William Penn Life, 1969 (4. évfolyam, 1-12. szám)

1969-02-01 / 2. szám

An Explanation of the Benefits of Our "Major Medical" Family Group Plan

Guaranteed Renewable to Age 65 or Prior Eligibility for Medicare Individual and Family Group Coverage

This plan covers loss to the Insured for hospital and surgical expenses incurred by the Insured or any covered family member as the result of accident or sickness which begins while the contract is in force.

Benefits on the wife and children may not be larger than on the father.

The Association will pay 75% of the eligible medical expenses incurred by a covered person within three years of the date of the first such expense, but not to exceed in the aggregate the Maximum Indemnity specified. Eligible medical expenses are those which are necessary to the treatment of an injury or sickness, which are incurred on the recommendation of a physician and which are at the regular and customary charge in that area.

Eligible medical expenses include:

1. daily room and board for confinement in a Hospital, except that any portion of such charges in excess of the Daily Room and Board Limit per day shall not be considered as Eligible Medical Expenses under this contract;

2. charges by a Hospital for medical services and supplies necessary to the care of the person confined;

3. anesthetics and the administration thereof;

4. fees of licensed physicians and surgeons for medical care and surgical operations;

5. nursing fees as follows:

(i) fees of graduate, registered nurses (R.N.), other than members of Insured’s household, for private duty nursing service;

(ii) fees of licensed practical nurses, other than members of the Insured’s household, for private duty nursing services rendered during confinement in a Hospital;

6. fees for X-ray examinations, microscopic or laboratory tests, and other diagnostic services;

7. fees for X-ray or radioactive therapy and physiotherapy treatments;

8. local transportation to or from a Hospital by professional ambulance service immediately preceding or following confinement in a Hospital;

9. medical supplies, as follows:

(i) drugs and medicines which require a written prescription of a physician and which must be dispensed by a licensed pharmacist or physician;

(ii) blood or blood derivatives;

(iii) artifical limbs or eyes;

(iv) casts, splints, trusses, braces, crutches or surgical dressings;

(v) rental of hospital-type equipment, including wheelchair, hospital type bed, iron lung or other mechanical equipment for the treatment of respiratory

paralysis and equipment for the administration of oxygen.

The Surgical Benefit pays the expense actually incurred for an operation or operations, but not to exceed the amount specified in the surgical schedule. Two operations performed at the same time will be paid on the basis of the largest amount specified for one of the operations.

Persons Eligible for Coverage: The Insured the Insured’s Spouse and any unmarried children under age 19 and dependent upon the Insured or the Insured’s spouse are eligible for coverage.

Any child bom to the Insured’s wife while coverage is in effect on both the Insured and the Insured’s spouse shall automatically become covered without charge on the fifteenth day following the date of birth or on the date of discharge from the hospital if later. Coverage shall continue without charge until the next premium due date. Thereafter the child shall

I am pleased to introduce to our membership the John T. Drew Agency which has been operating in the New Brunswick, Perth Amboy and Passaic areas from June 1968 through December 31, 1968. This agency in the first seven months of operation worked with four full-time agents and one agency manager, namely Mr. John T. Drew. During this time they produced $693,530.00 in life volume with a premium dollar production of $10,878.35 and $5,989.45 in Accident and Health and Hospitalization premium making a total of $16,867.80.

continue to be covered on payment of any required additional premium before the end of the grace period.

Automatic Expiration of Coverage: Coverage shall expire automatically at:

(a) Age 65 of the Insured;

(b) Age 65 of the Spouse;

(c) Age 21 of a child, or on prior marriage or age when a child ceases to be dependent;

(d) Age of eligibility for Medicare.

The spouse shall become the Insured on expiration of coverage on the Insured. All coverage shall terminate on expiration of coverage on the Insured and Spouse.

Premiums are determined by age at issue and remain level for the duration of the benefit period to age 65 or prior Medicare. Premiums are reduced on the termination of any benefit.

Successive periods of hospital confinement resulting from or contributed to by the same cause, if separated by a period of at least 6 months, shall be considered as separate periods of hospital confinement. For example, a cancer case involving repeated surgical operations would receive payment for each operation if the operations were more than 6 months apart.

The above photo shows the present size of this agency. On February 1, 1969, r. Martin Schwartz, who is well versed in the life insurance business, has been elevated to the position of Agency Manager in the Passaic area. Both Agency Manager Drew and Schwartz have set a high goal for the year 1969 and I feel sure that through the great efforts of these two men and the men under them, William Penn will benefit and grow.

Joseph Toma, F.I.C.

Supervisor of Agencies

INTRODUCING THE JOHN T. DREW AND MARTIN SCHWARTZ AGENCIES — BRANCHES 13 8C 19 and 51

TOP—left to right: Dave Goett, Jose Egues, Robert Maher, Harold Fuchs, Steve Petrillo, Frank Garcia. BOTTOM l.-r.s Jack Atanas, John T. Drew, Janet Robinson, Martin Schwartz, Mark Werner. ALL insurance consultants except John Drew Br. 16 & 19 and Martin Schwartz Br. 51 Agency Managers.

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