Hospital Cash

Changes that apply to both BaseLine Hospital Cash and the non-contributory option under the FlexLine Hospital Cash in NY State:

1. Addition of spouse/partner and dependent coverage¹
2. Benefit Level* changes:
   • Metro NY benefit level: $240/day*
     (Manhattan, Queens, Bronx, Kings, Richmond, Nassau, Suffolk, Westchester, Rockland)
      
   • Non-Metro NY benefit level: $165/day*
     (all other NY counties and employees of NY policyholders who live outside NY State)

         The benefit level is based on the employee’s (certificate holder’s) place of residence, regardless of
         where covered family members live. 
 
           *Hospital Cash benefit for an unlimited continuous number of days per hospital stay; Skilled Nursing Facility Stay
             is limited to a max. of 30 consecutive days.
           **These are the state-mandated maximum regional benefits.
 
 
What this means for BaseLine Hospital Cash in NY State

• The Metro NY benefit increases to $240/day.
• Spouse/partner and dependents are now automatically included in the coverage – remaining at $3.95 PEPM and still as easy as ever: no roster or enrollment forms required, simply check the box at time of DBL/PFL application.

 
Fill in the form on the right to download our updated BaseLine brochure.
 
 
What this means for non-contributory FlexLine Hospital Cash in NY State
While the rate remains at $4.05 PEPM (before any multi-line discount), the underwriting requirements for the non-contributory option of our traditionally underwritten, FlexLine Hospital Cash change as follows:

• Spouse/partner and dependents are now automatically included¹.
• The benefit is set at the fixed metro and non-metro benefit levels outlined above.

If your clients prefer employee only coverage or a different benefit level, they can choose those on a contributory and voluntary basis (benefit levels can be set in $5-increments, from $100/day to the state-mandated metro and non-metro caps shown above).
 

What this means for Contributory/Voluntary FlexLine Hospital Cash in NY State
The contributory and voluntary options of our traditionally underwritten FlexLine Hospital Cash are not impacted².
 
Fill out the form on the right to download our updated FlexLine brochure and learn more about how BaseLine and FlexLine compare.
 

Got Hospital Cash coverage in NY State?
You will receive a policy amendment to be attached to their policies and a certificate amendment to be distributed to their employees soon. 
 

Questions?
Contact Sales at sales@shelterpoint.com or reach out by telephone 1-800-365-4999.

This information is for producer (agent and broker) use only.  It is not intended for viewing by the general public. The information in this material is not intended as an offer of coverage. It is for illustrative purposes only, providing a general overview of featured benefit highlights provided under the policy.  It is not a contract.  In the event of conflicting information with the policy/certificate, the policy/certificate will take precedence over what is shown in this material.   All coverage extends up to policy limits.  Policies are reviewed annually and may be cancelled for nonpayment.  Please refer to the policy for coverage details, a complete listing of covered services, policy provisions, conditions, exclusions, and terms under which the policy may be continued or cancelled.  Not available in all jurisdictions. ShelterPoint is a registered Service Mark.

This policy has exclusions and limitations.  For costs and complete details of the coverage, call or write your insurance agent/broker, or the company, as applicable. The policy described in this material covers Limited Hospital Cash benefits only.  

New York Disclaimer: The policy described in this material covers Hospital Cash benefits only.  IT DOES NOT PROVIDE BASIC HOSPITAL, BASIC MEDICAL OR MAJOR MEDICAL INSURANCE AS DEFINED BY THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES. LACK OF MAJOR MEDICAL COVERAGE (OR OTHER MINIMAL ESSENTIAL COVERAGE) MAY RESULT IN AN ADDITIONAL PAYMENT WITH YOUR TAXES. 
¹ Benefit for spouse/partner and/or dependent is 100% of the employee's benefit level.
² Benefit for spouse/partner and/or dependent is 50% of the employee's benefit level.
 
 BaseLine Notice: Unlike DBL, Hospital Cash coverage end on the employee’s termination date, and claims incurred after that date will not be honored. Employment verification takes place at the time of claim submission. Additional employment verification is required for hospital stays of more than 10 days (Hospital Cash).
 
BaseLine version available in New York only. Availability and plan designs of FlexLine versions may vary by state.
 
Policies available in and underwritten by:
ShelterPoint Life Insurance Company (principal office in Garden City, NY) in: NY, MI
ShelterPoint Insurance Company (licensed in 48 jurisdictions, not including NY) in: all other states where available
This material applies to: NY only (SPL GHC115P)