Certificate of Insurance: Class 7

This document outlines the group term life insurance policy offered by American United Life Insurance Company to the Richmond Community School Corporation, detailing eligibility, coverage, and conditions as of 01/01/2023.

GC 2510NN (Class 007) (Basic) (Dependent Coverage: Included) (ALB) American United Life Insurance Company® P.O. Box 368, Indianapolis, Indiana 46206-0368 www.oneamerica.com Richmond Community School Corporation (Hereinafter called the Group Policyholder) Group Policy Number: 00604977-0000-000 Class: 007 Change Effective Date: 01/01/2023 This certificate replaces any and all certificates previously issued to You under the Group Policy indicated above. American United Life Insurance Company® (AUL) certifies that the Employee whose enrollment form is on file with the Group Policyholder as being eligible for insurance and for whom the required premium has been paid is insured under the above numbered Group Policy for group insurance benefits as designated in the Schedule of Benefits. Benefits are subject to change as described on the Schedule of Benefits page. This certificate describes the coverage provided in the Group Policy. The Group Policy determines all rights and benefits in this certificate and may be amended, cancelled or discontinued at any time by agreement between AUL and the Group Policyholder without notice to You. The Group Policy may be examined at the main office of the Group Policyholder during the regular office hours. Richard M. Ellery J. Scott Davison Secretary and General Counsel Chairman, President and Chief Executive Officer CERTIFICATE OF INSURANCE GROUP TERM LIFE INSURANCE WITH AN ACCELERATED LIFE BENEFIT NOTE: RECEIPT OF THE ACCELERATED LIFE BENEFIT MAY BE TAXABLE. PLEASE SEEK ASSISTANCE FROM A PERSONAL TAX ADVISOR.

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