0001029869-99-000461 Sample Contracts

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LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ ADDITIONAL INSURED TERM INSURANCE BENEFIT AGREEMENT THE BENEFIT We will pay a Death Benefit upon receipt of proof, satisfactory...
Additional Insured Term Insurance Benefit Agreement • April 23rd, 1999 • Llac Variable Account

THE BENEFIT We will pay a Death Benefit upon receipt of proof, satisfactory to Us, of the death of the Additional Insured while this Agreement is in force.

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ ACCIDENTAL DEATH AND DISMEMBERMENT BENEFIT AGREEMENT ACCIDENTAL DEATH BENEFIT We will pay the amount of the Accidental Death...
Accidental Death and Dismemberment Benefit Agreement • April 23rd, 1999 • Llac Variable Account

ACCIDENTAL DEATH BENEFIT We will pay the amount of the Accidental Death Benefit shown on the Contract Information page of the contract upon the Accidental Death of the Insured while this Agreement is in force.

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ PRIMARY INSURED TERM INSURANCE BENEFIT AGREEMENT THE BENEFIT We will pay a Death Benefit upon receipt of proof, satisfactory to...
Term Insurance Benefit Agreement • April 23rd, 1999 • Llac Variable Account

THE BENEFIT We will pay a Death Benefit upon receipt of proof, satisfactory to Us, of the death of the Primary Insured while this Agreement is in force.

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ DISABILITY WAIVER OF SPECIFIED MONTHLY PREMIUM BENEFIT AGREEMENT WAIVER BENEFIT We will provide a disability benefit for this...
Disability Waiver of Premium Benefit Agreement • April 23rd, 1999 • Llac Variable Account

WAIVER BENEFIT We will provide a disability benefit for this contract if the Insured becomes Disabled while this Agreement is in force. If the Insured becomes Disabled, We will allocate to Your Account Value, prior to the Monthly Deduction, the specified monthly premium amount shown for this Agreement on the Contract Information page less the premium expense charge. The payment of this benefit will be made once the conditions set forth in the Definition of Disability provision and the Waiting Period provision have been satisfied and will cease when the disability ends.

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON -------------------------------------- ------------------------------------------ CHILDREN'S PROTECTION BENEFIT AGREEMENT THE BENEFIT We will pay a Death Benefit upon the death of a Child: o prior to the...
Children's Protection Benefit Agreement • April 23rd, 1999 • Llac Variable Account

THE BENEFIT We will pay a Death Benefit upon the death of a Child: o prior to the Child's 25th birthday; and o while this Agreement is in force.

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