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| Eligibility | No premium is required for this benefit. If you are eligible for Health benefits as described in the Eligibility BenefitTab, you are eligible for this benefit. | | |
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| Amount | $ 5,000
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| Conversion Privilege | Available without medical exam if applied for within 31 days of loss of Eligibility.
If you wish to convert your policy to an individual policy once you have lost eligibility, please call (800) 548-5157 for more information.
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| Accidental Death & Dismemberment (AD&D) |
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| Additional Amount |
| Accidental death |
$ 5,000 |
| Loss of 1 hand, 1 foot, or sight in one eye |
$ 2,500 |
| Loss of any two or more of the above |
$ 5,000 |
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| Exclusions | Benefits are not payable for losses due to: medical treatments, infections, self-inflicted injuries, war, in the course of commission of a crime. | |
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| Disclaimer | NOTE: This is only a brief summary of your benefits. All benefit descriptions contained herein are governed by the limitations and other information contained in your SPD.
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