1. Customer
  2. Plans Plans
  3. Enrollment
  4. Confirmation

Zip Code: {{userDemographics.Addresses[0].Zip}} Effective Date: {{userDemographics.EffectiveDate | date:"MM/dd/yyyy" : 'UTC'}} Primary: Spouse: {{applicant.Gender===1 ? "Male" : "Female"}} smoker, {{ applicant.AgeAsOfRequestedEffectiveDate }} Dependent(s): {{userDemographics.NumberOfChildren}} STM Rewrite: Yes

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Term must be between 30-89 days.

 

Termination date is required.

Invalid Termination date.


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Deductible
Coinsurance
Max OOP
Cost Cost
 
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${{getPremium(planGroup.deductible, planGroup.selectedPlan, planGroup.planType) | number:2}}
 

Plan Details, Limitations & Exclusions
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Select your Supplemental coverages

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Plan Details, Limitations & Exclusions
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Monthly:

If you select Monthly, your insurance premium will be withdrawn from your account monthly for the duration of your coverage. Premium is withdrawn five days prior to your plan's monthly anniversary date.

Single Payment:

If you select Single Payment, your non-refundable insurance premium will be withdrawn from your account in one lump-sum. The lump-sum withdrawal equals the total premium amount for the duration of your coverage.

A full premium refund is available for single-pay plans if the insured requests cancellation within 10 days of receipt of the policy.

L.I.F.E . Association Membership:

If you have a L.I.F.E. Association Membership, your Association dues will be withdrawn from your account monthly, five days prior to your membership's monthly anniversary date.

This is the date your Short Term Medical insurance coverage ends.

Does your client qualify for a Standard Issue Short Term Medical Plan?