Unum Group Life and AD&D Employee Certificate Booklet

Death During the Portability Application Period

If your Spouse dies within 31 days from the date of your Spouse's Portability Event, any life insurance amount that was eligible for conversion will be payable in accordance with the Conversion provision in this certificate. This life insurance coverage is available whether or not your Spouse has applied for ported life insurance coverage under this Portability Rider. Any premiums paid for the Portability coverage shall be refunded.

UA-GTLPORT21

Portability of Group Life and Accidental Death and Dismemberment Insurance

(1/1/2025) 7

Unum Life Insurance Company of America

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