RIDER FOR LEVEL TERM INSURANCE BENEFIT ON
DEPENDENT CHILDREN
This benefit is a part of this contract only if it is listed on a contract data page.
Benefit We will pay the amount of term insurance under this benefit if we receive due proof that a
dependent child died while this contract was in force on a premium-paying basis and before the term insurance
provided by the benefit on his or her life ends. But our payment is subject to all the provisions of this
benefit and of the rest of this contract.
The phrase dependent child means the Insured's child, stepchild, or legally adopted child who:
(1) has reached the 14th day after his or her date of birth; (2) has not reached the first contract
anniversary on or after his or her 25th birthday; and either (3) just before the contract date of this contract was
insured under the earlier contract that was converted or changed to this contract; or (4) is acquired by the
Insured on or after the date of this contract but before the child's 18th birthday.
We show the amount of term insurance under this benefit on a contract data page. The insurance on
each dependent child's life will end on the earliest of: (1) the end of the day before the first
contract anniversary on or after the child's 25th birthday; (2) the end of the day before the first contract
anniversary on or after the Insured's 75th birthday; and (3) the end of the last day before the contract date of any
other contract to which the insurance on the dependent child is converted or changed.
Benefit Charges The monthly charge for this benefit is deducted each month from the contract fund. The amount of
that charge is shown under Adjustments to the Contract Fund. Monthly charges for this benefit stop on
the earlier of the date of the Insured's death, and the first contract anniversary on or after the
Insured's 75th birthday.
PAID-UP INSURANCE
Paid-up Insurance on a If the Insured dies while this contract is in force and not in default past the last day of the
Dependent Child grace period, any term insurance provided by this benefit on a dependent child's life will become paid-up term
insurance.
While this paid-up insurance is in effect, the contract will remain in force. The paid-up insurance will have
cash values but no loan value.
If this benefit becomes paid-up, it may be surrendered for its net cash value. This will be the
net value on the date of surrender of the paid-up insurance. But, within 30 days after a contract anniversary,
the net cash value will not be less than it was on that anniversary. To compute this net cash value, we use
the Commissioners 2001 Standard Ordinary Mortality Table. We use continuous functions based on age
last birthday. We use an effective interest rate of 4% a year.
We will usually pay any cash value promptly. But we have the right to postpone paying it for up
to six months. If we do so for more than 30 days, we will pay interest at the rate of 3% a year.
CONVERSION OF INSURANCE ON A DEPENDENT CHILD
Right to Convert The insurance on each dependent child may be converted under this rider to a new contract of life
insurance. The insurance on each child's life may be converted only once and once converted, all
coverage under this rider on such child will end. Except as we state in the next paragraph, a conversion
may be made only on (a) the day the insurance ends as described in the last paragraph under Benefit above,
and (b) each contract anniversary on or immediately following his or her 18th, 22nd, and 25th birthdays
provided that such anniversary occurs before the insurance ends. It will not be necessary to prove that the
child is insurable.
Conditions The right to convert to a new contract is subject to these conditions: (1) The insurance on the
child must be converted while the contract is in force and not in default past the last day of the grace
period. (2) The amount of the new contract must meet the minimum as we describe under Contract Specifications.
(3) We must receive a written application for the new contract no later than the date the insurance may
be converted.
The new contract will not take effect unless the premium for it is paid while the child is living
and within 31 days after its contract date. If the premium is paid as we state, it will be deemed that the
insurance under the new contract took effect on its contract date.
Premium Credit When the insurance on a dependent child is converted, we will allow a premium credit on the first
premium for the new contract. The credit is equal to the lesser of $1.00 for each full $1,000 of
the term insurance under this benefit and $1.00 for each full $1,000 of the new contract's basic amount of
insurance.
Contract Date The date of the new contract will be the day after the date the insurance on the dependent child
is converted.
Contract Specifications The new contract will be in the standard, non-smoking rating class. We will set the issue age and
the premiums for the new contract in accordance with our regular rules in use on its contract date.
Except as we state in the next sentence, the new contract may be any life policy we or the
Prudential Insurance Company of America regularly issue on its contract date for the standard, non-smoking
rating class, requested amount, issue age, and sex. It may not be: one that insures anyone in addition
to the child; one that includes or provides for term insurance, other than extended insurance; or one
with any benefit other than the basic insurance benefit and the waiver benefit we refer to below.
The basic amount of the new contract may be any amount as long as it is at least $25,000 and not
more than five times the amount of insurance on the child's life under this benefit. If the amount
requested is smaller than the smallest amount we would regularly issue on the requested plan, a new contract
for as low as $25,000 on the Life Paid Up at Age 85 plan will be issued if you ask.
If the new contract requires premium payment to at least age 85, if asked, we will include a
benefit for waiving premiums in the event of the disability of the person insured if we would include a
waiver benefit in other contracts like the new one.
We will not waive any premium under the new contract unless the disability started on or after
its contract date. And we will not waive any premium under the new contract unless it has a benefit
for waiving premiums in the event of disability, even if we have waived premiums under this contract.
Any benefit for waiving premiums in the new contract will be the same one with the same
provisions that we put in other contracts like it on the new contract date. In any of these paragraphs, when we
refer to other contracts, we mean contracts we would regularly issue on the same plan as the new contract
and for the standard, non-smoking rating class, requested amount, issue age and sex.
MISCELLANEOUS PROVISIONS
Changes The insurance on a dependent child may be changed to a new contract of life insurance other than
in accordance with the requirements we state in this form. But this kind of change may be made only
if we consent, and will be subject to conditions and charges that are then determined.
Beneficiary The word beneficiary where we use it in this contract without qualification means the beneficiary
for insurance payable upon the death of the Insured.
On the contract date, the following two statements apply, unless we issue the contract with an
endorsement that states otherwise: (1) The beneficiary for insurance payable upon the death of a
dependent child will be the Insured if living, otherwise the beneficiary for this insurance
payable upon the death of the Insured. (2) If no such beneficiary is living when insurance under this benefit
becomes payable, we will make the payment in one sum to the estate of the later to die of the Insured and
such beneficiary.
You may designate or change a beneficiary for insurance payable upon the death of a dependent
child 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 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.
Reinstatement If this contract is reinstated, it will not include the insurance that we provide under this
benefit on the dependent children unless you prove to us on or within 15 days after the date of reinstatement
that each child who is to be insured is insurable for the benefit. If you do not submit such proof for any
child, the benefit may be reinstated if all the other conditions are met to reinstate the contract. Any
child for whom proof is not submitted, however, will not be insured under the reinstated benefit, and you may be
required to send the contract to us for endorsement.
Incontestability Except for non-payment of premium, we will not contest this benefit with respect to the insurance
on any dependent child's life after it has been in force during the child's lifetime for two years from
the latest of (1)the date the level term insurance benefit on dependent children began under the earliest
contract; (2) the date of any rider that added the child for coverage under any such earlier contract; and (3) if
there was a later reinstatement of any such earlier contract, the date of the most recent reinstatement.
TERMINATION OF BENEFIT
This benefit will end on the earliest of:
1. the end of the last day of the grace period if the contract is in default;
2. the end of the day before the first contract anniversary on or after the Insured's 75th
birthday;
3. the date the contract is surrendered for its net cash value if it has one or the paid-up
insurance, if any, under the benefit is surrendered; and
4. the date the contract ends for any other reason.
Further, if you ask us in the premium period in a form that meets our needs, we will cancel the
benefit as of the first monthly date on or after the date we receive your request. Monthly charges due then and
later will be reduced accordingly.
This Supplementary Benefit rider attached to this contract on the Contract Date
Pruco Life Insurance Company,
By
Secretary
