Companion Life Plans for 50 or Fewer Employees
| These plans are available to Franchise operators with 50 or less employees, including non-Choice properties. |
5k Plan |
10k Plan |
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| Outpatient Medical Expense Benefits 1 |
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Annual Maximum Benefits |
$5,000 |
$10,000 |
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Annual Maximum Benefits |
$1,500 |
$2,000 |
Doctor’s Office Visits |
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Per Visit Amount |
$75 |
$75 |
Diagnostic Laboratory & X-ray Procedures |
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Per Testing Day |
$100 |
$100 |
Emergency Room Visits |
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Per Visit Amount |
$450 |
$450 |
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Inpatient Medical Expense Benefits 1 (subject to annual maximum) |
Room & Board per day amount |
$200 |
$400 |
ICU per day amount |
$400 |
$800 |
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Prescription Drug Coverage Benefit |
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Per Prescription Amount |
$20 |
$20 |
Maximum Number of Prescriptions |
3 per month |
3 per month |
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Accidental Death Benefit |
Employee |
$10,000 |
$10,000 |
Spouse |
$5,000 |
$5,000 |
Dependent (6 months to 24 years) |
$5,000 |
$5,000 |
Dependent (15 days to 6 months) |
$1,000 |
$1,000 |
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Weekly Rates |
Employee |
$18.95 |
$26.95 |
Employee +1 |
$41.69 |
$59.29 |
Employee +Family |
$66.33 |
$94.33 |
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| 1. Policy for Surgical Schedule |
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Exclusions and Limitations »
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