The Overpayment of Claims provision in the Claim Provisions section of the certificate is amended as follows: We have the right to recover any overpayments due to: - fraud (including any misrepresentations, omissions, concealment of facts or incorrect statements); or - any error we make in processing a claim. We must be reimbursed in full. If it is not possible to reimburse us in a lump sum payment, we will develop a reasonable method of repayment. This may include reducing or withholding future payments. The Legal Actions provision in the Claim Provisions section of the certificate is amended as follows: If you or your authorized representative disagree with our decision, you or your authorized representative can start Legal Action regarding your claim 60 days after Proof of Loss has been given to us and up to five years from the latest of when: - original Proof of Loss was first required to have been given to us; - your claim was denied; or - your benefits were terminated, unless applicable law requires us to afford a longer period within which to bring Legal Action. The Representation in Applications provision in the General Provisions section of the certificate is amended as follows: Any statements made by you will be considered a representation and not a warranty. Such statements will not be used to avoid insurance, reduce benefits, or deny a claim unless they are included in an application signed by you, and a copy of the signed application has been provided to you, your beneficiary, or your authorized representative. The Contestability provision in the General Provisions section of the certificate is amended to replace the reference to "fraud" in the last sentence of the first paragraph with "non-payment of premium". The Misstatement of Information provision in the General Provisions section of the certificate is replaced with a Misstatement of Age provision and reads as follows: If an Insured's age is misstated, we will: - review the information to decide whether the Insured has coverage and in what amounts; and - if necessary, make the applicable premium adjustments. For residents of Idaho: A Notice of Right to Convert is added to the Conversion provision in the Life Details - Other Features section of the certificate as follows: Notice of Right to Convert Your Employer must notify you of your Right to Convert all or part of an Insured's life insurance coverage within 15 days from the end of the Conversion Application Period. If your Employer does not notify you within those 15 days, the time allowed for you to exercise an Insured's Right to Convert will be extended for 15 days from the date you are notified. In no event will the time allowed for you to exercise an Insured's Right to Convert be extended beyond 60 days from the end of the Conversion Application Period. For residents of Louisiana: The Accelerated Benefit provision for Proof of Loss in the Life Details section of the certificate is amended to remove the second paragraph which provides that in no event can Proof of Loss be submitted after the expiration of the time limit for commencing Legal Action as stated in the certificate, even if the failure to provide Proof of Loss is due to a lack of legal capacity or if state law provides an exception to the one year time period.
GLIFE-STATEVAR
(1/1/2025) 3
Made with FlippingBook Online newsletter