INTERNATI GRO UP et I atthe time of signing the Membership Application, the Member isin good heath, sat least eighteen (18) but not more than seventy-five (75) years ol and performing the norma activites of day He, he shall be insured by Kaiser under a Group Master Insurance Contract uncerwriten, by a reputable and cul authorized insurance company, a6 described below: TERM LIFE INSURANCE If the Member dies before attaining the age of seventy-five (75) years and por to entitlement to the Long ‘Term Care Beneft Value az indicated in te Schedule of Benetits, Ne benefclay shall We eriled to an amount equal to the sum of the Longm Care Benet Vaue (CTCAV) and te Long-term Health Care Experience incentive Hospital Benet Lit (CTHENBL) upon approval of te claim dy the Insurance company. "ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE Should the Member suffer directly and independently ofall other causes, ‘any boaly injury effected soley tvough exernal, volen and aceldental means, oocurring rior to ne Member's 76th bithday and prigt fo gnitiement ta the Long:Term Care Benefit Value (CTCBV), which result in ay of the specified losses betow wih 180 days altar the & fccident causing the inuly, the insurance company will pay & percentage of the Sum of the Long-Term Care Benet Value (CfCBV) and {he Long ‘Term Heath Care Experience incentive Nospital Benefit Limit (LTHCEIHBL) in accordance wih te following schedule: DESCRIPTION! PERCENTAGE 1. Loss of life 100% SEE 1007 7 Loss of one foot and sight of one, 8. Loss of one hand of one foot 9. Loss of sight of one eye: 5. Loss of one hand & one foo 100% “sha mo he inher hand an tyra er oe aut one ae maps Lf igh mb wa a recone, ‘ime stp tata ose os eta eo pd me a ln maaan ‘Theo fat ihe hab or any ah fie fan sl amr at lh ef hf of th abr agree. Theos of mae ton en pies oft abr her [gre oo al elas a oft na ge a Where ar ss ef pa hehe peep hl nr be mare fen had Tecaaraa ofliprenage phe hip aa ald HD * Waiver of Membership Fees due to Death ~ If the Member dies during the Accumulation Period and before attaining the age of B seit te roves oft create nerance habe apd the balance ea member fees spo apprva of the clam byte insuranee company making the ora fly pal a Jp Waiver Or MEMBERSHIP FEES DUE TO TOTAL PERMANENT DISABILITY” Whe Mombor Hecomes aly Geablod darn Ove ASSunulaion A canccey mie crea ees cena ian one ea clsabity continues for atleast sc (6) months, KIH shall waive the payment of each membership fee becoming due curing the period of dsabitty However, pending approval ofthe claim, membership fees should be pad as they fel de, subject to refund upon approval eve rom the date of eave oF fee substtued 2s the new Member, But na longerBASIC MEDICAL BENEFITS ‘ecredted Hoes Rom, & Boars Serves of Acree Prsicar’Specae! —_) Surgeon’ anesbesioogit er Hosptats irtonive Car Unit Operating Foom Foe Hosptals Hospitals Intensive Care Ur Reo ‘ACCREDITED DOCTORS & SPECIALISTS (ver 1,000 acceded PhysciansSpecaists Surgeons/Anesinesciogsis . ANNUAL PHYSICAL EXAMINATION" Chest X-ay Stool & Urine Analysis Conte Boos Count Eocroearsogram (1 35 ys od & bow) DENTAL BENEFITS Unlimited donal chock ups, onco a year free © dental prophylass, unlimited simple tooth ‘earacton ‘SPECIAL AND EXTENDED BENEFITS % Magnetic Resonance imagin Nuclear Radioactive Isotope Scan CCT Scan, Dialysis, Blood Tanstsion Physical Speech Theraphy ‘An-Rabies, Vonom 8 Tnanus Vaccine Emergency Benefits (Ambulance) ong Term Care Benefit Value -(1CBV) sSgusrantee heath bers shown in the ‘Shel of Boneftewhich ean be ued ‘he end of 200 yer as part ofthe Hospital Bent Limit 28 vt fly tized or ean be converte into cash onthe 20th yea ‘YEARLY HEALTH CARE HOSPITAL BENEATT Mar (vHchat) 120% ofthe LONG TERM CARE BENEFTE ‘VALUE (TCBV) corned starting from end df the acumultion period and every your ‘hereafter upto the Zh yar ‘spprodmately 83% ofthe total membership fees tthcn con be converted int each be pat ot ‘he Hosptal ene Le (8) frm the 20h year oe ly ied LUFE TIME NETWORK ACCESS. Ue acer ove 00 doce oer 500 nesta es long as you have funds. Balle In your heath benef COST FREE HEALTH BENEFTS ‘th return of Members Fae fr Non Uitzaton ‘Addons Yat Heth Cre Hospital Benefit tine arch) ‘ene ther tan the YEARLY HEATH CARE FOSPMACEENERT UNIT (MCRL) a end of be ‘cumulobon per and every Yor tre {th tn yur proved tot Kars restart famine ght tan X pera. TeRM UFE INSURANCE : I the Merter der before ating the ae of seventy te 5) Year an prt rttamant to te Leng Tom Care Boat ave ‘kn n the Schedule of Bonet he banefcary sal be fried to on omount eal othe sum of he tang Term Cre feet Velie TC and Lone Health Cre Expnce Incemve Hospt eret nat TRCEPID upon approve of the iar by tw nee orp ACCIDENTAL DEAT x ISMEMBERMENT INSURANCE ‘Should he Mere ale dec an epee of other cattes sy Daly ry tec cy tough eer vet and Scent! maa excrg pr to Meme 7h ty ard Forte enftement to the tong term Care bent Vue (CEN ihren oth gnc ween tn OD as after the scent causing te uy. he sarancecompary Wl pay ‘frcrtage of the sum tw Lang-tarm ve ene le TER) {ve Long Tm Heat ave xpavence cede spl Bett ‘Tint (IMCEHGL in aecoaance mh te shale WAIVER OF MEMBERSHIP FEES DUE TO DEATH. Tfehe Meter dis curs the Acamulaton Period and bore txaing the geo severe te proceeds of the et ie isan sl be pid to thence otal rberip fees Upon appro of he aim be rsrnca company mang te cone yp WAIVER OF MEMBERSHIP FE DUE TO TOTAL AND PERMANENT Disannry ithe Mamberbacomes tty cebied rng the Aecamulstion era than oy re a rn ay econ organo oe 9 {Fated Yori na uch ety cones forest (6) ‘rot Kah wave be pera of ech member fee reoming de during the prod of debt Homever perdng opr tm cay meron oro bp tm Tt