When the unexpected happens, it pays to be prepared

Things can happen when we least expect it. Life, AD&D, Accident, Disability, and Critical Illness insurance is there to help protect your family from the financial impact of a loss of income. Consider your current and future financial needs when evaluating how much coverage you may need.

Affirm-Provided Basic Life and AD&D

Basic Life Insurance pays your beneficiary a lump sum if you die. Accidental Death & Dismemberment (AD&D) coverage provides a benefit to you if you suffer from loss of a limb, speech, sight, or hearing, or to your beneficiary if you have a fatal accident. The cost of coverage for Basic Life Insurance and AD&D is paid in full by Affirm.

Prudential Basic Life and AD&D Benefit Plan Summary

Basic Life/AD&D Coverage Details

2 x covered annual earnings up to $650,000. Guaranteed issue of $650,000.

The benefit amounts above will be reduced if you are age 65 or older. Refer to the plan documents for details.

Voluntary Life Insurance

Protect your loved ones in case something unexpected happens to you.

Voluntary Life Insurance allows you to purchase additional life insurance to protect your family’s financial security. Coverage is available for your spouse and/or child(ren) if you purchase coverage for yourself.

Employee

Increments of $10,000 up to $500,000.

Guaranteed issue:

Age 15-64: $250,000
Age 65-69: $50,000
Age 70 and up: $10,000

Spouse

Increments of $5,000 up to $250,000.

Guaranteed issue:

Age 15-64: $50,000
Age 65-69: $10,000
Age 70 and up: $0

Child(ren)

Increments of $1,000 up to $10,000. Guaranteed issue of $10,000.

Voluntary Life Insurance Benefit Plan Summary

Affirm-Provided: Short-Term Disability Insurance (STD)

Things can change, quickly – STD is there when you’re caught off guard.

Short-Term Disability (STD) insurance replaces part of your income for limited duration issues such as:

Pregnancy issues and childbirth recovery
Prolonged illness or injury
Surgery and recovery time

STD payments may be reduced if you receive other benefits such as sick pay, workers’ compensation, Social Security, or state disability. Affirm pays the cost of this coverage.

Weekly benefit amount	60% up to a maximum of $2,800
Guarantee Issue	$2,800/week
Benefits begin	After 7 days of disability due to accident or 7 days due to sickness
Maximum payment period	12 (based on first day you are disabled, not when benefits begin)

Short-Term Disability Insurance Benefit Plan Summary

Affirm- Provided: Long-Term Disability Insurance (LTD)

LTD benefits can cushion the financial impact of a disability.

Long-Term Disability (LTD) insurance replaces part of your income for longer-term issues such as:

Debilitating illness (cancer, heart disease, etc.)
Serious injuries (accident, etc.)
Heart attack, stroke
Mental disorders.

If you qualify, LTD benefits begin after short-term disability benefits end. Payments may be reduced by state, federal, or private disability benefits you receive while disabled. Affirm pays the cost of this coverage.

Monthly benefit amount	60% up to a maximum of $15,000
Guarantee Issue	100% guarantee issue, up to $15,000/month
Benefits begin	After 90 days of disability
Maximum payment period	Social Security normal retirement age; the ADEA I table applies for individuals becoming disabled at age 60+

Long-Term Disability Insurance Benefit Plan Summary

Accident Insurance (Optional)

Accident Insurance pays you benefits for specific injuries and events resulting from a covered accident that occurs while you are not at work, on or after your coverage effective date. The benefit amount depends on the type of injury and care received.

Hospital Confinement (up to 365 days)	$300 /Day
Hospital Admission	$1,000 /Trip
Transportation	$1,000
Ambulance (Ground/Air)	$200 \| $500
Physical Therapy (6 Treatments)	$25

Accident Insurance Benefit Plan Summary

Please note, Accident Insurance is a limited benefit policy. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

Critical Illness Insurance (Optional)

Critical Illness Insurance pays a lump-sum benefit if you are diagnosed with a covered illness or condition on or after your coverage effective date. Critical Illness Insurance is a limited benefit policy. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

Base Module: Heart Attack, Stroke, Major Organ Failure, Coma, Paralysis

100%

Module A: Deafness, Blindness, Benign Brain Tumor

100%

Cancer

Cancer: 100%

Carcinoma in SITU: 25%

Skin Cancer: $250, payable once per covered person per calendar year

Critical Illness Insurance Benefit Plan Summary