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CONVERSION PRIVILEGE ELIGIBILITY. This Policy provides a conversion privilege, when an Insured Employee's insurance under this Policy ends ecause he or she: 1. resigns from employment with the Employer; 2. is terminated from employment with the Employer, with or without cause; 3. goes on a lay -off or leave of absence; or 4. remains on a lay -off or leave of absence beyond the continuation period provided in the Individual Termination section of this Policy. The Insured Employee may obtain converted long term disability insurance, without medical evidence of insurability. To be eligible for a converted policy, the Insured Employee must have been insured under the Employer's group plan for at least 12 months in a row, just before his or her insurance under this Policy terminated. The 12 months can be a combination of coverages under this Policy, and under any prior group long term disability plan which this Policy replaces. APPLICATION. Application to convert must be made within 31 days after insurance under this Policy terminates. The converted benefits and amount of insurance may differ from those under this Policy. CONDITIONS AND LIMITATIONS. This conversion privilege is not available to any Insured Employee whose insurance terminates because: 1. this Policy is terminated by the Employer or the Company; 2. this Policy is amended to exclude the class to which the Insured Employee belongs: 3. the Insured Employee no longer belongs to a class eligible for coverage under this Policy; 4. the Insured Employee retires or dies; 5. the Insured Employee fails to pay the required premium; or 6. the Insured Employee is Disabled under the terms of this Policy. Also, this conversion privilege is not available to an Insured Employee who becomes insured for long term disability �enefits under any other group plan; unless the other coverage takes effect more than 31 days after his or her insurance nder this Policy terminates. If an Insured Employee converts his or her Policy coverage, and later resumes active employment in an eligible class; then the Insured Employee's conversion coverage will terminate on the day before he or she is re- enrolled under this Policy. In no event will benefits be paid under both this Policy and the conversion coverage for the same period of Disability. • Conversion Privilege GL3001- LTD -10.1 17 01/01/01