RL-ACC3-WELL2-23-IN 2 WELL-12967 (11/25) GENERAL PROVISIONS ELIGIBILITY If you are covered under the Policy, then you are eligible under this rider on the latest of the following: The Policy effective date. The date coverage under this rider is available to the eligible class of Insured Persons to which you belong. Your Accident coverage effective date. Your Spouse is eligible for coverage under this rider on the later of the date above or the date your Spouse is eligible for coverage under the Spouse Accident Rider. Your Children are eligible for coverage under this rider on the later of the date above or the date each Child is eligible for coverage under the Children’s Accident Rider. EFFECTIVE DATE Each Covered Person will be covered at 12:01 a.m. standard time at the Policyholder's address on the date the Covered Person is eligible for coverage under this rider. TERMINATION Coverage under this rider will terminate on the earliest of the following: The date your Accident insurance terminates. See the PORTABILITY FOLLOWING DEATH OR DIVORCE provision below and in any riders if termination is due to death or involves coverage previously continued by your Spouse. The date coverage under this rider is terminated for all Active Employees under the Policy. See the PORTABILITY provisions below. The date coverage under this rider is terminated for the eligible class of Active Employees to which you belong. See the PORTABILITY provisions below. For your Spouse's coverage, the date your Spouse’s coverage under the Spouse Accident Rider terminates. For each Child's coverage, the date your Child's coverage under the Children's Accident Rider terminates. The date the Policy terminates because we stop providing accident coverage to all groups in the Policy issue state and coverage for all Covered Persons under the Policy terminates. We will provide 60 days Written notice of termination. PORTABILITY If you continue your coverage under the Certificate’s PORTABILITY provision, then coverage under this rider will also be continued during portability. Continued coverage under this provision is subject to all the terms of this rider. ASSIGNMENT At the time of claim under this rider, you can assign the payment of a benefit under this rider to a third party who is not the Policyholder. PORTABILITY FOLLOWING DEATH OR DIVORCE If you die or divorce and your Spouse continues coverage under the PORTABILITY FOLLOWING DEATH OR DIVORCE provision of the Spouse Accident Rider, then coverage under this rider can also be continued under your Spouse’s coverage. Continued coverage under this provision is subject to all the terms of this rider.
Accident Insurance Plan for Noblesville Schools Employees Page 40 Page 42