DEPENDENT CRITICAL ILLNESS INSURANCE Nothing in this section will change or affect any of the terms of the Policy other than as specifically set out in this section. All the Policy provisions not in conflict with these provisions shall apply to this section. When an Insured Dependent is Diagnosed with a Critical Illness in accordance with the Critical Illness Benefit provision we will pay the applicable benefit shown on the Schedule of Benefits. Only dependents that meet the definition of Dependent can be insured for this benefit. Any benefit payable for an Insured Dependent will be paid to you unless another individual has been designated as beneficiary. A person may not have coverage under the Policy both as an Insured and as an Insured Dependent. Only one eligible spouse may cover the eligible children as Insured Dependents. The spouse may be covered as a Dependent if not covered as an Insured. If insurance is in force for one Insured Dependent child, any newly eligible Dependent child(ren) will be automatically insured. ELIGIBILITY: You, as an Eligible Person, are eligible to enroll your Dependents on the date you become an Insured Person. EFFECTIVE DATE OF DEPENDENT INSURANCE: If the Policyholder pays the entire premium, the insurance up to any guaranteed issue amount for a Dependent will become effective on the later of: (1) the first day of the month following the date you become eligible to enroll your Dependents for Dependent insurance; or (2) the first day of the month following the date the dependent meets the definition of Dependent. If you are required to pay a portion of the Dependent premium, you may insure your Dependents by making written application. In this case, the insurance for Dependents will take effect on the later of: (1) the first day of the month following the date you become eligible to enroll your Dependents for Dependent Insurance; or (2) the first day of the month following the date the dependent meets the definition of Dependent, if application is made on or before that date; or (3) the first day of the month following the date of application, if application is made within 31 days from the date the Dependent first becomes eligible for this insurance; or (4) the first day of the month following the date we approve any required proof of good health. We require proof of good health if you make application for Dependent spouse insurance: (a) after 31 days from the date the Dependent spouse first becomes eligible for this insurance; or (b) after a prior termination of insurance as long as the Dependent spouse remained eligible for Dependent insurance; or (c) for an Amount of Insurance greater than he/she was insured for with the prior group critical illness plan; or (d) after the Dependent spouse was eligible for coverage under a prior group critical illness plan for more than 31 days but did not elect to be covered under that prior plan; or (5) the date premium is remitted. If the Dependent spouse has been previously declined for coverage by us, had an application withdrawn or marked incomplete for any reason or voluntarily terminated his/her insurance coverage with us, all future requests for coverage are subject to submission and our approval of proof of good health. However, proof of good health will not be required if the Dependent who voluntarily terminated his/her insurance coverage with us makes a future request for insurance coverage due to a life event change or during any approved enrollment period. For a Dependent who is confined in a Hospital or Medical Facility (other than newborn children) or at home on the date on which he/she would otherwise become insured, insurance will be effective as of the date the confinement ends. Changes in the Insured Dependent’s Amount of Insurance are effective as shown on the Schedule of Benefits. LRS-9538-6-0118-IN Page 6.0
Voluntary Critical Illness Certificate Page 10 Page 12