Critical Illness insurance

SLPC 25956 1/15 (exp. 1/17)

No one wants to think about what can go wrong. While more people than ever are surviving critical illnesses like heart disease, stroke, and cancer, such medical setbacks can affect a person's financial health.

Sun Life's Critical Illness insurance gives employees the coverage they need if they become sick so they can protect themselves from financial losses caused by out-of-pocket costs.

How does it work?

Our plan pays a lump-sum cash payment and employees decide how to spend the money. Employees can use this money however they want including as payment for:

  • Out-of-pocket medical expenses
  • Alternative therapies
  • Everyday expenses, like groceries, transportation, or child care

Understanding what's covered

We provide a full or partial benefit for a variety of covered conditions:

  • Circulatory conditions category – heart attack (100%), end-stage heart failure (100%), stroke (100%), and coronary artery disease (25%).
  • Cancer conditions category – cancer (100%), non-life threatening cancer (25%).
  • Other conditions category – benign brain tumor, coma, major organ failure, paralysis, and severe burns (all 100%).
  • Childhood conditions category – cerebral palsy, complex congenital heart disease, cystic fibrosis, type 1 diabetes mellitus, and muscular dystrophy (all 100%).

The maximum benefit payable is once per covered condition, up to 100% per category and up to 200% for all covered conditions in all categories.

Insured dependent children are covered for each category/condition applicable to the plan elected. Childhood conditions apply only to dependent children. Partial benefits may allow other covered conditions to be paid within the same category, up to the maximum for that category.

Benefits for . . .

Employees

  • Easy-to-understand plan
  • $5,000 to $50,000 of coverage, payable as a lump sum ($5,000 for children)
  • Coverage for dependents
  • Recurrence Benefit rider available (subject to state availability)1
  • Annual wellness screening benefit
  • Access to health care support services
  • Portable (subject to state availability)

Employers

  • Can be made available for all employees or can vary by class
  • Funding options: employee-paid, employer-paid, or both
  • Help employees achieve peace of mind knowing financial support is available
  • Wellness screening benefit helps to promote healthier lifestyles

1.The certificate lists Recurrence Benefit criteria. Payable once per covered condition, up to a maximum. Does not apply for childhood conditions or coronary artery disease.

"Critical Illness and Cancer Insurance," is a limited benefit policy. It does NOT provide basic hospital, basic medical, or major medical insurance. The certificate has exclusions, limitations, and benefit waiting periods for certain conditions that may affect any benefits payable. Benefits payable are subject to all terms and conditions of the certificate. The policy, certificate and rider, if applicable, may not be available in all states and may vary based on state laws and regulations. 

Note regarding Employees Covered or Considering Coverage under Health Savings Accounts (HSA) Established in Connection with High Deductible Health Plans (HDHP):

Based on the limited available regulatory guidance, Sun Life believes its "Critical Illness and Cancer Insurance" is appropriate for use with an HSA and may be purchased when employees and/or their family members are covered under an HDHP. However, Sun Life cannot provide legal or tax advice. If there are legal or tax questions, we suggest that employees consult their own legal or tax advisor before purchasing this insurance.

Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 12-GP-01, 12-SD-C-01, 13-SD-C-01, 12-SD-R-01, and 13-SD-R-01, subject to state availability. Product offerings may not be available in all states and may vary depending on state laws and regulations. Not available in New York.