CONTRACT INFORMATIONLast Survivor Death Benefit Agreement • December 14th, 2001 • Llac Variable Account
Contract Type FiledDecember 14th, 2001 Company
CONTRACT INFORMATIONLast Survivor Death Benefit Agreement • December 14th, 2001 • Llac Variable Account
Contract Type FiledDecember 14th, 2001 CompanyAdditional Agreements [Last Survivor Death Benefit Agreement] LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------------------------------------------------- LAST SURVIVOR This is a Joint and Last Survivor Benefit Agreement for the DEATH BENEFIT Certificate which summarizes changes in coverage under the AGREEMENT Group Contact. The provisions summarized herein modify those in Your Certificate of coverage. If this Agreement is attached to Your Certificate, coverage is extended to two Insureds. The Insured individuals are those shown on the Contract Information page of the Certificate. The Death Benefit under a Certificate is payable if the surviving Insured dies while coverage under the Group Contract is in force and before the Maturity Date. The surviving Insured is the Insured who is living upon the death of the other Insured under this Certificate. No Death Benefit is payable upon the death of the first Insured to die. DEFINITIONS The Attained Age is an Insu
CONTRACT INFORMATION First Insured [John Doe] Certificate Number [NV-12345678] Issue Age/Sex [65 ] [Male] Contract Date [January 1, 1999] Rating Class [Standard] [Non-Tobacco] Second Insured [Jane Doe] Initial Death Benefit [$60,252.00] Issue Age/Sex...Last Survivor Death Benefit Agreement • October 24th, 2001 • Llac Variable Account
Contract Type FiledOctober 24th, 2001 CompanyAdditional Agreements [Last Survivor Death Benefit Agreement] LIBERTY LIFE ASSURANCE COMPANY OF BOSTON LAST SURVIVOR This is a Joint and Last Survivor Benefit Agreement for the DEATH BENEFIT Certificate which summarizes changes in coverage under the AGREEMENT Group Contact. The provisions summarized herein modify those in Your Certificate of coverage. If this Agreement is attached to Your Certificate, coverage is extended to two Insureds. The Insured individuals are those shown on the Contract Information page of the Certificate. The Death Benefit under a Certificate is payable if the surviving Insured dies while coverage under the Group Contract is in force and before the Maturity Date. The surviving Insured is the Insured who is living upon the death of the other Insured under this Certificate. No Death Benefit is payable upon the death of the first Insured to die. DEFINITIONS The Attained Age is an Insured's age on his or her last birthday. THE BENEFIT In determining the Death Benef
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ LAST SURVIVOR This is a Joint and Last Survivor Benefit Agreement which DEATH BENEFIT modifies coverage under this Group...Last Survivor Death Benefit Agreement • May 14th, 1999 • Llac Variable Account
Contract Type FiledMay 14th, 1999 CompanyLAST SURVIVOR This is a Joint and Last Survivor Benefit Agreement which DEATH BENEFIT modifies coverage under this Group Contract. If this Agreement is AGREEMENT made part of the Group Contract, coverage is extended to two Insureds under each Certificate. The Insured individuals are those named in the application for each Certificate. The Death Benefit under a Certificate covered by this Agreement is payable if the surviving Insured dies before the Maturity Date and while coverage is in force under the Group Contract to which this Agreement is attached. The surviving Insured is the Insured who is living upon the death of the other Insured. No Death Benefit is payable upon the death of the first Insured to die.
Exhibit 1.(5)(b) LIBERTY LIFE ASSURANCE COMPANY OF BOSTON --------------------- ----------------------------------------------------------- LAST SURVIVOR This is a Joint and Last Survivor Benefit Agreement. The Death DEATH BENEFIT Benefit for this...Last Survivor Death Benefit Agreement • October 21st, 1998 • Llac Variable Account
Contract Type FiledOctober 21st, 1998 Company