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Hospital Daily Benefits Plan

To receive your quote, answer a few questions, select your coverage options, review your non-binding quote, and enroll for insurance.

* Zip Code:

Error: Select State

Zip code must be 5 or 9 numbers.

Zip code is invalid.

Hospital Daily Benefits Plan is not available in selected State.
Please call 1-800-393-0868 , Monday through Friday, 8:00 AM to 7:00 PM EST for assistance.

Limited Benefit, Please Read Carefully

NOTICE TO CONSUMER: THIS IS A SUPPLEMENT TO HEALTH INSURANCE AND IS NOT A SUBSTITUTE FOR MAJOR MEDICAL COVERAGE. LACK OF MAJOR MEDICAL COVERAGE (OR OTHER MINIMUM ESSENTIAL COVERAGE) MAY RESULT IN AN ADDITIONAL PAYMENT WITH YOUR TAXES. 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.

If you are already covered by Medicaid, you should not purchase this coverage

ILLINOIS RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACT
Effective June 1, 2011

This notice is to advise you of the Illinois Religious Freedom Protection and Civil Union Act (the Act), and its impact on your insurance coverage.

The Act creates a legal relationship between two persons of the same or opposite sex who form a civil union pursuant to the Act. A marriage between persons of the same sex, a civil union, or a substantially similar legal relationship other than common law marriage, legally entered into outside of Illinois, will be recognized in Illinois as a civil union.

Parties to a civil union are entitled to the same legal obligations, responsibilities, protections and benefits that are afforded or recognized by the laws of Illinois to spouses.

Effective June 1, 2011, the term 'spouse' in policies, certificates, and applications will be considered to include the parties to a civil union. Policies of insurance that provide coverage for children will include coverage for the children of civil unions.

Are you currently covered under an individual or group policy or contract that arranges or provides medical, hospital, and surgical health insurance that is not designed to supplement other private or governmental plans? If no, you are not eligible for coverage under this plan.

If approved, I plan to replace, discontinue, or change a current life insurance policy or annuity contract with my Union Labor Life insurance policy.

Yes

* Please provide
Replacement Coverage
details:

NOTICE REGARDING REPLACEMENT
REPLACING YOUR LIFE INSURANCE POLICY OR ANNUITY?

Are you thinking about buying a new life insurance policy or annuity and discontinuing or changing an existing one? If you are, your decision could be a good one–or a mistake. You will not know for sure unless you make a careful comparison of your existing benefits and the proposed policy or contract's benefits.

Make sure you understand the facts. You should ask the company or agent that sold you your existing policy or contract to give you information about it.

Hear both sides before you decide. This way you can be sure you are making a decision that is in your best interest.

Zip Code must be entered before selecting Spouse.

Note: Spouse includes Domestic Partner, Civil Union Partner, or Legal Partner as recognized by the jurisdiction in which you reside.

Note: Spouse includes Civil Union Partner, or Legal Partner as recognized by the jurisdiction in which you reside.

Note: *Domestic Partner and Civil Union Partner

With respect to your "spouse" or "Domestic Partner" or "Civil Union Partner" the following definitions apply:

The term "spouse" means a legally married man and woman.

The term "Domestic Partner" or "Civil Union Partner" means two people of the same or opposite sex who have entered into a personal relationship or union that is recognized by a state or government without the implicit historical and religious meaning associated with the term "marriage." A "domestic partner" or "civil union partner" does not include:

persons younger than 18 years of age;
persons who enter into a personal relationship or union prior to the dissolution of a legal marriage, previous personal relationship or union, or substantially similar legal relationship of one of the parties;
persons who are ancestors, descendents, or siblings whether the relationship is by the half or the whole blood or by adoption;
aunts or uncles and a niece or nephew, whether the relationship is by the half or the whole blood or by adoption; nor
first cousins.

Note: *Spouse includes Domestic Partner or Legal Partner as recognized by the jurisdiction in which you reside.

Note: According to the laws of the state of Virginia, spouse is defined as a person of the opposite sex to whom you are legally married.

* Insured's Date of Birth:

Error: Please select Date of Birth Month

Error: Please select Date of Birth Day

Error: Please enter valid 4 digit Birth Year (i.e. 1975)

Error: Birth Month, Day or Year are invalid

Error: Insured Age is . Insured age must be 18 - 63.

Member must be 18 - 75 years old to apply for AD&D.

* Insured's Gender:

Male

Female

Error: Please select Gender

* Insured's E-mail:

When you share your e-mail address, you may receive periodic e-mails about money-saving benefits endorsed by your Union. You will always have the right to opt-out of receiving these e-mails.

* Person(s) Covered:

* Daily Benefit Amount:

Note: For coverage amounts greater than $300,000, a limited medical (paramed) examination will be required. Applicant may qualify for preferred premium rates which are lower than the quoted standard rates.

* Billing Period:

* Billing Method:

Visa Mastercard Discover cards, and EFT accepted

Total Quoted Premium:

$0.00

This is a non-binding quote.

If you are a California resident and have questions about the collection, use and disposal of personal information under the California Consumer Privacy Act (CCPA), please follow this link. For other information about our privacy practices, please click here.

Customer Service: 1-800-393-0868 Monday through Friday, 8:00 AM to 7:00 PM EST
Underwritten by The Union Labor Life Insurance Company, 8403 Colesville Road, Silver Spring, MD 20910

Replacement Coverage

NOTICE REGARDING REPLACEMENT
REPLACING YOUR LIFE INSURANCE POLICY OR ANNUITY

Replacement Coverage: What is a "Replacement?" A replacement occurs when the applicant cancels, lapses or surrenders an existing policy or certificate of coverage to purchase a new contract with an existing or new insurance company. It can also occur if the applicant uses the cash value from an existing policy or certificate to pay for new coverage.

Unless you are canceling, lapsing, or surrendering your current coverage, or using cash value from an existing life insurance certificate of coverage to purchase new coverage, you should answer NO to this question.

If you have any questions regarding this information or need further explanation regarding Replacements, you may contact us at 1-800-393-0868.

Automatic Premium Loan Provision

The "Automatic Premium Loan" provision will be in effect when "yes" is selected. Automatic premium loans allow unpaid premium to be automatically deducted from the cash surrender value, if any, to prevent lapses in policy coverage.

While this provision is in effect, if the cash surrender value is sufficient, we will automatically make a loan at the end of the grace period to pay any unpaid premium. This loan will cover the amount owed for the billing period last paid.

If the cash surrender value is insufficient to pay the unpaid premium, we will change the premium frequency, if possible, so that a smaller premium is due. If we cannot change the premium frequency, or if once changed, the cash surrender value is still insufficient to pay the premium, no loan will be made and the "Policy Values" section will apply.

Any loan created as a result of this provision is subject to the terms and conditions of the "Policy Loans" provision.

See the policy terms for complete details.

Hospital Accident Care Plan

Our Hospital Accident Care Plan pays certain benefits related to hospitalization after an accident. All benefits are subject to the coverage certificate's schedule, limitations, terms and exclusions.

Provide the requested information to receive a non-binding quote. You must be between the ages of 18 and 64 to enroll. If a quote is provided and you wish to enroll in coverage, click the "Continue" button.

Upon receipt of your completed enrollment form, it will be reviewed for completeness. You may be notified of your coverage status by mail.

Hospital Daily Benefits Plan

Our Hospital Daily Benefits Plan is available to members and benefits start on the very FIRST DAY of your hospitalization. Other plans may not cover all expenses for a confinement in a hospital, skilled nursing facility, intensive care unit or for licensed home health care, leaving you with unpaid deductibles, co-payments and other unexpected charges. The Hospital Daily Benefits Plan can help fill the gap between the total cost of a hospital stay and any benefits you may receive from other coverage.

At ages 65 and older, the benefit will be 50% of the Daily Indemnity benefit for the first 60 days of continuous Hospital Confinement. Thereafter, the benefit is 100% of the Daily Indemnity benefit for the rest of that Hospital Confinement.

When Member & Family coverage is selected: Spouse benefits match Daily Indemnity benefits schedule. Children's benefits are 60% of Daily Indemnity benefits.

All benefits are subject to the coverage certificate's schedule, limitations, terms and exclusions.

Provide the requested information to receive a non-binding quote. You must be between the ages of 18 and 63 to enroll. If a quote is provided and you wish to enroll in coverage, click the "Continue" button.

Upon receipt of your completed enrollment form, it will be reviewed for completeness. You may be notified of your coverage status by mail.

Individual Whole Life Insurance: Selling to Third Party

At this time, Union Labor Life does not offer life insurance or annuity policies being purchased with the intent of assigning or selling them to a third party.

Questions? Please call our Customer Service at 1-800-393-0868 , Monday through Friday, 8:00 AM to 7:00 PM EST.

Hospital Daily Benefits Plan

ILLINOIS RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACTEffective June 1, 2011

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ILLINOIS RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACT
Effective June 1, 2011