RL-CI4-CHR2-20-IN 4 CHR-12969 (11/25) Systemic Sclerosis (Scleroderma) 10% 1 times the BENEFIT AMOUNT Occupational HIV 100% 1 times the BENEFIT AMOUNT Occupational Hepatitis B or C 100% 1 times the BENEFIT AMOUNT Additional Child Diseases means in addition to the benefits provided for Critical Illnesses as defined in the Certificate, this rider also covers the following child diseases: Cerebral Palsy. Congenital Birth Defects. Cystic Fibrosis. Down Syndrome. CHILDREN’S CRITICAL ILLNESS BENEFITS The benefit percentages and maximums for your Children are the same as the benefit percentages and maximums for you as shown in the SCHEDULE OF BENEFITS section of the Certificate. Benefit percentages for the Additional Child Diseases are shown below. Additional Child Diseases module Covered illness/condition Percent of BENEFIT AMOUNT payable Total maximum benefit amount for coverage Cerebral Palsy 100% 1 times the BENEFIT AMOUNT Congenital Birth Defects 100% 1 times the BENEFIT AMOUNT Cystic Fibrosis 100% 1 times the BENEFIT AMOUNT Down Syndrome 100% 1 times the BENEFIT AMOUNT Gaucher Disease, Type II or III 100% 1 times the BENEFIT AMOUNT Infantile Tay Sachs 100% 1 times the BENEFIT AMOUNT Niemann-Pick Disease 100% 1 times the BENEFIT AMOUNT Pompe Disease 100% 1 times the BENEFIT AMOUNT Sickle Cell Anemia 100% 1 times the BENEFIT AMOUNT Type 1 Diabetes 100% 1 times the BENEFIT AMOUNT Type IV Glycogen Storage Disease 100% 1 times the BENEFIT AMOUNT Zellweger Syndrome 100% 1 times the BENEFIT AMOUNT DEFINITIONS General terms defined in the DEFINITIONS section of the Certificate regarding medical conditions and eligibility apply to your Children.
Critical Illness Insurance Plan for Noblesville Schools Employees Page 32 Page 34