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4.liabilityforanyconsequence,whetherofAmericanecessarilyincurredasadirectresult <br />directorindirect,ofwar,invasion,actofof bodily injury. <br />Foreignenemy,hostilities(whetherwar <br />Our reimbursement shall be limited as follows: <br />bedeclaredornot),civilwar,rebellion, <br />1.totheamountbywhichsuchexpenses <br />revolution,insurrectionormilitaryor <br />exceedthenormalcostofreturningthe <br />usurpedpower.Noendorsementnowor <br />officer or employee if in good health, or <br />subsequentlyattachedtothispolicyshall <br />2.intheeventofdeath,totheamountbywhich <br />beconstruedasoverridingorwaiving <br />suchexpensesexceedthenormalcostof <br />thislimitationunlessspecificreferenceis <br />returningtheofficeroremployeeifaliveand <br />made thereto. <br />in good health. <br />D.Before We Pay <br />Innoeventshallourreimbursementexceedthe <br />Beforewereimburseyouforthebenefitsto <br />bodilyinjurybyaccidentlimitshowninItem3.B. <br />thepersonsentitledtothem,youmusthave <br />oftheInformationPageasrespectsanyone <br />them: <br />such officer or employee whether dead or alive. <br />1.releaseyouandus,inwriting,ofall <br />H.Endemic Disease <br />responsibility for the injury or death, <br />Theword“disease”includesanyendemic <br />2.transfertoustheirrighttorecoverfrom <br />diseases. <br />otherswhomayberesponsiblefortheir <br />Thecoverageappliesasifendemicdiseases <br />injury or death, <br />wereincludedintheprovisionsoftheworkers’ <br />3.cooperatewithusanddoeverything <br />compensation law. <br />necessarytoenableustoenforcethe <br />5.LongshoreandHarborWorkers’Compensation <br />right to recover from others. <br />Act Coverage <br />Ifthepersonsentitledtothebenefitspaidfail <br />GeneralSectionC.Workers’CompensationLaw <br />todothesethings,ourdutytoreimburse <br />is replaced by the following: <br />endsatonce.Iftheyclaimdamagesfromus <br />fortheinjuryordeath,ourdutytoreimburse <br />C.Workers’ Compensation Law <br />ends at once. <br />Workers’CompensationLawmeanstheworkers <br />E.Recovery From Others <br />orworkers’compensationlawandoccupational <br />diseaselawofeachstateorterritorynamedin <br />Ifwemakearecoveryfromothers,wewill <br />Item3.A.oftheInformationPageandthe <br />keepanamountequaltoourexpensesof <br />LongshoreandHarborWorkers’Compensation <br />recoveryandthebenefitswereimbursed. <br />Act(33USCSections901-950).Itincludesany <br />Wewillpaythebalancetothepersons <br />amendmentstothoselawsthatareineffect <br />entitledtoit.Ifpersonsentitledtothe <br />duringthepolicyperiod.Itdoesnotincludeany <br />benefitsmakearecoveryfromothers,they <br />otherfederalworkersorworkers’compensation <br />mustrepayusfortheamountsthatwehave <br />law,otherfederaloccupationaldiseaselaworthe <br />reimbursed you. <br />provisionsofanylawthatprovide <br />F.ReimbursementforActualLoss <br />nonoccupational disability benefits. <br />Sustained <br />PartTwo(Employers’LiabilityInsurance),C. <br />Thisendorsementprovidesonlyfor <br />Exclusions,exclusion8,doesnotapplytowork <br />reimbursementforthelossyouactually <br />subjecttotheLongshoreandHarborWorkers’ <br />sustain.Inorderforyoutorecoverlossor <br />Compensation Act. <br />expensesunderthisreimbursementyou <br />Thiscoveragedoesnotapplytoworksubjectto <br />must: <br />theDefenseBaseAct,theOuterContinental <br />1.actuallysustainandpaythelossor <br />ShelfLandsAct,ortheNonappropriatedFund <br />expense in money after trial, or <br />Instrumentalities Act. <br />2.secureourconsentforthepaymentof <br />the loss or expense. <br />G.Repatriation <br />Ourreimbursementincludestheadditional <br />expenses of repatriation to the United States <br />Form WC 99 03 03 BPrinted in U.S.A. (Ed. 8/00)Page5 of6 <br /> <br />