RL-HI2-WELL-18-IN 1 WELL-12970 (11/25) WELLNESS BENEFIT RIDER RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1CHI2 This rider is made a part of the Hospital Confinement Indemnity 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............................................................................................................... 1 General Provisions................................................................................................. 2 Benefits.................................................................................................................. 2 Exclusions.............................................................................................................. 3 Claims.................................................................................................................... 3 SCHEDULE OF BENEFITS WHO PAYS FOR THE COVERAGE The cost of coverage under this rider is automatically included in the cost of your coverage and the cost of your Spouse's coverage and the cost of your Children's coverage. WELLNESS BENEFIT The wellness benefit is payable up to a maximum of one day per Covered Person per calendar year. DEFINITIONS General terms are defined in the DEFINITIONS section of the Certificate and riders. Covered Person means:  You, if you are covered for Hospital Confinement indemnity insurance under the Policy.  Your Spouse who is covered under your Spouse Hospital Confinement Indemnity Rider.  Your Children who are covered under your Children’s Hospital Confinement Indemnity Rider. You: $50 per day Your Spouse: $50 per day Your Children: 100% of your wellness benefit amount, per day, per Child