ESBD_503812_1775238468839_LIFE provision SCF - Def of Dependents.pdf
PDF 163 KB Posted
- Solicitation number
- RFP-01-SBA-26-280
- Issued by
- Brazos County, Texas
About this file
This document is an Amendatory Rider to a life insurance certificate issued by Hartford Life and Accident Insurance Company to The Texas A&M University System, effective August 24, 2022. The rider modifies the definition of Dependent Child(ren) under the life insurance portion of the certificate for all full-time active employees. The amended definition expands coverage to include natural children, stepchildren, adopted children, and any other children related by blood or marriage up to age 26, as well as children age 26 or older who are physically or mentally disabled and living under the employee's supervision. Additionally, natural or adopted grandchildren qualify as dependents if not yet age 26, and children for whom the employee has been named managing conservator or legal guardian qualify if under age 18, unless otherwise legally mandated.
No pricing information, contract term details, renewal options, or other financial terms are specified in this amendatory rider. The document serves solely to clarify and expand the dependent eligibility requirements under the existing life insurance policy, with all other provisions of the original certificate remaining unchanged.
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Text version
Form-PA 9394 (10/08) (TX) (681794) (Life) 15723 (681794) 2.01
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 is attached to a certificate given in connection with Policy number GL-681794, issued to The Texas A&M University System.
This rider becomes effective August 24, 2022.
With respect to All Full-time Active Employees Your certificate is amended as follows:
The Dependent Child(ren) definition shown in the Definitions section of the Life Insurance portion of Your Certificate is amended to read as follows:
Dependent Child(ren) means:
Your natural child, stepchild, adopted child or any other child who is related to you by blood or marriage who is:
1) not yet age 26; or
2) age 26 or older and physically or mentally disabled and living under Your supervision.
Your natural, or adopted grandchildren will qualify as a Dependent provided the child is not yet age 26.
A child for whom You have been named managing conservator or legal guardian, will qualify as a Dependent provided the child is not yet age 18, unless otherwise legally mandated.
In all other respects the certificate remains the same.
Signed for Hartford Life and Accident Insurance Company
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