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OTHER INFORMATION ABOUT YOUR PLAN Availability Of Health Care The services provided under this plan are, at all times, subject to availability of hospital facilities and the ability of hospitals, hospital employees, physicians, and other providers to furnish services. We assume no liability for conditions beyond our control which make it impossible for services provided by this plan to be obtained. Examples of these conditions are epidemics, natural disasters, civil disorder, war, and labor disputes. Changes To The Contract No agent is authorized to make any changes, additions, or deletions to the contract for this plan. Changes can be made only by an endorsement or revised certificate, when allowed by law, that is issued over the signature of a Premera officer. We reserve the right to change subscription charges as stated in this booklet. Compliance With Law The contract for this plan is issued and delivered in the State of Washington and is governed by the laws of the State of Washington, except to the extent preempted by federal law. In the event any provision of the contract or any amendment is deemed to be in conflict with applicable state or federal laws or regulations: • The validity of the rest of the contract shall not be affected. • When such conflict is discovered, the contract will be administered to conform with the requirements of such laws and regulations as of their effective date. Premera will comply with federal and Washington State nondiscrimination laws and regulations both in its employment practices and its administration of subscriber eligibility and benefits under this plan. The Group And You Your Group is your representative for all purposes under this plan and not the representative of Premera. Any action taken by the Group will be binding on you. Limitation Of Liability We are not responsible for the quality of care you receive from any institution or individual. The contract does not give you any claim, right, or cause of action against us based on an act or omission of any institution or individual. Notice Any notice that we are required to submit to the Group or to you will be considered delivered if mailed to the Group or to you at the most recent address appearing on our records. We’ll use the date of postmark in determining the date of our notification. If you are required to submit notice to us, it will be considered delivered if mailed to Premera at the mailing address shown on the back cover of this booklet. 15 Group Plan G/Dis

Plan G Certificate - Disability (2024) - Page 18 Plan G Certificate - Disability (2024) Page 17 Page 19