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EXHIBIT 1.A.(5)(b)(10)
[LOGO] MONARCH LIFE
INSURANCE COMPANY
Springfield, Massachusetts 01133
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BENEFICIARY INSURANCE PURCHASE RIDER
This rider provides that at the death of the insured, the beneficiary of record
may, upon proper written request to us, use all or part of the proceeds payable
to such beneficiary under this policy to buy a Single Premium Variable Life
Insurance policy issued by us, on the life of the beneficiary, without evidence
of insurability if:
(a) the beneficiary otherwise is to receive the proceeds in a single sum;
(b) a satisfactory written request is received by us within 90 days of the
death of the insured while the beneficiary is alive.
Any part of the proceeds not used to buy the single premium variable life
insurance policy will be paid to the beneficiary in a single sum.
The following terms apply to the new policy.
(a) Its issue date and policy date will be the date the written request is
received by us or, in the case where proceeds have been paid to the
beneficiary, the date we receive the premium.
(b) Its face amount will be based on the standard-medical premium rates
which we are using for policies being issued on its policy date for
the sex and attained age at nearest birthday of the beneficiary. The
premium will be lower than for a new issue to reflect that no sales
load will be charged.
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(c) The face amount of the policy may not exceed the proceeds plus the
smaller of (i) 50% of such proceeds and (ii) $250,000.
(d) Its Suicide, Exclusion and Incontestability provisions will start on
its issue date.
The new policy may include a Single Premium Term Insurance Rider subject to any
evidence of insurability we may require and our rules as to issue age and
amount.
Termination
This rider will cease to be in force
(a) upon written request by the owner, while the insured is living;
(b) 90 days after the death of the insured; or
(c) in any other way the policy may provide.
This rider is part of the policy to which it is attached.
/s/ XXXXXXX X. XXXXXXX /s/ XXXXX XXXXX
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Xxxxxxx X. Xxxxxxx Xxxxx Xxxxx
Secretary President
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