A complete description of 4-by-4 matrices $begin{bmatrix}alpha I & C D & beta Iend{bmatrix}$, with scalar 2-by-2 diagonal blocks, for which the numerical range is the convex hull of two non-concentric ellipses is given. This result is obtained by reduction to the leading special case in which $C-D^*$ also is a scalar multiple of the identity. In particular cases when in addition $alpha-beta$ is real or pure imaginary, the results take an especially simple form. An application to reciprocal matrices is provided.
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