EX-99.D CONTRACTS 8 vul-2015.htm VARIABLE UNIVERSAL LIFE INSURANCE CONTRACT (ICC15 VUL-2015) vul-2015.htm

 

 
Pruco Life Insurance Company
 
213 Washington Street, Newark, NJ 07102
 
A Prudential Company [www.prudential.com] [800-778-2255]

 

Insured
JOHN DOE
XX XXX XXX
Policy Number
 
 
 
Agency
 
 
R-NK 1
APR 1, 2015
Contract Date
 


 
Individual Flexible Premium Variable Universal Life Insurance Policy. Insurance payable only upon death.  Cash values reflect premium  payments,  investment  results, any interest  credited  to the fixed investment  options,  any persistency credit added, and charges.  Non-participating.
 




We will promptly pay the beneficiary the death benefit described under the Death Benefit Provisions of this contract if we receive due proof that the Insured died  We make this promise subject to all the provisions of this contract.

The death benefit amount and duration of coverage depend on the death benefit option, the payment of premiums, the investment experience of the separate account(s), any interest credited to the fixed investment options, any persistency credit added, and the charges taken.
 

The death benefit amount, the duration of the coverage and cash values that are based on the investment experience of the separate account(s) are not guaranteed and will decrease or increase in accordance with investment experience. There is no guaranteed minimum cash value.
 

If there is ever a question about this contract, please see a Pruco Life Insurance Company representative or contact one of our offices.
 

Right to Cancel Contract
 

You may return this contract  to us on or before the tenth day after delivery  of the contract.  (If the purchase  of this contract  is a replacement under state law, this duration will be extended to a minimum of 30 days, or longer as required by law).  All you have to do is take the contract or mail it to one of our offices or to the representative who sold it to you.  It will be canceled and we will return the greater of (1) the premiums you have paid, or (2) the contract fund plus any charges we have deducted.
 

Signed for Pruco Life Insurance Company, an Arizona Corporation.

 

 
 
                                                                     
                                                            Secretary                                                          President






 

PLEASE READ YOUR POLICY CAREFULLY; it is a legal contract between you and Pruco Life Insurance Company.

ICC15 VUL-2015

 
 
 


 
GUIDE TO CONTENTS

 


Page

 
Contract Data 3
 
Insured's Information; Rating Class; Basic Contract Information; Insurance Department Contact Information; Type of Death Benefit; Life Insurance on the Insured; Other Benefits (if applicable); Minimum Initial Premium; Contract Limitations; Adjustments to Premium Payments; Adjustments to the Contract Fund; Schedule of Maximum Surrender Charges; Variable Investment Options; Fixed Interest Rate Investment Option; Initial Allocation of Invested Premium Amounts
 

Tables    4
 
Table Of No-Lapse Guarantee Values; Table Of Maximum Monthly Insurance Rates Per $1,000 of Net Amount At Risk; Table Of Attained Age Factors
 

Definitions    5
 

The Contract    5
 
Entire Contract; Contract Modifications; Incontestability
 

Ownership    6
 

Death Benefit Provisions     6
 
Death Benefit; Additional Death Benefits; Method of Payment; Suicide Exclusion; Interest on Death Benefit
 

Decrease in Basic Insurance Amount     7
 
Surrender Charge on Decreases
 

Cost Of Insurance    8
 

Changing The Type Of Death Benefit     8
 

Beneficiary    9
 

Premium Payment    9
 
Payment of Premiums; Invested Premium Amount; Crediting the Initial Premium Payment; Allocations
 

Contract Fund    10
 
Cash Value; Net Cash Value; Net Amount at Risk; Valuation of Variable Investment Options
 

Default    11
 
Excess Contract Debt Default; Cash Value Default; Notice of Default
 

No Lapse Guarantee    11
 

Persistency Credit     12
 
Allocation of Persistency Credit
 

Reinstatement    12
 

Separate Account     12
 
Separate Account; Variable Investment Options; Separate Account Investments
 

Fixed Investments     13

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Transfers    13
 

Surrender    13
 

Withdrawals    14
 
Effect on Contract Fund; Effect on Basic Insurance Amount
 

Loans 14
 
Loan Value; Contract Debt; Loan Requirements; Interest Charge; Preferred Loans; Effect on Contract Fund
 

General Provisions    16
 
Conformity with Interstate Insurance Product Regulation Commission Standards; Annual Report; Payment of Death Claim; Currency; Misstatement of Age or Sex; Assignment; Change in Plan; Factors Subject To Change; Non-Participating; Applicable Tax Law; Age 121
 

Basis of Computation    18
 
Mortality Basis and Interest Rate; Minimum Legal Values
 

Settlement Options    18
 
Options Described; Interest Rate
 

Settlement Options Tables     20
 



A copy of the application and any riders or endorsements can be found at the end of the contract.

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PROCESSING DATE: [XXX XX, XXXX]
 

CONTRACT DATA
 

 
Insured’s Information
 

[JOHN DOE]                        [Male],               Issue Age [35]
 



Rating Class
 

[Nonsmoker]
 



 
Basic Contract Information
 

Policy Number                                        [xx xxx xxx]
Contract Date            [April 1, 2015]
Premium Period                                    During the life of the Insured up to attained age 121
Beneficiary                                             [MARY DOE, wife]
 

Loan Interest Rate                                                   2.00%
Preferred Loan Interest Rate               1.05%
 



Insurance Department Contact Information
 

[State Insurance Department Name]
[Telephone Number: XXX-XXX-XXXX]
 



 
 
Type of Death Benefit (see Death Benefit Provisions)
 [Type B]
 


Life Insurance on the Insured
 

Basic Insurance Amount                                                                                     [$250,000.00]
 



 
[Other Benefit(s) on the Insured (see appropriate form for details)]
 

 
[Rider VL 100 B - Payment of Invested Premium Amount Benefit Upon Insured’s Total Disability.]
 
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PROCESSING DATE: [XXX XX, XXXX]
POLICY NO. [XX XXX XXX]
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[Rider VL 110 B - Rider For Insured’s Accidental Death Benefit.
Amount                                                                                                   [$25,000.00] ]
 
[Rider ICC14 VL 145 B3 - Rider to Provide Acceleration of Death Benefit.]
 
[Rider ICC14 PLI 496 - Rider For Payment of an Additional Amount Upon Surrender.]
[Rider PLI 518 – Rider for Excess Loan Protection. ]
 
   [Rider ORD 87241 - Settlement Options to Provide Acceleration of Death Benefits.]
 



[Insurance on All Other Insureds (see appropriate form for details)]
 

[Rider [VL 182 B] on the life of each dependent child - Level Term Insurance Benefit on Dependent
 
Children.]
 

Amount                                                                                                 [$25,000.00] ]
 

[Rider [VL 184 B] on the life of each dependent child - Level Term Insurance Benefit on Dependent
 
Children.]
 

Amount                                                                                                 [$25,000.00] ]
 



 
Minimum Initial Premium
 

The minimum initial premium due on the Contract Date is [$224.64].
 



Contract Limitations
 

The minimum premium we will accept is $25.00.
 

The minimum Basic Insurance Amount is [$250,000.00.]
 
The minimum decrease in Basic Insurance Amount is $5,000.00.
 

The minimum amount you may withdraw is $500.00.
 

 
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Adjustments to Premium Payments
 

From each premium paid we will:
 

subtract a premium–based administrative charge of up to 7.5% of the premium paid.
 
 
subtract a charge for sales expenses at a rate of up to 6% of the premium paid.
The remainder of the premium is the invested premium amount.
 


Adjustments to the Contract Fund
 

 
On the Contract Date the contract fund is equal to the invested premium amount credited on that date, minus any of the charges described below which may be due on that date.
 

On each day after the contract date, we will adjust the contract fund by:
 

adding any invested premium amounts.
 

 
adding any increase due to investment results of the variable investment options.
 

adding guaranteed interest at an effective annual rate of 1% (0.00272616% a day) on that portion of the contract fund that is in a fixed investment option (see Fixed Investments).
 

 
adding any excess interest at an effective annual rate that Pruco Life declares on that portion of the contract fund that is in a fixed investment option.
 

adding guaranteed interest to the portion of the contract fund that has been loaned at an effective annual rate of 1% (0.00272616% a day).
 

 
subtracting any decrease due to investment results of the variable investment options.
 

subtracting a charge against the variable investment options at an effective annual rate of not more than 0.45% (0.00123012% a day) for mortality and expense risks we assume.
 

 
subtracting any withdrawals.
 

subtracting an administrative charge of up to $25.00 for any withdrawals.
 
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subtracting an administrative charge of up to $25.00 for any decrease in basic insurance amount.
 

 
subtracting an administrative charge of up to $25.00 for each transfer between variable investment options exceeding twelve in any contract year.
 

subtracting any surrender charge that may result from a withdrawal, surrender, or reduction in the basic insurance amount.
 

 
And on each monthly date, we will adjust the contract fund by:
 

adding any persistency credit. A persistency credit at an effective annual rate that Pruco Life declares may be credited to policies in force at least [6] years and not in default (see Persistency Credit).
 

subtracting a monthly charge for administrative expenses of up to: [$0.12] per $1,000 of the basic insurance amount plus $30.00;
changing on [APR 1, 2016] to [$0.12] per $1,000 of the basic insurance amount plus $9.00 thereafter.
 
subtracting a monthly charge for the cost of insurance (see Cost of Insurance).
 
[subtracting a monthly charge for the Payment of Invested Premium Amount Benefit Upon Insured’s Total Disability (Rider VL 100 B of [7.519%] of the current total disability benefit as described in the Total Disability Benefit provision of the rider (this charge is waived during periods of total disability as described in the rider).]
 

 
[subtracting a maximum monthly charge for Insured’s Accidental Death Benefit (Rider VL 110 B) of
[$1.66].]
 

[subtracting a monthly charge for Rider to Provide Acceleration of Death Benefit (Rider ICC14 VL 145
B3).  This charge will be waived from the time benefit payments begin.]
 

 
[subtracting a maximum monthly charge for Level Term Insurance Benefit on Dependent Children
(Rider [VL 182 B]) of [$10.36] payable until [APR 1, 2055].]
 

[subtracting a maximum monthly charge for Level Term Insurance Benefit on Dependent Children
(Rider [VL 184 B]) of [$10.36] payable until [APR 1, 2055].]
 

 
[subtracting a single charge for Rider For Payment of an Additional Amount Upon Surrender (Rider
ICC14 PLI 496) due on the contract date of [$105.00].]
 

[subtracting a single charge for Rider for Excess Loan Protection (Rider PLI 518 when the rider is exercised of no more than [3.50%] of the contract fund.]
 

 
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PROCESSING DATE: [XXX XX, XXXX]
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Schedule of Maximum Surrender Charges
 

For a full surrender of the contract, the maximum charge we will deduct from the contract fund is shown below.
 


For a Surrender OccurringDuring Contract Year                 The Maximum Surrender Charge is:

[1]                                                                                                         [$2825.00]
[2]                                 [$2825.00]
[3]                                 [$2825.00]
[4]                                 [$2825.00]
[5]                                 [$2825.00]
[6]                                 [$2344.75]
[7]                                 [$1864.50]
[8]                                 [$1384.25]
[9]                                   [$904.00]
[10]                                 [$423.75]
 
[11] and later                                                                                              [$0.00]                              
 

 
We may also deduct a surrender charge when you decrease the basic insurance amount, change the type of death benefit, or make a withdrawal.  (See Decrease in Basic Insurance Amount, Changing the Type of Death Benefit, and Withdrawals.)
 



 
[Rider To Provide Acceleration Of Death Benefit Information (see Rider ICC14 VL 145 B3 for details)
 

[Initial Lifetime Benefit Amount:]                                              [$250,000.00]
[Monthly Benefit Percent:]              [2%]
[Initial Daily Benefit Limit:]                                                        [$330.00]
[Daily Benefit Limit Compound Rate:]         [4%]
      [Initial Benefit Size Discount Factor:]
[1.000000]  ]
 
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Variable Investment Options
 

The Pruco Life Variable Universal Account
 

Each variable investment option of this account invests in a specific portfolio of The Prudential Series Fund and such other funds as we may specify from time to time.  We show the available variable investment options of the account below.  Unless we say otherwise, the variable investment options invest in funds or fund portfolios with the same names. This account is registered with the SEC under the Investment Company Act of 1940.
 

The Prudential Series Fund
 

[PSF Diversified Bond Portfolio]
[PSF Equity Portfolio]
[PSF Global Portfolio]
 
[PSF High Yield Bond Portfolio]
[PSF Jennison Portfolio]
[PSF Jennison 20/20 Focus Portfolio]
[PSF Money Market Portfolio]
[PSF Natural Resources Portfolio]
 
[PSF Small Capitalization Stock Portfolio]
[PSF Stock Index Portfolio]
[PSF Value Portfolio]
 
[PSF SP International Growth Portfolio]
[PSF SP International Value Portfolio]
[PSF SP Prudential U.S. Emerging Growth Portfolio]
[PSF SP Small Cap Value Portfolio]
 

[Advanced Series Trust]
 

[AST Balanced Asset Allocation Portfolio]
[AST BlackRock Global Strategies Portfolio]
[AST BlackRock/Loomis Sayles Bond Portfolio]
[AST Cohen & Steers Realty Portfolio]
 
[AST Federated Aggressive Growth Portfolio]
[AST Goldman Sachs Mid-Cap Growth Portfolio]
 [AST Herndon Large-Cap Value Portfolio]
[AST J.P. Morgan International Equity Portfolio]
[AST J.P. Morgan Strategic Opportunities Portfolio]
 [AST Large-Cap Value Portfolio]
[AST Loomis Sayles Large-Cap Growth Portfolio]
[AST MFS Global Equity Portfolio]
[AST MFS Growth Portfolio]
 
[AST PIMCO Limited Maturity Bond Portfolio]
[AST Preservation Asset Allocation Portfolio]
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[AST Small-Cap Growth Portfolio]
[AST Small-Cap Value Portfolio]
[AST T. Rowe Price Large-Cap Growth Portfolio]
 [AST T. Rowe Price Natural Resources Portfolio]
 [AST Templeton Global Bond Portfolio]
[AST Wellington Management Hedged Equity Portfolio]
 

[American Century Variable Portfolios, Inc.]
 

[American Century V.P. Mid Cap Value]
 

[American Funds Insurance Series]
 

[American Funds Insurance Series Growth Fund]
[American Funds Insurance Series Growth-Income Fund]
[American Funds Insurance Series International Fund]
 

[The Dreyfus Corporation]
 

[The Dreyfus Socially Responsible Growth Fund]
 

[Dreyfus Investment Portfolios]
 

[Dreyfus MidCap Stock – Service Shares]
 

[Fidelity Variable Insurance Products Funds]
 

[FIDELITY VIP CONTRAFUND PORTFOLIO]
[FIDELITY VIP MIDCAP PORTFOLIO]
 

[Franklin Templeton Variable Insurance Products Trust]
 

[Franklin Income VIP Fund] [Franklin Mutual Shares VIP Fund]
[Templeton Growth VIP Fund]
 

[Hartford HLS Series Fund II, Inc.]
 

[Hartford Growth Opportunities HLS Fund]
 

[Hartford Series Fund, Inc.]
 

[Hartford Capital Appreciation HLS Fund]
[Hartford Disciplined Equity HLS Fund]
[Hartford Dividend and Growth HLS Fund]
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[Janus Aspen Series]
 

[Janus Aspen Overseas Portfolio]
 
[JP Morgan Insurance Trust]
 
[JPMorgan Insurance Trust Intrepid Mid Cap Class I]
 

[MFS Variable Insurance Trust]
 

[MFS Research Bond Series]
[MFS Utilities Series IC]
[MFS Value Series]
 

[Neuberger Berman Advisers Management Trust]
 

[Neuberger Berman AMT Socially Responsive]
 

[ValMark Advisers, Inc]
 

[TOPS (R) Aggressive Growth ETF Portfolio]
[TOPS (R) Balanced ETF Portfolio]
[TOPS (R) Conservative ETF Portfolio]
[TOPS (R) Growth ETF Portfolio]
[TOPS (R) Managed Risk Balanced ETF Portfolio]
 [TOPS (R) Managed Risk Growth ETF Portfolio]
[TOPS (R) Managed Risk Moderate Grth ETF Portfolio]
[TOPS (R) Moderate Growth ETF Portfolio]
 

Fixed Interest Rate Investment Option
 

The fixed interest rate investment option is funded by the general account of the Company. It is described in the Fixed Investments provision of this contract.
 



Initial Allocation of Invested Premium Amounts
 

[Fixed Interest Rate Investment Option]                                                                                             [100%]
 

 
END OF CONTRACT DATA

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PROCESSING DATE: [XXX XX, XXXX]
POLICY NO. [XX XXX XXX]



 

 
TABLE(S)
 

Table of No-Lapse Guarantee Values
 

The amounts below are not cash amounts that you can realize by surrendering the contract, nor are they death benefits payable. They are amounts used solely to determine whether the contract is protected against default on a monthly date as described under No-Lapse
Guarantee.
 

These values are used to determine the no-lapse guarantee as described under No-Lapse Guarantee. The values on contract anniversaries are shown below. On a date that falls between two anniversaries, the value will fall between the values for those anniversaries considering the time that has passed since the last anniversary.
 

The No-Lapse Guarantee period is the first [40] contract years.
 

  Contract                                                  No-Lapse
Anniversary                      Guarantee Value
[Contract Date]             $0.00
[1st]                                               [$1,901.61]
 
[2nd]                                              [$3,879.28]
[3rd]                                               [$5,936.06]
              [4th]                                               [$8,075.11]
              [5th]                                               [$10,299.72]
 
              [6th]                                                [$12,613.32]
              [7th]               [$15,019.46]
              [8th]                [$17,521.85]
              [9th]               [$27,470.92]
              [10th]              [$31,165.57]
 

[11th]                                            [$35,008.00]
[12th]                                            [$39,004.13]
[13th]                                            [$43,160.10]
[14th]                                            [$47,482.31]
 [15th]                                            [$51,977.41]
 

[16th]                                            [$56,652.32]
[17th]                                            [$61,514.22]
[18th]                                            [$66,570.60]
[19th]                                            [$71,829.23]
[20th]                                            [$77,298.21]
 
                [21st]                                                 [$82,985.95]
                [22nd]                     [$88,901.20]
                [23rd]               [$95,053.06]
                [24th]                     [$101,450.99]
                [25th]                     [$108,104.84]
 
 
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                                          Contract                                                 No-Lapse
Anniversary                                     Guarantee Value
 
[26th]                                   [$114,820.77]
[27th]                                   [$121,805.34]
[28th]                                   [$129,069.29]
[29th]                                   [$136,623.80]
[30th]                                   [$144,480.49]
 
             [31st]                                    [$152,651.45]
             [32nd]            [$161,149.25]
            [33rd]         [$169,986.96]
             [34th]         [$179,178.18]
            [35th]         [$188,737.05]
 

[36th]                                   [$198,678.27]
[37th]                                   [$209,017.14]
[38th]                                   [$219,769.57]
[39th]                                   [$230,952.09]
 
                      [40th]                                        [$242,581.91]                                


 
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PROCESSING DATE: [XXX XX, XXXX]
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Table of Maximum Monthly Insurance Rates per $1,000 of Net Amount at Risk
 


Contract Year         Maximum Monthly Rate    Contract Year     Maximum Monthly Rate

 
[1]                          [0.09333]                         [31]                          [1.35250]
[2]                          [0.09750]                         [32]                          [1.48167]
[3]                          [0.10333]                         [33]                          [1.61667]
[4]                          [0.11083]                         [34]                          [1.75917]
[5]                          [0.11750]                         [35]                          [1.91917]
 

[6]                            [0.12667]                             [36]                         [2.10583]
[7]      [0.13750]        [37]      [2.33250]
[8]      [0.15083]       [38]      [2.59750]
[9]      [0.16667]       [39]      [2.87667]
[10]        [0.18417]       [40]        [3.17667]
 

[11]                         [0.20333]                         [41]                          [3.50333]
[12]                         [0.22250]                         [42]                          [3.87167]
[13]                         [0.23833]                         [43]                          [4.30000]
[14]                         [0.25083]                         [44]                          [4.79750]
[15]                         [0.26667]                         [45]                          [5.35500]
 

[16]                         [0.28750]                         [46]                          [5.97667]
[17]                         [0.31417]                         [47]                          [6.65250]
[18]                         [0.34667]                         [48]                          [7.36833]
[19]                         [0.38417]                         [49]                          [8.15000]
[20]                         [0.43167]                         [50]                          [9.01917]
 

[21]                         [0.48500]                         [51]                          [9.98583]
[22]                         [0.54000]                         [52]                        [11.04917]
[23]                         [0.59333]                         [53]                        [12.19833]
[24]                         [0.64667]                         [54]                        [13.42000]
[25]                         [0.70917]                         [55]                        [14.70167]
 

[26]                         [0.78500]                         [56]                        [15.97833]
[27]                         [0.87750]                         [57]                        [17.23500]
[28]                         [0.98500]                         [58]                        [18.55167]
[29]                         [1.10250]                         [59]                        [19.94000]
[30]                         [1.22500]                         [60]                        [21.40250]
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Contract Year          Maximum Monthly Rate     Contract Year    Maximum Monthly Rate

 
[61]                        [22.85083]                        [74]                        [45.11917] [62]                        [24.26500]                        [75]                        [47.43500] [63]                        [25.77167]                        [76]                        [49.88750] [64]                        [27.37833]                        [77]                        [52.48583] [65]                        [29.09250]                        [78]                        [55.23583]
 

[66]                        [30.73000]                        [79]                        [58.14583] [67]                        [32.18250]                        [80]                        [61.22083] [68]                        [33.72750]                        [81]                        [64.46917] [69]                        [35.37000]                        [82]                        [67.89667] [70]                        [37.10583]                        [83]                        [71.51083]
 

[71]                        [38.93417]                        [84]                        [75.31667] [72]                        [40.87500]                        [85]                        [79.30583]
                    [73]                        [42.93417]                        [86]                        [83.33333]                         
 

 
We may charge less than the maximum monthly rates.  From time to time, we will consider the need to change the rates we charge. We describe the factors we use to determine such changes under General Provisions.
 

See the Basis of Computation for a description of the basis we use to compute these rates.
 

 
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[Table of Maximum Monthly Insurance Rates per $1,000 of Net Amount at Risk for Rider to Provide Acceleration of Death Benefit ]
 


[Contract Year       Maximum Monthly Rate     Contract Year      Maximum Monthly Rate

 
[1]                          [0.00513]                         [34]                         [0.22572]
[2]                          [0.00645]                         [35]                         [0.24806]
[3]                          [0.00843]                         [36]                         [0.26748]
[4]                          [0.00987]                         [37]                         [0.28742]
[5]                          [0.01114]                         [38]                         [0.30844]
 

[6]                            [0.01231]                       [39]                         [0.33059]
[7]                     [0.01348]                      [40]                     [0.35436]
[8]                     [0.01477]                      [41]                     [0.38730]
[9]                     [0.01619]                      [42]                     [0.42769]
[10]                   [0.01764]                      [43]                     [0.47242]
 

[11]                         [0.01970]                         [44]                         [0.52169]
[12]                         [0.02205]                         [45]                         [0.57515]
[13]                         [0.02459]                         [46]                         [0.64109]
[14]                         [0.02743]                         [47]                         [0.71610]
[15]                         [0.03039]                         [48]                         [0.79385]
 

[16]                         [0.03399]                         [49]                         [0.87156]
[17]                         [0.03753]                         [50]                         [0.94929]
[18]                         [0.04142]                         [51]                         [1.06238]
[19]                         [0.04578]                         [52]                         [1.15597]
[20]                         [0.05040]                         [53]                         [1.25660]
 

[21]                         [0.05548]                         [54]                         [1.36353]
[22]                         [0.06115]                         [55]                         [1.48868]
[23]                         [0.06741]                         [56]                         [1.60464]
[24]                         [0.07465]                         [57]                         [1.72415]
[25]                         [0.08259]                         [58]                         [1.84725]
 

[26]                         [0.09151]                         [59]                         [1.97386]
[27]                         [0.10169]                         [60]                         [2.10406]
[28]                         [0.11277]                         [61]                         [2.23783]
[29]                         [0.12470]                         [62]                         [2.37510]
[30]                         [0.18870]                         [63]                         [2.51595]
 

                   [31]                          [0.17480]                         [64]                          [2.46563]
                   [32]                      [0.19021]                     [65]                      [2.41633]
                   [33]                      [0.20724]                         [66]                      [2.36800]
TABLE(S) CONTINUED ON NEXT PAGE

ICC15 VUL-2015
Page 4D

 
 
 
PROCESSING DATE: [XXX XX, XXXX]
POLICY NO. [XX XXX XXX]
TABLE(S) CONTINUED



 


Contract Year          Maximum Monthly Rate     Contract Year       Maximum Monthly Rate

 
[67]                         [2.32064]                         [77]                         [1.89613]
[68]                         [2.27423]                         [78]                         [1.85822]
[69]                         [2.22874]                         [79]                         [1.82105]
[70]                         [2.18417]                         [80]                         [1.78463]
[71]                         [2.14049]                         [81]                         [1.74892]
 

[72]                         [2.09767]                         [82]                         [1.71394]
[73]                         [2.05572]                         [83]                         [1.67968]
[74]                         [2.01461]                         [84]                         [1.64607]
[75]                         [1.97430]                         [85]                         [1.61316]
             [76]                         [1.93483]                         [86]                         [1.58090]                         
 

 
From time to time, we will consider the need to change the rates we charge. We describe the factors we use to determine such changes under General Provisions.
 

See the Basis of Computation for a description of the basis we use to compute these rates.]
 

 
TABLE(S) CONTINUED ON NEXT PAGE

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PROCESSING DATE: [XXX XX, XXXX]
POLICY NO. [XX XXX XXX]
TABLE(S) CONTINUED



 

 
Table of Attained Age Factors
 

These factors are used to determine your death benefit as described under Death Benefit
Provisions.
 

These factors apply during each contract year.
 

Contract Year
Factors
Contract Year
Factors
[1]
[2]
[3]
 [4]
[5]
[2.50]
[2.50]
 [2.50]
[2.50]
 [2.50]
[26]
[27]
 [28]
 [29]
[30]
[1.30]
[1.28]
[1.26]
[1.24]
[1.22]
 
    [6]
 [7]
[8]
 [9]
 [10]
 
[2.50]
[2.43]
[2.36]
[2.29]
[2.22]
 
[31]
 [32]
[33]
[34]
[35]
 
[1.20]
[1.19]
[1.18]
[1.17]
[1.16]
 
[11]
[12]
[13]
[14]
[15]
 
[2.15]
[2.09]
[2.03]
 [1.97]
[1.91]
 
[36]
[37]
[38]
[39]
[40]
 
[1.15]
[1.13]
[1.11]
[1.09]
[1.07]
 
[16]
[17]
[18]
[19]
[20]
 
[1.85]
[1.78]
 [1.71]
 [1.64]
[1.57]
 
[41]
[42]
[43]
 [44]
[45]
 
[1.05]
 [1.05]
 [1.05]
 [1.05]
[1.05]
 
[21]
[22]
[23]
[24]
 [25]
 
[1.50]
[1.46]
[1.42]
 [1.38]
 [1.34]
 
[46]
 [47]
 [48]
[49]
[50]
 
[1.05]
[1.05]
[1.05]
[1.05]
[1.05]
TABLE(S) CONTINUED ON NEXT PAGE

ICC15 VUL-2015
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PROCESSING DATE: [XXX XX, XXXX]
POLICY NO. [XX XXX XXX]
TABLE(S) CONTINUED



 

 
Contract Year
Factors
Contract Year
Factors
[51]
[52]
[53]
[54]
[55]
[1.05]
[1.05]
[1.05]
[1.05]
[1.05]
[70]
[71]
[72]
[73]
[74]
[1.00]
[1.00]
[1.00]
[1.00]
[1.00]
 
[56]
[57]
[58]
[59]
[60]
 
[1.05]
[1.04]
[1.03]
[1.02]
[1.01]
 
[75]
[76]
[77]
[78]
[79]
 
[1.00]
[1.00]
[1.00]
[1.00]
[1.00]
 
[61]
[62]
[63]
[64]
[65]
 
[1.00]
[1.00]
[1.00]
[1.00]
[1.00]
 
[80]
[81]
[82]
[83]
[84]
 
[1.00]
[1.00]
[1.00]
[1.00]
[1.00]
 
[66]
[67]
[68]
 
[1.00]
[1.00]
[1.00]
 
[85]
[86]
[87]
 
[1.00]
[1.00]
[1.00]
             [69]                                                      [1.00]                                                                             


 
END OF TABLE(S)

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DEFINITIONS
 

We, our, us and Pruco Life. - Pruco Life Insurance Company.
 

You and your. - The owner(s) of the contract.
 

Insured. - The person named as the Insured on the first page. He or she need not be the owner.
 

SEC. - The Securities and Exchange Commission.
 

Issue Date. - The contract date shown on the first page.
 

Anniversary or contract anniversary. - The same day and month as the contract date in each later year.
 

Contract Year. - A year that starts on the contract date or on an anniversary.
 

Monthly Date. - The contract date and the same day as the contract date in each later month.
 

Contract Month. - A month that starts on a monthly date.
 




THE CONTRACT
 

Entire Contract
 

This policy and any attached copy of a rider, endorsement and application, including an application requesting a change, form the entire contract.  We assume that all statements in an application are made to the best of the knowledge and belief of the person(s) who make them; in the absence of fraud, they are deemed to be representations and not warranties.  We rely on those statements when we issue the contract and when we change it.  We will not use any statement, unless made in an application, to try to void the contract, to contest a change, or to deny a claim.
 

Contract Modifications
 

Only a Pruco Life officer with the rank or title of vice president may agree to modify this contract, and then only in writing.
 

Incontestability
 

Except for non-payment of enough premium to prevent your policy from lapsing (see Default), we will not contest this contract after it has been in force during the Insured's lifetime for two years from the issue date.  The contract will be contestable for two years from the date of reinstatement during the lifetime of the Insured for information contained in the application for a reinstatement.

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OWNERSHIP
 

Unless a different owner is named in the application, the owner of the contract is the Insured.  If a different owner is named, we will show that owner in an endorsement to the contract. This ownership arrangement will remain in effect unless you ask us to change it.
 

You may change the ownership of the contract by sending us a request in a form that meets our needs.  We may ask you to send us the contract to be endorsed.  If we receive your request in a form that meets our needs, and the contract if we ask for it, we will file and record the change at our Home Office, and unless otherwise specified by you, it will take effect as of the date you signed the request.  Any rights created by the change in ownership will not apply to any payments we have made or actions we have taken before the request was received and recorded at our Home Office.  If the owner is a joint owner, all rights under this contract will be equally shared.  If there is a contingent owner, all rights under this policy will remain with the primary owner during the primary owner's lifetime.
 

While the Insured is living, the owner alone is entitled to any contract benefit and value, and to the exercise of any right and privilege granted by the contract or by us.
 




DEATH BENEFIT PROVISIONS
 

We will pay a benefit to the beneficiary at the Insured's death if this contract is in force at the time of that death; that is, if it has not been surrendered and it is not in default past the grace period.
 

If the contract is not in default, the amount we will pay will be the death benefit determined as of the date of the Insured's death reduced by any contract debt (described under Loans).
 

If the contract is in default, and the Insured's death occurs in the grace period (described under Default), we will pay the death benefit reduced by any contract debt and the amount needed to pay charges through the date of death.
 

Payments received after the Insured's date of death will be returned.   Charges will not be deducted for any period after the
 
Insured's date of death.
 

If the Insured's death occurs past the grace period, no death benefit is payable.
 

Death Benefit
 

This contract has a Type A or Type B death benefit.  We show the type of death benefit that applies to this contract under Type of
 
Death Benefit.
 

If this contract has a Type A death benefit, the death benefit on any date is equal to the greater of: (1) the basic insurance amount, and (2) the contract fund before deduction of any monthly charges due on that date, multiplied by the attained age factor that applies.
 

If this contract has a Type B death benefit, the death benefit on any date is equal to the greater of: (1) the basic insurance amount plus the contract fund before deduction of any monthly charges due on that date, and (2) the contract fund before deduction of any monthly charges due on that date, multiplied by the attained age factor that applies.
 

For the purpose of computing the death benefit, if the contract fund is less than zero we will consider it to be zero.  Your basic insurance amount and attained age factors are shown in the contract data pages.
 

Additional Death Benefits
 

This contract may provide additional benefits, which may be payable on an Insured's death.  If it does, they will be listed on a contract data page, and a form describing the benefit will be included in this contract.  Any such benefit will be payable only if the contract is not in default past the grace period at the time of the death.

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Method of Payment
 

You may choose to have any death benefit paid in a single sum or under one of the optional modes of settlement shown in the
 
Settlement Options provision.
 

Suicide Exclusion
 

If the Insured, whether sane or insane, dies by suicide within two years from the Issue Date, this contract will end without any death benefit paid and we will return the premiums paid, less any contract debt and less any withdrawals.
 

If the Insured, whether sane or insane, dies by suicide within two years from the effective date of this policy's reinstatement, this contract will end without any death benefit paid and we will return the reinstatement charge and any premiums paid after the reinstatement date, less any contract debt and less any withdrawals.
 

Interest on Death Benefit
 

Any death benefit described above will be credited with interest from the date of death at a rate at least equal to the effective annual rate declared by us for funds left on deposit. We will use the rate that is in effect on the date of death.
 

Interest shall accrue on the death benefit at the rate described above plus additional interest at a rate of 10% annually beginning 31 calendar days from the latest of the following dates:
 

(a)   the date that we have received due proof of the death of the Insured;
 

(b)    the date we receive all the information we need to be able to determine the beneficiary(ies) and what we owe them; and
 

 
(c)    the date that any legal impediments to the payment of the death benefit have been resolved.  Such legal impediments may include, but are not limited to, the establishment of legal guardians, appointment of trustees or executors, or the need for additional information required by state and federal reporting requirements.
 

We may credit additional interest in accordance with our current guidelines or applicable law at the time of claim.
 




DECREASE IN BASIC INSURANCE AMOUNT
 

You may decrease the basic insurance amount, subject to our approval and all these conditions and the paragraphs that follow:
 

1.   You must ask for the decrease in a form that meets our needs.
 

2.   The amount of the decrease must be at least equal to the minimum decrease in basic insurance amount shown under Contract
 
Limitations in the contract data pages.
 

3.   The basic insurance amount after a decrease must be at least equal to the minimum basic insurance amount shown under Contract
 
Limitations in the contract data pages.
 

4.   If we ask you to do so, you must send us the contract to be endorsed.
 

5.   The contract must not be in default.
 

 
6.   You may not decrease the basic insurance amount if any surrender charge on the decrease exceeds the amount in your contract fund less the administrative charge (shown under Adjustments to the Contract Fund) for the decrease.

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We may decline the decrease if we determine it would cause the contract to fail to qualify as life insurance under the applicable tax law.  A decrease will take effect only if we approve your request for it at our Home Office and will take effect on the date we approve it.  If we approve the decrease, we will recompute the contract's charges and values in the appropriate tables. A decrease in the basic insurance amount may also affect the amount of any extra benefits this contract might have.  We will send you new contract data pages showing the amount and effective date of the decrease and the recomputed charges and values.  If the Insured is not living on the effective date, the decrease will not take effect.  We may deduct the administrative charge (shown under Adjustments to the Contract Fund) for the decrease.
 

Surrender Charge on Decreases
 

We will reduce the basic insurance amount by the amount of the decrease.  To determine the surrender charge associated with the decrease, we multiply the surrender charge (see Schedule of Maximum Surrender Charges) by the amount of the decrease, and divide by the basic insurance amount before the decrease.
 




COST OF INSURANCE
 

On each monthly date, we will deduct a charge for the cost of insurance from the contract fund.  To determine the maximum charge for the cost of insurance, we use the following method:
 

We determine the maximum cost of insurance rate for the basic insurance amount shown in the contract data pages using the maximum monthly rate shown under the Table of Maximum Monthly Insurance Rates.  We then multiply the rate by the net amount at risk (the death benefit minus the contract fund) divided by $1,000 to compute the maximum charge for the cost of insurance.  For the purpose of computing the net amount at risk, if the contract fund is less than zero, we will consider it to be zero.
 




CHANGING THE TYPE OF DEATH BENEFIT
 

This contract has a Type A or Type B death benefit (see Death Benefit).  Subject to our approval, you may change the type of death benefit.  We will adjust the basic insurance amount so that the death benefit immediately after the change will remain the same as the death benefit immediately before the change.
 

Type A to B
 

If you are changing from a Type A to a Type B death benefit, we will reduce the basic insurance amount by the contract fund on the date the change takes effect.  The basic insurance amount after the decrease must be at least equal to the minimum basic insurance amount, which we show under Contract Limitations in the contract data pages.  We may deduct from the contract fund a surrender charge for a reduction in the basic insurance amount as described in the Decrease in Basic Insurance Amount provision.  We may deduct from the contract fund the administrative charge shown for decreases in the basic insurance amount under Adjustments to the Contract Fund.
 

Type B to A
 

If you are changing from a Type B to a Type A death benefit, we will increase the basic insurance amount by the contract fund on the date the change takes effect.
 

A change in the type of death benefit will take effect only if we approve your request at our Home Office.  If we approve the change, we will recompute the contract's charges, values and limitations shown in the contract data pages.  The change will take effect on the monthly date that coincides with or next follows the date we approve your request.   We will send you new contract data pages showing the amount and effective date of the change in basic insurance amount and the recomputed charges, values and limitations.
 

Your request for a change must be in a form that meets our needs. We may require you to send us this contract before we make the change.

ICC15 VUL-2015
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BENEFICIARY
 

You may designate or change a beneficiary by sending us a request in a form that meets our needs.  We may ask you to send us the contract to be endorsed.  If we receive your request, and the contract if we ask for it, we will file and record the change and, unless otherwise specified by you, it will take effect as of the date you signed the request.  But if we make any payment(s) before we receive the request, we will not have to make the payment(s) again.   Any beneficiary's interest is subject to the rights of any assignee we know of.
 

When a beneficiary is designated, any relationship shown is to the Insured, unless otherwise stated.  To show priority, we may use numbered classes, so that the class with first priority is called class 1, the class with next priority is called class 2, and so on.  When we use numbered classes, these statements apply to beneficiaries unless the form states otherwise:
 

1.   One who survives the Insured will have the right to be paid only if no one in a prior class survives the Insured.
 

2.   One who has the right to be paid will be the only one paid if no one else in the same class survives the Insured.
 

3.   Two or more in the same class who have the right to be paid will be paid in equal shares.
 

4.   If none survives the Insured, we will pay in one sum to the Insured's estate.
 

Before we make a payment, we have the right to decide what proof we need of the identity, age, or other facts about any persons designated as beneficiaries.  If beneficiaries are not designated by name and we make payment(s) based on that proof, we will not have to make the payment(s) again.
 




PREMIUM PAYMENT
 

Payment of Premiums
 

The minimum initial premium shown in the contract data pages is due on or before the contract date.  There is no insurance under this contract until that premium is paid.   We may require an additional premium if adjustments to premium payments plus any contract fund charges due on or before the payment date exceeds the minimum initial premium.
 

Subject to the limitations below, additional premiums may be paid at any time during the Insured's lifetime up to attained age 121 as long as the contract is not in default beyond the grace period.  Premiums may be paid at one of our offices or to one of our authorized representatives.  We will give a signed receipt upon request.  The minimum premium we will accept is shown on a contract data page. We have the right to refuse to accept a premium payment that would in our opinion cause this contract to fail to qualify as life insurance under applicable tax law.  We also have the right to refuse to accept any payment that increases the death benefit by more than it increases the contract fund.
 

While a loan is outstanding, we will treat the amounts you pay as premiums unless you submit to us a written request that they be treated as loan repayments.
 

Invested Premium Amount
 

The invested premium amount is the portion of each premium you pay that we add to the contract fund.  It is equal to the premium paid minus the adjustments to premium payments shown on a contract data page.
 

Crediting the Initial Premium Payment
 

If we receive the first premium payment on or before the contract date, we will credit the invested premium amount to the contract fund on the contract date.  If we receive the first premium payment after the contract date, we will credit the premium amount to the contract fund on the payment date.

ICC15 VUL-2015
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Allocations
 

We will allocate 100% of any invested premium into the Money Market Investment Option until the tenth day after you receive this contract.  At the end of that day we will re-allocate the amount in the Money Market Investment Option in accordance with the Initial Allocation of Invested Premium Amounts shown in the contract data pages or your most current premium allocation on file with us.
 

You may allocate all or a part of your invested premium amount to one or more of the investment options listed in the contract data pages. You may choose to allocate nothing to a particular investment option. You may not choose a fractional percentage.
 

The initial allocation of invested premium amounts is shown on a contract data page.   You may change the allocation for future invested premium amounts at any time if the contract is not in default.  To change your allocation, simply notify us in a form that meets our needs. The change will take effect on the date we receive your notice; we will send you a confirmation of the transaction.
 




CONTRACT FUND
 

When you make your first premium payment, the invested premium amount, less any charges due on or before that day, becomes your contract fund.  Amounts are added to and subtracted from the contract fund as shown under Adjustments to the Contract Fund in the contract data pages.  The contract fund is used to pay charges under this contract and will determine, in part, whether this contract will remain in force or go into default.  The contract fund is also used to determine your loan and surrender values, the amount you may withdraw, and the death benefit.
 

Cash Value
 

The cash value at any time is the contract fund less any surrender charge.  We show the maximum surrender charge in the Schedule of Maximum Surrender Charges.
 

Net Cash Value
 

The net cash value at any time is the cash value less any contract debt. If the contract is in default, the net cash value is zero.
Net Amount at Risk
 

The net amount at risk is used to determine the cost of insurance as described under Adjustments to the Contract Fund.  It is equal to the death benefit (see Death Benefit) minus the contract fund.  For the purpose of computing the net amount at risk, if the contract fund is less than zero we will consider it to be zero.
 

Valuation of Variable Investment Options
 

Amounts allocated to a variable investment option are converted to number of units.  The number of units added to each variable investment option is determined by dividing the amount allocated to each variable investment option by the dollar value of one unit for such variable investment option.
 

Amounts taken from each variable investment option decrease the number of units in each variable investment option.  The number of units subtracted from each variable investment option is determined by dividing the amount taken from the variable investment option by the dollar value of one unit for such variable investment option.
 

The unit value for each variable investment option will vary to reflect the investment experience of the applicable fund and will be determined on each valuation day by multiplying the unit value of the particular variable investment option on the preceding valuation day by a net investment factor for that variable investment option for the valuation period then ended.  The valuation day is any date on which the New York Stock Exchange is open for trading and the variable investment option is valued.  The valuation period is the period of time from the close of the immediately preceding valuation day to the close of the current valuation day.

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The net investment factor for each of the variable investment options is equal to:
 

 
1.   the net asset value per share of the corresponding fund at the end of the valuation period (plus the per share amount of any dividend or capital gain distributions paid by that fund in the valuation period then ended); divided by
 

2.   the net asset value per share of the corresponding fund determined as of the end of the immediately preceding valuation period;
 
minus
 

3.   the daily portion of the mortality and expense risk charge shown in the contract data pages assessed during the valuation period. The net investment factor may be greater or less than one. Therefore, the value of a unit may increase or decrease.
 
If the New York Stock Exchange is closed (except for holidays or weekends) or trading is restricted due to an existing emergency as defined by the Securities and Exchange Commission so that we cannot value the variable investment options, we may postpone all transactions which require valuation of the variable investment option until valuation is possible.
 



DEFAULT
 

Excess Contract Debt Default
 

If contract debt ever grows to be equal to or more than the cash value, the contract will have excess contract debt and will be in default.
 

Cash Value Default
 

On each monthly date, we will determine the cash value.  If the cash value is greater than zero and the contract has no excess contract debt, the contract will remain in force until the next monthly date.  If the cash value is zero or less, the contract is in default, unless it remains in force under the No-Lapse Guarantee.
 

Notice of Default
 

If the contract is in default, we will mail you a notice stating the amount we will need to keep the contract in force.  That amount will equal a premium which we estimate will keep the contract in force for three months from the date of default.  We grant a 61-day grace period from the date we mail the notice to pay this amount.  The contract will remain in force during this period.  If that amount is not paid to us or postmarked by the end of the 61-day grace period, the contract will end and have no value.  At least 30 days prior to termination of coverage, we will send another notice to your last known address reiterating the amount you must pay to bring the policy out of default. We will also send a notice to any assignee of record at least 30 days prior to termination of coverage.
 



NO-LAPSE GUARANTEE
 

On each monthly date during the No-Lapse Guarantee period shown under the Table of No-Lapse Guarantee Values, and while the contract is in force, we will:
 

1.   Accumulate premium payments at 4% annual interest from the Monthly Date on or preceding the date of receipt;
 

2.   Accumulate any withdrawal amounts at 4% annual interest; and
 

 
3.   If the contract was previously reinstated (see Reinstatement), accumulate at 4% annual interest any loan amount at the time of default.
 

We then subtract amounts 2 and 3 from amount 1 and compare the result to the values shown in or derived from the Table of No-Lapse Guarantee Values for such monthly date.   If the result is equal to or greater than the appropriate value and the contract has no excess contract debt, the contract will remain in force until the next monthly date.  If the result is less than the appropriate value and any of the events described under Default have occurred, the contract is in default as described under Default.
 

The No-Lapse Guarantee will not prevent the contract from being in default for excess contract debt.

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The  Table  of  No-Lapse  Guarantee  Values  shows  such  values  on  contract  anniversaries.    On  a  date  that  falls  between  two anniversaries, the value will fall between the values for those anniversaries considering the time that has passed since the last anniversary.
 



PERSISTENCY CREDIT
 

On each monthly date after this contract has been in force for the period shown in the contract data pages and is not in default, we may add a persistency credit to the contract fund.  The persistency credit is calculated based on the unloaned portion of the contract fund.  Such credit is a result of a reduction in the interest margin for profit and expenses.  The persistency credit is not guaranteed. We reserve the right to discontinue the persistency credit at any time.  Any persistency credit is nonforfeitable after crediting except indirectly due to surrender charges.
 

Allocation of Persistency Credit
 

We will allocate any persistency credit to the investment options using your investment allocation for future premium payments on file as of the monthly date.
 



REINSTATEMENT
 

If this contract ends without value, as described under Default, you may reinstate it. The following conditions must be satisfied:
 

1.   The contract must not have been in default for more than 5 years.
 

2.   You must prove to us that the Insured is insurable for the contract.
 

 
3.   You must pay us a charge equal to: (a) an amount, if any, required to bring the cash value to zero on the date the contract went into default, plus (b) the deductions from the contract fund during the grace period following the date of default, plus (c) a premium that we estimate will be sufficient after administrative charges to cover the deductions from the contract fund for three monthly dates starting on the date of reinstatement.
 

 
4.   Any existing contract debt on the date of default will be cancelled and will not be reinstated.  The amount of any existing contract debt on the date of default will not be included in the contract fund after reinstatement.
 

The date of reinstatement will be the date we approve your request.  We will deduct all required charges from your payment and put the balance in your contract fund.  If we approve the reinstatement, we will credit the contract fund with a refund of that part of any surrender charge deducted at the time of default which would have been charged if the contract were surrendered immediately after reinstatement.
 



SEPARATE ACCOUNT
 

Separate Account
 

The words "separate account", when we use them in this contract without qualification, mean any separate account we establish to support variable life insurance contracts like this one.  We list the separate account(s) available to you in the contract data pages.  We may establish additional separate accounts. We will notify you within one year if we do so.
 

Variable Investment Options
 

A separate account may offer one or more variable investment options.  We list them in the contract data pages.  We may establish additional variable investment options.  We will notify you within one year if we do so.  We may restrict transfers into any variable investment option. We may also eliminate existing variable investment options, subject to any required regulatory approval.

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Income and realized and unrealized gains and losses from assets in each variable investment option are credited to, or charged against, that variable investment option. This is without regard to income, gains, or losses in other variable investment options.
 

Separate Account Investments
 

We may invest the assets of different separate accounts in different ways.  But we will do so only with the consent of the SEC and, where required, of the insurance regulator of our state of domicile and/or where this contract is delivered.  The process for obtaining consent is on file, where required, with the insurance regulator of our state of domicile and/or where this contract is delivered.
 

The portion of assets of the separate account equal to the reserves and other contract liabilities with respect to the account shall not be charged with liabilities arising out of any other business we may conduct.  The assets of the separate account shall be available to cover the liabilities of the general account only to the extent that the assets exceed the liabilities of the separate account arising under the variable life insurance policies supported by the separate account.
 

We will determine the value of the assets in each separate account registered with the SEC under the Investment Company Act of 1940 and any variable investment option on each day the New York Stock Exchange is open for business (see Valuation of Variable Investment Options).
 



FIXED INVESTMENTS
 

We list any fixed investment option available to you in the contract data pages.  We may establish additional fixed investment options. We will notify you within one year if we do so.  You may allocate all or part of your invested premium amount to an available fixed investment option.  As stated under Adjustments to the Contract Fund, we credit fixed investment options with guaranteed interest and we may credit them with excess interest no less frequently than annually.  Any excess interest credited is nonforfeitable after crediting except indirectly due to surrender charges.
 



TRANSFERS
 

You have the right to transfer amounts into or out of variable investment options and into any fixed investment option up to twelve times in each contract year without charge if the contract is not in default.  Additional transfers may be made during each contract year, but only with our consent.  We may charge for additional transfers as we state under Adjustments to the Contract Fund. Transfers out of any fixed investment option may be made only with our consent.
 

We may restrict the number, timing and amount of transfers in accordance with our rules if your transfer activity is determined by us to be disruptive to the variable investment option or to the disadvantage of other contract owners. We may prohibit transfer requests made by an individual acting under a power of attorney on behalf of more than one contract owner.
 

To make a transfer, you must ask us in a form that meets our needs.  Unless otherwise restricted, the transfer will take effect on the date we receive your notice at our Home Office.
 



SURRENDER
 

You may surrender this contract for its net cash value (see Contract Fund).  To do so, you must ask us in a form that meets our needs. We may require you to send us the contract.
 

We will usually pay any net cash value within seven days after we receive your request and the contract at our Home Office.  But we have the right to postpone paying you the part of the net cash value that is to come from any variable investment option provided by a separate account registered under the Investment Company Act of 1940 if: (1) the New York Stock Exchange is closed; or (2) the SEC requires that trading be restricted or declares an emergency.  We have the right to postpone paying you the remaining net cash value that is to come from any fixed investment option for up to six months.

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Any net cash value available under the policy at any time other than on a policy anniversary will be calculated with allowance for lapse of time from the last preceding policy anniversary.
 



WITHDRAWALS
 

You may make withdrawals from the contract subject to all these conditions and the paragraph that follows:
 

1.   You must ask for the withdrawal in a form that meets our needs.
 

 
2.   The net cash value after withdrawal may not be less than or equal to zero after deducting (a) any charges associated with the withdrawal and (b) an amount that we estimate will be sufficient to cover the contract fund deductions for two monthly dates following the date of withdrawal.
 

3.   You may not withdraw less than the minimum amount shown under Contract Limitations.
 

4.   The basic insurance amount after withdrawals must be at least equal to the minimum basic insurance amount shown under
 
Contract Limitations.
 

Any amount withdrawn may not be repaid except as a premium subject to charges.
 

Effect on Contract Fund
 

We will reduce your contract fund on the date we approve your request by the withdrawal amount and any charges listed under Adjustments to the Contract Fund.  Unless you request otherwise and we agree, we will take any withdrawal proportionately from all investment options that apply to the contract.
 

We may charge an administrative fee as stated under Adjustments to the Contract Fund.
 

Effect on Basic Insurance Amount
 

If you have a Type B death benefit, withdrawals will not affect the basic insurance amount.
 

If you have a Type A death benefit and the withdrawal would cause the net amount at risk (see Contract Fund) to increase, we will reduce the basic insurance amount and, consequently, your death benefit to offset this increase.  The reduction in the basic insurance amount will never be more than the withdrawal amount.  If we reduce the basic insurance amount, we will recompute the contract's charges, values and limitations.  We will send you new contract data pages showing these changes.  We may also deduct a surrender charge from the contract fund as described in the Decrease in Basic Insurance Amount provision.
 

We will usually pay any withdrawal amount within seven days after we receive your request at our Home Office.  But we have the right to postpone paying you the part of the withdrawal amount that is to come from any variable investment option provided by a separate account registered under the Investment Company Act of 1940 if: (1) the New York Stock Exchange is closed; or (2) the SEC requires that trading be restricted or declares an emergency.  We have the right to postpone paying you the remaining withdrawal amount that is to come from any fixed investment option for up to six months.
 



LOANS
 

Subject to the requirements of this provision, you may at any time borrow any amount up to the current loan value less any existing contract debt.
 

Loan Value
 

If the contract is not in default, the loan value at any time is equal to the sum of (a) 99% of the cash value attributable to the variable investment options, and (b) the balance of the cash value.
 

If the contract is in default, it has no loan value.

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Contract Debt
 

Contract debt at any time means the loan on the contract at that time, plus the interest we have charged that is not yet due and that we have not yet added to the loan.
 

Loan Requirements
 

For us to approve a loan, the following requirements must be met:  you must assign this contract to us as sole security for the loan; the
 
Insured must be living; and the resulting contract debt must not be more than the loan value.
 

If there is already contract debt when you borrow from us, we will add the new amount you borrow to that debt.
 

Interest Charge
 

We will charge interest daily on any loan.  Interest is due on each contract anniversary, or when the loan is paid back, whichever comes first.  If interest is not paid when due, we will increase the loan amount by any unpaid interest.  Except as stated below, we charge interest at an effective annual rate shown under Loan Interest Rate in the contract data pages.
 

Preferred Loans
 

On and after the 10th contract anniversary, all new and existing loans will be considered Preferred Loans.  Preferred Loans are charged interest at an effective annual rate shown under Preferred Loan Interest Rate in the contract data pages.
 

Effect on Contract Fund
 

When you take a loan, the amount of the loan continues to be a part of the contract fund and is credited with interest as described in the contract data pages.
 

We will reduce the portion of the contract fund allocated to the investment options by the amount you borrow, and by loan interest that becomes part of the loan if it is not paid when due.
 

We will take any loan proportionately from all investment options that apply to the contract unless you ask us otherwise.
 

On each monthly date, if there is a contract loan outstanding at any time during the previous month, we will increase the portion of the contract fund in the investment options by interest credits accrued on the loan since the last monthly date.  When you repay all or part of a loan, we will increase the portion of the contract fund in the investment options by the amount of that repayment.  To do this, we will use your investment allocation for future premium payments on file as of the loan payment date.  We will also decrease the portion of the contract fund on which we credit the guaranteed interest rate as described in the contract data pages by the amount of loan you repay.
 

We will not increase the portion of the contract fund allocated to the investment options by loan interest that is paid before we make it part of the loan.  We reserve the right to change the manner in which we allocate loan repayments.  If we make such a change, we will do so for all contracts like this one. We will send you notice of any change.
 

We will usually pay any loan amount within seven days after we receive your request at our Home Office.  But we have the right to postpone paying you the part of the loan amount that is to come from any variable investment option provided by a separate account registered under the Investment Company Act of 1940 if: (1) the New York Stock Exchange is closed; or (2) the SEC requires that trading be restricted or declares an emergency.  We have the right to postpone paying you the remaining loan amount that is to come from any fixed investment option for up to six months, except for any loan made to pay premiums due on any contracts you have with us.

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GENERAL PROVISIONS
 

Conformity with Interstate Insurance Product Regulation Commission Standards
 

The provisions of this contract were approved and issued under the authority of the Interstate Insurance Product Regulation Commission.  Any provision of the policy that on the provision's effective date is in conflict with the Interstate Insurance Product Regulation Commission standards for this product type will hereby be amended to conform to the standards.
 

Annual Report
 

Once each contract year we will send you, without charge, a report.  It will show: the current death benefit; the amount of the contract fund, if any, in each investment option at the beginning and at the end of the current report period; the net cash value; any contract debt and the interest rate we are charging; premiums paid, interest credited, investment results, charges deducted, and withdrawals taken since the last report.  The report will include the beginning and end dates of the current report and may also show any other data that may be required where this contract is delivered.  You may also request an illustrative report once each contract year at no cost. We may charge a fee of up to $25 for providing additional illustrative reports.
 

Payment of Death Claim
 

If we settle this contract in one sum as a death claim we will usually pay the proceeds within seven days after we receive at our Home Office proof of the Insured's death and any other information we need to pay the claim.  But we have the right to postpone paying the part of the proceeds that is to come from a variable investment option if: (1) the New York Stock Exchange is closed; or (2) the SEC requires that trading be restricted or declares an emergency.   We have the right to postpone paying the remaining part of the proceeds that is to come from any fixed investment option for up to six months.
 

Currency
 

Any money we pay, or that is paid to us, must be in United States currency.  Any amount we owe will be payable at our Corporate
 
Office.
 

Misstatement of Age or Sex
 

If the Insured's stated age and/or sex (if applicable) are not correct, we will change each benefit and any amount to be paid to what the most recent deductions from the contract fund would have provided at the Insured's correct age and/or sex (if applicable).
 

Assignment
 

We will not be deemed to know of an assignment unless we receive it, or a copy of it, at our Home Office.  Unless otherwise specified by you, an assignment will take place only when signed by you.  We are not obliged to see that an assignment is valid or sufficient. Any rights created by the assignment will not apply to any payments we have made or actions we have taken before the assignment was received and recorded at our Home Office.  This contract may not be assigned if such assignment would violate any federal, state, or local law or regulation prohibiting sex distinct rates for insurance (if applicable).
 

Change in Plan
 

You may be able to have this contract changed to another plan of life insurance.  Any change may be made only if we consent, and will be subject to conditions and charges that are then determined.

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Factors Subject To Change
 

Subject to the minimums and maximums shown in the contract data pages, the following may change from time to time: charges for sales expenses, administrative expenses, cost of insurance and administrative charges, the rate of any excess interest and any persistency credit.  In deciding whether to change any of these charges, we will periodically consider factors such as mortality, persistency, expenses, taxes, loan utilization (only to the extent it directly affects investment return), and interest and/or investment experience to see if a change in our assumptions is needed.  We will review and consider changes to the charges at least once every five years, but not more often than once per year.  We may review and consider changes to the rate of any excess interest more frequently than annually.  Changes will be based on future expectations of experience with respect to these factors.  Changes in factors will be by class.  Changes to the rate of any excess interest will be based upon interest and/or investment experience.  All changes will be determined only prospectively; that is, we will not recoup prior losses or distribute prior gains by means of these changes.
 

Non-Participating
 

This contract will not share in our profits or surplus earnings.  We will pay no dividends on it.
 

Applicable Tax Law
 

This contract has been designed to satisfy the definition of life insurance for Federal income tax purposes under Section 7702 of the Internal Revenue Code of 1986, as amended.  We reserve the right, however, to decline any change we determine would cause this contract to fail to qualify as life insurance under the applicable tax law. This includes changing the basic insurance amount, withdrawals, and changing the type of death benefit.  We also have the right to change this contract, to require additional premium payments, or to make distributions from this contract to the extent necessary to continue to qualify this contract as life insurance.  Finally, we reserve the right to take whatever action is necessary to prevent the contract from becoming a modified endowment contract under Section 7702A of the Internal Revenue Code unless you have otherwise indicated to us in writing that you want a modified endowment contract.
 

Age 121
 

We discontinue the monthly charges from the contract fund on the first contract anniversary on or following the Insured's 121st birthday. You may continue the contract after that anniversary and it will then continue to operate as described in its provisions (including the Death Benefit and Contract Fund provisions), although you may not make any premium payments, and no monthly charges will be deducted from the Contract Fund.  Loans, loan repayments, and withdrawals can continue to be made after age 121.  Cash value default may not occur on or following such anniversary.  Excess contract debt default may occur if contract debt ever grows to be equal to or more than the cash value (See Default).
 

The contract may not qualify as life insurance under federal tax law after the Insured has attained age 100 and may be subject to adverse tax consequences.  A tax advisor should be consulted before you choose to continue the contract after the insured reaches age 100.

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BASIS OF COMPUTATION
 

Mortality Basis and Interest Rate
 

We compute maximum monthly insurance rates using:
 

1.   the Commissioners 2001 Standard Ordinary Smoker and Nonsmoker Ultimate Mortality Table (100% Male for Unisex contracts);
 

 
2.   the issue age, sex (if applicable), smoker and non-smoker status, and rating class of the Insured and the length of time since the contract date;
 

3.   age last birthday; and
 

4.   an effective interest rate of 1% a year.
 

Minimum Legal Values
 

The cash surrender values provided by this contract are at least as large as those set by the National Association of Insurance Commissioners Variable Life Insurance Regulation, Model #270 using Actuarial Guideline XXIV.   We have given the Interstate Insurance Product Regulation Commission a detailed statement of how we compute values and benefits.
 



SETTLEMENT OPTIONS
 

Options Described
 

You may choose to have the proceeds (that is, any death benefit or any amount payable upon surrender of the contract) paid in a single sum or under one of the optional modes of settlement described below.
 

If the person who is to receive the proceeds of this contract wishes to take advantage of one of these optional modes, we will furnish, on request, details of the options we describe below or any others we may have available at the time the proceeds become payable.
 

Option 1 (Installments For A Fixed Period)
 

We will make equal payments for up to 25 years. The Option 1 Table shows the minimum amounts we will pay.
 

Option 2 (Life Income)
 

We will make equal monthly payments for as long as the person on whose life the settlement is based lives, with payments certain for
 
120 months.  The Option 2 Table shows the minimum amounts we will pay.  But, we must have proof of the date of birth of the person on whose life the settlement is based.
 

Option 3 (Interest Payment)
 

We will hold an amount at interest. We will pay the interest annually, semi-annually, quarterly, or monthly.
 

Option 4 (Installments of a Fixed Amount)
 

We will make equal annual, semi-annual, quarterly, or monthly payments for as long as the available proceeds provide.

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Option 5 (Non-Participating Income)
 

We will make payments like those of any annuity we then regularly issue that: (1) is based on United States currency; (2) is bought by a single sum; (3) does not provide for dividends; and (4) does not normally provide for deferral of the first payment.  Each payment will be at least equal to what we would pay under that kind of annuity with its first payment due on its contract date.  If a life income is chosen, we must have proof of the date of birth of any person on whose life the option is based.  Option 5 cannot be chosen more than 30 days before the due date of the first payment.
 

Interest Rate
 

Payments under Options 1, 3 and 4 will be calculated assuming an effective interest rate of at least 1.5% a year.
 

For Option 2 we use the Annuity 2000 Mortality Table at 3% interest.   The mortality rates used from this table are the ones for an age that is two years younger than the age of the person who is to receive the proceeds of this contract.
 

We may include more interest.

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SETTLEMENT OPTIONS TABLES
 
OPTION 2 TABLE

MINIMUM AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000, THE FIRST PAYABLE IMMEDIATELY
AGE LAST
BIRTHDAY
 
MaleFemale
AGE LAST
BIRTHDAY
 
MaleFemale
 
5
and under
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
 
$2.72
 
2.73
2.74
2.75
2.76
2.77
2.78
2.79
2.80
2.82
2.83
2.84
2.85
2.87
2.88
2.89
2.91
2.93
2.94
2.96
2.98
3.00
3.01
3.03
3.06
3.08
3.10
3.13
3.15
3.18
3.21
3.23
3.27
3.30
3.33
3.37
3.40
3.44
3.48
3.53
3.57
3.62
3.67
 
$2.68
 
2.69
2.69
2.70
2.71
2.72
2.73
2.74
2.75
2.76
2.77
2.78
2.79
2.80
2.81
2.83
2.84
2.85
2.87
2.88
2.90
2.91
2.93
2.94
2.96
2.98
3.00
3.02
3.04
3.07
3.09
3.11
3.14
3.16
3.19
3.22
3.25
3.29
3.32
3.35
3.39
3.43
3.47
 
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
and over
 
$3.72
3.77
3.83
3.88
3.95
4.01
4.08
4.15
4.22
4.30
4.38
4.47
4.56
4.66
4.76
4.87
4.98
5.10
5.23
5.36
5.49
5.64
5.78
5.94
6.10
6.26
6.43
6.60
6.78
6.95
7.13
7.31
7.49
7.67
7.85
8.02
8.18
8.33
8.48
8.62
8.75
8.87
8.98
 
$3.51
3.56
3.61
3.66
3.71
3.76
3.82
3.88
3.94
4.01
4.08
4.16
4.24
4.32
4.41
4.50
4.60
4.71
4.82
4.94
5.06
5.19
5.33
5.48
5.63
5.79
5.96
6.14
6.33
6.52
6.71
6.92
7.12
7.33
7.53
7.73
7.93
8.12
8.29
8.46
8.61
8.75
8.88
 
OPTION 1 TABLE

MINIMUM AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000, THE FIRST PAYABLE IMMEDIATELY
 
Number of Years
 
Monthly
Payment
 
1
2
3
4
5
 
6
7
8
9
10
 
11
12
13
14
15
 
16
17
18
19
20
 
21
22
23
24
25
 
$83.90
42.26
28.39
21.45
17.28
 
14.51
12.53
11.04
9.89
8.96
 
8.21
7.58
7.05
6.59
6.20
 
5.85
5.55
5.27
5.03
4.81
 
4.62
4.44
4.28
4.13
3.99
 
Multiply the monthly amount by 2.996 for quarterly,
5.981 for semi-annual or
11.919 for annual.

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Individual  Flexible  Premium Variable Universal Life Insurance Policy.   Insurance payable only  upon death.  Cash values  reflect  premium payments, investment results, any interest  credited  to  the fixed  investment options, any persistency credit added, and charges. Non-participating.

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