This sample contract is not intended to replace the filed contract, which may differ from this sample policy.September 9th, 2020
FiledSeptember 9th, 2020This is a non-participating Disability Income Insurance Policy. The Standard Life Insurance Company of New York, a stock life insurance company, issued this policy to the Owner in consideration of the statements made in the application and payment of the premium. A copy of the application is attached to and made part of the policy.