Termination will not affect a claim for a Covered Injury or Covered Illness that is the result, directly and independently of all other causes, of a Covered Loss that occurs while coverage was in effect. Termination of the Policy during a period of disability of the Employee will not affect benefits payable under the coverage for any specific indemnity required to be provided during a period of Hospital confinement.
Utah residents:
1) Portability is always included. The Maximum Port Age does not apply.
2) Throughout the contract wherever there is reference to Physician, it also includes healthcare provider acting within the scope of their license.
3) Under the Schedule of Benefits the following changes are made:
a) A minimum benefit of $50 per day for Hospital Stay benefits will be payable.
b) The Benefit Waiting Period does not apply.
c) the Elimination Periods do not apply to the Hospitalization Benefits and Additional Medical Facility and Home Care Benefits are revised to remove the Elimination Period and Observation Period.
4) Under the Description of Coverages and Benefits section the following changes are made:
a) The Hospital Stay and Hospital Intensive Care Unit Benefit Limitations which specifies the number of days in which a return to the hospital will be considered the same stay is revised as follows:
If the Covered Person leaves the Hospital and then returns within 180 days for the same or a related Covered Accident, We will still count that as one Hospital Stay. However, if the Covered Person is out of the Hospital for at least 180 days and then returns for the same or a related Covered Accident, We will count that as a different Hospital Stay.
5) Under the General Definitions section, the following changes are made:
a) The definition of Active Service is revised:
An Employee will be considered in Active Service with his Employer on any day that is either: 1. one of the Employer’s scheduled work days on which the Employee is performing His regular duties on a Full- time, either at one of the Employer’s usual places of business or at some other location to which the Employer’s business requires the Employee to travel; or 2. a scheduled holiday, vacation day or period of Employer-approved paid leave of absence, other than disability or sick leave after 7 days, only if the Employee was in Active Service on the preceding scheduled workday.
A Covered Person other than an Employee is not considered in Active Service if He is: 1. receiving Hospice Care.
b) The definition of Dependent Child is revised:
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