Who is the Plan Administrator?
MultiNational
Underwriters® (MNU), headquartered in Indianapolis,
Indiana, is a full service organization offering a
comprehensive portfolio of insurance products
designed specifically to address the insurance needs
of consumers worldwide. MNU's leadership team
contributes years of valuable experience, allowing
us to excel in both the domestic and international
insurance markets. Our international claims
specialists, medical professionals and client
relations specialists are available 24 hours a day,
7 days a week to answer your questions and respond
to your needs. Whether you have lost your luggage or
are in need of Emergency Medical Evacuation, you
will find our service team to be prompt,
compassionate, and highly professional.
Who is the Insurer?
Lloyd's, the largest and
oldest insurance market in the world, is the insurer
of CitizenSecureSM. Rated 'A' (Excellent)
by AM Best Company and 'A' (Strong) by Standard and
Poor's, Lloyd's provides financial strength and
security that is unparalleled in the worldwide
insurance market. Lloyd's is recognized as a market
leader in the accident and health insurance arena
and is well-known for its innovative products and
services. Presently, Lloyd's provides accident and
health insurance to millions of individuals in
almost every country of the world.
Which Coverage Area is Right for Me?
CitizenSecureSM
offers two coverage areas: including the US and
Canada and excluding the US and Canada. If you
desire worldwide coverage, select the "Including the
US and Canada" option. If you do not need or desire
coverage in the US or Canada, you may obtain lower
premiums by selecting the "Excluding the US and
Canada" option.
Am I Eligible for CitizenSecureSM?
CitizenSecureSM
is available to citizens of all countries of the
world who are at least age 14 days and not older
than age 74. If you are a US citizen, you must
reside outside the US, or plan to depart the US
within 30 days of the effective date. If you are a
US citizen, you must also reside outside the US for
at least 6 months within each Certificate Period.
Citizens of other countries may reside anywhere,
including their country of citizenship. Optional
Term Life Insurance is not available to residents of
the US, regardless of your citizenship.
Is Coverage Under CitizenSecureSM
Renewable?
Yes. CitizenSecureSM
products are annually renewable. There are no
medical questions at renewal. Renewal is only
subject to your continued eligibility and timely
payment of premiums. Your renewal premium will be
the same as all persons of the same Certificate
origination year, age and gender. If you purchase
coverage before you reach the age of 65, and
maintain coverage continuously for 10 years, subject
to continued eligibility, you will automatically be
eligible to apply for the CitizenSecureSM
Senior Plan with no medical questions.
CitizenSecureSM
Senior Plan
Eligibility for the
standard CitizenSecureSM plan ends at age
75, but for those members who joined before age 65
and have maintained coverage for at least 10 years,
the CitizenSecureSM Senior Plan is
available with no medical questions. The
CitizenSecureSM Senior Plan offers many
of the same great benefits and limits as the
standard CitizenSecureSM plan. The Senior
Plan deductibles available are $5,000, $7,500, and
$10,000. On the Senior plan, the Overall Maximum
Limit is reduced to $1 million. Additionally, the
Human Organ Transplant and Emergency Medical
Evacuation benefits are deleted.
How Do I Apply for CitizenSecureSM?
MultiNational Underwriters® offers a variety of easy
ways for you to apply for coverage.
Applying Online, by Fax, or by Mail
Complete the Application for Insurance and send it
with your initial premium payment to your agent or
to MultiNational Underwriters®. Remember, your
Application will become a permanent part of your
record as well as part of your Certificate of
Coverage. Answer each question thoroughly and
legibly. You may attach additional sheets if
necessary.
Within five business days of receipt of your
Application, you will be informed of whether your
Application has been accepted or of any additional
information required for continuing the evaluation
of your Application. If your Application is
accepted, you will be informed of the effective date
of coverage, and a fulfillment kit will be sent via
mail containing your Certificate of Coverage, an
identification card, a Claimant's Statement, and
instructions on how to use your insurance. In the
event that your Application is not accepted,
MultiNational Underwriters® will promptly refund
your premium.
Applying by Phone
You may apply over the phone by calling
1-800-388-6580 (toll free) or 1-239-591-1715. The underwriting
representative will gather your personal details,
benefit choices, and medical history and may be able
to notify you immediately of acceptance or
additional information needed. In some cases, your
application may be pended for additional medical
review. Within two business days following any
telephone application, an e-mail will be sent to you
regarding the status of your application and
requesting verification of your application. If you
do not meet the eligibility guidelines based on
information collected during the call, you will be
advised immediately.
What Should I Expect During the Underwriting
Process?
CitizenSecureSM is a medically
underwritten plan, which means that your family's
medical status and history will be used to determine
your eligibility for coverage. When Underwriting
reviews your Application, they will evaluate the
medical information that you provide and determine
whether coverage can be issued and if Riders are
necessary. These Riders allow Underwriting to issue
a Certificate by excluding coverage for specified
conditions.
Additionally, your premium may be impacted by your
tobacco and alcohol use, body build, and family
history details. If additional premium is due, you
will be notified after a medical underwriter has
reviewed the application.
Preferred Provider Network (PPO)
Coinsurance will be
waived for expenses incurred in the US within our
direct-pay PPO. Simply present your identification
card at the provider's office so that they may
contact us to verify benefits and billing
information. For your convenience, MultiNational
Underwriters® also offers an international network.
Both networks are searchable through Client Zone,
which is accessible with your Certificate number and
date of birth once coverage has been approved.
How Do I File a Claim?
Filing a claim is easy.
Once your Application is accepted, you will receive
a kit which contains Claimant's Statement and
Authorization forms. Just complete this Claimant's
Statement and Authorization form, attach original,
itemized bills, and forward them to MultiNational
Underwriters®. Be sure to complete your Claimant's
Statement entirely and sign it. If you have already
paid certain expenses, attach copies of your payment
receipts. You will be reimbursed for eligible
medical or dental expenses. In many cases,
MultiNational Underwriters® will make payments
directly to the hospital or physician that treated
you. Remember, you are responsible for the
deductible, coinsurance, and any ineligible charges.
Pre-certification
CitizenSecureSM
plans require Pre-certification, which simply means
that you must contact MultiNational Underwriters® as
soon as possible before a planned hospitalization or
surgical procedure, within 48 hours of an emergency
hospital admission, or within the first 90 days of
pregnancy. Pre-certification allows us to establish
contact and make payment arrangements with your
providers, negotiate discounts which will benefit
both you and us, pre-arrange future care, and plan
for your claim. Pre-certification helps us help you.
What Are the Plan Features?
Emergency Medical Evacuation:
CitizenSecureSM provides coverage for
Emergency Medical Evacuation to the nearest medical
facility qualified to treat your life-threatening
condition or potential loss of limb. All Emergency
Medical Evacuations must be approved in advance and
coordinated by MultiNational Underwriters®.
Emergency Medical Evacuations provide you with
access to care when you need it most. MultiNational
Underwriters® is available 24 hours a day, 7 days a
week, to approve and coordinate Emergency Medical
Evacuations.
Emergency Reunion:
In the event of a covered Emergency Medical
Evacuation, CitizenSecureSM will provide
the following benefits: the cost of an economy
round-trip air and/or ground ticket for one of your
Relatives (parent, spouse, sibling or child age 18
or above) for travel to the area where you are
hospitalized following an Emergency Medical
Evacuation and reasonable expenses for lodging and
meals for your Relative for a period not to exceed
15 days.
Repatriation of Remains:
In the event of a covered Injury or Illness
resulting in your death, the plan will provide the
following benefit: air and/or ground transportation
of bodily remains or ashes to the area of your
principal residence and reasonable cost of
preparation of the remains necessary for
transportation.
Wellness:
After 12 months of continuous coverage, you may be
eligible for Wellness benefits that are not subject
to the Deductible. If you are at least 30 years of
age, you will be entitled to the following Wellness
benefit: $250 per Certificate Period for a Routine
Physical Exam, including OB/GYN visits for females.
Additionally, females who are at least 40 years of
age will be entitled to the following benefit: $100
per Certificate Period for a screening mammogram. If
you are under the age of 19, you will be entitled to
the following Wellness benefit: $50 per visit
(including immunizations) with a maximum of three
visits per Certificate Period.
Optional Dental Insurance:
The Optional Dental Rider provides important
benefits for families including Preventative care
for children and Basic and Major Dental Benefits for
both children and adults. Preventative Benefits
include routine oral exams and x-rays, cleaning and
fluoride treatments. Basic Benefits include
periodontics, endodontics, extractions and fillings.
Major Benefits include crowns, bridges and dentures.
The CitizenSecureSM Optional Dental Rider
is a must for families as well as individuals.
Coverage is provided worldwide at your choice of
dentists.
Optional Sports Rider:
The Optional Sports Rider is a must-have addition
for your extreme sports lifestyle. Whether your
interests include mountaineering, skydiving, or
whitewater rafting, electing the Sports Rider option
will add coverage up to a lifetime maximum of
$25,000 for these activities excluded by the
standard plan. Coverage for Contact Sports, such as
soccer or hockey, is added up to a lifetime maximum
of $5,000. The Sports Rider adds coverage for sports
and athletics except those activities engaged in for
wage, reward, or profit.
Pre-existing Conditions:
If your Pre-existing Conditions have been fully
disclosed on your Application and not excluded or
restricted by a Rider or any other provision of your
Certificate, your Pre-existing Conditions are
covered the same as any other Illness or Injury as
of your effective date. Pre-existing Conditions
include any Injury, Illness or Mental Health
Disorder that existed at or prior to your initial
effective date, including chronic or recurring
conditions.
What Are the Exclusions and Limitations?
The following charges, treatments, care, services,
supplies and/or conditions are excluded from
coverage:
-
Charges not
Incurred during the Certificate period
-
Services or
treatment payable by another insurance
or government
-
Substance
Abuse
-
Charges
which exceed Usual, Reasonable and
Customary
-
Investigational or experimental
Surgeries or treatment
-
Custodial,
Educational or Rehabilitative Care
-
Weight
modification
-
Cosmetic
surgery, unless reconstructive surgery
is directly related to a covered Injury
or Illness
-
Charges for
use of Emergency Room for treatment of
Illness unless the patient is directly
admitted to the Hospital as Inpatient
for further treatment of that Illness
-
Individuals
HIV+ at effective date
-
Charges
relating to congenital conditions
-
Drugs or
treatment for sexual dysfunction
-
Drugs or
treatment to promote or prevent
conception
-
Devices or
procedures to correct sight or hearing
-
Self-inflicted Injury or Illness
-
Foot care,
unless related to a covered accidental
Injury
-
Treatment or
supplies not ordered by a Physician or
not Medically Necessary
-
Organ
transplants, except for Covered
Transplants
-
Speech,
acupuncture, occupational or sleep
therapy
-
Acts of
Terrorism, war, insurrection, riot or
any variation thereof
-
Dental
Treatment, except emergency treatment
following a covered Accident, or unless
Dental Rider is purchased
The following are
excluded from the Optional Dental Rider:
This is
a summary of the exclusions contained in the
Certificate of Insurance. See the Certificate of
Insurance for a complete list of exclusions.
Special Illness Exclusion:
The following conditions which manifest themselves
within the first 180 days of coverage are excluded:
Any condition of the breast, prostate, the
reproductive system, tonsils, adenoids, hemorrhoids,
hernia, gallstones, kidney stones, glaucoma,
cataracts, disk disease, varicose veins, all types
of cysts, arthritis, and repetitive motion
disorders, and any disorder or disease of the skin.
CitizenSecureSM
Assistance Services:
All
Assistance Services are available to you 24 hours a
day, 7 days a week while your CitizenSecureSM
plan is in effect.
Pre-Trip Health and Safety Advisories
(available after your purchase of CitizenSecureSM
and before your departure) - Call us for current
passport, visa, inoculation and vaccine
requirements, as well as up-to-date travel safety
advisories.
Livetravel Services
- We will make emergency travel and itinerary
changes for you including rebooking flights, hotel
reservations and ground transportation arrangements.
BagTrak - We are
the industry leaders in tracking lost checked
baggage. We will help you locate your lost checked
baggage and deliver it to you anywhere in the world.
Emergency Message Relay
- We will relay messages to your family, friends and
co-workers, helping you to maintain contact during
an emergency.
Emergency Cash Transfers
- We will assist you in arranging and obtaining cash
transfers anywhere in the world.
CitizenSecureSM Assistance
Services also include:
-
Medical
referrals
-
Up-to-the-minute travel medical
advisories
-
Assistance
with prescription drug replacement
-
Dispatch of
a doctor or specialist
-
Emergency
travel arrangements for family members
-
Lost
passport or travel documents assistance
-
Embassy and
consulate referrals
-
Legal and
accounting referrals
-
Bail bond
assistance
-
Translation
and interpretation assistance
CitizenSecureSM
Assistance Services are not insurance benefits, and
provision of any CitizenSecureSM
Assistance Service is not a guarantee of any other
benefit under CitizenSecureSM.