Critical Illness coverage pays you in the event Critical Illness that you are diagnosed with a covered illness. This is a cash benefit paid directly to you. The Standard Coverage Amount Employee Amount $5,000 increments up to $30,000 Spouse Amount $5,000 increments up to $15,000 Child Amount 50% of the employee amount Cancer Deafness/Blindness Covered Conditions Include but are Heart Attack Stroke not limited to End Stage Renal Failure Major Organ Transplant $50 per person per year if they receive any eligible Wellness Benefit preventive exam or physical. Monthly Rate per $1,000 of Coverage Additional Features: Covered Critical Illnesses at Age-Band Non-Tobacco Tobacco 100%: Cancer, Heart Attack, Stroke, Coronary Artery 18-29 $0.27 $0.29 Bypass Graft, Kidney Failure, Major Organ Failure 30-39 $0.44 $0.55 Re-Occurrence Benefit 100% of Initial Benefit (after 6 40-49 $0.93 $1.44 months) for above conditions 50-59 $1.88 $3.57 Portability included Spouse covered at 50% of 60-69 $3.35 $7.35 Employee Amount Children covered at 50% of 70+ $5.89 $13.02 Employee amount up to age 26 Children: Automatically included in rate Coverage amounts of $5,000 to $30,000, available in Use the following calculator to estimate your per pay period $5,000 increments premium: Rates based on attained age Employee age used for Coverage Amount/$1,000 X Age Band Rate = Monthly Premium spouse rates Monthly Premium/Number of Pay Periods = Per Pay Period Premium For further questions and details, see full benefit summary. You can also go to www.standard.com or call 800-368-2859. 23
Benefits Enrollment Guide 2025 Page 22 Page 24