ESBD_503812_1775238468056_LIFE 1 Disabled Employees prior to September 1, 2020.pdf

PDF 37 KB Posted

Attached to
Group Life and Accidental Death & Dismemberment Insurance
Solicitation number
RFP-01-SBA-26-280
Issued by
Brazos County, Texas

About this file

This is an Amendatory Rider document issued by Hartford Life and Accident Insurance Company for a disabled employees life insurance program in Texas, effective September 1, 2020. The rider modifies coverage terms specifically for all employees who became disabled prior to September 1, 2020. The amendment establishes a basic life insurance amount up to $50,000 with no reductions applied to the coverage amount. The rider eliminates two standard policy provisions that would otherwise apply: the Eligibility Waiting Period for Coverage and the Deferred Effective Date provision, both of which are waived for qualifying disabled employees. All other terms and conditions of the original certificate remain unchanged.

This amendment provides enhanced protection for disabled employees by removing typical enrollment barriers and waiting periods while guaranteeing a minimum death benefit. The $50,000 coverage amount represents the maximum basic life insurance available under this rider, ensuring immediate eligibility and coverage activation for the specified disabled population without standard underwriting delays.

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Text version

Form PA-9394 (10/08) (Rev-1) (681794) 1.02

Amendatory Rider

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY

One Hartford Plaza

Hartford, Connecticut 06155 (A stock insurance company)

The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries.

This rider becomes effective September 1, 2020.

The certificate is hereby amended in the following manner:

With respect to All Disabled employees who became disabled prior to September 1, 2020, Your certificate is amended as follows:

1. Your Amount of Insurance will be the amount indicated below. Such amount will be in lieu of the amount(s) appearing in Your certificate.

Amount of Basic Life Insurance* up to $50,000

* No reductions will apply

2. The Eligibility Waiting Period for Coverage provision shown in the Schedule of Insurance section of the Life Insurance portion of Your certificate will not apply to You.

3. The Deferred Effective Date provision shown in the Period of Coverage section of the Life Insurance portion of Your certificate will not apply to You.

In all other respects the certificate remains the same.

Signed for Hartford Life and Accident Insurance Company

File details come from the government source that posted it. Updated .