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<br />STAImARD XITSURUCI: COMPANY <br />ADDI'l'IORAL ACCmD'l'AL DRAm AHD DISICBIIl'DIIJDI'l' INS1JltARCB <br />PLAN A <br /> <br />8CIDIDtJLB 0. msuaD'C. <br /> <br />Class: All Enrolled in Additional Life <br /> <br />AD&!) Amount <br /> <br />$25,000 <br /> <br />COST <br /> <br />No. of <br />Lives <br /> <br />Benefit <br />Volume <br /> <br />x <br /> <br />Rate <br />per SlOOO <br /> <br />s <br /> <br />Monthly <br />Premium <br /> <br />27 <br /> <br />$646,250 <br /> <br />$.04 <br /> <br />$26 <br /> <br />PLAN I'BATURBS <br /> <br />* Number of live. and volume were adjusted to reflect assumed <br />enrollment in this contributory plan. <br />* Proposal assumes all known health risks have been disclosed <br />to Standard's field personnel. <br />· No benefit termination due to age. <br />. Benefits reduce to 65% at age 65, to sot at age 70, to 35% <br />at age 75. <br />* Rates reflect combined purchase of Basic and Additional <br />Life. <br />* AD&D includes an additional Seat Belt Benefit equal to the <br />lesser of $10,000 and the amount of AD&O payable for loss <br />of life. <br /> <br />582028-1-981202 <br /> <br />TOTAL P.06 <br />