Cigna Health and Life Insurance Company 900 Cottage Grove Road Bloomfield, Connecticut 06002
MODIFYING PROVISIONS AMENDMENT
Subscriber:
Mid-America Apartments, L.P.
Policy No.: CI111620
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) Under the Schedule of Benefits section the following revisions are made: a) If Heart Attack is not already listed as a Covered Condition, a minimum benefit of $1,000 for Heart Attack will be available. For purposes of this benefit, the definition of Heart Attack is as follows: An identifiable clinical event that results in ischemic death of a portion of the heart muscle confirmed by iagnostic testing through: 1. electrocardiographic (EKG) changes indicative of myocardial infarction. In the case of myocardial infarction ST wave changes, Q wave changes and/or T wave inversion must be documented and included as one of the criteria on establishing a diagnosis; and, or 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. In the event of death, the Date of Diagnosis will be the date of death listed on the death certificate. 2) Under the General Definitions section, the following changes are made: a) The definition of Hospital does not require major surgical facilities be on its premises. b) The definition of No Evidence of Disease, if included, includes the following statement: For Heart Attack that means the Covered Person: 1. has an absence of hyperkinesis of the non-infarcted myocardium, as demonstrated by a stable ventricular ejection fraction for a post-myocardial infarction patient; and 2. was discharged from the Inpatient hospital stay for which a(n) Initial Specified Disease Benefit has been paid.
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