Exhibit 1.A (5)(a)(i) SECURITY LIFE OF DENVER INSURANCE COMPANY INSURED: JOHN DOE POLICY DATE: July 2, 1997 POLICY NUMBER: 65000001 STATED DEATH BENEFIT: $100,000.00 WE AGREE TO PAY the base death benefit to the Beneficiary upon the death of the...Insurance Policy • May 1st, 1997 • Security Life Separate Account L1
