Golden Rule HSA

Plans at a Glance:                         

This chart only summarizes standard covered expenses, exclusions, and limitations of each plan.  To be considered for reimbursement, expenses must qualify as covered expenses.  Expenses are also subject to reasonable and customary limits, unless you use a network.  For complete details on each plan, please view the Golden Rule plan description pdfs:

HSA 100    |  HSA Saver

Policy Forms C-006.3, C-006.4, or state variation.  This information is presented only as a very brief overview of some of the benefits of this plan, and is intended only for general education.  The amount of benefits provided depends on the plan selected. Premium will vary with the type of benefits selected.  These plans contain exclusions from and limitations of coverage.  Please see the product brochure for more complete information, as well as information about terms of renew ability, preexisting conditions, out-of-network penalties, and notification requirements.  Plans are subject to health underwriting.  To be considered for reimbursement, expenses must qualify as covered expenses.  Expenses are also subject to reasonable and customary limits, unless you use a network, and all other policy provisions, including determinations of medical necessity.

Coverage Synopsis:

Golden Rule HSA 100

This plan covers 100% of covered expenses after the deductible, including doctor office visit fees, prescription drugs, diagnostic testing, and hospitalization and surgery, up to $3,000,000 per covered person.  There are no copays for doctor visits, but the annual deductible must be met before they are covered.

Golden Rule HSA Saver

This plan works like the Golden Rule HSA 100, with reduced benefits for outpatient care (see chart above).

Except in CT and DE, these plans are available only to members of FACT.  If you are not already a member of FACT, you must join in order to be eligible for these plans.  For more information on the benefits of FACT membership, visit www.fact-org.org.  Golden Rule Insurance Company Estimated Base Monthly Premiums do not include the mandatory $3 per month dues for membership in the Federation of American Consumers and Travelers (FACT), an independent consumer organization.

Optional Benefits:

NEW! Preventive Care Benefits Package

Golden Rule now offers you the choice of additional coverage for adult and child preventive care services with any of our Preferred Network health insurance plans.  If elected, this option replaces preventive care benefits otherwise included within the plan.  This package waives the deductible and provides 100% for the following covered expenses:

• Routine well child care visits through age 18
• Childhood immunizations
• Adult preventive care age 19 and older (12 month wait on adult preventive care) - $35 copay, then 100% in network - benefit limited to $300 per calendar year
• Mammogram, PAP smear, and PSA test - 100% in network; deductible does not apply

Some preventive care benefits are already included in our health plans as required by state law - for complete details, see the Golden Rule brochure 

Hospital Indemnity Rider

The optional HSA Hospital Indemnity Rider is designed to help protect against major hospitalization expenses during the early months of coverage while cash accumulates in your savings account.

The HSA Hospital Indemnity Rider provides a lump-sum cash benefit on the third day of hospital confinement. This money can be used to help pay your deductible or for any other purpose.

The cash benefit amount depends on your deductible amount and decreases over time (see table).

The optional rider pays once, regardless of the number of hospitalizations, and there are no benefits under this rider if the hospitalization would not have been covered by the medical coverage.

(Note: HSA Hospital Indemnity Rider is not available for plans with $1,000 or $2,000 deductibles.)

Term Life Benefit

Rate Information:

Preferred rates without options are available on our instant quote page.  These rates do not include optional benefits such as term life, supplemental accident, maternity, and Rx options.  Rates depend on gender, family size, smoking status, zip code, and health status.

The premium can be paid via quarterly billing, or a monthly bank draft.  The bank draft will occur on the premium due date each month.  The initial premium can be paid with a check or credit card.

Network:

In most parts of the country, Golden Rule utilizes the United Health Care network, one of the largest and most well respected networks of doctors and medical facilities across the nation.  To find out which network is available to you in your area, please visit the Golden Rule Network.

Underwriting:

The underwriting usually takes two to four weeks, though it could take longer if medical records are requested.  Certain conditions may be excluded with a temporary rider (usually for one to two years), or an indefinite rider.

Golden Rule Insurance Company will typically call the applicant by phone to verify information on the application.

It is standard practice to request a Blood Pressure Inquiry on all applicants who are currently being treated for or who have recently discontinued treatment for high blood pressure.

Effective dates:

For injuries, the effective date for a mailed application will be the later of: (a) the requested effective date, if any, shown on the application; or (b) the date upon which the application is actually received by Golden Rule at its home office.

The effective date for illnesses will be the same as for injuries if you are replacing prior coverage within 62 days of application for this coverage and disclose replacement information on the initial application for insurance.  If replacement information is not disclosed on the initial application for insurance, the effective date for illnesses will be the 15th day after the effective date for injuries.  Illnesses that begin prior to that 15th day will be treated as a preexisting condition and will not be covered until the individual has been a covered person for 12 months.

About Golden Rule Insurance Company:

Golden Rule Insurance Company is a major provider of health insurance for groups and individuals, life insurance, and annuities.

Golden Rule has been recognized by Ward Group as one of the 50 Life-Health "Top Performers" -- companies that have done the best job of balancing financial safety, consistency, and performance over the past five years, as published on www.wardinc.com, August 23, 2005.  Golden Rule has made the Benchmark 50 Group for eight consecutive years.

Golden Rule is rated "A" (Excellent) by A.M. Best, and "A+" (Strong) by Standard & Poor's.  These world-wide independent organizations examine insurance companies and other businesses, and publish their opinions about them.  These ratings are an indication of Golden Rule's financial strength and stability.

Find out more about Golden Rule by visiting www.goldenrule.com.