FAQs

  1. What is Permanent Life Insurance + Long Term Care (LTC) benefits and what does it cover?

    The policy provides a Permanent Term Life Insurance policy with a Long Term Care rider, guaranteed to age 121. It combines the benefits of both Life Insurance protection for your family along with living benefits, which can be utilized to help pay for long term care such as home healthcare, adult day care, assisted living facilities and nursing home expenses. Long Term Care is personal care - help with everyday activities such as bathing and dressing (also known as "Activities of Daily Living”) and/or care for severe cognitive impairments like Alzheimer’s Disease or Dementia.

  2. How does the Long Term Care Benefit pay?

    When qualifying for Long Term Care and satisfying a 90 day elimination period (waiting period), 4% of the death benefit is paid monthly for professional care and 2% of the death benefit is paid monthly for informal care (from a spouse or non- licensed individual). For applicants through age 70, the maximum Long Term Care benefit is equal to 2X the death benefit. For applicants 71 to 75, the maximum Long Term Care benefit is equal to the death benefit.

  3. What is the Elimination Period?

    The first 90 days of professional caregiving or family caregiving for which no benefits are payable. The Elimination Period only needs to be satisfied once.

  4. Can the plan provide LTC benefits for care provided by unlicensed / informal caregivers such as family or friends?

    Yes, you may use a family member or friend as your caregiver. Once your claim has been approved, the policy would pay 2% of your death benefit to you each month up to your policy limits for you to pay for your care in your home or a caregiver’s home.

  5. Do premiums continue when on LTC claim?

    The plan has Waiver of Premium, which means that while you receive LTC benefits, all premiums are waived.

  6. Where does the plan pay for care?

    If you qualify for LTC benefits, where you receive care is up to you (at home, assisted living, adult day care, nursing home).

  7. Will the plan pay for care outside of the US?

    The Trustmark Life + Care policy will only pay for LTC benefits for care received in the United States. Death benefits are paid anywhere in the world.

  8. How is the death benefit structured?

    The death benefit is structured to pay in full during your working years and reduces to 1/3rd of the original death benefit at the later of age 70 or 10 years after the Certificate Effective Date.

    Note: The Long Term Care benefit which is equal to 2X the original death benefit never reduces until LTC payments begin and will continue until and unless the original LTC maximum benefit is exhausted (paid out in full).

  9. Does the death benefit reduce as LTC payments are made?

    For applicants through the age of 70, your Certificate of Coverage includes Restoration of Death Benefit. This restores the death benefit as LTC payments are made which guarantees a death benefit to age of 121, as long as premiums are paid and the policy remains in force.

  10. Does the policy build up cash value?

    No. This policy is a term life insurance policy that does not build up any cash value.

  11. How is my rate determined?

    This insurance offers unisex rates based on your age as of the policy effective date, tobacco usage and coverage amount selected.

  12. What is the difference between Long Term Care and Long Term Disability insurance?

    Long Term Care benefits helps cover the cost of a nursing home, assisted living, adult day care or home health care if you become unable to care for yourself. Long Term Disability insurance replaces a portion of the income you will lose if you are unable to work because of an injury or illness.

  13. Can my premiums increase in the future?

    Once coverage has been issued, rates can never increase and coverage is guaranteed for life (to age 121) as long as premiums are paid.

  14. When will my policy be effective?

    Policies will be effective on 1/1/2025.

  15. When will my first premium payment occur?

    Your first premium payment will be deducted from your paycheck on 1/3/2025.

  16. Can I pay the monthly premium with a credit card?

    No. The premiums will be deducted directly from your paycheck.

  17. What is my 30-day Free Look Period, and when does it begin?

    You may return your certificate within thirty days after delivery if you are not satisfied with it for any reason. Upon surrender of the certificate within the thirty-day period, it will be void from the beginning and any premium paid will be refunded.

  18. What if I cancel my plan outside of the 30-Day Free Look Period? Do I get my money back?

    If an insured cancels the policy after the 30-Day Free Look Period, there will be no refund of any premiums paid.

  19. Does as an employee have to answer any medical questions?

    During the initial enrollment period, applicants 18-70 can apply with Guarantee Issue (no medical questions) for all amounts up to $150,000 in life insurance including $300,000 in LTC benefits.

    Applicants aged 71 through 75 will be asked 3 knockout questions, if your answer is “yes’’ to any of the questions you are not eligible for coverage. See question #21 below.

  20. Can I add my spouse?

    Yes, spouse/domestic partner aged 18 to 70 is eligible to apply if the employee applies for coverage. The spouse/domestic partner can apply for a policy amount up to 100% of the employee’s coverage amount not to exceed $100,000 in life insurance including $200,000 in LTC benefits.

    The spouse/domestic partner will need to answer one question to qualify for coverage up to $20,000 in Life Insurance including $40,000 in LTC benefits:

    If your spouse/domestic partner also works for Community Medical Centers, they should apply separately as an employee to qualify for Guarantee Issue underwriting (no health questions).

  21. Employee and spouse underwriting questions.

    Coverage Type Employee Spouse Age Life Insurance Benefit Selected Underwriting Questions
    Employee Guarantee Issue 18 – 70
    $10,000 - $150,000
    		No Health Questions Required
    Spouse One qualifying question 18 – 70
    $10,000 - $20,000
    1. Is the proposed insured now disabled – i.e., unable to engage in normal activity due to physical or mental impairment?
    Employee Modified Guaranteed Issue
    18 – 70
    71 – 75
    $150,001 - $200,000
    $10,000 - $200,000
    1. Is the proposed insured now disabled – i.e., unable to engage in normal activity due to physical or mental impairment?
    2. Has the proposed insured been seen by a physician or treated in a medical facility, including a doctor’s office, within the last 6 months for illness or disease (other than flu, colds, or HIV)?
    3. Has the proposed insured had within the past 5 years: heart disease; chest pains; high blood pressure; stroke; diabetes; cancer; tumor; kidney disease; blood disorder (excluding any testing for HIV antibodies); liver disease; lung disease; or other known health impairments?
    Spouse Modified Guaranteed Issue 18 – 70
    $20,001 to $100,000

  22. What are the policy exclusions?

    Life Insurance Suicide Exclusion:
    • If the insured commits suicide, while sane or insane, within two years from the Certificate Effective Date, and while this coverage is in force, Trustmark will not pay the Death Benefit and payment will be limited to the total amount of premiums paid for this coverage.

    LTC Exclusions and Limitations:
    • If the insured commits suicide, while sane or insane, within two years from the Certificate Effective Date, and while this coverage is in force, Trustmark will not pay the Death Benefit and payment will be limited to the total amount of premiums paid for this coverage.
    • Suicide, while sane or insane, attempted suicide or intentionally self-inflicted injury;
    • War or act of war, declared or undeclared;
    • While participating or attempting to participate in a felony, riot or insurrection, whether or not You are charged with a crime;
    • Due to alcohol or drug addiction, unless the addiction results from administration of drugs for treatment prescribed by a Licensed Health Care Practitioner;
    • Due to mental, psychoneurotic or personality disorders without clinically diagnosed organic disease. However, nervous or mental disorders which are caused by clinically diagnosed organic disease, such as Alzheimer’s Disease and related degenerative and dementing illnesses are covered;
    • Service in the armed forces;
    • Services that are paid or payable under Medicare. This includes any amounts that would be covered under Medicare, except that they are subject to a Medicare deductible or coinsurance of some kind;
    • Incurred while residing or confined outside of the United States; or
    • Professional Caregiving where:
    • Treatment is provided in a government facility, unless otherwise required by law;
    • Services are paid by any state or federal worker’s compensation;
    • Services are covered by employer’s liability or occupational disease law, or any motor vehicle no fault law;
    • Services are provided by a member of Your Immediate Family; or
    • There is no cost to You.

    Pre-existing Condition Limitation
    • This Rider does not pay benefits due to a Pre-existing Condition when Your inability to perform Activities of Daily Living or Your Severe Cognitive Impairment starts before or during the first 6 months after the effective date of this Rider.