SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE Class Number: 001 GUARANTEEDISSUEAMOUNT: Basic Guaranteed Issue Amount Spouse under age 70 $5,000 Children: Live Birth to under 6 months $1,000 6 months to 26 years $2,500 AnyamountofcoverageforwhichtheDependentrequestsgreaterthan the GuaranteedIssue Amount will only be available following written approval by AUL. Approval will be based on Evidence of Insurability and information satisfactory to AUL. If coverage for amounts greater than the Guaranteed Issue Amount is approved, coverage will begin on the date identified in writing by AUL. See Section 20B, Dependent Insurance, Individual Effective Date. INDIVIDUALEFFECTIVEDATE:FirstoftheMonth.SeeSection20B. INDIVIDUALTERMINATIONS:EndoftheMonth.SeeSection20E. TERMINATIONS:TerminationsaregovernedbytheDependentInsuranceIndividualTerminations.SeeSection20E. DEPENDENTLIFEWAIVEROFPREMIUM:Thisbenefitisincludedinthiscertificate.SeeSection20D. GC2510.2 SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE