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Term Life Disclosures

NOT AVAILABLE IN NEW YORK.

Policy Form No. I L1702 and Rider Form Nos. R I1506, R I0827-T, R I1706, R I0762, R I0763, R I1703, R I1705, R I0825-T, and R I1704underwritten by Assurity Life Insurance Company, Lincoln, NE.

Assurity is a marketing name for the mutual holding company Assurity Group, Inc. and its subsidiaries. Those subsidiaries include but are not limited to: Assurity Life Insurance Company and Assurity Life Insurance Company of New York. Insurance products and services are offered by Assurity Life Insurance Company in all states except New York. In New York, insurance products and services are offered by Assurity Life Insurance Company of New York, Albany, NY. Product availability, features and rates may vary by state.

CONDITIONS, LIMITATIONS AND EXCLUSIONS

Right to Cancel – The policy contains a 30-day free look period.

Renewability – The policy is renewable to age 95.

Contestability – Assurity has the right to contest the validity of the policy or any attached riders based on material misrepresentations made in the application. Assurity cannot contest the validity of the policy or any attached riders after it has been force for two years from the issue date, except for fraudulent misstatements made in the application, when permitted by the law of the state where the policy is issued.

Suicide – If the insured person dies by suicide within two years of the issue date or two years of the last reinstatement date, Assurity’s liability is limited to a refund of premiums paid, less benefits paid under any riders.

Misstatement of Age and/or Gender – If the insured person’s age and/or gender (if the policy was issued on a gender-distinct basis) is misstated in the application, Assurity will revise the policy and any applicable riders’ benefit amounts to the amount the premium would have purchased for the correct age and/or gender.

Termination – The policy will terminate the earliest of the following: when premium is not paid by the end of the grace period; the date the face amount is less than $25,000 due to conversion; the date Assurity receives written notice to terminate; upon the insured person’s death; or on the expiration date listed on the policy schedule.

Riders may contain additional conditions, limitations and exclusions.

 
 

Disability Income Insurance Disclosures

NOT FOR USE IN NEW YORK.

Policy Form No. I H0920 and Rider Form Nos. R I0921, R I0922, R I0923, R I0925, R I0927, R I0928, R I0929, R I0721, R I1601 and R I1602 underwritten by Assurity Life Insurance Company, Lincoln, NE.

Assurity is a marketing name for the mutual holding company Assurity Group, Inc. and its subsidiaries. Those subsidiaries include but are not limited to: Assurity Life Insurance Company and Assurity Life Insurance Company of New York. Insurance products and services are offered by Assurity Life Insurance Company in all states except New York. In New York, insurance products and services are offered by Assurity Life Insurance Company of New York, Albany, NY. Product availability, features and rates may vary by state.

Limitations

Foreign Travel and Residency

Assurity will pay up to a maximum of three disability monthly benefits for any disability sustained or continued outside the United States or Canada.

Mental/Nervous Disorders; Substance Abuse

Assurity will pay up to a maximum of 24 disability monthly benefits during the insured’s lifetime for disabilities due to mental/nervous disorders and substance abuse.

Pre-existing Condition

If the insured’s disability is within two years from the issue date and is due to a pre-existing condition, no benefits will be paid unless the condition was disclosed and not misrepresented on the application and is not excluded by a policy amendment rider. 

A pre-existing condition is a sickness or physical condition for which, during the two years before the issue date, the insured:

•    had symptoms which would cause an ordinary prudent person to seek diagnosis, care or treatment; or

•    received medical consultation, advice or treatment from a physician or had taken prescribed medication.

Exclusions

Assurity will not pay benefits for conditions that are caused by or the result of the insured:

•    being pregnant, experiencing childbirth or having an elective abortion (complication of pregnancy is deemed to be a sickness);

•    losing an occupational or professional license or certification;

•    being exposed to war or any act of war, declared or undeclared;

•    engaging in an illegal occupation;

•    participating in or attempting to commit a felony;

•    intentionally self-inflicting a sickness or injury;

•    committing or attempting to commit suicide, while sane or insane;

•    being incarcerated or is caused while incarcerated in a penal institution or government detention facility;

•    being intoxicated (as determined by the laws governing the operation of motor vehicles in the jurisdiction where the disability occurs) or under the influence of an illegal substance or a narcotic (except for narcotics used as prescribed to the insured by a physician); or

•    actively serving in any of the armed forces, or units auxiliary thereto, including the National Guard or Reserves, except during the active duty training of less than 60 days.

 
 

Annuities Disclosures

NOT AVAILABLE IN NEW YORK.

IRS Circular 230 Notice: Any federal income tax information contained in this document was not intended or written to be used, and cannot be used by any taxpayer, for the purpose of avoiding IRS Code penalties that may be imposed on the taxpayer. Such information was provided to support the promotion or marketing of the transaction(s) or matters(s) addressed by such information. Taxpayers should seek advice based on their particular circumstance from an independent tax advisor.

Policy Form Nos. I A1004, ICC10 I A1004 (Qualified); I A1003 or ICC10 I A1003 (Non-Qualified), I A0602 (Qualified), I A0601 (Non-Qualified), Annuity Form Nos. ICC11 I A1118 or I A1118 (Qualified), ICC11 I A1117 or I A1117 (Non-Qualified) underwritten by Assurity Life Insurance Company, Lincoln, NE.

Assurity is a marketing name for the mutual holding company Assurity Group, Inc. and its subsidiaries. Those subsidiaries include but are not limited to: Assurity Life Insurance Company and Assurity Life Insurance Company of New York. Insurance products and services are offered by Assurity Life Insurance Company in all states except New York. In New York, insurance products and services are offered by Assurity Life Insurance Company of New York, Albany, NY. Product availability, features and rates may vary by state.

 
 

Universal Life Disclosures

NOT AVAILABLE IN NEW YORK.

Policy form Nos. ICC17 I L1726 and I L1726  and Rider Form Nos. ICC15 R I1506, R I1506, ICC17 R I1727, R I1727, ICC17 R I1728 and R I1728 underwritten by Assurity Life Insurance Company, Lincoln, NE.

Assurity is a marketing name for the mutual holding company Assurity Group, Inc. and its subsidiaries. Those subsidiaries include but are not limited to: Assurity Life Insurance Company and Assurity Life Insurance Company of New York. Insurance products and services are offered by Assurity Life Insurance Company in all states except New York. In New York, insurance products and services are offered by Assurity Life Insurance Company of New York, Albany, NY. Product availability, features and rates may vary by state.

This policy has reductions of benefits, limitations and exclusions. For complete costs and

details of the policy, please contact your insurance professional, Assurity or ask to review the

policy.