Get Protection Against Unexpected Hospital Stays.

Help support your current health coverage by increasing your Hospital Indemnity Insurance Plan up to $1,500 in First Day Hospital coverage. This guaranteed issue¹ coverage is a cash benefit to use in any way you choose and it's also available to your spouse/domestic partner.

Enroll Now

Enrollment Instructions

Print the enrollment form
Complete, sign and date the enrollment form
To return, please scan and email the completed form to
gsp.sarasota.upmarketing@ajg.com or mail to the address:

Union Plus Insurance Programs
8430 Enterprise Cir, Ste 200
Lakewood Ranch, FL 34202-9907

Don't have access to a printer? Call 800.393.0864 and one of our Customer Service Representatives will be able to assist. Please provide the following promo code when you call to take advantage of this exclusive member offer: 24DD22

Low Coverage Plan Monthly Premium

Choose this benefit level for $500 in First Day Hospital coverage, $100 in Daily Hospital coverage, $200 in Daily ICU coverage, $100 per day for 30 days of Continuous Care coverage, and $1,000 per confinement of Post Confinement Release coverage.

Union Member Age Band	Union Member	Union Member + Spouse/Domestic Partner	Union Member + Child(ren)	Family
65-79	$18.39	$36.72	$26.20	$45.83
*80-84	$19.32	$38.62	$23.23	$43.17

Medium Coverage Plan Monthly Premium

Choose this benefit level for $1,000 in First Day Hospital coverage, $150 in Daily Hospital coverage, $300 in Daily ICU coverage, $100 per day for 30 days of Continuous Care coverage, and $1,000 per confinement of Post Confinement Release coverage.

Union Member Age Band	Union Member	Union Member + Spouse/Domestic Partner	Union Member + Child(ren)	Family
65-79	$28.37	$56.64	$41.96	$72.47
*80-84	$27.90	$55.71	$34.70	$63.63

High Coverage Plan Monthly Premium

Choose this benefit level for $1,500 in First Day Hospital coverage, $200 in Daily Hospital coverage, $400 in Daily ICU coverage, $100 per day for 30 days of Continuous Care coverage, and $1,000 per confinement of Post Confinement Release coverage.

Union Member Age Band	Union Member	Union Member + Spouse/Domestic Partner	Union Member + Child(ren)	Family
65-79	$38.36	$76.55	$57.72	$99.12
*80-84	$36.48	$72.80	$46.16	$84.08

Rates and/or benefits may change on a class basis only. Rates are based on the attained age of the insured person and increase as you enter each new age category. *Rates for ages 80-84 are for renewal only. The Benefit Amount(s) Payable for each Covered Person will decrease by 50% on the Premium Due Date on or next following the date the Member attains age 80.

If you have any questions, please do not hesitate to call us at 800.393.0864, Monday-Friday, 8 a.m. to 8 p.m. ET. We are honored that you have chosen us to assist you in planning for the future of your family.