ELIGIBILITY PROVISIONS: INSURANCE FOR YOUR DEPENDENTS (continued) Decrease in Insurance for Your Dependents If You make a Written request to decrease insurance for Your Dependents, that decrease will take effect on the first day of the month following the date We receive Your Written request. DATE YOUR INSURANCE FOR YOUR DEPENDENTS ENDS A Dependent's insurance will end on the earliest of: 1. for Dependent Life Insurance, the date all of the Life Insurance under the Group Policy ends; or 2. for Dependent Accidental Death and Dismemberment Insurance, the last day of the calendar month all of Your Accidental Death and Dismemberment Insurance under the Group Policy ends; or 3. the date You die; or 4. the date the Group Policy ends; or 5. the last day of the calendar month Your Employee Life Insurance under the Group Policy ends; or 6. the last day of the calendar month insurance for Your Dependents ends under the Group Policy; or 7. the last day of the calendar month in which insurance for Your Dependents ends for Your class; or 8. the last day of the calendar month the Dependent meets eligibility criteria; or 9. the last day of the calendar month in which Your employment ends; Dependent insurance will end if You cease to be Actively at Work in any eligible class, except as stated in the section entitled CONTINUATION OF INSURANCE WITH PREMIUM PAYMENT; or 10. the last day of the calendar month in which You retire in accordance with the Employing Agency’s retirement plan; or 11. the last day of the calendar month in which the last premium has been paid for the Dependent; or 12. the date Your Employer Group ceases to participate in the Group Policy. Please refer to the section entitled ELIGIBILITY FOR CONTINUATION OF CERTAIN INSURANCE WHILE YOU ARE TOTALLY DISABLED for information concerning continuation of Life Insurance for your Dependents if insurance ends while You are Totally Disabled. Please refer to the section entitled LIFE INSURANCE: CONVERSION OPTION FOR YOUR DEPENDENTS for information concerning the option to convert to an individual policy of life insurance if Life Insurance for a Dependent ends. In certain cases insurance may be continued as stated in the section entitled CONTINUATION OF INSURANCE WITH PREMIUM PAYMENT. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 52

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