GLDI-C300-(12/06) 2 TABLE OF CONTENTS SCHEDULE OF BENEFITS ............................................................................................................................................................ 3 DEFINITIONS ................................................................................................................................................................................. 5 I. INSURING CLAUSE ....................................................................................................................................................... 8 II. ELIGIBILITY FOR INSURANCE ................................................................................................................................... 8 III. BECOMING INSURED ................................................................................................................................................... 9 IV. WAIVER OF PREMIUM ............................................................................................................................................... 10 V. WHEN YOUR INSURANCE ENDS ............................................................................................................................. 10 VI. RULES FOR TRANSFER OF EMPLOYEES FROM PRIOR PLAN ........................................................................... 12 VII. REINSTATEMENT OF COVERAGE ........................................................................................................................... 13 VIII. DEFINITION OF DISABILITY ..................................................................................................................................... 13 IX. CUMULATIVE ELIMINATION PERIOD .................................................................................................................... 14 X. RECURRENT DISABILITY .......................................................................................................................................... 14 XI. WHEN LTD BENEFITS END ....................................................................................................................................... 15 XII. PREDISABILITY EARNINGS ...................................................................................................................................... 15 XIII. LTD BENEFIT CALCULATION .................................................................................................................................. 16 XIV. DEDUCTIBLE INCOME ............................................................................................................................................... 16 XV. BENEFITS AFTER INSURANCE ENDS OR IS CHANGED ...................................................................................... 19 XVI. EFFECT OF NEW DISABILITY ................................................................................................................................... 19 XVII. EXCLUSIONS ................................................................................................................................................................ 19 XVIII. LIMITATIONS ............................................................................................................................................................... 19 XIX. RESPONSIBILITIES OF DISABLED INSURED PERSONS....................................................................................... 20 XX. CLAIMS ......................................................................................................................................................................... 21 XXI. RIGHT TO REIMBURSEMENT ................................................................................................................................... 23 XXII. SUBROGATION ............................................................................................................................................................ 24 XXIII. TIME LIMITS ON LEGAL ACTIONS .......................................................................................................................... 24 XXIV. INCONTESTABILITY PROVISIONS .......................................................................................................................... 24 XXV. CLERICAL ERROR AND MISSTATEMENT .............................................................................................................. 25 XXVI. FRAUD ........................................................................................................................................................................... 25 XXVII. TERMINATION OR AMENDMENT OF THE GROUP POLICY AND EMPLOYER COVERAGE ......................... 25 XXVIII. COST OF LIVING ADJUSTMENT (COLA) BENEFIT ............................................................................................... 26 XXIX. REHABILITATION BENEFIT ...................................................................................................................................... 27