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Contract Cancellation The contract for this plan will be canceled automatically if subscription charges aren’t paid by the Group by the end of the Grace Period. Coverage will end on the last day for which payment was made. The contract may also be canceled as explained below. • The Group may cancel the contract at any time by giving us 30 days advance written notice. • We may cancel the contract upon 30 days advance written notice to the Group if the Group has performed an act or practice that constitutes fraud or made an intentional misrepresentation of material fact under the terms of the coverage CONVERSION RIGHT If this contract is canceled, you have the following rights: • If the Group replaces this plan with another Medicare supplement plan through either Premera or another issuer, you have the right to continued coverage under the new plan. The new plan's benefits may not be the same as this plan's benefits. • If the Group doesn't replace this plan with another Medicare supplement plan, you have the right to convert to a Premera individual Medicare supplement plan. You can choose to convert your coverage to: • A Premera individual Medicare supplement plan that has benefits that are equivalent to those of this plan, when such a plan is available; or • Any of Premera's available individual Medicare supplement plans. If your coverage under this plan ends because you no longer meet the Group's eligibility requirements, you have the right to: • Convert to a Premera individual Medicare supplement plan as stated above in this Conversion Right section; or • Continue coverage under this plan, at the option of the Group. If the Group later cancels the contract for this plan, you will then have the right to convert to an individual Medicare supplement plan as stated above in this Conversion Right section. Please note: You don't have answer medical questions or provide other proof of good health to convert your coverage as stated in this Conversion Right section. Your coverage under this plan will be credited toward the pre-existing condition waiting period of the individual Medicare supplement plan. To convert your coverage to an individual Medicare supplement plan, you must apply within 31 days of the date coverage under this plan ended or the date you were notified that coverage was to end, whichever is later. You may be required to pay all of the subscription charges for continued Medicare supplement coverage. EXTENDED BENEFITS FOR TOTAL DISABILITY If you are “totally disabled” when your coverage ends for any reason other than material misrepresentation on your application, benefits can be continued as described below. "Totally disabled" 8 Group Plan G/Age

Plan G Certificate - Age (2024) - Page 12 Plan G Certificate - Age (2024) Page 11 Page 13