ICC18 LR14GP-CHR-2 3 CHR-12995 (11/25) EVIDENCE OF INSURABILITY Evidence of Insurability is required for coverage under the conditions described below. Coverage is subject to the Evidence of Insurability requirements that are in force on the effective date of coverage. Any increase to coverage is subject to the Evidence of Insurability requirements that are in force on the effective date of the increase. We must approve any required Evidence of Insurability before coverage becomes effective. When you have Children covered under this rider, then newly eligible Children will not require Evidence of Insurability. Supplemental Child Life Insurance Evidence Required Coverage on the Policy effective date continued from the Employer's prior Policy… Any amount exceeding the lesser of the most recent coverage from the Employer's prior Policy or the plan maximum Initial eligibility under the Employer's plan for supplemental children's coverage on or after the Policy effective date… Evidence is not required for any amount less than or equal to the plan maximum Enrollment for supplemental children's coverage on the Policy effective date, for employees who had supplemental children's coverage under the Employer's prior Policy… Evidence is not required for any amount less than or equal to the plan maximum Enrollment for supplemental children's coverage on the Policy effective date, for employees who had no supplemental children's coverage under the Employer's prior Policy… Evidence is not required for any amount less than or equal to the plan maximum Enrollment at a scheduled annual enrollment period after the Policy effective date for an increase to existing supplemental children's coverage… Evidence is not required for any increase in which the total Supplemental Children's Life Insurance amount is less than or equal to the plan maximum Enrollment at a scheduled annual enrollment period after the Policy effective date for initial supplemental children's coverage… Evidence is not required for any amount less than or equal to the plan maximum Enrollment within 31 days after a change in family status as documented and approved by the Employer and valid during this enrollment… Evidence is not required for any increase in which the total Supplemental Children's Life Insurance amount is less than or equal to the plan maximum Any new or increased supplemental children's coverage not described above, including enrollments more than 31 days after initial eligibility… Evidence is not required for any amount less than or equal to the plan maximum

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