About the SPE Insurance Program
he insurance plans in the SPE Group Insurance Program are underwritten by some of Americas most recognized names in insurance.
New York Life Insurance Company
New York Life Insurance Company (51 Madison Ave., New York, NY 10010) underwrites the Group Term Life Insurance, First-to-Die Life Insurance, 10-Year Level Term Life Insurance, Disability Insurance, Comprehensive HealthCare Insurance, HSA Qualified Health Insurance, and Catastrophic Major Medical Insurance Plans. Founded in 1845 and a recognized leader in the association group insurance field, it is one of the largest and most respected life insurance companies in the nation. It has consistently received among the highest ratings from the leading independent rating services: A.M. Best, Fitch Ratings, Standard and Poor's and Moody's Investor Services.
New York Life and AGIA are licensed to conduct business in the 50 United States, the District of Columbia, and Canada. New York Life is domiciled in New York State and its NAIC identification number is 66915. AGIA is domiciled in the state of California and its license number is 0155705.
The SPE Insurance Plans underwritten by New York Life are generally available in all 50 states and the District of Columbia. The major medical plans are not currently available in the states indicated in the Eligibility Requirements sections of the Comprehensive HealthCare, HSA Qualified and Catastrophic Major Medical Plan descriptions.
The Broker of Record is:
F. Michael Strunk
P. O. Box 511385
Punta Gorda, FL 33951-1385
Phone: 941-639-3333
CA License #0C30823
Residents of Florida:
F. Michael Strunk is a licensed Florida agent for service of Florida residents.
Aetna Life Insurance Company
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite, or administer dental coverage include Aetna Life Insurance Company, Aetna Health Inc., Aetna Dental of California Inc., and Aetna Dental Inc. Aetna's corporate headquarters are located at 151 Farmington Avenue, Hartford, CT 06156.
Monumental Life Insurance Company
The SPE
High-Limit Accident Insurance Plan,
In-Hospital Insurance Plan, and
Cancer Expense Insurance Plan, and
are underwritten by Monumental Life Insurance Company of Cedar Rapids, IA. Monumental Life is currently rated "A+" (Superior—2nd out of 16) as of 5/30/07 by A.M. Best Company, leading independent analysts of the insurance industry. This rating attests to the company's financial strength and operating performance. Monumental Life is also currently rated "AA" (Very Strong—3rd out of 21 categories) by Standard & Poor's Insurance Rating Services. This rating attests to the company's claims paying ability. Ratings are current as of 06/21/07.
(702-01)
Medicare Supplement Plan
for Members Enrolled in Parts A and B of Medicare
Depending on your state of residence, the SPE Medicare Supplement Plan is provided by Monumental Life Insurance Company, Transamerica Life Insurance Company, and in New York, Transamerica Financial Life Insurance Company.
The Committee on Group Insurance has long recognized its senior members need for quality health insurance to supplement Medicare. While Medicare was never designed to pay all health care costs, a Congressional study reveals that people age 65 and over pay nearly one-fifth of those costs out of their own pockets.* And, with increasing deductibles, co-payments and other out-of-pocket costs seniors must pay, having Medicare Supplement insurance coverage is more important today than ever.
There are 10 Medicare Supplement options available to members.** But which of these 10 insurance plans is right for you? There is no single "best choice." The insurance plan that is best for you is the one that most closely meets your specific personal needs. Each insurance plan provides a different level of protection - so you can compare them and fit them to your personal needs and budget.
For more detailed information about these and other plans, please write or call the National Service Center. All 10 plans are available in most states.
Medicare Supplement Processing Dept.
P. O. Box 1340
Valley Forge, PA 19482-9946
Telephone Toll-Free:
1-800-247-1771
* Prospective Payment Assessment Committee,
Report to the U.S. Congress, June, 2000.
** Not available in Massachusetts or Wisconsin.
Important Notice
How New York Life Underwrites Your Request for Group Life and Disability Insurance Coverage
Information regarding insurability will be treated as confidential. In considering whether the persons in your request for insurance qualify for coverage, we will rely on the medical information you provide, and on the information you authorize us to obtain from your doctor, other medical practitioners and facilities, and other insurance companies to which you have applied for insurance. New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a "need to know" basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved.
If we cannot provide the coverage you request, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Although we cannot provide you with any medical information in our files, we will, upon written request, provide such information to a physician you designate. (Note: in certain jurisdictions, you may choose to receive medical information directly.) The following also applies to residents of New Mexico: In addition, *PROTECTED PERSONS have a right of access to certain **CONFIDENTIAL ABUSE INFORMATION we maintain in our files and they may choose to receive such information directly. You have the right to register as a *PROTECTED PERSON by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth and address.
If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life.
*PROTECTED PERSON means a victim of domestic abuse: who has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person.
**CONFIDENTIAL ABUSE INFORMATION means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate of a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.
Important Information From New York Life Insurance Company:
New York Life Insurance Company reserves the right to request medical information to determine an applicants medical eligibility for coverage. Based on the age of the person proposed for insurance and the amount of coverage requested, a physical examination, EKG, blood test or other information may be required. Not all applicants will have to supply additional information. However, if it is required, we will arrange for an independent professional paramedic to contact you to perform these simple tests at your convenience. The exam and blood test are free of charge.
IMPORTANT REPLACEMENT INFORMATION FOR RESIDENTS OF NEW YORK
It may not be in your best interest to replace existing life insurance policies or annuity contracts in connection with the purchase of a new life insurance policy, whether issued by the same or a different insurance company. A replacement will occur if, as part of your purchase of a new life insurance policy, existing coverage has been, or is likely to be, lapsed, surrendered, forfeited, assigned, terminated, changed or modified into paid-up insurance or other forms of benefits, loaned against or withdrawn from, reduced in value by use of cash values or other policy values, changed in the length of time or in the amount of insurance that would continue, or continued with a stoppage or reduction in the amount of premium paid. Prior to completing a replacement transaction, you may want to the contact he insurance company or agent who sold you the life insurance or annuity contract that will be replaced, to help you decide whether the replacement is in your best interest.
Important Notice
How New York Life Underwrites Your Request for Group Health Insurance Coverage
Information regarding insurability for standard rate classifications will be treated as confidential. In considering whether the persons in your request for insurance qualify for standard rates, we will rely on the medical information you provide, and on the information you authorize us to obtain from your doctor, other medical practitioners and facilities, and other insurance companies to which you have applied for insurance. New York Life may use or disclose this information only as described in the HIPAA NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION, which you will be provided. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a need to know basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for standard rates can be approved.
If we cannot provide you with standard rates, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Generally, medical record information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. The following also applies to residents of New Mexico: In addition, *PROTECTED PERSONS have a right of access to certain **CONFIDENTIAL ABUSE INFORMATION we maintain in our files and they may choose to receive such information directly. You have the right to register as a *PROTECTED PERSON by sending a signed request to the Administrator at the address listed on the application. Please include your full name, date of birth and address.
We will advise you of your rate classification and let you know when coverage will become effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life.
New York Life Insurance Co.
51 Madison Ave.
New York, NY 10010
*PROTECTED PERSON means a victim of domestic abuse who: has notified us that he/she is or has been a victim of domestic abuse; and who is an insured person or prospective insured person.
**CONFIDENTIAL ABUSE INFORMATION means information about: acts of domestic abuse or abuse status; the work or home address or telephone number of a victim of domestic abuse; or the status of an applicant or insured as family member, employer or associate of a victim of domestic abuse or a person with whom an applicant or insured is known to have a direct, close, personal, family or abuse-related relationship.
About the Insurance Program's Administrator
AGIA is recognized as a leader in association group insurance because their approach is simple - they take care of the details so their clients dont have to. The secret to AGIAs customer service is what happens behind the scenes. Their staff knows each plan inside and out and stays on top of insurance trends. Most importantly, AGIA trains its customer service representatives to treat insureds the way they would want to be treated. AGIA is located in Carpinteria, California, and has been administrator of the Insurance Program since October 1996. Their toll-free number is 1-800-337-3140. Correspondence can be sent to the SPE Insurance Program, P. O. Box 189, Santa Barbara, CA 93102-0189, or you may reach them by email at speinsurance@agia.com
For More Complete Information...
The complete terms and conditions of the SPE Group Insurance Program are set forth in the various group policies under which the insurance is provided.
This Guide contains a partial description of some of the principal provisions and definitions of the proposed insurance coverage. The complete terms, conditions and limitations are set forth in the group policies issued by the respective insurance carriers. Insured members will receive a certificate summarizing their benefits.
These Plans are subject to rate changes on any policy anniversary or premium due date. Once you are enrolled in a Plan, your premium payments are due on each renewal date.