ICC18 LR14GP-SPR-2 3 SPR-12995 (11/25) Enrollment for supplemental spouse coverage on the Policy effective date, for employees who had supplemental spouse coverage under the Employer's prior Policy… Any amount of total Supplemental Spouse Life Insurance exceeding $50,000 Enrollment for supplemental spouse coverage on the Policy effective date, for employees who had no supplemental spouse coverage under the Employer's prior Policy… Any amount exceeding $50,000 Enrollment at a scheduled annual enrollment period after the Policy effective date for an increase to existing supplemental spouse coverage… Any total Supplemental Spouse Life Insurance exceeding $50,000 Enrollment at a scheduled annual enrollment period after the Policy effective date for initial supplemental spouse coverage… All amounts Enrollment within 31 days after a change in family status as documented and approved by the Employer and valid during this enrollment… Any total Supplemental Spouse Life Insurance exceeding $50,000 Any new or increased supplemental spouse coverage not described above, including enrollments more than 31 days after initial eligibility… All increased amounts EFFECTIVE DATE OF COVERAGE Your Spouse will be covered at 12:01 a.m. standard time at the Policyholder’s address on the latest of the following:  The date your Spouse is eligible for coverage, if you enroll for Spouse coverage on or before that date.  The date you enroll for Spouse coverage.  The date we approve your Spouse’s Evidence of Insurability, if Evidence of Insurability is required.  The date you return to Active Employment, if you are not in Active Employment when your Spouse’s coverage would otherwise become effective. Exception: Coverage starts on a non-working day if you were in Active Employment on your last scheduled working day before the non-working day. Non-working days include time off for the following: vacations, personal holidays, weekends and holidays, approved nonmedical leave of absence and paid time off for nonmedical-related absences.  The date your Spouse is no longer hospitalized, or confined at home under a doctor’s care, or receiving or applying to receive disability benefits from any source, if any of these conditions are true on the date your Spouse’s coverage would otherwise become effective.

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