GC 3100.25C SECTION 8 - INSURING PROVISIONS 2005 SECTION 8 - INSURING PROVISIONS ACCIDENTAL DISMEMBERMENT AND LOSS OF SIGHT: If an accidental Injury: 1) occurs while a Person is insured under the Group Policy; and 2) results in any of the losses shown in the schedule below within 100 days after the date of Injury, then AUL will pay the Monthly Benefit to a Person for the longer of: a) the number of payments listed on the schedule below; or b) the number of months a Person remains Disabled, not to exceed the Maximum Benefit Duration. Payment of this benefit will not be subject to completion of the Elimination Period. However, after the Elimination Period has been completed, this benefit will be paid in lieu of the regular Monthly Benefit, not in addition to it. If the Person returns to work, AUL will continue to pay the scheduled Monthly Benefit payments, not to exceed the maximum number of Monthly Benefit payments in the schedule below. The Monthly Benefit will not be reduced by any Current Monthly Income received from the Participating Unit after the Person returns to work. If the Person dies, the Monthly Benefit payments will cease. If a Person remains Disabled beyond the number of monthly benefit payments under this provision, benefits may continue as provided under the Group Policy. SCHEDULE OF MONTHLY BENEFIT PAYMENTS NUMBER OF MONTHLY FOR LOSS OF: BENEFIT PAYMENTS* Sight of both eyes.................................................................................................................. 46 Both hands............................................................................................................................. 46 Both feet.................................................................................................................................46 One hand and one foot...........................................................................................................46 One hand and sight of one eye...............................................................................................46 One foot and sight of one eye................................................................................................ 46 One hand or one foot............................................................................................................. 23 Sight of one eye..................................................................................................................... 15 Thumb and Index Finger of either hand................................................................................ 12 *NOTE: The maximum number of monthly payments for all losses suffered in any one Injury shall be limited to that one loss for which the greatest number of monthly payments is provided in the above schedule. "Loss of hands and feet" means the loss by severance at or above the wrist or ankle joint. "Loss of sight" means total and irrecoverable loss of sight. "Loss of thumb and index finger" means actual severance at or above the knuckles joining each to the hand.
Certificate of Insurance for Group Long Term Disability Income Insurance Page 39 Page 41