7) Under the General Provisions section, the following changes are made:
a) The 30 Day Right to Examine Certificate is revised as follows:
The Certificate may, at any time within 30 days after its receipt by the certificateholder, be returned by delivering it or mailing it to the Company or the agent through whom it was purchased. Immediately upon such delivery or mailing, the Certificate will be deemed void from the beginning, and any premium paid on it will be refunded.
b) The Assignment provision is revised and includes the statement “The rights and benefits under this Policy may not be assigned to a healthcare provider''.
c) The Incontestability provision the second paragraph under This Policy or Participation Under This Policy is replaced by the following:
After two years from the Policy Effective Date, no such statement will cause this Policy to be contested except for lack of eligibility for coverage.
d) The Policy Termination provision is revised to require a minimum of 45 days is required for notice of policy termination.
e) The following Important Notice must be included:
Important Notice The Policyholder may contact the Insurance Company, using the address or toll-free telephone number given below, with questions or problems with respect to this Policy:
Cigna Health and Life Insurance Company 900 Cottage Grove Road
Bloomfield, Connecticut 06002 Telephone: 1-800-754-3207
8) The following is not available under the Wellness Treatment and Health Screening Test Benefit and Preventative Care Rider :
a) Preventative Care benefits are not available
9) Under the Accidental Death and Dismemberment Rider
a) For Employee, Spouse and children, the minimum benefit amount payable for Paralysis and Coma is $5,000 and $1,000 for dismemberment of finger or toe b) The exclusions are modified as follows: 1. flight in, boarding or alighting from an Aircraft or any craft designed to fly above the Earth’s surface: a. except as a fare-paying passenger on a regularly scheduled commercial airline; b. being flown by the Covered Person or in which the Covered Person is a member of the crew.
10) The Domestic Partner/Civil Union Partner Coverage Amendment is modified to include Domestic Partners who are 16 years of age.
11) The following Rider form(s) is/are not available:
CRITICAL ILLNESS INSURANCE RIDER
North Carolina residents:
1) Under the General Definitions section, the definition of Dependent Child is replaced by the following:
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