AI Content Chat (Beta) logo

5. ELIGIBILITY, EFFECTIVE DATES AND TERMINATION OF DEPENDENT CHILDREN INSURANCE If you are not Actively at Work on that date, any increase due to a Family Status Change in Dependent Children Accident Insurance or benefits will not start until you resume being Actively at Work. Whether or not you are Actively at Work, any reduction in Dependent Children Accident Insurance or benefits due to a Family Status Change will start on the date of your Family Status Change. Any change in insurance for your Dependent Children will only affect benefits for a Covered Accident that occurs after the effective date of the change. How can you add a child or children to your Dependent Children Accident Insurance? After you and a Dependent Child are covered under the Policy, and you are Actively at Work, any child who becomes one of your Dependent Children will automatically be covered. How does Dependent Children Accident Insurance apply to newborn children, newly placed foster children or newly adopted children? If you are insured under the Policy but do not have Dependent Children Accident Insurance when a newborn child, newly placed foster child or newly adopted child becomes one of your Dependent Children, then such child will automatically be covered for 31 days from the date he or she becomes your Dependent Child. To continue coverage beyond 31 days, you must: · enroll for Dependent Children Accident Insurance within 31 days from the date the newborn child, newly placed foster child or newly adopted child becomes your Dependent Child; and · pay the required premium to continue your Dependent Children Accident Insurance. If you are covered under the Policy and have Dependent Children Accident Insurance when a newborn, newly placed foster child or newly adopted child becomes one of your Dependent Children, then such child will automatically be covered. When does Dependent Children Accident Insurance end? Dependent Children Accident Insurance under the Policy will end on the earliest of the following to occur: · the date the Policy terminates; · the last day of the period for which any required premium has been paid for your insurance or your Dependent Children Accident Insurance, or any part of the insurance; · the date you notify us in Writing to cancel your Dependent Children Accident Insurance; · the date you die; or · the date your Dependent Child dies. Your Dependent Children Accident Insurance will also end when any of the following occur, but coverage may be extended subject to any allowed continuation as specified in the Insurance Continuation section: · the date you are no longer in an Eligible Class; · the date you are no longer insured under the Policy; · the date your Dependent Child no longer meets the definition of Dependent Child as described in this Certificate, but only with respect to that person; · the date your Dependent Child enters active duty in any armed service; · the date you retire; · the date your class is no longer included for insurance; or · the last day you are Actively at Work, subject to any Portability provision provided. 16-AC-C-01 Page21

Accident cert - Page 21 Accident cert Page 20 Page 22