed a second claim for
$100,000 and was paid again. Still making
her premium payments, two years later
Anne was diagnosed with end-stage renal
failure and filed a third claim. She received
a third payment of $100,000 and her policy
terminated.
Anne’s decision to continue paying her
premiums for less than three years netted
her $300,000 in a living benefit and helped
her focus on recovery with a greater sense
of financial security.Therefore, this coverage can be worth more to you than just the
face amount.
** Refer to the actual policy for the Exceptions and Limitations, andnote that benefits vary widely by state.
This testimonial is for example only.
Critical Illness Categories**
Category 1
Heart Attack
Stroke
Major Organ Transplant
(including Heart)
Coronary Bypass Surgery (25%)
Angioplasty (10%)
Category 2
Invasive Cancer
Cancer In Situ (25%)
Category 3
Major Organ Transplant (not
including Heart)
End-Stage Renal Failure
Advanced Alzheimer’s Disease
Blindness
Deafness
Paralysis
Major Burns
Accidental Loss of Speech
Optional Riders*
Protective offers optional riders that can be added to customize coverage to helpensure you receive a policy to meet your specific needs.
OPTIONAL SPOUSE CRITICAL ILLNESS RIDERAn optional spouse critical illness rider covering the spouse of the insured may be
purchased for an additional premium. This rider provides the same critical illness
coverage for the spouse as the base policy provides for the primary insured, and it may
be converted into an individual critical illness policy if conditions are met. (See policy
contract for details.)
OPTIONAL ACCIDENTAL DEATH BENEFIT RIDERThis rider provides additional low cost coverage that pays a death benefit of a
specified amount, up to the initial benefit amount or $150,000, whichever is less, if the
insured dies as a result of a covered accident. Upon your accidental death, this benefit
is in addition to your return of premium feature.
* Optional riders are available at additional costs. Actual terms and conditions contained in each
rider govern all benefits provided. Assumes medical and financial underwriting qualifications
at time of initial application. Not available in all states.
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About Protective Protective Life Insurance Company was established on a profound belief in theAmerican dream. Since 1907, Protective Life Insurance Company has remained true toits core beliefs: quality, serving people, and growth. This unwavering commitment totreating people the way we would like to be treated has been rewarded with stable,long-term relationships and growth. Today, Protective Life is one of the nation’s leading insurance companies, proving the wisdom of our Company’s vision: Doing theright thing is smart business.®
* These ratings are current as of January 2006. For more currentinformation, please visit www.protective.com.
Protective Life Insurance Company has insurerfinancial strength ratings of A+ (Superior, 2ndhighest of 15 ratings) from A.M. Best, AA (VeryStrong, 3rd highest of 21 ratings) from Standard& Poor’s, AA- (Very Strong, 4th highest of 22ratings) from Fitch, and Aa3 (Excellent, 4thhighest of 21 ratings) from Moody’s InvestorsService. Each of these independent ratingagencies has assigned its rating based on a varietyof factors including Protective Life InsuranceCompany’s operating performance, asset quality,financial flexibility, and capitalization.
Protective Ratings:*
Policy form CI-03 is a limited benefit health coverage policy. It provides limited orsupplemental coverage, paying benefits ONLY upon occurrence and diagnosis of acovered condition. Advanced payments reduce base policy's benefit, and any lump sumpayments may be taxable. Consult your tax advisor for tax details. If 100% of themaximum allowable benefit is advanced, the policy will terminate. Consult policy forbenefits, riders, limitations, exclusions, benefit reductions, and terms under which thepolicy may be continued in force or discontinued. Policy form may vary by state.Subject to underwriting. Not available in all states. For complete details of coverageand costs call: 800-567-8247.