become Disabled during the leave, the Benefit Waiting Period will begin on the date you become Disabled. v. Predisability Earnings will be your Predisability Earnings in effect immediately prior to the leave of absence. d. During a leave of absence if continuation of your insurance under the Group Policy is required by the state-mandated family or medical leave act or law. e. During the first 30 days of any other unpaid leave, provided you take the unpaid leave immediately following the end of your annual paid leave, subject to the following: i. If you become Disabled during the leave, the Benefit Waiting Period will not begin until the scheduled date of return to work. ii. Your Predisability Earnings will be based on your earnings in effect immediately prior to the leave of absence. For Employee-paid Insurance: During a leave of absence, including an approved USERRA leave of absence, providing that you maintain your eligibility for your Employer-paid Insurance, the following will apply: a. During the first 90 days your insurance will be continued, and premium payments are waived for Employee-paid Insurance. Premiums for your Employer-paid Insurance will continue to be remitted on your behalf by your Employer. b. Beginning on day 91, your insurance will continue providing premium payments are remitted by you to your Employer. REINSTATEMENT OF INSURANCE If your insurance ends you may become insured again as a new Member. However, 1 through 5 below will apply. 1. If your insurance ends because you fail to make a required premium contribution, you must provide Evidence of Insurability to become insured again. 2. If you return to pay status after a period of non-pay status which is a result of termination of employment, the Preexisting Condition Period and Exclusion Period will be based on the date you become insured again. 3. If you return to pay status immediately after a period of non-pay status of 12 months or less which is not a result of termination of employment, the Preexisting Condition Period and Exclusion Period will be based on the date you became insured prior to the beginning of the period of non-pay status. 4. If your insurance ends because you are on a state-mandated family or medical leave of absence, and you become a Member again immediately following the period allowed, your insurance will be reinstated pursuant to the state-mandated family or medical leave act or law. 5. If your insurance ends due to your active military service, and you become a Member again immediately following the period allowed, your insurance will be reinstated pursuant to the Uniformed Services Employment and Reemployment Rights Act (USERRA). 6. If you were eligible to continue but did not continue Employee-Paid Insurance during a leave of absence, you must provide Evidence Of Insurability to become insured again for Employee-Paid Insurance. 7. Following a leave of absence, your Employee-Paid Insurance will be automatically reinstated effective the first day of the month you are in pay status eight or more hours, or the first day of the month in which the quarter or semester begins for faculty who regains eligibility, if: i. You continued to self-pay for your Employee-Paid Insurance after losing eligibility for the Employer contribution; or 377661-B - 22 6/29/2022

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