Waiver of Premiums
If an Employee becomes Totally Disabled while insured for this Benefit and prior to age 65, Manulife Financial will waive the premiums required to continue that Employee’s and his Dependents’ Life Insurance, provided the Employee meets Manulife Financial’s Entitlement Criteria.
Exception
If the Employee is not insured under this Policy for Employee Optional Life, this Waiver of Premiums provision will not apply to his Spouse’s Dependent Optional Life Insurance in effect under this Policy, unless:
a) at the time the Dependent Optional Life Insurance was applied for on his Spouse, the Employee provided Manulife Financial with evidence of insurability on himself, and
b) Manulife Financial approved the Employee’s evidence of insurability.
Entitlement Criteria
Manulife Financial will apply the following criteria in determining an Employee’s entitlement to Waiver of Premiums:
a) the Employee has been continuously Totally Disabled throughout the Qualifying Period. If the Employee ceases to be Totally Disabled during this period and then becomes Totally Disabled again within 3 weeks due to the same or related cause, the Qualifying Period will be extended by the number of days during which the Total Disability ceased;
b) Manulife Financial receives medical evidence documenting how the Employee’s illness or injury causes restriction or lack of ability, such that the Employee is prevented from performing the essential duties of:
i) his own occupation, during the Qualifying Period and the 2 years immediately following the Qualifying Period; and
ii) any occupation for which the Employee is qualified, or may reasonably become qualified by training, education or experience, after the 2 years specified in part i) or this provision.
c) the Employee is receiving from a Physician, regular, ongoing care and treatment appropriate for the disabling condition, as determined by Manulife Financial.
At any time, Manulife Financial may require the Employee to submit to a medical, psychiatric, psychological, functional, educational and/or vocational examination or evaluation by an examiner selected by Manulife Financial.
Termination of Waiver of Premium
Waiver of Premium will cease on the earliest of:
a) the date the Employee ceases to meet this Benefit’s definition of Totally Disabled.
b) the date the Employee does not supply Manulife Financial with appropriate medical evidence documenting how the Employee’s illness or injury causes restrictions or lack of ability, such that the Employee is prevented from performing the essential duties of:
i) his own occupation, during the Qualifying Period and the 2 years immediately following the Qualifying Period; and
ii) any occupation for which the Employee is qualified, or may reasonably become qualified by training, education or experience, after the 2 years specified in part i) of this provision.
c) the date the Employee is no longer receiving from a Physician, regular, ongoing care and treatment appropriate for the disabling condition, as determined by Manulife Financial.
d) the date the Employee does not attend a medical, psychiatric, psychological, functional, educational and/or vocational examination or evaluation by an examiner selected by Manulife Financial.
e) the date the Employee attains the age 65.
f) the date the Employee dies.
Recurrent Disability
Where an Employee becomes Totally Disabled again from the same or related causes as those for which premiums were waived under this Benefit and such Disability recurs within 6 months of cessation of the Waiver of Premiums, Manulife Financial will waive the Qualifying Period.
All such recurrences will be considered a continuation of the same Disability. The Employee’s amount of insurance on which premiums were previously waived will be reinstated.
If the same Disability recurs more than 6 months after cessation of the Waiver of Premiums such Disability will be considered a separate Disability.
Two Disabilities which are due to unrelated causes are considered separate Disabilities if they are separated by a return to work of at least one day.
First Premium Waived
If the Waiver of Premiums is approved, premiums will be waived from the premium due date coincident with or next following the end of the Qualifying Period.
Life Insurance Coverage Continued
While premiums are being waived, Life Insurance in force under this Policy on the Employee and on his Dependents will continue to be in force. The amount of such Life Insurance will be the amount of insurance that was in effect on the date of commencement of the Disability, subject to any age reduction or termination shown in the Policy at that time. This continuation of coverage is not affected by a subsequent termination of this Policy or of employment.
Conversion When Waiver Ceases
In an Employee is not eligible for Life Insurance under this Policy when the Waiver of Premiums ceases, that Employee and his Spouse may exercise the Conversion Privilege under this Benefit.