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Company Name••••••••••••••••••Annual Benefits Review###
Presented By: Agent
BBVA Compass Insurance Agency, Inc.9525 Katy Freeway, Suite 410Houston, TX 77024Phone - 713-461-3043/Fax - 713-461-5533
BBVA Compass Insurance Agency, Inc. is an affiliate of BBVA Compass Bank.
CENSUS
BBVA Compass Insurance 713-461-3043 05/03/2023
Company NameCity State: Zip Code:
Employee Name M/F CITY OCCUPATION SALARY123456789
10111213141516
COVERAGE TOTALS SIC CODE /EMPLOYEE 0 Nature of BusinessEMPLOYEE / SPOUSE 0EMPLOYEE / CHILD 0 Effective DateFAMILY 0TOTALS 0
Employee Date Of
BirthSpouse Date Of Birth
# OF CHILD(REN)
ZIP CODE
Medical Market Survey - 2011-2012 Current/Renewal OptionsCURRENT PLAN - CURRENT PLAN -
Medical Benefits Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CarePer Confinement DeductibleHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Current RenewalEmployee Only 0
RATES ARE AGE RATED RATES ARE AGE RATEDEmployee & Spouse 0Employee & Child(ren) 0Employee & Family 0Monthly Total 0 $0.00 $0.00Annual Total 0 $0 $0 $0 $0% Difference #DIV/0! #DIV/0!
Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.humana.com
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company is required to pay after the deductible has been satisfied, unless otherwise noted.
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered health servicesand to determine what pre-certifications an/or notification requitements or limitations may apply.
Medical Market Survey - 2011-2012 Aetna OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard RateEmployee Only 0Employee & Spouse 0Employee & Child(ren) 0Employee & Family 0Monthly Total 0 $0.00 $0.00 $0.00 $0.00Annual Total 0 $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.Website: www.aetna.com
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company pays.•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered.
Medical Market Survey - 2011-2012 Aetna Options (Page 2)RENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard RateEmployee Only 0Employee & Spouse 0Employee & Child(ren) 0Employee & Family 0Monthly Total 0 $0.00 $0.00 $0.00 $0.00Annual Total 0 $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.Website: www.aetna.com
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company pays.•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered.
Medical Market Survey - 2011-2012 Blue Cross & Blue Shield OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)
Specialist
Out-Patient Surgical Expenses
Lab & X-ray (CT, PET, MRI, etc)
Preventive Care (PCP/Specialist)Hospital Care
Hospital ServicesUrgent Care Services
Emergency Room (Facility/Phys. Charges)
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard RateEmployee Only 0Employee & Spouse 0Employee & Child(ren) 0Employee & Family 0Monthly Total 0 $0.00 $0.00 $0.00 $0.00Annual Total 0 $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. *Mandatory Generic (MG) - If the member or the physician requests brand when generic is available, the member pays the applicable copay plus the difference between the generic price and the brand price.•Many additional options are available. Please request for more details.•Copays and drug copays do not count toward deductible and coinsurance percentage.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.Website: www.bcbstx.com
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company is required to pay after the deductible has been satisfied, unless otherwise noted.•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered health services and to determine what pre-certifications and/or notification requirements or limitations may apply.
Medical Market Survey - 2011-2012 Blue Cross & Blue Shield Options (Page 2)RENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)
Specialist
Out-Patient Surgical Expenses
Lab & X-ray (CT, PET, MRI, etc)
Preventive Care (PCP/Specialist)Hospital Care
Hospital ServicesUrgent Care Services
Emergency RoomPrescription Drugs
Monthly Rates Current Renewal Standard Rate Standard RateEmployee Only 0Employee & Spouse 0Employee & Child(ren) 0Employee & Family 0Monthly Total 0 $0.00 $0.00 $0.00 $0.00Annual Total 0 $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. *Mandatory Generic (MG) - If the member or the physician requests brand when generic is available, the member pays the applicable copay plus the difference between the generic price and the brand price.•Many additional options are available. Please request for more details.•Copays and drug copays do not count toward deductible and coinsurance percentage.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.Website: www.bcbstx.com
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company is required to pay after the deductible has been satisfied, unless otherwise noted.•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered health services and to determine what pre-certifications and/or notification requirements or limitations may apply.
Medical Market Survey - 2011-2012 Humana Age Rated OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company is required to pay after the deductible has been satisfied, unless otherwise noted.
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered health servicesand to determine what pre-certifications an/or notification requitements or limitations may apply.
On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.humana.com
Medical Market Survey - 2011-2012 Humana Age Rated Options (Page 2)RENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance company is required to pay after the deductible has been satisfied, unless otherwise noted.
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered health servicesand to determine what pre-certifications an/or notification requitements or limitations may apply.
On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.humana.com
Medical Market Survey - 2011-2012 United Healthcare Age Rated OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance com
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered
On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.humana.com
Medical Market Survey - 2011-2012 United Healthcare Age Rated OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)SpecialistOut-Patient Surgical ExpensesLab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CareHospital ServicesUrgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!
15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0
Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance com
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered
On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.humana.com
Medical Market Survey - 2011-2012 Assurant Age Rated OptionsRENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)Specialist
Out-Patient Surgical Expenses
Lab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CarePer Confinement Deductible
Hospital Services
Urgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance com
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.assurant.co
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered
Medical Market Survey - 2011-2012 Assurant Age Rated Options (Page 2)RENEWAL PLAN - PLAN NAME PLAN NAME
Medical Benefits Network Non-Network Network Non-Network Network Non-NetworkIndividual DeductibleCoinsurance % MaxOOP MaximumFamily DeductibleCoinsurance % MaxOOP MaximumPhysician Office Visits
Primary Care Physician (PCP)Specialist
Out-Patient Surgical Expenses
Lab & X-ray (CT, PET, MRI, etc)Preventive Care (PCP/Specialist)
Hospital CarePer Confinement Deductible
Hospital Services
Urgent Care ServicesEmergency Room
Prescription Drugs
Monthly Rates Current Renewal Standard Rate Standard Rate###########################
Monthly Total $0.00 $0.00 ### $0.00 ### $0.00Annual Total $0 $0 $0 $0% Difference #DIV/0! #DIV/0! #DIV/0!15% Rate Up $0 $030% Rate Up $0 $067% Rate Up $0 $0Notes:
•Out-of-Network coinsurance stop-loss amount will also apply toward the network coinsurance stop-loss amount. •Copays and drug copays do not count toward deductible and coinsurance percentage.
•Rates are subject to underwriting should the actual covered members change more than 10% from current enrollment.
•Many additinal options are available. Please request for more details
•This is a partial description of benefits available. For more information, refer to the specific plan design summary. The dollar amount copayments indicate what the member is required to pay and the percentage copayments indicate what the insurance com
•There must be a minimum of 75% of the eligible employees participating on the plan.•The employer must contribute a minimum of 50% or more of the employee only cost.On the Rx plans, the copay maximum for level 4 drugs is $3,500 per member per calendar yearWebsite: www.assurant.co
•Certain health services have notification requirements and limitations that may vary based upon coverage option, insurance provider or state mandate. It is the participant's responsibility to confirm that the services he/she plans to receive are covered
05/03/2023
Dental Market Options - 2011 - 2012PLAN NAME DENTAL COMPARISONPlan Name Plan Name Plan Name Plan Name Plan Name Plan Name
Network Non-Network Network Non-Network Network Non-Network Network Non-Network Network Non-Network Network Non-NetworkCalendar Year Deductible
Family LimitBenefit Percentage
Preventive ServicesBasic ServicesMajor Services
Endo & Perio covered as:Calendar Year MaximumRollover AmountOrthodontia (Adult and/or Child)
Benefit PercentageLifetime Maximum
Non-Network Claims URC Percentile 90%
PLAN YEARMonthly Premium Current Renewal CARRIER CARRIER CARRIER CARRIER CARRIER
Employee Only 0 $0.00 $0.00 $0.00 $0.00 $0.00Employee & Spouse 0 $0.00 $0.00 $0.00 $0.00 $0.00Employee & Children 0 $0.00 $0.00 $0.00 $0.00 $0.00Full Family 0 $0.00 $0.00 $0.00 $0.00 $0.00
Monthly Total $0.00 $0.00 0.00 0.00 0.00 0.00 0.00
Annual Total $0 $0 $0 $0 $0 $0 $0
% increase from current rates #DIV/0! #REF! #DIV/0! #REF! #REF! #REF!
05/03/2023
Non-Network
05/03/2023
Vision Market Options - 2011 - 2012CARRIER VISION COMPARISONPlan Name Plan Name Plan Name Plan Name Plan Name Plan Name
Network Non-Network Network Non-Network Network Non-Network Network Non-Network Network Non-Network Network Non-NetworkCalendar Year Deductible
Family LimitBenefit Services
ExamsLenses Single Vision Bifocals Trifocal LenticularContactsFrames
PLAN YEARMonthly Premium Current Renewal CARRIER CARRIER CARRIER CARRIER CARRIER
Employee Only 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00Employee & Spouse 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00Employee & Children 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00Full Family 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Monthly Total $0 $0 $0 $0 $0 $0 $0Annual Total $0 $0 $0 $0 $0 $0 $0
% increase from current rates #DIV/0! #REF! #DIV/0! #REF! #REF! #REF!
Short Term Disability Market Options - 2011-2012 Benefit Description CURRENT PLAN GUARDIAN PRINCIPAL
Benefits Begin - AccidentBenefits Begin - Sickness
Duration of BenefitsWeekly Benefit
Definition of Disability / Own OccupationPartial Benefit
Waiting Period (Existing/New Employee)Pre-existing Limitation
Contributory StatusMinimum ParticipationPre-existing Limitation
Current RenewalVolumeRate per $10 of Covered Payroll
Monthly TotalAnnual Total% Difference From Current Cost #DIV/0! #DIV/0! #DIV/0!
Long Term Disability Market Options - 2011-2012 Benefit Description CURRENT PLAN GUARDIAN PRINCIPAL
Elimination PeriodBenefit Percentage
Monthly Benefit MaximumGuarantee Issue Limit
IntegrationEarnings Definition
Benefit PeriodPre-existing Limitation
Subjective IllnessDefinition of Disability / Own Occupation
Survivor BenefitMental & Nervous Limitation
Substance Abuse
Current RenewalVolumeRate per $100 of Covered Payroll
Monthly TotalAnnual Total% Difference From Current Cost #DIV/0! #DIV/0! #DIV/0!
Life and AD&D Market Survey - 2011-2012 Benefit Plan
Employee:Spouse:
Child:
Volume $0
Carrier Life AD&D Dependent Annual TotalRate Guarantee
Current Plan $0.000 $0.000 $0.000 $0
Carrier Life AD&D Dependent Annual TotalRate Guarantee
Humana $0.000 $0.000 $0.000 $0
Carrier Life AD&D Dependent Annual TotalRate Guarantee
United Healthcare $0.000 $0.000 $0.000 $0
Carrier Life AD&D Dependent Annual TotalRate Guarantee
Guardian $0.000 $0.000 $0.000 $0
Carrier Life AD&D Dependent Annual TotalRate Guarantee
Principal $0.000 $0.000 $0.000 $0
