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RELIASTAR LIFE INSURANCE COMPANY

CERTIFICATE BOOKLET RIDER

Applicable to Florida Residents

The DENTAL INSURANCE section of your group dental insurance certificate for you (and your insured dependents, if your certificate includes Dependent’s Insurance) is revised as indicated below.

The provision entitled Extended Coverage After Dental Insurance Ends is replaced by the following:

Extended Coverage After Dental Insurance Ends Certain procedures may be covered beyond the date your or your insured dependent's insurance ends, unless such insurance was ended voluntarily by you. These procedures are root canal treatments, dentures, crowns, bridges, and other laboratory processed restorations. A procedure begins when a service is performed on the teeth or gums. For purposes of this extension provision, a procedure does not include diagnostic services such as x-rays or initial treatment impressions.

For coverage to be extended:

  • The procedure must begin before your or your insured dependent's Dental Insurance ends under the Group Policy, and

  • The procedure must be completed within 90 days after your or your insured dependent's Dental Insurance ends under the Group Policy.

This extension will terminate on the earlier of:

  • The end of the 90 day extension period; or

  • The date you or your insured dependent become covered under another policy providing similar dental benefits. Exception: If the services being extended are not covered under the new policy due to a waiting period not being satisfied, the extension will not end.

All other provisions of your certificate remain unchanged.

R-08196a

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