ICC19 RL-STD-CNT-19 1 CNT-12972 (11/25) CONTINUATION OF INSURANCE RIDER RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1STD2 This rider is made a part of the Group Short Term Disability Income Insurance Certificate and is subject to all of the provisions, limitations and exclusions of the Policy and Certificate, unless changed by this rider. Unless expressly changed by this rider, the terms used in this rider have the same meaning as in the Certificate. DEFINITIONS Labor Strike means you are absent from Active Employment for a period of time for which continuation of insurance is available under the Employer’s written plan for labor strikes. Leave of Absence means you are absent from Active Employment for a period of time under a leave granted in advance in writing by the Employer that is in accordance with the Employer’s formal leave policies. Your normal vacation time is not considered a Leave of Absence. Temporary Layoff means you are absent from Active Employment for a period of time that has been agreed to in advance in writing by the Employer. Planned vacations that your Employer has approved in advance are not considered a Temporary Layoff. GENERAL PROVISIONS ELIGIBILITY If you are covered under the Policy, then you are eligible for this rider on the latest of the following: The Policy effective date. The date this rider is available to the eligible class of Employees to which you belong. Your disability income insurance coverage effective date. EFFECTIVE DATE You will be covered at 12:01 a.m. standard time at the Policyholder’s address on the date you are eligible for this rider. CHANGE OF INSURANCE CARRIERS The CHANGE OF INSURANCE CARRIERS provision in the Certificate is revised to include an Employee whose coverage was being continued under a similar continuation provision in the Employer’s Prior Policy on the date the Employer changes insurance carriers to our Policy. CONTENTS Section Page Definitions............................................................................................................... 1 General Provisions................................................................................................. 1 Continuation of Insurance....................................................................................... 2
Short Term Disability Income Insurance Plan for Noblesville Schools Page 22 Page 24