HealthFlex Limited Benefits Plan members are covered by group insurance benefits. The group insurance benefits vary depending on plan selected. These benefits are underwritten by The United States Life Insurance Company in the City of New York, a member company of American International Group, Inc., NAIC # 70106, domiciled in New York state with their principal place of business located at 830 Third Avenue NY, NY 10022-6565, licensed in all states, plus DC. These benefits are provided under the Group Accidental Death and Dismemberment and Medical Care Insurance Policy (Form No. G-19000) issued to Protective Marketing Enterprises, Inc. and are subject to the exclusions, limitations, terms and conditions of coverage as set forth in the Certificate of Insurance provided in your membership materials. The Hospital Stay Benefits, Intensive Care Unit benefits, Doctor's Visit Benefits, Surgical Benefits, Emergency Room Benefits and Ambulance Benefits are not provided for loss due to a pre-existing condition for 12 months from the Covered Person's effective membership date and are not provided for members over the age of 64. The Accident Disability Benefit is not provided for members over the age of 69. This is not basic health insurance or major medical coverage and is not designated as a substitute for basic health insurance or major medical coverage. This is a limited accident and health indemnity insurance plan that provides for limitations to the coverage for each benefit. In addition, Hospital indemnity plans are exempt from coordination of benefits provisions.
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