Exhibit 1(10)Conditional Interim Coverage Agreement • April 27th, 2001 • Separate Account B of Paragon Life Insurance Co
Application Supplement Conditional Interim Coverage Agreement Paragon Life Insurance Company (“Company”) St. Louis, MO 63105Conditional Interim Coverage Agreement • September 24th, 2003 • Ws Financing Corp
Subject to the following terms and conditions, the Company agrees to provide insurance coverage on a certain group of the Employer’s full-time employees (hereafter called “Executive”). This coverage is pursuant to the Application for Group Life Insurance submitted by the Employer. Attached to this agreement, and made part of it, is a Minimum Premium Summary listing each proposed insured’s name, date of birth, social security number, insurance amount, and minimum monthly premium. For coverage to be effective for the following month during this agreement, the premium must be received by the Company at its Home Office prior to the first of the month for which coverage is to be provided. Coverage is subject to the Company’s underwriting evaluation and there is no guarantee that excess coverage will be issued.
