b) The Physical Examination and Autopsy provision is replaced with the following:
We, at Our own expense, may examine the Covered Person for whom claim is made as often as reasonably necessary while a claim is pending and in the case of death of the Covered Person, We at Our own expense, also may have an autopsy performed during the period of contestability unless prohibited by law. The autopsy must be performed in South Carolina.
c) The Legal Actions provision is replaced with the following:
No action at law or in equity may be brought to recover under this Policy less than 60 days after written or authorized electronic proof of loss has been furnished as required by this Policy. No such action will be brought more than six years after the time such written proof of loss must be furnished.
4) Under the General Provisions section, the Policy Termination provision is amended to include the following as last paragraph:
However, if the premium is to be collected in weekly, monthly, or other periodic installments by authority of a payroll deduction order executed by the Employee and delivered to Us or the Employer authorizing the deduction of premium installments from the Employee’s salary or wages, We may not, during the period for which the Policy is issued and while the Employee remains employed by the authorized Employer, declare forfeited or lapsed the Policy until and unless a written or printed notice of the failure of the Employer to remit the premium or installment thereof, stating the amount or portion thereof due on the Policy and to whom it must be paid, has been duly addressed and mailed to the Employee who is insured under the Policy at least fifteen days before the Policy is terminated or lapsed.
5) Under the Portability Provisions section, the following are removed from the Termination of Ported Insurance provisions:
• for a Dependent Child, the date the Dependent Child reaches age 26 unless primarily supported by the Employee and incapable of self-sustaining employment by reason of mental or physical handicap or ceases to quality as a Dependent Child; • the date the Spouse or Dependent no longer meets the definition of Spouse or Dependent Child; • the date the Covered Person is considered to reside outside the United States. The Covered Person will be considered to reside outside the United States when the Covered Person has been outside the United States for a total period of 4 months during any 4 consecutive months.
South Dakota residents:
1) Under the Description of Coverages and Benefits section, the following changes are made:
a) In the Care and Emergency Benefits the word “Initial” is removed in the title
b) In the Emergency Care Treatment benefit the definition of Immediate Family Member is deleted.
c) In the Emergency Care Treatment benefit the Exclusions are removed .
d) Under the Hospital Admission benefit in the Benefit Conditions #3 the word “first” is removed from Hospital Admission.
e) Under the Hospital Stay Benefit, Benefit Conditions (#4) is revise as follows
Must be admitted on an Inpatient basis
f) Under the Intensive Care Unit Stay Unit Benefit the Benefit Conditions are revised as follows:
Benefit Conditions #4:
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