|
Insured:
|
[JOHN DOE]
|
Issue Age and Sex:
|
[35] [MALE]
|
||||
|
Premium Class:
|
[STANDARD NON-TOBACCO]
|
||||||
|
Insured:
|
[JANE DOE]
|
Issue Age and Sex:
|
[35] [FEMALE]
|
||||
|
Premium Class:
|
[STANDARD NON-TOBACCO]
|
||||||
|
Death Benefit Qualification Test:
|
[Guideline Premium Test]
|
||||||
|
Owner:
|
[JOHN DOE]
|
||||||
|
Initial Specified Amount:
|
$[250,000.00]
|
Policy Date:
|
[NOVEMBER 1, 2024]
|
||||
|
Minimum Specified Amount:
|
$[250,000.00]
|
Date of Issue:
|
[NOVEMBER 1, 2024]
|
||||
|
Monthly Anniversary Day:
|
[01]
|
||||||
|
Plan of Insurance:
|
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ADJUSTABLE SURVIVORSHIP LIFE INSURANCE
|
||||||
|
Separate Account:
|
[Lincoln Life Flexible Premium Variable Life Account R]
|
||||||
|
Death Benefit Option:
|
[1 (Level)]
|
||||||
|
[ Death Benefit Option 3 Limit:
|
$[50,000,000.00]]
|
||||||
| NOTE: |
This Policy provides life insurance coverage to the Second Death if sufficient premiums are paid. The duration of coverage will depend on the amount,
timing, and frequency of premium payments, Premium Loads, interest credited
|
|
Premium Payments:
|
Planned Premium: $[2,381.89]
|
|
Premiums payable until the younger Insured’s Attained Age 121.
Additional premium payments may vary by frequency or amount.
|
|
|
Payment Mode:
|
[ANNUALLY]
|
|
Beneficiary:
|
[As named in the application for this Policy, unless later changed.]
|
|
Guaranteed Minimum Fixed Account Interest Rate:
|
[1.00]% annual effective rate ([0.00272616]% daily)
|
|
Guaranteed Minimum Persistency Bonus Rate Credited to Fixed Account and each Sub-Account:
|
[0.01]% annual effective rate ([0.0008333]% monthly) in Policy Year(s) [3 and thereafter].
|
|
Minimum Specified Amount Increase:
|
$[1,000.00]
|
|
Maximum Attained Age for a Specified Amount Increase:
|
Increases in Specified Amount not allowed after the older Insured reaches Attained Age [85].
|
|
Maximum Number of Specified Amount Increases per Policy Year:
|
[0] in Policy Year(s) [1]; and
[1] in Policy Year(s) [2 and thereafter].
|
|
Minimum Specified Amount Decrease:
|
$[1,000.00]
|
|
Maximum Number of Specified Amount
Decreases per Policy Year:
|
[0] in Policy Year(s) [1]; and
[1] in Policy Year(s) [2 and thereafter].
|
|
Loan Information
|
|
|
Minimum Loan Amount:
|
$[500.00]
|
|
Minimum Loan Repayment Amount:
|
$[25.00]
|
|
Fixed Loans
|
|
|
Fixed Loan Interest Rate Charged:
|
[4.00]% annual effective rate in Policy Year(s) [1 and thereafter].
|
|
Guaranteed Minimum Loan Account Credited Interest Rate:
|
[3.00]% annual effective rate ([0.01336806]% daily) in Policy Year(s) [1 and thereafter].
|
|
Partial Surrenders
|
|
|
Amount of Partial Surrenders:
|
Must be at least $500.00; and/or not more than 90.00% of the Surrender Value of this Policy as of the end of the Valuation Period ending on the
Valuation Day on which we receive your Request.
|
|
Transfers
|
|
|
Minimum Transfer Amount:
|
$[50.00] or the entire value of the Sub-Account being transferred, whichever is less.
|
|
Minimum Remaining Value of the Fixed Account or any Sub-Account(s) After a Transfer:
|
$100.00 unless the entire value of the Fixed Account or Sub-Account(s) is being transferred.
|
|
Limitation on Transfers from the Fixed Account:
|
Cannot exceed the greater of [25.00]% of the Fixed Account Value as of the immediately preceding Policy Anniversary; or the total dollar amount
transferred from the Fixed Account in the immediately preceding Policy Year.
|
|
Account(s) available from which to transfer funds for Dollar Cost Averaging:
|
[money market Sub-Account
Fixed Account (may be elected at policy issue only)]
|
|
Policy Year
|
Surrender Charge as of Beginning of Policy Year
|
|
|
[1
|
[$6,390.00
|
|
|
2
|
$6,082.50
|
|
|
3
|
$5,772.50
|
|
|
4
|
$5,460.00
|
|
|
5
|
$5,142.50
|
|
|
6
|
$4,825.00
|
|
|
7
|
$3,905.00
|
|
|
8
|
$2,982.50
|
|
|
9
|
$1,570.00
|
|
|
10 and thereafter]
|
0.00]
|
|
(1)
|
is the amount of the decrease;
|
|
(2)
|
is the Initial Specified Amount; and
|
|
(3)
|
is the then applicable surrender charge from the Table of Surrender Charges shown above.
|
|
[5.00]%
|
for Policy Year(s) [1 and thereafter].
|
|
(1) is a monthly fee of $[50.00] for [86] Policy Year(s);
(2) is a monthly charge of $[0. 45782] per $1,000 of Initial Specified Amount for [20] Policy Year(s);
(3) is a monthly charge per $1,000 for any increase in Specified Amount for [20] Policy Year(s) following the date of the increase.
The rate used to calculate the charges described in (2) and (3) above varies by each Insured’s sex, Premium Class, age (Issue Age for the charges in (2)
or Attained Age on the date of the increase for the charges in (3)).
|
|
[0.25]% annually ([0. 020833]% monthly) in Policy Year(s) [1 and thereafter.]
|
|
Policy
Year
|
Monthly
Rate
|
Policy
Year
|
Monthly
Rate
|
Policy
Year
|
Monthly
Rate
|
|||||
|
[1
|
0.000080
|
31
|
0.136880
|
61
|
20.313360
|
|||||
|
2
|
0.000280
|
32
|
0.164550
|
62
|
22.673670
|
|||||
|
3
|
0.000550
|
33
|
0.197280
|
63
|
25.282790
|
|||||
|
4
|
0.000870
|
34
|
0.236170
|
64
|
28.180470
|
|||||
|
5
|
0.001270
|
35
|
0.282510
|
65
|
31.339760
|
|||||
|
6
|
0.001730
|
36
|
0.338380
|
66
|
34.731820
|
|||||
|
7
|
0.002260
|
37
|
0.405670
|
67
|
38.058280
|
|||||
|
8
|
0.002820
|
38
|
0.486920
|
68
|
41.479510
|
|||||
|
9
|
0.003390
|
39
|
0.584700
|
69
|
44.941070
|
|||||
|
10
|
0.004030
|
40
|
0.701790
|
70
|
48.383840
|
|||||
|
11
|
0.004710
|
41
|
0.841110
|
71
|
51.736430
|
|||||
|
12
|
0.005570
|
42
|
1.005290
|
72
|
54.920270
|
|||||
|
13
|
0.006500
|
43
|
1.199190
|
73
|
59.384910
|
|||||
|
14
|
0.007580
|
44
|
1.426620
|
74
|
64.368920
|
|||||
|
15
|
0.008800
|
45
|
1.696160
|
75
|
69.974880
|
|||||
|
16
|
0.010240
|
46
|
2.016030
|
76
|
76.332320
|
|||||
|
17
|
0.011970
|
47
|
2.406170
|
77
|
83.333330
|
|||||
|
18
|
0.014030
|
48
|
2.866000
|
78
|
83.333330
|
|||||
|
19
|
0.016460
|
49
|
3.426110
|
79
|
83.333330
|
|||||
|
20
|
0.019320
|
50
|
4.098310
|
80
|
83.333330
|
|||||
|
21
|
0.022790
|
51
|
4.900520
|
81
|
83.333330
|
|||||
|
22
|
0.026920
|
52
|
5.856710
|
82
|
83.333330
|
|||||
|
23
|
0.031870
|
53
|
6.960810
|
83
|
83.333330
|
|||||
|
24
|
0.037820
|
54
|
8.231600
|
84
|
83.333330
|
|||||
|
25
|
0.045110
|
55
|
9.659250
|
85
|
83.333330
|
|||||
|
26
|
0.054000
|
56
|
11.234530
|
86
|
83.333330
|
|||||
|
27
|
0.064900
|
57
|
12.916090
|
87 and
|
0.000000
|
|||||
|
28
|
0.078080
|
58
|
14.699990
|
later
|
||||||
|
29
|
0.094170
|
59
|
16.575850
|
|||||||
|
30
|
0.113630
|
60
|
18.431820
|
|
Younger Insured’s Attained
Age
|
Corridor
Percentage
|
Younger Insured’s Attained
Age
|
Corridor
Percentage
|
||
|
[35-40
|
250%
|
60
|
130%
|
||
|
41
|
243%
|
61
|
128%
|
||
|
42
|
236%
|
62
|
126%
|
||
|
43
|
229%
|
63
|
124%
|
||
|
44
|
222%
|
64
|
122%
|
||
|
45
|
215%
|
65
|
120%
|
||
|
46
|
209%
|
66
|
119%
|
||
|
47
|
203%
|
67
|
118%
|
||
|
48
|
197%
|
68
|
117%
|
||
|
49
|
191%
|
69
|
116%
|
||
|
50
|
185%
|
70
|
115%
|
||
|
51
|
178%
|
71
|
113%
|
||
|
52
|
171%
|
72
|
111%
|
||
|
53
|
164%
|
73
|
109%
|
||
|
54
|
157%
|
74
|
107%
|
||
|
55
|
150%
|
75-90
|
105%
|
||
|
56
|
146%
|
91
|
104%
|
||
|
57
|
142%
|
92
|
103%
|
||
|
58
|
138%
|
93
|
102%
|
||
|
59
|
134%
|
94
|
101%
|
||
|
95
|
100%]
|
||||
|
and later
|
|||||
|
No-Lapse Provision:
|
No-Lapse Premium: $[100.73] monthly.
No-Lapse Period: [20] Policy Years
|
|
No-Lapse Test: The No-Lapse Test is met if (a)
is at least equal to (b), where:
|
|
|
(a) is an amount equal to the sum of all premium payments less any partial surrenders (i.e. withdrawals) accumulated at [4.00]% annual interest, less any Debt; and
(b) is an amount equal to the sum of the corresponding No-Lapse Premiums above due since the Policy Date, accumulated at [4.00]% annual interest.
|
|