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Schedule Supplement
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Statements Made by
You Which Relate to Insurability
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Any statement made
by you will be deemed a representation and not a warranty. No such
statement made by you which relates to insurability will be used:
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in contesting the
validity of the benefits with respect to which
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such statement was
made; or
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to reduce the
benefits; unless the conditions listed in items (a) and (b) below have
been met:
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The statement must
be contained in a written application which has been signed by you.
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A copy of the
application has been furnished to you.
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No such statement
made by you will be used at all after such benefits have been in force
prior to the contest for a period of two years during the lifetime of
the person to whom the statement applies.
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Assignment
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This certificate may
not be assigned by you. Your benefits may not
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be assigned prior to
a loss.
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For Texas Residents:
Upon receipt of services for a Covered
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Dental Expense, you
may assign Dental Expense Benefits to the
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Dentist providing
such care.
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Refund to Us for
Overpayment of Benefits
If we pay Dental
Expense Benefits to you for expenses incurred on your own account or on
account of a Dependent, and it is found that we paid more Dental Expense
Benefits to you than we should have paid because:
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all or some of those
expenses were not paid for by the
Covered Persons in
your Family; or
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any Covered Person
in your Family was repaid for all or
some of those
expenses by a source other than from:
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an insurer under a
policy of insurance issued to you in
your name; and
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an insurer under a
policy of insurance issued to a
Covered Person in
your Family who ordinarily lives in your home; and
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us;
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we will have the
right to a refund from you. The amount of the refund is the difference
between:
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the amount of
Dental Expense Benefits paid by us for those expenses; and
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the amount of
Dental Expense Benefits which should have been paid by us for those
expenses. However, at our option, we may recover the excess
amount by reducing or offsetting any future benefits payable to such
person by the amount of the overpayment.
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Additional
Provisions
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The benefits under
This Plan do not at any time provide
paid-up insurance,
or loan or cash values
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No agent has the
authority:
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to accept or to
waive the required proof of a claim; nor
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to extend the time
within which a proof must be given to us
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