Group Critical Illness Insurance Certificate

there is a legal obligation for total or partial support from the Employee; 3. stepchild who resides with the Employee;

4. child for whom the Employee is the court-appointed legal guardian and primarily depends on the Employee for financial support. Financial support means that the Employee is eligible to claim the dependent for purposes of Federal and State income tax returns. 5. a child of the Employee’s domestic partner /Partner to a Civil Union, provided the child is living with and is financially dependent upon the Employee; g) The definition of Loss of Hearing is replaced with the following: Clinically proven permanent loss of the ability to hear in both ears resulting in a loss of hearing greater than 90dB HL in all tested frequencies, as a result of a disease or Sickness. Loss of Hearing must be caused by, but not limited to: 1. Otosclerosis; 2. Middle Ear Barotrauma; 3. Tympanic Membrane Perforation; 4. Jugulotympanic paraganliomas; 5. Presbycusis; 6. Meniere Disease; 7. Paget Disease; 8. Fibrous Dysplasia; 9. Autoimmune Disease (e.g., Rheumatoid Arthritis, Cogan syndrome, Systemic Lupus Erythematosus, Polyarteritis Nodosa, Relapsing Polychondritis, Granulomatosis with polyangitis); 10. Tertiary Otosyphilis; 11. Multiple Sclerosis; 12. Cerebral infarction or cerebral hemorrhage. The Date of Diagnosis is the date the latter of both of the following occur: 1. audiometric testing demonstrating greater than 90dB HL; 2. a permanent loss of the ability to hear at greater than 90 dB as confirmed by a Otolaryngologist. h) The definition of Loss of Speech is replaced with the following: Total and permanent loss of oral communication which is irrecoverable by natural, surgical or artificial means caused by:  Dementia as a result of the following neurodegenerative disorders: Primary progressive aphasia, fronto-temporal dementia, progressive supranuclear palsy, and olivo-ponto-cerebellar degeneration. Dementia as a result of Alzheimer’s, vascular dementia, Huntington disease, prion disease or alcoholic dementia will not be covered;  Stroke;  Invasive cancer;  amyotrophic lateral sclerosis;  myasthenia gravis;  multiple sclerosis;  Parkinson’s disease. The Date of Diagnosis is the date physical exam verifies the inability to communicate orally. i) The definition of Mild Stage Alzheimer’s Disease is replaced with the following: Meets the criteria described above for the diagnosis of Alzheimer’s Disease, but the cognitive deficits interfere with independence in everyday activities for one of like age and sex. The Date of Diagnosis of the Covered Person’s Mild Stage Alzheimer's disease is the date of the Covered Person's inability to perform with independence everyday activities for one of like age and sex who is under the care of a Physician as confirmed by a Physician.

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