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<br />. ". <br /> <br />EVIDENCE OF INSURABILITY, Each Insured Person's Dependent must submit evidence of insurability satisfactory to <br />the Company if the Insured Person: <br />(1) makes application for Dependents Insurance more than 31 days after the date such Insured Person <br />becomes eligible for Dependents Insurance; or <br />(2) elects to be insured for Dependents Insurance after such Insured Person had requested: <br />(a) termination of the Dependents Insurance; or <br />(b) cancellation of the payroll deduction order; or <br />(3) makes application for Dependents Insurance after it has automatically terminated, due to failure to pay <br />premium by the end of the grace period. <br /> <br />INDIVIDUAL TERMINATION OF DEPENDENT INSURANCE. An Insured Person's Dependents Insurance will cease for <br />all of the Insured Person's Dependents on the earliest of: <br />(1) the date the Insured Person's Personal Insurance terminates; <br />(2) the date Dependent Insurance is discontinued under this Policy; <br />(3) the date the Insured Person ceases to be in a class of employees eligible for Dependent Insurance; <br />(4) the date the Insured Person requests that the Dependent Insurance be terminated; or <br />(5) the last day of the premium paying period for which the Insured Person has made any required <br />contribution toward the cost of the Dependent Insurance, <br /> <br />Dependents Insurance on a particular Dependent will cease on the earliest of: <br />(1) the date he or she ceases to be a Dependent as defmed in this Policy; <br />(2) the date he or she becomes covered under this Policy as an Insured Person; or , <br />(3) the date he or she enters the armed forces of any state or country; except for duty of 30 days or less in the <br />Reserves or National Guard. (If the Insured Person sends proof of military service, the Company will refund any <br />unearned premium.) <br /> <br />MISSTATEMENT OF AGE. If the age of a Dependent has been misstated, premiums will be subject to an equitable adjustment. If <br />the amount of benefIt is dependent upon age, the benefIt will be that which would have been payable based upon the Dependent's <br />~orrect age, <br /> <br />ASSIGNMENT. Dependents Insurance may not be assigned. <br /> <br />INCONTESTABILITY. Except for non-payment of premiums, the Company may not contest the validity of this Policy as to any <br />Dependent, after it has been in force for two years during the lifetime of that Dependent. This clause will not affect the Company's <br />right to contest claims made for accidental death, or dismemberment benefIts. <br /> <br />GL1101-12 97 <br /> <br />17 <br /> <br />05101/01 <br />