Critical Illness Insurance

Critical Illness Insurance  

COVID-19 and your Supplemental Health Plans:

The Main Line Health Critical Illness plan includes a Health Screening Benefit. MetLife has added COVID-19 diagnostic testing to the list of eligible screenings. For anyone currently enrolled in the Critical Illness plan, this benefit would be payable for a COVID-19 laboratory screening test, regardless of the test result.*

The Critical Illness plan does not have coverage directly related to the virus; however, if you are an insured and suffer a covered critical illness due to the virus, such as a stroke or heart attack, you would be eligible for benefits under the plan.

*Subject to the requirements for payment of that benefit and the other terms and conditions of the certificate


Every 40 seconds, someone in the U.S. has a heart attack or stroke or is diagnosed with cancer or other serious disease.* If it happens to you, shouldn’t your primary focus be on getting well, and not worrying about how to pay for your treatment and care?

Critical Illness Insurance can help by paying you a lump sum cash benefit to help cover your out-of-pocket medical costs, including deductibles, copays, and cost-shares or pay daily living expenses such as grocery bills, mortgage payments, transportation costs, etc. 

  • Pays a lump sum benefit of $20,000 to the employee. If you select coverage for them, your spouse/domestic partner will be offered 50% and child(ren) will be offered 50% of the employee benefit amount.
  • Pays $50 per year per covered family member for completion of one of 45 covered tests.
  • Your benefit is paid directly to you, and is in addition to your medical insurance.
  • You pay an affordable employee discounted group rate, based upon your age and the enrollment tier you select.
  • Provided by an insurance carrier you can trust, MetLife.
  • You’re guaranteed acceptance provided you enroll during the Enrollment Period and are actively are work.**
  • Portable–you can keep your coverage if you leave your employer.***

Add critical illness insurance to help offset expenses, such as those that may not be covered under your employer's existing medical insurance and disability plans.



Learn More

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Outline of Coverage
Plan Summary

How It Works

Contact Us

Mercer Voluntary Benefits
12421 Meredith Drive
Urbandale, IA 50398
 M-F 8a-8p EST, Sat 9a-1p EST


Answers about the plan, including eligibility, options, enrollment, customer service and more.

  • Who is the provider?

    With over 145 years of experience, MetLife is a recognized leader in protection planning and retirement & savings solutions.
  • How can this help me?

    Gives you the comfort to recover in confidence while avoiding the financial strain a serious illness can cause.

    MetLife Critical Illness insurance provides a lump-sum payment if you or a covered family member are diagnosed with a covered medical condition and meet the policy and certificate requirements.
  • Who can enroll?

    You, your spouse and eligible children qualify for this coverage. You and your eligible family members just need to enroll during your employer's enrollment period and be actively at work for your coverage to be effective.3
  • When can I enroll?

    As a new hire, you can enroll during your new hire enrollment period. Outside of your new hire enrollment period, enrollment is limited to the annual enrollment period.
  • What if my employment status changes?

    When you leave or retire from your current employer, you can continue your coverage without interruption, subject to applicable law and the policies' terms and conditions. Although payroll deduction will no longer be available, you can opt for other payment methods such as direct bank account deduction, or home billing.

    Your coverage will only end if you stop paying your premium or if your employer offers you similar coverage with a different insurance carrier.4
  • What serious illnesses and diseases am I covered for?

    Once you’re enrolled in this coverage, you’ll receive a lump sum payment if you are diagnosed with one of the following medical conditions: Full Benefit Cancer,5 Partial Benefit Cancer,5 Heart Attack, Stroke,6 Coronary Artery Bypass Graft,7 Kidney Failure, Alzheimer’s Disease,8 Major Organ Transplant and the 22 Listed Conditions.9
  • What happens if I recover and then I’m diagnosed again?

    This plan pays a Recurrence Benefit for the following Covered Conditions: Heart Attack, Stroke, Coronary Artery Bypass Graft, Full Benefit Cancer and Partial Benefit Cancer. A Recurrence Benefit is only available if an Initial Benefit has been paid for the Covered Condition. There is a Benefit Suspension Period between Recurrences.10, Medical Bankruptcy and the Economy, Accessed May 2018., 10 Statistics about US Medical Debt that Will Shock You. Accessed Nov. 2018. How to start (and build) an emergency fund, Accessed July 2018
4Coverage is guaranteed provided (1) the employee is actively at work and (2) any dependents to be covered are not under medical restriction as described in the Certificate. Some states require the insured to have medical coverage. Additional restrictions apply to dependents serving in the armed forces or living overseas. For CA sitused cases, coverage is guaranteed provided (1) the employee is performing all of the usual and customary duties of your job at the employer's place of business or at an alternate place approved by your employer and (2) dependents are not subject to medical restrictions as set forth on the enrollment form and in the Certificate
5Eligibility for portability through the Continuation of Insurance with Premium Payment provision may be subject to certain eligibility requirements and limitations. For more information, contact your MetLife representative.
6Eligible Family Members mean all persons eligible for coverage as defined in the Certificate.
7Please review the Outline of Coverage/Disclosure Document for specific information about cancer benefits. Not all types of cancer are covered. Some cancers are covered at less than the Initial Benefit Amount. For NH sitused cases and NH residents, there is an Initial Benefit of $100 for All Other Cancer.
8In certain states, the Covered Condition is Severe Stroke.
9In NJ sitused cases, the Covered Condition is Coronary Artery Disease.
10Please review the Outline of Coverage for specific information about Alzheimer’s disease.
11MetLife Critical Illness Insurance will pay 25% of the Initial Benefit Amount when a covered person is diagnosed with one of the 22 Listed Conditions. A Covered Person may only receive one benefit payment for a Listed Condition in his/her lifetime. The Listed Conditions are: Addison’s disease (adrenal hypofunction); amyotrophic lateral sclerosis (Lou Gehrig’s disease); cerebrospinal meningitis (bacterial); cerebral palsy; cystic fibrosis; diphtheria; encephalitis; Huntington’s disease (Huntington’s chorea); Legionnaire’s disease; malaria; multiple sclerosis (definitive diagnosis); muscular dystrophy; myasthenia gravis; necrotizing fasciitis; osteomyelitis; poliomyelitis; rabies; sickle cell anemia (excluding sickle cell trait); systemic lupus erythematosus (SLE); systemic sclerosis (scleroderma); tetanus; and tuberculosis.
12We will not pay a Recurrence Benefit for a Covered Condition that Recurs during a Benefit Suspension Period. We will not pay a Recurrence Benefit for either a Full Benefit Cancer or a Partial Benefit Cancer unless the Covered Person has not had symptoms of or been treated for the Full Benefit Cancer or Partial Benefit Cancer for which we paid an Initial Benefit during the Benefit Suspension Period.

METLIFE CRITICAL ILLNESS INSURANCE (CII) IS A LIMITED BENEFIT GROUP INSURANCE POLICY. Like most group accident and health insurance policies, MetLife’s CII policies contain certain exclusions, limitations and terms for keeping them in force. Product features and availability may vary by state. In most plans, there is a pre-existing condition exclusion. After a covered condition occurs, there is a benefit suspension period during which most plans do not pay recurrence benefits, except in the case of insureds covered under a New York certificate. MetLife offers CII on both an Attained Age and an Issue Age basis. Attained Age rates are based on 5-year age bands and will increase when a Covered Person reaches a new age band. MetLife’s Issue Age CII is guaranteed renewable, and may be subject to benefit reductions that begin at age 65. Premium rates for MetLife’s Issue Age CII are based on age at the time of the initial coverage effective date and will not increase due to age; premium rates for increases in coverage, including the addition of dependents’ coverage, if applicable, will be based on the covered person’s age at the time of the initial coverage effective date. Rates are subject to change for MetLife’s Issue Age CII on a class-wide basis. A more detailed description of the benefits, limitations, and exclusions applicable to both Attained Age and Issue Age CII can be found in the applicable Disclosure Statement or Outline of Coverage/Disclosure Document available at time of enrollment. For complete details of coverage and availability, please refer to the group policy form GPNP07-CI, GPNP09-CI or GPNP14-CI, or contact MetLife for more information. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. MetLife's Critical Illness Insurance is not intended to be a substitute for Medical Coverage providing benefits for medical treatment, including hospital, surgical and medical expenses. MetLife's Critical Illness Insurance does not provide reimbursement for such expenses.

Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.