Critical Illness cert

SUN LIFE ASSURANCE COMPANY OF CANADA Executive Office: One Sun Life Executive Park Wellesley Hills, MA 02481 (800) 247-6875 www.sunlife.com/us Sun Life Assurance Company of Canada certifies that it has issued and delivered a Group Insurance Policy to the Policyholder shown below. Policy Number: 917800-002 Policy Effective Date: January 1, 2019 Policyholder: DePauw University Employer: DePauw University Issue State: Indiana NOTICE TO BUYER: THIS IS A LIMITED BENEFIT HEALTH CERTIFICATE. THIS CERTIFICATE PROVIDES LIMITED BENEFITS. BENEFITS PROVIDED ARE SUPPLEMENTAL AND NOT INTENDED TO COVER ALL MEDICAL EXPENSES PLEASE READ YOUR CERTIFICATE CAREFULLY. This Certificate contains the terms of the Group Insurance Policy that affect your insurance. This Certificate is part of the Group Insurance Policy. This Certificate is governed by the laws of the Issue State shown above unless preempted by the federal Employee Retirement Income Security Act. Signed at Wellesley Hills, Massachusetts. Dean A. Connor Troy Krushel President and Chief Executive Officer Vice-President, Associate General Counsel and Corporate Secretary Group Critical Illness Insurance Certificate Non-Participating 16-SD-C-01 Page1