III. BECOMING INSURED A. To become an Insured Person under the Group Policy, you must be an Eligible Person and meet the following requirements as each may apply: 1. If Evidence of Insurability is required, you must provide such Evidence of Insurability and be approved for coverage by us. The Schedule of Benefits specifies when Evidence of Insurability is required. 2. Evidence of Insurability. a) Providing Evidence of Insurability means that an applicant must: (1) complete and sign our Evidence of Insurability application and return the original application to us no later than 60 days from the date of signing; and (2) authorize us to obtain information about the applicant’s health; and (3) undergo a physical examination, if required by us, which may include diagnostic testing; and (4) provide any additional information about the applicant’s insurability that we may reasonably require. b) If you, your Spouse or your dependents are required to provide Evidence of Insurability, you will be responsible for all costs associated with providing Evidence of Insurability. c) In each case where Evidence of Insurability is required, we base our decision whether to approve coverage on the information provided during the underwriting process. If we learn that the information relied on to approve coverage was incorrect, or that relevant information was omitted, we may retroactively rescind coverage and deny claims. 3. If the insurance you wish to obtain is Contributory insurance, you must apply in writing and remit the required premiums. B. Effective Date of Your Insurance 1. Initial Enrollment a) Noncontributory insurance not subject to Evidence of Insurability, or which is subject to Evidence of Insurability and has been approved by us, becomes effective on the date you become an Eligible Person. If, however, you initially waive participation in such coverage and then later wish to participate, you will be treated as a Late Enrollee, subject to Evidence of Insurability. b) Contributory insurance subject to Evidence of Insurability becomes effective on the first day of the month immediately following the month in which your Evidence of Insurability is approved by us, except that if such approval occurs on the first day of a month, such coverage becomes effective on that day. c) Contributory insurance not subject to Evidence of Insurability. Provided that you apply prior to, or within 31 days of becoming an Eligible Person, Contributory insurance not subject to Evidence of Insurability becomes effective on the date you become an Eligible Person. If you do not apply for such coverage prior to, or within 31 days of becoming an Eligible Person and subsequently wish to obtain coverage, you will be a Late Enrollee, subject to Evidence of Insurability. 2. Increases in Existing Coverage and Late Enrollee Applications a) Where Evidence of Insurability is required, increases of existing coverage and Late Enrollee applications become effective on the first day of the month immediately following the month in which

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