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Valley Forge Life Insurance Company
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A Stock Company
Executive Office: Home Office:
CNA Plaza 401 Penn St.
Chicago, Illinois 60685 Reading, Pennsylvania 19601
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DOLLAR COST AVERAGING RIDER II
This rider forms a part of the policy to which it is attached.
If you request dollar cost averaging, we will open a dollar cost averaging
account for you under this policy. All premiums applied to this option will be
allocated to the dollar cost averaging account. No transfers may be made into
this account.
Before the Insured's age 95, you may choose to have us transfer a fixed dollar
amount on a monthly or quarterly basis from the dollar cost averaging account to
any of the subaccounts or any one year guaranteed interest rate fixed account
for a 6 or 12 month period. The transfers will begin when you request but no
sooner than seven business days following receipt of your written notice
provided the transfers do not begin until 30 days after the policy date.
Transfers will terminate at the end of the 6 or 12 month period you designate or
within seven business days of your written request to terminate these transfers.
The interest rate earned on this account will be the interest rate earned in a
one year guaranteed interest rate fixed account, plus any additional interest,
which we may declare from time to time.
To be eligible for dollar cost averaging the value of the dollar cost averaging
account must be at least $5,000.
You may have only one dollar cost averaging account in operation at one time.
Transfers under the dollar cost averaging are made as of the same day every
calendar month. This day may not be later than the 28th of the month. If this
calendar day is not a business day, transfers are made as of the next business
day. There is no additional charge for this option and these transfers do not
count toward the 12 free transfers each policy year.
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We reserve the right to discontinue this option at any point in time or change
its features. If this option is discontinued or changed, we will notify you at
least 30 days before such discontinuation or change. Discontinuation will not
affect an option then being exercised.
If this option is terminated, all money remaining in the dollar cost averaging
account will be transferred to the money market subaccount.
This rider terminates when the policy terminates unless we receive written
request to terminate it earlier.
Signed for the Company at its Executive Offices in Chicago, Illinois on the
policy effective date.
/s/BERNARD L. HENGESBAUGH /s/DAVID L. STONE
Chief Executive Officer Group Vice President
VULR-115 (4/00)
