Group Term Life Insurance Certificate

This document is a certificate from American United Life Insurance Company outlining the coverage and terms of group term life insurance for Richmond Community School Corporation employees.

® AmericanUnitedLifeInsuranceCompany P.O. Box 368, Indianapolis, Indiana 46206-0368 www.oneamerica.com RichmondCommunitySchoolCorporation (Hereinafter called the Group Policyholder) GroupPolicy Number:00604977-0000-000 Class: 004 ChangeEffective Date: 06/01/2021 This certificate replaces any and all certificates previously issued to You under the Group Policy indicated above. ® AmericanUnitedLifeInsuranceCompany (AUL)certifiesthat the Employee whose enrollment form is on file with the Group Policyholder as being eligible for insurance and for whom the required premium has been paid is insured under the above numbered Group Policy for group insurance benefits as designated in the Schedule of Benefits. Benefits are subject to change as described on the Schedule of Benefits page. This certificate describes the coverage provided in the Group Policy. The Group Policy determines all rights and benefits in this certificate and may be amended, cancelled or discontinued at any time by agreement between AUL and the Group Policyholder without notice to You. The Group Policy may be examined at the main office of the Group Policyholder during the regular office hours. Richard M. Ellery J. Scott Davison Secretary and General Counsel Chairman, President and Chief Executive Officer CERTIFICATEOFINSURANCE GROUPTERMLIFEINSURANCE GC2510NN (Class 004) (Basic) (Dependent Coverage: Not Included) (NoALB)

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