Certificate of Insurance for Group Long Term Disability Income Insurance

This document certifies the issuance of a group policy for long-term disability income insurance by American United Life Insurance Company.

American United Life Insurance Company® Indianapolis, Indiana 46206-0368 Certifies that it has issued and delivered a Group Policy numbered AULtimate LTD1E to: Fifth Third Bank, Indiana, Trustee For The American United Life Group Insurance Trust For The Business And Professional Service Industry (Hereinafter called the Group Policyholder) Richmond Community School Corporation shall participate in the coverage as a Participating Unit. Participating Unit Number: G 00604977-0001-000 Group Policy Number: AULtimate LTD1E Class: 001 Change Effective Date: 09/01/2022 This certificate replaces any and all certificates previously issued to the insured Person under the Group Policy indicated above. American United Life Insurance Company® (AUL) certifies that the Person whose enrollment card is on file with the Participating Unit 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 contained in this certificate. 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, the Group Policyholder, and the Participating Units. The Group Policy may be examined at the main office of the Group Policyholder during the regular office hours. CERTIFICATE OF INSURANCE GROUP LONG TERM DISABILITY INCOME INSURANCE 2003 GC 3100BNN(T) TITLE PAGE (Class 001) (LTD Plan)

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