EPIDURAL ANESTHESIA INJECTION: An Epidural Anesthesia Injection benefit will be payable if you or your Insured Dependent receive an epidural injection administered for pain management for an Injury as a result of a Covered Accident. The epidural must be: (1) prescribed by a Physician; (2) administered in a Physician's office or Hospital; and (3) received within 6 months of the Covered Accident. A benefit will not be paid for: (1) an epidural injection administered during a surgical procedure; (2) epidural steroid injections; or (3) an epidural administered during labor and delivery. Only 2 benefits will be paid for each person insured per Covered Accident. EYE INJURY: An Eye Injury benefit will be payable if you or your Insured Dependent sustain an Injury to the eye or eyes as a result of a Covered Accident provided a Physician: (1) performs surgical repair on the eye or eyes within 90 days of a Covered Accident; or (2) removes a foreign object from the eye or eyes within 90 days of the Covered Accident. Only one benefit will be paid for each eye for each person insured per Covered Accident. FRACTURE: A Fracture benefit will be payable if you or your Insured Dependent sustain a Fracture or Chip Fracture as a result of a Covered Accident provided it is diagnosed by a Physician within 6 months of the Covered Accident. If you or your Insured Dependent sustain more than one fracture as a result of such Covered Accident, we will pay one benefit which is the highest. HOSPITALIZATION: Initial Hospital Admission: An Initial Hospital Admission lump sum benefit will be payable if you or your Insured Dependent sustain an Injury due to a Covered Accident and require Hospital Confinement and: (1) Hospital Confinement occurs with 180 days of the Covered Accident; and (2) it is the first Hospital Confinement for such Covered Accident. Only one benefit will be paid for each person insured per Covered Accident. This benefit will not be payable if treatment is provided: (1) in the emergency room; or (2) on an Outpatient basis. If a benefit is payable under the Initial Hospital Admission benefit as well as under the Initial Intensive Care Unit (ICU) Hospital Admission benefit, only one benefit will be paid which is the highest. You or your Insured Dependent may also be eligible for a Hospital Confinement benefit. LRS-9548-0318-IN Page 7.2