For Dependents (other than newborns) who are confined in a hospital or at home on the date on which they would otherwise become insured, insurance will be effective as of the date the confinement ends. TERMINATION OF DEPENDENT LIFE INSURANCE The insurance for an insured Dependent will terminate on the first of the following dates: (1) the date this Section terminates; or (2) the date the dependent is no longer a Dependent as defined; or (3) the end of the period for which premium has been paid by you or the Policyholder; or (4) the date your insurance terminates; or (5) the date you retire from employment with the Policyholder. CONVERSION OF DEPENDENT LIFE INSURANCE If the insurance of an insured Dependent terminates because: (1) you terminate employment or membership in the classes eligible for this insurance; or (2) you die; or (3) the Dependent ceases to be eligible for this insurance; then you may convert the Dependent's insurance to an individual policy. The conversion is subject to the following rules: (1) a written application for the conversion policy must be received by us within thirty-one (31) days after the Dependent's insurance terminates. The first premium must be sent in with the application; and (2) the premium due for the policy will be at our usual rates. This rate will be based on the Amount of Insurance, class of risk and the age of the Dependent on the date the policy is issued; and (3) the policy may be any life plan we currently issue, except term insurance; and (4) proof of good health is not required; and (5) the policy issued will be for an amount not over what the Dependent had before termination under the Policy; and (6) the policy issued will not have disability or supplemental benefits. If the Dependent's insurance ceases due to termination or amendment of the Policy, an individual policy can be issued. The Dependent must have been insured for at least five (5) years under the Policy and/or the prior carrier. The same rules as shown in the previous paragraph will be used, except that the face amount will be the lesser of: (1) the amount of Dependent life insurance under the Policy. This amount will be less any amount of group life insurance the Dependent receives or becomes eligible for within thirty-one (31) days after the Policy terminates; or (2) $10,000. If an insured Dependent should die within thirty-one (31) days of the date his/her insurance ceased, we will pay the benefit he/she had under the Policy. This will be done whether or not you applied for the individual policy on behalf of the insured Dependent. LRS-6423-31 Ed. 04/16 Page 14.1
Class 4 Group Life (Basic and Term) Certificate Page 17 Page 19