General Policy/Certificate Terms

 

The following general terms apply to the policy/certificate and riders as approved in most states. Terms may vary by state. For a list of all terms, refer to the actual policy/certificate.

 

Right to Examine

The primary insured person (employee) may cancel the certificate within 30 days of receiving it by returning the certificate to Assurity’s administrative office. As soon as this certificate is received by Assurity, it is treated as if it was never issued. Premium payment will be refunded when Assurity receives the certificate.

 

Right to Cancel

After the 30-day period specified in the Right to Examine section, the primary insured person (employee) may cancel the certificate by notifying Assurity in writing that they wish to do so. The certificate will be canceled effective as of the end of the period for which premiums have been paid unless notice specifies a later date. Cancellation of the certificate will be without prejudice to any claim made prior to termination.

 

Renewal

Coverage will terminate and no benefits will be payable under the policy, any certificate or any attached riders when either the policyholder or Assurity cancels this policy upon giving at least 61 days’written notice to the other. Assurity will not cancel the policy prior to the end of the first year following the policy effective date.

 

Termination

Coverage will terminate and no benefits will be payable under the certificate or any attached riders on the earliest of the following:

    the date the policy terminates;

    when any premium due for the certificate is not paid before the end of the grace period;

    the date the primary insured person (employee) no longer meet the definition of employee, unless coverage is continued as described in the Portability section;

    the date the primary insured’s class is no longer eligible;

    the date Assurity receives from the employee or the policyholder written notice to terminate this certificate unless the notice specifies a later date; or

    upon the primary insured person’s death.

 

Portability

Coverage may continue when the primary insured person (employee) is no longer an employee of an eligible class and coverage would otherwise end. A written request and first premium payment for the portable coverage must be received by Assurity within 90 days of the certificate termination date.

 

Exclusions

Assurity will not pay benefits for conditions that are caused by or are the result of any insured person:

    being exposed to war or any act of war, declared or undeclared;

    actively serving in any of the armed forces, or units auxiliary thereto, including the National Guard or Army Reserve, except during active duty training of less than 60 days;

    being addicted to drugs or suffering from alcoholism;

    being intoxicated (as determined by the laws governing the operation of motor vehicles in the jurisdiction where loss occurs) or under the influence of an illegal substance or a narcotic (except for narcotics used as prescribed to the insured person by a physician);

    committing or attempting to commit a felony;

    being incarcerated in a penal institution or government detention facility;

    engaging in an illegal occupation;

    intentionally self-inflicting an injury; or

    committing or attempting to commit suicide, while sane or insane.