RL-HI2-WELL-18-IN 2 WELL-12970 (11/25) GENERAL PROVISIONS ELIGIBILITY If you are working for the Employer in an eligible class (shown in the Certificate’s SCHEDULE OF BENEFITS), you are eligible for this rider on the latest of the following dates:  The Policy effective date.  The date this rider is available to the eligible class of Insured Persons to which you belong.  Your Hospital Confinement indemnity 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 Hospital Confinement Indemnity 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 Hospital Confinement Indemnity 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 This rider will terminate on the earliest of the following:  The date your Certificate terminates.  The date this rider is terminated for all Insured Persons under the Policy.  For your Spouse’s coverage, the date the Spouse Hospital Confinement Indemnity Rider terminates.  For each Child’s coverage, the date your Child’s coverage under the Children’s Hospital Confinement Indemnity Rider terminates. PORTABILITY If you are approved by us to continue your coverage under the Certificate’s PORTABILITY provision, then this rider will also be continued during portability. PORTABILITY FOLLOWING DEATH OR DIVORCE If you die or divorce and your Spouse is approved by us for portability under the Spouse Hospital Confinement Indemnity Rider, then this rider can also be continued under your Spouse’s coverage. BENEFITS We will pay you a wellness benefit for each day that a Covered Person has one or more eligible health screening tests, on or after the Covered Person’s coverage effective date. This benefit is payable up to a maximum of one day per Covered Person per calendar year. The amounts are shown on the SCHEDULE OF BENEFITS. Eligible health screening tests include, but are not limited to: – Blood test for triglycerides – Pap smear or thin prep pap test – Flexible sigmoidoscopy – CEA (blood test for colon cancer) – Stress test on bicycle or treadmill – Fasting blood glucose test – Thermography – PSA (prostate cancer) – Bone marrow testing – Serum cholesterol test for HDL & LDL levels – Hemoccult stool analysis – Serum Protein Electrophoresis (myeloma) – Biometric screenings – Electrocardiogram (EKG) – Routine eye exam – Routine dental exam – Breast ultrasound, sonogram, MRI – Chest x-ray – Mammography – Colonoscopy – CA 15-3 (breast cancer) – Well child/preventive exams for ages 1 through 18