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DocuSign Envelope ID: EE765B38-37EF-4402-B4E9-8B82F98E2EE8 <br /> PREMIUMS AND FACTORS PROVISIONS <br /> PAYMENT OF PREMIUMS For coverage to remain in effect, any subsequent monthly premium must be <br /> received by the Company by the first(1st)day of each month. Premiums are not considered Paid until the <br /> Company receives the premium payment. Premiums or other payments made by the Policyholder to their <br /> Administrator or Agent or Broker shall not be deemed or considered payments to the Company until <br /> actually received by the Company. The entire amount of the applicable premium shall be paid when due. <br /> The Company is not obligated to accept or apply any premium paid which is less than the entire amount <br /> due for any period. Premium payments shall be credited first to any past due and unpaid premium, in the <br /> order in which due. <br /> A late payment charge may be assessed for any premiums not received within fifteen (15) calendar days <br /> following the due date. A service charge will be assessed for any non-sufficient-fund check received in <br /> payment of premiums. The Policyholder will reimburse the Company for any attorney's fees and any other <br /> costs related to collecting delinquent premiums. <br /> GRACE PERIOD A Grace Period of thirty-one (31) days from the due date will be allowed for the <br /> payment of each premium after the first. During the Grace Period, the coverage will remain in effect <br /> provided the full premium is Paid before the end of the Grace Period. Should a premium otherwise due,not <br /> be Paid during the Grace Period,this Policy will terminate without further notice as of midnight on the last <br /> day for which premiums were Paid. <br /> PREMIUM AMOUNT The premiums will be calculated using rates determined by the Company as set <br /> forth in the Schedule of Benefits. The amount of total premium due each month is the sum obtained by <br /> multiplying the applicable premium rates shown in the Schedule of Benefits by the actual number of <br /> appropriate Covered Units. <br /> The Policyholder will be liable for any premium taxes assessed at any time against the Company beyond <br /> any taxes which may be payable on the premium received by the Company. <br /> All requests for adjustments, credits or refunds because of overpayment of premiums shall be reported, in <br /> writing,with accompanying detail within sixty(60)days after termination of the applicable Policy Period. <br /> The Company will not refund any portion of the premiums Paid if this Policy terminates during this Policy <br /> Period.The Company shall be entitled to reduce the reimbursements due the Policyholder under this Policy <br /> against any premiums due and unpaid, any overpayments or other reimbursements made in error or upon <br /> incorrect information,and any other amounts due the Company. <br /> PREMIUM RATE CHANGE The Company may change the Policyholder's premium rates for any of the <br /> following: <br /> a) the date when the terms of this Policy are changed; <br /> b) the date the Plan Document changes are accepted by the Company; <br /> c) the date the Policyholder adds or deletes subsidiary or affiliated companies or divisions; <br /> d) the date the number of Covered Units on any premium due date varies more than ten percent(10%) <br /> from the number of Covered Units as of the first month of the Policy Period. <br /> UHIELIP-NC(07/06) 5 PREFAC <br />