DEFINITIONS As used in this certificate, the terms listed below will have the meanings set forth below. When defined terms are used in this certificate, they will appear with initial capitalization. The plural use of a term defined in the singular will share the same meaning. Basic Life Insurance means Your basic life insurance coverage as an employee insured under the WA State Health Care Authority PEBB or WA State Health Care Authority SEBB group policy issued by Us. Beneficiary means the person(s) to whom We will pay insurance as determined in accordance with the GENERAL PROVISIONS section. Certificateholder means a Class 1 Retiree or Class 2 Legacy Retiree who is insured under the Group Policy. Employer Group for the public employees’ benefits board program means a county, municipality, political subdivision, the Washington health benefit exchange, tribal government, or employee organizations representing state civil service employees obtaining employee benefits through a contractual agreement with the Policyholder to participate in benefit plans. Employer Group for the school employees’ benefits board program means an employee organization representing school employees and a tribal school obtaining employee benefits through a contractual agreement with the Health Care Authority to participate in benefit plans. Employing Agency means a division, department, or separate agency of state government, including an institution of higher education; a county, municipality, or other political subdivision; and a tribal government covered by state statute. It also includes Washington health benefit exchange and employee organizations representing state civil service employees. Policyholder means WA State Health Care Authority PEBB. Proof means Written evidence satisfactory to Us that a person has satisfied the conditions and requirements for any benefit described in this certificate. When a claim is made for any benefit described in this certificate, Proof must establish: the nature and extent of the loss or condition; Our obligation to pay the claim; and the claimant’s right to receive payment. Proof must be provided at the claimant’s expense. Retiree-Paid Insurance means insurance for which the Policyholder requires You to pay any part of the premium. Retiree-Paid Insurance includes: Term Life Insurance. Signed means any symbol or method executed or adopted by a person with the present intention to authenticate a record, which is on or transmitted by paper or electronic media which is acceptable to Us and consistent with applicable law. Spouse means Your legal spouse. State-Registered Domestic Partner as defined in state statute and substantially equivalent legal unions from jurisdictions as defined in Washington state statute. We, Us and Our mean MetLife. GCERT2024-WSHCA-WA-LIFE-RETIREE1 21
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