ELIGIBILITY PROVISIONS: INSURANCE FOR YOUR DEPENDENTS (continued) DATE INSURANCE TAKES EFFECT FOR YOUR DEPENDENTS Requirements for Spouse or State-Registered Domestic Partner Dependent Life Insurance: Plan 1 and Child Dependent Life Insurance Dependents You Want to Enroll When You Become Eligible For Dependent Insurance If You request Dependent Life Insurance no later than 31 days after the date You become eligible for such insurance, such insurance will take effect as follows:  if the Dependent is not required to give evidence of insurability, the insurance for those Dependents will take effect on the first day of the month following the date We receive Your completed enrollment form. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below; or  if the Dependent is required to give evidence of insurability and We determine that the Dependent is insurable, such insurance will take effect on the first day of the month following the date We approve the Dependent’s evidence of insurability. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below. If You request Dependent Life Insurance more than 31 days after the date You become eligible for such insurance, the Dependent must give evidence of insurability satisfactory to us. You must give such evidence at Your expense. If We determine that the Dependent is insurable, such insurance will take effect on the first day of the month following the date We approve the Dependent’s evidence of insurability. Accidental Death and Dismemberment Insurance does not require evidence of insurability. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below. Once You have enrolled one Child for a Dependent Insurance benefit, each succeeding Child will automatically be covered for such insurance on the date that Child qualifies as a Dependent. If You are not Actively at Work on the date the Dependent Life Insurance would otherwise take effect, the insurance will take effect on the first day of the month following the date You resume Active Work and the Additional Requirement stated below is satisfied. For Dependents You Acquire After You Become Eligible For Dependent Life Insurance If You acquire a Dependent after You become eligible for Dependent Life Insurance, You may enroll the Dependent for such insurance no later than 60 days after the date the Dependent becomes an eligible Dependent as defined in this certificate. The Dependent must give evidence of insurability satisfactory to Us at Your expense if required to do so under the section entitled Evidence of Insurability. The Dependent insurance for the Dependent will take effect as follows:  if the Dependent is not required to give evidence of insurability, the insurance for those Dependents will take effect on the first day of the month following the date We receive Your completed enrollment form. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below; or  if the Dependent is required to give evidence of insurability and We determine that the Dependent is insurable, the insurance will take effect on the first day of the month following the date We approve the Dependent’s evidence of insurability. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below. If You complete the enrollment process for any Dependent more than 60 days after the date the Dependent qualifies as a Dependent, the Dependent must give evidence of insurability satisfactory to Us at Your expense. If We determine that the Dependent is insurable, the insurance will take effect on the first day of the month following the date We approve the Dependent’s evidence of insurability. Accidental Death and Dismemberment Insurance does not require evidence of insurability. You must be Actively at Work on that date and the Dependent must satisfy the Additional Requirement stated below. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 49