Hospital Indemnity Summary of Coverage

The Hospital Indemnity plan provides a daily benefit during eligible pre-authorized Hospitalizations, regardless of coverage under other Plans.

Hospital Indemnity Insurance coverage pays you a fixed amount (Hospital: $200 per day | Critical Care Unit: $400 per day | Rehabilitation Facility: $100 per day) for each full day you are hospitalized due to a medically necessary confinement.

See the ‘Frequently Asked Questions’ for details.

This coverage is available for active employees, their dependent family members, and former employees.

Premiums for FY2018 are as follows:

Monthly Rate24 Pay Periods
Employee only$8.72$4.36
Employee + spouse$11.62$5.81
Employee + children$17.84$8.92
Employee + family$23.62$11.81

Contact Information:
Risty Benefits, Inc. P.O.Box 90335 Sioux Falls SD 57109
1-866-237-9411   FAX: 1 605-338-2823   E-Mail: help@ristybenefits.com

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