ICC14 LR14GP-ABR 1 ABR-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. THE AMOUNT OF LIFE INSURANCE WILL BE REDUCED IF AN ACCELERATED DEATH BENEFIT IS PAID. PREMIUM PAYMENTS WILL ALSO BE REDUCED. THE RECEIPT OF ACCELERATED DEATH BENEFITS MAY BE A TAXABLE EVENT.YOU SHOULD SEEK ADDITIONAL INFORMATION ABOUT THE TAX STATUS OF THE PAYMENT FROM A PERSONAL TAX ADVISOR. Accelerated Death Benefit You: .................................................... 75% of the amount of Basic and Supplemental Life Insurance in force, or $500,000, whichever is less. Your Spouse: ...................................... 75% of the amount of Supplemental Spouse Life Insurance in force. Your Children: ..................................... 75% of the amount of Supplemental Children’s Life Insurance in force. The Covered Person must have at least $10,000 of life insurance coverage in force. Your Spouse must have at least $10,000 of life insurance coverage in force. Your Children must have at least $1,000 of life insurance coverage in force. ACCELERATED DEATH BENEFIT 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 Accelerated Death Benefit..................................... page 3 SCHEDULE OF BENEFITS
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