alter, waive or extend any of the terms, conditions. agreements or limitations of the said policy other than as herein expressly stated, except that this agreement supersedes and annuls any provision for benefits in case of total and permanent disability contained in the said policy and for the payment of any additional premium therefor. Limit, $15,000. Not granted on lives of women. Double Indemnity Agreement (Rider attached) The Company will pay, instead of the face amount of Said Policy, DOUBLE THE AMOUNT, not to exceed $10,000 Indemnity, otherwise payable, upon due proof of the death of the Insured before attaining age sixty, in consequence of bodily injury effected solely through external, violent and accidental means, and that such death occurred within ninety days after such injury was sustained, and as the direct result thereof, independently of all other causes. This agreement is issued subject to the following conditions: 1. The Company shall not be liable in any amount under this rider for death resulting directly or indirectly, wholly or in part, from bodily or mental infirmity or disease; infection (except in consequence of an accidental cut or wound, and then only when innoculation is simultaneous with the receipt of such cut or wound); ptomaine poisoning; war or incidental happening directly attributable to war; military or naval service, or any service connected or allied therewith; violation of law; aeronautics; any submarine venture or hazard: or suicide. 2. The death of the Insured must occur while there is no default in the payment of any premium under said Policy or any supplemental agreement attached thereto or made a part thereof. 3. This Agreement to pay double the face of the policy shall terminate at the end of the premium paying period, provided such period shall not extend beyond the date at which the Insured reaches the age of sixty (60) years. agreement shall, in any event, terminate upon the Insured's reaching the age of sixty (60) years. This 4. This agreement may be discontinued either by the Company or the Insured, on an anniversary date of said Policy, by giving the Insured notice for fifteen days before expiration of terms insured by ordinary mail at the Insured's Postoffice address given in the application or afterwards to the Company in writing: and thereafter the Company shall not be liable hereunder and no further additional premiums shall be required therefor. The foregoing Double Indemnity Provision is granted in consideration of the payment of the additional premium of $1.75 per $1,000. Double Indemnity issued on all but Term policies and granted on lives of women. Limits: male risks, $10,000; female risks, $5,000. DES MOINES, IA. Began business September 10, 1917; stock company; issues non-participating policies only. Extracts Annual Statement Year Ending December 31, 1921 Admitted assets.... Dis. and D. I. premiums received.. Outstanding insurance.. Dis. and D. I. benefits paid. Dis. and D. I. reserve.... $1,085,218 12,714,356 25,988 1,578 27,679 Provisions for (A) Total Disability Benefit and (B) Double Indemnity Benefit A 1. After full year's premium shall have been paid and before default in payment of any subsequent premium, if the Insured, prior to attaining the age of sixty years, shall become totally disabled by bodily injury or disease, while said. policy is in force, 80 in force, so that he is and will be permanently, continuously and and wholly prevented thereby for life from performing any work for compensation or profit or from following any gainful occupation, the Company, by endorsement upon said policy, will waive the subsequent annual premiums, if any, as they shall become due. Any premium or premiums so waived shall not be a lien upon said policy, and the loan and surrender) values provided therein shall be the same as though premiums had been paid in cash. In addition to, or independently of, and without prejudice to all other causes of total and permanent disability, the Company will consider the entire and irrecoverable loss of the sight of both. eyes or the severance of both hands at or above. the wrists, or both feet at or above the ankles,' or of one entire hand and one entire foot, as total and permanent disability, within the meaning of this provision. ... 2. Immediately after receipt of due proofs of total disability as described in Paragraph 1 hereof.. the Insured or legal owner of said policy may draw the sum of Dollars, and the the same sum at the beginning of each month thereafter. during the continuance of such disability and until, the death of the Insured or until maturity of said. policy as an endowment. At the time of said death or maturity, the full face value of said policy, together with any additional insurance or credits (less any indebtedness), existing before total disability, will be paid without deduction on account of any monthly income payments which shall have been made under the the terms of this Paragraph. 3. In consideration of the payment of the said monthly income, any double indemnity benefit rovided in said policy shall cease to be available. -Continued Any prior indebtedness to the the Company on account of this policy, at the date of disability, shall remain an indebtedness and the interest thereon, if not paid when due, shall be deducted from the monthly income. No dividends or other reductions of premiums shall be allowed after the inception of said total disability. 4. The Company, after the acceptance of proof of disability, shall have the right, at any time, but not more frequently than once a year, to require proof of the continuance of such total disability. If the Insured shall fail to furnish satisfactory proof thereof, or if it appears at any time that the Insured has become able to engage in any occupation for compensation or profit, no. further premiums will be waived and no further income payments will be made hereunder on account of such disability. 5. This Total and Permanent Disability Benefit Provision is issued in consideration of an extra premium of $..... .. per annum, which is included in the whole annual premiums premiums under said policy. On any anniversary of said policy, this disability provision may be cancelled in writ ing by the Insured, in which event the policy shall be returned to the Company for endorsement, and all subsequent annual premiums falling due will be reduced by the amount of the extra premium above stated. Any annual premium or premiums falling due on or after or after the anniversary of said policy nearest to age 60 of the Insured, shall be reduced by the amount of the extra premium above stated. B1. Immediately upon due proof that the death of the Insured occurred before attaining age 60, in consequence of bodily injury effected effected solely through external, violent and accidental means, exclusively and independently of all causes (death from suicide or any any attempt thereat, sane or insane, not included) and that such death occurred within ninety days after such accident, the Company will pay instead of the face amount of said policy as specified on the first page thereof double that amount, making $.... Dollars together with any additional insurance, accumulations or credits thereto, and less any existing indebtedness, provided said death provided said death occurs during the premium paying period of such policy and before default in payment of any premium thereon, and before the payment of any disability benefits thereunder; subject to all of the conditions and requirements of said policy. 2. This Double Indemnity Benefit Provision is issued in consideration of an an extra premium of One Dollar and Seventy-five Cents ($1.75) per One Thousand Dollars of the original face amount of insurance under said policy, and such extra L... -Continued premium is included in the whole annual premium under said policy. On any anniversary of said policy, this Double Indemnity Provision may be cancelled in writing by the Insured, in which event the policy shall be returned to the Company for endorsement, and all subsequent annual premiums falling due will be reduced by the amount of the extra premium above stated. Such reduction shall also be made on and after the anniversary of said policy nearest to age 60 of the Insured. If the Insured under said policy shall enlist for or engage in any military or naval or aviation service in time of war, either with or without a permit, none of the Total Disability or Double Indemnity Benefits hereinabove specified shall be available and the provisions for such Benefits shall forthwith become void and of no effect and the annual premiums, payable subsequent to such enlistment or engagement, shall be reduced by the amount of any extra premiums herein specified for such Benefits. Extra annual premium for double indemnity benefit is $1.75 per $1,000 for all plans of insurance. |