EX-99.ADBR 5 dex99adbr.htm ACCIDENTAL DEATH BENEFIT RIDER Accidental Death Benefit Rider

Exhibit 27(d)(iv)

 

Accidental Death Benefit Rider


TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY

(A STOCK COMPANY)

 

Home Office: Purchase, New York

Administrative Office: Clearwater, Florida

 

ACCIDENTAL DEATH BENEFIT RIDER

 


 

IN THIS RIDER, the Primary Insured is named on page 4 of the Policy. Transamerica Financial Life Insurance Company will be referred to as We, Our or Us.

 


 

Benefit    We will pay the Face Amount of this Rider as shown on page 4 of the Policy when We receive due proof that the Primary Insured’s death:
     1.   resulted from bodily injuries effected directly and independently of all other causes through external, violent and accidental means; and
     2.   occurred within 90 days from the date of accident causing such injuries; and
     3.   occurred while this Rider was In Force.

Risks Not Covered

   The benefit provided by this Rider is not payable if the Primary Insured’s death results from any of the following:
     1.   Bodily injuries of which there is no visible contusion or wound on the exterior of the body, except in case of drowning or internal injuries revealed by autopsy;
     2.   Suicide or self-destruction while sane or insane;
     3.   Disease or bodily or mental infirmity;
     4.   Bodily injury sustained as a result of war, whether declared or not, riot or insurrection;
     5.   Bodily injury sustained while operating, riding in, or descending from any kind of aircraft if the Primary Insured is:
         a)    a pilot, officer, or member of a crew; or
         b)    being flown for the purpose of descent from such aircraft while in flight; or
         c)    giving or receiving any kind of training or instruction; or
         d)    having any duties aboard such aircraft.
    

6.

  Bodily injuries sustained while participating in or attempting to commit an assault or felony; or
     7.   Any poison, gas or fumes voluntarily administered, absorbed or inhaled.

Consideration

   This Rider is issued in consideration of:
     1.   the application for this Rider; and
     2.   the payment of the Initial Premium.

 

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Termination

   This Rider will terminate on the earliest of
     1.    the Anniversary on or following the Primary Insured’s 70th birthday;
     2.    the date this Policy terminates;
     3.    the Monthiversary on which this Rider is terminated upon written request by the Owner; or
     4.    the effective date of the Extended Term Insurance Benefit, if elected.

General

   This Rider is part of the Policy. It is subject to all the terms of this Rider and the
Policy. This Rider has no Cash Value.
     We may:
     1.    investigate the circumstances of the Primary Insured’s death; and
     2.    examine the Primary Insured’s body upon death; and
     3.    have an autopsy performed, unless prohibited by law.
     The Monthly Deduction for this Rider, for each of the first 12 policy months, is
shown on page 4 of the Policy. Monthly Deductions after the first policy year will not
exceed the rates shown below adjusted by the rating factor for this coverage.

 

Attained

Age


  

Monthly Rate Per

$1,000 Face Amount


15-45

   $.10

46-50

     .11

51-55

     .12

56-60

     .13

61-65

     .15

66-69

     .18

 

Effective Date    This Rider becomes effective on the same date as the Policy unless a later date is shown here.

 

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY

 

LOGO

Vice President

 

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