Your Group Term Life Insurance

Basic Life Benefit

If you die while insured for this benefit, we'll pay your beneficiary the amount shown in the schedule.

Proof of Death

We'll pay this insurance as soon as we receive written proof of death. This should be sent to us as soon as possible.

Your Beneficiary

You decide who gets this insurance if you die. You should have named your beneficiary on your enrollment form. You can change your beneficiary at any time by giving your employer written notice, unless you've assigned this insurance. But the change won't take effect until your employer gives you written confirmation of the change.

If you named more than one person, but didn't tell us what their shares should be, they'll share equally. If someone you named dies before you do, his share will be divided equally by the beneficiaries still alive, unless you've told us otherwise.

If there is no beneficiary when you die, we'll pay the insurance to one of the following: (a) your estate; (b) your spouse; (c) your parents; (d) your children; or (e) your brothers and sisters.

Assigning Your Life Insurance

If you assign this insurance, you permanently transfer all your rights under this insurance to the assignee. Only one of the following can be an assignee: (a) your spouse; (b) one of your parents or grandparents; (c) one of your children or grandchildren; (d) one of your brothers or sisters; or (e) the trustee(s) of a trust set up for the benefit of one or more of these relatives.

We suggest you speak to your lawyer before you make any assignment. If you decide you want to assign this insurance, ask your employer for details or write to us.

Payment to a Minor or Incompetant

If your beneficiary is a minor or incompetent, we have the option of paying this insurance in monthly installments. We would pay them to the person who cares for and supports your beneficiary.

Payment of Funeral or Last Illness Expenses

We have the option of paying up to $250.00 of this insurance to any person who incurs expenses for your funeral or last illness.

Settlement Option

If you or your beneficiary ask us, we'll pay all or part of this insurance in installments. Any request must be made to us in writing. The amounts of the installments and how they would be paid depend on what we offer at the time the request is made.

CGP-3-R-LB-90 6270.0129

CONVERTING YOUR GROUP TERM LIFE INSURANCE

If Your Employment or Eligibility Ends

Your group life insurance ends if your employment ends, or if you stop being a member of an eligible class of employees. If either happens, you can convert all or part of your group life insurance to an individual life insurance policy.

If The Group Plan or Group Life Plan Insurance is Dropped

Your group life insurance also ends if this group plan ends, or if life insurance is dropped from the group plan for all employees or for your class. If either happens and you've been insured by a Guardian group life plan for at least five years, you can also convert. But, the amount you can convert is limited to the lesser of: (a) $2,000.00; or (b) the amount of your insurance under this plan, less any group life benefits you become eligible for in the 31 days after this insurance ends.

The Converted Policy

You can convert to one of the policies we normally issue. It can't include disability benefits. And, it can't be a term policy.

The premium for the converted policy will be based on: (a) your standard or sub-standard risk and rate class under this plan; and (b) your age on the converted policy's effective date. The converted policy will start at the end of the period allowed for conversion.

How and When to Convert

To get a converted policy, you must apply to us in writing and pay the Convert required premium. You have 31 days after your group life insurance ends to do this. We won't ask for proof that you're insurable.

If You Die During the Conversion Period

If you die in the 31 days allowed for conversion, we'll pay your beneficiary the amount you could have converted. We'll pay whether or not you applied for conversion.

CGP-3-R-LCON-90 B270.0072

YOUR EXTENDED LIFE BENEFIT

Important Notice

This section applies to your basic life benefit.

If You're Totally Disabled

If you meet our standard for total disability, we'll extend your life insurance under this section. We'll extend it for one year from the date your life insurance under the group plan ended. There will be no cost to you.

We'll consider you totally disabled if: (a) you're not able to perform any work for wages or profit due to a sickness or injury; and (b) you became disabled before you reached age 60 and while insured by the group plan.

If You're Permanently Disabled

If you're permanently disabled, you may apply for more one year extensions. We'll consider you permanently disabled if you've been totally disabled for at least nine continuous months. We'll consider you permanently disabled without the nine month wait, if you're totally disabled because: (a) you've lost two limbs by severance at or above the ankles or wrists; or (b) you've lost total and permanent sight in both eyes.

How and When to Apply

To get this extended benefit past the first year, you must send us written medical proof that you're permanently disabled. This must be done before the first one year extension ends. You won't be covered past the first year unless we approve that proof.

Since each extension is only for one year, you must send us proof of your continued disability each year. This must be done in the three months before the prior extension ends. You won't be covered past the date the prior extension ends, unless we approve that proof.

Examination by Our Doctor

We can have you examined by a doctor of our choice as often as we feel necessary during the first two years we've extended your life benefits. But, after two years, we can't have you examined more than once a year.

When This Extension Ends

This extension will end on the date you stop being totally disabled. It will also end if we ask you to be examined by our doctor, and you refuse. And, it will end if you don't give us the proof of disability we require.

If this extension ends, and you're not insured by the group plan again as an active full-time employee, you can convert as if your employment just ended. Read the section labelled "Converting Your Group Term Life Insurance."

If You Die While Covered By this Extension

If you die while covered by this extension we'll pay your beneficiary the amount you were covered for. This is the amount you had under the group plan on your last day of active work. It is subject to all reductions which would have applied if you had stayed an active employee.

We'll pay as soon as we receive: (a) written proof of your death; and (b) medical proof that you were continuously disabled until your death.

This must be sent to us within one year of your death.

Until We've Approved You as Permanently Disabled

Your life insurance under the group plan may end after you've become totally disabled but before we've approved you as permanently disabled. If this happens, we suggest you read teh section labelled "Converting your Group Term Life Insurance."

Converting does not stop you from claiming your rights under this section. But, if you convert and we later approve you as permanently disabled, we'll cancel the converted policy. Of course, we'll refund the premiums you paid.

Also, if you convert and then die during the first year of this extension, we'll pay your beneficiary under this section. He won't be paid under the converted policy. But, we'll give him the premiums you paid for that policy.

CGP-3-R-ELB B270.91 1 0

DEPENDENT TERM LIFE INSURANCE

The Benefit

If one of your dependents dies while insured for this benefit, we pay the amount shown in the schedule. We pay this in a lump sum when we receive written proof of death. Send the proof to us as soon as possible.

We pay you, if you're living. If you're not, and the dependent was your child, we pay your spouse. If your spouse is not living, we pay the child's living brothers and sisters in equal shares. If there are none, we pay the child's estate. If the dependent was your spouse, we pay your spouse's estate.

Payment to a Minor or Incompetant

If the beneficiary is a minor or not competent, we have the right to pay in monthly installments. We would pay the person who cares for and supports the beneficiary. We completely discharge our liability for any amounts paid this way.

Incontestability

We can't dispute any medical statements made in the application after a dependent has been insured for these benefits for two years.

CONVERTING THIS DEPENDENT TERM LIFE INSURANCE

If Your Group Life Insurance Ends or You Stop Being Eligible

Dependent term life insurance ends for all of your dependents when your group life insurance ends. Your insurance ends when: (a) your active full-time employment ends; (b) you stop being a member of a class of employees eligible for employee group life insurance; (c) your group life insurance is extended under the Extended Life Benefit provision; or (d) you die.

Dependent term life insurance also ends when you stop being a member of a class of employees eligible for dependent term life insurance.

If one of the above happens, each dependent who was insured may convert all or part of his insurance.

If This Plan Ends or Life Insurance is Dropped

Dependent term life insurance also ends for all of your dependents when this plan ends. And it ends if either employee or dependent term life insurance is dropped from this plan for all employees or for your class.

If one of the above happens, and your dependents have been insured by a Guardian group life plan for at least five years, they can convert. But we limit the amount each dependent can convert to the lesser of: (a) $2,000.00; and (b) the amount of his insurance under this plan less any group life benefits he becomes eligible for in the 31 days after this insurance ends.

If a Dependent Stops Being Eligible

A dependent's term life insurance ends when he stops being an eligible dependent. This happens to a child when he reaches the limiting age shown in the schedule or when he marries. And it happens to a spouse when a marriage ends in legal divorce or annulment. If a dependent stops being eligible, that dependent can convert all or part of his insurance.

The Converted Policy

The dependent can convert to one of the individual life insurance policies we normally issue. That policy can't include disability benefits. And it can't be a term policy.

The premium for the converted policy will be based on: (a) the dependent's risk and rate class under this plan; and (b) the dependent's age when the converted policy takes effect. The converted policy takes effect at the end of the period allowed for conversion.

Ask your employer or write to us for details.

How and When to Convert

To get a converted policy, the dependent must apply to us in writing and pay the required premium. He has 31 days after his group insurance ends to do this. We won't ask for proof that he's insurable.

If the dependent is a minor or not competent, the person who cares for and supports the dependent may apply for him.

Death During the Conversion Period

If a dependent dies in the 31 days allowed for conversion, we pay the amount he could have converted, as stated above. We do this whether or not he applied for conversion.

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