Group Supplementary Medical Benefit Endorsement .........This is an Endorsement attached to and forming a part of Group Hospital & Surgical Supplementary Contract. The benefits will be paid for an insured member who is admitted into hospital as a result of his sickness or injury by an accident. Coverage .........The benefits cover for the expenses in excess of the maximum amount payable under Group Hospital & Surgical Supplementary Contract for an insured member's hospitalization. This is due to that such benefit coverage depends on the following provisions. a. Deductible Amount b. Co - insurance c. Maximum benefit per any one disability.              For the maximum of Daily Room & Board benefit, it is subject to the Maximum Daily Room & Board Benefit stated in the Group Hospital & Surgical Supplementary Contract and covering only for such Daily Room & Board expense incurred subsequent to the period covered by the mentioned Supplementary Contract. Definition            The benefit is payable at a rate per day subject to the daily maximum benefit stated in the Schedule of this Supplementary Contract.              " Deductible Amount " referred to the minimum amount of in hospital expense per disability which shall have been incurred by an insured member before any benefits are payable under this Endorsement.              " Co-insurance " referred to the participation percentage of the insurer and the insured member for the expenses in excess of the deductible amount. Schedule of Benefits 1. Maximum Benefit Per Any One Disability ______________ times Daily Room & Board Benefit 2. Deductible Amount Per Any One Disability Bht.____________________ 3. Co-insurance Exclusion All the exclusions as stated in the Group Hospital & Surgical Supplementary Contract. Any hospital confinement surgical operation or outpatient treatment caused directly or indirectly, wholly or partly , by AIDS or HIV Contact.