GC 3100.7F SECTION 2 - DEFINITIONS 2005 (Pre-Ex: 3/12)(BME) (Prudent: Not Included) SECTION 2 - DEFINITIONS PARTICIPATING UNIT means any sole proprietorship, partnership, corporation, limited liability company, limited liability partnership, firm, school district, individual school, or other instrumentality of a state or political subdivision thereof, that has been approved by AUL and added by amendment to the Group Policy. An entity that is subsidiary to or affiliated with the Participating Unit as defined below is eligible for coverage under the Group Policy if the Participating Unit requests it or it is later added by amendment to the Group Policy. 1) A subsidiary is defined as a corporation in which the Participating Unit owns more than 50% of the voting stock of the subsidiary corporation. 2) An affiliate is defined as a corporation, limited liability company, proprietorship, or partnership under common control with the Participating Unit through stock ownership, contract, common officers or otherwise. The Participating Unit is liable for all premiums due for a subsidiary and affiliate during any period of time the subsidiary and/or affiliate are insured under the Group Policy. Any notice given to the Participating Unit by AUL shall be considered notice given to the subsidiary and/or affiliate. PARTICIPATING UNIT'S EFFECTIVE DATE means the date on which coverage is actually effective for the Participating Unit under the Group Policy as determined by AUL. PARTICIPATING UNIT'S ANNIVERSARY DATE means the month and day of each year as stated on the Subscription Agreement and agreed to by the Participating Unit and AUL. PERSON means an Employee who has met the requirements of the Eligibility and Individual Effective Date section of the Group Policy. PERSONAL INSURANCE means the insurance provided under the Group Policy for an insured Person. PHYSICIAN means a qualified, licensed doctor of medicine or osteopathy, and any other licensed health care provider that state law requires to be recognized as a Physician, practicing within the scope of his license and applicable law. Physician does not include a Physician employed by the Participating Unit, a Person or anyone related by blood or marriage to a Person. PRE-DISABILITY EARNINGS means a Person's Basic Monthly Earnings in effect immediately prior to his date of Disability. PRE-EXISTING CONDITION means any condition for which a Person would have done any of the following at any time during the 3 months immediately prior to a Person's Individual Effective Date of Insurance, whether or not that condition was diagnosed at all or was misdiagnosed: 1) received medical treatment or consultation; 2) taken or were prescribed drugs or medicine; or 3) received care or services including diagnostic measures. PRIMARY SOCIAL SECURITY BENEFITS means benefits that a Person is entitled to receive for himself as a result of his eligibility for benefits through the Federal Social Security Administration. PRIOR PLAN means the Participating Unit's plan of long term disability insurance that terminated on the day immediately before the Participating Unit's original Effective Date of coverage under the Group Policy.
Certificate of Insurance for Group Long Term Disability Income Insurance Page 13 Page 15