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Previous: WRL SERIES LIFE ACCOUNT, 485BPOS, 2000-11-03 |
Next: WRL SERIES LIFE ACCOUNT, 485BPOS, EX-99.A9.DBER, 2000-11-03 |
EXHIBIT 99.A9.ATIR
Exhibit 1.A.(5)(g)
Adjustable Term Insurance Rider
<PAGE>
WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO
(A STOCK COMPANY)
Home Office: Columbus, Ohio
Administrative Office: Clearwater, Florida
ADJUSTABLE TERM INSURANCE RIDER
================================================================================
IN THIS RIDER the Insured, for a Single Life Policy, will be the Insured shown
on the Policy Schedule Page of the Policy to which this Rider is attached. The
Insured for a Joint Last Survivor Policy will be the Surviving Insured of the
Joint Insureds shown on the Policy Schedule Page of the policy to which this
Rider is attached. The Insured will be referred to as You or Your. Western
Reserve Life Assurance Co. of Ohio will be referred to as We, Our or Us.
================================================================================
BENEFIT Upon Our receipt of due proof that Your death
occurred while this Rider was in force, We will
determine the death benefit payable under this
Rider as described below.
The amount of the death benefit payable under
this Rider will be equal to:
(a) the Target Death Benefit as explained on
the Target Death Benefit page attached to
the Policy; increased by
(b) the Face Amount of any Primary Insured
Rider Plus or Joint Insured Rider which
terminated due only to Your attainment of
the age specified in the Termination
provision of the Rider; reduced by
(c) the excess of the Death Benefit as defined
in the Death Benefit Provisions of the
Policy over the Policy's then current
Specified Amount, if the Death Benefit was
required to be determined in accordance
with the Limitation Percentage provision
of the Policy.
Notwithstanding the above, the amount of the
death benefit payable under this Rider will not
be less than zero.
INCONTESTABILITY This Rider shall be incontestable after it has
been in force while You are still alive, for
two years after the effective date of this
Rider.
If the Policy is reinstated, a new two year
contestability period (apart from any remaining
contestability period) shall apply to this
Rider and shall be measured from the date of
application for reinstatement, and will only
apply to statements made in the application for
reinstatement.
SUICIDE If this Rider is issued on the same date as the
Policy, the Suicide Provision of the Policy is
applicable to this Rider. If this Rider is
issued after the Policy and if You die by
suicide, while sane or insane, within two years
after the effective date of this Rider, Our
liability for this Rider shall be limited to an
amount equal to the excess of the total monthly
deductions for this Rider less any premiums
being refunded under the Suicide Provision of
the Policy to which this Rider is attached.
ATIR Page 1
<PAGE>
ELECTED CHANGE IN Subject to Our approval, and upon Written
AMOUNT Notice, on any Policy Anniversary after this
OF COVERAGE Rider has been in force for three years, the
Owner may request that the Maximum Target
Death Benefit be changed. The Maximum Target
Death Benefit may be increased or decreased.
Only one change in Maximum Target Death Benefit
is permitted each year. Any change is subject
to the following:
1. If the Maximum Target Death Benefit is
reduced, any future scheduled increases
will be discontinued. Any decrease in the
Maximum Target Death Benefit will become
effective on the Monthiversary on or next
following our receipt of Written Notice.
2. Any requested increase in the amount of
the Maximum Target Death Benefit or the
interest rate used to accumulate premiums
will be subject to Our receipt of
satisfactory evidence of insurability and
Our acceptance of the risk. Any increase
in the Target Death Benefit will become
effective on the Monthiversary on or next
following our acceptance of Your
satisfactory evidence of insurability.
Following any change in the Target Death
Benefit, We will provide the Owner with a new
Target Death Benefit Schedule reflecting all
changes.
DISCONTINUATION OF Any future scheduled increases in the amount of
SCHEDULED INCREASES the Maximum Target Death Benefit will be
discontinued if:
(a) the Specified Amount of the Policy is
reduced through a requested decrease or
partial withdrawal; or
(b) coverage under any Primary Insured Rider
Plus or Joint Insured Rider is reduced or
terminated prior to Your attainment of the
age specified in the Termination provision
of the Rider; or
(c) a loan is taken under the Policy.
TERMINATION This Rider will terminate on the earliest of:
1. The Anniversary nearest the Maturity Date;
2. The date the Policy terminates;
3. The effective date of any change in the
Death Benefit Option Type under the Policy;
4. The Monthiversary on which this Rider is
terminated by Written Notice from the
Owner.
Despite any provision or amendment to the
contrary, this Rider will remain in force if
the Maturity Date under the Policy is extended.
In no event will this Rider continue beyond the
date the Policy terminates.
GENERAL This Rider is part of the Policy. It is subject
to all the terms of this Rider and the Policy.
This Rider has no cash value.
ATIR Page 2
<PAGE>
The monthly deduction for this Rider for the
first Policy Month following the Effective Date
is shown on page 4 of the Policy. Monthly
deductions after the first Policy Month will be
based upon rates not exceeding the rates shown
in the Table of Maximum Insurance Rates applied
to the amount of death benefit payable under
this Rider.
EFFECTIVE DATE This Rider becomes effective on the same date
as the Policy unless a later date is shown
here.
WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO
/s/ WILLIAM H. GEIGER
Secretary
ATIR Page 3
<PAGE>
WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO
CLEARWATER, FLORIDA
POLICY NUMBER: 01-23456789
TARGET DEATH BENEFIT
(EXHIBIT A)
<TABLE>
<CAPTION>
POLICY YEAR MAXIMUM POLICY YEAR MAXIMUM
----------- ------- ----------- -------
TARGET DEATH BENEFIT TARGET DEATH BENEFIT
-------------------- --------------------
<S> <C> <C> <C>
AT ISSUE $ 12,100 33 $ 2,689,244
1 $ 12,100 34 $ 2,970,268
2 $ 25,410 35 $ 3,279,395
3 $ 40,051 36 $ 3,619,434
4 $ 56,156 37 $ 3,993,478
5 $ 73,872 38 $ 4,000,000
6 $ 93,359 39 $ 4,000,000
7 $ 114,795 40 $ 4,000,000
8 $ 138,374 41 $ 4,000,000
9 $ 164,312 42 $ 4,000,000
10 $ 192,843 43 $ 4,000,000
11 $ 224,227 44 $ 4,000,000
12 $ 258,750 45 $ 4,000,000
13 $ 296,725 46 $ 4,000,000
14 $ 338,497 47 $ 4,000,000
15 $ 384,447 48 $ 4,000,000
16 $ 434,992 49 $ 4,000,000
17 $ 490,591 50 $ 4,000,000
18 $ 551,750 51 $ 4,000,000
19 $ 619,025 52 $ 4,000,000
20 $ 693,027 53 $ 4,000,000
21 $ 774,430 54 $ 4,000,000
22 $ 863,973 55 $ 4,000,000
23 $ 962,471 56 $ 4,000,000
24 $ 1,070,818 57 $ 4,000,000
25 $ 1,189,999 58 $ 4,000,000
26 $ 1,321,099 59 $ 4,000,000
27 $ 1,465,309 60 $ 4,000,000
28 $ 1,623,940 61 $ 4,000,000
29 $ 1,798,434 62 $ 4,000,000
30 $ 1,990,378 63 $ 4,000,000
31 $ 2,201,515 64 $ 4,000,000
32 $ 2,433,767 65+ $ 4,000,000
</TABLE>
The Target Death Benefit at any date is the lesser of the Maximum Target Death
Benefit shown above, or the total of all premiums actually paid while this Rider
is in force credited with interest in advance from the premium date to the
policy anniversary following that date at an annual rate of [10%] for [55] years
from the issue date of this rider, [8%] for the next [10] years and [0%
thereafter.]
ATIR Page 4
<PAGE>
WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO
CLEARWATER, FLORIDA
POLICY NUMBER: 01-23456789
TARGET DEATH BENEFIT
(EXHIBIT B)
<TABLE>
<CAPTION>
POLICY YEAR MAXIMUM POLICY YEAR MAXIMUM
----------- ------- ----------- -------
TARGET DEATH BENEFIT TARGET DEATH BENEFIT
-------------------- --------------------
<S> <C> <C> <C>
AT ISSUE $ 11,000 33 $ 2,444,767
1 $ 11,000 34 $ 2,700,244
2 $ 23,100 35 $ 2,981,268
3 $ 36,410 36 $ 3,290,395
4 $ 51,051 37 $ 3,630,434
5 $ 67,156 38 $ 4,000,000
6 $ 84,872 39 $ 4,000,000
7 $ 104,359 40 $ 4,000,000
8 $ 125,795 41 $ 4,000,000
9 $ 149,374 42 $ 4,000,000
10 $ 175,312 43 $ 4,000,000
11 $ 203,843 44 $ 4,000,000
12 $ 235,227 45 $ 4,000,000
13 $ 269,750 46 $ 4,000,000
14 $ 307,725 47 $ 4,000,000
15 $ 349,497 48 $ 4,000,000
16 $ 395,447 49 $ 4,000,000
17 $ 445,992 50 $ 4,000,000
18 $ 501,591 51 $ 4,000,000
19 $ 562,750 52 $ 4,000,000
20 $ 630,025 53 $ 4,000,000
21 $ 704,027 54 $ 4,000,000
22 $ 785,430 55 $ 4,000,000
23 $ 874,973 56 $ 4,000,000
24 $ 973,471 57 $ 4,000,000
25 $ 1,081,818 58 $ 4,000,000
26 $ 1,200,999 59 $ 4,000,000
27 $ 1,332,099 60 $ 4,000,000
28 $ 1,476,309 61 $ 4,000,000
29 $ 1,634,940 62 $ 4,000,000
30 $ 1,809,434 63 $ 4,000,000
31 $ 2,001,378 64 $ 4,000,000
32 $ 2,212,515 65+ $ 4,000,000
</TABLE>
The Target Death Benefit at any date is the lesser of the Maximum Target Death
Benefit shown above, or the total of all premiums actually paid while this Rider
is in force credited with interest in advance from the premium date to the
policy anniversary following that date at an annual rate of [10%] for [55] years
from the issue date of this rider, [8%] for the next [10] years and [0%
thereafter.]
ATIR Page 5
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