CERTIFICATE ENDORSEMENT For Group Hospital Confinement Indemnity Insurance RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1CHI2 This endorsement is made a part of the Hospital Confinement Indemnity Insurance Certificate and is subject to all of the provisions, limitations and exclusions of the Policy and Certificate. Except as expressly changed by this endorsement, the terms used in this endorsement have the same meaning as in the Certificate. EFFECTIVE DATE The endorsement effective date is the effective date of the Certificate. ENDORSED PROVISIONS Your Certificate has been changed. The following provision(s) are amended to read as follows: Confined or Confinement means that on the advice of a Doctor, your assignment to a bed as a resident inpatient in a Hospital or Critical Care Unit (CCU). Confined or Confinement includes being admitted to a Hospital observation unit for 20 hours or more. An observation unit is a specified area within a Hospital, apart from the Emergency Room, where a patient can be monitored by a Doctor, and that fully meets each of the following requirements:  It is under the direct supervision of a Doctor or registered nurse.  It is staffed by nurses assigned specifically to that unit.  It provides care seven days per week, 24 hours per day. There must be a charge for room and board for the confinement, other than in any government, military or veterans’ facility or Hospital observation unit for which there is no charge for room and board. OBSERVATION UNIT DAILY BENEFIT Observation unit benefit: Benefits are payable if you are admitted to a Hospital observation unit for at least 4 consecutive hours but less than 20 consecutive hours other than as an inpatient. This benefit is not payable for any day that a facility Confinement or admission benefit is payable. An observation unit is a specified area within a Hospital, apart from the Emergency Room, where a patient can be monitored by a Doctor, and that fully meets each of the following requirements:  It is under the direct supervision of a Doctor or registered nurse.  It is staffed by nurses assigned specifically to that unit.  It provides care seven days per week, 24 hours per day. Executed at our home office: 250 Marquette Avenue, Suite 900 Minneapolis, Minnesota 55401 Amelia (Amy) J. Vaillancourt Melissa A. O'Donnell President Secretary RL-HI2-END-22 1 COU-12970 (11/25)