LIFE INSURANCE: CONVERSION OPTION FOR YOUR DEPENDENTS (continued)  the Dependent's age; C. the new policy may be on any form then customarily offered by Us excluding term insurance; D. the new policy will be issued without an accidental death and dismemberment benefit, an accelerated benefit option, waiver of premium benefit or any other rider or additional benefit; and nd E. the new policy will take effect on the 32 day after the date Life Insurance for the Dependent ends or is reduced; this will be the case regardless of the duration of the Application Period. Maximum Amount of the New Policy If Life Insurance for a Dependent ends due to the end of this Group Policy or the amendment of this Group Policy to end all life insurance for Dependents for an eligible class of which You are a member, the maximum amount of insurance that may be elected for the new policy is the lesser of:  the amount of Life Insurance for the Dependent that ends under this Group Policy less the amount of life insurance for Dependents for which You become eligible under any group policy within 31 days after the date insurance ends under this Group Policy; or  $10,000. If life insurance for a Dependent ends or is reduced due to the Policyholder’s or Employing Agency’s organizational restructuring, the maximum amount of insurance that may be elected for the new policy is the amount of life insurance for the Dependent that ends under this Group Policy less the amount of life insurance for dependents for which You become eligible under any other group policy within 31 days after the date insurance ends under this Group Policy. If Your life insurance for a Dependent ends or is reduced for any other reason, the maximum amount of insurance that You may elect for the new policy is the amount of Your life insurance for a Dependent that ends under this Group Policy. ADDITIONAL PROVISIONS IF A DEPENDENT DIES If a Dependent Dies Within the 60 Days After Life Insurance for a Dependent Ends Or Is Reduced If a Dependent dies within 60 days after the date life insurance for the Dependent ends or is reduced by an amount eligible to convert, Proof of the Dependent’s death must be sent to Us. When We receive such Proof with the claim, We will review the claim and if We approve it, will pay the Beneficiary. The amount We will pay is the amount that could have been converted. The amount that could have been converted will not be paid as insurance under both a new individual conversion policy and the Group Policy. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 70

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