ICC18 LR14GP-SPR-2 1 SPR-12995 (11/25) This rider is made a part of the Group Term Life 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. SUPPLEMENTAL SPOUSE LIFE INSURANCE Supplemental Spouse life insurance is Contributory by Employees. MAXIMUM AMOUNT OF SUPPLEMENTAL SPOUSE LIFE INSURANCE $250,000 not to exceed 50% of the Supplemental Employee life insurance amount in force BENEFIT REDUCTIONS The Spouse insurance amount will decrease as follows: To 45% of the original amount on your 70th birthday. To 30% of the original amount on your 75th birthday. To 20% of the original amount on your 80th birthday. To 15% of the original amount on your 85th birthday. To 10% of the original amount on your 90th birthday. Reduced insurance amounts are not rounded. SPOUSE LIFE INSURANCE RIDER RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1GAT2 CONTENTS Schedule of Benefits................................................ page 1 Definitions................................................................ page 2 General Provisions................................................... page 2 Life Insurance Benefits............................................. page 7 Exclusions and Limitations....................................... page 8 SCHEDULE OF BENEFITS Eligible Class(es) Amount Spouse Choice of $5,000 to $250,000 in $5,000 increments
Noblesville Schools Group Term Life Insurance Plan Page 16 Page 18