• Pregnancy, including childbirth, occurring within the first 9 months of the Covered Person’s effective date of coverage. This Exclusion does not apply to Complications of Pregnancy.
7) Portability coverage will terminate if the Policy/Subscribers participation under the Policy terminates.
8) Under the Claim Provisions section the following changes are made:
a) The Notice of Claim is replaced with the following:
Written or authorized electronic, or telephonic notice of claim must be given to Us within 31 days after a Covered Loss occurs or begins or as soon as is reasonably possible. If written or authorized electronic, or telephonic notice is not given in that time, the claim will not be invalidated or reduced if it is shown that written or authorized electronic, or telephonic notice was given as soon as was reasonably possible. Notice can be given to Us at Our Home Office in Bloomfield, Connecticut, such other place as We may designate for the purpose, or to Our authorized producer. Notice should include the Policyholder's name and Policy number and the Covered Person’s name, address, Policy and Certificate number.
b) The Time of Payment of Claims is revised as follows:
We will pay benefits due under this Policy for any loss other than a loss for which this Policy provides any periodic payment immediately upon Our receipt of due written or authorized electronic proof of such loss. Due proof of loss means all essential information needed to make a determination on the claim. Subject to due written or authorized electronic proof of loss, all accrued benefits for loss for which this Policy provides periodic payment will be paid monthly unless otherwise specified in the benefits descriptions and any balance remaining unpaid at the termination of liability will be paid immediately upon receipt of proof satisfactory to Us.
9) Under the Administrative Provisions section, the Effective Date of Reinstated Insurance is revised as follows:
Reinstated coverage will be effective on the date the Employee returns to Active Service. If the Employee did not fully satisfy the Eligibility Waiting Period, Benefit Waiting Period, or the Pre-Existing Condition Limitation (if any), as provided in the Schedule of Benefits before coverage ended due to an approved unpaid leave of absence, Temporary Layoff, credit will be given for any time that was satisfied.
10) Under the General Provisions section, the following is revised as follows:
a) The Misstatement of Age or Sex provision is replaced with the following:
Misstatement of Age or Sex If the Covered Person’s age or sex has been misstated, We will adjust all premiums and benefits to the amounts that would have been purchased for the correct age or sex.
b) The Incontestability, 1 st paragraph is revised as follows:
This Policy or Participation Under This Policy All statements made by the Policyholder/Subscriber to obtain this Policy or to participate under this Policy are considered representations and not warranties. A copy of the application, if any, is attached to the Policy when issued. No statement will be used to deny or reduce benefits or be used as a defense to a claim, or to deny the validity of this Policy or of participation under this Policy unless a copy of the instrument containing the statement is, or has been, furnished to the Policyholder/Subscriber
11) Under the Wellness Treatment, Health Screening Test and Preventive Care Benefit Rider the following changes are made:
a) The rider is retitled to Health Screening Test and Preventive Care Benefit Rider and all listed Wellness Treatment services are available only under Health Screening Test. b) The following exams are not available: • Annual routine preventative dental exam
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