Employee Response Required

Key Details of the Chubb Life + Long Term Care (LTC) Benefit:

- Three ways to receive benefits: LTC, Life Insurance, or LTC + Life Insurance
- Issue age rates - Life Insurance rates do not increase due to age
- Coverage is portable
- Other benefits do not cover LTC expenses

You need to apply or waive your opportunity for guarantee issue* (no health questions) by 3/8/2024. This is the only time to enroll with guarantee issue (no health questions).

Step 1) Review Rates

Select your age as of 4/1/2024
Tobacco Status is based on a 12 Month Look Back for use of Cigarettes, Cigars, Smokeless Tobacco, and E-Cigarettes.
Benefit Features
A
B
C
Life Insurance Face Value
$25,000
$50,000
$75,000
Monthly LTC Benefit Amount
$1,000
$2,000
$3,000
LTC Rider Duration
25 months
25 months
25 months
Extension of LTC Benefits
50 months
50 months
50 months
Total LTC Duration
75 months
75 months
75 months
LTC Maximum Benefit
$75,000
$150,000
$225,000
Monthly Premium**
Select age
Select age
Select age
Spouse Monthly Premium
Select age
Select age
Select age
Total Monthly Premium Without Marital Discount
Select age
Select age
Select age
Total Monthly Premium With Marital Discount
Select age
Select age
Select age
Benefit Features
A
Life Insurance Face Value
$25,000
Monthly LTC Benefit Amount
$1,000
LTC Rider Duration
25 months
Extension of LTC Benefits
50 months
Total LTC Duration
75 months
LTC Maximum Benefit
$75,000
Monthly Premium**
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age
Benefit Features
B
Life Insurance Face Value
$50,000
Monthly LTC Benefit Amount
$2,000
LTC Rider Duration
25 months
Extension of LTC Benefits
50 months
Total LTC Duration
75 months
LTC Maximum Benefit
$150,000
Monthly Premium**
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age
Benefit Features
C
Life Insurance Face Value
$75,000
Monthly LTC Benefit Amount
$3,000
LTC Rider Duration
25 months
Extension of LTC Benefits
50 months
Total LTC Duration
75 months
LTC Maximum Benefit
$225,000
Monthly Premium**
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age


Step 2) Apply by 3/8/2024 or Waive Your Opportunity for Employee Guarantee Issue*

Apply for Coverage by 3/8/2024
Waive Opportunity for Employee Guarantee Issue**

 

*Participation requirement of 5% approved employee applications and 70% active enrollment needed to offer Guaranteed Issue.

Benefit Eligible Employees working 20+ hours per week ages 19-70 can apply with Guarantee Issue up to $100,000 of Life Insurance Benefit and can apply up to $150,000 Life Insurance Benefit subject to medical underwriting. Employees ages 71-80 can apply up to $50,000 with medical underwriting. All applicants are required to complete 4 Underwriting questions at time of application – the answers to these underwriting questions will not be reviewed by Chubb unless group participation requirements are not met. Spouses and domestic partners require Underwriting consideration for all levels of coverage.

**In the event of a discrepancy between the premiums shown here and the carrier rate calculation, carrier's information will prevail.