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FORM N-6, ITEM 26(d)
CONTRACTS
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American United Life Insurance Company
[One American Square
Indianapolis, IN 46206]
OTHER INSURED TERM INSURANCE RIDER
This rider is a part of the policy to which it is attached. The Policy Date of
this rider is the same as the Policy Date of the policy unless otherwise stated
on the Rider Specifications Page. The rider's provisions shall control when
there is a conflict between this rider and the policy.
Definitions
Insured - As used in this rider, the Insured is the same as the Insured for the
policy.
Other Insured - Other Insured means each person named under this rider as shown
on the Rider Specifications Page. More than one Other Insured may be named.
Beneficiary - The Beneficiary for an Other Insured's insurance may be named or
changed as provided in the policy. If no Beneficiary is specifically named, the
Beneficiary will be the Owner of the policy.
Benefit
We will pay to the Beneficiary the amount of insurance listed on the Rider
Specifications Page:
(1) If the Other Insured has died while this rider is in force prior to
the Expiry Date of coverage as listed on the Rider Specifications
Page; and
(2) Upon receipt of proof of death. Proof of death will consist of a
certified copy of the death certificate, or other lawful evidence
providing equivalent information, and proof of the Beneficiaries
interest in the amount of insurance.
Death of Insured
If the Insured dies, we will return any unearned premium for the rider.
Conversion
On any conversion date while the rider is in effect, the insurance on the Other
Insured may be converted to a new policy on that Other Insured's life. The new
policy will be issued without evidence of insurability or change in premium
class subject to the following conditions:
(1) We must receive a written application for the new policy while the
coverage for the Other Insured is in force;
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(2) The Policy Date of the new policy will be the conversion date
following the date we receive the application. The coverage being
converted under this rider will end on the conversion date. Coverage
under the new policy will begin when the coverage under this rider
ends;
(3) The amount converted can be any amount not exceeding the amount of
insurance provided by this rider on an Other Insured, and it may not
be less than the minimum issue amount for the converted policy;
(4) If any amount of insurance under the rider remains after a partial
conversion, the remaining amount may not be less than the minimum
amount we permit;
(5) Any plan of insurance (except term insurance) offered by us on the
Policy Date of the new policy can be selected;
(6) The new policy will be issued at the Other Insured's Attained Age and
at the rates in effect on the Policy Date of the new policy;
(7) The inclusion of any rider in the new policy will be subject to our
consent and satisfactory evidence of insurability; and
(8) The first premium for the new policy must be paid within 31 days after
the Policy Date of the new policy.
Conversion Date
If the Other Insured is in a standard premium class (indicated on the Rider
Specifications Page) conversion dates occur on each Monthiversary prior to
reaching the Other Insured's Attained Age of 70. If the Other Insured is in a
special premium class, conversion dates occur on each Monthiversary prior to
reaching the Other Insured's Attained Age 55 or for five (5) years after the
date the insurance was effective, if longer (but not beyond attained age 70).
Incontestability
This rider will not be contested after it has been in force during the lifetime
of the Other Insured for two (2) years from the Policy Date of the rider, except
for non-payment of premium or fraud when permitted by applicable law in the
state where the policy is delivered or issued for delivery. If an Other Insured
is added to this rider at a later date, the rider will not be contested as to
the insurance provided on the life of that Other Insured after two (2) years
from the date the Other Insured is added.
Suicide
If the Other Insured commits suicide, while sane or insane, within two (2) years
from the Policy Date of the rider or the effective date of any reinstatement, we
will not pay a Death Benefit. We will terminate this rider and refund the rider
premiums paid.
If the Insured commits suicide, while sane or insane, within two (2) years from
the Policy Date of the rider or the effective date of any reinstatement, any
cost for this rider will be included in the amount paid under the Policy because
of the Insured's suicide.
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Misstatement of Age or Sex - If the Other Insured's Age or sex has been
misstated, the amount of insurance for that Other Insured shall be that amount
which would have been purchased at the correct Age and sex in consideration of
the most recent Cost of Insurance rates by adjusting the Net Amount At Risk by
the ratio of the incorrect Cost of Insurance rate to the correct Cost of
Insurance rate for the Other Insured. We may adjust future months' deductions so
as to reflect the corrected Age and sex.
Nonforfeiture Values
This rider does not have any Account Value, Cash Value, Cash Surrender Value, or
loan value.
Reinstatement
If the policy is reinstated, this rider will also be reinstated.
Cost of Insurance
The cost of insurance for each Other Insured is determined monthly and deducted
from the Account Value of the policy on each Monthiversary until the Expiry Date
of coverage. The Expiry Date of coverage is shown on the Rider Specifications
Page.
The guaranteed monthly Cost of Insurance rates per $1,000 of amount of insurance
on each Other Insured are shown on the Rider Specifications Page. We can use
Cost of Insurance rates less than the guaranteed rates, but we can never use
rates greater than the guaranteed rates. The rates we use will be on a uniform
basis for persons of the same Age, sex, and premium class whose insurance has
been in force for the same length of time. Any change in rates will be based on
changes in expected mortality, expenses and persistency.
The monthly Cost of Insurance for each Other Insured is the monthly Cost of
Insurance rate times the amount of insurance (in thousands)
Termination of Coverage for an Other Insured - Coverage for an Other Insured
will terminate on the earliest of the following dates:
(1) The date an Other Insured converts all of the amount of insurance
under this rider;
(2) The Expiry Date shown on the Rider Specifications Page for an Other
Insured; or
(3) The Monthiversary following the date requested by you in writing.
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Termination of the Rider - This rider will terminate on the earliest of the
following dates:
(1) The date that there is no coverage in force for any Other Insured;
(2) The date the policy is terminated, surrendered for cash, or continued
as paid-up or extended term insurance;
(4) The Monthiversary following the date requested by you in writing;
(5) Upon nonpayment of the premium for the rider, in accordance with the
provisions of this rider or the policy;
(6) Upon the death of the last surviving Other Insured.
Signed for American United Life Insurance Company(R) by,
Xxxxxx X. Xxxxx
Secretary
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