AI Content Chat (Beta) logo

LIFE INSURANCE: CONVERSION OPTION FOR YOU (continued) Maximum Amount of the New Policy If Your Life Insurance ends due to the end of this Group Policy or the amendment of this Group Policy to end all life insurance for an eligible class of which You are a member, the maximum amount of insurance that You may elect for the new policy is the lesser of:  the amount of Your life insurance that ends under this Group Policy less the amount of life insurance 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 Your life insurance ends or is reduced due to the Policyholder’s or Employing Agency’s organizational restructuring, the maximum amount of insurance that You may elect for the new policy is the amount of Your life insurance that ends under this Group Policy less the amount of life insurance 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 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 which ends under this Group Policy. ADDITIONAL PROVISIONS IF YOU DIE If You Die Within 60 Days After Your Life Insurance Ends Or Is Reduced If You die within 60 days after Your life insurance ends or is reduced by an amount You are entitled to convert, Proof of Your 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 You were entitled to convert. The amount You were entitled to convert will not be paid as insurance under both a new individual conversion policy and the Group Policy. GCERT2024-WSHCA-WA-LIFE-RETIREE1 27

Certificate of Coverage - Page 29 Certificate of Coverage Page 28 Page 30