Critical Illness Insurance

A critical illness can come in many forms, leaving employees unable to work and provide for themselves and their families. So, when employees fall ill with a critical illness, they deserve help protecting their finances and their loved ones’ futures. 

Transamerica’s critical illness insurance is modernized with expanded, customizable benefits and benefit amounts, as well as increased flexibility to select benefits that best meet the needs of your workforce. 

A supplement to major medical insurance, Transamerica’s critical illness insurance is a flexible option that pays a lump-sum benefit that can be used to offset out-of-pocket costs not covered by major medical. You can also add a number of additional benefit options to provide additional protection. 

• No lifetime benefit maximum
• No waiting period
• Benefits paid directly to the employee
• Streamlined billing and self-administration without the need to reconcile at the policy level
• Easy payroll-deducted premiums
• Family options available
• Portable if the employee leaves the company
• Guaranteed issue available 

Let us do the lifting. We save valuable employer and broker time by handling reconciliation and by offering simplified and streamlined billing, freeing up time to focus on your business. Plus, employees are less likely to encounter issues during claims. 

EMPLOYEE ELIGIBILITY 

To be eligible for insurance, an employee must be 18 years or older and: 

• Be actively employed, performing all regular duties at the place of business or another location directed by the employer
• Be continuously employed and meeting the minimum hourly and time requirements for benefit eligibility. These requirements will be defined on the Life and Health Group Application and Agreement.
• Provide satisfactory evidence of insurance to us, if required
• Be continuously employed for the amount of time and working the minimum amount of hours per week for your class as defined under Class Eligibility.
• Not be covered by any Title XIX program such as Medicaid 

SPOUSE ELIGIBILITY 

To be eligible for insurance, a spouse must be 18 years or older and: 

• Be a legally married spouse, common law marriage partner, domestic partner, or civil union partner, if legally recognized in the governing jurisdiction or as otherwise agreed upon between the employer and us 
• Not be eligible as an insured under the policy 
• Provide satisfactory evidence of insurance to us, if required 
• Not be covered by any Title XIX program such as Medicaid 

CHILD ELIGIBILITY 

To be eligible for insurance, a child must be under the age of 26 and be any of the following: 

• A natural child 
• A legally adopted child or child who has been placed for adoption with the employee 
• A stepchild or foster child 
• A grandchild who lives with the employee 
• A child for whom the employee has been appointed legal guardian 
• A child for whom the employee is legally required to provide support 

Child must also not be covered by any Title XIX program such as Medicaid and provide satisfactory evidence of insurance to us, if required. 

Insurance for child dependents may continue beyond the maximum age in the event of mental or physical impairment. Proof of incapacity and conditions may vary by state. 

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