GC 2510.30/1 SECTION 20 - DEPENDENT INSURANCE SECTION 20H - DEPENDENT SPOUSE ACCELERATED LIFE BENEFIT SECTION 20 - DEPENDENT INSURANCE SECTION 20H - DEPENDENT SPOUSE ACCELERATED LIFE BENEFIT Continued EFFECT OF PAYMENT OF DEPENDENT SPOUSE ACCELERATED LIFE BENEFIT After payment of a Dependent Spouse Accelerated Life Benefit, the Dependent spouse’s Life Amount payable at death to You equals: 1) the Dependent spouse’s Life Amount as if a Dependent Spouse Accelerated Life Benefit payment had not been made, minus 2) the amount of the Dependent Spouse Accelerated Life Benefit paid, minus 3) the interest charge. The interest charge equals the Dependent Spouse Accelerated Life Benefit amount times the number of days from the date of payment to the Dependent spouse’s date of death, divided by 365, times the interest rate. The interest rate will be based on the current 90-day Treasury bill rate existing on the date of payment of the Dependent Spouse Accelerated Life Benefit. The required amount of Dependent Insurance premiums must continue to be received by AUL on the original Dependent Life Amount, unless premiums have ceased due to the Dependent spouse’s coverage under the Dependent Life Insurance Waiver of Premium provision, if any, of the policy. The Dependent spouse’s AD&D Principal Sum, if any, will not be reduced by payment of the Dependent Spouse Accelerated Life Benefit. The following information is used for illustrative purposes only: Example: Dependent spouse life insurance in force = $100,000* Date of receipt of proof of terminal condition = 10/31/05 Date of payment of Accelerated Life Benefit = 11/1/05 Date of death = 2/15/06 Interest rate** = 3.5% 1) Amount of Accelerated Life Benefit = .50 x $100,000 = $50,000 2) Interest Charge = $50,000 x (106 days / 365 days) x .035 = $508.22 3) Death Benefit Payable = $100,000 - $50,000 - $508.22 = $49,491.78 *The Dependent Spouse’s Life Amount is shown in the Schedule of Benefits. **The interest rate is equal to the 90-day Treasury bill rate on the date of the Accelerated Life Benefit payment. NOTE: The Accelerated Life Benefit offered under the policy is intended to qualify for favorable tax treatment under the Internal Revenue Code of 1986. If the Accelerated Life Benefit qualifies for such favorable tax treatment, the benefit will be excludable from the Employee’s income and not subject to federal taxation. The laws relating to Accelerated Life Benefits are complex. Employees are advised to consult with a qualified tax advisor about circumstances under which they could receive an Accelerated Life Benefit excludable under federal law. Eligibility for Public Assistance: Receipt of an Accelerated Life Benefit may affect the Employee’s, their Dependent spouse’s, or their family’s eligibility for public assistance programs such as medical assistance (Medicaid), Aid to Families with Dependent Children (AFDC), supplementary social security income (SSI), and drug assistance programs. Employees are advised to consult with a qualified tax advisor and with social service agencies concerning how receipt of such a payment will affect the Employee’s, their Dependent spouse’s, and their family’s eligibility for public assistance.