RL-HI2-SPR-18-IN 1 SPR-12970 (11/25) SPOUSE HOSPITAL CONFINEMENT INDEMNITY 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................................................................................................. 1 Spouse Benefits...................................................................................................... 3 Exclusions.............................................................................................................. 3 Claims.................................................................................................................... 3 SCHEDULE OF BENEFITS WHO PAYS FOR THE COVERAGE You pay the cost of coverage under this rider. BENEFIT AMOUNTS The benefit amounts for your Spouse are 100% of the Employee BENEFIT AMOUNTS as shown in the SCHEDULE OF BENEFITS section of the Certificate. DEFINITIONS General terms defined in the DEFINITIONS section of the Certificate regarding medical conditions and eligibility apply to your Spouse. Spouse means your lawful spouse. GENERAL PROVISIONS ELIGIBILITY If you are covered under the Policy, then your Spouse is eligible under this rider on the latest of the following:  The Policy effective date.  The date this rider is available to the eligible class of Insured Persons to which you belong.  Your Hospital Confinement Indemnity coverage effective date.  The date of your marriage. If your Spouse is covered under the Policy as an Employee, then your Spouse is not eligible for coverage under this rider.