EXHIBIT 1.(5)
[USAA LOGO]
USAA LIFE INSURANCE COMPANY
0000 Xxxxxxxxxxxxxx Xxxx
Xxx Xxxxxxx, XX 00000
(A Stock Company)
VARIABLE UNIVERSAL LIFE INSURANCE POLICY
THE INSURING AGREEMENT
USAA LIFE INSURANCE COMPANY will pay the beneficiary the death benefit of this
policy upon receiving due proof that the death of the insured occurred while
this policy was in effect.
This policy is a flexible premium variable life insurance policy. The
specified amount of insurance may be increased or decreased by the owner.
THE DEATH BENEFIT OF THIS POLICY MAY BE VARIABLE AS TO THE AMOUNT OR DURATION,
OR BOTH, DEPENDING UPON THE DEATH BENEFIT OPTION SELECTED AND THE INVESTMENT
EXPERIENCE OF THE LIFE INSURANCE SEPARATE ACCOUNT OF USAA LIFE INSURANCE
COMPANY ("SEPARATE ACCOUNT"), BUT SHALL NEVER BE LESS THAN THE SPECIFIED
AMOUNT (SUBJECT TO ANY POLICY INDEBTEDNESS AND PARTIAL SURRENDERS) AS LONG AS
THERE IS SUFFICIENT CASH VALUE TO KEEP THE POLICY IN EFFECT. See Section 8
(Death Benefit Provisions). THE CASH VALUE OF THIS POLICY WILL VARY FROM DAY
TO DAY. IT MAY INCREASE OR DECREASE DEPENDING ON THE INVESTMENT EXPERIENCE OF
THE SEPARATE ACCOUNT. IT IS NOT GUARANTEED AS TO DOLLAR AMOUNT.
FLEXIBLE PREMIUMS PAYABLE DURING LIFETIME OF INSURED OR UNTIL MATURITY DATE.
VARIABLE DEATH BENEFIT PAYABLE PRIOR TO MATURITY DATE. CASH VALUE PAYABLE ON
MATURITY DATE.
INVESTMENT EXPERIENCE REFLECTED IN BENEFITS.
NON-PARTICIPATING POLICY.
This policy is issued by USAA LIFE INSURANCE COMPANY on the Effective Date
shown on the Policy Information Page.
We have tried to make this policy readable. However, there still may be some
technical terms and concepts that are difficult to understand. Should you need
help in understanding your policy, please call us at our toll-free number.
FREE LOOK PERIOD - RIGHT TO RETURN
You may cancel this contract within 10
days* after you receive it by returning
it to the Company or the representative
who sold you the contract with your
___________________________ written request for cancellation. With
XXXXX X. XXXXXX - PRESIDENT respect to the Variable Fund Accounts,
we will refund the greater of the
premium payment made or the value of the
____________________________ Variable Fund Account as of the Date of
XXXXXXXX X. XXXX - SECRETARY Receipt of the request to cancel plus
any premium charge, monthly deduction
and mortality and expense risk charge
that had been deducted. The contract
will be deemed void as if it had never
been issued.
*A longer Free Look Period may be
required by law in some states. The
READ YOUR POLICY CAREFULLY! exact number of days in your Free Look
Period is shown on the Policy
Information Page.
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TABLE OF CONTENTS
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Section 1. Introduction Page
Section 2. Policy Information Page Page
Section 3. Table of Monthly Guaranteed Cost of Page
Insurance Rates
Section 4. Definitions Page
Section 5. Ownership and Beneficiary Provisions Page
Section 6. General Provisions Page
Section 7. Premium Provisions Page
Section 8. Death Benefit Provisions Page
Section 9. Cash Value and Policy Charges Page
Section 10. Availability of Funds and Voting Rights Page
Section 11. Policy Surrender and Partial Surrenders Page
Section 12. Grace and Reinstatement Periods Page
Section 13. Loan Provisions Page
Section 14. Settlement Options Page
Section 15. Table of Guaranteed Payments Page
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Section 1. INTRODUCTION
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This is a variable universal life insurance policy also commonly known
as a flexible premium variable life insurance policy. The death benefit that
is paid when the Insured dies may vary. After charges as described in this
policy are deducted from the premium paid, your Net Premium Payment is
invested to build the policy's cash value. A Monthly Deduction is subtracted
from the policy's cash value to pay for the cost of insurance and other
charges.
Your Net Premium Payment will be allocated and invested as directed by you. It
will be invested in an Account which does not guarantee the principal or any
earnings (this is known as a Variable Fund Account). There are several
Variable Fund Accounts under this policy which correspond to various Mutual
Funds in which you may choose to invest. Your value in the Variable Fund
Accounts will vary with the investment experience of the corresponding Fund.
The value may rise or it may fall. You have access to the policy's cash value
either through a loan, a partial surrender or a total surrender. A total
surrender results in the termination of the life insurance policy.
This is a brief summary of the life insurance policy. You must read the
rest of this policy to understand the details of how this life insurance
policy works.
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Section 2. POLICY INFORMATION PAGE
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Section 3. TABLE OF MONTHLY GUARANTEED COST OF
INSURANCE RATES
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Section 4. DEFINITIONS
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IN THIS POLICY -
ACCUMULATION UNIT means an accounting unit of measure used to calculate values
in each Variable Fund Account.
ADMINISTRATIVE CHARGE means a monthly charge deducted from the policy's cash
value during the first Policy Year only. It compensates us for the start-up
expenses incurred in issuing this policy. It is shown on the Policy
Information Page.
ANNIVERSARY means the same date each succeeding year as the Effective Date of
the policy.
ANNUAL TARGET PREMIUM PAYMENT means an annual amount of premium payment that
we establish when the policy is issued and that is shown on the Policy
Information Page. It is used to determine whether a Premium Charge will be
deducted from premium payments, whether a surrender charge is imposed on a
full surrender and whether the Guaranteed Death Benefit applies.
BENEFICIARY means the person or entity designated to receive the death benefit
upon the Insured's death.
CASH VALUE - this term is explained in Section 9 of this policy.
COMPANY, WE, OUR, or US means USAA Life Insurance Company.
DATE OF RECEIPT means the date actually received at our Home Office, subject
to two exceptions: (1) if received on a date other than a Valuation Date, the
Date Of Receipt will be the following Valuation Date; and (2) if received on a
Valuation Date after close of trading of the New York Stock Exchange, the Date
Of Receipt will be the following Valuation Date.
DEATH BENEFIT - this term is explained in Section 8 of this policy.
EFFECTIVE DATE means the date we approve the application and issue this
policy. The Effective Date is shown on the Policy Information Page.
FREE LOOK PERIOD means the period of time required by state law during which
the owner may return the policy for cancellation and receive a refund. If
cancellation of the policy is requested during the Free Look Period we will
refund the greater of the premium payment or the value of the Variable Fund
Accounts as of the Date of Receipt of the request to cancel plus any Premium
Charge, Monthly Deduction and Mortality and Expense Charge that had been
deducted. The Free Look Period is shown on the Policy Information Page.
FUND means an investment portfolio that has specific investment objectives and
policies and is offered by a Mutual Fund.
GUARANTEED DEATH BENEFIT means that the Company guarantees that the policy
will not lapse during the first five policy years and that a death benefit
will be paid if a sufficient amount of premium has been paid. See the
Guaranteed Death Benefit Provision on page _____.
HOME OFFICE means USAA LIFE INSURANCE COMPANY; USAA BUILDING, 0000
XXXXXXXXXXXXXX XXXX, XXX XXXXXXX, XXXXX 00000.
INDEBTEDNESS means the sum of all unpaid policy loans and unpaid accrued
interest due on loans.
INSURED means the person whose life is insured. The insured is identified on
the Policy Information Page. The Insured may or may not be the Owner.
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LAPSE means the policy has terminated because of insufficient cash value from
which to deduct the Monthly Deduction and any loan interest then due. No
insurance coverage exists when the policy has Lapsed.
MAINTENANCE CHARGE means a monthly charge deducted from the policy's cash
value. It compensates us for recurring administrative expenses related to the
maintenance of the policy and the Separate Account. It is shown on the Policy
Information Page.
MATURITY DATE means the date that we will pay the policy's cash value, to the
Owner, as long as the policy has not terminated because of Lapse, full
surrender, or the Insured's death. The Maturity Date is shown on the Policy
Information Page.
MONTHLY ANNIVERSARY means the same date of each succeeding month as the
Effective Date of the policy.
MONTHLY DEDUCTION means a charge made under this policy each month against the
policy's cash value. The charge is equal to:
1) the cost of insurance and any riders; plus
2) the Administrative Charge that is applied
during the first 12 months that the policy
is in effect; plus
3) the Maintenance Charge.
MINIMUM AMOUNT INSURED means the amount of life insurance required by the
Internal Revenue Code to qualify the policy as life insurance and to exclude
the death benefit from the Beneficiary's taxable income.
MUTUAL FUND means an open-end investment company under federal securities law.
It may offer shares of several different Funds for investment.
NET ASSET VALUE means the current value of each Fund's total assets, less all
liabilities, divided by the total number of shares outstanding.
NET PREMIUM PAYMENT means the amount of a premium payment less the policy's
Premium Charge. See the Premium Charge provision in Section 7.
NOTICE TO US means your signed statement which is received at our Home Office
and is in a form satisfactory to us.
OWNER means the person to whom we owe the rights and privileges of this
policy.
POLICY INFORMATION PAGE means the page that identifies certain information
about this policy and specifies certain terms of the policy. It appears at
page 4.
POLICY YEAR means a period of 12 calendar months starting with the Effective
Date of the policy, and each 12-month period thereafter. For example, if your
policy was issued on July 15, your first Policy Year would end on the
following July 14. Each subsequent Policy Year would start on July 15 and end
on July 14.
PREMIUM CHARGE means an amount that we deduct from premium payments to
compensate us for sales charges and taxes related to the policy.
SEPARATE ACCOUNT means the investment account established under Texas law
through which USAA Life Insurance Company invests the Net Premium Payments
received for investment in the Variable Fund Accounts under this policy. The
Separate Account is divided into subdivisions called the Variable Fund
Accounts under this policy. Each Variable Fund Account invests the Net Premium
Payments allocated to it in a particular Fund. The assets of the Separate
Account are owned by USAA Life Insurance Company. To the extent that the
assets are equal to the reserves and other contractual liabilities, they are
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not chargeable with liabilities arising out of any other business of the
Company. The income, gains, and losses, realized or unrealized, from the
assets of the Separate Account are credited or charged against the Separate
Account without regard to other income, gains or losses of the Company. The
Separate Account is registered as an investment company under federal
securities law.
SPECIFIED AMOUNT means the minimum death benefit payable as long as the policy
is in effect. It is also the amount of life insurance issued by the Company.
It is shown on the Policy Information Page.
SURRENDER CHARGE means an amount that may be deducted from the policy's cash
value if the Owner surrenders the policy in full. See the Full Surrender
Charge provision on page _____.
VALUATION DATE means any business day, Monday through Friday, on which the New
York Stock Exchange is open for regular trading, except
1) Any day on which the value of the shares of a
Fund is not computed.
2) Any day during which no order for the purchase,
redemption, surrender or transfer of
Accumulation Units is received.
VALUATION PERIOD means the period of time from the end of any Valuation Date
to the end of the next Valuation Date.
VARIABLE FUND ACCOUNT means a subdivision of the Separate Account in which
premium payments may be invested. There are several Variable Fund Accounts
under this policy. Each Variable Fund Account corresponds to a particular
Fund. Net Premium Payments allocated to a Variable Fund Account are invested
by the Company in the particular Fund. The Variable Fund Accounts are also
referred to in this policy as Accounts.
YOU, YOUR or YOURS refers to the Owner of the policy.
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Section 5. OWNERSHIP AND BENEFICIARY PROVISIONS
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OWNER
The rights and privileges of this policy belong to you, the Owner, during the
Insured's lifetime. The policy names you or someone else as the Insured. If
you are not the Insured, you should name a successor owner who will become the
Owner if you die before the Insured. If you die before the Insured and there
is no successor owner, ownership passes to your estate.
CHANGE OF OWNERSHIP
You may change the ownership of this policy by sending Notice To Us during the
Insured's lifetime. The change will take effect on the date we receive the
request. A change in ownership will not affect actions taken by us before the
request is received. A change of ownership is subject to the rights of an
assignee of record and any irrevocable beneficiary.
ASSIGNMENT
You may collaterally assign this policy subject to the written consent of any
irrevocable beneficiaries and any other assignees of record. We are not bound
by an assignment until it is received at our Home Office. We are not
responsible for determining the validity of an assignment.
BENEFICIARY
The Beneficiary is the person or entity named in the application, unless
changed by you during the Insured's lifetime. If more than one primary
Beneficiary is named, the death benefit will be paid equally to them, unless
you direct otherwise. Benefits payable to a Beneficiary who dies before the
Insured will be paid equally to the remaining Beneficiaries, unless otherwise
directed. If no Beneficiary survives the Insured, the death benefit will be
paid to you, if living, or, if not, to your estate.
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CHANGE OF BENEFICIARY
You may change the Beneficiary of this policy by sending Notice To Us during
the Insured's lifetime. The written consent of any irrevocable beneficiaries
must be obtained before any change. The change will take effect on the date we
receive the request. If we make a benefit payment in good faith before
receiving the request, we will receive credit for the payment against our
liability under the policy. A change of Beneficiary is subject to the rights
of an assignee of record.
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Section 6. GENERAL PROVISIONS
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CONTRACT EXPLANATION
The policy is a legal contract between you and us. The consideration for
issuing this policy is:
1) Completion of the application, and
2) Payment of the first premium.
The policy, application, any supplemental applications, riders, endorsements,
and amendments form the entire contract. We will consider statements in the
application as representations and not warranties. Only representations
contained in the application or supplemental application will be used to void
this policy or to defend a claim under this policy.
Only the president or secretary of the Company has authority to waive or
change a provision of this policy, and then only in writing.
INCONTESTABILITY
We will not contest this policy, or any increase to it, except for Lapse or
fraud, after the policy or increase has been in force during the Insured's
lifetime for two years. During any two-year contestable period, we have the
right to contest the validity of this policy based on material misstatements
or omissions made in the application or supplemental application. The two-year
period for the policy begins on the Effective Date and the two-year period for
any increase begins on the date the increase is approved and made effective.
If we rescind the policy we will refund the premiums paid less any
Indebtedness and any previous partial surrenders.
This provision does not apply to optional policy benefits added by rider. Each
rider contains its own incontestability provision.
MISSTATEMENT OF AGE OR SEX
If the Insured's age or sex has been misstated on the application, we will
adjust the cash value and death benefit to those amounts that would be
obtained based on the correct Monthly Deductions since the policy's Effective
Date.
SUICIDE EXCLUSION
If the Insured commits suicide (while sane or insane) during the first two
years the policy is in effect, we will not pay a death benefit. We will refund
the premiums paid less any Indebtedness and any previous partial surrenders.
If the Specified Amount is increased by the Owner, a separate two-year suicide
exclusion period is applied to the amount of the increase. If the Insured dies
as a result of suicide (while sane or insane) during the separate two-year
suicide exclusion period, we will only pay the death benefit attributable to
the initial Specified Amount (on which the two-year exclusion period has
expired). We will refund the premium paid less any Indebtedness and any
partial surrenders attributable to the increase in the Specified Amount.
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ANNUAL STATEMENT AND REPORTS
Within 30 days after this policy's Anniversary, we will mail you an annual
statement showing:
1) the amount of the death benefit;
2) the cash value;
3) any Indebtedness;
4) any loan interest charge;
5) any loan repayments since the last annual report;
6) any partial surrenders since the last annual report;
7) all premium payments since the last annual report;
8) all deductions and charges since the last annual
report; and,
9) other pertinent information required by any
applicable law or regulation, or that we deem helpful
to you.
We may instead, at our discretion, mail you the annual statement within
30 days after December 31 of each year. The information contained in the
annual statement will be computed as of a date not more than 60 days prior to
the mailing of the annual statement. We may at our discretion send you
statements more frequently. As required by state and federal law, we will also
send you semi-annual reports for the Funds that correspond to the Variable
Fund Accounts, semi-annual reports for the Separate Account, and any other
information.
POLICY SERVICE
All request for changes to this policy must be clear and in writing and must
be received by our Home Office. Requests to change premium payment allocation,
requests for partial surrenders, requests for loans, and requests for
transfers between Accounts may, however, be made by telephone. We will employ
reasonable procedures to confirm that instructions communicated by telephone
are genuine, and only if we do not, will we be liable for any losses because
of unauthorized or fraudulent instructions. Information will be obtained prior
to any discussion regarding the contract including but not limited to: (1)
USAA number or contract number, (2) the name of the Owner, and (3) social
security number of the Owner. In addition, all telephone communications with
an Owner are recorded and confirmations of all transactions are sent to the
Owner's address. We may modify, suspend, or discontinue this telephone
transaction privilege at any time without prior notice.
NON-PARTICIPATING
This is a non-participating policy. This policy will not share in any of the
Company's profits or surplus earnings. We will not pay dividends on this
policy.
CONFORMITY WITH LAW
This policy is subject to the laws of the state where it was issued. To the
extent that the policy may not comply, it will be interpreted and applied to
comply.
BASIS OF RESERVES
All of the reserve values of this policy are the same or more than the
minimums required by the laws of the state where the policy was issued.
Reserves are computed by the Commissioner's Reserve Valuation Method.. In the
states which require it, we have filed a detailed statement with the state
insurance department.
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Section 7. PREMIUM PROVISIONS
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INITIAL PAYMENT
Any part of the initial Net Premium Payment or any subsequent Net Premium
Payment made during the free look period that is requested to be allocated to
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any of the Variable Fund Accounts will be allocated to the Money Market
Variable Fund Account on the Effective Date. The Net Premium Payment will
remain in the Money Market Variable Fund Account for the Free Look Period plus
five days. On the Valuation Date immediately following the end of that period,
the initial Net Premium Payment, together with any subsequent Net Premium
Payments that have been made, plus any earnings will be allocated among the
Variable Fund Accounts in the percentages as directed on the application at
the Accumulation Unit value next computed on that date. The initial and all
subsequent premium payments must be sent to our Home Office and will not be
made effective until the Date Of Receipt by our Home Office.
PLANNED PERIODIC PREMIUM PAYMENTS
Planned periodic premium payments may be made at the interval indicated on the
Policy Information Page. The failure to follow a planned periodic premium
schedule will not in itself cause the policy to Lapse. On the other hand,
payment of a planned periodic premium will not guarantee that the policy will
remain in effect except as provided under the section entitled "Guaranteed
Death Benefit" below. The duration of the policy depends upon the policy's
cash value.
We will send premium notices, if you request, at 3, 6, or 12-month intervals.
All planned periodic premium payments must be paid to us at our Home Office.
You may change the amount or frequency of planned periodic premium payments,
subject to the maximum premium limitation.
PREMIUM CHARGE
A Premium Charge is deducted from premium payments to compensate us for sales
charges and taxes. This charge is 3% of the premium payment. The Premium
Charge is deducted from all premium payments until the total amount of premium
paid exceeds the Annual Target Premium Payment multiplied by 10. The Premium
Charge is designed so that it will not be applied if the total amount of
premium paid exceeds the amount of Annual Target Premium Payments for ten
years. If the owner increases or decreases the Specified Amount a new Annual
Target Premium Payment will be declared by us for the new Specified Amount.
Whether or not the Premium Charge applies will be determined using the new
AnnualTarget Premium Payment.
GUARANTEED DEATH BENEFIT
You have the option to pay planned periodic premium payments based on the
Annual Target Premium Payment. If upon any Monthly Anniversary during the
first five policy years the total planned and unscheduled premium you have
paid, less any partial surrenders is equal to or greater than the Annual
Target Premium Payment prorated for the number of Monthly Anniversaries that
have occurred since the Policy's Effective Date, then we guarantee that this
policy will not lapse on that Monthly Anniversary, even if the cash surrender
value is insufficient to pay for the Monthly Deduction and any loan interest
then due. This guarantee option is only available during the first five policy
years.
If the Specified Amount is increased or decreased within the first 5 Policy
Years a new Annual Target Premium Payment will be declared by us. This new
Annual Target Premium Payment will be used to make the described calculation
to determine whether the Guaranteed Death Benefit applies.
UNSCHEDULED PREMIUM PAYMENTS
Unscheduled premium payments may be made at any time and must be paid to us at
our Home Office, subject to the maximum premium limitation.
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MAXIMUM PREMIUM LIMITATION
The sum of premiums paid on this policy, both planned and unscheduled, cannot
exceed the maximum premium allowed by the Internal Revenue Code, unless the
premium is necessary to prevent Lapse. We monitor the amount of the policy's
cash value and the amount of life insurance at risk to the Company that is
required by the Internal Revenue Code to qualify the policy as life insurance
and to exclude the death benefit from the beneficiary's taxable income. If a
premium payment will cause the policy not to satisfy Internal Revenue Code
requirements we will refund the excess premium payment to you and we will
accept no further premium until allowed by the Internal Revenue Code current
maximum premium limitation. We may invite you to apply, subject to proof of
insurability, to increase the Specified Amount.
ALLOCATIONS OF NET PREMIUM PAYMENT
Premium payments that are requested to be allocated among the various Accounts
under this policy must be allocated in amounts no smaller than one-tenth of a
percent, provided that the total amount equals an aggregate of 100 percent.
The allocation of subsequent premium payments among the various Accounts under
this policy will be made to the same Accounts and in the same proportions as
the initial premium payment which is shown on the application. The allocation
of subsequent premium payments may be changed by the Owner at any time by
sending a written request to our Home Office, or by making a request by
telephone. A request to change subsequent premium payment allocations will be
effective with the first premium payment received on or following the Date Of
Receipt of the request.
DATE SUBSEQUENT NET PREMIUM PAYMENTS CREDITED
Net Premium Payments after the initial premium payment will be credited to the
Accounts under this policy on the Date Of Receipt. Payments to the Variable
Fund Accounts under this policy will be credited at the Accumulation Unit
value that is next computed on the Date Of Receipt.
TRANSFERS
You may convey value from one Account to another Account under this policy.
This is known as a transfer. Transfers are also subject to the following
restrictions.
1) Six free transfers may be made each Policy Year;
2) Additional transfers may be made each Policy Year but are
subject to a fee of $25.00 per transfer;
3) The minimum amount that may be transferred from an Account
is $250.00; or the entire Account value if the value is
less than $250.00;
4) A request for a transfer must clearly state the amount to
be transferred, the Account from which it is to be
withdrawn, and the Account to which it is to be credited;
5) A transfer may not be made during the first 30 days after
the Effective Date;
6) A transfer will result in either the redemption or
purchase of Accumulation Units, or both; the transfer will
be processed effective at the Accumulation Unit value next
computed on the Date Of Receipt of the transfer request;
7) We reserve the right at any time and without prior notice
to terminate, suspend, or modify these transfer
privileges.
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Section 8. DEATH BENEFIT PROVISIONS
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DEATH BENEFIT
We will pay the Death Benefit when we receive due proof of death at our Home
Office that the Insured has died while this policy is in effect.
The Death Benefit will be paid in accordance with the most current Death
Benefit Option selected, reduced by any Indebtedness and any due and unpaid
Monthly Deductions as set forth in the Grace Period Provision. These proceeds
will be increased by any additional optional insurance benefits provided by
rider.
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DEATH BENEFIT OPTIONS
The policy provides two Death Benefit Options: Option A and Option B. Both
Options provide life insurance protection combined with the opportunity to
build cash value.
Under Option A, the amount of life insurance at risk to the Company decreases
as the cash value increases. The total Death Benefit remains level (unless the
Minimum Amount Insured applies see Minimum Amount Insured, below).
Under Option B, the amount of life insurance at risk to the Company remains
level (unless the Minimum Amount Insured applies - see Minimum Amount Insured,
below) but the total Death Benefit includes the cash value. See Section 9 for
an explanation of how cash value is determined. The Death Benefit Options are:
Option A: The Death Benefit is:
1) The Specified Amount; or
2) The Minimum Amount Insured, if greater.
Option B: The Death Benefit is:
1) The Specified Amount, plus the policy's cash value; or
2) The Minimum Amount Insured, if greater.
MINIMUM AMOUNT INSURED
The Minimum Amount Insured means the amount of life insurance required by the
Internal Revenue Code to qualify the policy as life insurance and to exclude
the Death Benefit from the Beneficiary's taxable income. It is calculated by
multiplying the policy's cash value (excluding the amount of any outstanding
loan and any unpaid loan interest) by a specified percentage which is based on
the Insured's age. The specified percentages are:
AGE PERCENTAGE AGE PERCENTAGE
0-40 250% 61 128%
41 243 62 126
42 236 63 124
43 229 64 122
44 222 65 120
45 215 66 119
46 209 67 118
47 203 68 117
48 197 69 116
49 191 70 115
50 185 71 113
51 178 72 111
52 171 73 109
53 164 74 107
54 157 75-90 105
55 150 91 104
56 146 92 103
57 142 93 102
58 138 94 101
59 134 95 and older 100
60 130
We monitor the amount of the policy's cash value and the amount of life
insurance at risk to the Company that is required by the Internal Revenue Code
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to qualify the policy as life insurance and to exclude the Death Benefit from
the beneficiary's taxable income. If, prior to the insured's death, unexpected
increases in the policy's cash value would cause the policy not to satisfy
Internal Revenue Code requirements, we will increase the Death Benefit to the
Minimum Amount Insured so that the Death Benefit will be excluded from the
beneficiary's taxable income.
DEATH BENEFIT OPTION CHANGES
After the first Policy Year, you may change the Death Benefit Option by Notice
To Us. The new Death Benefit Option must also remain in effect for one year
before another change will be allowed. Any change is subject to the following
conditions.
1) You may change from Death Benefit Option A to Death Benefit
Option B by Notice To Us. The new Specified Amount will be the
old Specified Amount less the policy's cash value (excluding
the amount of any outstanding loan and any unpaid loan
interest) as determined on the Date Of Receipt of the Notice To
Us. If you want the new Specified Amount to be the same as the
old Specified Amount, the change in Death Benefit Option will
be subject to proof of insurability. A change from Death
Benefit Option A to Option B will be subject to a remaining
$50,000 Specified Amount or $25,000 if the Insured is less than
18 years of age.
2) You may change from Death Benefit Option B to Death Benefit
Option A by Notice To Us. The new Specified Amount will be the
old Specified Amount increased by the policy's cash value
(excluding the amount of any outstanding loan and any unpaid
loan interest) next determined on the Date Of Receipt of the
Notice To Us.
A Change from Option A to Option B or from Option B to Option A will become
effective on the next Monthly Anniversary on or following the date the change
is approved by us.
SPECIFIED AMOUNT CHANGES
You may change the Specified Amount by Notice To Us. Any change is subject to
the following conditions:
1) Any increase will require proof of the Insured's insurability
and must be applied for on a written application. The
application for any increase will be attached to and made part
of this policy.
2) Any increase must not be less than $25,000 unless made in
conjunction with a change in death benefit option or to satisfy
Internal Revenue Code requirements.
3) Any decrease will be applied against the most recent increase.
4) A decrease will not be allowed that results in a Specified
Amount of less than $50,000 or $25,000 if the Insured is less
than 18 years of age, other than a decrease resulting from a
partial surrender of cash value under Option A.
Increases in Specified Amount will become effective on the next Monthly
Anniversary on or following the date the increase is approved by us. Decreases
in Specified Amount will become effective on the next Monthly Anniversary on
or following the Date Of Receipt of the Notice To Us.
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Section 9. CASH VALUE AND POLICY CHARGES
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GENERAL DESCRIPTION
Net Premium Payments are invested in the Variable Fund Accounts under this
policy to build cash value. The net premium that you allocate to a Variable
Fund Account is invested by the Company through the Separate Account that we
have established to purchase shares of the corresponding Fund at their Net
Asset Value. Your value in the Variable Fund Accounts will fluctuate and vary
based on the investment experience of the corresponding Fund. In addition to
the charges made under this policy that are discussed in this section, there
are expenses that apply at the corresponding Fund level. Please read the Fund
prospectus for a complete understanding of all expenses.
Page 14
CASH VALUE
The policy's cash value will vary on a daily basis with the investment
experience of the selected Accounts to which you are allocating Net Premium
Payments.
The cash value will also vary to reflect the amount and frequency of Net
Premium Payments, the effect of any partial surrenders, the effect of any
loans, and the charges and deductions made under this policy. There is no
minimum guaranteed cash value.
The cash value of this policy on the Effective Date is the Net Premium Payment
less the Monthly Deduction for the following month. Thereafter, the cash value
on any Valuation Date will equal the sum of the policy's value in each
Variable Fund Account plus any value held in the Company's general account to
secure a loan plus any interest earnings credited on the value held in the
loan account less the amount of any outstanding loan including any unpaid
interest and less any Monthly Deductions, transfer charges, and partial
surrender charges applied through that date.
(See Section 13 Loan Provisions.)
On each Monthly Anniversary, the Monthly Deduction will reduce the cash value.
The amount of Monthly Deduction taken from the Account(s) will be in the same
proportion as each Account(s) cash value has to the total policy cash value.
THE SEPARATE ACCOUNT
The Separate Account is an investment account established under Texas law
through which USAA Life Insurance Company invests the Net Premium Payments
received for investment in the Variable Fund Accounts under this policy. The
Separate Account is divided into subdivisions called the Variable Fund
Accounts under this policy. Each Variable Fund Account invests the Net Premium
Payments allocated to it in a particular Fund. The assets of the Separate
Account are owned by USAA Life Insurance Company. To the extent that the
assets are equal to the reserves and other contractual liabilities, they are
not chargeable with liabilities arising out of any other business of the
Company. The income, gains, and losses, realized or unrealized, from the
assets of the Separate Account are credited or charged against the Separate
Account without regard to other income, gains or losses of the Company. The
assets of the Separate Account shall be valued at the end of each Valuation
Date. The Separate Account is registered as an investment company under
federal securities law.
YOUR VALUE IN VARIABLE FUND ACCOUNTS
At the end of each Valuation Date, the Accumulation Unit value for each
Variable Fund Account is computed. Your value in a Variable Fund Account is
determined by multiplying the number of Accumulation Units credited to that
Variable Fund Account by the value of the Accumulation Unit as of the end of
any Valuation Date. Accumulation Units are credited to a Variable Fund Account
under this policy when you pay us premium and allocate it to the particular
Variable Fund Account. The number of Accumulation Units credited to a Variable
Fund Account under this policy is determined by dividing the Net Premium
Payment credited to the Account by the Account's Accumulation Unit value next
computed on the Date Of Receipt of the premium payment. Each Variable Fund
Account's Accumulation Units are valued separately. The Accumulation Unit
value of a Variable Fund Account as of the end of any Valuation Date is
calculated as (1) multiplied by (2) where:
(1) Is the Accumulation Unit value for the Account as of the
end of the immediately preceding Valuation Period; and
(2) Is the Net Investment Factor for the Valuation Period
ending on that Valuation Date.
Your value in a Variable Fund Account is also reduced by any values you have
withdrawn or transferred and less any Monthly Deductions, transfer charges,
and partial surrender charges applied through that date. You may learn what
the daily value of an Accumulation Unit is and the number of units credited to
the Variable Fund Accounts under your policy by contacting our Home Office.
Page 15
NET INVESTMENT FACTOR
The net investment factor is an index number that reflects charges to this
policy and investment performance during a Valuation Period. The net
investment factor for a Variable Fund Account is determined by dividing (1) by
(2), and then subtracting (3) from the result, where:
(1) Is the net result of:
(a) The Net Asset Value per share of the Fund shares
held in the corresponding Variable Fund Account
determined at the end of the current Valuation
Period;
(b) Plus the per share amount of any dividend or capital
gain distributions made on the Fund shares held in
the corresponding Variable Fund Account during the
current Valuation Period;
(c) Plus or minus a per share credit or charge for that
current Valuation Period for any decrease, or
increase, in any income taxes reserved that we
determine has resulted from the investment
operations of the particular Variable Fund Account
or any other taxes which are applicable to this
contract.
(2) Is the Net Asset Value per share of the Fund shares held in the
corresponding Variable Fund Account determined at the beginning
of the current Valuation Period.
(3) Is a factor representing the mortality and expense risk. The
annual charge rate is .75%. We may lower this charge at our
discretion but we guarantee that it will not be raised.
MONTHLY DEDUCTION
The Monthly Deduction on each Monthly Anniversary shall be calculated as (1)
plus (2) plus (3) where:
(1) is the cost of the amount of insurance at risk to the Company
and the cost for any policy riders;
(2) is the Administrative Charge, which is a flat charge per policy
that is applied only during the first 12 months that this
policy is in effect; and
(3) is the Maintenance Charge, which is a flat charge per policy.
The first-year monthly Administrative Charge and the policy Maintenance Charge
are set forth on the Policy Information Page.
PREMIUM CHARGE
A Premium Charge of 3% is deducted from premium payments to compensate us for
sales charges and taxes related to this policy. The resulting Net Premium
Payment is then allocated to the Variable Fund Account(s). See Section 7
Premium Provisions for an explanation of when this charge will not be made.
MORTALITY AND EXPENSE CHARGE
Certain charges are deducted on a daily basis from the net assets of the
Variable Fund Accounts. These charges have an effect on the policy's cash
value:
1) a daily charge of .00204% (equal to .75% annual rate) for
the mortality and expense risks assumed by us; and,
2) if necessary, a charge for federal income taxes
attributable to the Separate Account.
FULL SURRENDER CHARGE
While the Insured is living and the policy is in force, the Owner may
surrender the policy in full for its cash value. If the policy is surrendered
in full, the amount payable may reflect a deduction for the Surrender Charge.
The net amount that you would receive is the policy's cash surrender value.
Page 16
The purpose of the Surrender Charge is to compensate the Company for expenses
incurred in the distribution of the policies. If assessed upon the surrender
of the policy, the Surrender Charge reduces the amount paid to the owner.
The amount of the Surrender Charge is based upon the Specified Amount and the
Annual Target Premium Payment. The Surrender Charge declines each policy year
and is eliminated after the policy has been in effect 10 Policy Years. If the
policy is surrendered during a Policy Year, the Surrender Charge is determined
by multiplying the applicable percentage for a surrender during that policy
year times the Annual Target Premium Payment. The Surrender Charge is based
upon the Policy Year in which the policy is surrendered and the amount of the
Annual Target Premium Payment.
If the Specified Amount is increased or decreased within the first 10 policy
years, a new Annual Target Premium Payment will be declared by us. This new
Annual Target Premium Payment will be used to make the described calculation
to determine whether the Surrender Charge applies. The applicable percentage
for a surrender of the policy during a policy year is determined as follows:
If the Policy is Surrendered During Applicable Percentage
----------------------------------- ---------------------
Policy Year 1 50%
Policy Year 2 45%
Policy Year 3 40%
Policy Year 4 35%
Policy Year 5 30%
Policy Year 6 25%
Policy Year 7 20%
Policy Year 8 15%
Policy Year 9 10%
Policy Year 10 5%
Policy Year 11 & thereafter 0%
For example, if the Annual Target Premium Payment was $2,000 and the policy
was surrendered in full during the first Policy Year, the Surrender Charge
would be determined by multiplying 50% times $2,000 or 50% X 2,000 = $1,000.
Thus, in this example the Surrender Charge would be $1,000.
PARTIAL SURRENDER (WITHDRAWAL) CHARGES
The amount of cash value you may obtain through a partial surrender is
limited. The policy's remaining cash value after a partial surrender may not
be less than an amount equal to the then current Surrender Charge for a full
surrender. For each partial surrender of cash value, there is an
administrative fee equal to the lesser of $25.00 or 2% of the amount
withdrawn.
TRANSFER CHARGE
You may transfer value from a Variable Fund Account to another Variable Fund
Account six times during a Policy Year without a charge. Additional transfers
may be made subject to a charge of $25.00 per transfer.
Page 17
COST OF INSURANCE
The cost of insurance is calculated on each Monthly Anniversary. First, we
divide the death benefit on the Monthly Anniversary by a factor that discounts
the Death Benefit to the beginning of the month, and then we subtract the cash
value. Cash value, in this instance, is cash value at the beginning of the
month prior to deductions for cost of insurance. We divide the resulting
amount by 1000 and multiply that result by the applicable cost of insurance
rate.
COST OF INSURANCE RATE
The cost of insurance rates for each Specified Amount are based on the
Insured's age, sex and rate class. Current costs of insurance rates are based
on our expectations as to future mortality experience. Any changes to cost of
insurance rates will apply to all persons of the same age, sex and rate class.
We guarantee that the cost of insurance rates will never be greater than those
shown in the Table of Monthly Guaranteed Cost of Insurance Rates in this
policy. These guaranteed rates are based on the 1980 Commissioners Standard
Ordinary Mortality Table.
INSUFFICIENT CASH VALUE
If the cash value, on the Monthly Anniversary is insufficient to cover the
Monthly Deduction for the following month, and any loan interest then due, the
policy and all benefits provided by rider will end as provided in the Grace
Period Provision. Any deduction for the cost of insurance after Lapse shall
not be considered a reinstatement of the policy (or of any benefit provided by
rider) nor a waiver by us of the Lapse.
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Section 10. AVAILABILITY OF FUNDS AND VOTING RIGHTS
-----------------------------------------------------------------------------
A Fund may, in our judgment, become unsuitable for investment by an Account.
This might happen because of a change in investment policy, because of a
change in laws or regulations, because the shares are no longer available for
investment, or for some other reason. We reserve the right, subject to
compliance with federal and state law, to eliminate or merge any Funds that
are made available through this policy and possibly substitute another Fund
if, in our judgement, further investment in the Fund becomes undesirable in
view of the purposes of this policy. We may add new Variable Fund Accounts
under this policy to permit investment in additional Funds. We will give you
written notice of the addition, elimination, merger or substitution of any
Fund as required by law.
If required we would first notify and receive approval from the United States
Securities and Exchange Commission ("S.E.C.") and the Texas Insurance
Department. This approval process is on file with the insurance commissioner
of the state where this policy is delivered. If the S.E.C. requires that such
action receive approval from a majority of the policyholders in the Account,
then you will be notified of your right to vote. You will be notified of any
material change in the investment policy of any Fund in which you have an
interest.
You have voting rights in relation to your value maintained in the Variable
Fund Accounts. We will vote shares of the underlying Funds in which the
Variable Fund Accounts invest and that are attributable to Owners in the
manner instructed by Owners. Owners may give instructions equal to the number
of shares represented by the Units attributable to their Variable Fund
Accounts. We will vote such shares held by the Variable Fund Accounts that are
either (i) not attributable to Owners, or (ii) attributable to Owners and for
which we have not received instructions, in the same manner and proportion as
such shares for which we have received instructions. However, we may vote any
shares of the underlying Funds without regard to instructions from Owners, and
in our own right, where (i) applicable law specifically permits or (ii) we
Page 18
determine, based on our interpretation, that applicable law permits. In all
cases, we will vote separately for each Fund that corresponds to a Variable
Fund Account where required by applicable law or appropriate.
The number of votes for an underlying Fund will be determined as of the record
date for such Fund as chosen by its board of trustees or board of directors.
We will furnish Owners with proper forms and voting instruction forms to
enable them to instruct us how to vote.
You may instruct us how to vote on the following matters: (a) election of the
board of trustees or board of directors, as applicable; (b) approval of the
investment advisory agreement; (c) ratification of the independent auditing
firm; (d) any change in the fundamental investment policy; and (e) any other
matter requiring a vote of the shareholders.
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Section 11. POLICY SURRENDER AND PARTIAL SURRENDERS
-----------------------------------------------------------------------------
FULL SURRENDER
You may surrender this policy for its entire cash value, upon Notice To Us. A
Surrender Charge may be deducted by the Company pursuant to the Full Surrender
Charge provision in Section 9. The net amount that you would receive is the
policy's cash surrender value. We may require the return of your policy. The
policy and all insurance will terminate as of the Date Of Receipt of your
request for full surrender.
PARTIAL SURRENDERS (WITHDRAWALS)
After the first policy year, you may surrender a part of this policy. A
partial surrender is subject to any Indebtedness. You may direct how a partial
surrender should be withdrawn from the current value of the Account(s). If no
withdrawal allocation is specified, the partial surrender will be withdrawn
from the Account(s) in the same proportion as each Account's value has to the
total policy cash value. Partial surrenders will reduce the policy's death
benefit on a dollar for dollar basis. A partial surrender under Option A
reduces the Specified Amount dollar for dollar and also reduces the cash value
dollar for dollar. Under Option B a partial surrender reduces the cash value
dollar for dollar but the Specified Amount remains constant. In those
instances where the death benefit is the Minimum Amount Insured, the decrease
in death benefit will be equal to the partial surrender multiplied by the
appropriate specified percentage. A fee for administrative processing equal to
the lesser of $25.00 or 2% of the amount withdrawn will be charged for all
partial surrenders. This fee will be deducted from the affected Accounts in
the same proportion as the amount withdrawn from an affected Account bears to
the total amount withdrawn from all Accounts.
DETERMINATION AND PAYMENT OF VARIABLE BENEFITS
We will make payments under this policy as follows:
1) Full surrenders and partial surrenders of cash value will
usually be paid within seven days after receipt of your
written request at our Home Office. The cash value
available will be determined at the Accumulation Unit
value that is next computed on the Date Of Receipt of the
surrender request. Partial surrenders are not allowed
during the first Policy Year.
2) Loans will usually be paid within seven days after receipt
of your written request at our Home Office. The loan value
available will be determined as of the Date Of Receipt of
your loan request. Policy loans are not allowed during the
first Policy Year.
3) Benefits at maturity will usually be paid within seven
days after the Valuation Date on which this policy
matures.
4) The death benefit will usually be paid within seven days
after receipt at our Home Office of due proof of the
Insured's death and all other requirements necessary to
make payment. The cash value portion of the death benefit
will be determined as of the Valuation Date immediately
following the date of death.
Page 19
POSTPONEMENT OF PAYMENTS
We may not be able to determine the value of assets of the Accounts if: (1)
the New York Stock Exchange is closed; (2) the S.E.C. requires trading to be
restricted or declares an emergency; or (3) the S.E.C., by order, permits us
to defer payments for the protection of our policyowners.
During such times we may defer:
1) determination of Account values;
2) payment of such values;
3) payment of loans;
4) any requested transfer of Account values; and
5) use of the death benefit under the Settlement Options.
Requests for partial surrenders, full surrenders, loans or refunds which would
be derived from a premium payment made by a check may be deferred until the
check has cleared the banking system.
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Section 12. GRACE AND REINSTATEMENT PERIODS
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GRACE PERIOD
On any Monthly Anniversary when the cash value, is less than the Monthly
Deduction for the following month and any loan interest then due, a grace
period will begin. During the grace period, you must send us enough premium to
cover three Monthly Deductions and any loan interest due. We will notify you,
and any assignee of record, of the grace period expiration date. The grace
period is 61 days and will begin on the date this notice is mailed to you.
If the premium described above is not paid within the grace period, all
insurance, including benefits provided by rider, terminates, and a Lapse has
occurred. If the Insured dies during the grace period, the death benefit, less
any due and unpaid Monthly Deduction(s) and any loan interest due through the
month of death, will be paid to the Beneficiary.
If you have paid sufficient premium for the Guaranteed Death Benefit to apply
the policy may not necessarily Lapse during the first five Policy Years. See
the Guaranteed Death Benefit provision in Section 7 for an explanation of how
much premium must be paid for the benefit to apply.
REINSTATEMENT
If a Lapse of this policy occurs, you may apply for reinstatement within five
years and before the Maturity Date. We require the following:
1) proof of insurability satisfactory to us;
2) a written application for reinstatement;
3) payment of premium sufficient to pay the Monthly
Deductions for at least three months beginning with the
effective date of reinstatement; and
4) payment of, or agreement to reinstate, any Indebtedness.
The effective date of the reinstated policy will be the Monthly Anniversary on
or before the approval date of reinstatement.
The Suicide and Incontestability provisions will apply from the effective date
of reinstatement. If the policy has been in force for two years during the
lifetime of the Insured, it will be contestable only as to statements made in
the reinstatement application. If the policy has been in force for less than
two years, it will be contestable as to statements made in any reinstatement
applications as well as the initial application.
Page 20
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Section 13. LOAN PROVISIONS
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LOANS
This policy may have a cash value. After this policy has been in effect one
year, you may take a loan against the cash value using this policy as the sole
security for the loan. The maximum amount that you may borrow at any time is
the loan value. The maximum loan value is 85% of the cash value available to
you assuming a full surrender of the policy. You may request a loan at any
time by Notice To Us or telephone request.
The portion of the cash value equaling the amount of the loan will be
withdrawn from the Account(s) and transferred to the Company's general account
consisting of all its other assets and liabilities.
LOAN ALLOCATION
You may allocate how an amount equal to the amount of the loan should be
withdrawn from the current value of the Account(s). If no allocation is
specified, the value in the amount of the loan will be withdrawn from the
Account(s) in the same proportion as each Account's value has to the total
policy cash surrender value. Values will be determined as of the Date Of
Receipt of the loan request.
LOAN INTEREST
You are charged interest on the loan at a maximum annual rate of 6% payable in
advance. We have the option of charging less. For policies that have been in
effect more than 10 Policy Years and if the Insured is 55 or older, we charge
a preferred loan interest rate of 4.5%. We have the option of charging less
for a preferred loan. The entire amount of interest on your loan balance for
each Policy Year is payable in advance at the commencement of the loan and at
the beginning of each Policy Year thereafter. We will automatically deduct the
interest from your Account(s) in the same proportion as the loan amount was
withdrawn from the Account(s). If there is insufficient value in your
Account(s) to pay the interest in advance, we will add the amount of any
unpaid interest to the amount of the loan, and will charge the same rate of
interest.
Because interest is paid in advance, loan repayments during a Policy year may
result in an overpayment of interest. We will credit any overpayment of
interest to you on the date of any loan repayment.
LOAN REPAYMENT
A loan may be repaid in full or in part at any time before the Insured's death
and while the policy is in effect. If not repaid, we will deduct the
Indebtedness from the death benefit, the benefit at maturity, or a full
surrender. Loans and unpaid loan interest in existence at the end of a grace
period may not be paid until the policy is reinstated. You may direct how a
loan repayment should be allocated among each Account. If no allocation is
specified, the loan repayment will be allocated to the Account(s) in the same
proportion as Net Premium Payments are being allocated to the Account(s).
EFFECT OF LOAN
A loan will reduce the value of the Account(s) from which it is deducted.
Thus, the amount loaned will not share in the investment experience of the
Account(s). The unpaid amount of the loan and any accrued interest withdrawn
from you Account(s) will however earn interest and will be credited on a daily
basis with an effective annual rate of 4%. A loan, whether repaid or not, will
have a permanent effect on the cash value of the policy.
Page 21
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Section 14. SETTLEMENT OPTIONS
-----------------------------------------------------------------------------
Instead of having the death benefit paid immediately to the Beneficiary(s) in
one lump sum, you may choose another form of payment for all or part of the
death benefit. If you do not arrange for this before the Insured dies, the
Beneficiary will have this right after the Insured dies. Arrangements made by
you before the Insured's death, however, cannot be changed by the Beneficiary
after the Insured's death. The options are:
1) INTEREST ONLY OPTION: The principal amount may be left on
deposit with us for a mutually determined period not to
exceed 30 years. Interest payments will be paid at
mutually determined regular intervals. The principal
amount will earn interest at a minimum rate of 3%
compounded annually. At the end of the final period, the
principal amount will be paid.
2) INSTALLMENT OPTIONS:
A. FIXED PERIOD: The principal amount plus interest
will be paid in equal or unequal installments for a
specified number of years (not more than 30). The
installments will not be less than those shown in
the Table of Guaranteed Payments. (See Section 15.)
B. FIXED AMOUNT: The principal amount plus interest
will be paid in equal or unequal installments, as
mutually agreed upon until the amount applied,
together with interest on the unpaid balance, has
been paid in full.
3) OTHER: We will apply the sum under any other option
requested that we make available at the time of the
Insured's death.
The Beneficiary may designate a successor payee as to any amount that we would
otherwise pay to the Beneficiary's estate.
Any arrangements involving more than one of the options, or involving a
Beneficiary who is not a natural person (for example, a corporation) or who is
a fiduciary (for example, a trustee), must have our approval. Also, details of
all arrangements will be subject to our rules at the time the arrangement
takes effect.
Amounts applied under these options will not be subject to the claims of
creditors or to legal process, to the extent permitted by law.
Page 22
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Section 15. TABLE OF GUARANTEED PAYMENTS
-----------------------------------------------------------------------------
(MINIMUM LEVEL AMOUNT FOR EACH $1,000 OF PROCEEDS)
Years Monthly Payment Years Monthly Payment
1 84.47 16 6.53
2 42.86 17 6.23
3 28.99 18 5.96
4 22.06 19 5.73
5 17.91 20 5.51
6 15.14 21 5.32
7 13.16 22 5.15
8 11.68 23 4.99
9 10.53 24 4.84
10 9.61 25 4.71
11 8.86 26 4.59
12 8.24 27 4.47
13 7.71 28 4.37
14 7.26 29 4.27
15 6.87 30 4.18
Page 23
[USAA Logo]
USAA LIFE INSURANCE COMPANY
0000 Xxxxxxxxxxxxxx
Xxxx Xxx Xxxxxxx, XX 00000
THE DEATH BENEFIT OF THIS POLICY MAY BE VARIABLE AS TO THE AMOUNT OR DURATION,
OR BOTH, DEPENDING UPON THE DEATH BENEFIT OPTION SELECTED AND THE INVESTMENT
EXPERIENCE OF THE SEPARATE ACCOUNT, BUT SHALL NEVER BE LESS THAN THE SPECIFIED
AMOUNT SUBJECT TO ANY POLICY INDEBTEDNESS AND PARTIAL SURRENDERS AS LONG AS
THERE IS SUFFICIENT CASH VALUE TO KEEP THE POLICY IN EFFECT. See Sections 8 &
9.
THE CASH VALUE OF THIS POLICY WILL VARY FROM DAY TO DAY. IT MAY INCREASE OR
DECREASE DEPENDING ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT. IT IS
NOT GUARANTEED AS TO DOLLAR AMOUNT.
VARIABLE UNIVERSAL LIFE INSURANCE PLAN
FLEXIBLE PREMIUMS PAYABLE DURING LIFETIME OF INSURED UNTIL MATURITY DATE.
VARIABLE DEATH BENEFIT PAYABLE PRIOR TO MATURITY DATE. CASH VALUE PAYABLE ON
MATURITY DATE.
INVESTMENT EXPERIENCE REFLECTED IN BENEFITS.
NON-PARTICIPATING POLICY.
Page 24
USAA LIFE INSURANCE COMPANY
ACCELARATED BENEFIT FOR TERMINAL ILLNESS RIDER
-----------------------------------------------------------------------------
RIDER AGREEMENT
-----------------------------------------------------------------------------
THE BENEFIT
The Company will make an accelerated benefit payment to the Owner of the
policy prior to the Maturity Date upon receipt of proof that the Insured is
terminally ill as defined below. The accelerated benefit payment plus accrued
interest and unpaid premium will be treated as a lien against the Death
Benefit and will reduce the amount payable to the beneficiary at the Insured's
death. The maximum accelerated benefit payment that will be made is the lesser
amount of (1) one half of the current Death Benefit, excluding additional
benefits payable under rider, or (2) $250,000 under all life insurance
insuring the life of the insured issued by the Company and its affiliates.
Before this benefit is paid to the Owner an amount equal to any outstanding
loan and unpaid interest will be deducted from the benefit amount and applied
to pay the Company. We must receive a written request by the Owner for an
accelerated benefit payment.
PROOF OF TERMINAL ILLNESS
A terminal illness is an illness which is expected to result in the Insured's
death within 12 months from the Owner's request for early payment. We will
require the Owner to provide the certification of a licensed physician, who is
not the Owner, Insured or a member of either's family, describing the
Insured's health condition and stating that the Insured's life expectancy is
12 months or less. We reserve the right to obtain a second opinion at our
expense.
GENERAL PROVISION
The terms and conditions of the policy apply to this rider. Where the terms or
conditions of the policy are inconsistent with those of this rider, the rider
prevails. This rider is non-participating, does not share in the Company's
profits or surplus earnings, and has no cash value.
TERMINATION
This rider will terminate upon the policy's termination.
This rider is issued and attached to the policy by USAA Life Insurance
Company, San Antonio, Texas.
Effective Date of this rider if other than effective date of policy: ________.
___________________________
Xxxxx X. Xxxxxx - President
USAA LIFE INSURANCE COMPANY
ACCIDENTAL DEATH BENEFIT RIDER
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RIDER AGREEMENT
-----------------------------------------------------------------------------
USAA LIFE INSURANCE COMPANY, for consideration received, shall pay the
applicable accidental death benefit, subject to the conditions and limitations
below. This rider is issued in consideration of the application for the rider
and the future payment of the additional cost of insurance for this rider. The
application is attached to and made part of this rider.
-----------------------------------------------------------------------------
RIDER BENEFITS AND EXCLUSIONS
-----------------------------------------------------------------------------
ACCIDENTAL DEATH BENEFIT
The amount of accidental death benefit is the amount selected by the applicant
and approved by the Company. The company will pay this amount to the
beneficiary upon receipt of due proof that:
1. The death of the Insured resulted directly and
independently of all other causes from bodily injury
effected solely through external, violent, and accidental
means as evidenced by a visible contusion or wound on the
exterior of the body (except in case of drowning or
internal injuries revealed by an autopsy); and
2. Death occurred within 90 days of such injury; and
3. Death occurred while the policy and this rider were in
force; and
4. Coverage was not excluded under the "Exceptions and
Exclusions" provision below.
BENEFICIARY
Unless otherwise directed in writing this benefit will be paid:
1. To the beneficiary under the policy; and
2. In the same manner as the proceeds of the policy.
EXCEPTIONS AND EXCLUSIONS
This accidental death benefit will not be paid if the Insured's death results
directly or indirectly from, or is contributed to, by any of the following
causes:
1. Intentionally self-inflicted injury or suicide, while sane
or insane; or
2. Bodily or mental infirmity, illness or disease, or medical
or surgical treatment therefor; or
3. Any infection not occurring as a direct consequence of an
accidental bodily injury; or
4. War (declared or not), or any act or incident thereto,
while the Insured is in the armed forces; or
5. Participation in or commission of a felony or an assault;
or
6. Participation in a riot; or
7. The unprescribed use of drugs or narcotics; or
8. Travel or flight in or descent from or with any aircraft
UNLESS the Insured is a passenger with no flight duties;
or
9. Travel or flight in or descent from or with any spacecraft
or space vehicle of any type.
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GENERAL PROVISIONS
-----------------------------------------------------------------------------
COST OF INSURANCE
The cost of insurance for this rider is in addition to the cost of insurance
for the policy and is due on the same date. The cost of insurance for this
rider will be payable until the Expiration Date of this rider unless the death
of the Insured occurs prior to that time. In such event, no further payment is
due.
REINSTATEMENT
This rider may be reinstated under the same terms and conditions as the policy
to which it is attached. The insured must be living on the date the rider is
reinstated.
WAIVER OF MONTHLY DEDUCTION
If the policy provides for the Waiver of Monthly Deduction benefit, such
benefit will also apply to this rider. Otherwise, no such benefit exists under
this rider.
POLICY PROVISIONS
This rider is attached to and is part of the policy. The terms and conditions
of the policy apply to this rider. Where such terms and conditions are
inconsistent, the rider prevails with respect to rider benefits.
The policy, any riders, and the application(s) form the entire contract.
INCONTESTABILITY
The Company will not contest this rider for any reason, other than nonpayment
of the cost therefor or fraud after it has been in force for two years during
the lifetime of the Insured. For any increase in coverage under this rider,
such two-year period begins on the Effective Date of the increase.
MISSTATEMENT OF AGE
If the age of the Insured was not correctly stated when this rider was issued,
the Company will adjust the benefits to the correct amount at the time of
death of the insured. This means that the benefits of this rider will be
changed to that which the premium would have purchased at the correct age.
CHANGE IN COVERAGE
Anytime after the Effective Date of this rider, the amount of the accidental
death benefit may be changed. Any change will be subject to the following
conditions:
1. A written request must be submitted to the Company;
2. The new amount may not exceed the current death benefit of
the policy; and
3. For any increase, an application and evidence of
insurability satisfactory to the Company must be
submitted.
DIVIDENDS
This rider will not share in any of the Company's profits or surplus earnings.
VALUES
This rider has no cash value, surrender value, or loan value.
2
AUTOPSY
Unless prohibited by law, the Company shall have the right to examine the body
and make an autopsy at the Company's expense.
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TERMINATION OF RIDER
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This rider will terminate on the earliest of:
1. The policy anniversary date after the Insured's 65th
birthday; or
2. The rider's Monthly Anniversary date after a written
request for termination is received by the Company; or
3. The date the policy otherwise terminates.
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EFFECTIVE DATE
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The Effective Date of this rider will be:
1. The Effective Date of the policy, unless a later date is
shown below; or
2. The date of any approved increase in the accidental death
benefit amount; or
3. The Monthly Anniversary date after written request to
decrease benefits is received by the Company.
This rider is issued and attached to the policy by USAA Life Insurance
Company, San Antonio, Texas.
Effective Date of this rider if other than effective date of policy: ________.
___________________________
Xxxxx X. Xxxxxx - President
3
USAA LIFE INSURANCE COMPANY
CHILDREN TERM LIFE INSURANCE RIDER
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RIDER AGREEMENT
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USAA LIFE INSURANCE COMPANY, for consideration received, will provide level
term life insurance on any Insured Child and shall pay the amount of life
insurance, subject to the conditions and limitations below. This rider is
issued in consideration of the application and the future deduction of cost
for this rider.
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DEFINITIONS
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For purposes of this rider, the following definitions apply:
1. The Insured is the person insured under the policy to
which this rider is attached.
2. An Insured Child is:
a. Any child, stepchild, or legally adopted child of
the Insured, provided such individual is listed in
the application for this rider, and also provided
that the child is under 18 years of age at the time
of application;
b. Any child subsequently born of the marriage of the
Insured, provided the child is born alive;
c. Any child subsequently adopted by the Insured,
provided the child is under 18 years of age at the
time of adoption.
3. The Expiration Date is the rider anniversary following the
Insured's 70th birthday, or the rider anniversary
following the youngest Insured Child's 25th birthday,
whichever is earlier.
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BENEFITS
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USAA Life Insurance Company will provide the following benefits upon receipt
of due proof that death occurred while this rider is in force.
BENEFIT A. ON DEATH OF AN INSURED CHILD
If any Insured Child dies during the first 13 days of life, we will pay the
sum of $2,000.00. This benefit is not payable for a stillbirth or a fetus that
is aborted.
If an Insured Child dies on the 14th day of life or later, and during the term
of this insurance, we will pay the Amount of Insurance that has been selected
and approved.
We will pay the benefit to:
1. The Insured, if living; otherwise
2. The estate of the Insured Child; or
3. As otherwise stated in the application.
BENEFIT B. ON DEATH OF INSURED
Upon death of the Insured, coverage will continue as paid-up level term life
insurance on any living Insured Child until the rider anniversary following
the child's 25th birthday. This paid-up term life insurance may be converted
as provided in this rider.
The paid-up term life insurance provided under this benefit will have cash
value. If this insurance is surrendered, we will pay the cash value. The cash
value is equal to the Net Single Premium for the paid-up insurance.
Calculations are based on the Commissioner's 1980 Standard Ordinary Mortality
Table with interest at 4-1/2% per year. The cash value of the paid-up term
insurance, on the rider anniversary and 30 days thereafter, will not be less
than the present value (on the anniversary) of the future benefits provided by
the rider.
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TERM OF INSURANCE
-----------------------------------------------------------------------------
The insurance on an Insured Child will end on the rider anniversary following
the child's 25th birthday.
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PREMIUM PROVISIONS
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COST FOR RIDER
The cost for this rider is in addition to the cost for the policy. The cost
for this rider will be deducted from the cash value of the policy on the same
dates as the monthly deduction for the policy. The cost for the rider will be
deducted until the Expiration Date of the rider unless the death of the
Insured occurs prior to that time. In such event, no further cost for this
rider is due.
REINSTATEMENT
This rider may be reinstated under the same terms and conditions as the policy
to which it is attached. All persons to whom the reinstated coverage applies
must be living on the date the rider is reinstated.
WAIVER OF MONTHLY DEDUCTION
If the policy provides for a Waiver of Monthly Deduction Benefit, it will also
apply to this rider. Otherwise, no such benefit exists under this rider.
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GENERAL PROVISIONS
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POLICY PROVISIONS
The terms and conditions of the policy apply to the rider. Where the terms or
conditions of the policy are inconsistent with those of the rider, the rider
prevails. The policy, the rider, and the applications(s) form the entire
contract.
INCONTESTABILITY
The Company will not contest this rider for any reason other than for
non-payment of the cost for it or fraud after it has been in force for two
years during the lifetime of any child named in the original application who
is insured by this rider.
SUICIDE EXCLUSION
If the Insured, while sane or insane, commits suicide during the first two
years the rider is in force, the only benefit payable will be an amount equal
to the total cost for the rider deducted prior to the date of death. The
two-year period begins on the Effective Date of the rider. An Insured Child
may immediately apply for conversion.
DIVIDENDS
This rider is non-participating and will not share in any of the Company's
profits or surplus earnings.
VALUES
This rider has no cash value, surrender value, or loan value except as
provided under Benefit B.
2
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CONVERSION PRIVILEGE
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The term insurance on the life of any Insured Child may be converted to any
form of permanent life insurance that we write. We will not require proof of
insurability to convert. The amount of insurance under the new policy must be
at least the minimum amount we require for the plan chosen and may be up to
four times the amount of insurance on an Insured Child under this Rider. The
amount of insurance may not, however, exceed a combined total of $100,000
under all policies issued by USAA Life Insurance Company pursuant to any rider
conversion privilege.
An application to convert the term insurance on the life of any Insured Child
may only be made during the 60-day period immediately preceding:
1. The rider anniversary following an Insured Child's 25th
birthday; or
2. The rider anniversary following the Insured's 70th
birthday;
whichever occurs first. Application to convert may be made only within this
60-day period.
The new policy will be issued in the same mortality risk class as the
insurance being converted. The premium charged will be our published rate for
the person to be insured as of the date of conversion. Only the amount of term
insurance on an Insured Child under this Rider will be converted without proof
of insurability. Any additional insurance benefits requested to be part of the
new policy must be applied for and receive our underwriting approval.
The requirements to convert are:
1. Written application from the person to be insured; and
2. Payment of the first premium for the new policy.
For conversion to be effective, we must receive these requirements during the
lifetime of the person to be insured and before the date the insurance being
converted will terminate.
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TERMINATION OF RIDER
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Except as provided in Benefit B., this rider will terminate on the earliest
of:
1. The rider anniversary following the Insured's 70th
birthday; or
2. The rider anniversary following the youngest Insured
Child's 25th birthday; or
3. The expiration of the Grace Period for unpaid cost for
this rider or the policy; or
4. The date the policy is surrendered or otherwise
terminated.
This rider is issued and attached to the policy by USAA Life Insurance
Company, San Antonio, Texas.
Effective Date of this rider if other than effective date of policy:_________.
___________________________
Xxxxx X. Xxxxxx - President
3
USAA LIFE INSURANCE COMPANY
EXTENDED MATURITY DATE RIDER
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RIDER AGREEMENT
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The policy is issued to mature on the Monthly Anniversary, as defined in the
policy, following the Insured's 100th birthday. Prior to the policy's Maturity
Date the Owner may request an extension of the policy's Maturity Date. An
extension of the policy's Maturity Date is subject to the Company's approval.
If the policy is extended beyond its original Maturity Date, the Owner is
responsible for any and all federal income tax consequences.
This rider is attached to and is part of the policy. The terms and conditions
of the policy apply to this rider except where they are inconsistent with this
rider. Where the terms and conditions are inconsistent, the rider prevails.
The rider is issued and attached to the policy by USAA Life Insurance Company,
San Antonio, Texas.
Effective Date of this rider if other than effective date of policy:_________.
___________________________
Xxxxx X. Xxxxxx - President
USAA LIFE INSURANCE COMPANY
RIDER PROVIDING FOR WAIVER OF MONTHLY DEDUCTION
IN EVENT OF TOTAL PERMANENT DISABILITY
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RIDER AGREEMENT
-----------------------------------------------------------------------------
USAA LIFE INSURANCE COMPANY, for consideration received, will waive the
Monthly Deduction for the policy and any attached riders, as provided. While
this rider is in force, we will waive the Monthly Deduction that becomes due
after the beginning of, and during the continuance of, the total and permanent
disability of the Insured only if the Insured has been totally and permanently
disabled as defined in this rider for at least six consecutive months. The
amount of any Monthly Deduction waived under this rider will not be deducted
from the Death Benefit at the time of settlement of the policy.
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DEFINITION OF TOTAL AND PERMANENT DISABILITY
-----------------------------------------------------------------------------
Total and permanent disability, for purposes of this rider, means:
1. That it is due solely to sickness or injury, and begins
prior to the Insured's attaining age 60; and
2. That it is caused by a sickness or injury that first
manifests itself while this rider is in force; and
3. For the first two years, that the Insured is unable to
perform the substantial duties of his or her occupation
and is not engaged in any occupation for remuneration or
profit; and
4. Thereafter, that the Insured is unable to engage for
remuneration or profit in any occupation for which the
Insured is or becomes qualified by reason of education,
training, or experience.
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PRESUMPTION OF DISABILITY
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Regardless of any other cause of disability, the following will be considered
total and permanent disability under the terms of this rider:
1. The entire and irrecoverable loss of sight of both eyes;
2. The loss by severance of both feet at or above the ankles
or both hands at or above the wrists; or
3. The loss by severance of one entire hand and one entire
foot, as defined above.
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REFUND OF COST OF INSURANCE
-----------------------------------------------------------------------------
Any Monthly Deduction that is due during total and permanent disability before
the Company's approval of a claim must be paid when due. Upon approval of the
claim, the Company will refund the Monthly Deductions since the inception of
the disability. In no event will more than two years of Monthly Deductions be
refunded.
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EXCLUSIONS
-----------------------------------------------------------------------------
No benefit will be provided if total and permanent disability results from:
1. Intentionally self-inflicted injury including but not
limited to the intentional use of illicit drugs; or
2. Warfare, declared or undeclared, or any act incident
thereto, while the Insured is in the military; or
3. The Insured's participating in or committing a felony or
an assault or being incarcerated in a penal institution or
governmental detention facility; or
4. A disability of less than six months' duration.
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NOTICE OF AND PROOF OF CLAIM
-----------------------------------------------------------------------------
Before any Monthly Deduction is waived, notice of claim and due proof of the
total and permanent disability of the Insured must be presented to our Home
Office. The claim must be presented while the Insured is living and still
totally and permanently disabled.
A claim under this rider will not be denied because of failure to comply with
the above if:
1. It is shown that it was not reasonably possible to comply;
and
2. Notice and due proof was provided as soon as it was
reasonably possible.
Before any claim for benefits is approved or continued, we reserve the right
to have the Insured examined at our expense by one or more physicians of our
choice when and as often as we may reasonably require.
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PROOF OF CONTINUANCE OF DISABILITY AND RECOVERY FROM DISABILITY
-----------------------------------------------------------------------------
During the first two years of total and permanent disability, proof of the
Insured's continued total and permanent disability and the Insured's
employment status must be furnished whenever the Company requests. After two
years, we will not request such proof more often than once a year. The Company
has the right to receive various records, including but not limited to:
financial records of the Insured such as federal tax returns, income
statements, audit reports, payroll records and other similar documents to
substantiate a claim.
The Owner and the Insured must cooperate with the Company in the investigation
of a claim. The Company may also request the Insured to submit to an interview
under oath during the time of a claim and require the Insured to sign it.
Should we decide to do this, we will pay for the cost of the interview.
Disability will be considered terminated if:
1. Proof of the Insured's continued total and permanent
disability is not provided; or
2. The Insured recovers and is no longer totally and
permanently disabled; or
3. The Insured fails to cooperate in the investigation of his
or her claim.
If total and permanent disability is considered terminated, all Monthly
Deductions that become due thereafter must be paid as provided in the policy.
The Owner must notify the Company within 30 days if the Insured recovers from
total and permanent disability. The Company may cancel this rider and is
entitled to the payment of Monthly Deductions that have been waived if it
determines that the Insured has recovered from total and permanent disability
and the Company has not been notified as required.
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DEATH BENEFIT OPTION CHANGE
-----------------------------------------------------------------------------
When the Company approves a claim under this rider, if Death Benefit Option A
is in effect under this policy on the date the disability began, it will be
changed to Death Benefit Option B as of the Monthly Anniversary after the
disability began. The Specified Amount will be equal to the amount of life
insurance at risk to the Company on the date the disability began.
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GENERAL RIDER PROVISIONS
-----------------------------------------------------------------------------
CONSIDERATION
The consideration for issuing this rider is:
1. Completion of the application; and
2
2. Payment of the additional cost of insurance for this rider
as shown on the Policy Information Page of the policy.
The Cost of Insurance for this rider and the period of time it must be paid is
shown on the Policy Information Page. Cost of Insurance for this rider is
payable in addition to the cost of insurance for the policy and is due on the
same date.
Cost of Insurance for this rider stops when the rider terminates. If we accept
a payment for a period of time beyond the termination date of the rider, the
rider still terminates in accordance with the provision of the rider and any
unearned payment will be refunded.
POLICY PROVISIONS
The terms and conditions of the policy, except the Incontestability provision,
apply to the rider. However, where the terms or conditions of the policy are
inconsistent with those of the rider, the terms of the rider prevail.
INCONTESTABILITY
The Company will not contest this rider for any reason other than fraud or
nonpayment of premiums, after it has been in force during the Insured's
lifetime for two years with no occurrence of disability of the Insured. The
two-year period begins on the Effective Date of the rider.
NO NON FORFEITURE VALUES
This rider has no loan, cash value, non-forfeiture or guaranteed values.
TERMINATION
This rider will terminate on the earliest of:
1. The Monthly Anniversary following the Insured's 60th
birthday; or
2. Expiration of the Grace Period for the policy; or
3. The date the policy is surrendered; or
4. The next Monthly Anniversary following written request
from the Owner to terminate the rider; or
5. The date the policy otherwise terminates.
The rider is issued and attached to the policy by USAA Life Insurance Company,
San Antonio, Texas.
Effective Date of this rider if other than effective date of policy:_________.
___________________________
Xxxxx X. Xxxxxx - President
3
