Voluntary Hospital

This plan works as a supplemental insurance plan designed to pay for the costs of a hospital admission that may not be covered by other insurance. This plan pays cash directly to you to cover out-of-pocket expenses. The payments can be used for any purpose including medical copays, deductibles, or regular expenses (food, rent, utilities).

Protect yourself against high hospital stay costs with additional payments. The insurance policy has the following features:

• Additional financial protection: Protection for you and your family when you need it most.
• Cost-effective: You can sign up for this coverage at economical group rates, which means you may pay less for your coverage.
• Convenient: Your insurance premiums can be deducted from your paycheck.
• Portable: You can take your coverage with you if you leave your employer (at the same rates, up to age 100)
• No medical evidence: You can enroll with no medical evidence, there is no pre-existing conditions clause, and pregnancy is covered on day 1.

Policy Benefits

Voluntary Hospital Insurance Summary

Benefit	Coverage
Pre-Existing Conditions Limit	None
Employee Benefit Amounts	100% of the benefit amount
Spouse/Dependent Benefit Amounts	100%/100% of employee amount
Hospital Admission	$1,000 per day/limited to 1 day per 90 days
Hospital Chronic Condition Admission	$50 per day/limited to 1 day per 90 days
Hospital Stay (limit 30 days)	$100/day
Hospital ICU (limit 30 days)	$200/day
Hospital Observation Stay (24-hour elimination period – limited to 72 hours)	$100/day
Wellness Benefit	$50

2026 Rates

	Monthly Rates	Employee Per Pay Rates (26 Pays)
Employee	$18.91	$8.73
Employee/Spouse	$38.52	$17.78
Employee/Child(ren)	$30.96	$14.29
Family	$50.57	$23.34