Common use of How We Use Your Information Clause in Contracts

How We Use Your Information. We use your information to provide the products and services you request, which includes using it to evaluate insurance risk and manage claims. We may also share your information with third parties, when it is necessary for the services we provide to you. Third parties may include other insurance companies, the Medical Information Bureau, financial institutions, third party administrators, and any references you provide. We may use your information internally, to prepare statistical reports that help us understand th e needs of our customers and that help us understand and manage our business. In some instances, employees, service providers, agents, reinsurers, and any of their providers, of Chubb Life may be located outside of Canada, and your personal information may thus be subject to the laws of those foreign jurisdictions. You may request to review your personal information in your file or request to make a correction by writing to: The Privacy Officer; Chubb Life, 0000 – 00 Xxxx Xxxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. For more information on privacy at Chubb, visit xxxxx://xxx0.xxxxx.xxx/ca-en/ pg. 8 Policy Number: «POLICY» POLICY SCHEDULE Policy Number «POLICY» Insured Person «FORMALNAME» Address of Insured Person «ADDR3», «CITY» «PROVINCE» «POSTCODE» Date of Birth «DOB» Insured Persons Gender «SEX» Insured Persons Smoking Status at time of application: Non-Smoker Effective Date: «EFFDATE» Expiry Date: The Premium Due Date following the date you turn age 100 Death Benefit Amount: «BENAMT_MI(OBFEID,1300)» Premium: «BASEPREMIUM» «BILLFREQ» Premiums cannot be increased for any one single policy but are subject to change by Class Grouping. Premium Due Date: «EFFDATE» Beneficiary: «BNFC_MI(OBFEID)» The beneficiary of any payable benefits for dependent children (where Dependent Child coverage is in force) will be the Insured Person CHILD RIDER BENEFIT AMOUNT: Not applicable LIST DEPENDENT CHILDREN: Not applicable pg. 9 Policy Number: «POLICY»

How We Use Your Information. We use your information to provide the products and services you request, which includes using it to evaluate insurance risk and manage claims. We may also share your information with third parties, when it is necessary for the services we provide to you. Third parties may include other insurance companies, the Medical Information Bureau, financial institutions, third party administrators, and any references you provide. We may use your information internally, to prepare statistical reports that help us understand th e the needs of our customers and that help us understand and manage our business. In some instances, employees, service providers, agents, reinsurers, and any of their providers, of Chubb Life may be located outside of Canada, and your personal information may thus be subject to the laws of those foreign jurisdictions. You may request to review your personal information in your file or request to make a correction by writing to: The Privacy Officer; Chubb Life, 0000 – 00 Xxxx Xxxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. For more information on privacy at ChubbChubb Life, visit xxxxx://xxx0.xxxxx.xxx/ca-en/ pg. 8 11 Policy Number: «POLICY» POLICY SCHEDULE Policy Number «POLICY» Insured Person «FORMALNAME» Address of Insured Person «ADDR3», «ADDR4», «CITY» «PROVINCE» «POSTCODE» Date of Birth «DOB» Insured Persons Gender «SEX» Insured Persons Smoking Status at time Insured’s smoking status on date of application: application Non-Smoker smoker Effective Date: «EFFDATE» Expiry Date: The Premium Due Date following the date you turn age 100 Death 70 Benefit Amount: «BENAMT_MI(OBFEID,1300)» $ Premium: $«BASEPREMIUM» «BILLFREQ» Premiums cannot be increased for any one single policy but are subject to change by Class Grouping. Premium Due Date: «EFFDATE» Beneficiary: «BNFC_MI(OBFEID)» The beneficiary of any payable benefits for dependent children (where Dependent Child coverage is in force) will be the Insured Person CHILD RIDER BENEFIT AMOUNT: Not applicable LIST DEPENDENT CHILDREN: Not applicable pg. 9 Policy Number: «POLICY».

How We Use Your Information. We use your information to provide the products and services you request, which includes using it to evaluate insurance risk and manage claims. We may also share your information with third parties, when it is necessary for the services we provide to you. Third parties may include other insurance companies, the Medical Information Bureau, financial institutions, third party administrators, and any references you provide. We may use your information internally, to prepare statistical reports that help us understand th e the needs of our customers and that help us understand and manage our business. In some instances, employees, service providers, agents, reinsurers, and any of their providers, of Chubb Life may be located outside of Canada, and your personal information may thus be subject to the laws of those foreign jurisdictions. You may request to review your personal information in your file or request to make a correction by writing to: The Privacy Officer; Chubb Life, 0000 – 00 Xxxx Xxxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. For more information on privacy at ChubbChubb Life, visit xxxxx://xxx0.xxxxx.xxx/ca-en/ pg. 8 11 Policy Number: «POLICY» POLICY SCHEDULE Policy Number «POLICY» Insured Person «FORMALNAME» Address of Insured Person «ADDR3», «ADDR4», «CITY» «PROVINCE» «POSTCODE» Date of Birth «DOB» Insured Persons Gender «SEX» Insured Persons Smoking Status at time Insured’s smoking status on date of application: application Non-Smoker smoker Effective Date: «EFFDATE» Expiry Date: The Premium Due Date following the date you turn age 100 Death 75 Benefit Amount: «BENAMT_MI(OBFEID,1300)» $ Premium: $«BASEPREMIUM» «BILLFREQ» Premiums cannot be increased for any one single policy but are subject to change by Class Grouping. Premium Due Date: «EFFDATE» Beneficiary: «BNFC_MI(OBFEID)» The beneficiary of any payable benefits for dependent children (where Dependent Child coverage is in force) will be the Insured Person CHILD RIDER BENEFIT AMOUNT: Not applicable LIST DEPENDENT CHILDREN: Not applicable pg. 9 Policy Number: «POLICY».