RL-CI4-SPR2-20-IN 1 SPR-12969 (11/25) SCHEDULE OF BENEFITS WHO PAYS FOR THE COVERAGE You pay the cost of coverage under this rider. The BENEFIT AMOUNT for your Spouse will not exceed 100% of your Employee BENEFIT AMOUNT. SPOUSE CRITICAL ILLNESS RIDER RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1CCI2 This rider is made a part of the Group Critical Illness Insurance Certificate and is subject to all of the provisions, limitations and exclusions of the Policy and Certificate, unless changed by this rider. Unless expressly changed by this rider, the terms used in this rider have the same meaning as in the Certificate. CONTENTS Section Page Schedule of Benefits............................................................................................... 1 Definitions............................................................................................................... 4 General Provisions................................................................................................. 4 Critical Illness Benefits............................................................................................ 6 Claims.................................................................................................................... 6 SPOUSE BENEFIT AMOUNT Choice of $5,000 or $10,000 or $15,000 or $20,000 or $25,000 or $30,000