EX-1 70 e74769_exg7a.txt COINSURANCE AGREEMENT BETWEEN CUNA MUTUAL LIFE INSURANCE COMPANY AND SECURITY LIFE OF DENVER INSURANCE COMPANY (Dba ING Re) EFFECTIVE 09/01/03 AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT (COINSURANCE BASIS) Effective September 1, 2003 Between CUNA MUTUAL LIFE INSURANCE COMPANY ("Ceding Company") 2000 Heritage Way Waverly, Iowa 50677-9202 And SECURITY LIFE OF DENVER INSURANCE COMPANY d/b/a ING Re ("Reinsurer") Security Life Center 1290 Broadway Denver, Colorado 80203-5699 Reinsurer Agreement No. 0268-5086 AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT (COINSURANCE BASIS) This Agreement is between CUNA MUTUAL LIFE INSURANCE COMPANY, 2000 Heritage Way, Waverly, Iowa 50677-9202 And SECURITY LIFE OF DENVER INSURANCE COMPANY, Security Life Center, 1290 Broadway, Denver, Colorado 80203-5699. The Reinsurer agrees to reinsure certain portions of the Ceding Company's contract risks as described in the terms and conditions of this Agreement, which includes any attached Schedules and Exhibits. This reinsurance Agreement constitutes the entire Agreement between the parties with respect to the business being reinsured hereunder and there are no understandings between the parties other than as expressed in this Agreement. Any change or modification to this Agreement is null and void unless made by written amendment to this Agreement and signed by both parties. In witness of the above, the Ceding Company and the Reinsurer have by their respective officers executed and delivered this Agreement in duplicate on the dates indicated below, with an effective date of September 1, 2003. CUNA MUTUAL LIFE SECURITY LIFE OF DENVER INSURANCE COMPANY INSURANCE COMPANY By: /s/ Paul Lawin By: /s/ Signature --------------------- --------------------------------------- Title: Vice President Title: Regional Head of Pricing, Plains Region --------------------- --------------------------------------- Date: 10-2-03 Date: 09/26/2003 --------------------- --------------------------------------- By: /s/ Barbara L. Secor By: /s/ Signature --------------------- --------------------------------------- Title: Assistant Secretary Title: Vice President --------------------- --------------------------------------- Date: 10-6-03 Date: September 29, 2003 --------------------- --------------------------------------- AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT ----------------------------------------------- (COINSURANCE BASIS) Table of Contents 1. PARTIES TO AGREEMENT ...................................................4 2. COINSURANCE BASIS ......................................................4 3. AUTOMATIC REINSURANCE TERMS ............................................4 a. CONVENTIONAL UNDERWRITING ...........................................4 b. RETAINED AMOUNT .....................................................5 c. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS. ............................5 d. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT. ...........................5 e. RESIDENCE............................................................5 f. MINIMUM CESSION .....................................................5 g. NO PRIOR FACULTATIVE SUBMISSIONS.....................................5 4. AUTOMATIC REINSURANCE NOTICE PROCEDURE .................................5 5. FACULTATIVE REINSURANCE.................................................5 6. COMMENCEMENT OF REINSURANCE COVERAGE ...................................6 a. AUTOMATIC REINSURANCE ...............................................6 b. FACULTATIVE REINSURANCE .............................................6 c. PRE-ISSUE COVERAGE ..................................................6 7. BASIS OF REINSURANCE AMOUNT AND NET COINSURANCE PREMIUMS................7 a. LIFE REINSURANCE ....................................................7 b. SUPPLEMENT BENEFITS .................................................7 i. OTHER INSURED RIDER ..........................................7 c. COINSURANCE ALLOWANCES ..............................................7 d. TERM INSURANCE RENEWALS .............................................7 e. TABLE RATED SUBSTANDARD PREMIUMS.....................................7 f. FLAT EXTRA PREMIUMS .................................................8 g. COINSURANCE PREMIUM AND COINSURANCE ALLOWANCE ADJUSTMENTS ...........8 8. PAYMENT OF NET COINSURANCE PREMIUMS.....................................8 a. NET COINSURANCE PREMIUM DUE..........................................8 b. FAILURE TO PAY NET COINSURANCE PREMIUMS..............................8 c. OVER PAYMENT OF NET COINSURANCE PREMIUM..............................8 d. UNDER PAYMENT OF NET COINSURANCE PREMIUM.............................8 e. RETURN OF NET COINSURANCE PREMIUM....................................8 f. UNEARNED NET COINSURANCE PREMIUMS....................................9 9. PREMIUM TAX REIMBURSEMENT ..............................................9 10. DAC TAX AGREEMENT.......................................................9 11. REPORTS................................................................10 12. RESERVES FOR REINSURANCE...............................................10
i 13. DEATH CLAIMS...........................................................10 a. NOTICE OF DEATH.....................................................10 b. PROOFS..............................................................10 c. DEATH CLAIMS PAYABLE................................................10 d. AMOUNT AND PAYMENT OF DEATH CLAIMS..................................10 e. CONTESTED CLAIMS....................................................11 f. CLAIM EXPENSES......................................................11 g. EXTRACONTRACTUAL DAMAGES............................................11 14. POLICY CHANGES.........................................................11 a. NOTICE..............................................................11 b. INCREASES...........................................................11 c. REDUCTION OR TERMINATION............................................12 d. RISK CLASSIFICATION CHANGES.........................................12 15. TERM CONVERSIONS, EXCHANGES AND REPLACEMENTS...........................12 a. NOTICE..............................................................12 b. TERM CONVERSIONS....................................................12 c. EXCHANGES AND REPLACEMENTS..........................................13 16. POLICYHOLDER REINSTATEMENTS............................................13 a. AUTOMATIC REINSTATEMENT.............................................13 b. FACULTATIVE REINSTATEMENT...........................................13 c. PREMIUM ADJUSTMENT..................................................13 17. INCREASE IN MAXIMUM DOLLAR RETENTION LIMITS AND RECAPTURE .............14 a. NEW BUSINESS........................................................14 b. RECAPTURE...........................................................14 18. ERROR AND OMISSION.....................................................15 19. INSOLVENCY.............................................................15 20. ARBITRATION............................................................15 a. GENERAL.............................................................15 b. NOTICE..............................................................16 c. PROCEDURE...........................................................16 21. OFFSET.................................................................16 22. GOOD FAITH; FINANCIAL SOLVENCY.........................................17 23. TREATMENT OF CONFIDENTIAL INFORMATION..................................17 24. TERM OF THIS AGREEMENT AND TERMINATION.................................17 25. MEDICAL INFORMATION BUREAU.............................................17 26. SEVERABILITY...........................................................18 27. SURVIVAL...............................................................18 28. NON-WAIVER.............................................................18
ii Listing of Schedules: SCHEDULE A - COVERAGE AND LIMITS 1. Plans Reinsured 2. Reinsurance Amount 3. Ceding Company's Maximum Dollar Retention Limits 4. Reinsurer's Automatic Acceptance Limits 5. Automatic In Force and Applied for Limits 6. Premium Due 7. Recapture Period 8. Net Amount at Risk 9. Reserves 10. Additional Underwriting Requirements SCHEDULE B - NET COINSURANCE PREMIUMS 1. Automatic Net Coinsurance Premiums - Life 2. Automatic Net Coinsurance Premiums - Supplemental Benefits 3. Age Basis 4. Rates After Exercise of Term Conversion Option B--I: Standard Annual Coinsurance Premiums CUNA Mutual Life Insurance Company 2003 Members Level 10, 15, 20 & 30 Year Term Premium Rates B--II: Annual Reinsurance Premiums Following Term Conversions Security Life Reinsurance Rates for After Conversion SCHEDULE C - REPORTING INFORMATION Information on Risks Reinsured Policy Exhibit Summary Reserve Credit Summary Accounting Summary SCHEDULE D - FACULTATIVE FORMS Application for Reinsurance Notification of Reinsurance EXHIBIT I - CEDING COMPANY'S UNDERWRITING GUIDELINES iii AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT ----------------------------------------------- (COINSURANCE BASIS) ------------------- 1. PARTIES TO AGREEMENT. --------------------- This Agreement is solely between the Reinsurer and the Ceding Company. There is no third party beneficiary to this Agreement. Reinsurance under this Agreement will not create any right nor legal relationship between the Reinsurer and any other person, for example, any insured, policyowner, agent, beneficiary, assignee, or other reinsurer. The Ceding Company agrees to use its best efforts to avoid making the Reinsurer a party to any litigation between any such third party and the Ceding Company. The Ceding Company and the Reinsurer will not disclose the other's name to these third parties with regard to the agreements or transactions that are between the Ceding Company and the Reinsurer, unless the Ceding Company or the Reinsurer gives prior written approval for the use of its own name, which approval shall not be unreasonably withheld. The terms of this Agreement are binding upon the parties, their representatives, successors, and assigns. The parties to this Agreement are bound by ongoing and continuing obligations and liabilities until this Agreement terminates for new business and the underlying policies are no longer in force, whichever occurs later. This Agreement shall not be bifurcated, partially assigned, or partially assumed. 2. COINSURANCE BASIS. ----------------- This Agreement, including the attached Schedules, states the terms and conditions of automatic and facultative reinsurance which will be on a coinsurance basis. This Agreement is applicable only to reinsurance of policies directly written by the Ceding Company. Any policies acquired through merger with another company, reinsurance, or purchase of another company's policies are not included under the terms of this Agreement. 3 AUTOMATIC REINSURANCE TERMS. ---------------------------- The Ceding Company agrees to cede and the Reinsurer agrees to automatically accept contractual risks on the life insurance plans and supplemental benefits shown in Section 1 of Schedule A, subject to the following requirements; a. CONVENTIONAL UNDERWRITING. -------------------------- Automatic reinsurance applies only to insurance applications underwritten by the Ceding Company with conventional underwriting and issue practices that are consistently applied. Conventional underwriting and issue practices are those customarily used and generally accepted by life insurance companies. Some examples of non-customary underwriting practices that are not acceptable for automatic reinsurance under this Agreement are table shaving programs, guaranteed issue, any form of simplified underwriting, short-form applications, any form of non-customary non-medical underwriting limits, or internal or external policy exchanges that do not require conventional underwriting. Some examples of unacceptable issue practices that are not acceptable for automatic reinsurance under this Agreement are the issuance of a policy that has contestability or suicide clauses with time limitations that are shorter than the maximum allowed by state law and policy exchanges, 4 Replacements or term conversions resulting from policies not originally reinsured by the Reinsurer. The Ceding Company must comply with Underwriting Guidelines at least as restrictive as those set forth in Exhibit I and Additional Underwriting Requirements at least as restrictive as those set forth in Section 10 of Schedule A. The Additional Underwriting Requirements may be changed by the Reinsurer. The Reinsurer will provide 120 days advance written notice to the Ceding Company before the effective date of such change. b. RETAINED AMOUNT. ---------------- The Ceding Company will retain, and not otherwise reinsure, an amount of insurance on each life equal to its quota share percentage amount of the policy as set forth in Section 2.a. of Schedule A. If the Ceding retained quota share percentage amount is zero, automatic reinsurance is not available. c. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS. ---------------------------------------- On any one life, the amount automatically reinsured under all agreements with the Reinsurer will not exceed the Reinsurer's Automatic Acceptance Limits shown in Section 4 of Schedule A. d. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT. ----------------------------------------- The total amount of life insurance in force and applied for on any one life, with all companies, of which the Ceding Company is aware, cannot exceed the In Force and Applied For Limit shown in Section 5 of Schedule A. e. RESIDENCE. ---------- Each insured must be a resident of the United States, Canada, or Puerto Rico at the time of issue. f. MINIMUM CESSION. ---------------- The minimum amount of reinsurance per cession that the Reinsurer will accept is $40,000.00 and reinsurance of a cession will be terminated when the amount reinsured is less than $40,000.00. g. NO PRIOR FACULTATIVE SUBMISSIONS. --------------------------------- The risk will not have been submitted on a facultative basis to the Reinsurer or any other reinsurer. 4. AUTOMATIC REINSURANCE NOTICE PROCEDURE. --------------------------------------- After the policy has been paid for and delivered, the Ceding Company will submit all relevant individual policy information, as defined in Schedule C, in its next statement to the Reinsurer. 5. FACULTATIVE REINSURANCE. ------------------------ The Ceding Company may apply for facultative reinsurance with the Reinsurer on a risk if the automatic reinsurance terms are not met, or if the terms are met and it prefers to apply for facultative reinsurance. If the Ceding Company wishes to obtain a facultative quote on a risk eligible for automatic reinsurance, the risk will be submitted to the Reinsurer for a facultative offer on an alphabetic split basis, for all insureds with the last names beginning with the letters M through Z, and at the Ceding Company's option for all other insureds. The following items must be submitted to obtain a facultative quote: a. A form substantially similar to the Reinsurer's "Application for Reinsurance" form shown in Schedule D. 5 b. Copies of the original insurance application, medical examiner's reports financial information, and all other papers and information obtained by the Ceding Company regarding the insurability of the risk. c. The initial and ultimate risk amounts requested. After receipt of the Ceding Company's application, the Reinsurer will promptly examine the materials and Notify the Ceding Company either of the terms and conditions of the Reinsurer's offer for facultative reinsurance or that no offer will be made. The Reinsurer's offer expires 120 days after the offer is made, unless the written offer specifically states otherwise. If the Ceding Company accepts the Reinsurer's offer, then the Ceding Company will note its acceptance in its underwriting file and mail, as soon as possible but no later than 90 days after having placed the case, a formal reinsurance cession to the Reinsurer using a form substantially similar to the "Notification of Reinsurance" form shown in Schedule D. In order to bind the Reinsurer under the terms of this Agreement and according the conditions of the Reinsurer's facultative offer, the Ceding Company must submit the Applicable policy on its monthly reporting statement, and designate the policy as facultative, within 90 days of having placed the case. 6. COMMENCEMENT OF REINSURANCE COVERAGE. ------------------------------------- Commencement of the Reinsurer's reinsurance coverage on any policy or pre-issue risk under this Agreement is described below: a. AUTOMATIC REINSURANCE. ---------------------- The Reinsurer's reinsurance coverage for any policy that is ceded automatically under this Agreement will begin and terminate simultaneously with the Ceding Company's contractual liability for the policy reinsured, unless otherwise terminated in accordance with the terms of this Agreement. b. FACULTATIVE REINSURANCE. ------------------------ The Reinsurer's reinsurance coverage for any policy that is ceded facultatively under this Agreement will begin when; i. The Ceding Company accepts the Reinsurer's offer; and ii. The policy has been issued. Reinsurer's reinsurance coverage for any policy that is ceded facultatively under this Agreement will terminate simultaneously with the Ceding Company's contractual liability for the policy reinsured, unless otherwise terminated in accordance with the terms of this Agreement. c. PRE-ISSUE COVERAGE. ------------------- The Reinsurer will not be liable for benefits paid under the Ceding Company's Conditional receipt or temporary insurance agreement unless all the conditions for automatic reinsurance coverage under Article 3 of this Agreement are met. The Reinsurer's liability under the Ceding Company's conditional receipt or temporary insurance agreement is limited to the lesser of i. or ii. below: i. The Reinsurer's Automatic Acceptance Limits as shown in Section 4 of Schedule A. 6 ii. The amount for which the Ceding Company is liable less the amount the Ceding Company retained pursuant to Section 2.a of Schedule A, less any amount of reinsurance with other reinsurers. The pre-issue liability applies only once on any given life regardless of how many receipts were issued or initial premiums were accepted by the Ceding Company. After a policy has been issued, no reinsurance benefits are payable under this pre-issue coverage provision. In the event that the Ceding Company's rules with respect to cash handling and the issuance of conditional receipt or temporary insurance are not followed, the Reinsurer will participate in the liability if the conditions for automatic reinsurance are met and the Ceding Company does not knowingly allow such rules to be violated or condone such a practice. Such liability will be limited to the lesser of i or ii above. As in all cases, the provisions of Article 13 apply to such a claim. 7. BASIS OF REINSURANCE AMOUNT AND NET COINSURANCE PREMIUMS -------------------------------------------------------- a. LIFE REINSURANCE. ----------------- Reinsurance will be on a first dollar quota share basis. The amount reinsured on risk will be as set forth in Section 2 of Schedule A. The Net Amount at Risk and the Reinsurer's Net Amount at Risk are defined in Section 8 of Schedule A. The coinsurance premiums per $1000 are shown in Section 1 of Schedule B. b. SUPPLEMENTAL BENEFITS. ---------------------- For the supplemental benefits reinsured under this Agreement, the following provisions will apply: i. OTHER INSURED RIDER For the Other Insured Rider, the reinsurance benefit is the Reinsurer's Net Amount at Risk on the rider. The reinsurance premiums for this benefit are shown in Section 2 of Schedule B. c. COINSURANCE ALLOWANCES. ----------------------- When the Ceding Company pays the coinsurance premiums to the Reinsurer, the Reinsurer will pay to the Ceding Company a coinsurance allowance determined by multiplying the coinsurance allowance percentages specified in Section 1 of Schedule B times the coinsurance premium. The coinsurance premium less the coinsurance allowance is equal to the net coinsurance premium, and is the amount due from the Ceding Company to the Reinsurer. d. TERM INSURANCE RENEWALS. ------------------------ Coinsurance premiums for term renewals are calculated using the original issue age, duration since issuance of the original policy and the original underwriting classification. e. TABLE RATED SUBSTANDARD PREMIUMS. If the Ceding Company's policy is issued with a table rated substandard premium, the coinsurance premiums shown in Section 1 of schedule B will apply. 7 f. FLAT EXTRA PREMIUMS. -------------------- If the Ceding Company's policy is issued with a flat extra premium, the coinsurance premiums shown in Section 1 of Schedule B will apply. g. COINSURANCE PREMIUM AND COINSURANCE ALLOWANCE ADJUSTMENTS. ---------------------------------------------------------- i. If the Ceding Company increases the current policyowner premiums, the Reinsurer reserves the right not to increase the coinsurance allowances. Occurrence of this event does not constitute a right for the Ceding Company to recapture the reinsured business. ii. If the Ceding Company decreases the current policyowner premiums, the Reinsurer reserves the right to decrease the coinsurance allowances such that the net coinsurance premium paid by the Ceding Company to the Reinsurer remains unchanged. 8. PAYMENT OF NET COINSURANCE PREMIUMS. ------------------------------------ a. NET COINSURANCE PREMIUM DUE. ---------------------------- Net coinsurance premiums for each reinsurance cession are due as shown in Section 6 of Schedule A. b. FAILURE TO PAY NET COINSURANCE PREMIUMS. ---------------------------------------- If net coinsurance premiums are 60 days past due, for reasons other than those due to error or omission as defined below in Article 18, the premiums will be considered in default and the Reinsurer may terminate the reinsurance coverage upon 30 days prior written notice to the Ceding Company. The Reinsurer will have no further liability as of the termination date. The Ceding Company will be liable for the prorated net coinsurance premiums to the termination date. The Ceding Company agrees that it will not force termination under the provisions of this paragraph to avoid the recapture requirements or to transfer the block of business reinsured to another reinsurer. c. OVER PAYMENT OF NET COINSURANCE PREMIUM. ---------------------------------------- If the Ceding Company overpays a net coinsurance premium and the Reinsurer accepts the overpayment, the Reinsurer's acceptance will not constitute nor create a reinsurance liability nor result in any additional reinsurance coverage. Instead, the Reinsurer will be liable to the Ceding Company for a credit in the amount of the overpayment, without interest. d. UNDER PAYMENT OF NET COINSURANCE PREMIUM. ----------------------------------------- If the Ceding Company fails to make a full net coinsurance premium payment for a policy or policies reinsured hereunder, due to an error or omission as defined below in Article 18, the amount of reinsured coverage provided by the Reinsurer will not be reduced. However, once the underpayment is discovered, the Ceding Company will be required to pay to the Reinsurer the difference between the full premium amount and the amount actually paid, without interest. If payment of the full premium is not made within 60 days after the discovery of the underpayment, the underpayment will be treated as a failure to pay premiums and subject to the conditions of Article 8.b., above. e. RETURN OF NET COINSURANCE PREMIUM. ---------------------------------- If a misrepresentation or misstatement on an application or a death of an insured by suicide results in the Ceding Company returning the policy owner premiums to the policy owner rather than pay the policy benefits, the Reinsurer will refund all of the net coinsurance premiums it received on that policy to the Ceding Company, without interest. 8 This refund given by the Reinsurer will be in lieu of all other reinsurance benefits payable on the policy under this Agreement. If there is an adjustment to the policy benefits due to a misrepresentation or misstatement of age or sex, a corresponding adjustment will be made to the reinsurance benefits. f. UNEARNED NET COINSURANCE PREMIUMS. ---------------------------------- Unearned net coinsurance premiums will be returned on deaths, surrenders and other terminations. This refund will be on a prorated basis without interest from the date of termination of the policy to the date through which a net coinsurance premium has been paid. 9. PREMIUM TAX REIMBURSEMENT. -------------------------- The Reinsurer will not reimburse the Ceding Company for premium taxes. 10. DAC TAX AGREEMENT ----------------- The Ceding Company and the Reinsurer hereby enter into an election under Treasury Regulation Section 1.848-2(g) (8) whereby: a. For each taxable year under this Agreement, the party with the net positive consideration, as defined in the regulations promulgated under Treasury Code Section 848, will capitalize specified policy acquisition expenses with respect to this Agreement without regard to general deductions limitation of Section 848 (c) (1); b. The Ceding Company and the Reinsurer agree to exchange information pertaining to the net consideration under this Agreement each year to ensure consistency or as otherwise required by the Internal Revenue Service; c. The Ceding Company will submit to the Reinsurer by May 1 of each year its calculation of the net consideration for the preceding calendar year. This schedule of calculations will be accompanied by a statement signed by an officer of the Ceding Company stating that the Ceding Company will report such net consideration in its tax return for the preceding calendar year; d. The Reinsurer may contest such calculation by providing an alternative calculation to the Ceding Company in writing within 30 days of the Reinsurer's receipt of the Ceding Company's calculation. If the Reinsurer does not so notify the Ceding Company, the Reinsurer will report the net consideration as determined by the Ceding Company in the Reinsurer's tax return for the previous calendar year; e. If the Reinsurer contests the Ceding Company's calculation of the net consideration, the parties will act in good faith to reach an agreement as to the correct amount within 30 days of the date the Reinsurer submits its alternative calculation. If the Ceding Company and the Reinsurer reach agreement on the net amount of consideration, each party will such amount in their respective tax returns for the previous calendar year. Both Ceding Company and Reinsurer represent and warrant that they are subject to U.S. taxation under either Subchapter L of Chapter I, or Subpart F of Subchapter N of Chapter I of the Internal Revenue Code of 1986, as amended. 9 11. REPORTS. -------- The administering party will be the Ceding Company. The reporting period will be monthly. For each reporting period, the Ceding Company will submit a statement to the Reinsurer with information that is substantially similar to the information displayed in Schedule C. The statement will include information on the risks reinsured with the Reinsurer, net coinsurance premiums owed, policy exhibit activity, and an accounting summary. Within 7 days after the end of each calendar quarter, the Ceding Company will submit a reserve credit summary similar to that shown in Schedule C. 12. RESERVES FOR REINSURANCE. ------------------------- Statutory reserves will be held by the Reinsurer on the Reinsurer's portion of the risks reinsured hereunder and are defined pursuant to Section 9 of Schedule A. 13. DEATH CLAIMS. ------------ a. NOTICE OF DEATH. ---------------- The Ceding Company will notify the Reinsurer, as soon as reasonably possible, after it receives notice of a death claim arising from a death of an insured under a policy reinsured. b. PROOFS. ------- The Ceding Company will promptly provide the Reinsurer with proper death claim proofs (including, for example, proofs required under the policy), all relevant information respecting the existence and validity of the death claim, and an itemized statement of the death claim benefits paid by the Ceding Company under the policy. c. DEATH CLAIMS PAYABLE. --------------------- Death claims are payable only as a result of the actual death of an insured, to the extent reinsured under this Agreement and for which there is contractual liability for the death claim under the issuing company's in force policy. Acceleration or estimation of death claims on living individuals is not permitted, will not be due, owing or payable, nor will they form the basis of any claim against the Reinsurer whatsoever. d. AMOUNT AND PAYMENT OF DEATH CLAIMS. ----------------------------------- After the Reinsurer receives proper death claim notice, proofs of the death claim, and proof of payment of the death claim by the Ceding Company, the Reinsurer will promptly pay the reinsurance benefits due and owing to the Ceding Company in one lump sum. The Ceding Company's contractual liability for death claims is binding on the Reinsurer. The Maximum death benefit payable to the Ceding Company under each reinsured policy is the Reinsurer's Net Amount at Risk as set forth in Section 8 of Schedule A. The Reinsurer will not be nor become liable for any amounts or reserves to be held by the Ceding Company on policies reinsured under this Agreement. The total reinsurance in all companies on a policy will not exceed the Ceding Company's total contractual liability on the policy, less its amount retained on the policy. The excess, if any of the total reinsurance in all companies plus Ceding Company's retained amount on the policy over its contractual liability under the reinsured policy will first be applied to reduce all reinsurance on the policy. This reduction in reinsurance will be shared among all the reinsurers in proportion to their respective amounts of reinsurance prior to the reduction. 10 e. CONTESTED CLAIMS. ----------------- The Ceding Company will notify the Reinsurer of its intention to contest, compromise, or litigate a claim involving a reinsured policy. If the Ceding Company's contest, compromise, or litigation results in a reduction in its liability, the Reinsurer will share in the reduction in the proportion that the Reinsurer's net liability bears to the sum of the net liability of all reinsurers on the insured's date of death. If the Reinsurer should decline to participate in the contest, compromise or litigation, the Reinsurer will then release all of its liability by paying the Ceding Company its full share of reinsurance death benefits for the policy and not sharing in any subsequent reduction in liability. f. CLAIM EXPENSES. --------------- The Reinsurer will pay its share of reasonable investigation and legal expenses connected with the litigation or settlement of contractual liability claims unless the Reinsurer has released its liability, in which case the Reinsurer will not participate in any expenses after the date of release. However, claim expenses do not include routine claim and administration expenses, including the Ceding Company's home office expenses. Also, expenses incurred in connection with a dispute or contest arising out of conflicting claims of entitlement to policy proceeds or benefits that the Ceding Company admits are payable are not a claim expense under this Agreement. g. EXTRACONTRACTUAL DAMAGES. ------------------------- The Reinsurer will not participate in and will not be liable to pay the Ceding Company or others for any amounts in excess of the Reinsurer's Net Amount at Risk. Extracontractual damages or liabilities and related expenses and fees are specifically excluded from the reinsurance coverage provided under this Agreement. Extracontractual damages are any damages awarded against the Ceding Company, including, for example, those resulting from negligence, reckless or intentional conduct, fraud, oppression, or bad faith committed by the Ceding Company in connection with the mortality risk insurance reinsured under this Agreement. The excluded extracontractual damages will include, by way of example and not limitation: i. Actual and consequential damages; ii. Damages for emotional distress or oppression; iii. Punitive, exemplary or compensatory damages; iv. Statutory damages, fines, or penalties; v. Amounts in excess of the risk reinsured hereunder that the Ceding Company pays to settle a dispute or claim; vi. Third-party attorney fees, costs and expenses. 14. POLICY CHANGES. --------------- a. NOTICE. ------- If a reinsured policy is changed, a corresponding change will be made in the reinsurance coverage for that policy. The Ceding Company will notify the Reinsurer of the change in the Ceding Company's next accounting statement. b. INCREASES. ---------- If life insurance on a reinsured policy is increased and the increase is subject to new underwriting evidence, then the increase of life insurance on the reinsured policy will be handled the same as the issuance of a new policy. If the increase is not subject to new underwriting evidence, and 11 increases are scheduled and known at issue, then the increase will be automatically accepted by the Reinsurer, but the total amount of reinsurance is not to exceed the Reinsurer's Automatic Acceptance Limits shown in Section 4 of Schedule a. Coinsurance premiums will be based on the original issue age, duration since issuance of the original policy and the original underwriting classification. Other increases not subject to new underwriting evidence are not allowed under this agreement. c. REDUCTION OR TERMINATION. ------------------------- If life insurance on a reinsured policy is reduced, then reinsurance will be reduced proportionately so that the portion reinsured, as outlined in Schedule A, remains the same. If life insurance on a reinsured policy is terminated, then reinsurance will cease on the date of such termination. Reductions and terminations are permitted only when the underlying policyholder directs such a reduction or termination of the issuing company policy that is in force at the time that the reductions and terminations take place. d. RISK CLASSIFICATION CHANGES. ---------------------------- If a policyholder requests a Table Rating reduction or removal of a Flat Extra, such change will be underwritten according to the Ceding Company's Underwriting Guidelines as set forth in Exhibit I. Risk classification changes on facultative policies will be subject to the Reinsurer's approval. 15. TERMS CONVERSIONS, EXCHANGES AND REPLACMENTS. --------------------------------------------- a. NOTICE. ------- If a policy reinsured under this Agreement is converted, exchanged or replaced, as defined below in 15.b and 15.c, the Ceding Company will notify the Reinsurer of the change in the Ceding Company's next accounting statement. Unless mutually agreed otherwise in writing, policies that are not reinsured with the Reinsurer and that convert, exchange or replace to a plan covered under this Agreement will not be reinsured hereunder. b. TERM CONVERSIONS. ----------------- For purpose of this Agreement, a term conversion is a contractual right of the insured to replace a term policy with a permanent plan without evidence of insurability. The Reinsurer will continue to reinsure policies resulting from a term conversion of any policy reinsured under this Agreement, in an amount not to exceed the original amount reinsured hereunder. If the policy converts to a plan reinsured with the Reinsurer under either this Agreement or another Agreement, the reinsurance rates for the converted policy will be the reinsurance rates contained in the Agreement that covers the plan to which the original policy is converting. If the policy converts to a plan not reinsured with the Reinsurer, the reinsurance will continue under this Agreement on a yearly renewable term basis using the YRT conversion rates set forth in Section 4 of Schedule B. Reinsurance rates for term conversions will be point in scale (based on the original issue age, duration, and original underwriting class since issuance of the original policy). The recapture period applicable to the original policy will govern the converted policy and duration will be measured from the effective date of the original policy. Reinsurer will not reimburse Ceding Company for any conversion credits Ceding Company supplies to the insured. 12 If the term conversion results in an increase in risk amount, the increase will be underwritten by the ceding Company as new business and will be eligible for reinsurance coverage under this Agreement as new business. When a conversion is fully underwritten, the resulting policy will be administered the same as the issuance of a new policy. c. EXCHANGES AND REPLACEMENTS. --------------------------- For purpose of this Agreement, an exchange or replacement is a new policy replacing an existing policy of the same type, where the new policy lacks at least one of the following characteristics: new business underwriting, full first year commissions, new suicide period, or new contestable period. New policies resulting from exchanges or replacements in the insurance reinsured hereunder will continue to be ceded to the Reinsurer under this Agreement, in an amount not to exceed the original amount reinsured hereunder. Reinsurance rates for exchanges or replacements will be those in effect at issuance of the original policy and will be point in scale (based on the original issue age, duration, and original underwriting class since issuance of the original policy). The recapture period applicable to the original policy will govern the new policy and duration will be measured from the effective date of the original policy. If an exchange or replacement results in an increase in risk amount, the increase will be underwritten by the Ceding Company as new business and will be eligible for reinsurance coverage under this Agreement as new business. When an exchange or replacement is fully underwritten with new suicide and contestable periods and full first year commissions, the resulting policy will be administered the same as the issuance of a new policy. 16. POLICYHOLDER REINSTATEMENTS. ---------------------------- a. AUTOMATIC REINSTATEMENT. ------------------------ If the Ceding Company reinstates a policy that was originally ceded to the Reinsurer as automatic reinsurance using conventional underwriting practices, the Reinsurer's reinsurance for that policy will be reinstated. b. FACULTATIVE REINSTATEMENT. -------------------------- If the Ceding Company has been requested to reinstate a policy that was originally ceded to the Reinsurer as facultative reinsurance, the Ceding Company will resubmit the case to the Reinsurer for underwriting approval before the reinsurance can be reinstated. c. PREMIUM ADJUSTMENT. ------------------- Coinsurance premiums for the interval during which the policy was lapsed will be paid to the Reinsurer on the same basis as the Ceding Company charged its policy owner for the reinstatement. 13 17. INCREASE IN MAXIMUM DOLLAR RETENTION LIMITS AND RECAPTURE. ---------------------------------------------------------- a. NEW BUSINESS. ------------- If the Ceding Company increases its Maximum Dollar Retention Limits listed in Section 3 of Schedule A, then it may, at its option and with 90 days' written notice to the Reinsurer, increase its Maximum Dollar Retention Limits shown in Section 3 of Schedule A for policies issued after the effective date of the Maximum Dollar Retention Limit increase. A change to the Ceding Company's Maximum Dollar Retention Limits will not affect the reinsured policies in force except as specifically provided in Article 17.b, below. Furthermore, unless agreed between the parties, an increase in Ceding Company's Maximum Dollar Retention Limits will not effect an increase in the total risk amount that it may automatically cede to the Reinsurer. b. RECAPTURE. ---------- If the Ceding Company increases its Maximum Dollar Retention Limits shown in Section 3 of Schedule A, then it may, with 90 day's Written notice to the reinsurer, reduce or recapture the reinsurance in force subject to the following requirments: i. An in-force cession is not eligible for recapture until it has been reinsured for the minimum number of years shown in Section 7 of Schedule A. The effective date of the reduction in reinsurance will be the later of the first policy anniversary following the expiration of the 90-day notice period to recapture and the policy anniversary date when the required minimum number of years is attained. ii. On all policies eligible for recapture, reinsurance will be reduced by the amount necessary to increase the total insurance retained up to the new Maximum Dollar Retention Limits iii. If more than one policy per life is eligible for recapture, then any recapture must be effected beginning with the policy with the earliest issue date and continuing in chronological order according to the remaining policies' issue dates. iv. The Ceding Company may not rescind its election to recapture for policies becoming eligible at future anniversaries. v. Recapture of reinsurance will not be allowed on any policy for which the Ceding Company did not keep its Maximum Dollar Retention Limit at issue. The Ceding Company's Maximum Dollar Retention Limits are stated in Section 3 of Schedule A. vi. If any policy eligible for recapture is also eligible for recapture from other reinsurers, the reduction in the Reinsurer's reinsurance on that policy will be in proportion to the total amount of reinsurance on the life with all reinsurers. vii. Recapture will not be made on a basis that may result in any anti-selection against the Reinsurer. The Reinsurer maintains the discretion to determine when anti-selection has occurred. viii. Upon the effective date of recapture and again six months following the recapture, the Reinsurer will calculate a terminal accounting that will include a refund of unearned premiums and unpaid claims. The Reinsurer will not pay to the Ceding Company any 14 amount representing the reserve held on the business. Payment of amounts specified in the terminal accounting will be the Reinsurer's full and final payment to the Ceding Company. 18. ERROR AND OMISSION. ------------------- Any unintentional or accidental failure of the Ceding Company or the Reinsurer to comply with the terms of this Agreement which can be shown to be the result of an oversight, misunderstanding or clerical error, will not be deemed a breach of this Agreement. Upon discovery, the error will be corrected so that both parties are restored to the position they would have occupied had the oversight, misunderstanding or clerical error not occurred. Should it not be possible to restore both parties to such a position, the Ceding Company and the Reinsurer will negotiate in good faith to equitably apportion any resulting liabilities and expenses. This Article applies only to oversights, misunderstandings or clerical errors relating to the administration of reinsurance covered by this Agreement. This provision does not apply to the administration of the insurance provided by the Ceding Company to its insured or any other errors or omissions committed by the Ceding Company with regard to the policy reinsured hereunder. 19. INSOLVENCY. ----------- In the event that the Ceding Company is deemed insolvent, all reinsurance death claims payable hereunder will be payable by the Reinsurer directly to the Ceding Company, its liquidator, receiver or statutory successor, without diminution because of the insolvency of the Ceding Company. It is understood, however, that in the event of such insolvency, the liquidator or receiver or statutory successor of the Ceding Company will give written notice to the Reinsurer of the pendency of a death claim against the Ceding Company on a risk reinsured hereunder within a reasonable time after such death or claim is filed in the insolvency proceeding. Such notice will indicate the policy reinsured and whether the death claim could involve a possible liability on the part of the Reinsurer. During the pendency of such death claim, the Reinsurer may investigate such death claim and interpose, at its owne xpense, in the proceeding where such death claim is to be adjudicated, any defense or defenses it may deem available to the Ceding Company, its liquidator, receiver or statutory successor. It is further understood that the expense thus incurred by the Reinsurer will be chargeable, subject to court approval, against the Ceding Company as part of the expense of liquidation to the extent of a proportionate share of the benefit which may accrue to the Ceding Company solely as a result of the defense undertaken by the Reinsurer. Where two or more reinsurers are participating in the same death claim and a majority in interest (determined with respect to shares of Net Amount at Risk) elects to interpose a defense or defenses to any such death claim, the expense will be apportioned among the reinsurers in the same proportion that the reinsurer's net liability bears to the sum of the net liability of all reinsurers on the insured's date of death. 20. ARBITRATION. ------------ a. GENERAL ------- Notwithstanding any other provision, all disputes and other matters in question between the parties, arising out of, or relating to this Agreement, will be submitted exclusively to arbitration upon the written request of either party. The disputes and matters subject to arbitration include, but are not limited to disputes upon or after termination of this Agreement, and issues respecting the existence, scope and validity of this Agreement. The arbitrators are to seek efficiencies in time and expense. The arbitrators are not bound to comply strictly with the rules of evidence 15 The arbitration panel also has, for example, the authority to issue subpoenas to third parties compelling pre-hearing depositions, and for document production. The arbitrators will have the authority to interpret this Agreement and, in doing so, will consider the customs and practices of the life insurance and life reinsurance industries. The arbitrators will consider this Agreement an honorable engagement rather than merely a legal obligation, and they are relieved of all judicial formalities and may abstain from following the strict rules of law. b. NOTICE. ------- To initiate arbitration, one of the parties will notify the other, in writing, of its desire to arbitrate. The notice will state the nature of the dispute and the desired remedies. The party to which the notice is sent will respond to the notification in writing within 10 days of receipt of the notice. At that time, the responding party will state any additional dispute it may have regarding the subject of arbitration. c. PROCEDURE. ---------- Arbitration will be heard before a panel of three arbitrators. The arbitrators will be current or former executive officers of life insurance or life reinsurance companies other than either party or an affiliate of either party. Each party will appoint one arbitrator. Notice of the appointment of these arbitrators will be given by each party to the other party within 30 days of the date of mailing of the notification initiating the arbitration. These two arbitrators will, as soon as possible, but no longer that 45 days after the day of the mailing of the notification initiating the arbitration, then select the third arbitrator. In the event that either party should fail to choose an arbitrator within 30 days after the other party has given notice of its arbitrator appointment, the party which has already appointed an arbitrator may choose an additional arbitrator, and the two will, in turn, choose a third arbitrator before entering arbitration. If the two arbitrators are unable to agree upon the selection of a third arbitrator within 30 days following their appointment, each arbitrator will nominate three candidates within 10 days there after, two of whom the other will decline and the decision will be made by drawing lots. Once chosen, the three arbitrators will have the authority to decide all substantive and procedural issues by a majority vote. The arbitrators will operate in a fair but cost efficient manner. For example, the arbitrators are not bound by technical rules of evidence and may limit the use of depositions and discovery. The arbitratiion hearing will be held on the date fixed by the arbitrators at a location agreed upon by the parties. The arbitrators will issue a written decision from which there will be no appeal. Either party may reduce this decision to a judgment before any court that has jurisdiction of the subject of the arbitration. Each party will pay the fees of its own attorneys, the arbitrator appointed by that party, and all other expenses connected with the presentation of its own case. The two parties will share equally in the cost of the third arbitrator. The arbitration panel may, in its discretion, award attorneys' fees, costs, expert witness fees, expenses and interest, all as it deems appropriate to the prevailing party. 21. OFFSET. ------- All amounts due or otherwise accrued to any of the parties hereto or any of their parents, affiliates, or subsidiaries, whether by reason of premiums, losses, expenses, or otherwise, under this Agreement or any other contract heretofore or hereafter entered into, will at all times be fully subject to the right of 16 offset and only the net balance will be due and payable. The right of offset will not be affected or diminished because of the insolvency of either party. 22. GOOD FAITH: FINANCIAL SOLVENCY. ------------------------------- This Agreement is entered into in reliance on the utmost good faith of the parties including, for example, their warranties, representations and disclosures. It requires the continuing utmost good faith of the parties, their representatives, successors, and assigns. This includes a duty of full and fair disclosure of all information respecting the formation and continuation of this contract and the business reinsured hereunder. Each party represents and warrants to the other party that it is solvent on a statutory basis in all states in which it does business or is licensed. Each party agrees to promptly notify the other if it is subsequently financially impaired. In addition, the Ceding Company affirms that it has disclosed and will continue to disclose to the Reinsurer all matters material to this Agreement, such as its underwriting and policy issues (rules, philosophies, practices, and management personnel), its financial condition, studies and reports on the business reinsured, and any change in its ownership or control. The Reinsurer or its representatives have the right at any reasonable time to inspect the Ceding Company's records relating to this Agreement. 23. TREATMENT OF CONFIDENTIAL INFORMATION ------------------------------------- Except for the purpose of carrying out this Agreement and as required by law, the Reinsurer will not disclose or use any non-public personally identifiable customer or claimant information ("Customer/Claimant Information") provided by the Ceding Company to the Reinsurer, as such Customer/Claimant Information is defined by the Gramm-Leach-Bliley Act and related regulations. Such Customer/Claimant Information will be shared only with those entities with which the Reinsurer may, from time to time, contract in accordance with the fulfillment of the terms of this Agreement, including but not limited to the Reinsurer's retrocessionaires and the Reinsurer's affiliates. To the extent that Reinsurer contracts with a third party that obtains Customer/Claimant Information in order to provide services under this Agreement, the Reinsurer agrees to use its best effort to obtain contractual confidentiality protections to require the third party to hold the Customer/Claimant Information in strict confidence and not disclose it to any person unless required by law. The obligations of the Reinsurer set forth in this Article shall survive the termination of this Agreement. 24. TERM OF THIS AGREEMENT AND TERMINATION. --------------------------------------- The Ceding Company will maintain and continue the reinsurance provided in this Agreement as long as the policy to which it relates is in force or has not been fully recaptured. This Agreement may be terminated, without cause, for the acceptance of new reinsurance after 90 days written notice of termination by either party to the other. The Reinsurer will continue to accept reinsurance during this 90 day period. The Reinsurer's acceptance will be subject to both the terms of this Agreement and the Ceding Company's payment of applicable reinsurance premiums. In addition, this Agreement may be terminated immediately for the acceptance of new reinsurance by either party if one of the parties materially breaches this Agreement, or becomes insolvent or financially impaired. 25. MEDICAL INFORMATION BUREAU. --------------------------- The Reinsurer is required to strictly adhere to the Medical Information Bureau Rules, and the Ceding Company agrees to abide by these Rules, as amended from time to time. The Ceding Company will not 17 submit a preliminary notice, application for reinsurance, or reinsurance cession to the Reinsurer unless the Ceding Company has an authentic, signed preliminary or regular application for insurance in its home office and the current required Medical Information Bureau authorization. 26. SEVERABILITY. ------------- In the event that any court, arbitrator, or administrative agency determines any provision or term of this Agreement to be invalid, illegal or unenforceable, all of the other terms and provisions of this Agreement will remain in full force and effect to the extent that their continuance is practicable and consistent with the original intent of the parties. However, in the event this Article is exercised and the Agreement no longer reflect the original intent of the parties, the parties agree to attempt to renegotiate this Agreement in good faith to carry out its original intent. 27. SURVIVAL. --------- All provisions of this Agreement will survive its termination to the extent necessary to carry out the purpose of this Agreement or to ascertain and enforce the parties' rights or obligations hereunder existing at the time of termination. 28. NON-WAIVER. ----------- No waiver by either party of any violation or default by the other party in the performance of any promise, term or condition of this Agreement will be construed to be a waiver by such party of any other or subsequent default in performance of the same or any other promise, term or condition of this Agreement. No prior transactions or dealings between the parties will be deemed to establish any custom or usage waiving or modifying any provision hereof. The failure of either party to enforce any part of this Agreement will not constitute a waiver by such party of its right to do so, nor will it be deemed to be an act of ratification or consent. 18 SCHEDULE A COVERAGE AND LIMITS 1. PLANS REINSURED: The policy plans and supplemental benefits eligible for automatic and facultative reinsurance coverage are:
Plans Plan Codes MEMBERS Level Premium Term Series 10 03-15YTG MEMBERS Level Premium Term Series 15 03-15YTG MEMBERS Level Premium Term Series 20 03-20YTG MEMBERS Level Premium Term Series 30 03-30YTG Other Insured Rider - 10 03OIR10YG Other Insured Rider - 15 03OIR15YG Other Insured Rider - 20 03OIR20YG Other Insured Rider - 30 03OIR30YG
2. REINSURANCE AMOUNT: a. Automatic Reinsurance: ---------------------- For Net Amounts at Risk less than $100,000, the Ceding Company will retain 100.0% of the Net Amount at Risk, as defined in Section 8 of Schedule A, per life on a policy reinsured hereunder. For Net Amounts at Risk greater than or equal to $100,000, the Ceding Company will retain 20.0% of the Net Amount at Risk, as defined in Section 8 of Schedule A, per life on a policy reinsured hereunder, up to the Ceding Company's Maximum Dollar Retention Limits as shown in Section 3 of Schedule A; with the remaining amount to be ceded to the pool. The Reinsurer will reinsure 50.0% of the ceded Net Amount at Risk, subject to the Reinsurer's Automatic Acceptance Limits in Section 4 of Schedule A. b. Facultative Reinsurance. ------------------------ The Ceding Company's amount and the Reinsurer's amount of the Net Amount at Risk will be determined on a case-by-case basis for facultative cessions. 3. CEDING COMPANY'S MAXIMUM DOLLAR RETENTION LIMITS:
Issue Ages Tables A-P 0-69 $1,000,000 70+ $ 500,000
19 SCHEDULE A, CONTINUED 4. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS: On each life, the amount automatically reinsured under all agreements with the Reinsurer must not exceed the following:
Issue Ages Underwriting Classifications 4 times the Ceding Company's Maximum Dollar Retention Limits, as All shown above in Section 3 of this Schedule A, subject to a $4,000,000 maximum.
5. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT: $10,000,000 6. NET COINSURANCE PREMIUM DUE: Net coinsurance premiums are due annually in advance. These premiums are due on the issue date and each subsequent policy anniversary. 7. RECAPTURE PERIOD: Recapture is only allowed in accordance with Article 17.b of this Agreement. In accordance with Article 17.b, the Ceding Company may recapture existing business up to its new Maximum Dollar Retention Limits for business that has been in effect for 10 years or for the length of the level term period of the reinsured product, whichever occurs later. 8. NET AMOUNT AT RISK: For purposes of this Agreement, the Net Amount at Risk for a policy is the policy face amount. For purpose of this Agreement, the Reinsurer's Net Amount at Risk for a policy is the Reinsurer's amount, as determined in Section 2 of Schedule A, of the Net Amount at Risk. 9. RESERVES: The Reinsurer will hold reinsurance reserves in accordance with all applicable laws and regulations that the Reinsurer deems controlling. 10. ADDITIONAL UNDERWRITING REQUIREMENTS: The following requirements apply to business reinsured under this Agreement. These requirements are in addition to the conventional underwriting and issue practices described in Article 3.a. of this Agreement. 20 SCHEDULE A, CONTINUED BLOOD PROFILE LIMITS: Where permitted by law, a blood profile including an HIV test is required according to the age and amount conditions described below. When the HIV is not permitted, a T-Cell ratio.
Issue Age Applied For Amount 0-15 NA 16+ $100,000
21 SCHEDULE B NET COINSURANCE PREMIUMS ------------------------ 1. AUTOMATIC NET COINSURANCE PREMIUMS - LIFE: a. Net Coinsurance premiums pursuant to Article 7.c. are determined using the following: the standard annual coinsurance premiums per $1000 reinsured are the CUNA Mutual Life Insurance Company 2003 Members 10, 15, 20 & 30 Year Level Term Premium Rates attached to this Schedule B as Schedule B -- I. The first year coinsurance allowance is 100%. Renewal years coinsurance allowances are:
Band Preferred Preferred Standard Preferred Standard Plus NT NT NT Tobacco Tobacco 10YT $100-249 20% 13% 23% 23% 22% $250-499 12% 5% 20% 23% 23% $500+ 9% 4% 20% 24% 25% 15YT $100-249 12% 4% 14% 19% 17% $250-499 5% 0% 12% 19% 18% $500+ 4% 0% 13% 21% 21% 20YT $100-249 23% 18% 28% 30% 27% $250-499 15% 11% 24% 28% 27% $500+ 11% 7% 23% 28% 27% 30YT $100-249 26% 27% 39% 33% 36% $250-499 20% 22% 35% 33% 35% $500+ 14% 17% 33% 33% 35%
b. Table rated substandard coinsurance premiums are the appropriate multiple of the standard coinsurance premiums (25% per table). c. Flat Extra coinsurance premiums are the policy owner premiums less the following allowances:
Permanent flat extra premiums (for more than 5 years duration) First Year 75% Renewal Year 10% Temporary flat extra premiums (for 5 years or less duration) All Years 10%
2. AUTOMATIC NET COINSURANCE PREMIUMS - SUPPLEMENTAL BENEFITS LIFE: For The Other Insured Rider, net Coinsurance premiums pursuant to Article 7.c. Level are determined using the following: the standard annual coinsurance premiums per $1000 reinsured are the CUNA Mutual Life Insurance Company 2003 Members 10, 15, 20 & 30 Year Term Premium Rates attached to this Schedule B as Schedule B -- I. The first year coinsurance allowance is 100%. Renewal years coinsurance allowances are: 22 SCHEDULE B, CONTINUED
Band Preferred Preferred Standard Preferred Standard Plus NT NT NT Tobacco Tobacco 10YT $100-249 20% 13% 23% 23% 22% $250-499 12% 5% 20% 23% 23% $500+ 9% 4% 20% 24% 25% 15YT $100-249 12% 4% 14% 19% 17% $250-499 5% 0% 12% 19% 18% $500+ 4% 0% 13% 21% 21% 20YT $100-249 23% 18% 28% 30% 27% $250-499 15% 11% 24% 28% 27% $500+ 11% 7% 23% 28% 27% 30YT $100-249 26% 27% 39% 33% 36% $250-499 20% 22% 35% 33% 35% $500+ 14% 17% 33% 33% 35%
3. AGE BASIS: Age Last Birthday 4. RATES AFTER EXERCISEE OF TERM CONVERSION OPTION: Annual reinsurance premiums following term conversions are the Security Life Reinsurance Rates For After Conversion attached to this Schedule B as Schedule B--II. Converted policies will be reinsured on a YRT basis and the reinsurance rates will be based on the original issue age, duration since issuance of the policy and the original underwriting classification. 23 SCHEDULE B-I NET COINSURANCE PREMIUMS ------------------------ Standard Annual Coinsurance Premiums ------------------------------------ CUNA Mutual Life Insurance Company 2003 Members 10,15,20,& 30 Year Level Term Premium Rates. 24 CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000* MEMBERS Level - 10 2003 Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.66 0.79 1.01 1.40 1.86 16.25 0.57 0.70 0.88 1.17 1.56 26 0.66 0.79 1.01 1.41 1.87 26 0.57 0.70 0.88 1.18 1.58 27 0.66 0.79 1.02 1.42 1.89 27 0.57 0.70 0.88 1.19 1.59 28 0.67 0.80 1.02 1.43 1.90 28 0.58 0.71 0.89 1.21 1.61 29 0.67 0.80 1.03 1.44 1.92 29 0.58 0.71 0.89 1.22 1.62 30 0.67 0.80 1.03 1.45 1.93 30 0.58 0.71 0.89 1.23 1.64 31 0.67 0.80 1.03 1.46 1.95 31 0.58 0.71 0.89 1.24 1.65 32 0.66 0.79 1.03 1.47 1.96 32 0.58 0.70 0.88 1.25 1.66 33 0.66 0.79 1.03 1.49 1.99 33 0.58 0.70 0.88 1.26 1.67 34 0.66 0.80 1.04 1.53 2.04 34 0.59 0.70 0.89 1.28 1.71 35 0.68 0.82 1.08 1.60 2.14 35 0.61 0.72 0.92 1.34 1.78 36 0.71 0.86 1.14 1.71 2.29 36 0.64 0.76 0.97 1.43 1.90 37 0.76 0.92 1.22 1.85 2.47 37 0.69 0.81 0.10 1.55 2.06 38 0.81 0.99 1.32 2.01 2.69 38 0.74 0.87 1.12 1.69 2.24 39 0.86 1.07 1.42 2.19 2.92 39 0.78 0.93 1.20 1.83 2.42 40 0.92 1.14 1.52 2.37 3.17 40 0.83 0.98 1.28 1.97 2.60 41 0.97 1.21 1.62 2.56 3.42 41 0.87 1.02 1.34 2.09 2.76 42 1.03 1.28 1.72 2.75 3.68 42 0.90 1.06 1.40 2.21 2.91 43 1.08 1.35 1.83 2.96 3.96 43 0.93 1.10 1.46 2.34 3.07 44 1.15 1.44 1.95 3.19 4.27 44 0.97 1.14 1.53 2.47 3.24 45 1.23 1.54 2.09 3.44 4.61 45 1.02 1.20 1.61 2.62 3.44 46 1.32 1.65 2.25 3.71 4.98 46 1.08 1.27 1.71 2.79 3.66 47 1.42 1.78 2.42 3.99 5.36 47 1.14 1.35 1.82 2.96 3.90 48 1.53 1.92 2.60 4.30 5.78 48 1.21 1.44 1.93 3.15 4.15 49 1.65 2.07 2.81 4.64 6.25 49 1.29 1.54 2.06 3.36 4.43 50 1.79 2.24 3.04 5.03 6.77 50 1.37 1.64 2.20 3.58 4.73 51 1.94 2.42 3.29 5.45 7.34 51 1.45 1.74 2.34 3.81 5.04 52 2.10 2.61 3.55 5.90 7.94 52 1.54 1.85 2.48 4.04 5.35 53 2.27 2.82 3.84 6.39 8.60 53 1.63 1.96 2.64 4.30 5.69 54 2.47 3.06 4.17 6.94 9.34 54 1.73 2.09 2.82 4.59 6.08 55 2.69 3.33 4.55 7.56 10.19 55 1.86 2.24 3.03 4.93 6.54 56 2.93 3.62 4.96 8.23 11.11 56 2.01 2.42 3.28 5.32 7.07 57 3.18 3.93 5.39 8.92 12.08 57 2.17 2.61 3.55 5.75 7.66 58 3.46 4.27 5.87 9.70 13.16 58 2.36 2.82 3.84 6.23 8.31 59 3.79 4.67 6.42 10.61 14.42 59 2.56 3.06 4.17 6.74 9.02 60 4.19 5.14 7.09 11.68 15.92 60 2.78 3.31 4.53 7.31 9.80 61 4.62 5.66 7.81 12.87 17.59 61 3.00 3.57 4.89 7.89 10.61 62 4.62 6.20 8.58 14.15 19.38 62 3.23 3.82 5.26 8.49 11.44 63 5.61 6.83 9.45 15.60 21.41 63 3.48 4.11 5.66 9.15 12.36 64 6.25 7.58 10.51 17.30 23.77 64 3.79 4.46 6.15 9.92 13.42 65 7.04 8.53 11.83 19.32 26.57 65 4.17 4.90 6.77 10.84 14.68 66 8.22 9.96 13.82 22.22 30.56 66 4.74 5.58 7.70 12.16 16.47 67 9.40 11.40 15.81 25.12 34.54 67 5.32 6.25 8.64 13.48 18.26 68 10.59 12.83 17.79 28.01 38.53 68 5.89 6.93 9.57 14.81 20.05 69 11.77 14.27 19.78 30.91 42.51 69 6.47 7.60 10.51 16.13 21.84 70 12.95 15.70 21.77 33.81 46.50 70 7.04 8.28 11.44 17.45 23.63
* Add $50.00 policy fee OIR rates for ages 0-15 equal age 16 non-tobacco rates. CUNA Mutual Life Insurance Company Guaranteed Level Premium per $1,000* MEMBERS Level - 10 2003 Band 3: $250,000-$449,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============== ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== 16-25 0.46 0.59 0.81 1.20 1.66 16-25 0.37 0.50 0.68 0.97 1.36 26 0.46 0.59 0.81 1.21 1.67 26 0.37 0.50 0.68 0.98 1.38 27 0.46 0.59 0.82 1.22 1.69 27 0.37 0.50 0.68 0.99 1.39 28 0.47 0.60 0.82 1.23 1.70 28 0.38 0.51 0.69 1.01 1.41 29 0.47 0.60 0.83 1.24 1.72 29 0.38 0.51 0.69 1.02 1.42 30 0.47 0.60 0.83 1.25 1.73 30 0.38 0.51 0.69 1.03 1.44 31 0.47 0.60 0.83 1.26 1.75 31 0.38 0.51 0.69 1.04 1.45 32 0.46 0.59 0.83 1.27 1.77 32 0.38 0.50 0.69 1.05 1.46 33 0.46 0.59 0.83 1.29 1.79 33 0.38 0.50 0.68 1.06 1.47 34 0.46 0.60 0.85 1.33 1.84 34 0.39 0.50 0.69 1.09 1.51 35 0.48 0.62 0.88 1.40 1.94 35 0.41 0.52 0.72 1.14 1.58 36 0.51 0.66 0.94 1.51 2.08 36 0.44 0.55 0.77 1.23 1.70 37 0.55 0.71 1.01 1.64 2.26 37 0.48 0.60 0.83 1.34 1.85 38 0.60 0.78 1.10 1.80 2.48 38 0.52 0.65 0.91 1.47 2.02 39 0.65 0.85 1.20 1.97 2.71 39 0.57 0.71 0.99 1.61 2.20 40 0.71 0.92 1.30 2.15 2.95 40 0.61 0.76 1.06 1.74 2.37 41 0.76 0.99 1.40 2.34 3.20 41 0.65 0.81 1.13 1.87 2.53 42 0.82 1.07 1.51 2.54 3.47 42 0.69 0.85 1.19 1.99 2.69 43 0.88 1.15 1.62 2.75 3.76 43 0.73 0.89 1.25 2.12 2.86 44 0.95 1.24 1.75 2.99 4.07 44 0.77 0.94 1.33 2.27 3.04 45 1.03 1.34 1.89 3.24 4.41 45 0.82 1.00 1.41 2.42 3.24 46 1.12 1.45 2.05 3.51 4.77 46 0.88 1.07 1.51 2.59 3.46 47 1.22 1.57 2.21 3.79 5.15 47 0.94 1.15 1.61 2.76 3.70 48 1.32 1.70 2.40 4.10 5.57 48 1.01 1.23 1.73 2.95 3.95 49 1.44 1.85 2.60 4.43 6.03 49 1.09 1.32 1.85 3.15 4.22 50 1.58 2.02 2.83 4.82 6.55 50 1.17 1.42 1.99 3.37 4.52 51 1.73 2.20 3.08 5.24 7.12 51 1.25 1.52 2.13 3.60 4.83 52 1.89 2.40 3.35 5.69 7.72 52 1.34 1.63 2.28 3.84 5.14 53 2.07 2.62 3.64 6.18 8.39 53 1.43 1.75 2.43 4.09 5.48 54 2.26 2.86 3.97 6.74 9.14 54 1.54 1.88 2.62 4.39 5.88 55 2.49 3.13 4.35 7.36 9.99 55 1.67 2.04 2.83 4.73 6.34 56 2.73 3.42 4.75 8.02 10.91 56 1.82 2.22 3.07 5.12 6.87 57 2.98 3.72 5.18 8.72 11.87 57 1.98 2.41 3.34 5.55 7.46 58 3.26 4.06 5.65 9.50 12.95 58 2.16 2.62 3.64 6.02 8.10 59 3.59 4.46 6.21 10.40 14.20 59 2.36 2.85 3.96 6.53 8.81 60 3.99 4.93 6.87 11.47 15.70 60 2.58 3.10 4.32 7.10 9.59 61 4.43 5.45 7.60 12.67 17.37 61 2.81 3.36 4.68 7.69 10.40 62 4.89 6.00 8.37 13.95 19.17 62 3.04 3.62 5.06 8.29 11.24 63 5.43 6.63 9.26 15.41 21.21 63 3.29 3.92 5.47 8.96 12.16 64 6.06 7.39 10.32 17.11 23.57 64 3.60 4.27 5.96 9.72 13.22 65 6.84 8.33 11.63 19.12 26.37 65 3.97 4.70 6.57 10.64 14.48 66 7.99 9.73 13.53 21.99 30.33 66 4.52 5.35 7.48 11.94 16.25 67 9.14 11.13 15.54 24.86 34.28 67 5.07 6.00 8.38 13.24 18.01 68 10.29 12.53 17.49 27.72 38.24 68 5.61 6.64 9.29 14.53 19.78 69 11.44 13.93 19.45 30.59 42.19 69 6.16 7.29 10.19 15.83 21.54 70 12.59 15.33 21.40 33.46 46.15 70 6.71 7.94 11.10 17.13 23.31
* add $50.00 policy fee. CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000* MEMBERS Level - 10 2003 Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============== ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== 16-25 0.36 0.49 0.71 1.10 1.56 16-25 0.27 0.40 0.58 0.87 1.26 26 0.36 0.49 0.71 1.11 1.57 26 0.27 0.40 0.58 0.88 1.28 27 0.36 0.49 0.72 1.12 1.59 27 0.27 0.40 0.58 0.89 1.29 28 0.37 0.50 0.72 1.13 1.60 28 0.28 0.41 0.59 0.91 1.31 29 0.37 0.50 0.73 1.14 1.62 29 0.28 0.41 0.59 0.92 1.32 30 0.37 0.50 0.73 1.15 1.63 30 0.28 0.41 0.59 0.93 1.34 31 0.37 0.50 0.73 1.16 1.65 31 0.28 0.41 0.59 0.94 1.35 32 0.36 0.49 0.73 1.17 1.67 32 0.28 0.40 0.59 0.95 1.36 33 0.36 0.49 0.73 1.19 1.69 33 0.29 0.40 0.59 0.96 1.38 34 0.36 0.50 0.75 1.23 1.75 34 0.29 0.40 0.60 0.99 1.41 35 0.38 0.52 0.78 1.30 1.84 35 0.31 0.42 0.62 1.04 1.48 36 0.41 0.56 0.84 1.40 1.98 36 0.34 0.45 0.66 1.13 1.59 37 0.45 0.61 0.91 1.54 2.16 37 0.37 0.49 0.72 1.24 1.74 38 0.49 0.67 1.00 1.69 2.37 38 0.41 0.44 0.79 1.36 1.91 39 0.55 0.74 1.09 1.86 2.60 39 0.46 0.59 0.87 1.50 2.09 40 0.60 0.81 1.19 2.04 2.84 40 0.50 0.64 0.94 1.63 2.26 41 0.66 0.88 1.29 2.23 3.09 41 0.54 0.69 1.01 1.76 2.42 42 0.71 0.96 1.40 2.43 3.36 42 0.58 0.73 1.07 1.89 2.59 43 0.78 1.04 1.52 2.65 3.65 43 0.63 0.78 1.15 2.02 2.76 44 0.85 1.14 1.65 2.88 3.97 44 0.68 0.84 1.22 2.16 2.94 45 0.93 1.24 1.79 3.14 4.31 45 0.73 0.90 1.31 2.32 3.14 46 1.02 1.35 1.95 3.41 4.67 46 0.79 0.97 1.41 2.49 3.36 47 1.12 1.47 2.11 3.69 5.06 47 0.85 1.05 1.51 2.66 3.59 48 1.22 1.60 2.29 3.99 5.47 48 0.91 1.13 1.62 2.85 3.84 49 1.34 1.74 2.49 4.33 5.39 49 0.98 1.22 1.74 3.05 4.11 50 1.48 1.91 2.72 4.71 6.45 50 1.06 1.32 1.88 3.27 4.41 51 1.63 2.09 2.97 5.13 7.02 51 1.14 1.42 2.02 3.50 4.72 52 1.79 2.29 3.24 5.59 7.62 52 1.23 1.53 2.17 3.74 5.03 53 1.97 2.51 3.54 6.08 8.29 53 1.33 1.65 2.33 3.99 5.38 54 2.17 2.76 3.87 6.64 9.04 54 1.44 1.79 2.52 4.29 5.77 55 2.39 3.03 4.25 7.26 9.89 55 1.57 1.94 2.73 4.63 6.24 56 2.63 3.32 4.65 7.92 10.81 56 1.72 2.11 2.97 5.02 6.77 57 2.88 3.62 5.08 8.62 11.71 57 1.88 2.30 3.24 5.44 7.36 58 3.16 3.96 5.55 9.39 12.85 58 2.06 2.51 3.53 5.91 8.00 59 3.49 4.35 6.11 10.29 14.10 59 2.25 2.74 3.85 6.43 8.71 60 3.88 4.82 6.77 11.36 15.60 60 2.47 2.99 4.21 6.99 9.49 61 4.32 5.34 7.50 12.56 17.27 61 2.70 3.25 4.58 7.58 10.30 62 4.79 5.90 8.28 13.85 19.08 62 2.93 3.52 4.95 8.19 11.14 63 5.33 6.54 9.16 15.31 21.11 63 3.19 3.82 5.37 8.86 12.07 64 5.97 7.30 10.23 17.01 23.48 64 3.50 4.17 5.86 9.63 13.13 65 6.74 8.23 11.53 19.02 26.27 65 3.87 4.60 6.47 10.54 14.38 66 7.87 9.61 13.47 21.87 30.21 66 4.40 5.23 7.36 11.83 16.13 67 9.01 10.99 15.41 24.73 34.15 67 4.94 5.87 8.25 13.11 17.89 68 10.14 12.38 17.34 27.58 38.09 68 5.47 6.50 9.15 14.40 19.64 69 11.28 13.76 19.28 30.44 42.03 69 6.01 7.14 10.04 15.68 21.40 70 12.41 15.14 21.22 33.29 45.97 70 6.54 7.77 10.93 16.97 23.15
* add $50.00 policy fee. CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000* MEMBERS Level - 15 2003 Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============== ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== 16-25 0.72 0.87 1.08 1.56 2.02 16-25 0.63 0.76 0.95 1.29 1.68 26 0.72 0.87 1.09 1.58 2.05 26 0.63 0.76 0.96 1.31 1.71 27 0.72 0.88 1.10 1.60 2.08 27 0.64 0.77 0.96 1.33 1.74 28 0.73 0.88 1.11 1.63 2.12 28 0.64 0.77 0.97 1.36 1.76 29 0.73 0.89 1.12 1.65 2.15 29 0.65 0.78 0.97 1.38 1.79 30 0.73 0.89 1.13 1.67 2.18 30 0.65 0.78 0.98 1.40 1.82 31 0.73 0.89 1.14 1.70 2.23 31 0.65 0.78 0.98 1.43 1.85 32 0.73 0.89 1.15 1.74 2.28 32 0.65 0.78 0.98 1.45 1.89 33 0.73 0.89 1.16 1.78 2.34 33 0.65 0.78 0.99 1.48 1.92 34 0.74 0.90 1.19 1.84 2.42 34 0.66 0.78 1.00 1.52 1.98 35 0.76 0.93 1.23 1.93 2.54 35 0.67 0.80 1.03 1.58 2.06 36 0.80 0.98 1.30 2.05 2.69 36 0.70 0.83 1.08 1.66 2.17 37 0.85 1.03 1.38 2.19 2.87 37 0.73 0.87 1.14 1.76 2.29 38 0.91 1.10 1.48 2.36 3.07 38 0.77 0.92 1.21 1.87 2.44 39 0.97 1.18 1.58 2.55 3.31 39 0.81 0.97 1.29 2.00 2.61 40 1.04 1.27 1.70 2.77 3.59 40 0.86 1.03 1.37 2.14 2.79 41 1.11 1.37 1.82 3.02 3.92 41 0.91 1.09 1.45 2.30 3.00 42 1.19 1.47 1.95 3.31 4.30 42 0.96 1.15 1.54 2.48 3.24 43 1.28 1.58 2.10 3.62 4.70 43 1.02 1.21 1.63 2.67 3.50 44 1.37 1.70 2.25 3.94 5.12 44 1.08 1.28 1.72 2.87 3.75 45 1.47 1.83 2.42 4.26 5.54 45 1.15 1.36 1.83 3.06 4.00 46 1.57 1.95 2.59 4.55 5.91 46 1.21 1.44 1.94 3.23 4.21 47 1.67 2.07 2.77 4.81 6.25 47 1.28 1.51 2.05 3.38 4.39 48 1.78 2.20 2.96 5.10 6.62 48 1.35 1.59 2.17 3.54 4.58 49 1.91 2.36 3.19 5.45 7.07 49 1.43 1.69 2.31 3.74 4.82 50 2.08 2.57 3.46 5.90 7.66 50 1.53 1.81 2.41 4.00 5.15 51 2.27 2.79 3.77 6.46 8.40 51 1.64 1.95 2.65 4.33 5.57 52 2.48 3.05 4.11 7.09 9.24 52 1.77 2.09 2.85 4.71 6.07 53 2.72 3.34 4.50 7.80 10.19 53 1.91 2.26 3.06 5.13 6.62 54 3.00 3.68 4.94 8.57 11.22 54 2.07 2.45 3.31 5.59 7.21 55 3.32 4.07 5.46 9.42 12.33 55 2.26 2.68 3.61 6.06 7.82 56 3.68 4.51 6.03 10.31 13.49 56 2.47 2.93 3.94 6.53 8.43 57 4.07 4.98 6.66 11.24 14.69 57 2.70 3.19 4.29 7.00 9.04 58 4.51 5.50 7.35 12.26 16.00 58 2.95 3.48 4.68 7.51 9.70 59 5.01 6.11 8.14 13.39 17.47 59 3.26 3.83 5.14 8.10 10.45 60 5.59 6.80 9.05 14.69 19.14 60 3.63 4.26 5.68 8.81 11.34 61 6.38 7.75 10.29 16.42 21.36 61 4.18 4.88 6.44 9.82 12.58 62 7.17 8.70 11.53 18.14 23.59 62 4.72 5.50 7.21 10.84 13.82 63 7.97 9.65 12.78 19.87 25.81 63 5.27 6.13 7.97 11.85 15.07 64 8.76 10.60 14.02 21.59 28.04 64 5.81 6.75 8.74 12.87 16.31 65 9.55 11.55 15.26 23.32 30.26 65 6.36 7.37 9.50 13.88 17.55
* Add $50.00 policy fee OIR rates for ages 0-15 equal age 16 non-tobacco rates. CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 15 2003 Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.53 0.67 0.88 1.36 1.82 16-25 0.43 0.56 0.76 1.09 1.48 26 0.53 0.67 0.89 1.38 1.85 26 0.43 0.56 0.77 1.11 1.51 27 0.53 0.68 0.90 1.40 1.88 27 0.44 0.57 0.77 1.13 1.54 28 0.54 0.68 0.91 1.43 1.92 28 0.44 0.57 0.78 1.16 1.56 29 0.54 0.69 0.92 1.45 1.95 29 0.45 0.58 0.78 1.18 1.59 30 0.54 0.69 0.93 1.47 1.98 30 0.45 0.58 0.79 1.20 1.62 31 0.54 0.69 0.94 1.50 2.03 31 0.45 0.58 0.79 1.23 1.65 32 0.54 0.69 0.95 1.54 2.08 32 0.46 0.58 0.79 1.25 1.69 33 0.54 0.70 0.97 1.58 2.14 33 0.46 0.58 0.79 1.28 1.72 34 0.55 0.71 0.99 1.64 2.22 34 0.47 0.59 0.80 1.32 1.78 35 0.57 0.74 1.04 1.73 2.34 35 0.49 0.61 0.83 1.38 1.86 36 0.61 0.79 1.11 1.85 2.49 36 0.52 0.64 0.88 1.46 1.97 37 0.66 0.85 1.19 1.99 2.67 37 0.55 0.68 0.94 1.56 2.09 38 0.72 0.91 1.28 2.16 2.87 38 0.58 0.72 1.01 1.66 2.23 39 0.78 0.99 1.39 2.35 3.11 39 0.62 0.78 1.09 1.79 2.40 40 0.85 1.08 1.50 2.57 3.39 40 0.67 0.83 1.17 1.93 2.58 41 0.92 1.17 1.62 2.82 3.72 41 0.72 0.89 1.25 2.09 2.79 42 1.00 1.28 1.76 3.11 4.10 42 0.77 0.95 1.34 2.27 3.03 43 1.09 1.39 1.90 3.42 4.50 43 0.83 1.02 1.43 2.47 3.29 44 1.18 1.50 2.06 3.74 4.92 44 0.89 1.09 1.52 2.67 3.55 45 1.28 1.63 2.23 4.06 5.34 45 0.96 1.17 1.63 2.86 3.80 46 1.38 1.76 2.40 4.35 5.71 46 1.03 1.25 1.74 3.03 4.01 47 1.49 1.88 2.58 4.61 6.05 47 1.09 1.33 1.86 3.19 4.20 48 1.60 2.02 2.77 4.90 6.42 48 1.17 1.41 1.98 3.35 4.40 49 1.73 2.18 3.00 5.25 6.87 49 1.25 1.51 2.12 3.55 4.64 50 1.90 2.38 3.27 5.70 7.46 50 1.35 1.63 2.29 3.81 4.97 51 2.09 2.61 2.58 6.25 8.19 51 1.46 1.76 2.47 4.14 5.39 52 2.29 2.86 3.92 6.88 9.04 52 1.58 1.91 2.66 4.51 5.87 53 2.53 3.15 4.30 7.59 9.98 53 1.71 2.07 2.87 4.93 6.42 54 2.80 3.48 4.75 8.37 11.01 54 1.87 2.26 3.12 5.38 7.00 55 3.13 3.88 5.27 9.22 12.13 55 2.07 2.49 3.42 5.86 7.62 56 3.51 4.33 5.87 10.13 13.31 56 2.30 2.76 3.77 6.35 8.25 57 3.92 4.83 6.52 11.09 14.55 57 2.55 3.05 4.15 6.86 8.91 58 4.39 5.39 7.25 12.14 15.90 58 2.84 3.38 4.58 7.42 9.62 59 4.90 6.00 8.06 13.30 17.38 59 3.16 3.75 5.06 8.03 10.40 60 5.47 6.69 8.97 14.59 19.05 60 3.52 4.17 5.60 8.74 11.29 61 6.20 7.57 10.14 16.25 21.20 61 4.00 4.73 6.30 9.68 12.46 62 6.93 8.46 11.31 17.91 23.35 62 4.48 5.29 6.99 10.63 13.63 63 7.65 9.34 12.49 19.56 25.51 63 4.96 5.84 7.69 11.57 14.80 64 8.38 10.23 13.66 21.22 27.66 64 5.44 6.40 8.38 12.52 15.97 65 9.11 11.11 14.83 22.88 29.81 65 5.92 6.96 9.08 13.46 17.14
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 15 2003 Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.43 0.57 0.78 1.26 1.72 16-25 0.33 0.46 0.66 0.99 1.38 26 0.43 0.57 0.79 1.28 1.75 26 0.33 0.46 0.67 1.01 1.41 27 0.43 0.58 0.80 1.30 1.78 27 0.34 0.47 0.67 1.03 1.44 28 0.44 0.58 0.81 1.33 1.82 28 0.34 0.47 0.68 1.06 1.46 29 0.44 0.59 0.82 1.35 1.85 29 0.35 0.48 0.68 1.08 1.49 30 0.44 0.59 0.83 1.37 1.88 30 0.35 0.48 0.69 1.10 1.52 31 0.44 0.59 0.84 1.40 1.93 31 0.35 0.48 0.69 1.13 1.55 32 0.44 0.59 0.85 1.44 1.98 32 0.36 0.48 0.70 1.15 1.59 33 0.44 0.60 0.87 1.48 2.04 33 0.36 0.48 0.70 1.18 1.62 34 0.45 0.61 0.89 1.54 2.12 34 0.37 0.49 0.71 1.22 1.68 35 0.47 0.64 0.94 1.63 2.24 35 0.39 0.51 0.74 1.28 1.76 36 0.51 0.69 1.01 1.75 2.39 36 0.42 0.54 0.79 1.36 1.87 37 0.56 0.74 1.09 1.89 2.56 37 0.45 0.58 0.85 1.46 1.99 38 0.62 0.81 1.18 2.05 2.77 38 0.49 0.63 0.91 1.56 2.13 39 0.69 0.89 1.29 2.24 3.00 39 0.53 0.68 0.99 1.69 2.30 40 0.76 0.98 1.40 2.46 3.28 40 0.58 0.74 1.07 1.83 2.48 41 0.83 1.08 1.52 2.71 3.61 41 0.63 0.80 1.15 1.99 2.69 42 0.91 1.18 1.66 3.01 3.99 42 0.68 0.86 1.24 2.17 2.93 43 1.00 1.29 1.80 3.32 4.40 43 0.73 0.92 1.33 2.37 3.19 44 1.09 1.41 1.96 3.64 4.82 44 0.79 0.99 1.43 2.57 3.45 45 1.19 1.54 2.13 3.96 5.24 45 0.86 1.07 1.54 2.76 3.70 46 1.29 1.66 2.30 4.25 5.61 46 0.93 1.15 1.65 2.93 3.91 47 1.40 1.79 2.48 4.52 5.96 47 1.00 1.23 1.77 3.09 4.10 48 1.51 1.92 2.68 4.80 6.33 48 1.08 1.32 1.89 3.25 4.30 49 1.64 2.08 2.90 5.15 6.78 49 1.17 1.42 2.04 3.45 4.54 50 1.81 2.28 3.18 5.60 7.37 50 1.27 1.54 2.20 3.71 4.87 51 2.00 2.51 3.49 6.15 8.10 51 1.38 1.67 2.38 4.04 5.29 52 2.20 2.76 3.82 6.78 8.94 52 1.49 1.81 2.56 4.41 5.77 53 2.44 3.05 4.20 7.48 9.88 53 1.63 1.98 2.77 4.82 6.31 54 2.71 3.38 4.64 8.26 10.91 54 1.78 2.17 3.02 5.27 6.90 55 3.04 3.78 5.17 9.12 12.03 55 1.98 2.40 3.32 5.76 7.52 56 3.42 4.24 5.77 10.04 13.22 56 2.22 2.67 3.68 6.27 8.17 57 3.85 4.75 6.44 11.02 14.48 57 2.48 2.98 4.08 6.80 8.85 58 4.32 5.32 7.18 12.09 15.85 58 2.78 3.32 4.53 7.37 9.58 59 4.84 5.94 8.00 13.26 17.35 59 3.11 3.70 5.02 8.00 10.38 60 5.41 6.63 8.91 14.55 19.02 60 3.47 4.12 5.56 8.71 11.27 61 6.12 7.49 10.06 16.18 21.15 61 3.93 4.65 6.24 9.63 12.41 62 6.82 8.35 11.21 17.82 23.28 62 4.38 5.19 6.92 10.55 13.56 63 7.53 9.22 12.37 19.45 25.41 63 4.84 5.72 7.60 11.47 14.70 64 8.23 10.08 13.52 21.09 27.54 64 5.29 6.26 8.28 12.39 15.85 65 8.94 10.94 14.67 22.72 29.67 65 5.75 6.79 8.96 13.31 16.99
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 20 2003 Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.84 1.02 1.19 1.75 2.22 16-25 0.73 0.88 1.08 1.44 1.83 26 0.84 1.03 1.21 1.79 2.27 26 0.73 0.89 1.09 1.47 1.88 27 0.85 1.04 1.23 1.83 2.33 27 0.74 0.89 1.10 1.51 1.92 28 0.85 1.04 1.26 1.87 2.38 28 0.74 0.90 1.11 1.54 1.97 29 0.86 1.05 1.28 1.91 2.44 29 0.75 0.90 1.12 1.58 2.01 30 0.86 1.06 1.30 1.95 2.49 30 0.75 0.91 1.13 1.61 2.06 31 0.86 1.07 1.33 2.00 2.56 31 0.75 0.91 1.14 1.65 2.11 32 0.86 1.06 1.35 2.05 2.64 32 0.75 0.91 1.15 1.68 2.16 33 0.85 1.07 1.38 2.11 2.72 33 0.76 0.91 1.16 1.72 2.22 34 0.87 1.09 1.43 2.20 2.85 34 0.77 0.92 1.18 1.78 2.29 35 0.90 1.13 1.50 2.33 3.02 35 0.79 0.95 1.22 1.87 2.41 36 0.96 1.20 1.60 2.51 3.25 36 0.83 1.00 1.29 1.99 2.57 37 1.04 1.29 1.72 2.73 3.53 37 0.88 1.06 1.37 2.14 2.76 38 1.13 1.40 1.86 2.99 3.85 38 0.95 1.13 1.47 2.31 2.98 39 1.23 1.52 2.01 3.26 4.19 39 1.01 1.21 1.58 2.48 3.21 40 1.33 1.64 2.16 3.55 4.55 40 1.07 1.28 1.68 2.66 3.44 41 1.43 1.76 2.31 3.85 4.92 41 1.12 1.35 1.77 2.83 3.66 42 1.53 1.88 2.45 4.16 5.30 42 1.17 1.41 1.87 3.00 3.89 43 1.64 2.01 2.61 4.50 5.71 43 1.23 1.47 1.96 3.18 4.13 44 1.77 2.16 2.80 4.86 6.17 44 1.29 1.55 2.07 3.37 4.39 45 1.91 2.34 3.02 5.27 6.68 45 1.37 1.65 2.21 3.60 4.68 46 2.07 2.54 3.28 5.71 7.25 46 1.47 1.77 2.37 3.85 5.00 47 2.25 2.75 3.56 6.18 7.85 47 1.58 1.89 2.54 4.13 5.34 48 2.44 2.99 3.88 6.69 8.51 48 1.71 2.04 2.73 4.43 5.72 49 2.66 3.25 4.22 7.25 9.23 49 1.85 2.20 2.95 4.76 6.12 50 2.90 3.54 4.61 7.86 10.02 50 2.00 2.37 3.18 5.12 6.57 51 3.15 3.84 5.01 8.50 10.85 51 2.15 2.55 3.42 5.50 7.04 52 3.40 4.14 5.43 9.17 11.71 52 2.31 2.72 3.66 5.90 7.52 53 3.69 4.48 5.89 9.90 12.65 53 2.49 2.92 3.93 6.33 8.05 54 4.03 4.89 6.43 10.73 13.71 54 2.70 3.16 4.25 6.84 8.66 55 4.44 5.38 7.08 11.70 14.95 55 2.97 3.47 4.65 7.43 9.39 56 5.05 6.11 8.02 13.04 16.64 56 3.38 3.95 5.26 8.27 10.43 57 5.66 6.84 8.96 14.38 18.33 57 3.79 4.42 5.86 9.10 11.47 58 6.27 7.56 9.91 15.73 20.03 58 4.21 4.90 6.47 9.94 12.50 59 6.88 8.29 10.85 17.07 21.72 59 4.62 5.37 7.07 10.77 13.54 60 7.49 9.02 11.79 18.41 23.41 60 5.03 5.85 7.68 11.61 14.58
* Add $50.00 policy fee OIR rates for ages 0-15 equal age 16 non-tobacco rates. CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 20 2003 Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.64 0.82 1.01 1.55 2.02 16-25 0.54 0.68 0.90 1.24 1.63 26 0.65 0.83 1.03 1.59 2.07 26 0.55 0.69 0.91 1.27 1.68 27 0.65 0.84 1.05 1.63 2.13 27 0.55 0.69 0.92 1.31 1.72 28 0.66 0.84 1.08 1.67 2.18 28 0.56 0.70 0.93 1.34 1.77 29 0.66 0.85 1.10 1.71 2.24 29 0.56 0.70 0.94 1.38 1.81 30 0.67 0.86 1.12 1.75 2.29 30 0.57 0.71 0.95 1.41 1.86 31 0.67 0.87 1.15 1.80 2.36 31 0.58 0.71 0.96 1.45 1.91 32 0.67 0.87 1.17 1.85 2.44 32 0.58 0.72 0.97 1.48 1.96 33 0.67 0.88 1.20 1.91 2.52 33 0.58 0.72 0.98 1.53 2.02 34 0.69 0.91 1.25 2.00 2.65 34 0.60 0.73 1.00 1.58 2.10 35 0.72 0.95 1.32 2.13 2.82 35 0.62 0.76 1.04 1.67 2.21 36 0.78 1.02 1.41 2.31 3.05 36 0.66 0.81 1.10 1.79 2.36 37 0.85 1.11 1.53 2.52 3.32 37 0.71 0.87 1.19 1.93 2.55 38 0.93 1.21 1.66 2.76 3.63 38 0.76 0.93 1.28 2.09 2.76 39 1.03 1.32 1.80 3.03 3.97 39 0.82 1.01 1.38 2.26 2.98 40 1.13 1.44 1.95 3.32 4.33 40 0.88 1.08 1.48 2.43 3.21 41 1.23 1.56 2.10 3.62 4.70 41 0.94 1.15 1.58 2.60 3.44 42 1.34 1.69 2.25 3.94 5.09 42 0.99 1.22 1.67 2.78 3.67 43 1.46 1.82 2.42 4.28 5.51 43 1.05 1.29 1.78 2.96 3.92 44 1.59 1.97 2.61 4.66 5.96 44 1.12 1.37 1.89 3.17 4.18 45 1.74 2.15 2.84 5.07 6.48 45 1.20 1.47 2.03 3.40 4.48 46 1.90 2.35 3.10 5.51 7.04 46 1.30 1.58 2.19 3.65 4.80 47 2.07 2.56 3.37 5.98 7.65 47 1.40 1.71 2.36 3.93 5.14 48 2.26 2.79 3.68 6.48 8.30 48 1.52 1.85 2.54 4.22 5.51 49 2.47 3.05 4.03 7.03 9.01 49 1.66 2.01 2.75 4.55 5.91 50 2.71 3.34 4.41 7.64 9.80 50 1.81 2.18 2.98 4.91 6.36 51 2.96 3.64 4.81 8.28 10.63 51 1.97 2.36 3.22 5.29 6.83 52 3.22 3.95 5.23 8.95 11.49 52 2.12 2.54 3.46 5.69 7.30 53 3.51 4.29 5.69 9.68 12.43 53 2.30 2.74 3.73 6.12 7.83 54 3.85 4.70 6.24 10.52 13.50 54 2.52 2.98 4.06 6.63 8.45 55 4.27 5.20 6.90 11.50 14.75 55 2.80 3.30 4.47 7.23 9.19 56 4.89 5.94 7.86 12.86 16.46 56 3.23 3.79 5.10 8.08 10.25 57 5.51 6.68 8.82 14.23 18.18 57 3.65 4.28 5.72 8.94 11.31 58 6.13 7.43 9.77 15.59 19.89 58 4.08 4.76 6.35 9.79 12.38 59 6.75 8.17 10.73 16.96 21.61 59 4.50 5.25 6.97 10.65 13.44 60 7.37 8.91 11.69 18.32 23.32 60 4.93 5.74 7.60 11.50 14.50
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 20 2003 Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.55 0.72 0.92 1.45 1.92 16-25 0.44 0.58 0.81 1.14 1.53 26 0.56 0.73 0.94 1.49 1.97 26 0.45 0.59 0.82 1.17 1.58 27 0.56 0.74 0.96 1.53 2.03 27 0.46 0.60 0.83 1.21 1.62 28 0.57 0.74 0.99 1.57 2.08 28 0.46 0.60 0.84 1.24 1.67 29 0.57 0.75 1.01 1.61 2.14 29 0.47 0.61 0.85 1.28 1.71 30 0.58 0.76 1.03 1.65 2.19 30 0.48 0.62 0.86 1.31 1.76 31 0.58 0.77 1.06 1.70 2.26 31 0.49 0.63 0.87 1.35 1.81 32 0.59 0.77 1.08 1.75 2.34 32 0.49 0.63 0.88 1.38 1.86 33 0.59 0.78 1.12 1.81 2.43 33 0.50 0.63 0.89 1.43 1.92 34 0.61 0.81 1.16 1.90 2.55 34 0.51 0.64 0.91 1.49 2.00 35 0.64 0.85 1.23 2.03 2.72 35 0.53 0.67 0.95 1.57 2.11 36 0.69 0.92 1.32 2.21 2.95 36 0.57 0.71 1.01 1.68 2.26 37 0.76 1.01 1.43 2.42 3.22 37 0.61 0.77 1.09 1.82 2.45 38 0.84 1.11 1.56 2.66 3.53 38 0.66 0.84 1.18 1.98 2.65 39 0.93 1.22 1.70 2.92 3.86 39 0.72 0.91 1.28 2.15 2.87 40 1.03 1.34 1.85 3.21 4.22 40 0.78 0.98 1.38 2.32 3.10 41 1.13 1.46 2.00 3.51 4.59 41 0.84 1.05 1.48 2.49 3.33 42 1.24 1.59 2.16 3.83 4.98 42 0.89 1.12 1.58 2.67 3.56 43 1.37 1.73 2.33 4.18 5.40 43 0.95 1.19 1.68 2.86 3.81 44 1.50 1.88 2.52 4.56 5.86 44 1.02 1.28 1.80 3.07 4.08 45 1.65 2.06 2.75 4.97 6.38 45 1.11 1.38 1.94 3.30 4.38 46 1.81 2.26 3.00 5.41 6.94 46 1.21 1.50 2.10 3.56 4.70 47 1.98 2.47 3.28 5.87 7.54 47 1.32 1.62 2.27 3.83 5.04 48 2.17 2.70 3.59 6.37 8.19 48 1.43 1.76 2.45 4.12 5.41 49 2.38 2.95 3.93 6.92 8.90 49 1.57 1.92 2.66 4.45 5.81 50 2.62 3.24 4.31 7.53 9.69 50 1.72 2.09 2.89 4.81 6.26 51 2.87 3.54 4.71 8.17 10.52 51 1.88 2.27 3.13 5.19 6.72 52 3.13 3.85 5.13 8.84 11.38 52 2.04 2.44 3.37 5.58 7.20 53 3.41 4.19 5.60 9.57 12.32 53 2.22 2.64 3.63 6.02 7.73 54 3.76 4.61 6.15 10.41 13.40 54 2.44 2.89 3.96 6.52 8.35 55 4.18 5.11 6.81 11.40 14.65 55 2.72 3.21 4.38 7.13 9.09 56 4.81 5.86 7.77 12.77 16.38 56 3.15 3.71 5.02 8.00 10.17 57 5.44 6.61 8.73 14.15 18.10 57 3.58 4.20 5.66 8.87 11.24 58 6.06 7.35 9.70 15.52 19.83 58 4.01 4.70 6.30 9.73 12.32 59 6.69 8.10 10.66 16.90 21.55 59 4.44 5.19 6.94 10.60 13.39 60 7.32 8.85 11.62 18.27 23.28 60 4.87 5.69 7.58 11.47 14.47
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 30 2003 Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 1.30 1.66 2.04 2.56 3.42 16-25 1.04 1.33 1.74 1.96 2.65 26 1.32 1.68 2.09 2.64 3.53 26 1.05 1.33 1.76 2.00 2.71 27 1.34 1.71 2.14 2.72 3.64 27 1.06 1.34 1.77 2.04 2.77 28 1.36 1.73 2.18 2.80 3.74 28 1.07 1.34 1.79 2.08 2.84 29 1.38 1.76 2.23 2.88 3.85 29 1.08 1.35 1.80 2.12 2.90 30 1.40 1.78 2.28 2.96 3.96 30 1.09 1.35 1.82 2.16 2.96 31 1.42 1.80 2.34 3.06 4.10 31 1.10 1.35 1.83 2.20 3.03 32 1.44 1.82 2.40 3.16 4.24 32 1.10 1.33 1.83 2.23 3.09 33 1.46 1.84 2.47 3.28 4.40 33 1.11 1.33 1.84 2.27 3.16 34 1.50 1.89 2.57 3.45 4.62 34 1.13 1.34 1.87 2.35 3.27 35 1.57 1.98 2.71 3.68 4.92 35 1.17 1.38 1.94 2.47 3.45 36 1.68 2.12 2.90 3.99 5.32 36 1.24 1.46 2.06 2.65 3.70 37 1.81 2.29 3.13 4.35 5.80 37 1.32 1.57 2.21 2.88 4.00 38 1.97 2.49 3.39 4.77 6.33 38 1.42 1.70 2.38 3.14 4.34 39 2.14 2.71 3.67 5.22 6.91 39 1.53 1.84 2.57 3.43 4.72 40 2.31 2.93 3.95 5.70 7.52 40 1.64 1.99 2.77 3.73 5.11 41 2.51 3.19 4.27 41 1.76 2.16 2.99 42 2.71 3.45 4.59 42 1.89 2.33 3.22 43 2.92 3.70 4.91 43 2.01 2.49 3.44 44 3.12 3.96 5.23 44 2.14 2.66 3.67 45 3.32 4.22 5.55 45 2.26 2.83 3.89
* Add $50.00 policy fee OIR rates for ages 0-15 equal age 16 non-tobacco rates. CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 30 2003 Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 1.07 1.43 1.79 2.43 3.22 16-25 0.81 1.10 1.60 1.81 2.61 26 1.09 1.45 1.83 2.51 3.32 26 0.82 1.11 1.61 1.85 2.66 27 1.11 1.48 1.87 2.59 3.42 27 0.84 1.12 1.62 1.89 2.71 28 1.14 1.50 1.92 2.68 3.51 28 0.85 1.12 1.62 1.94 2.76 29 1.16 1.53 1.96 2.76 3.61 29 0.87 1.13 1.63 1.98 2.81 30 1.18 1.55 2.00 2.84 3.71 30 0.88 1.14 1.64 2.02 2.86 31 1.21 1.57 2.05 2.95 3.83 31 0.89 1.14 1.64 2.06 2.91 32 1.23 1.59 2.10 3.05 3.95 32 0.90 1.13 1.62 2.10 2.94 33 1.26 1.62 2.16 3.18 4.09 33 0.92 1.13 1.61 2.14 2.99 34 1.30 1.67 2.24 3.34 4.28 34 0.95 1.15 1.63 2.22 3.08 35 1.38 1.76 2.37 3.58 4.57 35 0.99 1.19 1.69 2.34 3.24 36 1.49 1.89 2.55 3.89 4.96 36 1.06 1.27 1.80 2.52 3.48 37 1.63 2.06 2.76 4.25 5.42 37 1.14 1.37 1.94 2.74 3.78 38 1.78 2.26 3.01 4.67 5.95 38 1.23 1.50 2.12 3.00 4.12 39 1.96 2.47 3.28 5.12 6.52 39 1.33 1.63 2.31 3.28 4.50 40 2.14 2.69 3.56 5.60 7.13 40 1.44 1.77 2.50 3.58 4.89 41 2.36 2.95 3.89 41 1.56 1.93 2.73 42 2.58 3.22 4.22 42 1.68 2.10 2.95 43 2.80 3.48 4.56 43 1.80 2.26 3.18 44 3.02 3.75 4.89 44 1.92 2.43 3.40 45 3.24 4.01 5.22 45 2.04 2.59 3.63
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Level Premiums per $1,000 * MEMBERS Level - 30 2003 Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob ===== ==================== ============ ===== =================== ============= Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std ===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ==== 16-25 0.93 1.27 1.65 2.31 3.11 16-25 0.68 0.95 1.46 1.68 2.49 26 0.95 1.29 1.69 2.39 3.21 26 0.69 0.96 1.47 1.72 2.54 27 0.97 1.32 1.74 2.47 3.31 27 0.71 0.97 1.48 1.76 2.59 28 0.99 1.34 1.78 2.56 3.40 28 0.72 0.97 1.48 1.81 2.65 29 1.01 1.37 1.83 2.64 3.50 29 0.74 0.98 1.49 1.85 2.70 30 1.03 1.39 1.87 2.72 3.60 30 0.75 0.99 1.50 1.89 2.75 31 1.05 1.42 1.92 2.82 3.72 31 0.76 0.99 1.50 1.94 2.80 32 1.07 1.44 1.97 2.92 3.85 32 0.78 0.99 1.49 1.97 2.84 33 1.10 1.47 2.03 3.04 3.99 33 0.79 0.99 1.49 2.02 2.89 34 1.14 1.52 2.12 3.21 4.19 34 0.82 1.01 1.51 2.10 2.99 35 1.22 1.61 2.25 3.44 4.48 35 0.86 1.06 1.57 2.23 3.15 36 1.33 1.74 2.42 3.75 4.86 36 0.92 1.14 1.68 2.41 3.39 37 1.46 1.91 2.63 4.12 5.32 37 1.00 1.24 1.82 2.63 3.68 38 1.61 2.10 2.87 4.53 5.84 38 1.09 1.36 1.98 2.89 4.02 39 1.79 2.31 3.13 4.99 6.40 39 1.19 1.49 2.17 3.17 4.39 40 1.97 2.53 3.41 5.48 7.00 40 1.30 1.63 2.36 3.47 4.78 41 2.20 2.80 3.74 41 1.43 1.80 2.59 42 2.43 3.08 4.07 42 1.56 1.97 2.81 43 2.66 3.35 4.39 43 1.68 2.13 3.04 44 2.89 3.63 4.72 44 1.81 2.30 3.26 45 3.12 3.90 5.05 45 1.94 2.47 3.49
* Add $50.00 policy fee CUNA Mutual Life Insurance Company Guaranteed Annually Increasing Premiums per $1,000 MEMBERS Level 10/15/20/30 For Durations following Level Premium Period All Bands o All Classes
Current Male Male Female Female Current Male Male Female Female Age NonTob Tob NonTob Tob Age NonTob Tob NonTob Tob ======= ====== ==== ====== ====== ======= ====== ==== ====== ====== 10 1.20 1.09 50 8.21 16.00 6.94 10.83 11 1.30 1.12 51 8.96 17.49 7.47 11.62 12 1.47 1.17 52 9.82 19.17 8.08 12.51 13 1.71 1.23 53 10.82 21.07 8.75 13.50 14 1.98 1.31 54 11.92 23.15 9.44 14.51 15 2.27 1.39 55 13.15 25.38 10.18 15.55 16 2.54 1.47 56 14.50 27.73 10.91 16.58 17 2.75 1.54 57 15.92 30.21 11.63 17.54 18 2.91 1.60 58 17.50 32.82 12.35 18.48 19 3.01 1.65 59 19.28 35.62 13.17 19.49 20 2.69 1.62 60 21.26 38.74 14.13 20.69 21 2.66 1.65 61 23.47 42.26 15.31 22.19 22 2.61 1.66 62 26.02 46.22 16.78 24.13 23 2.54 1.70 63 28.90 50.66 18.59 26.48 24 2.48 1.73 64 32.10 55.50 20.62 29.10 25 2.40 1.76 65 35.60 60.64 22.82 31.87 26 2.35 3.31 1.81 2.18 66 39.39 66.02 25.09 34.69 27 2.32 3.28 1.84 2.24 67 43.46 71.58 27.41 37.41 28 2.30 3.28 1.89 2.32 68 47.87 77.42 29.81 40.30 29 2.30 3.33 1.95 2.42 69 52.77 83.76 32.48 43.30 30 2.32 3.41 2.00 2.53 70 58.30 90.75 35.62 46.69 31 2.37 3.52 2.06 2.62 71 64.62 98.61 39.44 51.17 32 2.43 3.66 2.13 2.74 72 71.92 107.49 44.13 56.66 33 2.53 3.86 2.21 2.88 73 80.18 117.33 49.74 63.18 34 2.64 4.08 2.30 3.04 74 89.25 128.11 56.21 70.62 35 2.77 4.35 2.42 3.22 75 98.94 139.63 63.42 78.75 36 2.91 4.67 2.58 3.49 76 109.18 151.41 71.23 87.39 37 3.10 5.07 2.77 3.81 77 119.89 163.23 79.60 96.42 38 3.31 5.52 2.98 4.18 78 131.12 175.18 88.66 105.95 39 3.54 6.03 3.20 4.58 79 143.23 187.68 98.69 116.34 40 3.81 6.62 3.47 5.06 80 156.61 201.14 110.10 127.97 41 4.10 7.26 3.76 5.57 81 171.60 215.94 123.22 141.17 42 4.40 7.97 4.05 6.08 82 188.51 232.34 138.34 156.18 43 4.74 8.74 4.34 6.59 83 207.26 250.06 155.39 173.50 44 5.10 9.58 4.62 7.10 84 227.49 268.53 174.19 192.29 45 5.52 10.48 4.94 7.65 85 248.72 287.10 194.53 212.24 46 5.97 11.41 5.28 8.21 86 270.69 305.34 216.26 233.20 47 6.45 12.42 5.65 8.78 87 293.06 324.06 239.34 254.96 48 6.98 13.50 6.03 9.41 88 315.73 343.57 263.81 277.63 49 7.55 14.69 6.46 10.10 89 339.02 362.96 289.84 301.20
Add $50.00 policy fee SCHEDULE B-II NET COINSURANCE PREMIUMS Annual reinsurance Rates Following Term Conversions --------------------------------------------------- Security Life Reinsurance Rates for After Conversion REINSURANCE RATES - AFTER CONVERSION Annual Premium per $1,000 Reinsuranced - Yearly Term Basis Age Last Birthday - Male Nonsmoker
---------------------------------------------------------------------------------- Policy Year Issue --------------------------------------------------------------------------- Age 1 2 3 4 5 6 7 8 9 10 11 ---------------------------------------------------------------------------------- 0 0.00 0.67 0.60 0.60 0.58 0.56 0.56 0.56 0.57 0.58 0.58 1 0.00 0.51 0.50 0.49 0.47 0.45 0.45 0.47 0.48 0.50 0.50 2 0.00 0.45 0.44 0.44 0.44 0.43 0.44 0.46 0.48 0.50 0.50 3 0.00 0.42 0.41 0.42 0.43 0.43 0.44 0.46 0.49 0.52 0.52 4 0.00 0.40 0.40 0.41 0.42 0.43 0.45 0.47 0.50 0.56 0.56 ---------------------------------------------------------------------------------- 5 0.00 0.38 0.39 0.40 0.42 0.44 0.46 0.49 0.55 0.62 0.62 6 0.00 0.37 0.38 0.41 0.43 0.45 0.47 0.53 0.61 0.71 0.71 7 0.00 0.37 0.38 0.42 0.44 0.47 0.52 0.60 0.70 0.80 0.80 8 0.00 0.37 0.38 0.43 0.47 0.52 0.59 0.69 0.80 0.86 0.86 9 0.00 0.37 0.40 0.45 0.52 0.60 0.68 0.79 0.86 0.90 0.90 ---------------------------------------------------------------------------------- 10 0.00 0.38 0.43 0.51 0.61 0.70 0.78 0.86 0.90 0.92 0.92 11 0.00 0.41 0.49 0.60 0.72 0.80 0.85 0.89 0.93 0.95 0.95 12 0.00 0.47 0.57 0.71 0.84 0.88 0.89 0.93 0.95 0.97 0.97 13 0.00 0.56 0.68 0.83 0.92 0.93 0.93 0.95 0.97 0.98 0.98 14 0.00 0.68 0.81 0.92 0.98 0.97 0.97 0.98 0.98 0.99 0.99 ---------------------------------------------------------------------------------- 15 0.00 0.84 0.92 1.00 1.04 1.02 1.01 1.01 1.01 1.01 1.01 16 0.00 0.95 1.00 1.07 1.09 1.06 1.05 1.05 1.04 1.03 1.03 17 0.00 0.99 1.03 1.09 1.08 1.05 1.05 1.04 1.04 1.03 1.03 18 0.00 0.99 1.02 1.05 1.04 1.02 1.02 1.01 1.01 1.01 1.01 19 0.00 0.96 0.98 1.00 0.99 0.97 0.97 0.96 0.97 0.98 0.98 ---------------------------------------------------------------------------------- 20 0.00 0.89 0.91 0.93 0.92 0.91 0.91 0.91 0.93 0.95 0.95 21 0.00 0.80 0.82 0.84 0.84 0.84 0.85 0.86 0.88 0.91 0.91 22 0.00 0.75 0.77 0.79 0.79 0.80 0.82 0.84 0.86 0.89 0.89 23 0.00 0.74 0.75 0.77 0.78 0.80 0.82 0.84 0.86 0.90 0.90 24 0.00 0.71 0.73 0.75 0.77 0.79 0.82 0.85 0.87 0.91 0.91 ---------------------------------------------------------------------------------- 25 0.00 0.69 0.71 0.74 0.76 0.79 0.82 0.85 0.88 0.92 0.92 26 0.00 0.68 0.70 0.73 0.75 0.79 0.82 0.86 0.90 0.94 0.94 27 0.00 0.68 0.70 0.73 0.75 0.79 0.83 0.88 0.92 0.97 0.97 28 0.00 0.68 0.71 0.74 0.77 0.81 0.86 0.91 0.95 1.00 1.00 29 0.00 0.68 0.72 0.76 0.80 0.84 0.88 0.94 0.99 1.05 1.05 ---------------------------------------------------------------------------------- 30 0.00 0.68 0.73 0.78 0.82 0.87 0.92 0.98 1.03 1.10 1.10 31 0.00 0.69 0.75 0.80 0.85 0.91 0.95 1.02 1.08 1.16 1.16 32 0.00 0.70 0.77 0.83 0.89 0.94 0.99 1.06 1.14 1.24 1.24 33 0.00 0.71 0.80 0.86 0.93 0.99 1.04 1.12 1.22 1.33 1.33 34 0.00 0.73 0.82 0.90 0.97 1.04 1.10 1.20 1.31 1.42 1.42 ---------------------------------------------------------------------------------- 35 0.00 0.75 0.85 0.95 1.03 1.11 1.18 1.29 1.41 1.54 1.54 36 0.00 0.78 0.91 1.02 1.11 1.21 1.29 1.41 1.54 1.68 1.68 37 0.00 0.82 0.97 1.08 1.20 1.30 1.40 1.51 1.67 1.82 1.82 38 0.00 0.86 1.03 1.15 1.27 1.39 1.49 1.61 1.77 1.95 1.95 39 0.00 0.92 1.10 1.24 1.36 1.48 1.58 1.71 1.89 2.08 2.08 ---------------------------------------------------------------------------------- 40 0.00 0.97 1.18 1.33 1.46 1.58 1.69 1.81 2.00 2.21 2.21 41 0.00 1.05 1.28 1.44 1.57 1.69 1.80 1.92 2.11 2.35 2.35 42 0.00 1.13 1.38 1.55 1.69 1.81 1.93 2.05 2.24 2.50 2.50 43 0.00 1.23 1.49 1.68 1.83 1.96 2.08 2.20 2.41 2.70 2.70 44 0.00 1.34 1.61 1.81 1.98 2.12 2.24 2.37 2.60 2.90 2.90 ---------------------------------------------------------------------------------- Policy Year Issue --------------------------------------- Attnd Age 12 13 14 15 Ult Age ----------------------------------------------------- 0 0.58 0.58 0.58 0.58 0.70 15 1 0.50 0.50 0.51 0.67 0.83 16 2 0.50 0.51 0.64 0.80 0.90 17 3 0.52 0.62 0.75 0.85 0.95 18 4 0.59 0.73 0.79 0.90 0.99 19 ----------------------------------------------------- 5 0.69 0.77 0.82 0.94 1.02 20 6 0.73 0.79 0.83 0.97 1.03 21 7 0.80 0.82 0.86 0.97 1.03 22 8 0.86 0.86 0.89 0.96 1.02 23 9 0.90 0.90 0.90 0.94 1.00 24 ----------------------------------------------------- 10 0.92 0.92 0.92 0.92 0.98 25 11 0.95 0.95 0.95 0.95 0.95 26 12 0.97 0.97 0.97 0.97 0.97 27 13 0.98 0.98 0.98 0.98 0.98 28 14 0.99 0.99 0.99 0.99 0.99 29 ----------------------------------------------------- 15 1.01 1.01 1.01 1.01 1.01 30 16 1.03 1.03 1.03 1.03 1.03 31 17 1.03 1.03 1.03 1.03 1.03 32 18 1.01 1.01 1.01 1.01 1.01 33 19 0.98 0.98 0.98 0.98 0.98 34 ----------------------------------------------------- 20 0.95 0.95 0.95 0.95 0.95 35 21 0.91 0.91 0.91 0.91 0.91 36 22 0.89 0.89 0.89 0.89 0.91 37 23 0.90 0.90 0.90 0.90 0.94 38 24 0.91 0.91 0.91 0.91 0.97 39 ----------------------------------------------------- 25 0.92 0.92 0.92 0.94 1.02 40 26 0.94 0.94 0.94 1.01 1.10 41 27 0.97 0.97 1.00 1.09 1.19 42 28 1.00 1.00 1.08 1.19 1.30 43 29 1.05 1.07 1.18 1.30 1.43 44 ----------------------------------------------------- 30 1.10 1.17 1.29 1.42 1.58 45 31 1.16 1.27 1.40 1.55 1.75 46 32 1.25 1.38 1.54 1.71 1.92 47 33 1.35 1.50 1.68 1.87 2.12 48 34 1.46 1.63 1.83 2.05 2.33 49 ----------------------------------------------------- 35 1.59 1.78 2.01 2.26 2.56 50 36 1.74 1.97 2.22 2.49 2.84 51 37 1.90 2.16 2.44 2.76 3.15 52 38 2.07 2.37 2.70 3.04 3.49 53 39 2.24 2.59 2.97 3.35 3.85 54 ----------------------------------------------------- 40 2.43 2.83 3.26 3.69 4.26 55 41 2.62 3.09 3.59 4.07 4.71 56 42 2.83 2.83 3.90 4.45 5.21 57 43 3.27 3.09 4.21 4.83 5.76 58 44 3.04 3.88 4.54 5.25 6.34 59 -----------------------------------------------------
REINSURANCE RATES - AFTER CONVERSION Annual Premium per $1,000 Reinsuranced - Yearly Term Basis Age Last Birthday - Male Nonsmoker
------------------------------------------------------------------------------------------- Policy Year Issue ------------------------------------------------------------------------------------ Age 1 2 3 4 5 6 7 8 9 10 11 ------------------------------------------------------------------------------------------- 45 0.00 1.48 1.74 1.96 2.14 2.29 2.43 2.59 2.81 3.12 3.12 46 0.00 1.62 1.89 2.12 2.32 2.50 2.66 2.82 3.05 3.39 3.39 47 0.00 1.74 2.01 2.26 2.49 2.70 2.89 3.05 3.32 3.70 3.71 48 0.00 1.82 2.10 2.38 2.63 2.87 3.10 3.31 3.63 4.05 4.15 49 0.00 1.89 2.20 2.49 2.78 3.05 3.31 3.58 3.97 4.46 4.64 ------------------------------------------------------------------------------------------- 50 0.00 1.96 2.28 2.59 2.93 3.23 3.54 3.88 4.34 4.90 5.21 51 0.00 2.02 2.36 2.69 3.07 3.42 3.79 4.22 4.76 5.39 5.84 52 0.00 2.13 2.49 2.85 3.29 3.69 4.10 4.61 5.22 5.95 6.50 53 0.00 2.30 2.70 3.11 3.59 4.04 4.51 5.07 5.73 6.55 7.20 54 0.00 2.48 2.93 3.40 3.92 4.44 4.96 5.58 6.28 7.21 7.96 ------------------------------------------------------------------------------------------- 55 0.00 2.69 3.19 3.72 4.30 4.87 5.45 6.13 6.88 7.94 8.81 56 0.00 2.96 3.51 4.12 4.74 5.39 6.00 6.75 7.56 8.79 9.79 57 0.00 3.22 3.87 4.53 5.22 5.87 6.51 7.33 8.21 9.57 10.67 58 0.00 3.45 4.26 4.95 5.73 6.31 6.96 7.86 8.80 10.27 11.41 59 0.00 3.69 4.68 5.39 6.27 6.77 7.42 8.41 9.42 11.00 12.18 ------------------------------------------------------------------------------------------- 60 0.00 3.94 5.14 5.86 6.82 7.37 7.90 8.99 10.06 11.75 12.95 61 0.00 4.19 5.63 6.36 7.46 7.87 8.40 9.60 10.72 12.51 13.71 62 0.00 4.57 6.18 7.02 7.99 8.50 9.25 10.52 12.03 13.79 14.96 63 0.00 5.12 6.81 7.87 8.64 9.63 10.45 12.10 13.79 15.83 16.82 64 0.00 5.73 7.50 8.82 9.78 10.89 11.99 13.85 15.69 17.99 19.21 ------------------------------------------------------------------------------------------- 65 0.00 6.34 8.22 9.75 10.91 12.16 13.64 15.44 17.73 20.08 21.80 66 0.00 6.87 8.93 10.61 11.98 13.47 15.09 17.08 19.64 22.26 24.25 67 0.00 7.45 9.71 11.65 13.26 14.90 16.70 18.92 21.77 24.71 27.00 68 0.00 8.09 10.66 12.90 14.68 16.49 18.49 20.97 24.16 27.43 30.03 69 0.00 8.86 11.80 14.27 16.24 18.26 20.50 23.27 26.83 30.45 33.38 ------------------------------------------------------------------------------------------- 70 0.00 9.80 13.06 15.81 18.00 20.26 22.76 25.85 29.80 33.80 36.84 71 0.00 10.85 14.47 17.54 20.00 22.52 25.31 28.73 33.10 37.29 40.35 72 0.00 12.01 16.05 19.48 22.22 25.83 28.13 31.91 36.52 40.86 44.10 73 0.00 13.31 17.83 21.65 24.71 27.83 31.24 35.21 40.02 44.69 48.17 74 0.00 14.77 19.81 24.08 27.48 30.91 34.48 38.60 43.78 48.86 52.66 ------------------------------------------------------------------------------------------- 75 0.00 16.41 22.03 26.78 30.53 34.12 37.80 42.23 47.87 53.46 57.57 76 0.00 18.24 24.50 29.76 33.71 37.43 41.37 46.19 52.40 58.51 62.91 77 0.00 20.27 27.23 32.87 36.99 40.98 45.27 50.57 57.36 64.02 68.69 78 0.00 22.52 30.08 36.08 40.51 44.85 49.58 55.38 62.78 70.00 74.86 79 0.00 24.88 33.02 39.52 44.35 49.13 54.30 60.62 68.66 76.42 81.34 ------------------------------------------------------------------------------------------- 80 0.00 26.06 34.55 41.30 46.37 51.37 56.77 63.35 71.71 79.73 84.65 ------------------------------------------------------------------------------------------- Policy Year Issue ---------------------------------------- Attnd Age 12 13 14 15 Ult Age ------------------------------------------------------ 45 3.54 4.20 4.93 5.74 6.99 60 46 3.87 4.58 5.37 6.29 7.72 61 47 4.28 5.04 5.89 6.88 8.50 62 48 4.79 5.59 6.48 7.47 9.34 63 49 5.37 6.20 7.11 8.10 10.27 64 ------------------------------------------------------ 50 6.03 6.87 7.80 8.77 11.28 65 51 6.75 7.60 8.54 9.48 12.39 66 52 7.52 8.36 9.30 10.53 13.62 67 53 8.31 9.12 10.33 11.98 14.97 68 54 9.08 10.13 11.75 13.61 16.45 69 ------------------------------------------------------ 55 10.16 11.64 13.53 15.69 18.09 70 56 11.63 13.50 15.66 18.31 20.07 71 57 12.83 15.09 17.50 20.68 22.39 72 58 13.75 16.28 18.98 22.71 24.97 73 59 14.67 17.48 20.49 24.87 27.84 74 ------------------------------------------------------ 60 15.58 18.67 22.04 27.18 31.05 75 61 16.45 19.87 23.65 29.65 34.64 76 62 17.90 21.78 26.20 32.81 38.65 77 63 20.43 24.57 29.93 36.76 43.09 78 64 22.87 27.71 34.17 41.12 47.97 79 ------------------------------------------------------ 65 25.18 31.07 38.50 45.84 53.01 80 66 28.03 34.58 42.81 50.62 58.10 81 67 31.19 38.45 47.26 55.47 63.52 82 68 34.67 42.44 51.79 60.65 69.43 83 69 38.26 46.50 56.62 66.28 75.93 84 ------------------------------------------------------ 70 41.91 50.82 61.88 72.49 83.04 85 71 45.80 55.53 67.66 79.28 90.78 86 72 50.04 60.72 73.99 86.66 99.15 87 73 54.70 66.39 80.88 94.64 108.09 88 74 59.81 72.56 88.33 103.18 117.48 89 ------------------------------------------------------ 75 65.36 79.24 96.29 112.14 127.33 90 76 71.36 86.37 104.64 121.54 137.66 91 77 77.78 93.86 113.41 131.39 148.40 92 78 84.52 101.72 122.60 141.64 159.55 93 79 91.59 109.96 132.16 152.28 171.12 94 ------------------------------------------------------ 80 95.22 114.16 137.03 157.70 183.12 95 -------------------------------------- 195.58 96 208.45 97 221.74 98 235.50 99 -------------- 270.24 100 333.98 101 430.07 102 575.65 103 770.00 104 -------------- 1000.00 105 --------------
REINSURANCE RATES - AFTER CONVERSION Annual Premium per $1,000 Reinsuranced - Yearly Term Basis Age Last Birthday - Male Nonsmoker
---------------------------------------------------------------------------------- Policy Year Issue --------------------------------------------------------------------------- Age 1 2 3 4 5 6 7 8 9 10 11 ---------------------------------------------------------------------------------- 0 0.00 0.94 0.82 0.80 0.76 0.72 0.71 0.71 0.72 0.73 0.73 1 0.00 0.69 0.66 0.64 0.59 0.56 0.55 0.58 0.60 0.62 0.62 2 0.00 0.59 0.57 0.56 0.55 0.53 0.54 0.57 0.59 0.62 0.62 3 0.00 0.53 0.52 0.53 0.53 0.53 0.54 0.57 0.61 0.65 0.65 4 0.00 0.50 0.49 0.50 0.52 0.53 0.55 0.59 0.64 0.72 0.72 ---------------------------------------------------------------------------------- 5 0.00 0.48 0.48 0.50 0.53 0.55 0.57 0.62 0.71 0.84 0.86 6 0.00 0.46 0.47 0.51 0.55 0.57 0.60 0.70 0.83 0.99 1.02 7 0.00 0.45 0.47 0.53 0.56 0.60 0.68 0.82 0.98 1.14 1.14 8 0.00 0.45 0.48 0.55 0.60 0.69 0.81 0.97 1.15 1.25 1.25 9 0.00 0.45 0.50 0.59 0.70 0.82 0.96 1.14 1.26 1.31 1.31 ---------------------------------------------------------------------------------- 10 0.00 0.48 0.55 0.69 0.85 0.99 1.13 1.25 1.32 1.35 1.35 11 0.00 0.53 0.65 0.84 1.03 1.17 1.24 1.31 1.36 1.40 1.40 12 0.00 0.63 0.79 1.02 1.23 1.29 1.32 1.36 1.40 1.44 1.44 13 0.00 0.77 0.97 1.23 1.37 1.37 1.38 1.41 1.42 1.44 1.44 14 0.00 0.98 1.19 1.37 1.46 1.44 1.43 1.44 1.44 1.44 1.44 ---------------------------------------------------------------------------------- 15 0.00 1.26 1.38 1.51 1.58 1.53 1.51 1.51 1.50 1.49 1.49 16 0.00 1.48 1.55 1.66 1.68 1.62 1.60 1.59 1.58 1.57 1.57 17 0.00 1.57 1.63 1.70 1.69 1.62 1.61 1.60 1.59 1.57 1.57 18 0.00 1.57 1.61 1.65 1.62 1.57 1.56 1.54 1.55 1.55 1.55 19 0.00 1.54 1.56 1.58 1.54 1.50 1.49 1.48 1.50 1.52 1.52 ---------------------------------------------------------------------------------- 20 0.00 1.44 1.46 1.46 1.44 1.40 1.40 1.40 1.44 1.47 1.47 21 0.00 1.29 1.31 1.31 1.30 1.29 1.30 1.31 1.36 1.41 1.41 22 0.00 1.21 1.22 1.23 1.23 1.23 1.25 1.28 1.33 1.38 1.38 23 0.00 1.18 1.19 1.20 1.21 1.23 1.26 1.29 1.35 1.41 1.41 24 0.00 1.15 1.16 1.17 1.20 1.23 1.27 1.31 1.37 1.45 1.45 ---------------------------------------------------------------------------------- 25 0.00 1.13 1.14 1.16 1.19 1.23 1.27 1.33 1.40 1.49 1.49 26 0.00 1.11 1.14 1.16 1.19 1.24 1.29 1.36 1.43 1.54 1.54 27 0.00 1.11 1.15 1.17 1.21 1.26 1.33 1.40 1.49 1.60 1.60 28 0.00 1.12 1.17 1.20 1.25 1.31 1.38 1.47 1.56 1.67 1.67 29 0.00 1.13 1.20 1.25 1.30 1.37 1.45 1.55 1.64 1.76 1.76 ---------------------------------------------------------------------------------- 30 0.00 1.14 1.24 1.30 1.36 1.44 1.54 1.63 1.73 1.88 1.88 31 0.00 1.17 1.29 1.37 1.44 1.53 1.62 1.72 1.84 2.02 2.02 32 0.00 1.20 1.35 1.44 1.53 1.62 1.73 1.84 1.98 2.19 2.19 33 0.00 1.22 1.41 1.51 1.62 1.73 1.85 1.98 2.15 2.40 2.40 34 0.00 1.26 1.48 1.61 1.73 1.85 2.00 2.16 2.35 2.61 2.61 ---------------------------------------------------------------------------------- 35 0.00 1.30 1.56 1.72 1.86 2.02 2.20 2.38 2.58 2.87 2.87 36 0.00 1.37 1.67 1.87 2.04 2.24 2.44 2.64 2.87 3.18 3.18 37 0.00 1.45 1.79 2.01 2.23 2.43 2.66 2.88 3.14 3.47 3.47 38 0.00 1.54 1.91 2.16 2.39 2.62 2.86 3.10 3.39 3.74 3.74 39 0.00 1.64 2.07 2.33 2.59 2.82 3.08 3.34 3.65 4.03 4.03 ---------------------------------------------------------------------------------- 40 0.00 1.77 2.24 2.54 2.81 3.04 3.32 3.59 3.91 4.33 4.33 41 0.00 1.92 2.45 2.78 3.05 3.29 3.56 3.85 4.17 4.63 4.65 42 0.00 2.11 2.68 3.04 3.33 3.58 3.87 4.16 4.50 4.99 5.03 43 0.00 2.33 2.92 3.32 3.65 3.93 4.23 4.55 4.91 5.43 5.46 44 0.00 2.58 3.19 3.63 3.98 4.29 4.61 4.97 5.37 5.89 5.90 ---------------------------------------------------------------------------------- Policy Year Issue ---------------------------------------- Attnd Age 12 13 14 15 Ult Age ------------------------------------------------------ 0 0.73 0.73 0.73 0.73 0.92 15 1 0.62 0.62 0.71 0.90 1.12 16 2 0.62 0.73 0.90 1.10 1.21 17 3 0.69 0.93 1.08 1.18 1.29 18 4 0.87 1.10 1.15 1.26 1.35 19 ------------------------------------------------------ 5 1.04 1.17 1.19 1.32 1.39 20 6 1.11 1.21 1.22 1.36 1.41 21 7 1.16 1.25 1.25 1.36 1.41 22 8 1.25 1.30 1.30 1.35 1.39 23 9 1.31 1.35 1.35 1.35 1.37 24 ------------------------------------------------------ 10 1.35 1.38 1.38 1.38 1.38 25 11 1.40 1.40 1.40 1.40 1.40 26 12 1.44 1.44 1.44 1.44 1.44 27 13 1.44 1.44 1.44 1.44 1.44 28 14 1.44 1.44 1.44 1.44 1.44 29 ------------------------------------------------------ 15 1.49 1.49 1.49 1.49 1.49 30 16 1.57 1.57 1.57 1.57 1.57 31 17 1.57 1.57 1.57 1.57 1.57 32 18 1.55 1.55 1.55 1.55 1.55 33 19 1.52 1.52 1.52 1.52 1.52 34 ------------------------------------------------------ 20 1.47 1.47 1.47 1.47 1.47 35 21 1.41 1.41 1.41 1.41 1.54 36 22 1.38 1.38 1.38 1.47 1.63 37 23 1.41 1.41 1.43 1.57 1.74 38 24 1.45 1.45 1.55 1.70 1.86 39 ------------------------------------------------------ 25 1.49 1.50 1.66 1.82 2.00 40 26 1.54 1.59 1.77 1.96 2.17 41 27 1.60 1.70 0.90 2.12 2.36 42 28 1.67 1.84 2.08 2.34 2.60 43 29 1.77 2.03 2.29 2.57 2.87 44 ------------------------------------------------------ 30 1.96 2.25 2.51 2.83 3.18 45 31 2.18 2.47 2.76 3.12 3.52 46 32 2.39 2.71 3.04 3.45 3.90 47 33 2.62 2.97 3.35 3.80 4.30 48 34 2.88 3.24 3.67 4.18 4.74 49 ------------------------------------------------------ 35 3.16 3.56 4.04 4.59 5.17 50 36 3.48 3.93 4.44 5.02 5.62 51 37 3.82 4.32 4.87 5.49 6.10 52 38 4.16 4.72 5.34 6.00 6.61 53 39 4.52 5.16 5.84 6.54 7.15 54 ------------------------------------------------------ 40 4.91 5.63 6.39 7.12 7.73 55 41 5.32 6.13 6.98 7.75 8.37 56 42 5.75 6.63 7.54 8.38 9.05 57 43 6.20 7.12 8.08 8.99 9.81 58 44 6.68 7.66 8.66 9.66 10.64 59 ------------------------------------------------------
REINSURANCE RATES - AFTER CONVERSION Annual Premium per $1,000 Reinsuranced - Yearly Term Basis Age Last Birthday - Male Nonsmoker
--------------------------------------------------------------------------------------------- Policy Year Issue -------------------------------------------------------------------------------------- Age 1 2 3 4 5 6 7 8 9 10 11 --------------------------------------------------------------------------------------------- 45 0.00 2.88 3.47 3.96 4.34 4.68 5.02 5.43 5.82 6.36 6.37 46 0.00 3.21 3.79 4.31 4.72 5.10 5.48 5.87 6.25 6.84 6.86 47 0.00 3.48 4.06 4.61 5.07 5.49 5.92 6.28 6.74 7.41 7.47 48 0.00 3.67 4.27 4.86 5.37 5.82 6.30 6.74 7.30 8.06 8.24 49 0.00 3.84 4.48 5.10 5.66 6.16 6.69 7.23 7.92 8.79 9.11 --------------------------------------------------------------------------------------------- 50 0.00 4.00 4.66 5.31 5.95 6.50 7.10 7.75 8.59 9.60 10.08 51 0.00 4.14 4.83 5.51 6.24 6.85 7.54 8.32 9.32 10.47 11.15 52 0.00 4.41 5.14 5.88 6.68 7.36 8.12 9.00 10.13 11.45 12.25 53 0.00 4.81 5.62 6.45 7.30 8.05 8.88 9.80 11.01 12.51 13.38 54 0.00 5.25 6.15 7.09 8.01 8.82 9.71 10.67 11.95 13.65 14.59 --------------------------------------------------------------------------------------------- 55 0.00 5.73 6.72 7.79 8.77 9.67 10.63 11.60 12.92 14.83 15.87 56 0.00 6.28 7.38 8.58 9.65 10.63 11.65 12.63 13.98 16.08 17.24 57 0.00 6.78 8.10 9.40 10.59 11.52 12.56 13.55 14.92 17.16 18.38 58 0.00 7.22 8.89 10.24 11.58 12.31 13.33 14.35 15.73 18.03 19.23 59 0.00 7.68 9.76 11.12 12.63 13.13 14.13 15.18 16.55 18.91 20.08 --------------------------------------------------------------------------------------------- 60 0.00 8.15 10.69 12.05 13.69 14.23 14.95 16.04 17.39 19.79 20.88 61 0.00 8.63 11.69 13.04 14.92 15.11 15.79 16.91 18.22 20.64 21.62 62 0.00 9.39 12.83 14.36 15.91 16.24 17.33 18.34 20.13 22.31 23.09 63 0.00 10.53 14.12 16.08 17.18 18.36 19.53 20.91 22.75 25.13 25.43 64 0.00 11.80 15.55 18.02 19.45 20.72 22.34 23.73 25.52 28.04 28.46 --------------------------------------------------------------------------------------------- 65 0.00 13.02 17.01 19.86 21.61 23.04 25.32 26.31 28.53 30.89 31.86 66 0.00 14.10 18.44 21.53 23.56 25.41 27.88 28.87 31.41 34.03 35.19 67 0.00 15.27 19.98 23.56 26.08 27.99 30.70 31.79 34.60 37.51 38.87 68 0.00 16.55 21.86 25.99 28.73 30.81 33.81 35.02 38.14 41.36 42.90 69 0.00 18.09 24.11 28.63 31.64 33.94 37.26 38.61 42.06 45.58 47.30 --------------------------------------------------------------------------------------------- 70 0.00 19.95 26.58 31.56 34.88 37.44 41.12 42.61 46.38 50.21 51.75 71 0.00 22.02 29.32 34.83 38.51 41.35 45.42 47.03 51.14 54.99 56.19 72 0.00 24.28 32.35 38.45 42.54 45.67 50.13 51.85 56.01 59.81 60.85 73 0.00 26.79 35.72 42.47 46.99 50.41 55.28 56.79 60.93 64.92 65.86 74 0.00 29.57 39.46 46.92 51.88 55.60 60.56 61.80 66.14 70.43 71.33 --------------------------------------------------------------------------------------------- 75 0.00 32.72 43.67 51.89 57.31 61.01 66.00 67.20 71.88 76.58 77.34 76 0.00 36.27 48.36 57.41 62.98 66.60 71.87 73.14 78.28 83.38 83.92 77 0.00 40.18 53.52 63.11 68.77 72.55 78.25 79.68 85.26 90.77 90.97 78 0.00 44.48 58.86 68.93 74.94 79.02 85.26 86.81 92.84 98.74 98.74 79 0.00 48.96 64.32 75.14 81.63 86.11 92.89 94.55 101.00 107.24 107.24 --------------------------------------------------------------------------------------------- 80 0.00 51.18 67.14 78.34 85.14 89.82 96.88 98.57 105.24 111.62 111.62 --------------------------------------------------------------------------------------------- Policy Year Issue ---------------------------------------- Attnd Age 12 13 14 15 Ult Age ------------------------------------------------------ 45 7.20 8.24 9.31 10.44 11.63 60 46 7.76 8.89 10.06 11.34 12.77 61 47 8.48 9.68 10.93 12.28 14.00 62 48 9.39 10.64 11.92 13.23 15.32 63 49 10.40 11.70 12.97 14.21 16.75 64 ------------------------------------------------------ 50 11.54 12.83 14.08 15.24 18.31 65 51 12.77 14.05 15.29 16.33 20.01 66 52 14.06 15.32 16.49 17.98 21.88 67 53 15.35 16.53 18.16 20.27 23.93 68 54 16.55 18.20 20.48 22.85 26.15 69 ------------------------------------------------------ 55 18.19 20.52 23.12 25.82 28.56 70 56 20.35 23.17 25.97 29.24 31.16 71 57 21.96 25.24 28.18 32.11 33.94 72 58 22.99 26.54 29.71 34.28 36.95 73 59 23.99 27.77 31.19 36.55 40.25 74 ------------------------------------------------------ 60 24.91 28.95 32.68 38.93 43.86 75 61 25.74 30.07 34.16 41.44 47.83 76 62 27.42 32.21 36.92 44.76 52.17 77 63 30.66 35.54 41.18 49.03 56.87 78 64 33.67 39.24 45.94 53.65 61.93 79 ------------------------------------------------------ 65 36.56 43.37 50.98 58.95 67.30 80 66 40.39 47.89 56.24 64.55 72.89 81 67 44.59 52.82 61.58 70.15 78.76 82 68 49.16 57.82 66.91 76.04 85.05 83 69 53.81 62.82 72.52 82.38 91.90 84 ------------------------------------------------------ 70 58.44 68.06 78.54 89.28 99.31 85 71 63.30 73.69 85.09 96.74 107.26 86 72 68.62 79.83 92.19 104.75 115.73 87 73 74.22 88.47 99.81 113.32 124.65 88 74 80.38 93.61 107.96 122.34 133.83 89 ------------------------------------------------------ 75 87.12 101.37 116.70 131.85 143.27 90 76 94.45 109.70 125.91 141.86 152.98 91 77 102.20 118.35 135.46 152.23 162.88 92 78 110.24 127.31 145.35 162.88 172.96 93 79 118.58 136.60 155.51 173.81 183.22 94 ------------------------------------------------------ 80 122.85 141.31 160.66 179.34 193.64 95 ------------------------------------------------------ 204.26 96 215.01 97 225.88 98 236.93 99 ------------- 270.24 100 333.98 101 430.07 102 575.55 103 770.00 104 ------------- 1000.00 105 -------------
SCHEDULE C REPORTING INFORMATION --------------------- INFORMATION ON RISK REINSURED 1. Type of Transaction 2. Effective Date of Transaction 3. Automatic/Facultative Indicator 4. Policy Number 5. Full Name of Insured 6. Date of Birth 7. Sex 8. Smoker/Nonsmoker 9. Policy Plan Code 10. Insured's State of Residence 11. Issue Age 12. Issue Date 13. Duration From Original Policy Date 14. Face Amount Issued 15. Reinsured Amount (Initial Amount) 16. Reinsured Amount (Current Amount at Risk) 17. Change in Amount at Risk Since Last Report 18. Death Benefit Option (For Universal Life Type Plans) 19. ADB Amount (If Applicable) 20. Substandard Ranting 21. Flat Extra Amount Per Thousand 22. Duration of Flat Extra 23. PW Rider (Yes or No) 24. Previous Policy (Yes or No) 25. Net Coinsurance Premiums SCHEDULE C, CONTINUED REPORTING INFORMATION --------------------- SAMPLE POLICY EXHIBIT SUMMARY (LIFE REINSURANCE ONLY) CEDING COMPANY: __________________________________________________________ REINSURER: __________________________________________________________ ACCOUNT NO: __________________________________________________________ PREPARED BY: __________________________ Phone: ___(_______)____________ DATE PREPARED: __________________________________________________________ TYPE OF REINSURANCE: Yearly Renewable Term __________________________________ Coinsurance __________________________________ Modified Coinsurance __________________________________ Other __________________________________ VALUATION DATE:_________________
NUMBER OF AMOUNT OF POLICIES REINSURANCE A. In Force Beginning of Period___/__/____ _______________ ____________________ B. New Paid Reinsurance Ceded _______________ ____________________ C. Reinstatements _______________ ____________________ D. Revivals _______________ ____________________ E. Increases (Net) _______________ ____________________ F. Conversion In _______________ ____________________ G. Transfers In _______________ ____________________ H. Total Increases (B - G) _______________ ____________________ I. Deaths _______________ ____________________ J. Maturities _______________ ____________________ K. Cancellations _______________ ____________________ L. Expiries _______________ ____________________ M. Surrenders _______________ ____________________ N. Lapses _______________ ____________________ O. Recaptures _______________ ____________________ P. Other Decreases (Net) _______________ ____________________ Q. Reductions _______________ ____________________ R. Conversions Out _______________ ____________________ S. Transfers Out _______________ ____________________ T. Total Decreases (I - S) _______________ ____________________ U. Current In Force__/__/__ _______________ ____________________ (A + H - T)
27 SCHEDULE C, CONTINUED REPORTING INFORMATION --------------------- SAMPLE RESERVE CREDIT SUMMARY CEDING COMPANY: __________________________________________________________ REINSURER: __________________________________________________________ ACCOUNT NO: __________________________________________________________ PREPARED BY: __________________________ Phone: (_______)____________ DATE PREPARED: __________________________________________________________ TYPE OF REINSURANCE: Yearly Renewable Term __________________________________ Coinsurance __________________________________ Modified Coinsurance __________________________________ Other __________________________________ VALUATION DATE:_________________ TYPE OF RESERVES: Statutory ___________________________________ GAAP ___________________________________ Tax ___________________________________
VALUATION BASIS ISSUE IN FORCE IN FORCE RESERVE MORTALITY INTEREST VALUATION YEAR RANGE COUNT AMOUNT CREDIT A. Life Insurance _________ __________ _________ __________ ________ ________ _______ _________ __________ _________ __________ ________ ________ _______ B. Accidental Death Benefit _________ __________ _________ __________ ________ ________ _______ C. Disability Active Lives _________ __________ _________ __________ ________ ________ _______ D. Disability Disabled Lives _________ __________ _________ __________ ________ ________ _______ E. Other Please Explain _________ __________ _________ __________ ________ ________ _______ GRAND TOTAL: ________
28 SCHEDULE C, CONTINUED REPORTING INFORMATION --------------------- SAMPLE ACCOUNTING SUMMARY CEDING COMPANY: __________________________________________________________ REINSURER: __________________________________________________________ ACCOUNT NO: __________________________________________________________ PREPARED BY: __________________________ Phone: (_______)____________ DATE PREPARED: __________________________________________________________ TYPE OF REINSURANCE: Yearly Renewable Term __________________________________ Coinsurance __________________________________ Modified Coinsurance __________________________________ Other __________________________________ VALUATION DATE: _________________
LIFE WP AD TOTAL Coinsurance Premiums First Year ________ _________ ________ _________ Renewal ________ _________ ________ _________ Coinsurance Allowances First Year ________ _________ ________ _________ Renewal ________ _________ ________ _________ Adjustments' First Year ________ _________ ________ _________ Renewal ________ _________ ________ _________ Net Due Reinsurer First Year ________ _________ ________ _________ Renewal ________ _________ ________ _________ TOTAL DUE ________ _________ ________ _________
(The above information should be a summary of the detailed information provided to Reinsurer.) 29 SCHEDULE D FACULTATIVE FORMS ----------------- (See attached sample forms.) Application for Reinsurance Notification of Reinsurance 30 [LOGO OF ING REINSURANCE] 1290 Broadway Denver, Colorado 80203-5699 Telephone 800.525.9852 Fax 1.303.813.6270 APPLICATION FOR REINSURANCE ------------------------------------------------------------------------------------------------------------------------- [ ] Trial [ ] Facultative: Please send approval [ ] Facultative Obligatory [ ] Automatic ------------------------------------------------------------------------------------------------------------------------- [ ] Joint Life [ ] YRT [ ] Other [ ] Self-Administered [ ] Age Last ------------------------------------------------------------------------------------------------------------------------- [ ] Single Life [ ] COINS [ ] MRT [ ] Individual Cession [ ] Age Nearest ------------------------------------------------------------------------------------------------------------------------- Last Name First Name M.I. Date of Birth Sex Age ------------------------------------------------------------------------------------------------------------------------- LIFE #1 ------------------------------------------------------------------------------------------------------------------------- LIFE #2 ------------------------------------------------------------------------------------------------------------------------- Smoker/Non State of Birth State of Res. Occupation SS # #1 ------------------------------------------------------------------------------------------------------------------------- #2 ------------------------------------------------------------------------------------------------------------------------- ACCIDENTAL DEATH LIFE #1 LIFE #2 Premium Waiver LIFE #1 LIFE #2 Plan Name* Previous Ins. Inforce ___________ ___________ ___________ __________ __________ __________ of which we retain ___________ ___________ ___________ __________ __________ __________ Rating, if substandard ___________ ___________ ___________ __________ __________ __________ Insurance now applied for ___________ ___________ ___________ __________ __________ __________ or which we will retain ___________ ___________ ___________ __________ __________ __________ Rating, if substandard ___________ ___________ ___________ __________ __________ __________ Reinsurance requested ___________ ___________ ___________ __________ __________ __________ *If this is a new plan, make sure you furnish us full plan detail ------------------------------------------------------------------------------------------------------------------------- This cession represents: [ ] New Business [ ] Term Conversion [ ] Guaranteed Insurability Option [ ] Amended Cession If Amendment: Reason_____________________________________________________ Effective Date_________________________________ Original Policy No. ___________________ Date of Original Policy __________ Valuation Basis_______________________________ PREMIUM WAIVER REINSURANCE ACCIDENTAL DEATH REINSURANCE Rider Form No. ___________________ Age Expiry ___________________ Rider Form No. ______________________ Premium to be Waived ___________________ Age Expiry ______________________ Premium for Waiver Benefit ___________________ ------------------------------------------------------------------------------------------------------------------------- ____________________________________ __________________________________________ ___________________________ _____________ DATED AT CEDING COMPANY DATE BY Other Comments: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Reinsurer: [ ] Security Life of Denver Insurance Company [ ] Security Life of Denver International (Bermuda) Limited 1290 Broadway, Denver, CO 80203-5699 25 Church St., P.O. Box HM 1978, Hamilton HM HX, Bermuda This application is accepted and reinsurance is granted by the Reinsurer subject to all the terms, conditions and limitations of the reinsurance treaty and this application. This _____________________ day of _____________ 19 ________ ________________________________ Authorized Signature Reinsurance Agreement No. ______________________________________ RE-16A-99 Security Life of Denver Insurance Company
[LOGO OF ING REINSURANCE] 1290 Broadway Denver, Colorado 80203-5699 Telephone 800.525.9852 Fax 1.303.813.6270 NOTIFICATION OF REINSURANCE ------------------------------------------------------------------------------------------------------------------------- [ ] Trial [ ] Facultative: Please send approval [ ] Facultative Obligatory [ ] Automatic ------------------------------------------------------------------------------------------------------------------------- [ ] Joint Life [ ] YRT [ ] Other [ ] Self-Administered [ ] Age Last ------------------------------------------------------------------------------------------------------------------------- [ ] Single Life [ ] COINS [ ] MRT [ ] Individual Cession [ ] Age Nearest ------------------------------------------------------------------------------------------------------------------------- Last Name First Name M.I. Date of Birth Sex Age ------------------------------------------------------------------------------------------------------------------------- LIFE #1 ------------------------------------------------------------------------------------------------------------------------- LIFE #2 ------------------------------------------------------------------------------------------------------------------------- Smoker/Non State of Birth State of Res. Occupation SS # #1 ------------------------------------------------------------------------------------------------------------------------- #2 ------------------------------------------------------------------------------------------------------------------------- ACCIDENTAL DEATH LIFE #1 LIFE #2 Premium Waiver LIFE #1 LIFE #2 Plan Name* Previous Ins. Inforce ___________ ___________ ___________ __________ __________ __________ of which we retain ___________ ___________ ___________ __________ __________ __________ Rating, if substandard ___________ ___________ ___________ __________ __________ __________ Insurance now applied for ___________ ___________ ___________ __________ __________ __________ or which we will retain ___________ ___________ ___________ __________ __________ __________ Rating, if substandard ___________ ___________ ___________ __________ __________ __________ Reinsurance requested ___________ ___________ ___________ __________ __________ __________ *If this is a new plan, make sure you furnish us full plan detail ------------------------------------------------------------------------------------------------------------------------- This cession represents: [ ] New Business [ ] Term Conversion [ ] Guaranteed Insurability Option [ ] Amended Cession If Amendment: Reason_____________________________________________________ Effective Date_________________________________ Original Policy No. ___________________ Date of Original Policy __________ Valuation Basis_______________________________ PREMIUM WAIVER REINSURANCE ACCIDENTAL DEATH REINSURANCE Rider Form No. ___________________ Age Expiry ___________________ Rider Form No. ______________________ Premium to be Waived ___________________ Age Expiry ______________________ Premium for Waiver Benefit ___________________ ------------------------------------------------------------------------------------------------------------------------- ____________________________________ __________________________________________ ___________________________ _____________ DATED AT CEDING COMPANY DATE BY Other Comments: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Reinsurer: [ ] Security Life of Denver Insurance Company [ ] Security Life of Denver International (Bermuda) Limited 1290 Broadway, Denver, CO 80203-5699 25 Church St., P.O. Box HM 1978, Hamilton HM HX, Bermuda This application is accepted and reinsurance is granted by the Reinsurer subject to all the terms, conditions and limitations of the reinsurance treaty and this application. This _____________________ day of _____________ 19 ________ ________________________________ Authorized Signature Reinsurance Agreement No. ______________________________________ RE-16A-99 Security Life of Denver Insurance Company
EXHIBIT I CEDING COMPANY'S UNDERWRITING GUIDELINES ---------------------------------------- Requirements ======================================= GENERAL IMPORTANT: THE COMPANY RESERVES THE RIGHT TO REQUEST MEDICAL INFORMATION IN ADDITION TO THE ROUTINE REQUIREMENTS. ALSO, AT THE UNDERWRITER'S DISCRETION, A PARAMEDICAL EXAM, BCP, EKG, OR OTHER TESTS MAY BE REQUIRED. Use the following chart to determine the requirements that are necessary. Additional guidelines concerning these requirements follow the chart. Preferred rates are not available on MEMBERS(R) Flex Term and MEMBERS(R) Traditional Life. Preferred Plus rates are only available on MEMBERS(R) Level 10 - 2003, MEMBERS(R) Level 15 - 2003, MEMBERS(R) Level 20 - 2003 and MEMBERS(R) Level 30 - 2003. UNDERWRITING REQUIREMENTS - LIFE ONLY - ALL PRODUCTS Requirements Needed
Age Face Amount Exam/HOS BCP/HOS EKG Exercise EKG -------------------------------------------------------------------------------------------------------------------- 0-15 Thru $250,000 No No No No $250,001 Up Call Your Underwriter 16-35 Thru $99,999 No No No No $100,000 Up Yes Yes No No 36-40 Thru $99,999 No No No No $100,000-$1 M Yes Yes No No $1,000,001 Up Yes Yes Yes No 41-50 Thru $99,999 No No No No $100,000-$500,000 Yes Yes No No $500,000 Up Yes Yes Yes $5,000,000 51-60 Thru $25,000 No No No No $25,001-$250,000 Yes $100,000 No No $250,000 Up Yes Yes Yes $2,000,000 61-75 Thru $25,000 No No No No $25,001-$99,999 Yes No No No $100,000 Up Yes Yes Yes $1,000,000 76-85 0-$50,000 Yes No Yes No $50,001 Up Exam by Doctor $100,000 Yes No
BCP AND EXAM are required at $100,000 and over on all products. Be sure to use the current state version of the HIV consent form. The applicant's personal physician should not complete the exam. 31 EXHIBIT I, CONTINUED CEDING COMPANY'S UNDERWRITING GUIDELINES An EKG done within six months of application will be acceptable if a copy is provided to us. EKG requirements are based on amount applied for currently or within six months. When an exercise EKG is required, a resting EKG need not be submitted. NOTE: Nonmedical insurance issued within the previous five years must be included when Determining the current nonmedical limits. If insurance was issued standard on a medical basis during this time period, disregard any nonmedical business issued prior to the last medical case. PREFERRED UNDERWRITING WORKSHEET Note: "Alternates" are for HO use only. They should not be transferred to agent or member oriented material. ___________________________________________________________________ Policy #: ______________________________________ Office Use Only: 91 ___________________________________________________________________ PROPOSED INSURED______________________________________________ AGE:__________
_______________________________________________________________________________________________________________________ PREFERRED PLUS Y/N PREFERRED Y/N _______________________________________________________________________________________________________________________ 1. FAMILY HISTORY No DEATH of parent/sibling No DEATH of parent/sibling before age 60 from CAD, DM, before age 60 from CAD, DM, CVD or CVD or ANY TYPE OF CANCER ANY GENDER SPECIFIC cancer for the member's gender. _______________________________________________________________________________________________________________________ 2. CHOLESTEROL All Ages - MAXIMUM 240 All Ages - MAXIMUM 260 EXAM AVERAGE: (Alternate Max. 259 only if (Alternate Max. 275)** ratio is to 4.0) _______________________________________________________________________________________________________________________ 3. T.CHOL/HDL RATIO All Ages - MAXIMUM 5.0 All Ages - MAXIMUM 6.0 (Alternate Max. 6.5)** _______________________________________________________________________________________________________________________ 4. INSURED'S MEDICAL No hx of CAD, DM, cancer No ratable Impairments HX (except basal cell), or CVD (nothing 25 debits up). (CAD does not include HTN or high Chol) and no ratable impairments (25 debits up). _______________________________________________________________________________________________________________________ 5. BLOOD PRESSURE MAXIMUM OF: MAXIMUM OF: EXAM 18 - 49 = 135/85 18 - 49 = 145/90 AVERAGE:______ 50 up = 140/90 50 up = 150/90 (NO ALTERNATES ALLOWED) _______________________________________________________________________________________________________________________ 6. WEIGHT ALT.** 4.8=126 5.8=193 ALT.** 4.9=131 5.9=199 4.8=138 152 5.8=208 229 4.10=137 5.10=205 4.9=144 158 5.9=213 234 4.11=142 5.11=211 4.10=150 165 5.10=217 239 5.0=148 6.0=216 4.11=156 172 5.11=222 244 5.1=153 6.1=222 5.0=162 178 6.0=226 249 5.2=159 6.2=228 5.1=168 185 6.1=230 253 5.2=174 191 6.2=234 257 _______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________ 5.3=164 6.3=234 5.3=180 6.3=239 263 5.4=170 6.4=239 5.4=186 6.4=243 267 5.5=176 6.5=245 5.5=192 6.5=248 273 5.6=182 6.6=251 5.6=199 6.6=253 278 5.7=187 6.7=256 5.7=204 6.7=257 283 _______________________________________________________________________________________________________________________ 7. DRIVING RECORD No convictions for DWI, DUI No convictions for DWI, DUI or RD in last 5 years. No more or RD in last 5 years. No more than 1 MOVING violation in LAST than 3 MOVING VIOLATIONS in LAST 3 YEARS. 3 YEARS. _______________________________________________________________________________________________________________________ 8. ALCOHOL/DRUG NO history of drug or alcohol No drug or alcohol abuse within HISTORY abuse the PREVIOUS 10 YRS. _______________________________________________________________________________________________________________________ 9. MISCELLANEOUS NO PARTICIPATION in hazardous NO PARTICIPATION in ratable sport* (current or future plans hazardous sport, occupation, or to), aviation (other than aviation activity commercial), or ratable occupation _______________________________________________________________________________________________________________________ 10. TOBACCO USAGE No tobacco in LAST 36 MONTHS. No tobacco in LAST 12 MONTHS Tobcco expect 1 or less cigar per month Non-T with neg space and admit on app. _______________________________________________________________________________________________________________________
*Recreational scuba diving with diver averaging a depth not exceeding 50 feet would qualify. **The Alternate can be used on ONLY ONE criteria if the case is preferred on all other criteria!!! Class: A P T N S PREF PLUS PREF NT PREF T STD NT STD T 33