United Teacher Associates Insurance Company First Diagnosis Cancer Limitations and Exclusions

AK, FL, HI, KY, NE, NM, NV, OH, SC, TN, WY 

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid for any diagnosis resulting from a Pre-Existing Condition regardless of when such diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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AL

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
No benefits will be payable for two (2) years from the Effective Date of this Policy for a First Diagnosis Cancer resulting from a Pre-Existing Condition.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given five (5) years prior to the Effective Date of the policy.

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AZ

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma. Benefits payable for a First Diagnosis of Cancer during the waiting period will be reduced.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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AR

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a Pre-Existing Condition will be excluded for two (2) years from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment within the five (5) years prior to the Effective Date of the policy.

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CA

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer will not be a covered condition when any advice or treatment received within the Waiting Period, or prior to the Effective Date, leads to the First Diagnosis of Cancer.  If tissue is extracted during the Waiting Period or prior to the Effective Date, and leads to a First Diagnosis of Cancer, this will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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CO

LIMITATIONS AND EXCLUSIONS
After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid for any diagnosis resulting from a Pre-existing Condition regardless of when such diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment, within the twelve (12) months prior to the Effective Date of the policy.


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DE

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma. Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid for any diagnosis resulting from a Pre-existing Condition regardless of when such diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which the existence of signs or symptoms would have caused an ordinarily prudent person to have sought diagnosis, care, or treatment with a five (5) year period prior to the Effective Date of the coverage for the Insured under this policy or for which medical advice or treatment was recommended by a Physician or received from a Physician with a five (5) year period prior to the Effective Date of the coverage for the Insured under the policy. 

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ID

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a Pre-existing Condition will be excluded for 12 months from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which medical advice, diagnosis, care or treatment was recommended or received from a physician within the six (6) month period preceding the effective date of the policy.

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IL

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

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IN

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given, or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sough diagnosis, advice or treatment, with the twelve (12) months prior to the Effective Date of the policy.

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IA

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis and the treatment thereof internal Cancer or malignant melanoma (this excludes all other skin Cancer).  The policy does not pay benefits for complications of Cancer.  The policy does not cover any other disease or sickness or incapacity; this is so even though any such other disease or incapacity may have been complicated, affected (directly or indirectly) or caused by Cancer or by treatment thereof.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount or Hospital Confinement Benefits will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.  Benefits will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means the existence of symptoms of Cancer or any covered disease which would have caused an ordinarily prudent person to have sought diagnosis, care or treatment with a five (5) year period prior to the Effective Date of the policy or a condition for which medical advice or treatment was recommended by a Physician or received from a Physician with a five (5) year period prior to the Effective Date.

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KS

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition. We will waive the Waiting Period if the policy is replacing another specified disease policy and the Waiting Period under that policy has already been satisfied.  Credit will be given for any period of the Waiting Period that has been satisfied.  Replacement of another specified disease policy must have been disclosed on the application for the policy.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment, prior to the Effective Date of the policy.

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LA

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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MI

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity. 

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid for any diagnosis resulting from a Pre-Existing Condition regardless of when such diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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MO

LIMITATIONS AND EXCLUSIONS

The policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a Pre-Existing Condition will be excluded for two (2) years from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment prior to the effective date of the policy.

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MS

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid for any diagnosis resulting from a Pre-Existing Condition regardless of when such diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which sign or symptoms cause an ordinarily prudent person to seek medical advice, diagnosis, care or treatment during the twelve (12) months immediately preceding the effective date of coverage.

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MT

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a Pre-Existing Condition will be excluded for twelve (12) months from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given with the three (3) years prior to the Effective Date of the policy.

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NC

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.


PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, medical advice or treatment was recommended or received within the twelve (12) months prior to the Effective Date of the policy.

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ND

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

Cancer manifested prior to the Effective Date of this policy will not be covered.

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OK

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Benefits payable for a First Diagnosis of Cancer during the waiting period will be reduced.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment, prior to the Effective Date of the policy.

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TX

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is within the five (5) years prior to the Effective Date of the policy.

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UT

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Elimination Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a pre-existing condition will be excluded for two (2) years from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily purdent person to have sought diagnosis, advice or treatment within the six (6) months prior to the Effective Date of the policy.

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WV

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
Benefits for a Pre-Existing Condition will be excluded for twelve (12) months from the Effective Date of the policy.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given, or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sough diagnosis, advice or treatment within the two (2) years prior to the Effective Date of the policy.

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WI

LIMITATIONS AND EXCLUSIONS

After a 30 day waiting period, the policy provides benefits only for First Diagnosis of internal Cancer or malignant melanoma.  The policy does not cover any other disease or sickness or incapacity.  No benefit is payable for the diagnosis of skin Cancer other than malignant melanoma.  Cancer first diagnosed during the Waiting Period will not be a covered condition.

PRE-EXISTING CONDITION LIMITATIONS
A First Diagnosis Cancer Benefit Amount will not be paid if there was a Pre-Existing Condition not disclosed on the application regardless of when a diagnosis is made.

PRE-EXISTING CONDITION means a Cancer or covered disease for which diagnosis, advice or treatment is given or for which signs or symptoms existed which would have caused an ordinarily prudent person to have sought diagnosis, advice or treatment , prior to the Effective Date of the policy.

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