Assurant Short Term - Benefit Summary

Short Term Plan Benefits

Plan Feature	6 Month Plan
Length of Coverage	30-185 days
Lifetime Maximum Benefit	$2,000,000 per person
Deductible The amount you must pay before Assurant Health pays any benefits	$1,000, $2,500, $3,500, or $5,000
Family Deductible Same as indvidual deductible, only one deductible needs to be satisfied by all covered family members	Only one deductible needs to be satisfied by all covered family members
Coinsurance Options Percentage of covered expense insurance pays after satisfaction of the deductible. For the 100% coinsurance option, the plan pays 100% of eligible expenses after the deductible is met. For the 80% and 50% coinsurance options, the plan pays 80% or 50% of the next $10,000 of eligible expenses after the deductible is met. Then the plan pays 100%.	100% 80% 50%
Doctor Visits Subject to deductible and coinsurance	Covered for unexpected illness and injury. Discounts of 20%-35% for using network doctors
Hospital Benefits Subject to deductible and coinsurance	Inpatient and outpatient services covered. Discounts of 20%-35% for using network facilities
Emergency Room Care Subject to deductible and coinsurance	Covered
Ambulance	Covered
Outpatient Surgery Subject to deductible and coinsurance	Covered
X-ray and Laboratory Subject to deductible and coinsurance	Covered
Prescription Drug Benefits Subject to deductible and coinsurance	Includes prescription drug card for instant savings and covered subject to deductible and coinsurance

Optional Add-On Benefits	6 Month Plan
Term Life Insurance	$25,000 for insured or $25,000 for both insured and spouse
Accidental Medical Expense Provides first dollar coverage for treatment of an accidental injury.	Benefit amounts per accident are equal to the Short Term Medical deductible chosen.
Dental-Vision Discount Plan	Save 10% to 60% on eyeglasses, contact lenses (disposables via mail order only), and other retail eyewear items through a network of over 13,000 eye care professionals nationwide. You can also receive discounts on eye examinations and surgical procedures including Lasik where available. Save 10% to 50% on dental care expenses such as orthodontics (braces), dentures, cosmetic dentistry, crowns, extractions, fillings, oral surgery, periodontics and most other services through a network of more than 24,000 providers nationwide. Save 25% to 50% off suggested retail prices on vitamin and nutritional supplements.