Booklet-Certificate
The Booklet-certificate(s), and the endorsement form(s) enclosed therein, attached to this Policy are hereby
incorporated in, and made a part of, this policy.
Booklet Form(s):
207759GL)1.18
207759(GL)10.4
207759(GL)11.3
207759(GL)12.3
207759(GL)13.3
207759(GL)14.3
207759(GL)15.3
207759(GL)16.3
207759GL)17.3
207759(GL)18.3
207759(GL)1L9.3
207759(GL)20.2
207759(GL)21.3
207759(GL)22.2
207759(GL)23.2
207759(GL)24.2
207759(GL)4.17
207759(GL)5.12
207759(GL)6.5
207759GL)7.3
207759(GL)8.3
207759(GL)9.3
The terms found in the Booklet-certificate(s) will control:
e = the benefit plan provisions;
the eligibility and effective date of insurance rules;
the termination of insurance rules;
exclusions; and
other general policy provisions pertaining to state insurance law requirements.
INCORPORATION PROVISION
GR-11383-HLA(3)
PI-3.19
