READ YOUR CONTRACT CAREFULLYNew York • July 31st, 2014
Jurisdiction FiledJuly 31st, 2014This Contract is legally binding between the Contractholder and Gerber Life Insurance Company (Company or We, Us and Our), based on the consideration for this Contract, and reliance on the Application, the Riders, Disclosure Statement, a copy of the Employee Benefit Plan presently in effect, provided to the Company, and the payment of premiums as provided hereinafter.