Continental Life Insurance Company Of Brentwood, Tennessee - HealthPlanOne
Continental Life Insurance Companyof Brentwood, TennesseeAn Aetna Company800 Crescent Centre Dr.Suite 200Franklin, TN 37067800 264.4000aetnaseniorproducts.comOutline of CoverageMedicare Supplement InsuranceBENEFIT PLANS A, B, F, High Deductible F, G, NUnderwritten byAn Aetna CompanyContinental Life Insurance Companyof Brentwood, TennesseeTexasCLIMS01625TX 2016 Aetna Inc.01012016
CONTINENTAL LIFE INSURANCE COMPANY OF BRENTWOOD, TENNESSEEOUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE: Page 1 of 2BENEFIT PLANS AVAILABLE: A, B, F, HIGH DEDUCTIBLE F, G, NThese charts show the benefits included in each of the standard Medicare supplement plans. Every company must make available Plan “A.”Some plans may not be available in your state.Basic Benefits:Hospitalization: Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.Medical Expenses: Part B coinsurance (generally 20% of Medicare-Approved expenses) or, co-payments for hospital outpatient services. PlansK, L, and N require insureds to pay a portion of coinsurance or copaymentsBlood: First three pints of blood each year.Hospice-Part A coinsuranceBCDF/F*GKLMNABasic,including100% PartBcoinsuranceBasic,including100% PartBcoinsurancePart ADeductibleBasic,including100% Part BcoinsuranceBasic,including100% Part BcoinsuranceBasic,including100% Part Bcoinsurance*Basic,including100% Part BcoinsuranceSkilledNursingFacilityCoinsurancePart ADeductiblePart BDeductibleSkilledNursingFacilityCoinsurancePart ADeductibleSkilledNursingFacilityCoinsurancePart gencySkilledNursingFacilityCoinsurancePart ADeductiblePart BDeductiblePart andpreventivecare paid at100%; otherbasic benefitspaid at 50%50% SkilledNursingFacilityCoinsurance50% Part ADeductibleHospitalizationandpreventivecare paid at100%; otherbasic benefitspaid at 75%75% SkilledNursingFacilityCoinsurance75% Part ADeductibleBasic,including100% Part BcoinsuranceSkilledNursingFacilityCoinsurance50% Part ADeductibleBasic, including100% Part Bcoinsurance,except up to 20copayment for officevisit, and up to 50copayment for ERSkilled NursingFacility CoinsurancePart A DeductiblePart B it 4960;paid at 100%after limitreachedOut-of-pocketlimit 2480;paid at 100%after limitreachedForeignTravelEmergencyForeign TravelEmergency*Plans F also has an option called a high deductible plan F. This high deductible plan pays the same benefits as Plan F after one has paid acalendar year 2180 deductible. Benefits from high deductible plan F will not begin until out-of-pocket expenses exceed 2180. Out-of-pocketexpenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare deductibles for PartA and Part B, but do not include the plan’s separate foreign travel emergency deductible.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: 733, 750-753, 760, 761, 774, 776, 777, 782, 784, 793, 794Female RatesAttainedAgePlan AUnder 09Modal Factors:PreferredPlan BPlan F Plan nnual:Plan ,1592,1722,1842,1982,2092,2230.5200Plan ,9351,9461,9581,9701,9801,994AttainedAgeUnder 8990919293949596979899Quarterly:Plan 82,8162,8322,8492,8662,8822,8990.2650Plan ,9002,9152,9332,9522,9682,987StandardPlan F Plan ,2053,3071,2123,3261,2193,3431,224Monthly:Plan ,3992,4132,4272,4402,4552,4700.0833Plan ,1532,1672,1762,1872,2012,215The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: 733, 750-753, 760, 761, 774, 776, 777, 782, 784, 793, 794Male RatesAttainedAgePlan AUnder 02Modal Factors:PreferredPlan BPlan FPlan 23,0903,4591,266Semi-Annual:Plan ,4832,4982,5122,5272,5422,5560.5200Plan ,2262,2392,2522,2672,2792,294AttainedAgePlan AUnder 335Quarterly: 0.2650Plan ,3333,3553,3743,3953,4143,435StandardPlan FPlan hly:Plan ,7592,7752,7912,8072,8232,8420.0833Plan ,4742,4872,5022,5172,5332,547The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: 770-773, 775Female RatesAttainedAgePlan AUnder 45Modal Factors:PreferredPlan BPlan F Plan ,157Semi-Annual:Plan ,2712,2862,2982,3122,3242,3390.5200Plan ,0362,0472,0612,0732,0842,098AttainedAgeUnder 8990919293949596979899Quarterly:Plan 42,9632,9802,9973,0153,0323,0500.2650Plan ,0523,0673,0863,1063,1233,142StandardPlan F Plan 4631,2683,4801,2753,4991,2833,5171,287Monthly:Plan ,5242,5392,5532,5682,5832,5990.0833Plan ,2652,2802,2892,3012,3162,330The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: 770-773, 775Male RatesAttainedAgePlan AUnder 58Modal Factors:PreferredPlan BPlan FPlan 1,3273,2513,6401,332Semi-Annual:Plan ,6122,6282,6432,6582,6742,6900.5200Plan ,3432,3562,3692,3852,3982,414AttainedAgeUnder 8990919293949596979899Quarterly:Plan 833,4053,4273,4463,4673,4903,5090.2650Plan ,5073,5303,5503,5723,5923,614StandardPlan FPlan nthly:Plan ,9032,9202,9372,9542,9712,9900.0833Plan ,6032,6172,6332,6492,6662,680The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: Rest of StateFemale RatesAttainedAgePlan AUnder 69Modal Factors:PreferredPlan BPlan F Plan 9532,3352,614956Semi-Annual:Plan ,8771,8891,8991,9111,9211,9330.5200Plan 6921,7031,7131,7221,734AttainedAgeUnder 8990919293949596979899Quarterly:Plan 32,4492,4632,4772,4922,5062,5210.2650Plan ,5222,5352,5502,5672,5812,597StandardPlan F Plan 2,9071,064Monthly:Plan ,0862,0982,1102,1222,1352,1480.0833Plan ,8721,8841,8921,9021,9141,926The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
Continental Life Insurance Company of Brentwood, TennesseeAnnual Attained Age PremiumsFor Use in ZIP Codes: Rest of StateMale RatesAttainedAgePlan AUnder 10Modal Factors:PreferredPlan BPlan FPlan -Annual:Plan ,1592,1722,1842,1972,2102,2230.5200Plan ,9361,9471,9581,9711,9821,995AttainedAgeUnder 8990919293949596979899Quarterly:Plan 62,8142,8322,8482,8652,8842,9000.2650Plan ,8982,9172,9342,9522,9692,987StandardPlan FPlan ,2043,3071,2103,3241,2173,3411,225Monthly:Plan ,3992,4132,4272,4412,4552,4710.0833Plan ,1512,1632,1762,1892,2032,215The above rates do not include the 20 application fee.To calculate a Household discount:Annual premium x modal factor modal premium (round to nearest whole cent)Modal premium x .95 discounted premiumIf applying during Open Enrollment or Guaranteed Issue Period, use Preferred rates.CLIMS01625TX01012016
PREMIUM INFORMATIONRIGHT TO RETURN POLICYContinental Life Insurance Company ofBrentwood, Tennessee can only raise yourpremium if we raise the premium for all policieslike yours in this state. Premiums for this policywill increase due to the increase in your age.Upon attainment of an age requiring a rateincrease, the renewal premium for the policy willbe the renewal premium then in effect for yourattained age. Other policies may be providedwith Issue Age rating and do not increase withage. You should compare Issue Age withAttained Age policies.If you find that you are not satisfied with yourpolicy, you may return it to Continental LifeInsurance Company of Brentwood, Tennessee,P.O. Box 1188, Brentwood, Tennessee 37024.If you send the policy back to us within 30 daysafter you receive it, we will treat the policy as if ithad never been issued and return all yourpayments.Premiums payable other than annually will bedetermined according to the following factors:Semi-annual: 0.5200 Quarterly: 0.2650 MonthlyEFT: 0.0833.HOUSEHOLD DISCOUNTIn order to be eligible for the Household discountunder a Continental Life Insurance Company ofBrentwood, Tennessee Medicare supplementplan, you must apply for a Medicare supplementplan at the same time as another Medicareeligible adult or the other Medicare eligible adultmust currently be covered by a Continental LifeInsurance Company of Brentwood, TennesseeMedicare supplement policy. The Medicareeligible adult must be either (a) your spouse; or(b) be a permanent resident in your home. Thehousehold discount will only be applicable if apolicy for each applicant is issued. Thediscounted rate will be 5 percent lower than theindividual rates and will apply as long as bothpolicies remain in force.DISCLOSURESUse this outline to compare benefits andpremium among policies.READ YOUR POLICY VERY CAREFULLYThis is only an outline describing your policy’smost important features. The policy is yourinsurance contract. You must read the policyitself to understand all of the rights and duties ofboth you and your insurance company.CLIMS01625TXPOLICY REPLACEMENTIf you are replacing another health insurancepolicy, do NOT cancel it until you have actuallyreceived your new policy and are sure you wantto keep it.NOTICEThe policy may not cover all of your medicalcosts.Neither Continental Life Insurance Company ofBrentwood, Tennessee nor its agents areconnected with Medicare.This outline of coverage does not give all thedetails of Medicare coverage. Contact your localSocial Security Office or consult Medicare & Youfor more details.LIMITATIONS AND EXCLUSIONSThis policy does not cover any expenses of thetype excluded by Medicare or not covered underthe terms of this policy.Benefits covered by this policy will not duplicateMedicare benefits.We will not be liable for any loss which wascaused by your committing or attempting tocommit any felony or from engaging in an illegaloccupation.01012016
REFUND OF PREMIUMThe company shall refund any premium paid forthe period beyond the end of the policy month inwhich the death or cancellation occurred.Unearned premium shall be paid in a lump sumto your estate no later than thirty (30) days afterreceipt of proof of death or cancellation isreceived by the company.COMPLETE ANSWERS ARE VERYIMPORTANTWhen you fill out the application for the newpolicy, be sure to answer truthfully andcompletely any questions about your medicaland health history. The company may cancelyour policy and refuse to pay any claims if youleave out or falsify important medicalinformation.Review the application carefully before you signit. Be certain that all information has beenproperly recorded.THE FOLLOWING CHARTS DESCRIBEPLANS A, B, F, HIGH DEDUCTIBLE F, G andN OFFERED BY CONTINENTAL LIFEINSURANCE COMPANY OF BRENTWOOD,TENNESSEE.CLIMS01625TX01012016
PLAN AMEDICARE (PART A) – HOSPITAL SERVICES – PER BENEFIT PERIOD*A benefit period begins on the first day you receive service as an inpatient in a hospital and ends afteryou have been out of the hospital and have not received skilled care in any other facility for 60 days in arow.** 0 Indicates your liability for covered charges. You are responsible for all other non-covered ivate room and board,general nursing andmiscellaneous services andsuppliesFirst 60 daysPLANPAYSYOUPAYAll but 1288 061st thru 90th day91st day and after:While using 60 lifetime reservedaysOnce lifetime reserve days areused:Additional 365 daysAll but 322 a day 322 a day 1288(Part ADeductible) 0**All but 644 a day 644 a day 0** 0 0** Beyond the Additional 365 daysSKILLED NURSING FACILITYCARE*You must meet Medicare'srequirements, including havingbeen in a hospital for at least 3days and entered a MedicareApproved facility within 30 daysafter leaving the hospitalFirst 20 days21st thru 100th day 0100% of MedicareEligible Expenses 0All approved amountsAll but 161.00 a day 0 0101st day and afterBLOODFirst 3 pintsAdditional amountsHOSPICE CAREYou must meet Medicare’srequirements, including a doctor’scertification of terminal illness. 0 0 0**Up to 161.00 adayAll costs 0100%3 pints 0 0** 0**All but very limitedcopayment/coinsurance foroutpatient drugs andinpatient respite careMedicarecopayment/coinsurance 0**All costs NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place ofMedicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as providedin the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance basedon any difference between its billed charges and the amount Medicare would have paid.CLIMS01625TX01012016
PLAN AMEDICARE (PART B) – MEDICAL SERVICES – PER CALENDAR YEAR*Once you have been billed 166 of Medicare-Approved amounts for covered services (which are notedwith an asterisk), your Part B deductible will have been met for the calendar year.** 0 Indicates your liability for covered charges. You are responsible for all other non-covered charges.MEDICAREPAYSSERVICESMEDICAL EXPENSES –IN OR OUT OF THE HOSPITALAND OUTPATIENT HOSPITALTREATMENT, such as physician'sservices, inpatient and outpatientmedical and surgical services andsupplies, physical and speechtherapy, diagnostic test, durablemedical equipmentFirst 166 of Medicare-Approvedamounts*Remainder of Medicare-ApprovedamountsPart B Excess Charges(Above Medicare-Approvedamounts)BLOODFirst 3 pintsNext 166 of Medicare-Approvedamounts*Remainder of Medicare-ApprovedamountsCLINICAL LABORATORYSERVICES –TESTS FOR DIAGNOSTICSERVICESFirst 166 of MedicareApproved amounts*Remainder of MedicareApproved amountsCLIMS01625TXYOUPAY 0 0 166(Part B Deductible)Generally 80%Generally 20% 0** 0 0All costs 0 0All costs 0 0** 166(Part B Deductible)80%20% 0**100% 0PARTS A & BMEDICAREPAYSSERVICESHOME HEALTH CARE –MEDICARE APPROVEDSERVICESMedically necessary skilled careservices and medical suppliesDurable medical equipmentPLANPAYS 0**PLANPAYSYOUPAY100% 0 0** 0 0 166(Part B Deductible)80%20% 0**01012016
PLAN BMEDICARE (PART A) – HOSPITAL SERVICES – PER BENEFIT PERIOD*A benefit period begins on the first day you receive service as an inpatient in a hospital and ends afteryou have been out of the hospital and have not received skilled care in any other facility for 60 days in arow.** 0 Indicates your liability for covered charges. You are responsible for all other non-covered ivate room and board,general nursing andmiscellaneous services andsuppliesFirst 60 daysYOUPAY61st thru 90th day91st day and after:While using 60 lifetime reservedaysOnce lifetime reserve days areused:Additional 365 daysAll but 322 a day 1288(Part A Deductible) 322 a dayAll but 644 a day 644 a day 0** 0 0** Beyond the Additional 365 daysSKILLED NURSING FACILITYCARE*You must meet Medicare'srequirements, including havingbeen in a hospital for at least 3days and entered a MedicareApproved facility within 30 daysafter leaving the hospitalFirst 20 days 0100% of MedicareEligible Expenses 0All approvedamountsAll but 161.00 a day 0 0 0** 0 0Up to 161.00 a dayAll costs 0100%3 pints 0 0** 0**All but very limitedcopayment/coinsurance foroutpatient drugs andinpatient respite careMedicarecopayment/coinsurance 021st thru 100th day101st day and afterBLOODFirst 3 pintsAdditional amountsHOSPICE CAREYou must meet Medicare’srequirements, including a doctor’scertification of terminal illnessAll but 1288PLANPAYS 0** 0**All costs NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place ofMedicare and will pay whatever amount Medicare would have paid for up to an additional 365 days asprovided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for thebalance based on any difference between its billed charges and the amount Medicare would have paid.CLIMS01625TX01012016
PLAN BMEDICARE (PART B) – MEDICAL SERVICES – PER CALENDAR YEAR*Once you have been billed 166 of Medicare-Approved amounts for covered services (which are notedwith an asterisk), your Part B deductible will have been met for the calendar year.** 0 Indicates your liability for covered charges. You are responsible for all other non-covered charges.MEDICAREPAYSSERVICESMEDICAL EXPENSES –IN OR OUT OF THE HOSPITALAND OUTPATIENT HOSPITALTREATMENT, such as physician'sservices, inpatient and outpatientmedical and surgical services andsupplies, physical and speechtherapy, diagnostic test, durablemedical equipmentFirst 166 of Medicare-Approvedamounts*Remainder of Medicare-ApprovedamountsPart B Excess Charges(Above Medicare-Approvedamounts)BLOODFirst 3 pintsNext 166 of Medicare-Approvedamounts*Remainder of Medicare-ApprovedamountsCLINICAL
Franklin, TN 37067 800 264.4000 aetnaseniorproducts.com Continental Life Insurance Company of Brentwood, Tennessee An Aetna Company BENEFIT PLANS A, B, F, High Deductible F, G, N Texas CLIMS01625TX 2016 Aetna Inc. 01012016. CLIMS01625TX 01012016 CONTINENTAL LIFE INSURANCE COMPANY OF BRENTWOOD, TENNESSEE
American General Life Insurance Company AGL U.S. Life Insurance Company AGC Life Insurance Company AGC Life U.S. Life Insurance Company The United States Life Insurance Company in the City of New York U.S. Life U.S. Life Insurance Company The Variable Annuity Life Insurance Company VALIC U.S. Life Insurance Company
4 Bangladesh Co-operative Insurance Ltd BD Co-operative . 7 Central Insurance Company Ltd Central 8 City General Insurance Company Ltd City General 9 Continental Insurance Company Ltd Continental 10 Crystal Insurance Company Ltd Crystal 11 Desh General insurance ltd Desh General 12 Dhaka Insurance Company Ltd Dhaka .
Berkley Regional Specialty Insurance Comp 31295 DE Carolina Casualty Insurance Company 10510 IA Clermont Insurance Company 33480 IA Continental Western Insurance Company 10804 IA Firemen's Insurance Com pany of Wash, D.C. 21784 DE Gemini Insurance Company 10833 DE Great Divide Insurance Company 25224 ND
Continental Western Insurance Company 10804 IA Firemen's Insurance Com pany of Wash, D.C. 21784 DE Gemini Insurance Company 10833 DE Great Divide Insurance Company 25224 ND Key Risk Insurance Company 10885 NC Midwest Employers Casualty Company 23612 DE Nautilus Insurance Company 17370 AZ .
Continental Life Insurance Company of Brentwood, Tennessee P.O. Box 742179 Atlanta, GA 30374-2179 Continental Life Insurance Company of Brentwood, Tennessee P.O. Box 791369 Baltimore, MD 21279-1369 Mailing address for RENEWAL PREMIUMS ONLY: Send all other policyholder correspondence to: Continental Life Insurance Company of Brentwood, Tennessee
Continental Divide Insurance Company (CDIC) Cypress Insurance Company (CYP) Finial Reinsurance Company (FRC) . National Liability & Fire Insurance Company (NLF) Oak River Insurance Company (ORIC) Redwood Fire and Casualty Insurance Company (RFC) SCOPE OF EXAMINATION : This examination was conducted pursuant to and in accordance with both the NAIC
Aetna Health Insurance Company (AHIC) American Continental Insurance Company (ACI) Continental Life Insurance Company of Brentwood, Tennessee (CLI) *"A" is the third highest rating out of sixteen possible ratings by A.M. Best Company (As of December 6, 2017). Founded in 1899, A.M. Best Company is the world's oldest and most .
ANNUAL REVIVAL, ANNIVERSARY, AND INSTALLATION SERVICE REVIVAL SERVICE Wednesday, November 28, 2012 – Friday, November 30, 2012 7:00 P.M. - NIGHTLY THEME: “Changing the Method, Not the Message” 1 Corinthians 9: 20-23 ANNIVERSARY AND INSTALLATION SERVICE Sunday, December 2, 2012 4:00 P.M. THEME: “Changing the Method, Not the Message” 1 Corinthians 9: 20-23 Fort Foote Baptist Church .
