NEWLYWED PROVISION: At the marriage of an Insured Person who had not previously elected Dependent spouse coverage, his/her new spouse shall automatically become an Insured Dependent spouse. Such spouse shall be an Insured Dependent spouse for 31 days. He/she shall then cease to be an Insured Dependent spouse unless: (1) the Insured Person requests, in writing and within such 31 day period, continuation of such Dependent spouse coverage; and (2) the additional premium is paid for such coverage. NEWBORN CHILDREN: If a child is born to an Insured Person who has not elected Dependent child(ren) coverage, such child shall be an Insured Dependent child from the moment of birth. The newborn child shall be an Insured Dependent child for 31 days. He/she shall then cease to be an Insured Dependent child unless: (1) the Insured Person requests, in writing and within such 31 day period, continuation of such Dependent child(ren) coverage; and (2) the additional premium is paid for such coverage. The above coverage will also be extended to newly adoptive children from the earlier of: 1) the date of placement for the purpose of adoption; or 2) the date of the entry of an order granting the adoptive parent custody of the child for the purposes of adoption. Such coverage shall continue unless the placement is disrupted prior to legal adoption and the child is removed from placement, provided notice and payment of any required premium is paid within 31 days from the date in (1) or (2) above. The above coverage will be extended to foster or stepchildren, as of the date they become financially dependent on an Insured Person for support, provided they otherwise meet the definition of a Dependent. LRS-9547-0318-IN Page 6.1

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