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Upcoming important dates

Volunteer Recognition Lunch-

May 3, 2013

Year End Celebration-

May 20, 2013

Gail Baylor

Director of Human Resources

Office: Ogg Administration 202

Phone: 828.771.2048

Email: gbaylor@warren-wilson.edu

Summary of Benefits
Terms You Should Know
Benefits Information
Limitations and Exclusions
Rehabilitation and Alternative Care Plans
Claim Information
Termination of Coverage
General Information

General Information

Statements

Unum considers any statements you make for insurance in any signed application(s) for initial coverage and/or any subsequent changes in coverage to be complete and true to the best of your knowledge and belief. All statements made in any application are considered representations and not warrenties (absolute guarantees). If any of these statements are not complete and/or true at the time they are made, Unum can:

reduce or deny any claim; or
terminate insurance from the original effective date.

Unum must use only the statements made in the signed application(s) as a basis for doing this.

Except for fraud, Unum can take these actions only in the first 2 years your initial coverage or change in coverage is in force. There is no time limit for Unum to take these actions if any statements are fraudulent.

Incontestability

For a certificate that has been in force for less than (6) months, Unum may rescind coverage or deny an otherwise valid long term care insurance claim upon a showing of misrepresentation that is material to the acceptance for coverage.

For a certificate that has been in force for at least six (6) months but less that two (2) years, Unum may rescind coverage or dny an otherwise valid long term care insurance claim upon a showing of misrepresentation that is both material to the acceptance for coverage and which pertains to the condition for which benefits are sought.

After a cerftificate has been in force for two (2) years, it is not contestable upon the grounds of misrepresentation alone, such certificate may be contested only upon showing that the insured knowingly and intentionally misrepresented revelent facts relating to his/her health.

Agency

For all purposes of the Policy, the Policyholder acts on its own behalf or as your agent. Under no circumstances will the Policyholder be deemed Unum's agent.

Premiums

The premium due must be paid within the Grace Period. If the premium is not paid within this time, your coverage will be terminated at the end of the Grace Period.

Any change in premium rates shall be made by written notice to the Policyholder at least 60 days in advance of the change.

The premium rate will not increase because you grow older or because of your use of the benefits. However, the premium rate schedule may change in the future depending on the overall use of the the benefits by all insured persons or changes in the benefit levels, plan design or other risk factors. Any such change will be made on a class basis according to Unum's underwriting risk studies under this type of insurance.

Reinstatement

If your coverage terminates because a premium is not paid by the end of the Grace Period, you may request to reinstate your coverage at any time until six months from the coverage terminatin date.

In order to reinstate your coverage, the following requirements must be met:

you must complete a reinstatement application;
Unum must approve that reinstatement application; and
you must pay all unpaid premium.

If Unum approves your reinstatement application, reinstatement will take effect on the date your coverage was terminated for non-payment of premium.

The reinstatement coverage WILL NOT cover any Disability which is excluded by name or description in the Policy.

Reinstatement of Terminated Coverage Due to Disability

If you become Disabled and your coverage terminates because premium is not paid by the end of the Grace Period, you may request to reinstate your coverage at any time until five months from the coverage termination date.

In order to reinstate your coverage, the following requirements must be met:

you must provide proof that your Disability occured prior to the coverage termination date; and
you must pay all unpaid premium.

If you meet these requirements, we will reinstate your coverage on the coverage termination date.

The reinstatement coverage WILL NOT cover any Disabilty which is excluded by name or description in the Policy.

Policy Renewability

The Policy is renewable at the option of the Policyholder and Unum. This means that your coverage under the plan may be changed or ended at the option of the Policyholder or Unum. If your coverage is ended by the Policyholder or Unum, you will have a guarenteed right to elect continuation of coverage.