Coverage Effective Date. Coverage becomes effective on the first of the month following approval of your application by New York Life Insurance Company, provided your first premium payment is paid within 31 days and you (and your spouse, if also approved) are performing the normal daily activities of a person in good health of like age on that day (does not apply to dependent child). Otherwise, insurance will take effect on the day you are performing such normal activities as long as you are still eligible.
Payment of a premium contribution for insurance does not mean there is any coverage in force before the effective date as specified by New York Life Insurance Company.
When Insurance Ends. Coverage may be continuously renewed until you reach age 80, as long as coverage remains in force for your class and the group policy remains in force.
Spouse and dependent coverage will end when the member’s coverage ends, or the termination age is reached. In addition, dependent coverage will end when the eligibility requirements are no longer being met.
Upon your death, coverage for your insured dependents may continue as described in the Certificate of Insurance.
Beneficiaries. Benefits are paid to the beneficiary of the member's choice for death by any cause, except suicide, during the first 12 months of coverage. The member automatically is the beneficiary of a spouse and dependent children covered by this policy; however, after coverage is approved, the beneficiary can be changed by contacting the program administrator in writing.
If, at the time of your death, there are no surviving beneficiaries, benefits will be paid to the executor or administrator of your estate, or at the option of New York Life Insurance Company, to the surviving relatives in the following order of survival: spouse; children equally; parents equally; or brothers and sisters equally.
Limitations and Exclusions. Benefits for suicide due to or related to and/or occuring during suicide, an attempt at suicide, or intentional injury (while sane or insane), will not be available until the amount of coverage has been in force for 12 months. Applicable premiums that have been paid will be refunded to the beneficiary designated.
Conversion. This insurance coverage gives you the opportunity to convert to an individual policy with no medical exam when coverage terminates. This option is subject to certain conditions that are described in your Certificate of Insurance.