Page 15 - Customer-Booklet_Texas
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The amount payable for each Qualifying Event is equal to the percentage times the Heart and Stroke
Diagnosis Benefit Amount shown on the Policy Schedule Page or policy endorsement. The percentage of
the Heart and Stroke Diagnosis Benefit Amount payable for each Qualifying Event is shown beside the
event in the chart below.

Qualifying Events Percentage of Benefit Maximum Percentage of
Amount Payable for Benefit Amount Payable
Heart Attack each Qualifying Event
Heart Transplant 100%
Stroke 100%
Coronary Artery Bypass Surgery* 100%
Aortic Surgery* 100%
Heart Valve Replacement/Repair Surgery*
Angioplasty* 25%
Stent* 25%

*The Coronary Artery Bypass Surgery, Aortic Surgery, Heart Valve Replacement/Repair Surgery,
Angioplasty, and Stent benefits are each payable only once in an Insured Person’s lifetime.
If an Insured Person receives benefits payable for a Qualifying Event that is less than 100% of the Heart
and Stroke Diagnosis Benefit Amount and later receives a Diagnosis for a different Qualifying Event, We
will pay the specified percentage of the Qualifying Event in the chart above, less any prior amounts paid
or payable under this benefit.
If the Date of Diagnosis of two (2) or more Qualifying Events is the same Day, We will pay only one (1)
Heart and Stroke Diagnosis Benefit Amount. We will pay the larger of the Qualifying Event benefits
Diagnosed on the same Day.

The Date of Diagnosis for two (2) or more surgical Treatments performed at the same time and through a
common incision or entry point are considered one (1) operation. We will pay the larger of the Qualifying
Event benefits performed at the same time.
No benefits are payable for conditions other than the Qualifying Events defined in the policy.

In addition to any benefit-specific conditions, limitations, or exclusions, no benefits will be payable under
the policy for:
a. any disease, Sickness, or incapacity other than Qualifying Events as defined; this is so even though such
disease, Sickness, or incapacity may have been complicated, affected (directly or indirectly), or caused
by a Qualifying Event;
b. loss that begins prior to the Policy Effective Date;
c. a Qualifying Event Diagnosed during the Waiting Period;
d. Diagnosis received outside the United States or its territories, unless otherwise specified in the policy;
e. intentionally self-inflicted injury, suicide, or any attempt while sane or insane;
f. voluntary self-administration of any narcotic, drug, poison, gas, or fumes, unless prescribed or taken
under the direction of a Physician and taken in accordance with the prescribed dosage; and
g. any illness specifically excluded from the definition of Qualifying Events listed in the policy.

LY-LSH-OC-B-FL 2 10/13
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