5759z NS 07/20
Accident Form Series includes GBD-2000, GBD-2300, or state equivalent.
Accident Form Series includes GBD-1000, GBD-1300, or state equivalent.
Critical Illness Form Series includes GBD-2600, GBD-2700, or state equivalent.
Disability Form Series includes GBD-1000, GBD-1200, or state equivalent.
Life Form Series includes GBD-1000, GBD-1100, or state equivalent.
Hospital Income Plan Form Series includes GBD-2800, GBD-2900, or state equivalent.
1 THESE POLICIES PROVIDE LIMITED BENEFITS. These limited benefit plans (1) do not constitute major medical coverage, and (2) do not satisfy the individual mandate of the Affordable Care Act (ACA) because the coverage does not meet the requirements of minimum essential coverage. In New York: The Hospital Indemnity and Critical Illness policies provide limited benefits health insurance only. The Disability policy provides disability income insurance only. The Accident policy provides ACCIDENT insurance only. IMPORTANT NOTICE—THE ACCIDENT POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS. These policies do NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services.