10) 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.
11) Under the General Provisions section, the following changes are made:
a) The Misstatement of Fact provision is removed.
b) The following Misstatement of Age or Sex provision is added.
Misstatement of Age or Sex If the Covered Person’s age or sex has been misstated, We will adjust all premiums and benefits to the amounts that would have been purchased for the correct age or sex.
12) Under the Wellness Treatment, Health Screening Test and Preventive Care Benefit Rider:
a) The rider is retitled to Health Screening Test and Preventive Care Benefit Rider and all listed Wellness Treatment services are available only under Health Screening Test.
b) The Non Duplication of Benefits provision is removed.
c) The Maximum Benefit waiting period is removed.
13) Under the Accidental Death and Dismemberment Rider the Loss of Life Accidental Death Benefit, Benefit Limitation #2 is revised as follows:
If the Automobile Accidental Death Benefit or the Common Carrier Accidental Death Benefit is paid or payable, then no benefit will be payable under the Loss of Life Accidental Death Benefit for the same loss.
14) The following Rider form(s) is/are not available:
SICKNESS BENEFIT RIDER
Wisconsin residents:
1) Under the General Definitions section, item 2 of the second paragraph of the Dependent Child definition includes adopted child as follows:
2. adopted child, beginning with any waiting period pending finalization of the child’s adoption. It also means the legally adopted child of the Employee’s Spouse or domestic partner/Partner to a Civil Union provided the child is living with, and is financially dependent upon the Employee;
2) Under the Administrative Provisions section, the Change in Premium Rates provision is revised to show that We may change premium rates with at least 60 days advance written notice.
3) Under the General Provisions section, the Policy Termination provision is revised to reflect that 60 days advanced written notice must be given.
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