ReliaStar Life Insurance Company
CERTIFICATE BOOKLET RIDER
Applicable to Minnesota Residents
Minnesota law requires the following benefits be provided to Minnesota residents.
The following provision is added to your certificate:
Coverage for surgical and nonsurgical treatment of temporomandibular joint disorder (TMJ) and craniomandibular disorder is included as a covered benefit under Type III expenses, subject to the plan deductibles and maximums listed on the Schedule of Benefits. Treatment for TMJ and craniomandibular disorders must be provided by a doctor or dentist.
The following exclusion is deleted if it appears in your certificate:
Treatment for temporomandibular joint dysfunction (TMJ).
If your plan does not cover domestic partners, the following definition
of Dependent applies.
your lawful spouse.
your unmarried child less than 19 years of age.
your unmarried child 19 years of age but less than 25 years of age who is a student dependent.
your grandchild who resides with you continuously from birth and is your dependent.
The term "dependent" does not include -
a spouse, child or grandchild living outside the United States.