Group Critical Illness Insurance Certificate

insured for the amount subject to this requirement. We may require that the evidence of good health be provided at the eligible person’s expense. Full-time means the number of hours set by the Subscriber as a regular work week for Employees in the Employee’s eligibility class. An identifiable clinical event that results in ischemic death of a portion of the heart muscle confirmed by diagnostic testing through: 1. electrocardiographic (EKG); and, 2. elevation of cardiac enzyme markers of myocardial injury. In the event of death, an autopsy confirmation and/or death certificate identifying myocardial infarction as the cause of death will be accepted. The Date of Diagnosis is the date that the ischemic death of a portion of the heart muscle occurred.

Full-time

Heart Attack

He, His, Him, Himself

Refers to any individual, male or female.

Hospital

An institution that meets all of the following: 1. It is licensed as a Hospital pursuant to applicable law. 2. It is primarily and continuously engaged in providing medical care and treatment to sick and injured persons. 3. It is managed under the supervision of a staff of medical doctors. 4. It provides 24-hour nursing services by or under the supervision of a graduate registered Nurse (R.N.). 5. It has medical, diagnostic and treatment facilities, with major surgical facilities on its premises, or available to it on a prearranged basis. The term Hospital does not include a clinic, facility, or unit of a Hospital for: 1. rehabilitation, convalescent, custodial, educational, hospice or skilled nursing care; 2. the aged, the treatment of drug addiction or alcoholism; or 3. a facility primarily or solely providing psychiatric services to mentally ill patients. The period agreed upon by the Employer and Us when an eligible Employee who was hired on or before the Policy Effective Date may enroll for the first time for coverage under this Policy.

Initial Open Enrollment Period

Injury

Any accidental loss or bodily harm.

Inpatient

A Covered Person who is formally admitted and confined to a Hospital or facility under a Physician's order for a period of time requiring at least one overnight stay and is charged for at least one full day's Hospital room and board. Activities used in measuring levels of personal functioning capacity. These activities are normally performed without assistance allowing personal independence in everyday living. These activities include the following: 1. assistance with light housekeeping, 2. shopping and meal preparation, 3. laundry, 4. medication management, 5. bill paying. 6. ability to access needed services outside of the home for medical professional services or rehabilitative care without assistance. A disease involving an organ of the body which is identified by the presence of malignant cells or a malignant tumor characterized by the uncontrolled and abnormal growth and

Instrumental Activities of Daily Living

Invasive Cancer

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