ELIGIBILITY PROVISIONS: INSURANCE FOR YOU (continued) GCERT2000 33 e/ee Dismemberment Insurance does not require evidence of Your insurability but such insurance will not take effect until the day Your Life Insurance takes effect. ● if We approve Your evidence of insurability, the portion of the increase that is subject to evidence of insurability will take effect on the date We state in Writing. If We do not approve Your evidence of insurability or You do not submit evidence of insurability, the increase in insurance will not take effect. ● if You are not required to give evidence of insurability, the increase will take effect on the date of Your request or the date of the increase in Your earnings. Basic Accidental Death and Dismemberment Insurance does not require evidence of Your insurability but such insurance will not take effect until the day Your Life Insurance takes effect. You must be Actively at Work on that date. If You are not Actively at Work on the date the increase would otherwise take effect, the increase will take effect on the day You resume Active Work. Decrease in Insurance A decrease in insurance due to a change in class of employee or a decrease in Your earnings will take effect on the date of change. If You make a Written application to decrease Your insurance, that decrease will take effect as of the date of Your application. Enrollment Due to a Qualifying Event You may enroll for insurance for which You are eligible or change the amount of Your insurance between annual enrollment periods only if You have a Qualifying Event. If You have a Qualifying Event, You will have 12 months from the date of that change or the Employer’s next annual enrollment period following the date of that change to make a request, whichever occurs first . This request must be consistent with the nature of the Qualifying Event. The insurance enrolled for or changes to Your insurance made as a result of a Qualifying Event will take effect on the day after the date of Your request, if You are Actively at Work on that date. If You are not Actively at Work on the date insurance would otherwise take effect, insurance will take effect on the day You resume Active Work. Qualifying Event includes: Ÿ marriage; or Ÿ the birth, adoption or placement for adoption of a dependent child; or Ÿ divorce, legal separation or annulment; or Ÿ the death of a dependent; or Ÿ You previously did not enroll for life coverage for You or Your dependent because You had other group coverage, but that coverage has ceased due to loss of eligibility for the other group coverage; or Ÿ Your dependent's ceasing to qualify as a dependent under this insurance or under other group coverage. DATE YOUR INSURANCE ENDS Your insurance will end on the earliest of: 1. the date the Group Policy ends; 2 . the date insurance ends for Your class; 3 . the end of the period for which the last premium has been paid for You; or 4. for Basic Life Insurance, the date in which Your employment ends; Your employment will end if You cease to be Actively at Work in any eligible class, except as stated in the section entitled