American Trade Association

PRODUCT DETAILS

     The Critical Illness Plan is available to all members of the American Trade Association between the ages of 18 and 64.  It is written guarantee issue with a twelve (12) month pre-existing period fo all policies.  The plan may be written on the member only or the member and his legal spouse or a family plan covering all immediate family members.  Children must be under the age of 18 or a full-time student to be eligible until age 24 or their graduation, whichever comes first.

     The minimum coverage is $5,000 per member and the maximum is $25,000 per member depending on which policy is chosen.  Benefits are payable for specific illnesses and are not part of any health insurance benefit additionally paid for these illnesses.  The benefit is paid a maximum of one time for all covered conditions.  There is no death benefit paid.  The maximum term of insurance is for ten (10) years.

UNDERWRITING

      All policies are written with a twelve (12) month pre-existing exclusionary period from the effective date of the plan.  This means that no benefit will be paid for any covered benefit for the first twelve months of the plan if the insured member has been treated for or diagnosed with that particular illness or sickness.

     The height and weight table must be adhered to.  If you do not meet the minimum or maximum height and weight limits, then you or any family member not meeting these requirements are not eligible for this plan and coverage will not be written.  

     The benefits and percentages listed are the only product benefits that will be paid on.  If the disease or illness is not listed, it will not be a covered benefit.

Height & Weight Chart for Critical Illness

                                                       WEIGHT

HEIGHT                        MINIMUM             MAXIMUM

PRODUCT BENEFITS

100% BENEFIT PAID FOR THE FOLLOWING:

Life Threatening Cancer, Heart Attack, Stroke, Major Organ Transplant, Coronary Artery Bypass Surgery, Kidney Failure, Coma, Paralysis or Blindness

75% BENEFIT PAID FOR THE FOLLOWING:

Insured, as diagnosed by a physician, has a life expectancy of twelve (12) months or less and/or is permanently confined to a nursing home due to a non correctable medical condition

25% BENEFIT PAID FOR THE FOLLOWING:

Benign brain tumor, Alzheimer’s Disease, HIV Infection from blood transfusion, Parkinson’s Disease, Aorta Graft Surgery, Heart valve replacement or repair    

10% BENEFIT PAID FOR THE FOLLOWING:          

Coronary Angioplasty Surgery (payable one time only)

MAXIMUM CRITICAL ILLNESS BENEFIT:             

 Maximum benefit is the policy’s face amount of $5,000 or $25,000 (depending on plan chosen).  Subsequent claim’s payments, where applicable, will be based on the benefit percentage as listed above.  The maximum payout will be 100% of the total critical illness benefit one time.  The policy terminates after the maximum benefit is paid.  Benefits paid after a thirty day waiting period unless the twelve month pre-existing exclusion period precedes the claim benefit.  There is no death benefit paid on this policy. 

PRODUCT EXCLUSIONS

  THE FOLLOWING EXCLUSIONS APPLY TO THIS PRODUCT:

If the insured has been diagnosed or treated for a  particular condition within the past twelve (12) months, then that condition is excluded for twelve (12) months from the effective date of the policy.  No benefit would be paid in the event of a claim  being filed for that condition.  There is a thirty (30) day waiting period before any benefit would be paid on all conditions.

THE CRITICAL ILLNESS BENEFIT WILL NOT BE PAYABLE IF THE LOSS RESULTS FROM THE FOLLOWING:

1.  Intentionally self-inflicted injuries, while sane or insane (In MO:  while sane; in SC:  sane or insane, attempted or

      intentionally self inflicted injury.

2.  Alcohol or drug abuse (unless drug abuse was a result of the administration of drugs as part of a treatment by a

      doctor); in SC:  alcohol or drug addiction.

3.  Committing or attempting to commit a felony (in SC:  participating in a felony).   

4.  War (declared or undeclared) or any act of war or service in any armed forces, (In OK:  any war or any act of

      war, declared or undeclared, while serving in the military forces or any auxiliary unit attached thereto).

5.  Engaging in an illegal occupation (Except in SC)

6.  Participating in a riot or insurrection

7.  Injury sustained while taking part in any of the following activities (Contains only to conditions of  Paralysis,

       Blindness or Coma):

a)  Amateur or professional sports or athletics, except for amateur sports or athletics which are non contact and undertaken  

      for leisure, recreational, entertainment or fitness purposes

b)  Mountaineering where ropes or guides are normally used or at elevations of 4,500 meters or above

c)  Aviation, except when traveling solely as a fare paying passenger in a commercial aircraft

d)  Hang gliding, sky diving, parachuting or bungee jumping

e)  Snow skiing or snowboarding, except for recreational downhill skiing or cross country snow skiing or snowboarding on 

      prepared and marked boundaries and/or against the advice of the local ski school or local authoritative body

f)  Racing by any animal or motorized vehicle

g)  Spelunking

h)  Operating or riding in or upon, mounting or alighting from, any two, three, or four wheeled motor/engine driven 

      snowmobile or all trrain vehicle (ATV)

  NOTE:  THE PAYMENT OF AN ACCELERATED BENEFIT MAY BE TAXABLE.  A PERSONAL ADVISOR SHOULD BE

CONSULTED TO OBTAIN INFORMATION ABOUT THE INCOME TAX EFFECT ON ANY ACCELERATED

BENEFITS.