Unum Group Life and AD&D Employee Certificate Booklet

- being intoxicated at the time of the Accident while operating a vehicle or other device involved in the Accident in violation of a law. For purposes of this exclusion, "intoxicated" means the Insured's blood alcohol level met or exceeded the level that creates a legal presumption of intoxication under the laws of the jurisdiction in which the Accident occurred; A provision for Continuation of Coverage for Total Disability has been added to the End of Coverage section of the certificate as follows: Provided premium is paid, coverage may be continued for up to six months from the date your Total Disability began, but not later than the earlier of: - the date you are approved for continuation under any disability provision included in the policy; or - the cancellation of your Employer's group policy. Step 3 - Proof of Loss in the Filing a Claim provision in the Claim Provisions section of the certificate has been amended to read as follows: Proof of Loss must be sent to us no later than 90 days after the date of death or Covered Loss. If it is not reasonably possible to provide Proof of Loss within this time period, it will not affect a Payable Claim if it is provided as soon as reasonably possible. Proof of Loss, provided at your or your authorized representative's expense, must include, but not be limited to the following: - a certified copy of the death certificate or other lawful evidence providing equivalent information; - the date of Covered Loss; - the cause of death or Covered Loss; - the name and address of any Hospital where treatment was received, including all attending Physicians; and - documentation of your financial records, upon request and where appropriate, including but not limited to, Earnings and income tax returns. If the Proof of Loss is not complete, we may require you to submit additional information. 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 Children or Child definition in the Glossary section of the certificate is changed as follows: Child coverage starts from the moment of birth and ends on the last day of the month in which they are no longer a Child. Coverage for an adopted child starts from the moment of birth if placement for adoption occurs within 30 days of the Child's birth; or the date of placement if placement for adoption occurs 30 days or more after the Child's birth. Coverage is provided for any other Child for whom you are required to provide coverage for by court or administrative order. Coverage for a Child may continue past the last day of the month in which they are no longer a Child if that Child is incapable of self-sustaining employment due to a medically determinable physical or mental impairment. Proof of the Child's medically determinable physical or mental impairment and dependency must be provided within the time limit described in the Child definition of the certificate The Intoxicated definition in the Glossary section of the certificate is removed in its entirety. A definition for Total Disability has been added to the Glossary section of the certificate as follows: For purposes of the Continuation of Coverage for Total Disability provision, Total Disability means that due to an Injury or Sickness you are not working in any occupation. While you are Disabled you must be under the Regular and Appropriate Care of a Physician. The loss of professional or occupational licenses or certifications, by themselves, will not be considered a Disability.

GLIFE-STATEVAR

(1/1/2025) 13

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