Group Critical Illness Insurance Certificate

2. The date the Employee becomes eligible for similar benefits.

Minnesota residents: 1) Under the Exclusions and Limitations section, the list of exclusions is replaced with the following: 1. intentionally self-inflicted Injury;

2. commission or attempt to commit a felony; 3. declared or undeclared war or act of war;

4. a Covered Loss that results from 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; 5. being under the influence of any narcotic, unless the narcotic is administered on the advice of a Physician; 6. operating any type of vehicle while under the influence of alcohol or any drug, narcotic or other intoxicant. ''Under the influence of alcohol'', for purposes of this exclusion, means intoxicated, as defined by the law of the state in which the Covered Loss occurred. Mississippi residents: 1) Under the General Definition section , the following changes are made: a) The definition of Heart Attack and Stroke have been modified so that in the event of death, confirmation does not need to be by autopsy. b) 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 the date of the filing of the petition for 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; New Hampshire residents: 1) Age Based Reductions will not apply. 2) Under the General Definitions section, the following changes are made: a) The definition of Blindness is revised to include Blindness that is due only to disease b) The definition of Dependent Child is replaced with the following: An Employee’s child who meets the following requirements: 1. A child by blood or by law who is under Age 26; 2. A child who is 26 or more years old, primarily supported by the Employee and incapable of self-sustaining employment by reason of mental or physical handicap. A child, for purposes of this provision, includes an Employee’s: 1. natural child; 2. adopted child from the earlier of the date the petition for adoption is filed or entry of the child in the adoptive home, or in the case of a child who is in the custody of the state, coverage shall begin at the date of entry of a final decree of 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; 3. stepchild who resides with the Employee and is financially dependent upon the Employee; 4. child, grandchild for whom the Employee is the court-appointed legal guardian , as long as the child resides with the Employee and primarily depends on the Employee for financial support. Financial support means

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