Nationwide Disclaimers
Please read your plan document carefully. This is only a summary of our program. Please refer to your plan
document for complete coverages, terms, conditions, limits and exclusions, including a pre-existing
condition exclusion. Not all plans or coverages are available in every state. This summary does not replace
or change any part of your plan document. If there is a conflict between this summary and your plan
document, the plan document will govern. Plans contain insured benefits and non-insurance assistance
services. The insurance benefits in the Silver, Gold and Platinum plans are underwritten by Nationwide
Mutual Insurance Company, Columbus, Ohio In WA coverage is underwritten by Nationwide Life Insurance Company
and Nationwide Mutual Insurance Company, Columbus, Ohio. Applicable to policy forms NSIGTC 2000, NSHTC 2000,
SRTC 2000, or state equivalent. Benefits are administered by AXA Assistance USA, Inc. (in California, doing
business as AXA Assistance Administrators, License Number 0H74893). Non-insurance assistance services are
provided by AXA Assistance USA, Inc. and are not underwritten by Nationwide Mutual Insurance Company.