EXHIBIT 1.A(13)(x)
PRUCO LIFE INSURANCE COMPANY
| Insured | Rider for Policy No.
| |
|_____________________________________ |___________________________________
This contract was reinstated on the date of this rider. But we did not have the
facts we needed to satisfy us that the child, ____________________________,
whose date of birth is ___________________________, was insurable. Therefore,
that child will not be insured under this contract on or after the date of this
rider. This will be so even though the contract or an application related to it
may refer to the child. This will still be so if you apply to reinstate the
contract again in the future and you then refer to the child.
| RIDER ATTACHED TO AND MADE A PART OF THIS CONTRACT
|
|
| PRUCO LIFE INSURANCE COMPANY,
|
|
| By /s/ XXXXXXX X. XXXXX
| -----------------------------
| Secretary
|
|
| Date Attest
|____________________________________________________
---------
PLI 75-82
---------
II-203