COINSURANCE AGREEMENT
BETWEEN
CUNA MUTUAL LIFE INSURANCE COMPANY
AND
SECURITY LIFE OF DENVER INSURANCE COMPANY (Dba ING Re)
EFFECTIVE 09/01/03
AUTOMATIC AND FACULTATIVE
REINSURANCE AGREEMENT
(COINSURANCE BASIS)
Effective September 1, 2003
Between
CUNA MUTUAL LIFE INSURANCE COMPANY
("Ceding Company")
0000 Xxxxxxxx Xxx
Xxxxxxx, Xxxx 00000-0000
And
SECURITY LIFE OF DENVER INSURANCE COMPANY
d/b/a ING Re
("Reinsurer")
Security Life Center
0000 Xxxxxxxx
Xxxxxx, Xxxxxxxx 00000-0000
Reinsurer Agreement No. 0268-5086
AUTOMATIC AND FACULTATIVE
REINSURANCE AGREEMENT
(COINSURANCE BASIS)
This Agreement is between
CUNA MUTUAL LIFE INSURANCE COMPANY,
0000 Xxxxxxxx Xxx, Xxxxxxx, Xxxx 00000-0000
And
SECURITY LIFE OF DENVER INSURANCE COMPANY,
Security Life Center, 0000 Xxxxxxxx, Xxxxxx, Xxxxxxxx 00000-0000.
The Reinsurer agrees to reinsure certain portions of the Ceding Company's
contract risks as described in the terms and conditions of this Agreement, which
includes any attached Schedules and Exhibits.
This reinsurance Agreement constitutes the entire Agreement between the parties
with respect to the business being reinsured hereunder and there are no
understandings between the parties other than as expressed in this Agreement.
Any change or modification to this Agreement is null and void unless made by
written amendment to this Agreement and signed by both parties.
In witness of the above, the Ceding Company and the Reinsurer have by their
respective officers executed and delivered this Agreement in duplicate on the
dates indicated below, with an effective date of September 1, 2003.
CUNA MUTUAL LIFE SECURITY LIFE OF DENVER
INSURANCE COMPANY INSURANCE COMPANY
By: /s/ Xxxx Xxxxx By: /s/ Signature
--------------------- ---------------------------------------
Title: Vice President Title: Regional Head of Pricing, Plains Region
--------------------- ---------------------------------------
Date: 10-2-03 Date: 09/26/2003
--------------------- ---------------------------------------
By: /s/ Xxxxxxx X. Xxxxx By: /s/ Signature
--------------------- ---------------------------------------
Title: Assistant Secretary Title: Vice President
--------------------- ---------------------------------------
Date: 10-6-03 Date: September 29, 2003
--------------------- ---------------------------------------
AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT
-----------------------------------------------
(COINSURANCE BASIS)
Table of Contents
1. PARTIES TO AGREEMENT ...................................................4
2. COINSURANCE BASIS ......................................................4
3. AUTOMATIC REINSURANCE TERMS ............................................4
a. CONVENTIONAL UNDERWRITING ...........................................4
b. RETAINED AMOUNT .....................................................5
c. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS. ............................5
d. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT. ...........................5
e. RESIDENCE............................................................5
f. MINIMUM CESSION .....................................................5
g. NO PRIOR FACULTATIVE SUBMISSIONS.....................................5
4. AUTOMATIC REINSURANCE NOTICE PROCEDURE .................................5
5. FACULTATIVE REINSURANCE.................................................5
6. COMMENCEMENT OF REINSURANCE COVERAGE ...................................6
a. AUTOMATIC REINSURANCE ...............................................6
b. FACULTATIVE REINSURANCE .............................................6
c. PRE-ISSUE COVERAGE ..................................................6
7. BASIS OF REINSURANCE AMOUNT AND NET COINSURANCE PREMIUMS................7
a. LIFE REINSURANCE ....................................................7
b. SUPPLEMENT BENEFITS .................................................7
i. OTHER INSURED RIDER ..........................................7
c. COINSURANCE ALLOWANCES ..............................................7
d. TERM INSURANCE RENEWALS .............................................7
e. TABLE RATED SUBSTANDARD PREMIUMS.....................................7
f. FLAT EXTRA PREMIUMS .................................................8
g. COINSURANCE PREMIUM AND COINSURANCE ALLOWANCE ADJUSTMENTS ...........8
8. PAYMENT OF NET COINSURANCE PREMIUMS.....................................8
a. NET COINSURANCE PREMIUM DUE..........................................8
b. FAILURE TO PAY NET COINSURANCE PREMIUMS..............................8
c. OVER PAYMENT OF NET COINSURANCE PREMIUM..............................8
d. UNDER PAYMENT OF NET COINSURANCE PREMIUM.............................8
e. RETURN OF NET COINSURANCE PREMIUM....................................8
f. UNEARNED NET COINSURANCE PREMIUMS....................................9
9. PREMIUM TAX REIMBURSEMENT ..............................................9
10. DAC TAX AGREEMENT.......................................................9
11. REPORTS................................................................10
12. RESERVES FOR REINSURANCE...............................................10
i
13. DEATH CLAIMS...........................................................10
a. NOTICE OF DEATH.....................................................10
b. PROOFS..............................................................10
c. DEATH CLAIMS PAYABLE................................................10
d. AMOUNT AND PAYMENT OF DEATH CLAIMS..................................10
e. CONTESTED CLAIMS....................................................11
f. CLAIM EXPENSES......................................................11
g. EXTRACONTRACTUAL DAMAGES............................................11
14. POLICY CHANGES.........................................................11
a. NOTICE..............................................................11
b. INCREASES...........................................................11
c. REDUCTION OR TERMINATION............................................12
d. RISK CLASSIFICATION CHANGES.........................................12
15. TERM CONVERSIONS, EXCHANGES AND REPLACEMENTS...........................12
a. NOTICE..............................................................12
b. TERM CONVERSIONS....................................................12
c. EXCHANGES AND REPLACEMENTS..........................................13
16. POLICYHOLDER REINSTATEMENTS............................................13
a. AUTOMATIC REINSTATEMENT.............................................13
b. FACULTATIVE REINSTATEMENT...........................................13
c. PREMIUM ADJUSTMENT..................................................13
17. INCREASE IN MAXIMUM DOLLAR RETENTION LIMITS AND RECAPTURE .............14
a. NEW BUSINESS........................................................14
b. RECAPTURE...........................................................14
18. ERROR AND OMISSION.....................................................15
19. INSOLVENCY.............................................................15
20. ARBITRATION............................................................15
a. GENERAL.............................................................15
b. NOTICE..............................................................16
c. PROCEDURE...........................................................16
21. OFFSET.................................................................16
22. GOOD FAITH; FINANCIAL SOLVENCY.........................................17
23. TREATMENT OF CONFIDENTIAL INFORMATION..................................17
24. TERM OF THIS AGREEMENT AND TERMINATION.................................17
25. MEDICAL INFORMATION BUREAU.............................................17
26. SEVERABILITY...........................................................18
27. SURVIVAL...............................................................18
28. NON-WAIVER.............................................................18
ii
Listing of Schedules:
SCHEDULE A - COVERAGE AND LIMITS
1. Plans Reinsured
2. Reinsurance Amount
3. Ceding Company's Maximum Dollar Retention Limits
4. Reinsurer's Automatic Acceptance Limits
5. Automatic In Force and Applied for Limits
6. Premium Due
7. Recapture Period
8. Net Amount at Risk
9. Reserves
10. Additional Underwriting Requirements
SCHEDULE B - NET COINSURANCE PREMIUMS
1. Automatic Net Coinsurance Premiums - Life
2. Automatic Net Coinsurance Premiums - Supplemental Benefits
3. Age Basis
4. Rates After Exercise of Term Conversion Option
B--I: Standard Annual Coinsurance Premiums
CUNA Mutual Life Insurance Company 2003 Members Xxxxx 00, 15, 20 &
30 Year Term Premium Rates
B--II: Annual Reinsurance Premiums Following Term Conversions
Security Life Reinsurance Rates for After Conversion
SCHEDULE C - REPORTING INFORMATION
Information on Risks Reinsured
Policy Exhibit Summary
Reserve Credit Summary
Accounting Summary
SCHEDULE D - FACULTATIVE FORMS
Application for Reinsurance
Notification of Reinsurance
EXHIBIT I - CEDING COMPANY'S UNDERWRITING GUIDELINES
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AUTOMATIC AND FACULTATIVE REINSURANCE AGREEMENT
-----------------------------------------------
(COINSURANCE BASIS)
-------------------
1. PARTIES TO AGREEMENT.
---------------------
This Agreement is solely between the Reinsurer and the Ceding Company.
There is no third party beneficiary to this Agreement. Reinsurance under
this Agreement will not create any right nor legal relationship between
the Reinsurer and any other person, for example, any insured,
policyowner, agent, beneficiary, assignee, or other reinsurer. The
Ceding Company agrees to use its best efforts to avoid making the
Reinsurer a party to any litigation between any such third party and the
Ceding Company. The Ceding Company and the Reinsurer will not disclose
the other's name to these third parties with regard to the agreements or
transactions that are between the Ceding Company and the Reinsurer,
unless the Ceding Company or the Reinsurer gives prior written approval
for the use of its own name, which approval shall not be unreasonably
withheld.
The terms of this Agreement are binding upon the parties, their
representatives, successors, and assigns. The parties to this Agreement
are bound by ongoing and continuing obligations and liabilities until
this Agreement terminates for new business and the underlying policies
are no longer in force, whichever occurs later. This Agreement shall not
be bifurcated, partially assigned, or partially assumed.
2. COINSURANCE BASIS.
-----------------
This Agreement, including the attached Schedules, states the terms and
conditions of automatic and facultative reinsurance which will be on a
coinsurance basis. This Agreement is applicable only to reinsurance of
policies directly written by the Ceding Company. Any policies acquired
through merger with another company, reinsurance, or purchase of another
company's policies are not included under the terms of this Agreement.
3 AUTOMATIC REINSURANCE TERMS.
----------------------------
The Ceding Company agrees to cede and the Reinsurer agrees to
automatically accept contractual risks on the life insurance plans and
supplemental benefits shown in Section 1 of Schedule A, subject to the
following requirements;
a. CONVENTIONAL UNDERWRITING.
--------------------------
Automatic reinsurance applies only to insurance applications
underwritten by the Ceding Company with conventional underwriting
and issue practices that are consistently applied. Conventional
underwriting and issue practices are those customarily used and
generally accepted by life insurance companies.
Some examples of non-customary underwriting practices that are
not acceptable for automatic reinsurance under this Agreement are
table shaving programs, guaranteed issue, any form of simplified
underwriting, short-form applications, any form of non-customary
non-medical underwriting limits, or internal or external policy
exchanges that do not require conventional underwriting.
Some examples of unacceptable issue practices that are not
acceptable for automatic reinsurance under this Agreement are the
issuance of a policy that has contestability or suicide clauses
with time limitations that are shorter than the maximum allowed
by state law and policy exchanges,
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Replacements or term conversions resulting from policies not
originally reinsured by the Reinsurer.
The Ceding Company must comply with Underwriting Guidelines at
least as restrictive as those set forth in Exhibit I and
Additional Underwriting Requirements at least as restrictive as
those set forth in Section 10 of Schedule A. The Additional
Underwriting Requirements may be changed by the Reinsurer. The
Reinsurer will provide 120 days advance written notice to the
Ceding Company before the effective date of such change.
b. RETAINED AMOUNT.
----------------
The Ceding Company will retain, and not otherwise reinsure, an
amount of insurance on each life equal to its quota share
percentage amount of the policy as set forth in Section 2.a. of
Schedule A. If the Ceding retained quota share percentage amount
is zero, automatic reinsurance is not available.
c. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS.
----------------------------------------
On any one life, the amount automatically reinsured under all
agreements with the Reinsurer will not exceed the Reinsurer's
Automatic Acceptance Limits shown in Section 4 of Schedule A.
d. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT.
-----------------------------------------
The total amount of life insurance in force and applied for on
any one life, with all companies, of which the Ceding Company is
aware, cannot exceed the In Force and Applied For Limit shown in
Section 5 of Schedule A.
e. RESIDENCE.
----------
Each insured must be a resident of the United States, Canada, or
Puerto Rico at the time of issue.
f. MINIMUM CESSION.
----------------
The minimum amount of reinsurance per cession that the Reinsurer
will accept is $40,000.00 and reinsurance of a cession will be
terminated when the amount reinsured is less than $40,000.00.
g. NO PRIOR FACULTATIVE SUBMISSIONS.
---------------------------------
The risk will not have been submitted on a facultative basis to
the Reinsurer or any other reinsurer.
4. AUTOMATIC REINSURANCE NOTICE PROCEDURE.
---------------------------------------
After the policy has been paid for and delivered, the Ceding Company
will submit all relevant individual policy information, as defined in
Schedule C, in its next statement to the Reinsurer.
5. FACULTATIVE REINSURANCE.
------------------------
The Ceding Company may apply for facultative reinsurance with the
Reinsurer on a risk if the automatic reinsurance terms are not met, or
if the terms are met and it prefers to apply for facultative
reinsurance. If the Ceding Company wishes to obtain a facultative quote
on a risk eligible for automatic reinsurance, the risk will be submitted
to the Reinsurer for a facultative offer on an alphabetic split basis,
for all insureds with the last names beginning with the letters M
through Z, and at the Ceding Company's option for all other insureds.
The following items must be submitted to obtain a facultative quote:
a. A form substantially similar to the Reinsurer's "Application for
Reinsurance" form shown in Schedule D.
5
b. Copies of the original insurance application, medical examiner's
reports financial information, and all other papers and
information obtained by the Ceding Company regarding the
insurability of the risk.
c. The initial and ultimate risk amounts requested.
After receipt of the Ceding Company's application, the Reinsurer will
promptly examine the materials and Notify the Ceding Company either of
the terms and conditions of the Reinsurer's offer for facultative
reinsurance or that no offer will be made. The Reinsurer's offer expires
120 days after the offer is made, unless the written offer specifically
states otherwise. If the Ceding Company accepts the Reinsurer's offer,
then the Ceding Company will note its acceptance in its underwriting
file and mail, as soon as possible but no later than 90 days after
having placed the case, a formal reinsurance cession to the Reinsurer
using a form substantially similar to the "Notification of Reinsurance"
form shown in Schedule D. In order to bind the Reinsurer under the terms
of this Agreement and according the conditions of the Reinsurer's
facultative offer, the Ceding Company must submit the Applicable policy
on its monthly reporting statement, and designate the policy as
facultative, within 90 days of having placed the case.
6. COMMENCEMENT OF REINSURANCE COVERAGE.
-------------------------------------
Commencement of the Reinsurer's reinsurance coverage on any policy or
pre-issue risk under this Agreement is described below:
a. AUTOMATIC REINSURANCE.
----------------------
The Reinsurer's reinsurance coverage for any policy that is ceded
automatically under this Agreement will begin and terminate
simultaneously with the Ceding Company's contractual liability
for the policy reinsured, unless otherwise terminated in
accordance with the terms of this Agreement.
b. FACULTATIVE REINSURANCE.
------------------------
The Reinsurer's reinsurance coverage for any policy that is ceded
facultatively under this Agreement will begin when;
i. The Ceding Company accepts the Reinsurer's offer; and
ii. The policy has been issued.
Reinsurer's reinsurance coverage for any policy that is ceded
facultatively under this Agreement will terminate simultaneously
with the Ceding Company's contractual liability for the policy
reinsured, unless otherwise terminated in accordance with the
terms of this Agreement.
c. PRE-ISSUE COVERAGE.
-------------------
The Reinsurer will not be liable for benefits paid under the
Ceding Company's Conditional receipt or temporary insurance
agreement unless all the conditions for automatic reinsurance
coverage under Article 3 of this Agreement are met. The
Reinsurer's liability under the Ceding Company's conditional
receipt or temporary insurance agreement is limited to the lesser
of i. or ii. below:
i. The Reinsurer's Automatic Acceptance Limits as shown in
Section 4 of Schedule A.
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ii. The amount for which the Ceding Company is liable less the
amount the Ceding Company retained pursuant to Section 2.a
of Schedule A, less any amount of reinsurance with other
reinsurers.
The pre-issue liability applies only once on any given life
regardless of how many receipts were issued or initial premiums
were accepted by the Ceding Company. After a policy has been
issued, no reinsurance benefits are payable under this pre-issue
coverage provision.
In the event that the Ceding Company's rules with respect to cash
handling and the issuance of conditional receipt or temporary
insurance are not followed, the Reinsurer will participate in the
liability if the conditions for automatic reinsurance are met and
the Ceding Company does not knowingly allow such rules to be
violated or condone such a practice. Such liability will be
limited to the lesser of i or ii above. As in all cases, the
provisions of Article 13 apply to such a claim.
7. BASIS OF REINSURANCE AMOUNT AND NET COINSURANCE PREMIUMS
--------------------------------------------------------
a. LIFE REINSURANCE.
-----------------
Reinsurance will be on a first dollar quota share basis. The
amount reinsured on risk will be as set forth in Section 2 of
Schedule A. The Net Amount at Risk and the Reinsurer's Net Amount
at Risk are defined in Section 8 of Schedule A. The coinsurance
premiums per $1000 are shown in Section 1 of Schedule B.
b. SUPPLEMENTAL BENEFITS.
----------------------
For the supplemental benefits reinsured under this Agreement, the
following provisions will apply:
i. OTHER INSURED RIDER
For the Other Insured Rider, the reinsurance benefit is the
Reinsurer's Net Amount at Risk on the rider. The reinsurance
premiums for this benefit are shown in Section 2 of
Schedule B.
c. COINSURANCE ALLOWANCES.
-----------------------
When the Ceding Company pays the coinsurance premiums to the
Reinsurer, the Reinsurer will pay to the Ceding Company a
coinsurance allowance determined by multiplying the coinsurance
allowance percentages specified in Section 1 of Schedule B times
the coinsurance premium. The coinsurance premium less the
coinsurance allowance is equal to the net coinsurance premium,
and is the amount due from the Ceding Company to the Reinsurer.
d. TERM INSURANCE RENEWALS.
------------------------
Coinsurance premiums for term renewals are calculated using the
original issue age, duration since issuance of the original
policy and the original underwriting classification.
e. TABLE RATED SUBSTANDARD PREMIUMS.
If the Ceding Company's policy is issued with a table rated
substandard premium, the coinsurance premiums shown in Section
1 of schedule B will apply.
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f. FLAT EXTRA PREMIUMS.
--------------------
If the Ceding Company's policy is issued with a flat extra
premium, the coinsurance premiums shown in Section 1 of Schedule
B will apply.
g. COINSURANCE PREMIUM AND COINSURANCE ALLOWANCE ADJUSTMENTS.
----------------------------------------------------------
i. If the Ceding Company increases the current policyowner
premiums, the Reinsurer reserves the right not to increase
the coinsurance allowances. Occurrence of this event does
not constitute a right for the Ceding Company to recapture
the reinsured business.
ii. If the Ceding Company decreases the current policyowner
premiums, the Reinsurer reserves the right to decrease the
coinsurance allowances such that the net coinsurance premium
paid by the Ceding Company to the Reinsurer remains
unchanged.
8. PAYMENT OF NET COINSURANCE PREMIUMS.
------------------------------------
a. NET COINSURANCE PREMIUM DUE.
----------------------------
Net coinsurance premiums for each reinsurance cession are due as
shown in Section 6 of Schedule A.
b. FAILURE TO PAY NET COINSURANCE PREMIUMS.
----------------------------------------
If net coinsurance premiums are 60 days past due, for reasons
other than those due to error or omission as defined below in
Article 18, the premiums will be considered in default and the
Reinsurer may terminate the reinsurance coverage upon 30 days
prior written notice to the Ceding Company. The Reinsurer will
have no further liability as of the termination date. The Ceding
Company will be liable for the prorated net coinsurance premiums
to the termination date. The Ceding Company agrees that it will
not force termination under the provisions of this paragraph to
avoid the recapture requirements or to transfer the block of
business reinsured to another reinsurer.
c. OVER PAYMENT OF NET COINSURANCE PREMIUM.
----------------------------------------
If the Ceding Company overpays a net coinsurance premium and the
Reinsurer accepts the overpayment, the Reinsurer's acceptance
will not constitute nor create a reinsurance liability nor result
in any additional reinsurance coverage. Instead, the Reinsurer
will be liable to the Ceding Company for a credit in the amount
of the overpayment, without interest.
d. UNDER PAYMENT OF NET COINSURANCE PREMIUM.
-----------------------------------------
If the Ceding Company fails to make a full net coinsurance
premium payment for a policy or policies reinsured hereunder, due
to an error or omission as defined below in Article 18, the
amount of reinsured coverage provided by the Reinsurer will not
be reduced. However, once the underpayment is discovered, the
Ceding Company will be required to pay to the Reinsurer the
difference between the full premium amount and the amount
actually paid, without interest. If payment of the full premium
is not made within 60 days after the discovery of the
underpayment, the underpayment will be treated as a failure to
pay premiums and subject to the conditions of Article 8.b., above.
e. RETURN OF NET COINSURANCE PREMIUM.
----------------------------------
If a misrepresentation or misstatement on an application or a
death of an insured by suicide results in the Ceding Company
returning the policy owner premiums to the policy owner rather
than pay the policy benefits, the Reinsurer will refund all of
the net coinsurance premiums it received on that policy to the
Ceding Company, without interest.
8
This refund given by the Reinsurer will be in lieu of all other
reinsurance benefits payable on the policy under this Agreement.
If there is an adjustment to the policy benefits due to a
misrepresentation or misstatement of age or sex, a corresponding
adjustment will be made to the reinsurance benefits.
f. UNEARNED NET COINSURANCE PREMIUMS.
----------------------------------
Unearned net coinsurance premiums will be returned on deaths,
surrenders and other terminations. This refund will be on a
prorated basis without interest from the date of termination of
the policy to the date through which a net coinsurance premium
has been paid.
9. PREMIUM TAX REIMBURSEMENT.
--------------------------
The Reinsurer will not reimburse the Ceding Company for premium taxes.
10. DAC TAX AGREEMENT
-----------------
The Ceding Company and the Reinsurer hereby enter into an election under
Treasury Regulation Section 1.848-2(g) (8) whereby:
a. For each taxable year under this Agreement, the party with the
net positive consideration, as defined in the regulations
promulgated under Treasury Code Section 848, will capitalize
specified policy acquisition expenses with respect to this
Agreement without regard to general deductions limitation of
Section 848 (c) (1);
b. The Ceding Company and the Reinsurer agree to exchange
information pertaining to the net consideration under this
Agreement each year to ensure consistency or as otherwise
required by the Internal Revenue Service;
c. The Ceding Company will submit to the Reinsurer by May 1 of each
year its calculation of the net consideration for the preceding
calendar year. This schedule of calculations will be accompanied
by a statement signed by an officer of the Ceding Company stating
that the Ceding Company will report such net consideration in its
tax return for the preceding calendar year;
d. The Reinsurer may contest such calculation by providing an
alternative calculation to the Ceding Company in writing within
30 days of the Reinsurer's receipt of the Ceding Company's
calculation. If the Reinsurer does not so notify the Ceding
Company, the Reinsurer will report the net consideration as
determined by the Ceding Company in the Reinsurer's tax return
for the previous calendar year;
e. If the Reinsurer contests the Ceding Company's calculation of the
net consideration, the parties will act in good faith to reach an
agreement as to the correct amount within 30 days of the date the
Reinsurer submits its alternative calculation. If the Ceding
Company and the Reinsurer reach agreement on the net amount of
consideration, each party will such amount in their respective
tax returns for the previous calendar year.
Both Ceding Company and Reinsurer represent and warrant that they are
subject to U.S. taxation under either Subchapter L of Chapter I, or
Subpart F of Subchapter N of Chapter I of the Internal Revenue Code of
1986, as amended.
9
11. REPORTS.
--------
The administering party will be the Ceding Company. The reporting period
will be monthly. For each reporting period, the Ceding Company will
submit a statement to the Reinsurer with information that is
substantially similar to the information displayed in Schedule C. The
statement will include information on the risks reinsured with the
Reinsurer, net coinsurance premiums owed, policy exhibit activity, and
an accounting summary. Within 7 days after the end of each calendar
quarter, the Ceding Company will submit a reserve credit summary similar
to that shown in Schedule C.
12. RESERVES FOR REINSURANCE.
-------------------------
Statutory reserves will be held by the Reinsurer on the Reinsurer's
portion of the risks reinsured hereunder and are defined pursuant to
Section 9 of Schedule A.
13. DEATH CLAIMS.
------------
a. NOTICE OF DEATH.
----------------
The Ceding Company will notify the Reinsurer, as soon as
reasonably possible, after it receives notice of a death claim
arising from a death of an insured under a policy reinsured.
b. PROOFS.
-------
The Ceding Company will promptly provide the Reinsurer with
proper death claim proofs (including, for example, proofs
required under the policy), all relevant information respecting
the existence and validity of the death claim, and an itemized
statement of the death claim benefits paid by the Ceding Company
under the policy.
c. DEATH CLAIMS PAYABLE.
---------------------
Death claims are payable only as a result of the actual death of
an insured, to the extent reinsured under this Agreement and for
which there is contractual liability for the death claim under
the issuing company's in force policy. Acceleration or
estimation of death claims on living individuals is not
permitted, will not be due, owing or payable, nor will they form
the basis of any claim against the Reinsurer whatsoever.
d. AMOUNT AND PAYMENT OF DEATH CLAIMS.
-----------------------------------
After the Reinsurer receives proper death claim notice, proofs of
the death claim, and proof of payment of the death claim by the
Ceding Company, the Reinsurer will promptly pay the reinsurance
benefits due and owing to the Ceding Company in one lump sum. The
Ceding Company's contractual liability for death claims is
binding on the Reinsurer. The Maximum death benefit payable to
the Ceding Company under each reinsured policy is the Reinsurer's
Net Amount at Risk as set forth in Section 8 of Schedule A. The
Reinsurer will not be nor become liable for any amounts or
reserves to be held by the Ceding Company on policies reinsured
under this Agreement. The total reinsurance in all companies on a
policy will not exceed the Ceding Company's total contractual
liability on the policy, less its amount retained on the
policy. The excess, if any of the total reinsurance in all
companies plus Ceding Company's retained amount on the policy
over its contractual liability under the reinsured policy will
first be applied to reduce all reinsurance on the policy. This
reduction in reinsurance will be shared among all the reinsurers
in proportion to their respective amounts of reinsurance prior to
the reduction.
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e. CONTESTED CLAIMS.
-----------------
The Ceding Company will notify the Reinsurer of its intention to
contest, compromise, or litigate a claim involving a reinsured
policy. If the Ceding Company's contest, compromise, or
litigation results in a reduction in its liability, the Reinsurer
will share in the reduction in the proportion that the
Reinsurer's net liability bears to the sum of the net liability
of all reinsurers on the insured's date of death.
If the Reinsurer should decline to participate in the contest,
compromise or litigation, the Reinsurer will then release all of
its liability by paying the Ceding Company its full share of
reinsurance death benefits for the policy and not sharing in any
subsequent reduction in liability.
f. CLAIM EXPENSES.
---------------
The Reinsurer will pay its share of reasonable investigation and
legal expenses connected with the litigation or settlement of
contractual liability claims unless the Reinsurer has released
its liability, in which case the Reinsurer will not participate
in any expenses after the date of release. However, claim
expenses do not include routine claim and administration
expenses, including the Ceding Company's home office expenses.
Also, expenses incurred in connection with a dispute or contest
arising out of conflicting claims of entitlement to policy
proceeds or benefits that the Ceding Company admits are payable
are not a claim expense under this Agreement.
g. EXTRACONTRACTUAL DAMAGES.
-------------------------
The Reinsurer will not participate in and will not be liable to
pay the Ceding Company or others for any amounts in excess of the
Reinsurer's Net Amount at Risk. Extracontractual damages or
liabilities and related expenses and fees are specifically
excluded from the reinsurance coverage provided under this
Agreement. Extracontractual damages are any damages awarded
against the Ceding Company, including, for example, those
resulting from negligence, reckless or intentional conduct, fraud,
oppression, or bad faith committed by the Ceding Company in
connection with the mortality risk insurance reinsured under this
Agreement.
The excluded extracontractual damages will include, by way of
example and not limitation:
i. Actual and consequential damages;
ii. Damages for emotional distress or oppression;
iii. Punitive, exemplary or compensatory damages;
iv. Statutory damages, fines, or penalties;
v. Amounts in excess of the risk reinsured hereunder that the
Ceding Company pays to settle a dispute or claim;
vi. Third-party attorney fees, costs and expenses.
14. POLICY CHANGES.
---------------
a. NOTICE.
-------
If a reinsured policy is changed, a corresponding change will be
made in the reinsurance coverage for that policy. The Ceding
Company will notify the Reinsurer of the change in the Ceding
Company's next accounting statement.
b. INCREASES.
----------
If life insurance on a reinsured policy is increased and the
increase is subject to new underwriting evidence, then the
increase of life insurance on the reinsured policy will be
handled the same as the issuance of a new policy. If the increase
is not subject to new underwriting evidence, and
11
increases are scheduled and known at issue, then the increase
will be automatically accepted by the Reinsurer, but the total
amount of reinsurance is not to exceed the Reinsurer's Automatic
Acceptance Limits shown in Section 4 of Schedule a. Coinsurance
premiums will be based on the original issue age, duration since
issuance of the original policy and the original underwriting
classification. Other increases not subject to new underwriting
evidence are not allowed under this agreement.
c. REDUCTION OR TERMINATION.
-------------------------
If life insurance on a reinsured policy is reduced, then
reinsurance will be reduced proportionately so that the portion
reinsured, as outlined in Schedule A, remains the same. If life
insurance on a reinsured policy is terminated, then reinsurance
will cease on the date of such termination.
Reductions and terminations are permitted only when the
underlying policyholder directs such a reduction or termination
of the issuing company policy that is in force at the time that
the reductions and terminations take place.
d. RISK CLASSIFICATION CHANGES.
----------------------------
If a policyholder requests a Table Rating reduction or removal of
a Flat Extra, such change will be underwritten according to the
Ceding Company's Underwriting Guidelines as set forth in Exhibit
I. Risk classification changes on facultative policies will be
subject to the Reinsurer's approval.
15. TERMS CONVERSIONS, EXCHANGES AND REPLACMENTS.
---------------------------------------------
a. NOTICE.
-------
If a policy reinsured under this Agreement is converted,
exchanged or replaced, as defined below in 15.b and 15.c, the
Ceding Company will notify the Reinsurer of the change in the
Ceding Company's next accounting statement. Unless mutually
agreed otherwise in writing, policies that are not reinsured with
the Reinsurer and that convert, exchange or replace to a plan
covered under this Agreement will not be reinsured hereunder.
b. TERM CONVERSIONS.
-----------------
For purpose of this Agreement, a term conversion is a contractual
right of the insured to replace a term policy with a permanent
plan without evidence of insurability. The Reinsurer will
continue to reinsure policies resulting from a term conversion of
any policy reinsured under this Agreement, in an amount not to
exceed the original amount reinsured hereunder. If the policy
converts to a plan reinsured with the Reinsurer under either this
Agreement or another Agreement, the reinsurance rates for the
converted policy will be the reinsurance rates contained in the
Agreement that covers the plan to which the original policy is
converting. If the policy converts to a plan not reinsured with
the Reinsurer, the reinsurance will continue under this Agreement
on a yearly renewable term basis using the YRT conversion rates
set forth in Section 4 of Schedule B.
Reinsurance rates for term conversions will be point in scale
(based on the original issue age, duration, and original
underwriting class since issuance of the original policy). The
recapture period applicable to the original policy will govern
the converted policy and duration will be measured from the
effective date of the original policy. Reinsurer will not
reimburse Ceding Company for any conversion credits Ceding
Company supplies to the insured.
12
If the term conversion results in an increase in risk amount, the
increase will be underwritten by the ceding Company as new
business and will be eligible for reinsurance coverage under this
Agreement as new business.
When a conversion is fully underwritten, the resulting policy
will be administered the same as the issuance of a new policy.
c. EXCHANGES AND REPLACEMENTS.
---------------------------
For purpose of this Agreement, an exchange or replacement is a
new policy replacing an existing policy of the same type, where
the new policy lacks at least one of the following
characteristics: new business underwriting, full first year
commissions, new suicide period, or new contestable period. New
policies resulting from exchanges or replacements in the
insurance reinsured hereunder will continue to be ceded to the
Reinsurer under this Agreement, in an amount not to exceed the
original amount reinsured hereunder.
Reinsurance rates for exchanges or replacements will be those in
effect at issuance of the original policy and will be point in
scale (based on the original issue age, duration, and original
underwriting class since issuance of the original policy). The
recapture period applicable to the original policy will govern
the new policy and duration will be measured from the effective
date of the original policy.
If an exchange or replacement results in an increase in risk
amount, the increase will be underwritten by the Ceding Company
as new business and will be eligible for reinsurance coverage
under this Agreement as new business.
When an exchange or replacement is fully underwritten with new
suicide and contestable periods and full first year commissions,
the resulting policy will be administered the same as the
issuance of a new policy.
16. POLICYHOLDER REINSTATEMENTS.
----------------------------
a. AUTOMATIC REINSTATEMENT.
------------------------
If the Ceding Company reinstates a policy that was originally
ceded to the Reinsurer as automatic reinsurance using
conventional underwriting practices, the Reinsurer's reinsurance
for that policy will be reinstated.
b. FACULTATIVE REINSTATEMENT.
--------------------------
If the Ceding Company has been requested to reinstate a policy
that was originally ceded to the Reinsurer as facultative
reinsurance, the Ceding Company will resubmit the case to the
Reinsurer for underwriting approval before the reinsurance can be
reinstated.
c. PREMIUM ADJUSTMENT.
-------------------
Coinsurance premiums for the interval during which the policy was
lapsed will be paid to the Reinsurer on the same basis as the
Ceding Company charged its policy owner for the reinstatement.
13
17. INCREASE IN MAXIMUM DOLLAR RETENTION LIMITS AND RECAPTURE.
----------------------------------------------------------
a. NEW BUSINESS.
-------------
If the Ceding Company increases its Maximum Dollar Retention
Limits listed in Section 3 of Schedule A, then it may, at its
option and with 90 days' written notice to the Reinsurer,
increase its Maximum Dollar Retention Limits shown in Section 3
of Schedule A for policies issued after the effective date of the
Maximum Dollar Retention Limit increase.
A change to the Ceding Company's Maximum Dollar Retention Limits
will not affect the reinsured policies in force except as
specifically provided in Article 17.b, below. Furthermore, unless
agreed between the parties, an increase in Ceding Company's
Maximum Dollar Retention Limits will not effect an increase in
the total risk amount that it may automatically cede to the
Reinsurer.
b. RECAPTURE.
----------
If the Ceding Company increases its Maximum Dollar Retention
Limits shown in Section 3 of Schedule A, then it may, with 90
day's Written notice to the reinsurer, reduce or recapture the
reinsurance in force subject to the following requirments:
i. An in-force cession is not eligible for recapture until it
has been reinsured for the minimum number of years shown in
Section 7 of Schedule A. The effective date of the
reduction in reinsurance will be the later of the first
policy anniversary following the expiration of the 90-day
notice period to recapture and the policy anniversary date
when the required minimum number of years is attained.
ii. On all policies eligible for recapture, reinsurance will be
reduced by the amount necessary to increase the total
insurance retained up to the new Maximum Dollar Retention
Limits
iii. If more than one policy per life is eligible for recapture,
then any recapture must be effected beginning with the
policy with the earliest issue date and continuing in
chronological order according to the remaining policies'
issue dates.
iv. The Ceding Company may not rescind its election to
recapture for policies becoming eligible at future
anniversaries.
v. Recapture of reinsurance will not be allowed on any policy
for which the Ceding Company did not keep its Maximum
Dollar Retention Limit at issue. The Ceding Company's
Maximum Dollar Retention Limits are stated in Section 3 of
Schedule A.
vi. If any policy eligible for recapture is also eligible for
recapture from other reinsurers, the reduction in the
Reinsurer's reinsurance on that policy will be in
proportion to the total amount of reinsurance on the life
with all reinsurers.
vii. Recapture will not be made on a basis that may result in
any anti-selection against the Reinsurer. The Reinsurer
maintains the discretion to determine when anti-selection
has occurred.
viii. Upon the effective date of recapture and again six months
following the recapture, the Reinsurer will calculate a
terminal accounting that will include a refund of unearned
premiums and unpaid claims. The Reinsurer will not pay to
the Ceding Company any
14
amount representing the reserve held on the business.
Payment of amounts specified in the terminal accounting will
be the Reinsurer's full and final payment to the Ceding
Company.
18. ERROR AND OMISSION.
-------------------
Any unintentional or accidental failure of the Ceding Company or the
Reinsurer to comply with the terms of this Agreement which can be shown
to be the result of an oversight, misunderstanding or clerical error,
will not be deemed a breach of this Agreement. Upon discovery, the error
will be corrected so that both parties are restored to the position they
would have occupied had the oversight, misunderstanding or clerical
error not occurred. Should it not be possible to restore both parties
to such a position, the Ceding Company and the Reinsurer will negotiate
in good faith to equitably apportion any resulting liabilities and
expenses.
This Article applies only to oversights, misunderstandings or clerical
errors relating to the administration of reinsurance covered by this
Agreement. This provision does not apply to the administration of the
insurance provided by the Ceding Company to its insured or any other
errors or omissions committed by the Ceding Company with regard to the
policy reinsured hereunder.
19. INSOLVENCY.
-----------
In the event that the Ceding Company is deemed insolvent, all
reinsurance death claims payable hereunder will be payable by the
Reinsurer directly to the Ceding Company, its liquidator, receiver or
statutory successor, without diminution because of the insolvency of the
Ceding Company. It is understood, however, that in the event of such
insolvency, the liquidator or receiver or statutory successor of the
Ceding Company will give written notice to the Reinsurer of the pendency
of a death claim against the Ceding Company on a risk reinsured
hereunder within a reasonable time after such death or claim is filed in
the insolvency proceeding. Such notice will indicate the policy
reinsured and whether the death claim could involve a possible liability
on the part of the Reinsurer. During the pendency of such death claim,
the Reinsurer may investigate such death claim and interpose, at its
owne xpense, in the proceeding where such death claim is to be
adjudicated, any defense or defenses it may deem available to the Ceding
Company, its liquidator, receiver or statutory successor. It is further
understood that the expense thus incurred by the Reinsurer will be
chargeable, subject to court approval, against the Ceding Company as
part of the expense of liquidation to the extent of a proportionate
share of the benefit which may accrue to the Ceding Company solely as a
result of the defense undertaken by the Reinsurer. Where two or more
reinsurers are participating in the same death claim and a majority in
interest (determined with respect to shares of Net Amount at Risk)
elects to interpose a defense or defenses to any such death claim, the
expense will be apportioned among the reinsurers in the same proportion
that the reinsurer's net liability bears to the sum of the net liability
of all reinsurers on the insured's date of death.
20. ARBITRATION.
------------
a. GENERAL
-------
Notwithstanding any other provision, all disputes and other
matters in question between the parties, arising out of, or
relating to this Agreement, will be submitted exclusively to
arbitration upon the written request of either party. The
disputes and matters subject to arbitration include, but are not
limited to disputes upon or after termination of this Agreement,
and issues respecting the existence, scope and validity of this
Agreement. The arbitrators are to seek efficiencies in time and
expense. The arbitrators are not bound to comply strictly with
the rules of evidence
15
The arbitration panel also has, for example, the authority to
issue subpoenas to third parties compelling pre-hearing
depositions, and for document production. The arbitrators will
have the authority to interpret this Agreement and, in doing so,
will consider the customs and practices of the life insurance and
life reinsurance industries. The arbitrators will consider this
Agreement an honorable engagement rather than merely a legal
obligation, and they are relieved of all judicial formalities and
may abstain from following the strict rules of law.
b. NOTICE.
-------
To initiate arbitration, one of the parties will notify the
other, in writing, of its desire to arbitrate. The notice will
state the nature of the dispute and the desired remedies. The
party to which the notice is sent will respond to the
notification in writing within 10 days of receipt of the notice.
At that time, the responding party will state any additional
dispute it may have regarding the subject of arbitration.
c. PROCEDURE.
----------
Arbitration will be heard before a panel of three arbitrators.
The arbitrators will be current or former executive officers of
life insurance or life reinsurance companies other than either
party or an affiliate of either party. Each party will appoint
one arbitrator. Notice of the appointment of these arbitrators
will be given by each party to the other party within 30 days of
the date of mailing of the notification initiating the
arbitration. These two arbitrators will, as soon as possible, but
no longer that 45 days after the day of the mailing of the
notification initiating the arbitration, then select the third
arbitrator. In the event that either party should fail to choose
an arbitrator within 30 days after the other party has given
notice of its arbitrator appointment, the party which has already
appointed an arbitrator may choose an additional arbitrator, and
the two will, in turn, choose a third arbitrator before entering
arbitration. If the two arbitrators are unable to agree upon the
selection of a third arbitrator within 30 days following their
appointment, each arbitrator will nominate three candidates
within 10 days there after, two of whom the other will decline and
the decision will be made by drawing lots.
Once chosen, the three arbitrators will have the authority to
decide all substantive and procedural issues by a majority vote.
The arbitrators will operate in a fair but cost efficient manner.
For example, the arbitrators are not bound by technical rules of
evidence and may limit the use of depositions and discovery. The
arbitratiion hearing will be held on the date fixed by the
arbitrators at a location agreed upon by the parties. The
arbitrators will issue a written decision from which there will be
no appeal. Either party may reduce this decision to a judgment
before any court that has jurisdiction of the subject of the
arbitration.
Each party will pay the fees of its own attorneys, the arbitrator
appointed by that party, and all other expenses connected with
the presentation of its own case. The two parties will share
equally in the cost of the third arbitrator.
The arbitration panel may, in its discretion, award
attorneys' fees, costs, expert witness fees, expenses and
interest, all as it deems appropriate to the prevailing party.
21. OFFSET.
-------
All amounts due or otherwise accrued to any of the parties hereto or any
of their parents, affiliates, or subsidiaries, whether by reason of
premiums, losses, expenses, or otherwise, under this Agreement or any
other contract heretofore or hereafter entered into, will at all times be
fully subject to the right of
16
offset and only the net balance will be due and payable. The right of
offset will not be affected or diminished because of the insolvency of
either party.
22. GOOD FAITH: FINANCIAL SOLVENCY.
-------------------------------
This Agreement is entered into in reliance on the utmost good faith of
the parties including, for example, their warranties, representations
and disclosures. It requires the continuing utmost good faith of the
parties, their representatives, successors, and assigns. This includes a
duty of full and fair disclosure of all information respecting the
formation and continuation of this contract and the business reinsured
hereunder. Each party represents and warrants to the other party that it
is solvent on a statutory basis in all states in which it does business
or is licensed. Each party agrees to promptly notify the other if it is
subsequently financially impaired.
In addition, the Ceding Company affirms that it has disclosed and will
continue to disclose to the Reinsurer all matters material to this
Agreement, such as its underwriting and policy issues (rules,
philosophies, practices, and management personnel), its financial
condition, studies and reports on the business reinsured, and any change
in its ownership or control. The Reinsurer or its representatives have
the right at any reasonable time to inspect the Ceding Company's records
relating to this Agreement.
23. TREATMENT OF CONFIDENTIAL INFORMATION
-------------------------------------
Except for the purpose of carrying out this Agreement and as required by
law, the Reinsurer will not disclose or use any non-public personally
identifiable customer or claimant information ("Customer/Claimant
Information") provided by the Ceding Company to the Reinsurer, as such
Customer/Claimant Information is defined by the Xxxxx-Xxxxx-Xxxxxx Act
and related regulations. Such Customer/Claimant Information will be
shared only with those entities with which the Reinsurer may, from time
to time, contract in accordance with the fulfillment of the terms of this
Agreement, including but not limited to the Reinsurer's
retrocessionaires and the Reinsurer's affiliates.
To the extent that Reinsurer contracts with a third party that obtains
Customer/Claimant Information in order to provide services under this
Agreement, the Reinsurer agrees to use its best effort to obtain
contractual confidentiality protections to require the third party to
hold the Customer/Claimant Information in strict confidence and not
disclose it to any person unless required by law. The obligations of the
Reinsurer set forth in this Article shall survive the termination of
this Agreement.
24. TERM OF THIS AGREEMENT AND TERMINATION.
---------------------------------------
The Ceding Company will maintain and continue the reinsurance provided
in this Agreement as long as the policy to which it relates is in force
or has not been fully recaptured. This Agreement may be terminated,
without cause, for the acceptance of new reinsurance after 90 days
written notice of termination by either party to the other. The
Reinsurer will continue to accept reinsurance during this 90 day period.
The Reinsurer's acceptance will be subject to both the terms of this
Agreement and the Ceding Company's payment of applicable reinsurance
premiums. In addition, this Agreement may be terminated immediately for
the acceptance of new reinsurance by either party if one of the parties
materially breaches this Agreement, or becomes insolvent or financially
impaired.
25. MEDICAL INFORMATION BUREAU.
---------------------------
The Reinsurer is required to strictly adhere to the Medical Information
Bureau Rules, and the Ceding Company agrees to abide by these Rules, as
amended from time to time. The Ceding Company will not
17
submit a preliminary notice, application for reinsurance, or reinsurance
cession to the Reinsurer unless the Ceding Company has an authentic,
signed preliminary or regular application for insurance in its home
office and the current required Medical Information Bureau authorization.
26. SEVERABILITY.
-------------
In the event that any court, arbitrator, or administrative agency
determines any provision or term of this Agreement to be invalid,
illegal or unenforceable, all of the other terms and provisions of this
Agreement will remain in full force and effect to the extent that their
continuance is practicable and consistent with the original intent of
the parties. However, in the event this Article is exercised and the
Agreement no longer reflect the original intent of the parties, the
parties agree to attempt to renegotiate this Agreement in good faith to
carry out its original intent.
27. SURVIVAL.
---------
All provisions of this Agreement will survive its termination to the
extent necessary to carry out the purpose of this Agreement or to
ascertain and enforce the parties' rights or obligations hereunder
existing at the time of termination.
28. NON-WAIVER.
-----------
No waiver by either party of any violation or default by the other party
in the performance of any promise, term or condition of this Agreement
will be construed to be a waiver by such party of any other or
subsequent default in performance of the same or any other promise, term
or condition of this Agreement. No prior transactions or dealings
between the parties will be deemed to establish any custom or usage
waiving or modifying any provision hereof. The failure of either party to
enforce any part of this Agreement will not constitute a waiver by such
party of its right to do so, nor will it be deemed to be an act of
ratification or consent.
18
SCHEDULE A
COVERAGE AND LIMITS
1. PLANS REINSURED:
The policy plans and supplemental benefits eligible for automatic and
facultative reinsurance coverage are:
Plans Plan Codes
MEMBERS Level Premium Term Series 10 03-15YTG
MEMBERS Level Premium Term Series 15 03-15YTG
MEMBERS Level Premium Term Series 20 03-20YTG
MEMBERS Level Premium Term Series 30 03-30YTG
Other Insured Rider - 10 03OIR10YG
Other Insured Rider - 15 03OIR15YG
Other Insured Rider - 20 03OIR20YG
Other Insured Rider - 30 03OIR30YG
2. REINSURANCE AMOUNT:
a. Automatic Reinsurance:
----------------------
For Net Amounts at Risk less than $100,000, the Ceding Company
will retain 100.0% of the Net Amount at Risk, as defined in
Section 8 of Schedule A, per life on a policy reinsured hereunder.
For Net Amounts at Risk greater than or equal to $100,000, the
Ceding Company will retain 20.0% of the Net Amount at Risk, as
defined in Section 8 of Schedule A, per life on a policy
reinsured hereunder, up to the Ceding Company's Maximum Dollar
Retention Limits as shown in Section 3 of Schedule A; with the
remaining amount to be ceded to the pool.
The Reinsurer will reinsure 50.0% of the ceded Net Amount at
Risk, subject to the Reinsurer's Automatic Acceptance Limits in
Section 4 of Schedule A.
b. Facultative Reinsurance.
------------------------
The Ceding Company's amount and the Reinsurer's amount of the Net
Amount at Risk will be determined on a case-by-case basis for
facultative cessions.
3. CEDING COMPANY'S MAXIMUM DOLLAR RETENTION LIMITS:
Issue Ages Tables A-P
0-69 $1,000,000
70+ $ 500,000
19
SCHEDULE A, CONTINUED
4. REINSURER'S AUTOMATIC ACCEPTANCE LIMITS:
On each life, the amount automatically reinsured under all agreements
with the Reinsurer must not exceed the following:
Issue Ages Underwriting Classifications
4 times the Ceding Company's
Maximum Dollar Retention Limits, as
All shown above in Section 3 of this
Schedule A, subject to a $4,000,000
maximum.
5. AUTOMATIC IN FORCE AND APPLIED FOR LIMIT:
$10,000,000
6. NET COINSURANCE PREMIUM DUE:
Net coinsurance premiums are due annually in advance. These premiums are
due on the issue date and each subsequent policy anniversary.
7. RECAPTURE PERIOD:
Recapture is only allowed in accordance with Article 17.b of this
Agreement. In accordance with Article 17.b, the Ceding Company may
recapture existing business up to its new Maximum Dollar Retention
Limits for business that has been in effect for 10 years or for the
length of the level term period of the reinsured product, whichever
occurs later.
8. NET AMOUNT AT RISK:
For purposes of this Agreement, the Net Amount at Risk for a policy is
the policy face amount.
For purpose of this Agreement, the Reinsurer's Net Amount at Risk for a
policy is the Reinsurer's amount, as determined in Section 2 of Schedule
A, of the Net Amount at Risk.
9. RESERVES:
The Reinsurer will hold reinsurance reserves in accordance with all
applicable laws and regulations that the Reinsurer deems controlling.
10. ADDITIONAL UNDERWRITING REQUIREMENTS:
The following requirements apply to business reinsured under this
Agreement. These requirements are in addition to the conventional
underwriting and issue practices described in Article 3.a. of this
Agreement.
20
SCHEDULE A, CONTINUED
BLOOD PROFILE LIMITS:
Where permitted by law, a blood profile including an HIV test is
required according to the age and amount conditions described below.
When the HIV is not permitted, a T-Cell ratio.
Issue Age Applied For Amount
0-15 NA
16+ $100,000
21
SCHEDULE B
NET COINSURANCE PREMIUMS
------------------------
1. AUTOMATIC NET COINSURANCE PREMIUMS - LIFE:
a. Net Coinsurance premiums pursuant to Article 7.c. are determined
using the following: the standard annual coinsurance premiums per
$1000 reinsured are the CUNA Mutual Life Insurance Company 2003
Members 10, 15, 20 & 30 Year Level Term Premium Rates attached to
this Schedule B as Schedule B -- I. The first year coinsurance
allowance is 100%. Renewal years coinsurance allowances are:
Band Preferred Preferred Standard Preferred Standard
Plus NT NT NT Tobacco Tobacco
10YT $100-249 20% 13% 23% 23% 22%
$250-499 12% 5% 20% 23% 23%
$500+ 9% 4% 20% 24% 25%
15YT $100-249 12% 4% 14% 19% 17%
$250-499 5% 0% 12% 19% 18%
$500+ 4% 0% 13% 21% 21%
20YT $100-249 23% 18% 28% 30% 27%
$250-499 15% 11% 24% 28% 27%
$500+ 11% 7% 23% 28% 27%
30YT $100-249 26% 27% 39% 33% 36%
$250-499 20% 22% 35% 33% 35%
$500+ 14% 17% 33% 33% 35%
b. Table rated substandard coinsurance premiums are the appropriate
multiple of the standard coinsurance premiums (25% per table).
c. Flat Extra coinsurance premiums are the policy owner premiums
less the following allowances:
Permanent flat extra premiums (for more than 5 years duration)
First Year 75%
Renewal Year 10%
Temporary flat extra premiums (for 5 years or less duration)
All Years 10%
2. AUTOMATIC NET COINSURANCE PREMIUMS - SUPPLEMENTAL BENEFITS LIFE:
For The Other Insured Rider, net Coinsurance premiums pursuant to
Article 7.c. Level are determined using the following: the
standard annual coinsurance premiums per $1000 reinsured are the
CUNA Mutual Life Insurance Company 2003 Members 10, 15, 20 & 30
Year Term Premium Rates attached to this Schedule B as Schedule
B -- I. The first year coinsurance allowance is 100%. Renewal
years coinsurance allowances are:
22
SCHEDULE B, CONTINUED
Band Preferred Preferred Standard Preferred Standard
Plus NT NT NT Tobacco Tobacco
10YT $100-249 20% 13% 23% 23% 22%
$250-499 12% 5% 20% 23% 23%
$500+ 9% 4% 20% 24% 25%
15YT $100-249 12% 4% 14% 19% 17%
$250-499 5% 0% 12% 19% 18%
$500+ 4% 0% 13% 21% 21%
20YT $100-249 23% 18% 28% 30% 27%
$250-499 15% 11% 24% 28% 27%
$500+ 11% 7% 23% 28% 27%
30YT $100-249 26% 27% 39% 33% 36%
$250-499 20% 22% 35% 33% 35%
$500+ 14% 17% 33% 33% 35%
3. AGE BASIS:
Age Last Birthday
4. RATES AFTER EXERCISEE OF TERM CONVERSION OPTION:
Annual reinsurance premiums following term conversions are the Security
Life Reinsurance Rates For After Conversion attached to this Schedule B
as Schedule B--II. Converted policies will be reinsured on a YRT basis
and the reinsurance rates will be based on the original issue age,
duration since issuance of the policy and the original underwriting
classification.
23
SCHEDULE B-I
NET COINSURANCE PREMIUMS
------------------------
Standard Annual Coinsurance Premiums
------------------------------------
CUNA Mutual Life Insurance Company 2003 Members 10,15,20,& 30 Year Level Term
Premium Rates.
24
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000*
MEMBERS Level - 10 2003
Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.66 0.79 1.01 1.40 1.86 16.25 0.57 0.70 0.88 1.17 1.56
26 0.66 0.79 1.01 1.41 1.87 26 0.57 0.70 0.88 1.18 1.58
27 0.66 0.79 1.02 1.42 1.89 27 0.57 0.70 0.88 1.19 1.59
28 0.67 0.80 1.02 1.43 1.90 28 0.58 0.71 0.89 1.21 1.61
29 0.67 0.80 1.03 1.44 1.92 29 0.58 0.71 0.89 1.22 1.62
30 0.67 0.80 1.03 1.45 1.93 30 0.58 0.71 0.89 1.23 1.64
31 0.67 0.80 1.03 1.46 1.95 31 0.58 0.71 0.89 1.24 1.65
32 0.66 0.79 1.03 1.47 1.96 32 0.58 0.70 0.88 1.25 1.66
33 0.66 0.79 1.03 1.49 1.99 33 0.58 0.70 0.88 1.26 1.67
34 0.66 0.80 1.04 1.53 2.04 34 0.59 0.70 0.89 1.28 1.71
35 0.68 0.82 1.08 1.60 2.14 35 0.61 0.72 0.92 1.34 1.78
36 0.71 0.86 1.14 1.71 2.29 36 0.64 0.76 0.97 1.43 1.90
37 0.76 0.92 1.22 1.85 2.47 37 0.69 0.81 0.10 1.55 2.06
38 0.81 0.99 1.32 2.01 2.69 38 0.74 0.87 1.12 1.69 2.24
39 0.86 1.07 1.42 2.19 2.92 39 0.78 0.93 1.20 1.83 2.42
40 0.92 1.14 1.52 2.37 3.17 40 0.83 0.98 1.28 1.97 2.60
41 0.97 1.21 1.62 2.56 3.42 41 0.87 1.02 1.34 2.09 2.76
42 1.03 1.28 1.72 2.75 3.68 42 0.90 1.06 1.40 2.21 2.91
43 1.08 1.35 1.83 2.96 3.96 43 0.93 1.10 1.46 2.34 3.07
44 1.15 1.44 1.95 3.19 4.27 44 0.97 1.14 1.53 2.47 3.24
45 1.23 1.54 2.09 3.44 4.61 45 1.02 1.20 1.61 2.62 3.44
46 1.32 1.65 2.25 3.71 4.98 46 1.08 1.27 1.71 2.79 3.66
47 1.42 1.78 2.42 3.99 5.36 47 1.14 1.35 1.82 2.96 3.90
48 1.53 1.92 2.60 4.30 5.78 48 1.21 1.44 1.93 3.15 4.15
49 1.65 2.07 2.81 4.64 6.25 49 1.29 1.54 2.06 3.36 4.43
50 1.79 2.24 3.04 5.03 6.77 50 1.37 1.64 2.20 3.58 4.73
51 1.94 2.42 3.29 5.45 7.34 51 1.45 1.74 2.34 3.81 5.04
52 2.10 2.61 3.55 5.90 7.94 52 1.54 1.85 2.48 4.04 5.35
53 2.27 2.82 3.84 6.39 8.60 53 1.63 1.96 2.64 4.30 5.69
54 2.47 3.06 4.17 6.94 9.34 54 1.73 2.09 2.82 4.59 6.08
55 2.69 3.33 4.55 7.56 10.19 55 1.86 2.24 3.03 4.93 6.54
56 2.93 3.62 4.96 8.23 11.11 56 2.01 2.42 3.28 5.32 7.07
57 3.18 3.93 5.39 8.92 12.08 57 2.17 2.61 3.55 5.75 7.66
58 3.46 4.27 5.87 9.70 13.16 58 2.36 2.82 3.84 6.23 8.31
59 3.79 4.67 6.42 10.61 14.42 59 2.56 3.06 4.17 6.74 9.02
60 4.19 5.14 7.09 11.68 15.92 60 2.78 3.31 4.53 7.31 9.80
61 4.62 5.66 7.81 12.87 17.59 61 3.00 3.57 4.89 7.89 10.61
62 4.62 6.20 8.58 14.15 19.38 62 3.23 3.82 5.26 8.49 11.44
63 5.61 6.83 9.45 15.60 21.41 63 3.48 4.11 5.66 9.15 12.36
64 6.25 7.58 10.51 17.30 23.77 64 3.79 4.46 6.15 9.92 13.42
65 7.04 8.53 11.83 19.32 26.57 65 4.17 4.90 6.77 10.84 14.68
66 8.22 9.96 13.82 22.22 30.56 66 4.74 5.58 7.70 12.16 16.47
67 9.40 11.40 15.81 25.12 34.54 67 5.32 6.25 8.64 13.48 18.26
68 10.59 12.83 17.79 28.01 38.53 68 5.89 6.93 9.57 14.81 20.05
69 11.77 14.27 19.78 30.91 42.51 69 6.47 7.60 10.51 16.13 21.84
70 12.95 15.70 21.77 33.81 46.50 70 7.04 8.28 11.44 17.45 23.63
* Add $50.00 policy fee
OIR rates for ages 0-15 equal age 16 non-tobacco rates.
CUNA Mutual Life Insurance Company
Guaranteed Level Premium per $1,000*
MEMBERS Level - 10 2003
Band 3: $250,000-$449,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============== ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== =====
16-25 0.46 0.59 0.81 1.20 1.66 16-25 0.37 0.50 0.68 0.97 1.36
26 0.46 0.59 0.81 1.21 1.67 26 0.37 0.50 0.68 0.98 1.38
27 0.46 0.59 0.82 1.22 1.69 27 0.37 0.50 0.68 0.99 1.39
28 0.47 0.60 0.82 1.23 1.70 28 0.38 0.51 0.69 1.01 1.41
29 0.47 0.60 0.83 1.24 1.72 29 0.38 0.51 0.69 1.02 1.42
30 0.47 0.60 0.83 1.25 1.73 30 0.38 0.51 0.69 1.03 1.44
31 0.47 0.60 0.83 1.26 1.75 31 0.38 0.51 0.69 1.04 1.45
32 0.46 0.59 0.83 1.27 1.77 32 0.38 0.50 0.69 1.05 1.46
33 0.46 0.59 0.83 1.29 1.79 33 0.38 0.50 0.68 1.06 1.47
34 0.46 0.60 0.85 1.33 1.84 34 0.39 0.50 0.69 1.09 1.51
35 0.48 0.62 0.88 1.40 1.94 35 0.41 0.52 0.72 1.14 1.58
36 0.51 0.66 0.94 1.51 2.08 36 0.44 0.55 0.77 1.23 1.70
37 0.55 0.71 1.01 1.64 2.26 37 0.48 0.60 0.83 1.34 1.85
38 0.60 0.78 1.10 1.80 2.48 38 0.52 0.65 0.91 1.47 2.02
39 0.65 0.85 1.20 1.97 2.71 39 0.57 0.71 0.99 1.61 2.20
40 0.71 0.92 1.30 2.15 2.95 40 0.61 0.76 1.06 1.74 2.37
41 0.76 0.99 1.40 2.34 3.20 41 0.65 0.81 1.13 1.87 2.53
42 0.82 1.07 1.51 2.54 3.47 42 0.69 0.85 1.19 1.99 2.69
43 0.88 1.15 1.62 2.75 3.76 43 0.73 0.89 1.25 2.12 2.86
44 0.95 1.24 1.75 2.99 4.07 44 0.77 0.94 1.33 2.27 3.04
45 1.03 1.34 1.89 3.24 4.41 45 0.82 1.00 1.41 2.42 3.24
46 1.12 1.45 2.05 3.51 4.77 46 0.88 1.07 1.51 2.59 3.46
47 1.22 1.57 2.21 3.79 5.15 47 0.94 1.15 1.61 2.76 3.70
48 1.32 1.70 2.40 4.10 5.57 48 1.01 1.23 1.73 2.95 3.95
49 1.44 1.85 2.60 4.43 6.03 49 1.09 1.32 1.85 3.15 4.22
50 1.58 2.02 2.83 4.82 6.55 50 1.17 1.42 1.99 3.37 4.52
51 1.73 2.20 3.08 5.24 7.12 51 1.25 1.52 2.13 3.60 4.83
52 1.89 2.40 3.35 5.69 7.72 52 1.34 1.63 2.28 3.84 5.14
53 2.07 2.62 3.64 6.18 8.39 53 1.43 1.75 2.43 4.09 5.48
54 2.26 2.86 3.97 6.74 9.14 54 1.54 1.88 2.62 4.39 5.88
55 2.49 3.13 4.35 7.36 9.99 55 1.67 2.04 2.83 4.73 6.34
56 2.73 3.42 4.75 8.02 10.91 56 1.82 2.22 3.07 5.12 6.87
57 2.98 3.72 5.18 8.72 11.87 57 1.98 2.41 3.34 5.55 7.46
58 3.26 4.06 5.65 9.50 12.95 58 2.16 2.62 3.64 6.02 8.10
59 3.59 4.46 6.21 10.40 14.20 59 2.36 2.85 3.96 6.53 8.81
60 3.99 4.93 6.87 11.47 15.70 60 2.58 3.10 4.32 7.10 9.59
61 4.43 5.45 7.60 12.67 17.37 61 2.81 3.36 4.68 7.69 10.40
62 4.89 6.00 8.37 13.95 19.17 62 3.04 3.62 5.06 8.29 11.24
63 5.43 6.63 9.26 15.41 21.21 63 3.29 3.92 5.47 8.96 12.16
64 6.06 7.39 10.32 17.11 23.57 64 3.60 4.27 5.96 9.72 13.22
65 6.84 8.33 11.63 19.12 26.37 65 3.97 4.70 6.57 10.64 14.48
66 7.99 9.73 13.53 21.99 30.33 66 4.52 5.35 7.48 11.94 16.25
67 9.14 11.13 15.54 24.86 34.28 67 5.07 6.00 8.38 13.24 18.01
68 10.29 12.53 17.49 27.72 38.24 68 5.61 6.64 9.29 14.53 19.78
69 11.44 13.93 19.45 30.59 42.19 69 6.16 7.29 10.19 15.83 21.54
70 12.59 15.33 21.40 33.46 46.15 70 6.71 7.94 11.10 17.13 23.31
* add $50.00 policy fee.
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000*
MEMBERS Level - 10 2003
Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============== ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== =====
16-25 0.36 0.49 0.71 1.10 1.56 16-25 0.27 0.40 0.58 0.87 1.26
26 0.36 0.49 0.71 1.11 1.57 26 0.27 0.40 0.58 0.88 1.28
27 0.36 0.49 0.72 1.12 1.59 27 0.27 0.40 0.58 0.89 1.29
28 0.37 0.50 0.72 1.13 1.60 28 0.28 0.41 0.59 0.91 1.31
29 0.37 0.50 0.73 1.14 1.62 29 0.28 0.41 0.59 0.92 1.32
30 0.37 0.50 0.73 1.15 1.63 30 0.28 0.41 0.59 0.93 1.34
31 0.37 0.50 0.73 1.16 1.65 31 0.28 0.41 0.59 0.94 1.35
32 0.36 0.49 0.73 1.17 1.67 32 0.28 0.40 0.59 0.95 1.36
33 0.36 0.49 0.73 1.19 1.69 33 0.29 0.40 0.59 0.96 1.38
34 0.36 0.50 0.75 1.23 1.75 34 0.29 0.40 0.60 0.99 1.41
35 0.38 0.52 0.78 1.30 1.84 35 0.31 0.42 0.62 1.04 1.48
36 0.41 0.56 0.84 1.40 1.98 36 0.34 0.45 0.66 1.13 1.59
37 0.45 0.61 0.91 1.54 2.16 37 0.37 0.49 0.72 1.24 1.74
38 0.49 0.67 1.00 1.69 2.37 38 0.41 0.44 0.79 1.36 1.91
39 0.55 0.74 1.09 1.86 2.60 39 0.46 0.59 0.87 1.50 2.09
40 0.60 0.81 1.19 2.04 2.84 40 0.50 0.64 0.94 1.63 2.26
41 0.66 0.88 1.29 2.23 3.09 41 0.54 0.69 1.01 1.76 2.42
42 0.71 0.96 1.40 2.43 3.36 42 0.58 0.73 1.07 1.89 2.59
43 0.78 1.04 1.52 2.65 3.65 43 0.63 0.78 1.15 2.02 2.76
44 0.85 1.14 1.65 2.88 3.97 44 0.68 0.84 1.22 2.16 2.94
45 0.93 1.24 1.79 3.14 4.31 45 0.73 0.90 1.31 2.32 3.14
46 1.02 1.35 1.95 3.41 4.67 46 0.79 0.97 1.41 2.49 3.36
47 1.12 1.47 2.11 3.69 5.06 47 0.85 1.05 1.51 2.66 3.59
48 1.22 1.60 2.29 3.99 5.47 48 0.91 1.13 1.62 2.85 3.84
49 1.34 1.74 2.49 4.33 5.39 49 0.98 1.22 1.74 3.05 4.11
50 1.48 1.91 2.72 4.71 6.45 50 1.06 1.32 1.88 3.27 4.41
51 1.63 2.09 2.97 5.13 7.02 51 1.14 1.42 2.02 3.50 4.72
52 1.79 2.29 3.24 5.59 7.62 52 1.23 1.53 2.17 3.74 5.03
53 1.97 2.51 3.54 6.08 8.29 53 1.33 1.65 2.33 3.99 5.38
54 2.17 2.76 3.87 6.64 9.04 54 1.44 1.79 2.52 4.29 5.77
55 2.39 3.03 4.25 7.26 9.89 55 1.57 1.94 2.73 4.63 6.24
56 2.63 3.32 4.65 7.92 10.81 56 1.72 2.11 2.97 5.02 6.77
57 2.88 3.62 5.08 8.62 11.71 57 1.88 2.30 3.24 5.44 7.36
58 3.16 3.96 5.55 9.39 12.85 58 2.06 2.51 3.53 5.91 8.00
59 3.49 4.35 6.11 10.29 14.10 59 2.25 2.74 3.85 6.43 8.71
60 3.88 4.82 6.77 11.36 15.60 60 2.47 2.99 4.21 6.99 9.49
61 4.32 5.34 7.50 12.56 17.27 61 2.70 3.25 4.58 7.58 10.30
62 4.79 5.90 8.28 13.85 19.08 62 2.93 3.52 4.95 8.19 11.14
63 5.33 6.54 9.16 15.31 21.11 63 3.19 3.82 5.37 8.86 12.07
64 5.97 7.30 10.23 17.01 23.48 64 3.50 4.17 5.86 9.63 13.13
65 6.74 8.23 11.53 19.02 26.27 65 3.87 4.60 6.47 10.54 14.38
66 7.87 9.61 13.47 21.87 30.21 66 4.40 5.23 7.36 11.83 16.13
67 9.01 10.99 15.41 24.73 34.15 67 4.94 5.87 8.25 13.11 17.89
68 10.14 12.38 17.34 27.58 38.09 68 5.47 6.50 9.15 14.40 19.64
69 11.28 13.76 19.28 30.44 42.03 69 6.01 7.14 10.04 15.68 21.40
70 12.41 15.14 21.22 33.29 45.97 70 6.54 7.77 10.93 16.97 23.15
* add $50.00 policy fee.
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000*
MEMBERS Level - 15 2003
Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============== ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ===== ===== ===== ===== ===== ===== ===== ===== ===== ===== =====
16-25 0.72 0.87 1.08 1.56 2.02 16-25 0.63 0.76 0.95 1.29 1.68
26 0.72 0.87 1.09 1.58 2.05 26 0.63 0.76 0.96 1.31 1.71
27 0.72 0.88 1.10 1.60 2.08 27 0.64 0.77 0.96 1.33 1.74
28 0.73 0.88 1.11 1.63 2.12 28 0.64 0.77 0.97 1.36 1.76
29 0.73 0.89 1.12 1.65 2.15 29 0.65 0.78 0.97 1.38 1.79
30 0.73 0.89 1.13 1.67 2.18 30 0.65 0.78 0.98 1.40 1.82
31 0.73 0.89 1.14 1.70 2.23 31 0.65 0.78 0.98 1.43 1.85
32 0.73 0.89 1.15 1.74 2.28 32 0.65 0.78 0.98 1.45 1.89
33 0.73 0.89 1.16 1.78 2.34 33 0.65 0.78 0.99 1.48 1.92
34 0.74 0.90 1.19 1.84 2.42 34 0.66 0.78 1.00 1.52 1.98
35 0.76 0.93 1.23 1.93 2.54 35 0.67 0.80 1.03 1.58 2.06
36 0.80 0.98 1.30 2.05 2.69 36 0.70 0.83 1.08 1.66 2.17
37 0.85 1.03 1.38 2.19 2.87 37 0.73 0.87 1.14 1.76 2.29
38 0.91 1.10 1.48 2.36 3.07 38 0.77 0.92 1.21 1.87 2.44
39 0.97 1.18 1.58 2.55 3.31 39 0.81 0.97 1.29 2.00 2.61
40 1.04 1.27 1.70 2.77 3.59 40 0.86 1.03 1.37 2.14 2.79
41 1.11 1.37 1.82 3.02 3.92 41 0.91 1.09 1.45 2.30 3.00
42 1.19 1.47 1.95 3.31 4.30 42 0.96 1.15 1.54 2.48 3.24
43 1.28 1.58 2.10 3.62 4.70 43 1.02 1.21 1.63 2.67 3.50
44 1.37 1.70 2.25 3.94 5.12 44 1.08 1.28 1.72 2.87 3.75
45 1.47 1.83 2.42 4.26 5.54 45 1.15 1.36 1.83 3.06 4.00
46 1.57 1.95 2.59 4.55 5.91 46 1.21 1.44 1.94 3.23 4.21
47 1.67 2.07 2.77 4.81 6.25 47 1.28 1.51 2.05 3.38 4.39
48 1.78 2.20 2.96 5.10 6.62 48 1.35 1.59 2.17 3.54 4.58
49 1.91 2.36 3.19 5.45 7.07 49 1.43 1.69 2.31 3.74 4.82
50 2.08 2.57 3.46 5.90 7.66 50 1.53 1.81 2.41 4.00 5.15
51 2.27 2.79 3.77 6.46 8.40 51 1.64 1.95 2.65 4.33 5.57
52 2.48 3.05 4.11 7.09 9.24 52 1.77 2.09 2.85 4.71 6.07
53 2.72 3.34 4.50 7.80 10.19 53 1.91 2.26 3.06 5.13 6.62
54 3.00 3.68 4.94 8.57 11.22 54 2.07 2.45 3.31 5.59 7.21
55 3.32 4.07 5.46 9.42 12.33 55 2.26 2.68 3.61 6.06 7.82
56 3.68 4.51 6.03 10.31 13.49 56 2.47 2.93 3.94 6.53 8.43
57 4.07 4.98 6.66 11.24 14.69 57 2.70 3.19 4.29 7.00 9.04
58 4.51 5.50 7.35 12.26 16.00 58 2.95 3.48 4.68 7.51 9.70
59 5.01 6.11 8.14 13.39 17.47 59 3.26 3.83 5.14 8.10 10.45
60 5.59 6.80 9.05 14.69 19.14 60 3.63 4.26 5.68 8.81 11.34
61 6.38 7.75 10.29 16.42 21.36 61 4.18 4.88 6.44 9.82 12.58
62 7.17 8.70 11.53 18.14 23.59 62 4.72 5.50 7.21 10.84 13.82
63 7.97 9.65 12.78 19.87 25.81 63 5.27 6.13 7.97 11.85 15.07
64 8.76 10.60 14.02 21.59 28.04 64 5.81 6.75 8.74 12.87 16.31
65 9.55 11.55 15.26 23.32 30.26 65 6.36 7.37 9.50 13.88 17.55
* Add $50.00 policy fee
OIR rates for ages 0-15 equal age 16 non-tobacco rates.
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 15 2003
Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.53 0.67 0.88 1.36 1.82 16-25 0.43 0.56 0.76 1.09 1.48
26 0.53 0.67 0.89 1.38 1.85 26 0.43 0.56 0.77 1.11 1.51
27 0.53 0.68 0.90 1.40 1.88 27 0.44 0.57 0.77 1.13 1.54
28 0.54 0.68 0.91 1.43 1.92 28 0.44 0.57 0.78 1.16 1.56
29 0.54 0.69 0.92 1.45 1.95 29 0.45 0.58 0.78 1.18 1.59
30 0.54 0.69 0.93 1.47 1.98 30 0.45 0.58 0.79 1.20 1.62
31 0.54 0.69 0.94 1.50 2.03 31 0.45 0.58 0.79 1.23 1.65
32 0.54 0.69 0.95 1.54 2.08 32 0.46 0.58 0.79 1.25 1.69
33 0.54 0.70 0.97 1.58 2.14 33 0.46 0.58 0.79 1.28 1.72
34 0.55 0.71 0.99 1.64 2.22 34 0.47 0.59 0.80 1.32 1.78
35 0.57 0.74 1.04 1.73 2.34 35 0.49 0.61 0.83 1.38 1.86
36 0.61 0.79 1.11 1.85 2.49 36 0.52 0.64 0.88 1.46 1.97
37 0.66 0.85 1.19 1.99 2.67 37 0.55 0.68 0.94 1.56 2.09
38 0.72 0.91 1.28 2.16 2.87 38 0.58 0.72 1.01 1.66 2.23
39 0.78 0.99 1.39 2.35 3.11 39 0.62 0.78 1.09 1.79 2.40
40 0.85 1.08 1.50 2.57 3.39 40 0.67 0.83 1.17 1.93 2.58
41 0.92 1.17 1.62 2.82 3.72 41 0.72 0.89 1.25 2.09 2.79
42 1.00 1.28 1.76 3.11 4.10 42 0.77 0.95 1.34 2.27 3.03
43 1.09 1.39 1.90 3.42 4.50 43 0.83 1.02 1.43 2.47 3.29
44 1.18 1.50 2.06 3.74 4.92 44 0.89 1.09 1.52 2.67 3.55
45 1.28 1.63 2.23 4.06 5.34 45 0.96 1.17 1.63 2.86 3.80
46 1.38 1.76 2.40 4.35 5.71 46 1.03 1.25 1.74 3.03 4.01
47 1.49 1.88 2.58 4.61 6.05 47 1.09 1.33 1.86 3.19 4.20
48 1.60 2.02 2.77 4.90 6.42 48 1.17 1.41 1.98 3.35 4.40
49 1.73 2.18 3.00 5.25 6.87 49 1.25 1.51 2.12 3.55 4.64
50 1.90 2.38 3.27 5.70 7.46 50 1.35 1.63 2.29 3.81 4.97
51 2.09 2.61 2.58 6.25 8.19 51 1.46 1.76 2.47 4.14 5.39
52 2.29 2.86 3.92 6.88 9.04 52 1.58 1.91 2.66 4.51 5.87
53 2.53 3.15 4.30 7.59 9.98 53 1.71 2.07 2.87 4.93 6.42
54 2.80 3.48 4.75 8.37 11.01 54 1.87 2.26 3.12 5.38 7.00
55 3.13 3.88 5.27 9.22 12.13 55 2.07 2.49 3.42 5.86 7.62
56 3.51 4.33 5.87 10.13 13.31 56 2.30 2.76 3.77 6.35 8.25
57 3.92 4.83 6.52 11.09 14.55 57 2.55 3.05 4.15 6.86 8.91
58 4.39 5.39 7.25 12.14 15.90 58 2.84 3.38 4.58 7.42 9.62
59 4.90 6.00 8.06 13.30 17.38 59 3.16 3.75 5.06 8.03 10.40
60 5.47 6.69 8.97 14.59 19.05 60 3.52 4.17 5.60 8.74 11.29
61 6.20 7.57 10.14 16.25 21.20 61 4.00 4.73 6.30 9.68 12.46
62 6.93 8.46 11.31 17.91 23.35 62 4.48 5.29 6.99 10.63 13.63
63 7.65 9.34 12.49 19.56 25.51 63 4.96 5.84 7.69 11.57 14.80
64 8.38 10.23 13.66 21.22 27.66 64 5.44 6.40 8.38 12.52 15.97
65 9.11 11.11 14.83 22.88 29.81 65 5.92 6.96 9.08 13.46 17.14
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 15 2003
Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.43 0.57 0.78 1.26 1.72 16-25 0.33 0.46 0.66 0.99 1.38
26 0.43 0.57 0.79 1.28 1.75 26 0.33 0.46 0.67 1.01 1.41
27 0.43 0.58 0.80 1.30 1.78 27 0.34 0.47 0.67 1.03 1.44
28 0.44 0.58 0.81 1.33 1.82 28 0.34 0.47 0.68 1.06 1.46
29 0.44 0.59 0.82 1.35 1.85 29 0.35 0.48 0.68 1.08 1.49
30 0.44 0.59 0.83 1.37 1.88 30 0.35 0.48 0.69 1.10 1.52
31 0.44 0.59 0.84 1.40 1.93 31 0.35 0.48 0.69 1.13 1.55
32 0.44 0.59 0.85 1.44 1.98 32 0.36 0.48 0.70 1.15 1.59
33 0.44 0.60 0.87 1.48 2.04 33 0.36 0.48 0.70 1.18 1.62
34 0.45 0.61 0.89 1.54 2.12 34 0.37 0.49 0.71 1.22 1.68
35 0.47 0.64 0.94 1.63 2.24 35 0.39 0.51 0.74 1.28 1.76
36 0.51 0.69 1.01 1.75 2.39 36 0.42 0.54 0.79 1.36 1.87
37 0.56 0.74 1.09 1.89 2.56 37 0.45 0.58 0.85 1.46 1.99
38 0.62 0.81 1.18 2.05 2.77 38 0.49 0.63 0.91 1.56 2.13
39 0.69 0.89 1.29 2.24 3.00 39 0.53 0.68 0.99 1.69 2.30
40 0.76 0.98 1.40 2.46 3.28 40 0.58 0.74 1.07 1.83 2.48
41 0.83 1.08 1.52 2.71 3.61 41 0.63 0.80 1.15 1.99 2.69
42 0.91 1.18 1.66 3.01 3.99 42 0.68 0.86 1.24 2.17 2.93
43 1.00 1.29 1.80 3.32 4.40 43 0.73 0.92 1.33 2.37 3.19
44 1.09 1.41 1.96 3.64 4.82 44 0.79 0.99 1.43 2.57 3.45
45 1.19 1.54 2.13 3.96 5.24 45 0.86 1.07 1.54 2.76 3.70
46 1.29 1.66 2.30 4.25 5.61 46 0.93 1.15 1.65 2.93 3.91
47 1.40 1.79 2.48 4.52 5.96 47 1.00 1.23 1.77 3.09 4.10
48 1.51 1.92 2.68 4.80 6.33 48 1.08 1.32 1.89 3.25 4.30
49 1.64 2.08 2.90 5.15 6.78 49 1.17 1.42 2.04 3.45 4.54
50 1.81 2.28 3.18 5.60 7.37 50 1.27 1.54 2.20 3.71 4.87
51 2.00 2.51 3.49 6.15 8.10 51 1.38 1.67 2.38 4.04 5.29
52 2.20 2.76 3.82 6.78 8.94 52 1.49 1.81 2.56 4.41 5.77
53 2.44 3.05 4.20 7.48 9.88 53 1.63 1.98 2.77 4.82 6.31
54 2.71 3.38 4.64 8.26 10.91 54 1.78 2.17 3.02 5.27 6.90
55 3.04 3.78 5.17 9.12 12.03 55 1.98 2.40 3.32 5.76 7.52
56 3.42 4.24 5.77 10.04 13.22 56 2.22 2.67 3.68 6.27 8.17
57 3.85 4.75 6.44 11.02 14.48 57 2.48 2.98 4.08 6.80 8.85
58 4.32 5.32 7.18 12.09 15.85 58 2.78 3.32 4.53 7.37 9.58
59 4.84 5.94 8.00 13.26 17.35 59 3.11 3.70 5.02 8.00 10.38
60 5.41 6.63 8.91 14.55 19.02 60 3.47 4.12 5.56 8.71 11.27
61 6.12 7.49 10.06 16.18 21.15 61 3.93 4.65 6.24 9.63 12.41
62 6.82 8.35 11.21 17.82 23.28 62 4.38 5.19 6.92 10.55 13.56
63 7.53 9.22 12.37 19.45 25.41 63 4.84 5.72 7.60 11.47 14.70
64 8.23 10.08 13.52 21.09 27.54 64 5.29 6.26 8.28 12.39 15.85
65 8.94 10.94 14.67 22.72 29.67 65 5.75 6.79 8.96 13.31 16.99
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 20 2003
Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.84 1.02 1.19 1.75 2.22 16-25 0.73 0.88 1.08 1.44 1.83
26 0.84 1.03 1.21 1.79 2.27 26 0.73 0.89 1.09 1.47 1.88
27 0.85 1.04 1.23 1.83 2.33 27 0.74 0.89 1.10 1.51 1.92
28 0.85 1.04 1.26 1.87 2.38 28 0.74 0.90 1.11 1.54 1.97
29 0.86 1.05 1.28 1.91 2.44 29 0.75 0.90 1.12 1.58 2.01
30 0.86 1.06 1.30 1.95 2.49 30 0.75 0.91 1.13 1.61 2.06
31 0.86 1.07 1.33 2.00 2.56 31 0.75 0.91 1.14 1.65 2.11
32 0.86 1.06 1.35 2.05 2.64 32 0.75 0.91 1.15 1.68 2.16
33 0.85 1.07 1.38 2.11 2.72 33 0.76 0.91 1.16 1.72 2.22
34 0.87 1.09 1.43 2.20 2.85 34 0.77 0.92 1.18 1.78 2.29
35 0.90 1.13 1.50 2.33 3.02 35 0.79 0.95 1.22 1.87 2.41
36 0.96 1.20 1.60 2.51 3.25 36 0.83 1.00 1.29 1.99 2.57
37 1.04 1.29 1.72 2.73 3.53 37 0.88 1.06 1.37 2.14 2.76
38 1.13 1.40 1.86 2.99 3.85 38 0.95 1.13 1.47 2.31 2.98
39 1.23 1.52 2.01 3.26 4.19 39 1.01 1.21 1.58 2.48 3.21
40 1.33 1.64 2.16 3.55 4.55 40 1.07 1.28 1.68 2.66 3.44
41 1.43 1.76 2.31 3.85 4.92 41 1.12 1.35 1.77 2.83 3.66
42 1.53 1.88 2.45 4.16 5.30 42 1.17 1.41 1.87 3.00 3.89
43 1.64 2.01 2.61 4.50 5.71 43 1.23 1.47 1.96 3.18 4.13
44 1.77 2.16 2.80 4.86 6.17 44 1.29 1.55 2.07 3.37 4.39
45 1.91 2.34 3.02 5.27 6.68 45 1.37 1.65 2.21 3.60 4.68
46 2.07 2.54 3.28 5.71 7.25 46 1.47 1.77 2.37 3.85 5.00
47 2.25 2.75 3.56 6.18 7.85 47 1.58 1.89 2.54 4.13 5.34
48 2.44 2.99 3.88 6.69 8.51 48 1.71 2.04 2.73 4.43 5.72
49 2.66 3.25 4.22 7.25 9.23 49 1.85 2.20 2.95 4.76 6.12
50 2.90 3.54 4.61 7.86 10.02 50 2.00 2.37 3.18 5.12 6.57
51 3.15 3.84 5.01 8.50 10.85 51 2.15 2.55 3.42 5.50 7.04
52 3.40 4.14 5.43 9.17 11.71 52 2.31 2.72 3.66 5.90 7.52
53 3.69 4.48 5.89 9.90 12.65 53 2.49 2.92 3.93 6.33 8.05
54 4.03 4.89 6.43 10.73 13.71 54 2.70 3.16 4.25 6.84 8.66
55 4.44 5.38 7.08 11.70 14.95 55 2.97 3.47 4.65 7.43 9.39
56 5.05 6.11 8.02 13.04 16.64 56 3.38 3.95 5.26 8.27 10.43
57 5.66 6.84 8.96 14.38 18.33 57 3.79 4.42 5.86 9.10 11.47
58 6.27 7.56 9.91 15.73 20.03 58 4.21 4.90 6.47 9.94 12.50
59 6.88 8.29 10.85 17.07 21.72 59 4.62 5.37 7.07 10.77 13.54
60 7.49 9.02 11.79 18.41 23.41 60 5.03 5.85 7.68 11.61 14.58
* Add $50.00 policy fee
OIR rates for ages 0-15 equal age 16 non-tobacco rates.
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 20 2003
Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.64 0.82 1.01 1.55 2.02 16-25 0.54 0.68 0.90 1.24 1.63
26 0.65 0.83 1.03 1.59 2.07 26 0.55 0.69 0.91 1.27 1.68
27 0.65 0.84 1.05 1.63 2.13 27 0.55 0.69 0.92 1.31 1.72
28 0.66 0.84 1.08 1.67 2.18 28 0.56 0.70 0.93 1.34 1.77
29 0.66 0.85 1.10 1.71 2.24 29 0.56 0.70 0.94 1.38 1.81
30 0.67 0.86 1.12 1.75 2.29 30 0.57 0.71 0.95 1.41 1.86
31 0.67 0.87 1.15 1.80 2.36 31 0.58 0.71 0.96 1.45 1.91
32 0.67 0.87 1.17 1.85 2.44 32 0.58 0.72 0.97 1.48 1.96
33 0.67 0.88 1.20 1.91 2.52 33 0.58 0.72 0.98 1.53 2.02
34 0.69 0.91 1.25 2.00 2.65 34 0.60 0.73 1.00 1.58 2.10
35 0.72 0.95 1.32 2.13 2.82 35 0.62 0.76 1.04 1.67 2.21
36 0.78 1.02 1.41 2.31 3.05 36 0.66 0.81 1.10 1.79 2.36
37 0.85 1.11 1.53 2.52 3.32 37 0.71 0.87 1.19 1.93 2.55
38 0.93 1.21 1.66 2.76 3.63 38 0.76 0.93 1.28 2.09 2.76
39 1.03 1.32 1.80 3.03 3.97 39 0.82 1.01 1.38 2.26 2.98
40 1.13 1.44 1.95 3.32 4.33 40 0.88 1.08 1.48 2.43 3.21
41 1.23 1.56 2.10 3.62 4.70 41 0.94 1.15 1.58 2.60 3.44
42 1.34 1.69 2.25 3.94 5.09 42 0.99 1.22 1.67 2.78 3.67
43 1.46 1.82 2.42 4.28 5.51 43 1.05 1.29 1.78 2.96 3.92
44 1.59 1.97 2.61 4.66 5.96 44 1.12 1.37 1.89 3.17 4.18
45 1.74 2.15 2.84 5.07 6.48 45 1.20 1.47 2.03 3.40 4.48
46 1.90 2.35 3.10 5.51 7.04 46 1.30 1.58 2.19 3.65 4.80
47 2.07 2.56 3.37 5.98 7.65 47 1.40 1.71 2.36 3.93 5.14
48 2.26 2.79 3.68 6.48 8.30 48 1.52 1.85 2.54 4.22 5.51
49 2.47 3.05 4.03 7.03 9.01 49 1.66 2.01 2.75 4.55 5.91
50 2.71 3.34 4.41 7.64 9.80 50 1.81 2.18 2.98 4.91 6.36
51 2.96 3.64 4.81 8.28 10.63 51 1.97 2.36 3.22 5.29 6.83
52 3.22 3.95 5.23 8.95 11.49 52 2.12 2.54 3.46 5.69 7.30
53 3.51 4.29 5.69 9.68 12.43 53 2.30 2.74 3.73 6.12 7.83
54 3.85 4.70 6.24 10.52 13.50 54 2.52 2.98 4.06 6.63 8.45
55 4.27 5.20 6.90 11.50 14.75 55 2.80 3.30 4.47 7.23 9.19
56 4.89 5.94 7.86 12.86 16.46 56 3.23 3.79 5.10 8.08 10.25
57 5.51 6.68 8.82 14.23 18.18 57 3.65 4.28 5.72 8.94 11.31
58 6.13 7.43 9.77 15.59 19.89 58 4.08 4.76 6.35 9.79 12.38
59 6.75 8.17 10.73 16.96 21.61 59 4.50 5.25 6.97 10.65 13.44
60 7.37 8.91 11.69 18.32 23.32 60 4.93 5.74 7.60 11.50 14.50
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 20 2003
Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.55 0.72 0.92 1.45 1.92 16-25 0.44 0.58 0.81 1.14 1.53
26 0.56 0.73 0.94 1.49 1.97 26 0.45 0.59 0.82 1.17 1.58
27 0.56 0.74 0.96 1.53 2.03 27 0.46 0.60 0.83 1.21 1.62
28 0.57 0.74 0.99 1.57 2.08 28 0.46 0.60 0.84 1.24 1.67
29 0.57 0.75 1.01 1.61 2.14 29 0.47 0.61 0.85 1.28 1.71
30 0.58 0.76 1.03 1.65 2.19 30 0.48 0.62 0.86 1.31 1.76
31 0.58 0.77 1.06 1.70 2.26 31 0.49 0.63 0.87 1.35 1.81
32 0.59 0.77 1.08 1.75 2.34 32 0.49 0.63 0.88 1.38 1.86
33 0.59 0.78 1.12 1.81 2.43 33 0.50 0.63 0.89 1.43 1.92
34 0.61 0.81 1.16 1.90 2.55 34 0.51 0.64 0.91 1.49 2.00
35 0.64 0.85 1.23 2.03 2.72 35 0.53 0.67 0.95 1.57 2.11
36 0.69 0.92 1.32 2.21 2.95 36 0.57 0.71 1.01 1.68 2.26
37 0.76 1.01 1.43 2.42 3.22 37 0.61 0.77 1.09 1.82 2.45
38 0.84 1.11 1.56 2.66 3.53 38 0.66 0.84 1.18 1.98 2.65
39 0.93 1.22 1.70 2.92 3.86 39 0.72 0.91 1.28 2.15 2.87
40 1.03 1.34 1.85 3.21 4.22 40 0.78 0.98 1.38 2.32 3.10
41 1.13 1.46 2.00 3.51 4.59 41 0.84 1.05 1.48 2.49 3.33
42 1.24 1.59 2.16 3.83 4.98 42 0.89 1.12 1.58 2.67 3.56
43 1.37 1.73 2.33 4.18 5.40 43 0.95 1.19 1.68 2.86 3.81
44 1.50 1.88 2.52 4.56 5.86 44 1.02 1.28 1.80 3.07 4.08
45 1.65 2.06 2.75 4.97 6.38 45 1.11 1.38 1.94 3.30 4.38
46 1.81 2.26 3.00 5.41 6.94 46 1.21 1.50 2.10 3.56 4.70
47 1.98 2.47 3.28 5.87 7.54 47 1.32 1.62 2.27 3.83 5.04
48 2.17 2.70 3.59 6.37 8.19 48 1.43 1.76 2.45 4.12 5.41
49 2.38 2.95 3.93 6.92 8.90 49 1.57 1.92 2.66 4.45 5.81
50 2.62 3.24 4.31 7.53 9.69 50 1.72 2.09 2.89 4.81 6.26
51 2.87 3.54 4.71 8.17 10.52 51 1.88 2.27 3.13 5.19 6.72
52 3.13 3.85 5.13 8.84 11.38 52 2.04 2.44 3.37 5.58 7.20
53 3.41 4.19 5.60 9.57 12.32 53 2.22 2.64 3.63 6.02 7.73
54 3.76 4.61 6.15 10.41 13.40 54 2.44 2.89 3.96 6.52 8.35
55 4.18 5.11 6.81 11.40 14.65 55 2.72 3.21 4.38 7.13 9.09
56 4.81 5.86 7.77 12.77 16.38 56 3.15 3.71 5.02 8.00 10.17
57 5.44 6.61 8.73 14.15 18.10 57 3.58 4.20 5.66 8.87 11.24
58 6.06 7.35 9.70 15.52 19.83 58 4.01 4.70 6.30 9.73 12.32
59 6.69 8.10 10.66 16.90 21.55 59 4.44 5.19 6.94 10.60 13.39
60 7.32 8.85 11.62 18.27 23.28 60 4.87 5.69 7.58 11.47 14.47
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 30 2003
Band 2: $100,000-$249,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 1.30 1.66 2.04 2.56 3.42 16-25 1.04 1.33 1.74 1.96 2.65
26 1.32 1.68 2.09 2.64 3.53 26 1.05 1.33 1.76 2.00 2.71
27 1.34 1.71 2.14 2.72 3.64 27 1.06 1.34 1.77 2.04 2.77
28 1.36 1.73 2.18 2.80 3.74 28 1.07 1.34 1.79 2.08 2.84
29 1.38 1.76 2.23 2.88 3.85 29 1.08 1.35 1.80 2.12 2.90
30 1.40 1.78 2.28 2.96 3.96 30 1.09 1.35 1.82 2.16 2.96
31 1.42 1.80 2.34 3.06 4.10 31 1.10 1.35 1.83 2.20 3.03
32 1.44 1.82 2.40 3.16 4.24 32 1.10 1.33 1.83 2.23 3.09
33 1.46 1.84 2.47 3.28 4.40 33 1.11 1.33 1.84 2.27 3.16
34 1.50 1.89 2.57 3.45 4.62 34 1.13 1.34 1.87 2.35 3.27
35 1.57 1.98 2.71 3.68 4.92 35 1.17 1.38 1.94 2.47 3.45
36 1.68 2.12 2.90 3.99 5.32 36 1.24 1.46 2.06 2.65 3.70
37 1.81 2.29 3.13 4.35 5.80 37 1.32 1.57 2.21 2.88 4.00
38 1.97 2.49 3.39 4.77 6.33 38 1.42 1.70 2.38 3.14 4.34
39 2.14 2.71 3.67 5.22 6.91 39 1.53 1.84 2.57 3.43 4.72
40 2.31 2.93 3.95 5.70 7.52 40 1.64 1.99 2.77 3.73 5.11
41 2.51 3.19 4.27 41 1.76 2.16 2.99
42 2.71 3.45 4.59 42 1.89 2.33 3.22
43 2.92 3.70 4.91 43 2.01 2.49 3.44
44 3.12 3.96 5.23 44 2.14 2.66 3.67
45 3.32 4.22 5.55 45 2.26 2.83 3.89
* Add $50.00 policy fee
OIR rates for ages 0-15 equal age 16 non-tobacco rates.
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 30 2003
Band 3: $250,000-$499,000
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 1.07 1.43 1.79 2.43 3.22 16-25 0.81 1.10 1.60 1.81 2.61
26 1.09 1.45 1.83 2.51 3.32 26 0.82 1.11 1.61 1.85 2.66
27 1.11 1.48 1.87 2.59 3.42 27 0.84 1.12 1.62 1.89 2.71
28 1.14 1.50 1.92 2.68 3.51 28 0.85 1.12 1.62 1.94 2.76
29 1.16 1.53 1.96 2.76 3.61 29 0.87 1.13 1.63 1.98 2.81
30 1.18 1.55 2.00 2.84 3.71 30 0.88 1.14 1.64 2.02 2.86
31 1.21 1.57 2.05 2.95 3.83 31 0.89 1.14 1.64 2.06 2.91
32 1.23 1.59 2.10 3.05 3.95 32 0.90 1.13 1.62 2.10 2.94
33 1.26 1.62 2.16 3.18 4.09 33 0.92 1.13 1.61 2.14 2.99
34 1.30 1.67 2.24 3.34 4.28 34 0.95 1.15 1.63 2.22 3.08
35 1.38 1.76 2.37 3.58 4.57 35 0.99 1.19 1.69 2.34 3.24
36 1.49 1.89 2.55 3.89 4.96 36 1.06 1.27 1.80 2.52 3.48
37 1.63 2.06 2.76 4.25 5.42 37 1.14 1.37 1.94 2.74 3.78
38 1.78 2.26 3.01 4.67 5.95 38 1.23 1.50 2.12 3.00 4.12
39 1.96 2.47 3.28 5.12 6.52 39 1.33 1.63 2.31 3.28 4.50
40 2.14 2.69 3.56 5.60 7.13 40 1.44 1.77 2.50 3.58 4.89
41 2.36 2.95 3.89 41 1.56 1.93 2.73
42 2.58 3.22 4.22 42 1.68 2.10 2.95
43 2.80 3.48 4.56 43 1.80 2.26 3.18
44 3.02 3.75 4.89 44 1.92 2.43 3.40
45 3.24 4.01 5.22 45 2.04 2.59 3.63
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Level Premiums per $1,000 *
MEMBERS Level - 30 2003
Band 4: $500,000+
Issue Male-NT Male-Tob Issue Female-NT Female-Tob
===== ==================== ============ ===== =================== =============
Age Prf+ Prf Std Prf Std Age Prf+ Prf Std Prf Std
===== ==== ==== ==== ==== ==== ===== ==== ==== ==== ==== ====
16-25 0.93 1.27 1.65 2.31 3.11 16-25 0.68 0.95 1.46 1.68 2.49
26 0.95 1.29 1.69 2.39 3.21 26 0.69 0.96 1.47 1.72 2.54
27 0.97 1.32 1.74 2.47 3.31 27 0.71 0.97 1.48 1.76 2.59
28 0.99 1.34 1.78 2.56 3.40 28 0.72 0.97 1.48 1.81 2.65
29 1.01 1.37 1.83 2.64 3.50 29 0.74 0.98 1.49 1.85 2.70
30 1.03 1.39 1.87 2.72 3.60 30 0.75 0.99 1.50 1.89 2.75
31 1.05 1.42 1.92 2.82 3.72 31 0.76 0.99 1.50 1.94 2.80
32 1.07 1.44 1.97 2.92 3.85 32 0.78 0.99 1.49 1.97 2.84
33 1.10 1.47 2.03 3.04 3.99 33 0.79 0.99 1.49 2.02 2.89
34 1.14 1.52 2.12 3.21 4.19 34 0.82 1.01 1.51 2.10 2.99
35 1.22 1.61 2.25 3.44 4.48 35 0.86 1.06 1.57 2.23 3.15
36 1.33 1.74 2.42 3.75 4.86 36 0.92 1.14 1.68 2.41 3.39
37 1.46 1.91 2.63 4.12 5.32 37 1.00 1.24 1.82 2.63 3.68
38 1.61 2.10 2.87 4.53 5.84 38 1.09 1.36 1.98 2.89 4.02
39 1.79 2.31 3.13 4.99 6.40 39 1.19 1.49 2.17 3.17 4.39
40 1.97 2.53 3.41 5.48 7.00 40 1.30 1.63 2.36 3.47 4.78
41 2.20 2.80 3.74 41 1.43 1.80 2.59
42 2.43 3.08 4.07 42 1.56 1.97 2.81
43 2.66 3.35 4.39 43 1.68 2.13 3.04
44 2.89 3.63 4.72 44 1.81 2.30 3.26
45 3.12 3.90 5.05 45 1.94 2.47 3.49
* Add $50.00 policy fee
CUNA Mutual Life Insurance Company
Guaranteed Annually Increasing Premiums per $1,000
MEMBERS Level 10/15/20/30
For Durations following Level Premium Period
All Bands o All Classes
Current Male Male Female Female Current Male Male Female Female
Age NonTob Tob NonTob Tob Age NonTob Tob NonTob Tob
======= ====== ==== ====== ====== ======= ====== ==== ====== ======
10 1.20 1.09 50 8.21 16.00 6.94 10.83
11 1.30 1.12 51 8.96 17.49 7.47 11.62
12 1.47 1.17 52 9.82 19.17 8.08 12.51
13 1.71 1.23 53 10.82 21.07 8.75 13.50
14 1.98 1.31 54 11.92 23.15 9.44 14.51
15 2.27 1.39 55 13.15 25.38 10.18 15.55
16 2.54 1.47 56 14.50 27.73 10.91 16.58
17 2.75 1.54 57 15.92 30.21 11.63 17.54
18 2.91 1.60 58 17.50 32.82 12.35 18.48
19 3.01 1.65 59 19.28 35.62 13.17 19.49
20 2.69 1.62 60 21.26 38.74 14.13 20.69
21 2.66 1.65 61 23.47 42.26 15.31 22.19
22 2.61 1.66 62 26.02 46.22 16.78 24.13
23 2.54 1.70 63 28.90 50.66 18.59 26.48
24 2.48 1.73 64 32.10 55.50 20.62 29.10
25 2.40 1.76 65 35.60 60.64 22.82 31.87
26 2.35 3.31 1.81 2.18 66 39.39 66.02 25.09 34.69
27 2.32 3.28 1.84 2.24 67 43.46 71.58 27.41 37.41
28 2.30 3.28 1.89 2.32 68 47.87 77.42 29.81 40.30
29 2.30 3.33 1.95 2.42 69 52.77 83.76 32.48 43.30
30 2.32 3.41 2.00 2.53 70 58.30 90.75 35.62 46.69
31 2.37 3.52 2.06 2.62 71 64.62 98.61 39.44 51.17
32 2.43 3.66 2.13 2.74 72 71.92 107.49 44.13 56.66
33 2.53 3.86 2.21 2.88 73 80.18 117.33 49.74 63.18
34 2.64 4.08 2.30 3.04 74 89.25 128.11 56.21 70.62
35 2.77 4.35 2.42 3.22 75 98.94 139.63 63.42 78.75
36 2.91 4.67 2.58 3.49 76 109.18 151.41 71.23 87.39
37 3.10 5.07 2.77 3.81 77 119.89 163.23 79.60 96.42
38 3.31 5.52 2.98 4.18 78 131.12 175.18 88.66 105.95
39 3.54 6.03 3.20 4.58 79 143.23 187.68 98.69 116.34
40 3.81 6.62 3.47 5.06 80 156.61 201.14 110.10 127.97
41 4.10 7.26 3.76 5.57 81 171.60 215.94 123.22 141.17
42 4.40 7.97 4.05 6.08 82 188.51 232.34 138.34 156.18
43 4.74 8.74 4.34 6.59 83 207.26 250.06 155.39 173.50
44 5.10 9.58 4.62 7.10 84 227.49 268.53 174.19 192.29
45 5.52 10.48 4.94 7.65 85 248.72 287.10 194.53 212.24
46 5.97 11.41 5.28 8.21 86 270.69 305.34 216.26 233.20
47 6.45 12.42 5.65 8.78 87 293.06 324.06 239.34 254.96
48 6.98 13.50 6.03 9.41 88 315.73 343.57 263.81 277.63
49 7.55 14.69 6.46 10.10 89 339.02 362.96 289.84 301.20
Add $50.00 policy fee
SCHEDULE B-II
NET COINSURANCE PREMIUMS
Annual reinsurance Rates Following Term Conversions
---------------------------------------------------
Security Life Reinsurance Rates for After Conversion
REINSURANCE RATES - AFTER CONVERSION
Annual Premium per $1,000 Reinsuranced - Yearly Term Basis
Age Last Birthday - Male Nonsmoker
----------------------------------------------------------------------------------
Policy Year
Issue ---------------------------------------------------------------------------
Age 1 2 3 4 5 6 7 8 9 10 11
----------------------------------------------------------------------------------
0 0.00 0.67 0.60 0.60 0.58 0.56 0.56 0.56 0.57 0.58 0.58
1 0.00 0.51 0.50 0.49 0.47 0.45 0.45 0.47 0.48 0.50 0.50
2 0.00 0.45 0.44 0.44 0.44 0.43 0.44 0.46 0.48 0.50 0.50
3 0.00 0.42 0.41 0.42 0.43 0.43 0.44 0.46 0.49 0.52 0.52
4 0.00 0.40 0.40 0.41 0.42 0.43 0.45 0.47 0.50 0.56 0.56
----------------------------------------------------------------------------------
5 0.00 0.38 0.39 0.40 0.42 0.44 0.46 0.49 0.55 0.62 0.62
6 0.00 0.37 0.38 0.41 0.43 0.45 0.47 0.53 0.61 0.71 0.71
7 0.00 0.37 0.38 0.42 0.44 0.47 0.52 0.60 0.70 0.80 0.80
8 0.00 0.37 0.38 0.43 0.47 0.52 0.59 0.69 0.80 0.86 0.86
9 0.00 0.37 0.40 0.45 0.52 0.60 0.68 0.79 0.86 0.90 0.90
----------------------------------------------------------------------------------
10 0.00 0.38 0.43 0.51 0.61 0.70 0.78 0.86 0.90 0.92 0.92
11 0.00 0.41 0.49 0.60 0.72 0.80 0.85 0.89 0.93 0.95 0.95
12 0.00 0.47 0.57 0.71 0.84 0.88 0.89 0.93 0.95 0.97 0.97
13 0.00 0.56 0.68 0.83 0.92 0.93 0.93 0.95 0.97 0.98 0.98
14 0.00 0.68 0.81 0.92 0.98 0.97 0.97 0.98 0.98 0.99 0.99
----------------------------------------------------------------------------------
15 0.00 0.84 0.92 1.00 1.04 1.02 1.01 1.01 1.01 1.01 1.01
16 0.00 0.95 1.00 1.07 1.09 1.06 1.05 1.05 1.04 1.03 1.03
17 0.00 0.99 1.03 1.09 1.08 1.05 1.05 1.04 1.04 1.03 1.03
18 0.00 0.99 1.02 1.05 1.04 1.02 1.02 1.01 1.01 1.01 1.01
19 0.00 0.96 0.98 1.00 0.99 0.97 0.97 0.96 0.97 0.98 0.98
----------------------------------------------------------------------------------
20 0.00 0.89 0.91 0.93 0.92 0.91 0.91 0.91 0.93 0.95 0.95
21 0.00 0.80 0.82 0.84 0.84 0.84 0.85 0.86 0.88 0.91 0.91
22 0.00 0.75 0.77 0.79 0.79 0.80 0.82 0.84 0.86 0.89 0.89
23 0.00 0.74 0.75 0.77 0.78 0.80 0.82 0.84 0.86 0.90 0.90
24 0.00 0.71 0.73 0.75 0.77 0.79 0.82 0.85 0.87 0.91 0.91
----------------------------------------------------------------------------------
25 0.00 0.69 0.71 0.74 0.76 0.79 0.82 0.85 0.88 0.92 0.92
26 0.00 0.68 0.70 0.73 0.75 0.79 0.82 0.86 0.90 0.94 0.94
27 0.00 0.68 0.70 0.73 0.75 0.79 0.83 0.88 0.92 0.97 0.97
28 0.00 0.68 0.71 0.74 0.77 0.81 0.86 0.91 0.95 1.00 1.00
29 0.00 0.68 0.72 0.76 0.80 0.84 0.88 0.94 0.99 1.05 1.05
----------------------------------------------------------------------------------
30 0.00 0.68 0.73 0.78 0.82 0.87 0.92 0.98 1.03 1.10 1.10
31 0.00 0.69 0.75 0.80 0.85 0.91 0.95 1.02 1.08 1.16 1.16
32 0.00 0.70 0.77 0.83 0.89 0.94 0.99 1.06 1.14 1.24 1.24
33 0.00 0.71 0.80 0.86 0.93 0.99 1.04 1.12 1.22 1.33 1.33
34 0.00 0.73 0.82 0.90 0.97 1.04 1.10 1.20 1.31 1.42 1.42
----------------------------------------------------------------------------------
35 0.00 0.75 0.85 0.95 1.03 1.11 1.18 1.29 1.41 1.54 1.54
36 0.00 0.78 0.91 1.02 1.11 1.21 1.29 1.41 1.54 1.68 1.68
37 0.00 0.82 0.97 1.08 1.20 1.30 1.40 1.51 1.67 1.82 1.82
38 0.00 0.86 1.03 1.15 1.27 1.39 1.49 1.61 1.77 1.95 1.95
39 0.00 0.92 1.10 1.24 1.36 1.48 1.58 1.71 1.89 2.08 2.08
----------------------------------------------------------------------------------
40 0.00 0.97 1.18 1.33 1.46 1.58 1.69 1.81 2.00 2.21 2.21
41 0.00 1.05 1.28 1.44 1.57 1.69 1.80 1.92 2.11 2.35 2.35
42 0.00 1.13 1.38 1.55 1.69 1.81 1.93 2.05 2.24 2.50 2.50
43 0.00 1.23 1.49 1.68 1.83 1.96 2.08 2.20 2.41 2.70 2.70
44 0.00 1.34 1.61 1.81 1.98 2.12 2.24 2.37 2.60 2.90 2.90
----------------------------------------------------------------------------------
Policy Year
Issue --------------------------------------- Attnd
Age 12 13 14 15 Ult Age
-----------------------------------------------------
0 0.58 0.58 0.58 0.58 0.70 15
1 0.50 0.50 0.51 0.67 0.83 16
2 0.50 0.51 0.64 0.80 0.90 17
3 0.52 0.62 0.75 0.85 0.95 18
4 0.59 0.73 0.79 0.90 0.99 19
-----------------------------------------------------
5 0.69 0.77 0.82 0.94 1.02 20
6 0.73 0.79 0.83 0.97 1.03 21
7 0.80 0.82 0.86 0.97 1.03 22
8 0.86 0.86 0.89 0.96 1.02 23
9 0.90 0.90 0.90 0.94 1.00 24
-----------------------------------------------------
10 0.92 0.92 0.92 0.92 0.98 25
11 0.95 0.95 0.95 0.95 0.95 26
12 0.97 0.97 0.97 0.97 0.97 27
13 0.98 0.98 0.98 0.98 0.98 28
14 0.99 0.99 0.99 0.99 0.99 29
-----------------------------------------------------
15 1.01 1.01 1.01 1.01 1.01 30
16 1.03 1.03 1.03 1.03 1.03 31
17 1.03 1.03 1.03 1.03 1.03 32
18 1.01 1.01 1.01 1.01 1.01 33
19 0.98 0.98 0.98 0.98 0.98 34
-----------------------------------------------------
20 0.95 0.95 0.95 0.95 0.95 35
21 0.91 0.91 0.91 0.91 0.91 36
22 0.89 0.89 0.89 0.89 0.91 37
23 0.90 0.90 0.90 0.90 0.94 38
24 0.91 0.91 0.91 0.91 0.97 39
-----------------------------------------------------
25 0.92 0.92 0.92 0.94 1.02 40
26 0.94 0.94 0.94 1.01 1.10 41
27 0.97 0.97 1.00 1.09 1.19 42
28 1.00 1.00 1.08 1.19 1.30 43
29 1.05 1.07 1.18 1.30 1.43 44
-----------------------------------------------------
30 1.10 1.17 1.29 1.42 1.58 45
31 1.16 1.27 1.40 1.55 1.75 46
32 1.25 1.38 1.54 1.71 1.92 47
33 1.35 1.50 1.68 1.87 2.12 48
34 1.46 1.63 1.83 2.05 2.33 49
-----------------------------------------------------
35 1.59 1.78 2.01 2.26 2.56 50
36 1.74 1.97 2.22 2.49 2.84 51
37 1.90 2.16 2.44 2.76 3.15 52
38 2.07 2.37 2.70 3.04 3.49 53
39 2.24 2.59 2.97 3.35 3.85 54
-----------------------------------------------------
40 2.43 2.83 3.26 3.69 4.26 55
41 2.62 3.09 3.59 4.07 4.71 56
42 2.83 2.83 3.90 4.45 5.21 57
43 3.27 3.09 4.21 4.83 5.76 58
44 3.04 3.88 4.54 5.25 6.34 59
-----------------------------------------------------
REINSURANCE RATES - AFTER CONVERSION
Annual Premium per $1,000 Reinsuranced - Yearly Term Basis
Age Last Birthday - Male Nonsmoker
-------------------------------------------------------------------------------------------
Policy Year
Issue ------------------------------------------------------------------------------------
Age 1 2 3 4 5 6 7 8 9 10 11
-------------------------------------------------------------------------------------------
45 0.00 1.48 1.74 1.96 2.14 2.29 2.43 2.59 2.81 3.12 3.12
46 0.00 1.62 1.89 2.12 2.32 2.50 2.66 2.82 3.05 3.39 3.39
47 0.00 1.74 2.01 2.26 2.49 2.70 2.89 3.05 3.32 3.70 3.71
48 0.00 1.82 2.10 2.38 2.63 2.87 3.10 3.31 3.63 4.05 4.15
49 0.00 1.89 2.20 2.49 2.78 3.05 3.31 3.58 3.97 4.46 4.64
-------------------------------------------------------------------------------------------
50 0.00 1.96 2.28 2.59 2.93 3.23 3.54 3.88 4.34 4.90 5.21
51 0.00 2.02 2.36 2.69 3.07 3.42 3.79 4.22 4.76 5.39 5.84
52 0.00 2.13 2.49 2.85 3.29 3.69 4.10 4.61 5.22 5.95 6.50
53 0.00 2.30 2.70 3.11 3.59 4.04 4.51 5.07 5.73 6.55 7.20
54 0.00 2.48 2.93 3.40 3.92 4.44 4.96 5.58 6.28 7.21 7.96
-------------------------------------------------------------------------------------------
55 0.00 2.69 3.19 3.72 4.30 4.87 5.45 6.13 6.88 7.94 8.81
56 0.00 2.96 3.51 4.12 4.74 5.39 6.00 6.75 7.56 8.79 9.79
57 0.00 3.22 3.87 4.53 5.22 5.87 6.51 7.33 8.21 9.57 10.67
58 0.00 3.45 4.26 4.95 5.73 6.31 6.96 7.86 8.80 10.27 11.41
59 0.00 3.69 4.68 5.39 6.27 6.77 7.42 8.41 9.42 11.00 12.18
-------------------------------------------------------------------------------------------
60 0.00 3.94 5.14 5.86 6.82 7.37 7.90 8.99 10.06 11.75 12.95
61 0.00 4.19 5.63 6.36 7.46 7.87 8.40 9.60 10.72 12.51 13.71
62 0.00 4.57 6.18 7.02 7.99 8.50 9.25 10.52 12.03 13.79 14.96
63 0.00 5.12 6.81 7.87 8.64 9.63 10.45 12.10 13.79 15.83 16.82
64 0.00 5.73 7.50 8.82 9.78 10.89 11.99 13.85 15.69 17.99 19.21
-------------------------------------------------------------------------------------------
65 0.00 6.34 8.22 9.75 10.91 12.16 13.64 15.44 17.73 20.08 21.80
66 0.00 6.87 8.93 10.61 11.98 13.47 15.09 17.08 19.64 22.26 24.25
67 0.00 7.45 9.71 11.65 13.26 14.90 16.70 18.92 21.77 24.71 27.00
68 0.00 8.09 10.66 12.90 14.68 16.49 18.49 20.97 24.16 27.43 30.03
69 0.00 8.86 11.80 14.27 16.24 18.26 20.50 23.27 26.83 30.45 33.38
-------------------------------------------------------------------------------------------
70 0.00 9.80 13.06 15.81 18.00 20.26 22.76 25.85 29.80 33.80 36.84
71 0.00 10.85 14.47 17.54 20.00 22.52 25.31 28.73 33.10 37.29 40.35
72 0.00 12.01 16.05 19.48 22.22 25.83 28.13 31.91 36.52 40.86 44.10
73 0.00 13.31 17.83 21.65 24.71 27.83 31.24 35.21 40.02 44.69 48.17
74 0.00 14.77 19.81 24.08 27.48 30.91 34.48 38.60 43.78 48.86 52.66
-------------------------------------------------------------------------------------------
75 0.00 16.41 22.03 26.78 30.53 34.12 37.80 42.23 47.87 53.46 57.57
76 0.00 18.24 24.50 29.76 33.71 37.43 41.37 46.19 52.40 58.51 62.91
77 0.00 20.27 27.23 32.87 36.99 40.98 45.27 50.57 57.36 64.02 68.69
78 0.00 22.52 30.08 36.08 40.51 44.85 49.58 55.38 62.78 70.00 74.86
79 0.00 24.88 33.02 39.52 44.35 49.13 54.30 60.62 68.66 76.42 81.34
-------------------------------------------------------------------------------------------
80 0.00 26.06 34.55 41.30 46.37 51.37 56.77 63.35 71.71 79.73 84.65
-------------------------------------------------------------------------------------------
Policy Year
Issue ---------------------------------------- Attnd
Age 12 13 14 15 Ult Age
------------------------------------------------------
45 3.54 4.20 4.93 5.74 6.99 60
46 3.87 4.58 5.37 6.29 7.72 61
47 4.28 5.04 5.89 6.88 8.50 62
48 4.79 5.59 6.48 7.47 9.34 63
49 5.37 6.20 7.11 8.10 10.27 64
------------------------------------------------------
50 6.03 6.87 7.80 8.77 11.28 65
51 6.75 7.60 8.54 9.48 12.39 66
52 7.52 8.36 9.30 10.53 13.62 67
53 8.31 9.12 10.33 11.98 14.97 68
54 9.08 10.13 11.75 13.61 16.45 69
------------------------------------------------------
55 10.16 11.64 13.53 15.69 18.09 70
56 11.63 13.50 15.66 18.31 20.07 71
57 12.83 15.09 17.50 20.68 22.39 72
58 13.75 16.28 18.98 22.71 24.97 73
59 14.67 17.48 20.49 24.87 27.84 74
------------------------------------------------------
60 15.58 18.67 22.04 27.18 31.05 75
61 16.45 19.87 23.65 29.65 34.64 76
62 17.90 21.78 26.20 32.81 38.65 77
63 20.43 24.57 29.93 36.76 43.09 78
64 22.87 27.71 34.17 41.12 47.97 79
------------------------------------------------------
65 25.18 31.07 38.50 45.84 53.01 80
66 28.03 34.58 42.81 50.62 58.10 81
67 31.19 38.45 47.26 55.47 63.52 82
68 34.67 42.44 51.79 60.65 69.43 83
69 38.26 46.50 56.62 66.28 75.93 84
------------------------------------------------------
70 41.91 50.82 61.88 72.49 83.04 85
71 45.80 55.53 67.66 79.28 90.78 86
72 50.04 60.72 73.99 86.66 99.15 87
73 54.70 66.39 80.88 94.64 108.09 88
74 59.81 72.56 88.33 103.18 117.48 89
------------------------------------------------------
75 65.36 79.24 96.29 112.14 127.33 90
76 71.36 86.37 104.64 121.54 137.66 91
77 77.78 93.86 113.41 131.39 148.40 92
78 84.52 101.72 122.60 141.64 159.55 93
79 91.59 109.96 132.16 152.28 171.12 94
------------------------------------------------------
80 95.22 114.16 137.03 157.70 183.12 95
--------------------------------------
195.58 96
208.45 97
221.74 98
235.50 99
--------------
270.24 100
333.98 101
430.07 102
575.65 103
770.00 104
--------------
1000.00 105
--------------
REINSURANCE RATES - AFTER CONVERSION
Annual Premium per $1,000 Reinsuranced - Yearly Term Basis
Age Last Birthday - Male Nonsmoker
----------------------------------------------------------------------------------
Policy Year
Issue ---------------------------------------------------------------------------
Age 1 2 3 4 5 6 7 8 9 10 11
----------------------------------------------------------------------------------
0 0.00 0.94 0.82 0.80 0.76 0.72 0.71 0.71 0.72 0.73 0.73
1 0.00 0.69 0.66 0.64 0.59 0.56 0.55 0.58 0.60 0.62 0.62
2 0.00 0.59 0.57 0.56 0.55 0.53 0.54 0.57 0.59 0.62 0.62
3 0.00 0.53 0.52 0.53 0.53 0.53 0.54 0.57 0.61 0.65 0.65
4 0.00 0.50 0.49 0.50 0.52 0.53 0.55 0.59 0.64 0.72 0.72
----------------------------------------------------------------------------------
5 0.00 0.48 0.48 0.50 0.53 0.55 0.57 0.62 0.71 0.84 0.86
6 0.00 0.46 0.47 0.51 0.55 0.57 0.60 0.70 0.83 0.99 1.02
7 0.00 0.45 0.47 0.53 0.56 0.60 0.68 0.82 0.98 1.14 1.14
8 0.00 0.45 0.48 0.55 0.60 0.69 0.81 0.97 1.15 1.25 1.25
9 0.00 0.45 0.50 0.59 0.70 0.82 0.96 1.14 1.26 1.31 1.31
----------------------------------------------------------------------------------
10 0.00 0.48 0.55 0.69 0.85 0.99 1.13 1.25 1.32 1.35 1.35
11 0.00 0.53 0.65 0.84 1.03 1.17 1.24 1.31 1.36 1.40 1.40
12 0.00 0.63 0.79 1.02 1.23 1.29 1.32 1.36 1.40 1.44 1.44
13 0.00 0.77 0.97 1.23 1.37 1.37 1.38 1.41 1.42 1.44 1.44
14 0.00 0.98 1.19 1.37 1.46 1.44 1.43 1.44 1.44 1.44 1.44
----------------------------------------------------------------------------------
15 0.00 1.26 1.38 1.51 1.58 1.53 1.51 1.51 1.50 1.49 1.49
16 0.00 1.48 1.55 1.66 1.68 1.62 1.60 1.59 1.58 1.57 1.57
17 0.00 1.57 1.63 1.70 1.69 1.62 1.61 1.60 1.59 1.57 1.57
18 0.00 1.57 1.61 1.65 1.62 1.57 1.56 1.54 1.55 1.55 1.55
19 0.00 1.54 1.56 1.58 1.54 1.50 1.49 1.48 1.50 1.52 1.52
----------------------------------------------------------------------------------
20 0.00 1.44 1.46 1.46 1.44 1.40 1.40 1.40 1.44 1.47 1.47
21 0.00 1.29 1.31 1.31 1.30 1.29 1.30 1.31 1.36 1.41 1.41
22 0.00 1.21 1.22 1.23 1.23 1.23 1.25 1.28 1.33 1.38 1.38
23 0.00 1.18 1.19 1.20 1.21 1.23 1.26 1.29 1.35 1.41 1.41
24 0.00 1.15 1.16 1.17 1.20 1.23 1.27 1.31 1.37 1.45 1.45
----------------------------------------------------------------------------------
25 0.00 1.13 1.14 1.16 1.19 1.23 1.27 1.33 1.40 1.49 1.49
26 0.00 1.11 1.14 1.16 1.19 1.24 1.29 1.36 1.43 1.54 1.54
27 0.00 1.11 1.15 1.17 1.21 1.26 1.33 1.40 1.49 1.60 1.60
28 0.00 1.12 1.17 1.20 1.25 1.31 1.38 1.47 1.56 1.67 1.67
29 0.00 1.13 1.20 1.25 1.30 1.37 1.45 1.55 1.64 1.76 1.76
----------------------------------------------------------------------------------
30 0.00 1.14 1.24 1.30 1.36 1.44 1.54 1.63 1.73 1.88 1.88
31 0.00 1.17 1.29 1.37 1.44 1.53 1.62 1.72 1.84 2.02 2.02
32 0.00 1.20 1.35 1.44 1.53 1.62 1.73 1.84 1.98 2.19 2.19
33 0.00 1.22 1.41 1.51 1.62 1.73 1.85 1.98 2.15 2.40 2.40
34 0.00 1.26 1.48 1.61 1.73 1.85 2.00 2.16 2.35 2.61 2.61
----------------------------------------------------------------------------------
35 0.00 1.30 1.56 1.72 1.86 2.02 2.20 2.38 2.58 2.87 2.87
36 0.00 1.37 1.67 1.87 2.04 2.24 2.44 2.64 2.87 3.18 3.18
37 0.00 1.45 1.79 2.01 2.23 2.43 2.66 2.88 3.14 3.47 3.47
38 0.00 1.54 1.91 2.16 2.39 2.62 2.86 3.10 3.39 3.74 3.74
39 0.00 1.64 2.07 2.33 2.59 2.82 3.08 3.34 3.65 4.03 4.03
----------------------------------------------------------------------------------
40 0.00 1.77 2.24 2.54 2.81 3.04 3.32 3.59 3.91 4.33 4.33
41 0.00 1.92 2.45 2.78 3.05 3.29 3.56 3.85 4.17 4.63 4.65
42 0.00 2.11 2.68 3.04 3.33 3.58 3.87 4.16 4.50 4.99 5.03
43 0.00 2.33 2.92 3.32 3.65 3.93 4.23 4.55 4.91 5.43 5.46
44 0.00 2.58 3.19 3.63 3.98 4.29 4.61 4.97 5.37 5.89 5.90
----------------------------------------------------------------------------------
Policy Year
Issue ---------------------------------------- Attnd
Age 12 13 14 15 Ult Age
------------------------------------------------------
0 0.73 0.73 0.73 0.73 0.92 15
1 0.62 0.62 0.71 0.90 1.12 16
2 0.62 0.73 0.90 1.10 1.21 17
3 0.69 0.93 1.08 1.18 1.29 18
4 0.87 1.10 1.15 1.26 1.35 19
------------------------------------------------------
5 1.04 1.17 1.19 1.32 1.39 20
6 1.11 1.21 1.22 1.36 1.41 21
7 1.16 1.25 1.25 1.36 1.41 22
8 1.25 1.30 1.30 1.35 1.39 23
9 1.31 1.35 1.35 1.35 1.37 24
------------------------------------------------------
10 1.35 1.38 1.38 1.38 1.38 25
11 1.40 1.40 1.40 1.40 1.40 26
12 1.44 1.44 1.44 1.44 1.44 27
13 1.44 1.44 1.44 1.44 1.44 28
14 1.44 1.44 1.44 1.44 1.44 29
------------------------------------------------------
15 1.49 1.49 1.49 1.49 1.49 30
16 1.57 1.57 1.57 1.57 1.57 31
17 1.57 1.57 1.57 1.57 1.57 32
18 1.55 1.55 1.55 1.55 1.55 33
19 1.52 1.52 1.52 1.52 1.52 34
------------------------------------------------------
20 1.47 1.47 1.47 1.47 1.47 35
21 1.41 1.41 1.41 1.41 1.54 36
22 1.38 1.38 1.38 1.47 1.63 37
23 1.41 1.41 1.43 1.57 1.74 38
24 1.45 1.45 1.55 1.70 1.86 39
------------------------------------------------------
25 1.49 1.50 1.66 1.82 2.00 40
26 1.54 1.59 1.77 1.96 2.17 41
27 1.60 1.70 0.90 2.12 2.36 42
28 1.67 1.84 2.08 2.34 2.60 43
29 1.77 2.03 2.29 2.57 2.87 44
------------------------------------------------------
30 1.96 2.25 2.51 2.83 3.18 45
31 2.18 2.47 2.76 3.12 3.52 46
32 2.39 2.71 3.04 3.45 3.90 47
33 2.62 2.97 3.35 3.80 4.30 48
34 2.88 3.24 3.67 4.18 4.74 49
------------------------------------------------------
35 3.16 3.56 4.04 4.59 5.17 50
36 3.48 3.93 4.44 5.02 5.62 51
37 3.82 4.32 4.87 5.49 6.10 52
38 4.16 4.72 5.34 6.00 6.61 53
39 4.52 5.16 5.84 6.54 7.15 54
------------------------------------------------------
40 4.91 5.63 6.39 7.12 7.73 55
41 5.32 6.13 6.98 7.75 8.37 56
42 5.75 6.63 7.54 8.38 9.05 57
43 6.20 7.12 8.08 8.99 9.81 58
44 6.68 7.66 8.66 9.66 10.64 59
------------------------------------------------------
REINSURANCE RATES - AFTER CONVERSION
Annual Premium per $1,000 Reinsuranced - Yearly Term Basis
Age Last Birthday - Male Nonsmoker
---------------------------------------------------------------------------------------------
Policy Year
Issue --------------------------------------------------------------------------------------
Age 1 2 3 4 5 6 7 8 9 10 11
---------------------------------------------------------------------------------------------
45 0.00 2.88 3.47 3.96 4.34 4.68 5.02 5.43 5.82 6.36 6.37
46 0.00 3.21 3.79 4.31 4.72 5.10 5.48 5.87 6.25 6.84 6.86
47 0.00 3.48 4.06 4.61 5.07 5.49 5.92 6.28 6.74 7.41 7.47
48 0.00 3.67 4.27 4.86 5.37 5.82 6.30 6.74 7.30 8.06 8.24
49 0.00 3.84 4.48 5.10 5.66 6.16 6.69 7.23 7.92 8.79 9.11
---------------------------------------------------------------------------------------------
50 0.00 4.00 4.66 5.31 5.95 6.50 7.10 7.75 8.59 9.60 10.08
51 0.00 4.14 4.83 5.51 6.24 6.85 7.54 8.32 9.32 10.47 11.15
52 0.00 4.41 5.14 5.88 6.68 7.36 8.12 9.00 10.13 11.45 12.25
53 0.00 4.81 5.62 6.45 7.30 8.05 8.88 9.80 11.01 12.51 13.38
54 0.00 5.25 6.15 7.09 8.01 8.82 9.71 10.67 11.95 13.65 14.59
---------------------------------------------------------------------------------------------
55 0.00 5.73 6.72 7.79 8.77 9.67 10.63 11.60 12.92 14.83 15.87
56 0.00 6.28 7.38 8.58 9.65 10.63 11.65 12.63 13.98 16.08 17.24
57 0.00 6.78 8.10 9.40 10.59 11.52 12.56 13.55 14.92 17.16 18.38
58 0.00 7.22 8.89 10.24 11.58 12.31 13.33 14.35 15.73 18.03 19.23
59 0.00 7.68 9.76 11.12 12.63 13.13 14.13 15.18 16.55 18.91 20.08
---------------------------------------------------------------------------------------------
60 0.00 8.15 10.69 12.05 13.69 14.23 14.95 16.04 17.39 19.79 20.88
61 0.00 8.63 11.69 13.04 14.92 15.11 15.79 16.91 18.22 20.64 21.62
62 0.00 9.39 12.83 14.36 15.91 16.24 17.33 18.34 20.13 22.31 23.09
63 0.00 10.53 14.12 16.08 17.18 18.36 19.53 20.91 22.75 25.13 25.43
64 0.00 11.80 15.55 18.02 19.45 20.72 22.34 23.73 25.52 28.04 28.46
---------------------------------------------------------------------------------------------
65 0.00 13.02 17.01 19.86 21.61 23.04 25.32 26.31 28.53 30.89 31.86
66 0.00 14.10 18.44 21.53 23.56 25.41 27.88 28.87 31.41 34.03 35.19
67 0.00 15.27 19.98 23.56 26.08 27.99 30.70 31.79 34.60 37.51 38.87
68 0.00 16.55 21.86 25.99 28.73 30.81 33.81 35.02 38.14 41.36 42.90
69 0.00 18.09 24.11 28.63 31.64 33.94 37.26 38.61 42.06 45.58 47.30
---------------------------------------------------------------------------------------------
70 0.00 19.95 26.58 31.56 34.88 37.44 41.12 42.61 46.38 50.21 51.75
71 0.00 22.02 29.32 34.83 38.51 41.35 45.42 47.03 51.14 54.99 56.19
72 0.00 24.28 32.35 38.45 42.54 45.67 50.13 51.85 56.01 59.81 60.85
73 0.00 26.79 35.72 42.47 46.99 50.41 55.28 56.79 60.93 64.92 65.86
74 0.00 29.57 39.46 46.92 51.88 55.60 60.56 61.80 66.14 70.43 71.33
---------------------------------------------------------------------------------------------
75 0.00 32.72 43.67 51.89 57.31 61.01 66.00 67.20 71.88 76.58 77.34
76 0.00 36.27 48.36 57.41 62.98 66.60 71.87 73.14 78.28 83.38 83.92
77 0.00 40.18 53.52 63.11 68.77 72.55 78.25 79.68 85.26 90.77 90.97
78 0.00 44.48 58.86 68.93 74.94 79.02 85.26 86.81 92.84 98.74 98.74
79 0.00 48.96 64.32 75.14 81.63 86.11 92.89 94.55 101.00 107.24 107.24
---------------------------------------------------------------------------------------------
80 0.00 51.18 67.14 78.34 85.14 89.82 96.88 98.57 105.24 111.62 111.62
---------------------------------------------------------------------------------------------
Policy Year
Issue ---------------------------------------- Attnd
Age 12 13 14 15 Ult Age
------------------------------------------------------
45 7.20 8.24 9.31 10.44 11.63 60
46 7.76 8.89 10.06 11.34 12.77 61
47 8.48 9.68 10.93 12.28 14.00 62
48 9.39 10.64 11.92 13.23 15.32 63
49 10.40 11.70 12.97 14.21 16.75 64
------------------------------------------------------
50 11.54 12.83 14.08 15.24 18.31 65
51 12.77 14.05 15.29 16.33 20.01 66
52 14.06 15.32 16.49 17.98 21.88 67
53 15.35 16.53 18.16 20.27 23.93 68
54 16.55 18.20 20.48 22.85 26.15 69
------------------------------------------------------
55 18.19 20.52 23.12 25.82 28.56 70
56 20.35 23.17 25.97 29.24 31.16 71
57 21.96 25.24 28.18 32.11 33.94 72
58 22.99 26.54 29.71 34.28 36.95 73
59 23.99 27.77 31.19 36.55 40.25 74
------------------------------------------------------
60 24.91 28.95 32.68 38.93 43.86 75
61 25.74 30.07 34.16 41.44 47.83 76
62 27.42 32.21 36.92 44.76 52.17 77
63 30.66 35.54 41.18 49.03 56.87 78
64 33.67 39.24 45.94 53.65 61.93 79
------------------------------------------------------
65 36.56 43.37 50.98 58.95 67.30 80
66 40.39 47.89 56.24 64.55 72.89 81
67 44.59 52.82 61.58 70.15 78.76 82
68 49.16 57.82 66.91 76.04 85.05 83
69 53.81 62.82 72.52 82.38 91.90 84
------------------------------------------------------
70 58.44 68.06 78.54 89.28 99.31 85
71 63.30 73.69 85.09 96.74 107.26 86
72 68.62 79.83 92.19 104.75 115.73 87
73 74.22 88.47 99.81 113.32 124.65 88
74 80.38 93.61 107.96 122.34 133.83 89
------------------------------------------------------
75 87.12 101.37 116.70 131.85 143.27 90
76 94.45 109.70 125.91 141.86 152.98 91
77 102.20 118.35 135.46 152.23 162.88 92
78 110.24 127.31 145.35 162.88 172.96 93
79 118.58 136.60 155.51 173.81 183.22 94
------------------------------------------------------
80 122.85 141.31 160.66 179.34 193.64 95
------------------------------------------------------
204.26 96
215.01 97
225.88 98
236.93 99
-------------
270.24 100
333.98 101
430.07 102
575.55 103
770.00 104
-------------
1000.00 105
-------------
SCHEDULE C
REPORTING INFORMATION
---------------------
INFORMATION ON RISK REINSURED
1. Type of Transaction
2. Effective Date of Transaction
3. Automatic/Facultative Indicator
4. Policy Number
5. Full Name of Insured
6. Date of Birth
7. Sex
8. Smoker/Nonsmoker
9. Policy Plan Code
10. Insured's State of Residence
11. Issue Age
12. Issue Date
13. Duration From Original Policy Date
14. Face Amount Issued
15. Reinsured Amount (Initial Amount)
16. Reinsured Amount (Current Amount at Risk)
17. Change in Amount at Risk Since Last Report
18. Death Benefit Option (For Universal Life Type Plans)
19. ADB Amount (If Applicable)
20. Substandard Ranting
21. Flat Extra Amount Per Thousand
22. Duration of Flat Extra
23. XX Xxxxx (Yes or No)
24. Previous Policy (Yes or No)
25. Net Coinsurance Premiums
SCHEDULE C, CONTINUED
REPORTING INFORMATION
---------------------
SAMPLE POLICY EXHIBIT SUMMARY
(LIFE REINSURANCE ONLY)
CEDING COMPANY: __________________________________________________________
REINSURER: __________________________________________________________
ACCOUNT NO: __________________________________________________________
PREPARED BY: __________________________ Phone: ___(_______)____________
DATE PREPARED: __________________________________________________________
TYPE OF REINSURANCE:
Yearly Renewable Term __________________________________
Coinsurance __________________________________
Modified Coinsurance __________________________________
Other __________________________________
VALUATION DATE:_________________
NUMBER OF AMOUNT OF
POLICIES REINSURANCE
A. In Force Beginning
of Period___/__/____ _______________ ____________________
B. New Paid Reinsurance Ceded _______________ ____________________
C. Reinstatements _______________ ____________________
D. Revivals _______________ ____________________
E. Increases (Net) _______________ ____________________
F. Conversion In _______________ ____________________
G. Transfers In _______________ ____________________
H. Total Increases (B - G) _______________ ____________________
I. Deaths _______________ ____________________
J. Maturities _______________ ____________________
K. Cancellations _______________ ____________________
L. Expiries _______________ ____________________
M. Surrenders _______________ ____________________
N. Lapses _______________ ____________________
O. Recaptures _______________ ____________________
P. Other Decreases (Net) _______________ ____________________
Q. Reductions _______________ ____________________
R. Conversions Out _______________ ____________________
S. Transfers Out _______________ ____________________
T. Total Decreases (I - S) _______________ ____________________
U. Current In Force__/__/__ _______________ ____________________
(A + H - T)
27
SCHEDULE C, CONTINUED
REPORTING INFORMATION
---------------------
SAMPLE RESERVE CREDIT SUMMARY
CEDING COMPANY: __________________________________________________________
REINSURER: __________________________________________________________
ACCOUNT NO: __________________________________________________________
PREPARED BY: __________________________ Phone: (_______)____________
DATE PREPARED: __________________________________________________________
TYPE OF REINSURANCE:
Yearly Renewable Term __________________________________
Coinsurance __________________________________
Modified Coinsurance __________________________________
Other __________________________________
VALUATION DATE:_________________
TYPE OF RESERVES:
Statutory ___________________________________
GAAP ___________________________________
Tax ___________________________________
VALUATION BASIS ISSUE IN FORCE IN FORCE RESERVE
MORTALITY INTEREST VALUATION YEAR RANGE COUNT AMOUNT CREDIT
A. Life
Insurance _________ __________ _________ __________ ________ ________ _______
_________ __________ _________ __________ ________ ________ _______
B. Accidental
Death Benefit _________ __________ _________ __________ ________ ________ _______
C. Disability
Active Lives _________ __________ _________ __________ ________ ________ _______
D. Disability
Disabled Lives _________ __________ _________ __________ ________ ________ _______
E. Other
Please Explain _________ __________ _________ __________ ________ ________ _______
GRAND TOTAL: ________
28
SCHEDULE C, CONTINUED
REPORTING INFORMATION
---------------------
SAMPLE ACCOUNTING SUMMARY
CEDING COMPANY: __________________________________________________________
REINSURER: __________________________________________________________
ACCOUNT NO: __________________________________________________________
PREPARED BY: __________________________ Phone: (_______)____________
DATE PREPARED: __________________________________________________________
TYPE OF REINSURANCE:
Yearly Renewable Term __________________________________
Coinsurance __________________________________
Modified Coinsurance __________________________________
Other __________________________________
VALUATION DATE: _________________
LIFE WP AD TOTAL
Coinsurance Premiums
First Year ________ _________ ________ _________
Renewal ________ _________ ________ _________
Coinsurance Allowances
First Year ________ _________ ________ _________
Renewal ________ _________ ________ _________
Adjustments'
First Year ________ _________ ________ _________
Renewal ________ _________ ________ _________
Net Due Reinsurer
First Year ________ _________ ________ _________
Renewal ________ _________ ________ _________
TOTAL DUE ________ _________ ________ _________
(The above information should be a summary of the detailed
information provided to Reinsurer.)
29
SCHEDULE D
FACULTATIVE FORMS
-----------------
(See attached sample forms.)
Application for Reinsurance
Notification of Reinsurance
30
[LOGO OF ING REINSURANCE] 0000 Xxxxxxxx
Xxxxxx, Xxxxxxxx 00000-0000
Telephone 000.000.0000
Fax 0.000.000.0000
APPLICATION FOR REINSURANCE
-------------------------------------------------------------------------------------------------------------------------
[ ] Trial [ ] Facultative: Please send approval [ ] Facultative Obligatory [ ] Automatic
-------------------------------------------------------------------------------------------------------------------------
[ ] Joint Life [ ] YRT [ ] Other [ ] Self-Administered [ ] Age Last
-------------------------------------------------------------------------------------------------------------------------
[ ] Single Life [ ] COINS [ ] MRT [ ] Individual Cession [ ] Age Nearest
-------------------------------------------------------------------------------------------------------------------------
Last Name First Name M.I. Date of Birth Sex Age
-------------------------------------------------------------------------------------------------------------------------
LIFE #1
-------------------------------------------------------------------------------------------------------------------------
LIFE #2
-------------------------------------------------------------------------------------------------------------------------
Smoker/Non State of Birth State of Res. Occupation SS #
#1
-------------------------------------------------------------------------------------------------------------------------
#2
-------------------------------------------------------------------------------------------------------------------------
ACCIDENTAL DEATH
LIFE #1 LIFE #2 Premium Waiver LIFE #1 LIFE #2 Plan Name*
Previous Ins. Inforce ___________ ___________ ___________ __________ __________ __________
of which we retain ___________ ___________ ___________ __________ __________ __________
Rating, if substandard ___________ ___________ ___________ __________ __________ __________
Insurance now applied for ___________ ___________ ___________ __________ __________ __________
or which we will retain ___________ ___________ ___________ __________ __________ __________
Rating, if substandard ___________ ___________ ___________ __________ __________ __________
Reinsurance requested ___________ ___________ ___________ __________ __________ __________
*If this is a new plan, make sure you furnish us full plan detail
-------------------------------------------------------------------------------------------------------------------------
This cession represents: [ ] New Business [ ] Term Conversion [ ] Guaranteed Insurability Option [ ] Amended Cession
If Amendment: Reason_____________________________________________________ Effective Date_________________________________
Original Policy No. ___________________ Date of Original Policy __________ Valuation Basis_______________________________
PREMIUM WAIVER REINSURANCE ACCIDENTAL DEATH REINSURANCE
Rider Form No. ___________________
Age Expiry ___________________ Rider Form No. ______________________
Premium to be Waived ___________________ Age Expiry ______________________
Premium for Waiver Benefit ___________________
-------------------------------------------------------------------------------------------------------------------------
____________________________________ __________________________________________ ___________________________ _____________
DATED AT CEDING COMPANY DATE BY
Other Comments: _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Reinsurer:
[ ] Security Life of Denver Insurance Company [ ] Security Life of Denver International (Bermuda) Limited
0000 Xxxxxxxx, Xxxxxx, XX 00000-0000 00 Xxxxxx Xx., X.X. Xxx XX 0000, Xxxxxxxx XX HX, Bermuda
This application is accepted and reinsurance is granted by the Reinsurer subject to all the terms, conditions and
limitations of the reinsurance treaty and this application.
This _____________________ day of _____________ 19 ________ ________________________________
Authorized Signature
Reinsurance Agreement No. ______________________________________
RE-16A-99 Security Life of Denver Insurance Company
[LOGO OF ING REINSURANCE] 0000 Xxxxxxxx
Xxxxxx, Xxxxxxxx 00000-0000
Telephone 000.000.0000
Fax 0.000.000.0000
NOTIFICATION OF REINSURANCE
-------------------------------------------------------------------------------------------------------------------------
[ ] Trial [ ] Facultative: Please send approval [ ] Facultative Obligatory [ ] Automatic
-------------------------------------------------------------------------------------------------------------------------
[ ] Joint Life [ ] YRT [ ] Other [ ] Self-Administered [ ] Age Last
-------------------------------------------------------------------------------------------------------------------------
[ ] Single Life [ ] COINS [ ] MRT [ ] Individual Cession [ ] Age Nearest
-------------------------------------------------------------------------------------------------------------------------
Last Name First Name M.I. Date of Birth Sex Age
-------------------------------------------------------------------------------------------------------------------------
LIFE #1
-------------------------------------------------------------------------------------------------------------------------
LIFE #2
-------------------------------------------------------------------------------------------------------------------------
Smoker/Non State of Birth State of Res. Occupation SS #
#1
-------------------------------------------------------------------------------------------------------------------------
#2
-------------------------------------------------------------------------------------------------------------------------
ACCIDENTAL DEATH
LIFE #1 LIFE #2 Premium Waiver LIFE #1 LIFE #2 Plan Name*
Previous Ins. Inforce ___________ ___________ ___________ __________ __________ __________
of which we retain ___________ ___________ ___________ __________ __________ __________
Rating, if substandard ___________ ___________ ___________ __________ __________ __________
Insurance now applied for ___________ ___________ ___________ __________ __________ __________
or which we will retain ___________ ___________ ___________ __________ __________ __________
Rating, if substandard ___________ ___________ ___________ __________ __________ __________
Reinsurance requested ___________ ___________ ___________ __________ __________ __________
*If this is a new plan, make sure you furnish us full plan detail
-------------------------------------------------------------------------------------------------------------------------
This cession represents: [ ] New Business [ ] Term Conversion [ ] Guaranteed Insurability Option [ ] Amended Cession
If Amendment: Reason_____________________________________________________ Effective Date_________________________________
Original Policy No. ___________________ Date of Original Policy __________ Valuation Basis_______________________________
PREMIUM WAIVER REINSURANCE ACCIDENTAL DEATH REINSURANCE
Rider Form No. ___________________
Age Expiry ___________________ Rider Form No. ______________________
Premium to be Waived ___________________ Age Expiry ______________________
Premium for Waiver Benefit ___________________
-------------------------------------------------------------------------------------------------------------------------
____________________________________ __________________________________________ ___________________________ _____________
DATED AT CEDING COMPANY DATE BY
Other Comments: _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Reinsurer:
[ ] Security Life of Denver Insurance Company [ ] Security Life of Denver International (Bermuda) Limited
0000 Xxxxxxxx, Xxxxxx, XX 00000-0000 00 Xxxxxx Xx., X.X. Xxx XX 0000, Xxxxxxxx XX HX, Bermuda
This application is accepted and reinsurance is granted by the Reinsurer subject to all the terms, conditions and
limitations of the reinsurance treaty and this application.
This _____________________ day of _____________ 19 ________ ________________________________
Authorized Signature
Reinsurance Agreement No. ______________________________________
RE-16A-99 Security Life of Denver Insurance Company
EXHIBIT I
CEDING COMPANY'S UNDERWRITING GUIDELINES
----------------------------------------
Requirements
=======================================
GENERAL
IMPORTANT: THE COMPANY RESERVES THE RIGHT TO REQUEST MEDICAL INFORMATION IN
ADDITION TO THE ROUTINE REQUIREMENTS. ALSO, AT THE UNDERWRITER'S DISCRETION, A
PARAMEDICAL EXAM, BCP, EKG, OR OTHER TESTS MAY BE REQUIRED.
Use the following chart to determine the requirements that are necessary.
Additional guidelines concerning these requirements follow the chart.
Preferred rates are not available on MEMBERS(R) Flex Term and MEMBERS(R)
Traditional Life.
Preferred Plus rates are only available on MEMBERS(R) Xxxxx 00 - 0000,
XXXXXXX(X) Xxxxx 00 - 0000, XXXXXXX(X) Xxxxx 00 - 0000 xxx XXXXXXX(X) Xxxxx 00 -
0000.
UNDERWRITING REQUIREMENTS - LIFE ONLY - ALL PRODUCTS
Requirements Needed
Age Face Amount Exam/HOS BCP/HOS EKG Exercise EKG
--------------------------------------------------------------------------------------------------------------------
0-15 Thru $250,000 No No No No
$250,001 Up Call Your
Underwriter
16-35 Thru $99,999 No No No No
$100,000 Up Yes Yes No No
36-40 Thru $99,999 No No No No
$100,000-$1 M Yes Yes No No
$1,000,001 Up Yes Yes Yes No
41-50 Thru $99,999 No No No No
$100,000-$500,000 Yes Yes No No
$500,000 Up Yes Yes Yes $5,000,000
51-60 Thru $25,000 No No No No
$25,001-$250,000 Yes $100,000 No No
$250,000 Up Yes Yes Yes $2,000,000
61-75 Thru $25,000 No No No No
$25,001-$99,999 Yes No No No
$100,000 Up Yes Yes Yes $1,000,000
76-85 0-$50,000 Yes No Yes No
$50,001 Up Exam by Doctor $100,000 Yes No
BCP AND EXAM are required at $100,000 and over on all products. Be sure to
use the current state version of the HIV consent form.
The applicant's personal physician should not complete the exam.
31
EXHIBIT I, CONTINUED
CEDING COMPANY'S UNDERWRITING GUIDELINES
An EKG done within six months of application will be acceptable if a copy
is provided to us.
EKG requirements are based on amount applied for currently or within six
months.
When an exercise EKG is required, a resting EKG need not be submitted.
NOTE: Nonmedical insurance issued within the previous five years must be
included when Determining the current nonmedical limits. If insurance was issued
standard on a medical basis during this time period, disregard any nonmedical
business issued prior to the last medical case.
PREFERRED UNDERWRITING WORKSHEET
Note: "Alternates" are for HO use only. They should not be transferred to agent
or member oriented material.
___________________________________________________________________
Policy #: ______________________________________ Office Use Only: 91
___________________________________________________________________
PROPOSED INSURED______________________________________________ AGE:__________
_______________________________________________________________________________________________________________________
PREFERRED PLUS Y/N PREFERRED Y/N
_______________________________________________________________________________________________________________________
1. FAMILY HISTORY No DEATH of parent/sibling No DEATH of parent/sibling
before age 60 from CAD, DM, before age 60 from CAD, DM, CVD or
CVD or ANY TYPE OF CANCER ANY GENDER SPECIFIC
cancer for the member's gender.
_______________________________________________________________________________________________________________________
2. CHOLESTEROL All Ages - MAXIMUM 240 All Ages - MAXIMUM 260
EXAM AVERAGE: (Alternate Max. 259 only if (Alternate Max. 275)**
ratio is to 4.0)
_______________________________________________________________________________________________________________________
3. T.CHOL/HDL RATIO All Ages - MAXIMUM 5.0 All Ages - MAXIMUM 6.0
(Alternate Max. 6.5)**
_______________________________________________________________________________________________________________________
4. INSURED'S MEDICAL No hx of CAD, DM, cancer No ratable Impairments
HX (except basal cell), or CVD (nothing 25 debits up).
(CAD does not include HTN or
high Chol) and no ratable
impairments (25 debits up).
_______________________________________________________________________________________________________________________
5. BLOOD PRESSURE MAXIMUM OF: MAXIMUM OF:
EXAM 18 - 49 = 135/85 18 - 49 = 145/90
AVERAGE:______ 50 up = 140/90 50 up = 150/90
(NO ALTERNATES ALLOWED)
_______________________________________________________________________________________________________________________
6. WEIGHT ALT.**
4.8=126 5.8=193 ALT.**
4.9=131 5.9=199 4.8=138 152 5.8=208 229
4.10=137 5.10=205 4.9=144 158 5.9=213 234
4.11=142 5.11=211 4.10=150 165 5.10=217 239
5.0=148 6.0=216 4.11=156 172 5.11=222 244
5.1=153 6.1=222 5.0=162 178 6.0=226 249
5.2=159 6.2=228 5.1=168 185 6.1=230 253
5.2=174 191 6.2=234 257
_______________________________________________________________________________________________________________________
32
_______________________________________________________________________________________________________________________
5.3=164 6.3=234 5.3=180 6.3=239 263
5.4=170 6.4=239 5.4=186 6.4=243 267
5.5=176 6.5=245 5.5=192 6.5=248 273
5.6=182 6.6=251 5.6=199 6.6=253 278
5.7=187 6.7=256 5.7=204 6.7=257 283
_______________________________________________________________________________________________________________________
7. DRIVING RECORD No convictions for DWI, DUI No convictions for DWI, DUI
or RD in last 5 years. No more or RD in last 5 years. No more
than 1 MOVING violation in LAST than 3 MOVING VIOLATIONS in LAST
3 YEARS. 3 YEARS.
_______________________________________________________________________________________________________________________
8. ALCOHOL/DRUG NO history of drug or alcohol No drug or alcohol abuse within
HISTORY abuse the PREVIOUS 10 YRS.
_______________________________________________________________________________________________________________________
9. MISCELLANEOUS NO PARTICIPATION in hazardous NO PARTICIPATION in ratable
sport* (current or future plans hazardous sport, occupation, or
to), aviation (other than aviation activity
commercial), or ratable occupation
_______________________________________________________________________________________________________________________
10. TOBACCO USAGE No tobacco in LAST 36 MONTHS. No tobacco in LAST 12 MONTHS Tobcco
expect 1 or less cigar per month Non-T
with neg space and admit on app.
_______________________________________________________________________________________________________________________
*Recreational scuba diving with diver averaging a depth not exceeding 50 feet
would qualify.
**The Alternate can be used on ONLY ONE criteria if the case is preferred on
all other criteria!!!
Class: A P T N S
PREF PLUS PREF NT PREF T STD NT STD T
33
