When Coverage Begins: Your coverage will become effective on the first day of the month following the Administrator’s receipt of your application, approval and first premium payment. If on this date you are not actively at work for 30 hours plus per week, or unable to carry on all the normal and customary activities of a person of like age and gender, in good health, if not employed, you will not be covered until you have been actively at work for 30 hours plus per week or been able to carry on all normal and customary activities for 90 consecutive days.
When Coverage Ends: As long as you pay your premiums when due, and the Master Policy remains in force, it’s possible to keep this coverage until you reach age 70. Coverage terminates on the premium due date coinciding with or next following your attainment of age 70. Policy age limit is 70.
Exclusions: Suicide is not covered during the first two years of coverage. Benefits paid for death caused by suicide while sane or insane (in Missouri, while sane) within the first two years of the effective date of insurance are limited to a refund of your premiums paid.
Definitions:
Spouse means your spouse who is under age 65; and is not legally separated or divorced from you. Coverage for Spouse terminates on the premium due date coinciding with or next following insureds attainment age of 70.
Totally disabled means you are wholly or continuously prevented from performing any work or occupation for wage or profit for which you are reasonably qualified or trained; or if not employed, engaging in the normal activities of a person like age and gender in good health; as a result of injury or sickness.
This website explains the general purpose of the insurance described, but in no way changes or affects the policy or Master Policy AGL-1299 as actually issued. In the event of a discrepancy between this brochure and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.
MIB Notice:
Acceptance into this plan and premium rate is subject to medical evidence of insurability as determined by The Hartford and underwriting guidelines. As part of the evidence of insurability process, a medical examination, medical test(s), or other evidence of good health may be required. Any exams/tests requested by the company will be conducted at no expense to you.
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Sponsored by:
COA Group Insurance Program
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Underwritten by:
Hartford Life Insurance Company
Simsbury, CT 06089
Policy form # PA-9199 (1299) (HL) (SI-Life Q2)
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The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life Insurance Company.
John B. Wigle, License No. 0482924
COA Group Insurance Program Administered by:
A.G.I.A., Inc.
PO BOX 9947
Phoenix, AZ 85068
Questions? Call toll-free 1-888-633-6459