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<br />I <br />1 <br /> <br />TABLE OF CONTENTS <br /> <br />Schedule of Insurance,......,... ,....,.... ,.........,....,.... ,.......,....,... ...... ..... ...... ..........,..,.. .........,........ ...... ............. 3 <br /> <br /> <br />DefInitions.""....".".",.....,.",.".,.,.....,.".,.""",.,..............,..""..",.,.",.,.......",.,."",.,..,......, ..."...."..."."...... 4 <br /> <br /> <br />General Provisions,......""."""".,...",.".",.....,.,.........,.."..,.",."..,..,....,.".,.,."..",.........,..,..."."" ,.'"......,..,., 5 <br /> <br /> <br />Eligibility and Effective Dates for Personal Insurance..,........................................................................... 6 <br /> <br /> <br />Individual Terminations. .......,..........,.................,......,.,........ ..................... ...... ...,.."..,........,..,..,.... ,........... 7 <br /> <br /> <br />Premiums and Premium Rates. ..........,.........,. ............................"...... ..... ..........,.." ...............,.., ...... .........., 8 <br /> <br /> <br />Grace Period"""..,.........."".......,.".".....".,....",.."".".",.,......,.....",...".,........,...",.."........".., ..,...... ........... 9 <br /> <br /> <br />Policy Termination.......,..,........,.,....,...........,......"'.,.....""""..........,.,...............,.."'..,....,..,.".,..,..... .....,..,., 9 <br /> <br /> <br />BenefIciary .",.,..."..,..,..."".,.,.........".,.""".,......,.,.,.,..,.,.,.,.",....,....".".".........."".,...",.,."....,.,.,.... .........,. 10 <br /> <br /> <br />Facility of Payment... .., ",.,. ,.,..,. ."..,., ",..", .,.,.,., ...." ....,."", ".,., ..."..".., ,.,.,." ... ,..., ,.., ,..".,.. ....,..,., ,:,. ".,.....,. 11 <br /> <br /> <br />Death BenefIt......"".,.......,.".."."..",.........,.""""",.,..,............""",.."..,.......,....,."...,.......,....,., ,........... ....., 11 <br /> <br /> <br />Settlement Options ..,..,.",.".......".,.".,.,......,.,....,............,..""..,......,.,."..,.,.".....,....."."."........,.".,..,.".. .... 11 <br /> <br /> <br />Extension of Death BenefIt...,., ,.,..." ,.,.... ...,....,..",...... ,.,.,.., ,. ..........,.,."" ,. ,.., ,.... ,... ,., ,.,..,., ,... .....,..,..,.....,... 12 <br /> <br /> <br />Living BenefIt.............,..........,...,.,....,.....,.....................,.....",.,...,........,.,...".,..,........,..".."........ ...,....."..... 13 <br /> <br /> <br />Conversion Privilege .,..., ....,.,.,., ,."" ,., ".... ,.,.,. ,.", "..,.,. .,." ,..,..... ..... ,., ".., .......... ,... ,.. ,.. ..... ..... .,." ..... ........... 15 <br /> <br /> <br />Dependents Life Insurance.............,.... ..... ,....................... .......... ,.......... ........................... .... .....,..,.... ........ 16 <br /> <br /> <br />Claims Procedures for Life or Accidental Death and Dismemberment BenefIts ................,..................... 18 <br /> <br />Accidental Death and Dismemberment Insurance................,....""...,..".........,.",.......,...........".,."............20 <br /> <br />Prior Insurance Credit Provision.......... ............... ......... ...... ....... ................. ........, ...................................... 21 <br /> <br />GL1101-1 <br /> <br />2 <br /> <br />OSlO 1/0 1 <br />