Document 5Y0wGrjGwnOVEMLQJrnxo84V

r P-< ** / 9fle Metropolitan Life Insurance Company A Mutual Company tneorsorswo at Now York Siata PLAINTIFF'S EXHIBIT MET-1016 CEKTZTEES THAT. subject to the tcu tad conditions of Croup Policy No. 8577-G-04 insuring Employees of lUUfBESTOS-KANHATTAN, INC. SPECIAL PRODUCTS GRCCP NORTH CHARLESTON, SOOTH CAROLINA the certificate relating to Croup Insurance issued to eaeh Retired Employee who retired prior to March 1, 1982 insured under said Grot9 Policy is hereby effective on the data specified below, as follows: Z. By adding the attached Certificate Fora G.3300-2 to said certificate. ZZ. By substituting for the caption "Retired taployees" and the paragraphs relating to said caption appearing in the Schedule of insurance of said certificate, the following: "Retired Eaplovees The aaounts of Life Insurance and insurance for Death or Pi--awheTrent by Accidental Means in accordance with the foregoing apply prior to the &ployee's Effect!-- Reduction Date, as defined in the following paragraph. The Employes'* Effect!-- Reduction Date eesnt the date of the Employee's Retirement, as dstazainsd by the Employer. Zf the Employee has attained his Effect!-- Reduction Date, the aaount of his Life Insurance and Insurance for Death or Pis--hsrsent by Accidental Means under the Droop Policy shall each be $2,000. (Continued on reverse side) T h ii rid e r I t |s I # Km Ii i J la fM M i l l l k t i ii (382) 1 Except as specified above with respect to Life Insurance and Insurance tor Death or Pieiaeaheraant by Accidental Means, no insurance is provided under the Group Policy on and after the date of the Employee's retireaent. The foregoing change shall beeoae effective on March 1, 1982. METROPOLITAN LITE INSURANCE COMPANY, jam J Cnwoen C.M80 0 ,,/* retention indicated therein INSURANCS Kt OtATM Of DtfMMBfltMIMT IY ACCXOfMTAi MIAMS Sacffoti A. MMHT POCVUIOtO If, while insured under the Group Policy lor Irauranee lor Death or Oi>nfflbniMn) by Accidental Meant, the Employs* tuirams bodily injuriei solely through violent, external and oeeidomol moons, end within ninety dovt thereeher suffers ony el the lostei specified in Section C hereof as a direct result ol such bodily in juries independently ol ell ether causer, the Insurance Company shall pay the amount ol insurance specified lor such Iasi in Sec tion C hereof, provided, however, that ip no case ehali any payment be mode for death er any other tees which is: (*) caused wholly ar partly, directly er indirectly, by disease er bodily ar mental infirmity, er by medical ar surgical treatment er dlagnesic thereof, or (i) caused wholly ar partly, directly ar indirectly, by ptemeine er by bacterial infection, except ealy sep tic Infection of and through a visible wound sus tained solely through violent, external and acci dental means, ar (C) caused wholly er partly, directly er Indirectly, by hernia, no matter haw ar whan sustained, er (t) caused directly er indirectly by insurrection, war ar any act of war, er (I) caused by ar resulting from intentional self-destruc tion er intentionally self-inflicted injury, while sene er insane. loss ol one hand or of one loot together with total and irrecoverable lots ol sight of one eye. One-hall the omounl ol Insurance lor Death or Dwnemberment by Accaemel Moons in lo'ce under the Group Policy on occourn ol the Employee at the date of the accident is poyeble for any of the following losses: loss of or* hand by severance e< or above wrist-joint, loss of one foot by severance ot or above ankle-joint, or total end irrecoverable less of sight of one eye. H the Impleyee suffers mere than ene ef the Iesses set Earth abave at a resuft ef any ene tKddeal, ne mare than the full amount ef Insurance Ear Death ar Dismemberment by Accidental Means In feres under tbe Oreug Peficy an his account at the data ef the accident u payable. B. IE the Impleyee has suffered prior te the effective dote hereof, ar dees thereafter suffer, the lass ef one hand by severance at ar abave the wriw-jeim, er ef ene feet by severance at er above the ankle-joint, er the total end Irrecoverable lees ef sight ef one eye, the amount ef hit insurance far Death er Dismember ment by Accidental Means shall be the full amount in accordance with the provisions ef the Group Pol icy, provided, however, that the amount ef such in surance payable far the subsequent last ef ene hand ar ef one foot ar ef the sight ef one eye, as teedffsd, shall be ene half ef each hdl amount. Section I. Hmasna Ail benefits provided under the Group Policy will be po-d im mediately alter receipt pi due proof. Benefits for less of life are payable to the Beneficiary of record, if surviving the Employee, end otherwise to the estate of the Employee. Al ether benefits provided under the Group Policy ere payable to he Employee. The Employes may change his Beneficiary at any time upon written request accompanied by bus certificate far endorsement. Consent of the Beneficiary shell net bo raquado to any change of beneficiary. Mss C I. The M amount ol Insurance far Death or Dianembsrmsni by Accidental Means in farce under the Group Policy an occaurs of the Employee at the dote of the accident is payable lor any of the folawing lessees loss of Bfe. total and brscororable lass ei sight el both eyas, loss ol bath hands by severance at or above wrat-jeints. Ion of both feet by severance at ar above onile-joints, leu of one hand and of one foot by sever ance at or above wnst- end ankle-joints respectively, at such Section 0. ssona and rtoor or toss 1. Wrintn notice ol lots on which clomi may be based must be given to the insurance Company wirhm twenty days after the dole of the Occident causing such last. Proof of such loss must be furnished to the-Insurance Company not later then ninety days alter the date of such loss. The Insurance Compony, upon receipt ol the notice required by the Group PoBcy, wll tumish such terms at ere usuoily fur. rushed by it for fihng proofs pi ciesn. II such forms aro not re ceived by the rimment within fifteen days after the Insurance Company racemes such notice, die claimant shall be deemed to hove complied with the reawremems of the Group Policy as to proof of claim upon submitting, within the Me fixed in the Policy for fiKng proofs of claim, written proof covering the occurrence, character end extent el die tas for which claim is mode. failure to famish notice or proof within dm lime provided in the Group Policy ritaU not invaSdate nor reduce any claim H shad be drawn not to have been reasonobiy possible ra famish such notice or proof and dw sudt nerico or proof was famished as soon at was reasonably potsihls. 2. The Insurance Company shall hove the right end opportunity to have a physician deugnated by exflmme die person of rite Employee when and so often as b stay reasonably require during the pendency ef de*n under die Group Pofiey, and ofte