1.
marriage;
2. loss of a spouse; whether by death, divorce, annulment or legal separation; 3. birth or adoption of a child, or acquiring a child through marriage; 4. a change in the group benefit plan available to the Employee’s Spouse; 5. a change in the Employee’s employment status that affects eligibility for group benefits for either the Employee or His Spouse; 6. termination of a Spouse’s employment; and 7. as specified in the Employer’s Plan which this Policy insures. Life Status Changes that qualify an Employee to apply or increase coverage for His eligible Spouse and Dependent Child include: 1. marriage; 2. loss of a spouse; whether by death, divorce, annulment or legal separation; 3. birth or adoption of a child, or acquiring a child through marriage; 4. a change in the group benefit plan available to the Spouse; 5. a change in the Spouse’s employment status that affects eligibility for group benefits for either the Employee or His Spouse; 6. termination of a Spouse’s employment; and 7. as specified in the Employer’s Plan which this Policy insures. Annual Re-Enrollment An Employee who is eligible to apply, but did not previously enroll, may apply or is insured may apply for an increase for coverage. Changes to coverage for an Employee who applies during the enrollment period and agrees to make required contributions 31 days after enrollment period ends are as follows:
The Employee may apply for an increase in coverage on an insured Spouse or for coverage on a Spouse who is eligible to be insured but was not previously enrolled by the Employee.
The Dependent Child who is eligible to apply, but was not previously enrolled by the Employee, the Employee may apply or is insured the Employee may apply for an increase for coverage.
For all Employee, Spouse and Dependent Child coverage, Evidence of Insurability is not required.
Coverage for which an Employee, Spouse and Dependent Child is eligible will be effective on the effective date of this Policy’s anniversary following the enrollment period.
TAKEOVER PROVISION
This provision applies only to Employees and the Employee's dependents who were covered for Accident Indemnity coverage under a Prior Plan provided by the Subscriber or by an entity that has been acquired by the Subscriber on the day prior to the date the Employee would have first become eligible to be insured under this Policy. A. This section A applies to Employees who are not in Active Service on the day prior to the date the Employee would have first become eligible to be insured under this Policy due to a reason for which the Prior Plan and this Policy both provide for Continuation of Coverage. If the required premium is paid when due, We will insure an Employee and the Employee's Spouse and Dependent Children, to which this section applies during and for the balance of the period for which coverage would be continued under the Prior Plan that occurs after the Effective Date of this Policy. This coverage will be provided until the earlier of the date: (a) the Employee, and the Employee's Spouse and Dependent Children, returns to Active Service, or (b) continuation of coverage under the Prior Plan would end but for termination of that plan. The Policy will provide this coverage as follows: 1. if benefits are payable under the Prior Plan during the period that coverage is continued, then no benefits are payable under this Plan; and 2. if benefits are not payable under the Prior Plan during the period that coverage is continued, solely because the Prior Plan terminated, benefits payable under this Policy will be the lesser of: (a) the benefits
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