Learn more about the Tri-Agency rule
Learn more about the Colorado Fixed Indemnity Policy NoticeYour Hospital Indemnity Insurance includes the following benefits:
An admission benefit is payable once per confinement for admission to a covered hospital. Only one type of confinement or admission benefit is payable per day.
A daily confinement benefit is payable starting day 2 of your confinement in a covered hospital. Benefits are payable for a total of 30 days for a period of confinement. Only one type of confinement or admission benefit is payable per day.
A benefit payable once per year, that is paid for at least 4 consecutive hours but less than 20 consecutive hours, other than as an inpatient. Not payable for any day that a facility confinement or admission benefit is payable.
Admission and confinement benefits are available for your newborn child if you elect Children's Hospital Indemnity insurance before your baby is born or within 30 days of your baby's birth date. A one-time flat amount and intensive care benefits are available if your newborn is not enrolled in child coverage.
Voya Cares® is not insurance coverage. It is a service offered through the Voya family of companies.
Group Name: Texas Health Resources
Group Number: 0075176-6
Certificates
Review this document for a complete overview of benefits
What is Hospital Indemnity Insurance?
Hospital Indemnity Insurance pays a daily benefit if you have a covered stay in a hospital*, critical care unit** or rehabilitation facility**, on or after your coverage effective date. The benefit amount is determined based on the type of facility and the number of days you stay. This is a limited benefit policy. Hospital Indemnity Insurance is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.
How can Hospital Indemnity Insurance help?
You can use the benefit however you would like. While coverage amounts may vary, below are a few examples of how you could use your benefit:
Why should I enroll through my employer?
Premium amounts are deducted from your paychecks, so you don’t have to worry about paying another bill.
Can I purchase coverage for my spouse and child?
Coverage is available for your eligible spouse and your eligible children up to age 26* as defined in the certificate of insurance and riders, if employee coverage is elected.
How much does it cost?
The cost of Hospital Indemnity Insurance varies. Please refer to your enrollment materials or contact your employer.
Do I need to provide health information when I apply?
No. There are no medical questions you need to answer or medical tests to take in order to get coverage. Pre-existing condition limitations may apply.
If an employee’s spouse and/or child also works at the company and is covered as an employee, are they also eligible for coverage under the Spouse and/or Child Rider?
No. If your spouse is covered under the policy as an employee, then your spouse is not eligible for coverage under the Spouse rider. Likewise, if your child is covered under the policy as an employee, then your child is not eligible for child coverage under the Child Rider.
See the certificate and any riders for a complete description of benefits, exclusions and limitations.
A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of insurance and riders. All coverage is subject to the terms and conditions of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. To keep coverage in force premiums are payable up to the date of coverage termination. Hospital Confinement Indemnity Insurance is issued and underwritten by ReliaStar Life Insurance Company (Minneapolis, MN), a member of the Voya® family of companies. Policy form RL-HI2-POL-18; Certificate form RL-HI2-CERT2-24; Spouse Hospital Confinement Indemnity Rider form RL-HI2-SPR2-24; Children’s Hospital Confinement Indemnity Rider form RL-HI2-CHR2-24; Wellness Benefit Rider form RL-HI2-WELL2-24; Diagnostic Test Benefit Rider form RL-HI2-DGR2-24; Accident Benefit Rider form RL-HI2-ACD2-24; Critical Illness Rider form RL-HI2-CIR2-24; Waiver of Premium Rider form RL-HI2-WOP2-24. Continuation of Insurance Rider form: RL-HI2-CNT2-24; Absence from Employment Premium Waiver Rider form: RL-HI2-AEPW-24. Form numbers, provisions and availability may vary by state.
Louise and her husband are excited to welcome a new baby into their family. Louise returns home from the hospital with her baby daughter 2 days after her birth. The next week, she takes advantage of the open Qualified Life Event (QLE) window through her employer and enrolls her baby so that the baby is covered from the date of birth1. Louise already has Hospital Indemnity Insurance, so she files a claim for them both. Louise receives a benefit payment to help cover the out-of-pocket medical costs for their stay at the hospital.
| Hospital Indemnity Insurance benefits paid - Example Only2 | |
| Hospital Admission Benefit (Payable for the first day of hospital confinement, once per confinement) |
$1,200 for Louise + $1,200 for her newborn |
| Hospital Confinement Benefit (Daily Benefit amount of $100 per day - payable up to the maximum number of days indicated in your certificate) | $300 for Louise + $300 for her newborn |
| Total benefits paid | $3,000 |
1If you do not have Children’s coverage under the Child rider, and you acquire a new eligible Child due to birth, your eligible newborn Child may be covered under the terms of the Child rider from the date of birth if you elect Children’s coverage within a certain number of days from the birth of the child.
2This is shown for illustrative purposes only. Actual results may vary. Only one type of confinement benefit is payable for each day of eligible confinement. Other maximums and/or pre-existing condition limitations may apply. Average Hospital Indemnity Insurance claim paid from 1/1/2023 – 12/31/2023 was $1,609. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders.
