CRITICAL ILLNESS

benefits for employees that benefit employers

®

COVERED CRITICAL ILLNESS INSURANCE PAYABLE BENEFITS

First Ever Occurrence Benefit Provides a lump-sum payment when for the first time in his/her lifetime, and while covered under this policy, the Insured has undergone the specific procedure or been diagnosed with the specific condition included in the covered critical illnesses.

Recurrence Benefit Pays when a covered critical illness for which a benefit has already been paid recurs. The two occurrences must be separated by at least 12 months or, for cancer, at least 12 months treatment-free. Up to two recurrences of any critical illness may be payable.

Additional Occurrence Benefit Pays an additional benefit upon the diagnosis of a covered condition for which benefits previously have not been paid. In the case of two different critical illnesses, the latest occurrence must be separated by at least six months (at least six months treatment-free for cancer) from any prior occurrence. The Maximum Benefit Amount payable under this policy is three times the policy face amount.

Plan Tiers Companion Life offers these plan tiers:

Employee Only | Employee + Dependents

Spouse and dependent children benefit is 50% of the employee’s amount.

Group Size Available to groups with 5 or more eligible employees

Minimum Participation 5 enrolled insureds for groups of 5 to 24 eligible employees. Minimum participation of 10 enrolled insureds for groups of 25 or more eligible employees. No participation if offered through Companion Life’s Defined Contribution Plan.

Eligible Employees work full time, 30 hours or more per week, are actively at work on the effective date and must have at least 30 days of continuous service with the employer.

Critical Illness VOLUNTARY

A critical illness has a dramatic

and immediate impact on

employees and their families.

The costs associated with such

illnesses create hardships for

many, especially with the trend

toward higher out-of-pocket

health care costs.

Companion Life’s Group Critical

Illness plan pays a tax-free,

lump-sum cash benefit to

insured employees upon the

first occurrence, and even

recurrence, of a covered critical

illness. These benefit dollars

may be used to help replace

lost income, travel, child care,

medical deductible and other

uncovered expenses.

CARDIOVASCULAR PERCENT OF CONDITIONS FACE AMOUNT

ADDITIONAL PERCENT OF CONDITIONS FACE AMOUNT

Heart Attack 100% Major Organ Transplant 100%

Stroke 100% End-Stage Renal Failure 100%

Coronary Bypass Surgery 25% Blindness 100%

CANCER PERCENT OF CONDITIONS FACE AMOUNT

Deafness 100%

Paralysis 100%

Invasive Cancer 100% Accidental Loss of Speech 100%

Cancer In-Situ 25% Coma 100%

Benefits under this policy are provided under Companion Life Insurance policy form number CIEGP 4200.

ABOUT COMPANION LIFECompanion Life Insurance

Company has specialized

in group benefits for 45 years.

We have earned an A.M.

Best rating of A+ (Superior)*.

We’ve earned these high marks

due to our fiscal strength,

investment practices and sound

management. Now, we want to

earn your trust by giving you

the highest level of service and

responsiveness possible. Talk with

your Companion Life agent today.

See for yourself how Companion

Life’s Voluntary Critical Illness

plan is a benefit that benefits you.

FOR A PROPOSAL, CONTACTGroup MarketingCompanion Life Insurance Co.P.O. Box 100102Columbia, SC 29202-3102

800-753-0404 phone

800-836-5433 fax

C.life@companiongroup.com

www.CompanionLife.com

CRITICAL ILLNESS BENEFIT AMOUNTS

Companion Life’s Voluntary Critical Illness allows the employer to choose the amount of coverage to be offered to the employees. Eligible employees may choose from two tiers:

Employee only, or

Employee and Dependents (includes spouse and children to age 26)

Spouse and dependent children benefit is equal to 50% of the employee’s amount

Benefit Reductions Benefits reduce 25% at age 60 and 50% at age 65. Benefits terminate at retirement. Benefits are based on each insured’s own age.

GUARANTEED ISSUE

All amounts are guaranteed issue based on the size of the group.

ELIGIBLE EMPLOYEES

MINIMUM PARTICIPATION

MINIMUM PARTICIPATION THROUGH COMPANION LIFE’S DEFINED CONTRIBUTION PLAN

MAXIMUM AMOUNT AVAILABLE

5-24 5 NONE $5,000

25-99 10 NONE $10,000

100-199 10 NONE $15,000

200+ 10 NONE $20,000

PORTABILITY

Employees who leave their current employer have the opportunity to continue their coverage for as long as the employer’s group policy remains in force.

*Rating as of Dec. 19, 2017. For the latest rating, access ambest.com. Opinion from the leading provider of insurer ratings of a company’s financial strength and ability to meet its obligations to policyholders.

LIMITATIONS

Unless the Insured’s covered condition first occurs or is diagnosed during the coverage period of the Policy, no Benefit Amount will be payable.

a) The payment of all benefits shall not exceed three times the initial Benefit Amount stated in the Policy schedule.

b) If more than one covered condition is diagnosed at the same time, the Benefit Payment shall be based on the larger Benefit Amount of those diagnosed. If the Benefit Amounts are the same, there shall be only one Benefit Payment per 180-day period.

EXCLUSIONS

1. Intentionally causing self-inflicted injuries

2. Suicide or any attempt at suicide while sane or insane

3. Serving in the armed forces or any auxiliary unit of the armed forces

4. Participation in the commission or attempted commission of a felony

5. Participation in a riot or insurrection

6. Alcoholism or drug addiction

7. Being intoxicated or under the influence of alcohol, drugs or any narcotic unless administered on the advice of a phy-sician and taken according to the physician’s instructions

8. Conditions not covered under the Policy

9. Conditions first occurring while this Policy was not in force

10. Conditions diagnosed by a person who is not a Physician

11. A covered condition diagnosed outside the U.S., unless the diagnosis is confirmed in the U.S.

12. A diagnosis of a covered condition or surgical procedure performed outside the U.S. unless on a U.S. military base or facility

13. The insured’s date of birth, age or sex was misstated on the application and, as a result, would not have become effective or would have been terminated

LIMITATIONS AND EXCLUSIONS FOR VOLUNTARY CRITICAL ILLNESS COVERAGE

SOME PRODUCTS NOT AVAILABLE IN ALL STATES

95672 Rev. 2/18

P.O. Box 100102 n Columbia, SC 29202-3102

800-753-0404 phone n 800-836-5433 fax

C.life@companiongroup.com n www.CompanionLife.com

®

This brochure contains only a brief description of the benefits. It is not the contract. Rates and provisions are subject to change. Actual coverage is subject to the terms and conditions of the contract when it becomes effective, and actual contract language will be reflected in each employee’s Certificate of Coverage.

THIS IS A SUPPLEMENTAL POLICY THAT IS NOT INTENDED TO PROVIDE THE MINIMUM ESSENTIAL COVERAGE REQUIRED BY THE AFFORDABLE CARE ACT (ACA). UNLESS YOU HAVE ANOTHER PLAN (SUCH AS MAJOR MEDICAL COVERAGE) THAT PROVIDES MINIMUM ESSENTIAL COVERAGE IN ACCORDANCE WITH THE ACA, YOU MAY BE SUBJECT TO A FEDERAL TAX PENALTY. ALSO, THE BENEFITS PROVIDED BY THIS POLICY CANNOT BE COORDINATED WITH THE BENEFITS PROVIDED BY OTHER COVERAGE. PLEASE REVIEW THE BENEFITS PROVIDED BY THIS POLICY CAREFULLY TO AVOID A DUPLICATION OF COVERAGE.

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 $10,000 $15,000 $20,000

18-24 0.82 1.64 2.45 3.27

25-29 1.00 2.00 3.00 4.00

30-34 1.50 3.00 4.50 6.00

35-39 2.50 5.00 7.50 10.00

40-44 4.00 8.00 12.00 16.00

45-49 6.00 12.00 18.00 24.00

50-54 9.00 18.00 27.00 36.00

55+ 12.00 24.00 36.00 48.00

MONTHLY PREMIUMS EMPLOYEE ONLY

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 ($2,500 Dependents)

$10,000 ($5,000 Dependents)

$15,000 ($7,500 Dependents)

$20,000 ($10,000 Dependents)

18-24 1.44 2.86 4.30 5.73

25-29 1.75 3.50 5.25 7.00

30-34 2.63 5.25 7.87 10.50

35-39 4.37 8.75 13.13 17.50

40-44 7.00 14.00 21.00 28.00

45-49 10.50 21.00 31.50 42.00

50-54 15.75 31.50 47.25 63.00

55+ 21.00 42.00 63.00 84.00

MONTHLY PREMIUMS EMPLOYEE AND DEPENDENTS

AMOUNTS AND MONTHLY PREMIUM WITH 5-YEAR AGE LOCK

P.O. Box 100102 • Columbia, SC 29202-3102 • Phone: 800-753-0404 Email: c.life@companiongroup.com • CompanionLife.com

Premiums are uni-sex and uni-tobacco.

REGION 1

95673 (Rates effective January 2017) Rev. 2/18

CRITICAL ILLNESS

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 $10,000 $15,000 $20,000

18-24 0.90 1.80 2.70 3.60

25-29 1.10 2.20 3.30 4.40

30-34 1.65 3.30 4.95 6.60

35-39 2.75 5.50 8.25 11.00

40-44 4.40 8.80 13.20 17.60

45-49 6.60 13.20 19.80 26.40

50-54 9.90 19.80 29.70 39.60

55+ 13.20 26.40 39.60 52.80

MONTHLY PREMIUMS EMPLOYEE ONLY

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 ($2,500 Dependents)

$10,000 ($5,000 Dependents)

$15,000 ($7,500 Dependents)

$20,000 ($10,000 Dependents)

18-24 1.58 3.15 4.73 6.30

25-29 1.93 3.85 5.78 7.70

30-34 2.89 5.78 8.66 11.55

35-39 4.81 9.63 14.44 19.25

40-44 7.70 15.40 23.10 30.80

45-49 11.55 23.10 34.65 46.20

50-54 17.33 34.65 51.98 69.30

55+ 23.10 46.20 69.30 92.40

MONTHLY PREMIUMS EMPLOYEE AND DEPENDENTS

Premiums based on attained age of employee. Benefits based on age of insured. Spouse and dependent children benefit is 50% of the employee’s amount.

REGION 2

REGION TABLERegion 1 Region 2 Region 3

P.O. Box 100102 • Columbia, SC 29202-3102 • Phone: 800-753-0404

Email: c.life@companiongroup.com • CompanionLife.com

95673 (Rates effective January 2017) Rev. 2/18

Introducing 5-Year Age Lock for Voluntary Critical IllnessWith this unique approach from Companion Life, each group participant has his or her age frozen for five years from the group’s initial effective date. All future age bracket increases occur at five-year intervals — on the group’s 10th year renewal, 15th year renewal, 20th year renewal, etc.

Employees who join the plan after the group’s initial enrollment will lock in with the group’s adjustment dates — the 5th renewal year, the 10th renewal year,

etc. All their age bracket increases will occur on the same date as the group’s.

EMPLOYEE ADVANTAGEEmployees enjoy knowing their premium age bracket is locked in for five

years. This lets them easily budget their insurance payroll deduction.

EMPLOYER ADVANTAGEGroup administrators enjoy simplicity and ease of administration. Instead of adjusting payroll deductions every year as employees age into the next

premium age bracket, changes are made only once every five years.

Companion Life’s Voluntary Critical Illness is approved in the above states.

AMOUNTS AND MONTHLY PREMIUM WITH 5-YEAR AGE LOCK

Premiums are uni-sex and uni-tobacco.

REGION 3

CRITICAL ILLNESS

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 $10,000 $15,000 $20,000

18-24 0.75 1.50 2.25 3.00

25-29 0.92 1.83 2.75 3.67

30-34 1.38 2.75 4.13 5.50

35-39 2.29 4.58 6.88 9.17

40-44 3.67 7.33 11.00 14.67

45-49 5.50 11.00 16.50 22.00

50-54 8.25 16.50 24.75 33.00

55+ 11.00 22.00 33.00 44.00

MONTHLY PREMIUMS EMPLOYEE ONLY

Age

Benefit Amount (Employer chooses benefit amount to offer)

$5,000 ($2,500 Dependents)

$10,000 ($5,000 Dependents)

$15,000 ($7,500 Dependents)

$20,000 ($10,000 Dependents)

18-24 1.32 2.63 3.94 5.25

25-29 1.61 3.21 4.82 6.42

30-34 2.41 4.82 7.22 9.63

35-39 4.01 8.03 12.03 16.04

40-44 6.42 12.83 19.25 25.67

45-49 9.63 19.25 28.88 38.50

50-54 14.44 28.88 43.32 57.75

55+ 19.25 38.50 57.75 77.00

MONTHLY PREMIUMS EMPLOYEE AND DEPENDENTS

AlabamaAlaskaArizona

ArkansasWashington, D.C.

GeorgiaIllinoisIowa

KansasKentuckyLouisiana

MaineMassachusetts

MichiganMississippi

Missouri

NebraskaNevada

North DakotaOklahoma

OregonRhode Island

South CarolinaTexas

UtahVirginia

West VirginiaWisconsinWyoming

Delaware ColoradoOhio

Tennessee

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