ELIGIBILITY PROVISIONS: INSURANCE FOR YOUR DEPENDENTS (continued) If You are not Actively at Work on the date insurance would otherwise take effect, transfer of coverage will take effect on the first day of the month following the day You resume Active Work. Additional Requirement On the date the Dependent insurance is scheduled to take effect, the Dependent must not be: confined at home under a Physician's care; receiving or applying to receive disability benefits from any source; or Hospitalized. If the Dependent does not meet this requirement on such date, insurance for the Dependent will take effect on the date the Dependent is no longer: confined; receiving or applying to receive disability benefits from any source; or Hospitalized. The Additional Requirement will not apply to a Child with a developmental or physical disability who has been continuously disabled since a date before the Child reached the limiting age under this certificate and for whom satisfactory Proof of such disability and dependency has been provided as specified under FOR DEVELOPMENTALLY OR PHYSICALLY DISABLED CHILDREN. Dependent Life Insurance Increase in Insurance for Your Dependents If You make a Written request to increase insurance for Your Spouse or State-Registered Domestic Partner, Your Spouse or State-Registered Domestic Partner is required to give evidence of insurability to Us. You must give such evidence at Your expense. If We approve the Spouse or State-Registered Domestic Partner’s evidence of insurability, the increase will take effect on the first day of the month following the date We approve the Spouse or State-Registered Domestic Partner’s evidence of insurability. If We do not approve the evidence of insurability, or You do not submit evidence of insurability for Your Spouse or State-Registered Domestic Partner, the increase in insurance for Your Spouse of State-Registered Domestic Partner will not take effect. If You make a Written request to increase insurance for Your Children, that increase will take effect on the first day of the month following the date We receive Your Written request. You must be Actively at Work on that date. If You are not Actively at Work on the date the increase would otherwise take effect, the increase will take effect on the first day of the month following the date You resume Active Work. 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. Dependent Accidental Death and Dismemberment Insurance Increase in Insurance for Your Dependents If You make a Written request to increase insurance for Your Dependents, that increase will take effect on the first day of the month following the date We receive Your Written request. You must be Actively at Work on that date. If You are not Actively at Work on the date the increase would otherwise take effect, the increase will take effect on the first day of the month following the date You resume Active Work. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 51
