TERMINATION OF INSURANCE The Policyholder or the Company may terminate or cancel the Policy as shown in the Policy. For All Insureds. The Insureds’ insurance will cease on the earlier of: 1. the date the Policy ends; 2. the end of the last period for which any required premium contribution agreed to in writing has been made; 3. the date the Insured is no longer eligible for insurance; or 4. the date the Insured’s employment with the Policyholder ends. The Policyholder may, at the Policyholder’s option, continue insurance for individuals whose employment has ended, if the Policyholder: a. does so without individual selection between Insureds; and b. continues to pay any premium contribution for those individuals. For Dependents. A Dependent’s insurance will cease on the earlier of: 1. the date the Insured’s coverage ends; 2. the end of the year in which the Dependent ceases to be an eligible Dependent as defined in the Policyholder’s application; or 3. the end of the last period for which any required premium contribution has been made. A Dependent child will not cease to be a Dependent solely because of age if the child is: 1. not capable of self-sustaining employment due to mental incapacity or physical handicap that began before the age limit was reached; and 2. mainly dependent on the Insured for support. The Company may ask for proof of the eligible Dependent child’s incapacity and dependency 120 days prior to the date the Dependent child would otherwise cease to be covered. The Company may require the same proof again, but will not request it more than once a year after this coverage has been continued for two years. This continued coverage will end on the earlier of: 1. on the date the Policy ends; 2. on the date the incapacity or dependency ends; 3. on the end of the last period for which any required premium contribution for the Dependent child has been made; or 4. 60 days following the date the Company requests proof and such proof is not provided to the Company. PREMIUMS The Company provides insurance coverage in return for premium payment. Premiums are payable to the Company by the Policyholder on behalf of the Insured Person. The Insured Person’s first premium is due on the Insured Person’s Effective Date. Premiums must be paid to the Company on or before the due date. The initial premium rates are shown in the Policyholder’s application. Premium Changes. The Company has the right to change the premium rates on any premium due date as allowed in the Policy. The Company will provide written notice to the Policyholder at least 31 days before the date of the change. The premium rates also may be changed at any time the terms of the Policy are changed. Grace Period. The Policy has a 31-day grace period for the payment of each premium due after the first premium. Coverage will continue in force during the grace period. Coverage will terminate at the end of the grace period if all premiums due are not paid. The Company will require payment of all premiums for the period this coverage continues in force, including the premiums for the grace period. The grace period will not apply if the Company receives written notice of the Policyholder’s or the Insured’s intent to terminate coverage. C-9184IN 6
Fidelity Security Life Insurance Company Group Vision Insurance Policy Page 8 Page 10