Group Hospital Insurance Certificate

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;

Massachusetts residents:

Under the Continuation of Insurance Provisions section, the following provision is added:

Additional Continuation of Insurance Provisions If an Employee leaves the group due to termination of employment resulting from a Plant Closing or Partial Closing, insurance for such Employee will be continued until the earliest of the following dates:

1. 90 days from the date of the Plant Closing or Partial Closing; 2. The date the Employee becomes eligible for similar benefits.

As used in this provision: ''Plant Closing'' means a permanent cessation or reduction of business at a facility which results or will result as determined by the director in the permanent separation of at least 90% of the employees of said facility within a period of six months prior to the date of certification or with such other period as the director shall prescribe, provided that such period shall fall within the six month period prior to the date of certification. ''Partial Closing'' means a permanent cessation of a major discrete portion of the business conducted at a facility which results in the termination of a significant number of the employees of said facility and which affects workers and communities in a manner similar to that of Plant Closings. If an Employee leaves the group for a reason other than as a result of a Plant Closing or Partial Closing, insurance for such Employee will be continued until the earliest of the following dates: 1. 31 days from the date the Employee leaves the group; 2. The date the Employee becomes eligible for similar benefits.

Minnesota residents:

1) Under the Common Exclusions and Limitations section, the following exclusions are revised:

• •

intentionally self-inflicted Injury;

commission or attempt to commit a felony; •

operating any type of vehicle while under the influence of alcohol or any drug or narcotic unless administered on the advice of a Physician and taken in accordance with the prescribed dosage or other intoxicant including any prescribed drug for which the Covered Person has been provided a written warning against operating a vehicle while taking it. ''Under the influence of alcohol'', for purposes of this exclusion, means intoxicated, as defined by the law of the state in which the Covered Injury or Covered Illness occurred;

Mississippi 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 Claim Provisions section, the following changes apply:

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