ICC18 LR14GP-CHR-2 1 CHR-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 CHILDREN’S LIFE INSURANCE Supplemental Children’s life insurance is Contributory by Employees. Eligible Class(es) Amount Child or Children Choice of $2,500 to $10,000 in $2,500 increments CHILDREN’S 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 6 Exclusions and Limitations....................................... page 7 SCHEDULE OF BENEFITS MAXIMUM AMOUNT OF SUPPLEMENTAL CHILDREN’S LIFE INSURANCE $10,000 The Supplemental Children’s life insurance amount will not exceed the Supplemental Employee life insurance amount in force. You may not elect a higher amount of Supplemental Children’s life insurance than Supplemental Employee life insurance.
Noblesville Schools Group Term Life Insurance Plan Page 24 Page 26