Enrollment - The LIT

Member Details

Step 1 of 4

Major Med Question*

Are you and your dependents each presently covered under an individual or group health insurance policy that provides major medical, hospital and surgical coverage?
This is a supplement to health insurance. It is not a substitute for essential health benefits or minimum essential coverage as defined in federal law. Individuals that do not have major medical, hospital and surgical coverage are not eligible for a supplemental cancer policy and will not be covered under this policy.

Yes

You are not eligible for this supplemental coverage

Name*

First Name * Last Name *

Member ID #

Department*

Email Address*

Provide required member details to see coverage options. Then choose desired coverage amount and whether or not you’d like to also cover your spouse.

Member Date of Birth*

Member Gender*

Male

Female

Add Spouse

Spouse coverage will be equal to member's coverage amount.

Spouse Name*

Spouse First Name * Spouse Last Name *

Spouse Date of Birth*

Spouse Gender*

Male

Female

Extended Hospital Expenses

"$60 per day for the first 10 days of each period of a covered hospital confinement. $120 per day thereafter, up to 90 days. Then, after you’ve been in the hospital for 90 days, the plan pays $240 a day up to day 730."