10. PORTABILITY What is portable insurance and when are you eligible? Portable insurance is an optional benefit that you may elect to continue your insurance for each Insured up to the later of the day before you attain age 70 or 12 months from the date your portable insurance started if: · your insurance ends because you are no longer in an Eligible Class; or · your insurance ends because your class is no longer included for insurance; or · your insurance ends because you terminate employment; and · you meet the following requirements: · you reside in the United States or Canada; and · you have not exercised your portable insurance right under a similar certificate issued by us; and · your insurance is not being continued under any Insurance Continuation provision. You may not elect portable insurance for your Spouse or Dependent Children if you have not elected portable insurance for yourself. Your portable insurance will be provided under an insurance policy we make available for this purpose. Your portable insurance may not be identical to your current insurance under the Policy. When must you apply for portable insurance? You must complete an application for portable insurance and send it to us with payment of the first premium within 31 days of the date your insurance terminates. The application for portable insurance and applicable rates are available from your Employer. What is the amount of portable insurance? You may apply for portable insurance in an amount up to 100% of each Insured’s amount of insurance in force under the Policy on the date your insurance terminates. When does your portable insurance start? After your insurance terminates, your portable insurance will start on the later of the following: · the date we approve your application for portable insurance; or · the date we receive your first premium payment for portable insurance. When is portable insurance available to your Spouse and when is your Spouse eligible? Portable insurance is available for your Spouse up to the later of the day before you attain age 70 or 12 months from the date your portable insurance started if all of the following requirements are met: · you die or divorce your Spouse and your Spouse was Insured under the Policy at that time; · your Spouse resides in the United States or Canada. Your Spouse’s portable insurance will be provided under an insurance policy we make available for this purpose. Their portable insurance may not be identical to your current insurance under the Policy. When must your Spouse apply for portable insurance? Your Spouse must complete an application for portable insurance and send it to us with payment of the first premium within 31 days of the date of your death or divorce. The application for portable insurance and applicable rates are available from your Employer. What is the amount of your Spouse’s portable insurance? Your Spouse may apply for portable insurance in an amount up to 100% of the amount of Spouse Accident Insurance and Dependent Children Accident Insurance in force under the Policy on the date of your death or divorce. Your Spouse may not apply for portable insurance for a Dependent Child whose insurance has not terminated under the Policy due to divorce. 16-AC-C-01 Page37
Accident cert Page 36 Page 38