14 IMPORTANT: YOU MUST READ (OR HAVE READ TO YOU), UNDERSTAND, AND, WHERE APPLICABLE, AGREE WITH THE INFORMATION CONTAINED BELOW BEFORE YOU DECIDE WHETHER TO REQUEST THE ACCELERATED DEATH / LIVING BENEFIT PAYMENT. The accelerated death / living benefit is a benefit payable under the Policy’s Employee Only Life Insurance Coverage to an insured employee during his or her lifetime. The benefit amount is determined based on a specified portion of the employee’s group life insurance benefit in effect on the accelerated death / living benefit payment date. The company will charge interest and certain administrative fees, as outlined below. Only those insured employees meeting all the conditions described in the Policy’s accelerated death / living benefits provision (or Endorsement) may elect this benefit option. Benefit payment is not automatic; you must elect to receive the accelerated benefit by completing and providing the Company with all the required documents and proofs as described in such provision. No payment will be made unless and until the Company receives and approves of your election. Please carefully consider the following important aspects of accelerated death / living benefit: 1. Receipt of the accelerated death / living benefit payment by you or your designated assignee(s) could be taxable as income to you. We advise that you seek assistance from a competent tax advisor before you decide to elect this option. 2. Receipt of the accelerated death / living benefit payment may adversely affect the recipient’s eligibility for Medicaid or other federal or state government benefits or entitlement. 3. The accelerated death / living benefit payment will reduce the face amount of the life insurance benefit, and thus reduce correspondingly the life insurance proceeds payable to your beneficiary (ies) upon your death. The reduction will be equal to the sum of the following amounts: a. an amount paid under the accelerated death / living benefit option; plus b. an interest charge on the benefit amount paid commencing the payment date of your death, calculated at the interest rate described in 4 below; plus c. a one-time fee of $50.00 for setting up administrative procedures to process your accelerated death / living benefit request and its payment. 4. The Company will charge interest on the accelerated death / living benefit at the rate of 9% per annum. The interest for the first 12-month period will be determined and charged in advance. The Company will make an interest adjustment upon your death. (If the insured dies before the end of the first 12-month period, the company will refund the unearned portion of the interest charged. If the insured dies after the end of the first 12-month period, the company will assess against the remaining life insurance proceeds the interest accrued after the end of the first 13-month period.) 5. The Company’s approval or payment of the accelerated death / living benefit does not operate to waive the required monthly premium payment for your remaining life insurance, accidental death and dismemberment, and any other insurance coverages. You and/or your employer must continue paying the required monthly premium to keep in force such insurance coverages. Failure to do so will cause such insurance coverages to end. 6. The Company reserves the right to periodically evaluate your health and medical conditions. It may require you to be examined, but not more than once in any six-month period, by a physician(s) of our choice at our expense. GTL-C1000-0608-IN VII. LIFE EXCLUSIONS A. Suicide Exclusion 1. Except as provided for below, no death benefits will be payable for a death of an Insured Person occurring within 2 years from the Insured Person’s effective date of coverage under the Group Policy, if such death was caused by suicide, attempted suicide, or any other intentionally self-inflicted Injury or Physical Disease, while sane or insane. This Suicide Exclusion shall reapply to increases of such insurance as of the effective date of the increase.