2014-318 HR - UnitedHealthCare for United HealthCare Application for Excess Loss Insurance Policy $1,625,322

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DEFINITIONS ADMINISTRATOR means a firm or person who has been retained by the Policyholder to provide administrative services on behalf of the Policyholder/Plan. ANNUAL AGGREGATE DEDUCTIBLE for any one Policy Period means the greater of (a)sum of the Monthly Aggregate Deductibles;or(b)the Minimum Annual Aggregate Deductible. BENEFIT PERIOD means the period of time specified in the Schedule of Benefits in which a Covered Expense must be Incurred by the Covered Person and Paid by the Plan to be eligible for reimbursement under this Policy. This period does not alter the Effective Date, Policy Period, or waive this Policy's eligibility requirements. COVERED EXPENSE means medical or other expenses under the Plan to which this Policy applies, as shown in the Schedule of Benefits, and which are not specifically excluded by the terms of this Policy. Covered Expense does not include any payment for the cost of administrating the Plan or other Policyholder contracted services. COVERED PERSON(S)means each person covered under the Plan. COVERED UNITS(S)means the types of Covered Units and the factors and premium rates for each type as shown in the Schedule of Benefits. EFFECTIVE DATE is the date set forth in the applicable Schedule of Benefits. INCURRED means with respect to medical services or supplies, the date on which the services are rendered or supplies are purchased by the Covered Person. MONTHLY AGGREGATE DEDUCTIBLE means, with respect to a particular month,the total number of Covered Units for that given Policy month multiplied by the corresponding Monthly Aggregate Factors as specified in the Schedule of Benefits. PAY,PAID,PAYMENT means under the Specific Excess Loss, on the date the Policyholder's check of Payment of a Plan benefit is issued by the Administrator or when a credit of funds for Payment of a Plan benefit has been debited by the Policyholder's bank account.Under the Aggregate Excess Loss,on the date the Policyholder's check for Payment of a Plan benefit has been presented through the collecting bank and reported to the Administrator or when a credit of funds for Payment of a Plan benefit has been debited by the Policyholder's bank account. PLAN means the self-funded health care plan established by the plan sponsor to provide certain benefits to Covered Persons. PLAN DOCUMENT means the written document approved by the Policyholder. A copy of the Plan Document in effect on the Effective Date is attached to the application for Excess Loss Insurance. POLICY PERIOD means the specified period in the Schedule of Benefits, however beginning no earlier than the Effective Date of this Policy and continuing until coverage terminates in accordance with the Termination Provisions. SPECIFIC DEDUCTIBLE is set forth in the Schedule of Benefits. The Specific Deductible will apply separately to each Benefit Period. UHIELIP-NC(07/06) 4 DEF