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SUNNYISLES <br />1703779 City of Sunny Isles Beach <br />• EMPLOYEE GROUP LIFE INSURANCE <br />BENEFIT: <br />The Life Insurance Benefit is payable to the Insured Person's beneficiary upon death from any cause; except if <br />employees contribute towards the premium, a suicide exclusion will apply to any medically underwritten <br />amount during the first two years of coverage. The beneficiary may be changed at any time by written notice <br />to Jefferson Pilot Financial. If no beneficiary survives the Insured Person, the death benefit will be payable to: <br />the Insured Person's surviving spouse, children, parents or siblings; or <br />the Insured Person's estate (as specified in the policy). <br />CONVERSION PRIVILEGE: <br />Conversion is available when anyone's group life insurance terminates due to: <br />- the Insured Person's termination of employment or membership in an eligible class; or <br />- a covered Dependent's ceasing to be an eligible dependent. <br />That person has the option to convert all or part of the terminated insurance without Evidence of Insurability. <br />The conversion may be made to any Individual Life Policy then provided by Jefferson Pilot Financial (except <br />term insurance). To purchase a conversion policy, application and the first premium payment must be made <br />within the time period specified in the policy. <br />it XTENSION OF DEATH BENEFIT: <br />An Insured Person's Life Insurance (and any Dependent Life Insurance) will be continued without payment of <br />premium, if the Insured Person: <br />- becomes Totally Disabled while insured under the policy and before age 70; <br />- remains Totally Disabled for at least 6 months; and <br />- submits satisfactory proof within the time period specified in the policy. <br />Total Disability shall be defined as shown in the policy. The continued life insurance will be subject to the age <br />reductions shown in the Schedule of Insurance. The continued life insurance will terminate when the Insured <br />Person: <br />- ceases to be Totally Disabled; <br />- fails to take a required medical exam or to submit additional proof requested by Jefferson Pilot Financial; <br />- becomes insured under an individual conversion policy; or <br />- attains age 70 (whichever occurs first). <br />• <br />FL Jefferson Pilot Financial Insurance Company <br />6 11/16/2001 <br />