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Important Plan Provisions
Limitations andexclusions*
We will not pay a benefit that is caused by, contributed to in any way or resulting from: intentionally self-inflicted injuries; committing or attempting to commit an assault, felony or other criminal act; war or an act of war; active participation in a riot, rebellion or insurrection; operation of a motorized vehicle while intoxicated. We will not pay a benefit if you do not submit proof of your loss as required by us (this covers medical examination, continuing care, death certificate, medical records, etc.); or for any Period of disability during which you are incarcerated.
* The above exclusions and limitations may vary by state lawand regulations. Pleaseseethe certificate or ask your benefits administrator for informationonEliminationPeriods,WaitingPeriods, and Pre-ExistingConditions limitations, where applicable.
The Effective Date of any initial, increased or additional insurance will be delayed for an Employee if heor she is not Actively atWork. The initial, increased or additional insurancewill become effective on the date the Employee returns to anActively atWork status. AnEmployee is considered Actively atWork if he orshe performs all the regular duties of his or her job for afull work day scheduled by the Employer at the Employer’s normal place of business or asite where the Employer’s business requires the Employee to travel.
This coverage does notconstitutecomprehensive health insurance (often referred to as “majormedicalcoverage”) and does not satisfy the requirement for Minimum Essential Coverage under the Affordable CareAct.
If your disability coverage is paid with pre-tax dollars, the benefit payments will be fully or partially taxable under federal taxlaw based on the percentage of the premiums paidwith pre-taxdollars. Statetaxlaws for disability benefit payments vary and other taxconsiderations apply. Please consult your legal or taxadvisor formore information. Sun Life does not provide tax advice.
This Overviewis preliminary totheissuance of thePolicy. Refer to your Certificatefor details. Receipt of this Overviewdoes not constitute approval of coverage under the Policy. In the event of a discrepancy between this Overview, the Certificate and the Policy, the terms of the Policy will govern.
Group insurance policies are underwritten by Sun LifeAssurance Company of Canada (Wellesley Hills, MA) in allstates, except NewYork, under PolicyForm Series 93P-LH, 15-GP-01, 12-DI-C-01, 12-GPPort-P-01,12-STDPort-C-01, 16-DI-C-01,TDBPOLICY-2006, andTDI-POLICY.InNew York, group insurance policies areunderwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 15-GP01, 13-GP-LH-01, 13-LTD-C-01, 13-STD-C-01, 06P-NY-DBL, 12-GPPort-01, and 12-STDPort-C-01. Product offerings may not be available in all states and may vary depending on state laws andregulations.
© 2018 Sun LifeAssurance Company of Canada,Wellesley Hills, MA02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks ofSun LifeAssurance Company of Canada. Visit us at www.sunlife.com/us.
GVLTDBH-EE-7689
SLPC 29107 8/21 (exp 8/23)