Cigna Health and Life Insurance Company 900 Cottage Grove Road Bloomfield, Connecticut 06002
MODIFYING PROVISIONS AMENDMENT
Policyholder: Mid-America Apartments, L.P.
Policy No.: AI111682
Amendment Effective Date: January 01, 2024
This Amendment is attached to and made part of this Policy. Its provisions are intended to conform the Policy/Certificate to the laws of the state in which the insured resides.
The Policy/Certificate is amended as follows:
Alaska residents:
This Certificate describes the benefits and basic provisions of Your coverage. It is not the insurance contract and does not waive or alter any terms of the Policy. For Alaska residents, the Alaska requirements and this Certificate will govern.
You may contact Cigna at: Cigna Health and Life Insurance Company 900 Cottage Grove Road, Bloomfield, Connecticut 06002 Telephone: 1.800.754-3207 - www.Cigna.com
1) A minimum benefit of $25 for Physician Office Visit will be available.
2) Under the General Definitions section, the following changes are made:
a) The definition of Rehabilitation Facility is replaced with the following:
A legally operating institution or part of an institution which has a transfer agreement with one or more Hospitals and which: 1. is primarily engaged in providing comprehensive multi-disciplinary physical rehabilitative services or rehabilitation Inpatient care; and 2. is duly licensed by the appropriate government agency to provide such services.
A Rehabilitation Facility does not include institutions which provide only minimal care, custodial care, care for the terminally ill, part-time care, or services or facilities for drug abuse or alcoholism
b) The definition of Spouse is replaced with the following:
The Employee’s lawful spouse. Except for purposes of determining initial eligibility, the term includes a spouse who is widowed or divorced or legally separated from an Employee.
3) Under the Common Exclusions section, exclusions are replaced with the following:
• a Covered Accident that occurs while on active duty service in the military, naval or air force of any country or international organization. Upon Our receipt of proof of service, We will refund any premium paid for this time. Reserve or National Guard active duty training is not excluded unless it extends beyond 31 days; • in addition, benefits will not be paid for services or treatment rendered by a Physician, Nurse or any other person who is: a. employed or retained by the Policyholder; b. living in the Covered Person’s household;
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