SECTION 1 - SCHEDULE OF BENEFITS DEPENDENT BASIC INSURANCE GC 2510.2 SECTION 1 - SCHEDULE OF BENEFITS DEPENDENT BASIC INSURANCE Class Number: 002 GUARANTEED ISSUE AMOUNT: Basic Guaranteed Issue Amount Spouse under age 70 $5,000 Children: Live Birth to under 6 months $1,000 6 months to 26 years $2,500 Any amount of coverage for which the Dependent requests greater than the Guaranteed Issue Amount will only be available following written approval by AUL. Approval will be based on Evidence of Insurability and information satisfactory to AUL. If coverage for amounts greater than the Guaranteed Issue Amount is approved, coverage will begin on the date identified in writing by AUL. See Section 20B, Dependent Insurance, Individual Effective Date. INDIVIDUAL EFFECTIVE DATE: First of the Month. See Section 20B. INDIVIDUAL TERMINATIONS: End of the Month. See Section 20E. TERMINATIONS: Terminations are governed by the Dependent Insurance Individual Terminations. See Section 20E. DEPENDENT LIFE WAIVER OF PREMIUM: This benefit is included in this certificate. See Section 20D.
Certificate of Insurance: Class 2 Page 6 Page 8