17 5. Physical Disease existing at the time of the Accident; 6. Medical negligence and malpractice; 7. Bacterial infections (except due to accidental food poisoning or caused by an accidental wound); 8. Any Loss incurred for which any government body or its agencies are liable while the insured is on active duty or training in the Armed Forces, National Guard or Reserves, of any state or country; 9. Any Loss incurred while operating, riding in or descending from any aircraft, except as a fare-paying passenger on a commercial aircraft. GTL-C2100-0608 X. CLAIMS PROVISIONS A. Filing A Claim 1. To file a claim for benefits under this Certificate, the claimant (depending on the benefit the claimant could be an Insured Person, a beneficiary or personal representative of an Insured Person) must provide Us with Proof of Loss in a timely manner. Or, upon receipt of written notice of claim, We will send the claimant a Claim Form for filing Proof of Loss. If the claimant does not receive such forms within 15 days after the giving of such notice, the claimant can send us, without the Claim Form, the written proof covering the occurrence. 2. Proof of Loss. a. Proof of Loss must be provided in writing to Us, at the claimant’s expense, within 90 days after the date of the loss if reasonably possible. If that is not reasonably possible, Proof of Loss must be provided no later than one year after expiration of that 90-day period, or the claim will be denied. The time limits under this section shall not apply while the claimant lacks legal capacity. b. Proof of Loss means satisfactory written proof that a loss occurred for which the Group Policy provides benefits, which is not subject to any exclusion, and which meets all other conditions for benefits. Proof of Loss includes any other information We may reasonably require in support of a claim for benefits under the Group Policy. B. Notice of Decision on Claim 1. We will evaluate a claim for benefits promptly after We receive it. Within 30 days after We receive the claim We will send the claimant: a. a written decision on the claim; or b. a notice that We are extending the period to decide the claim for an additional 45 days. 2. If the claim is approved, We will pay benefits within 30 days after the Proof of Loss requirement is satisfied. 3. If We extend the period to decide the claim, We will notify the claimant of the following: a. the reasons for the extension; b. when We expect to decide the claim; and c. any additional information We require to decide the claim. 4. If We request additional information, the claimant will have 45 days to provide the information. If the claimant does not provide the requested information within 45 days, We may decide the claim based on the information We have received. 5. If We deny any part of the claim, We will send the claimant a written notice of denial containing: a. the reasons for Our decision; b. reference to the parts of the Group Policy on which Our decision is based; c. a description of any additional information required to support the claim; d. information concerning the claimant's right to a review of Our decision. C. Payment of Claims. Upon receipt of proper Proof of Loss, benefits will be paid within 30 days. If any claims payment interest accrues, interest will be paid in the amount determined by the State in which the claims are incurred. Death Claims: If an Insured Person dies while insured for life insurance under the Group Policy, We will pay benefits according to the “Schedule of Benefits”, after We receive Proof of Loss, as follows.