10 (4) You continue to pay the required premium to the Employer without interruption and the Employer continues to remit premium to Us on Your behalf. b) Unless You return to active, eligible status on or before the date the paid leave of absence is scheduled to end, coverage extended during a paid leave of absence will terminate on the earlier of: (1) the date the paid leave of absence is scheduled to end; (2) 12 months from the date the paid leave of absence began; or (3) upon termination of employment with the Employer. (4) the date You fail to pay the premium as required. c) If You choose not to continue coverage or Your coverage terminates during a paid leave of absence and You subsequently wish to obtain coverage, You will be treated as a Late Enrollee and be required to provide Evidence of Insurability. D. Unpaid Leave of Absence - If You are on an unpaid leave of absence, coverage will continue subject to the following: 1. Noncontributory Coverage a) Coverage will continue provided that: (1) The unpaid leave of absence is approved in advance by the Employer and such approval includes documentation of the beginning and ending dates of the unpaid leave of absence; and (2) The documentation of the advance approval of the unpaid leave of absence beginning and end dates is available to Us at Our request; and (3) unpaid leaves of absence and the right to continue coverage during unpaid leaves of absence are available to all Employees in the same Eligible Class under the Group Policy; and (4) the Employer remits the required premium for coverage. b) Unless You return to active, eligible status on or before the date the unpaid leave of absence is scheduled to end, coverage extended during an unpaid leave of absence will terminate on the earlier of: (1) the date the unpaid leave of absence is scheduled to end; or (2) 12 months from the date the unpaid leave of absence began; or (3) upon termination of employment with the Employer. 2. Contributory Coverage a) Coverage will continue provided that: (1) The unpaid leave of absence is approved in advance by the Employer and such approval includes documentation of the beginning and ending dates of the unpaid leave of absence; and (2) The documentation of the advance approval of the unpaid leave of absence beginning and end dates is available to Us at Our request; and (3) unpaid leaves of absence and the right to continue coverage during unpaid leave of absence are available to all Employees in the same Eligible Class under the Group Policy; and (4) You continue to pay the required premium to the Employer without interruption and the Employer continues to remit premium to Us on Your behalf. b) Unless You return to active, eligible status on or before the date the unpaid leave of absence is scheduled to end, coverage extended during an unpaid leave of absence will terminate on the earlier of: (1) the date the unpaid leave of absence is scheduled to end; (2) 12 months from the date the unpaid leave of absence began; or (3) upon termination of employment with the Employer. (4) the date You fail to pay the premium as required. c) If You choose not to continue coverage or Your coverage terminates during an unpaid leave of absence and You subsequently wish to obtain coverage, You will be treated as a Late Enrollee and be required to provide Evidence of Insurability.

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