Important information The following coverage(s) do not constitute work-related illness or injuries unless you are enrolled in 24- comprehensive health insurance (often referred to as hour coverage. “major medical coverage”). They do NOT provide basic Information about services offered hospital, basic medical, or major medical insurance. Value-added services are not insurance, are offered only on To become insured, you must meet the eligibility specific lines of coverage and carry a separate charge, which requirements set forth by your employer. Your coverage is added to the cost of the insurance. The cost is included in effective date will be determined by the Policy and may be the total amount billed. Emergency Travel Assistance is pro- delayed if you are not actively at work on the date your vided by Assist America®. Identity Theft Protection is pro- coverage would otherwise go into effect. Similarly, vided by SecurAssist®, an Assist America program. The enti- dependent coverage, if offered, may be delayed if your ties that provide the value-added services are not subcon- dependents are in the hospital (except for newborns) on the tractors of Sun Life and Sun Life is not responsible or liable date coverage would otherwise become effective. Refer to for the care, services, or advice provided by them. Sun Life your Certificate for details. reserves the right to discontinue any of the Services at any time. Limitations and exclusions The below exclusions and limitations may vary by state This Overview is preliminary to the issuance of the law and regulations. This list may not be comprehensive. Policy. Refer to your Certificate for details. Receipt of Please see your Certificate or ask your benefits administrator this Overview does not constitute approval of coverage for details. under the Policy. In the event of a discrepancy between this Overview, the Certificate and the Policy, the terms Accident of the Policy will govern. Product offerings may not be We will not pay a benefit that is due to or results from: available in all states and may vary depending on state suicide while sane or insane; intentionally self-inflicted laws and regulations. injuries; committing or attempting to commit an assault, felony or other criminal act; war or an act of war; active participation in a riot, rebellion or insurrection; voluntary use of any controlled substance/illegal drugs; operation of a motorized vehicle while intoxicated; if you do not submit proof of your loss as required by us (this covers medical examination, continuing care, death certificate, medical records, etc.); incarceration; engaging in hang-gliding, bungee jumping, parachuting, sail gliding, parasailing, parakiting or mountaineering; participating in or practicing for any semi- professional or professional competitive athletic contest in which any compensation is received, including coaching or officiating; injuries sustained from commercial air transportation other than riding as a fare paying passenger; Sun Life companies include Sun Life and Health Insurance Company (U.S.) and Sun Life Assurance Company of Canada (collectively, “Sun Life”). Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 12-GP-01, 12-AC-C-01, 15-GP-01 and 16-AC-C-01. © 2019 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us. GVBH-EE-8384 SLPC 29579 800-247-6875 • sunlife.com/us Accident Insurance