Fidelity Security Life Insurance Company Group Vision Insurance Policy

F I D E L I T Y S E C U R I T Y L I F E ® I N S U R A N C E C O M P A N Y 3130 Broadway Kansas City, Missouri 64111-2406 Phone 800-648-8624 A STOCK COMPANY (Herein Called “the Company”) POLICY NUMBER: VC-146 POLICYHOLDER: Jay School Corporation STATE OF ISSUE: Indiana POLICY EFFECTIVE DATE: September 1, 2022 POLICY ANNIVERSARY DATE: September 1 of the following year and each September 1 thereafter Fidelity Security Life Insurance Company agrees to pay the benefits provided by the Policy in accordance with its terms and conditions. The Policy is issued in consideration of the Policyholder’s application (a copy of which is attached) and receipt by the Company of the premiums. All periods of time under the Policy begin and end at 12:01 A.M. Local Time at the Policyholder’s business address. The Policy may be modified by mutual agreement between the Policyholder and the Company. The Policy is issued by Fidelity Security Life Insurance Company at Kansas City, Missouri on the Policy Effective Date. FIDELITY SECURITY LIFE INSURANCE COMPANY President Secretary GROUP VISION INSURANCE POLICY THIS IS A LIMITED BENEFIT POLICY Please read the Policy carefully. M-9184