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<br />b. An executive nonqu.a1ified deferred compensation arrangement. <br />2. Commissions for the Earnings Period shown in the Coverage Features or for the period of your employment <br />ifless than the Earnings Period. <br />3. Shift differential pay. <br />4. Amounts contributed to your fringe benefits according to a salary reduction agreement under an mc Section <br />125 plan. <br />Annual Earnings does not include: <br />1. Bonuses. <br />2. Overtime pay. <br />3. Your Employer's contributions on your behalf to any deferred compensation arrangement or pension plan. <br />4. Any other extra compensation. <br />Contributory means you pay all or part of the premium for insurance. <br />Dependents Life Insurance means dependents life insurance, if any, under the Group Policy. <br />Eligibility Waiting Period means the period you must be a Member before you become eligible for insurance. See <br />Coverage Features. <br />Evidence Of Insurability means an applicant must: <br />1. Complete and sign our medical history statement; <br />2. Sign our form authorizing us to obtain. information about the applicant's health; <br />3. Undergo a physical PTl'Im;nl'ltion, if required by us, wbich may include blood testing; and <br />4. Provide any additional information about the applicant's insurability that we may reasonably require. <br />Group Policy means the group life insurance policy issued by us to the Policyowner and identified by the Group <br />Policy Number. <br />Injury means an injury to your body. <br />Life Insurance means life insurance under the Group Policy. <br />Noncontributory means the Policyowner or Employer pays the entire premium for insurance. <br />Pregnancy means your pregnancy, childbi.rth, or related medical conditions, including complications of pregnancy. <br />Prior Plan means your Employer's group life insurance plan in effect on the day before the effective date of your <br />Employer's coverage under the Group Policy and wbich is replaced by the Group Policy. <br />Sickness means your sickness, illness, or disease. <br />Spouse means a person to whom you are legally manied. Spouse does not include a person who is a full-time <br />member of the armed forces of any country. <br />Supplemental Life Insurance means supplemental life insurance, if any, under the Group Policy. <br /> <br />UOF.16 <br /> <br />POUCYOWNER PROVISIONS <br /> <br />A Premiums <br /> <br />The premium due on each Premium Due Date is the sum of the premiums for all persons then insured. <br />Premium Rates are shown in the Coverage Features. <br /> <br />Printed 4196 Revised 4196 <br /> <br />-19- <br /> <br />SAMPLE LI, AD&D, DU, Sup, U <br />