Policy Specifications

Policy Number [SPECIMEN]

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:
[JUNE 1, 2024]
Minimum Specified Amount:
$[250,000.00]
Date of Issue:
[JUNE 1, 2024]
Monthly Anniversary Day:
[01]
   
       
Plan of Insurance:
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ADJUSTABLE SURVIVORSHIP LIFE INSURANCE WITH OPTIONAL INDEXED FEATURES
   
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, Index Credits, if any, Cost of Insurance, Administrative Fees, investment performance of the Separate Account, any loans or partial surrenders and the cost of additional benefits.  The Planned Premium may need to be increased to keep this Policy and the coverage In Force.

Premium Payments:
Planned Premium: $[3,000.00]
 
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].


Policy Specifications

Policy Number [SPECIMEN]

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 ([0.00809863]% daily) in Policy Year(s) [1 and thereafter].
   
Participating Loans
 
   
Participating Loan Interest Rate Charged:
[5.50]% annual effective rate for 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 Specifications

Policy Number [SPECIMEN]

Riders and Benefit Charges

Enhanced Overloan Protection Endorsement
   
Residual Specified Amount Percentage:
[1.00]%
Minimum Attained Age:
[65]
Minimum Policy Years In Force:
[10]

Accelerated Death Benefit Rider for Terminal Illness

Covered Insured(s):
[JOHN DOE]
[JANE DOE]
   
Maximum Terminal Illness Benefit Payment:
The lesser of:
1. [50]% of the Eligible Specified Amount; or
2. $[250,000].
 
Administrative Fee:
$[250.00]
 




Policy Specifications

Policy Number [SPECIMEN]

Accelerated Death Benefit Rider for Terminal Illness (Continued)

Reduction in Benefit Payments Due to Debt
Any Terminal Illness benefit paid under this Rider will be first used to repay a portion of any outstanding Debt under the Policy.  The portion to be repaid will be determined by the product of the following:
(A / B) * C where:
A.
is Debt;
B.
is the current Specified Amount immediately prior to a benefit payment; and
C.
is the Terminal Illness benefit payment divided by the applicable Terminal Illness actuarial discount factor.

Impact of Rider Benefits on Policy and Rider Values
Benefit payments under this Rider will reduce certain Policy and Rider values by multiplying such values by a Reduction Ratio described in the “Reduction Ratio” provision below.  The values that will be reduced include the following:
1.
Specified Amount;
2.
Accumulation Value.
a.
If your Policy includes any of the following accounts, the account values will be reduced in the following order:
i.
First, the Fixed Account Value and/or Sub-Account(s) will be reduced in the same proportion as the balances are invested in such account(s);
ii.
Then, if insufficient value exists in the Fixed Account and Sub-Account(s) to cover the reduction in Accumulation Value, the Holding Account Value, if any, will be reduced;
iii.
Then if insufficient value exists in the Holding Account to cover the reduction in Accumulation Value, the Segment(s) in the Indexed Account will be reduced following the order of processing described in the Policy; and
iv.
Finally, if insufficient value exists in the Indexed Accounts Segment(s), the Loan Account Value, if any, will be reduced.
Debt will be reduced as noted in the “Reduction in Benefit Payment Due to Debt” provision above.

Reduction Ratio
Any reduction in Policy values and Rider values will occur on the Monthly Anniversary Day prior to the Monthly Deduction.  The proportion by which the Policy and Rider values above will be reduced will be based on a Reduction Ratio, determined as follows:
Terminal Illness Benefit Payment:
The payment of the Terminal Illness benefit payment will reduce the above values, in each case, to an amount determined by multiplying each value by a Reduction Ratio of (b-a)/b where:
a.
is the Terminal Illness benefit payment divided by the applicable Terminal Illness actuarial discount factor; and
b.
is the current Specified Amount immediately prior to the benefit payment.



Policy Specifications

Policy Number [SPECIMEN]

Accelerated Death Benefits Rider for Chronic Illness and Terminal Illness
[(Lincoln Survivorship LifeAssure® Accelerated Benefits Rider)]

Covered Insured(s):
[JOHN DOE]
[JANE DOE]
 
Benefit Period:
[12 months]
 
Lifetime Maximum Limit:
$[1,500,000]
 
Minimum Chronic Illness Lump Sum Benefit Amount:
The least of:
1. $[50,000]; or
2. [5]% of the Original Benefit Amount multiplied by the applicable Chronic Illness actuarial discount factor; or
3. the balance of the Scheduled Remaining Benefit Amount multiplied by the applicable Chronic Illness actuarial discount factor.
 
Maximum Chronic Illness Lump Sum Benefit Amount:
The least of:
1. an amount equal to the annual equivalent of the Per Diem Limit; or
2. [25]% of the Original Benefit Amount multiplied by the applicable Chronic Illness actuarial discount factor; or
3. the balance of the Scheduled Remaining Benefit Amount multiplied by the applicable Chronic Illness actuarial discount factor.
 
Maximum Chronic Illness Lump Sum Adjusted Benefit Amount:
A. times B., where:
A. is the Maximum Chronic Illness Lump Sum Benefit Amount; and
B. is the number of days certified in a Benefit Period divided by the number of days in a Benefit Period.
   
Minimum Chronic Illness Monthly Benefit Amount:
 
The lesser of:
1. $[250.00]; or
2. The Remaining Benefit Amount multiplied by the applicable Chronic Illness actuarial discount factor divided by the number of months certified in the Benefit Period.
 
Maximum Chronic Illness Monthly Benefit Amount:
A. times B., where:
A. is the Maximum Chronic Illness Lump Sum Adjusted Benefit Amount; and
B. is the number of days in the month divided by the number of days certified in a Benefit Period.
   
Maximum Terminal Illness Benefit Payment:
The lesser of:
1. [50]% of the Scheduled Remaining Benefit Amount; or
2. $[250,000].
 
Administrative Fee:
$[250.00]
 




Policy Specifications

Policy Number [SPECIMEN]

Accelerated Death Benefits Rider for Chronic Illness and Terminal Illness (Continued)
[(Lincoln Survivorship LifeAssure® Accelerated Benefits Rider)]

Reduction in Benefit Payment Due to Debt
Any Chronic Illness benefit or Terminal Illness benefit paid under the Rider will be first used to repay a portion of any outstanding Debt under the Policy.  The portion to be repaid will be determined by the product of the following:
(A / B) * C where:
A.
is Debt;
B.
is the current Specified Amount immediately prior to a benefit payment; and
C.
is either i., ii., or iii. noted below depending on the Qualifying Event:
i.
the Chronic Illness Lump Sum benefit payment divided by the applicable Chronic Illness actuarial discount factor; or
ii.
the Chronic Illness Monthly Benefit Amount divided by the applicable Chronic Illness actuarial discount factor; or
iii.
the Terminal Illness benefit payment divided by the applicable Terminal Illness actuarial discount factor.

Impact of Benefit Payments on Policy and Rider Values
Benefit payments under this Rider will reduce certain Policy and Rider values by multiplying such values by a Reduction Ratio described in the “Reduction Ratio” provision below.  The values that will be reduced include the following:
1.
Specified Amount;
2.
Accumulation Value.
a.
If your Policy includes any of the following accounts, the account values will be reduced in the following order:
i.
First, the Fixed Account Value and/or Sub-Account(s) will be reduced in the same proportion as the balances are invested in such account(s);
ii.
Then, if insufficient value exists in the Fixed Account and Sub-Account(s) to cover the reduction in Accumulation Value, the Holding Account Value, if any, will be reduced;
iii.
Then if insufficient value exists in the Holding Account to cover the reduction in Accumulation Value, the Segment(s) in the Indexed Account will be reduced following the order of processing described in the Policy; and
iv.
Finally, if insufficient value exists in the Indexed Account Segment(s), the Loan Account Value, if any, will be reduced.
Debt will be reduced as noted in the “Reduction in Benefit Payment Due to Debt” provision above.



Policy Specifications

Policy Number [SPECIMEN]

Accelerated Death Benefits Rider for Chronic Illness and Terminal Illness (Continued)
[(Lincoln Survivorship LifeAssure® Accelerated Benefits Rider)]

Reduction Ratio
Any reduction in Policy values and Rider values will occur on the Monthly Anniversary Day prior to the Monthly Deduction.  The proportion by which the Policy and Rider values above will be reduced will be based on a Reduction Ratio, determined as follows:
1.
Chronic Illness Lump Sum Benefit Payments:
Each Chronic Illness Lump Sum benefit payment will reduce the above values, in each case, to an amount determined by multiplying each value by a Reduction Ratio of (b-a)/b where:
a.
is the Chronic Illness Lump Sum benefit payment divided by the applicable Chronic Illness actuarial discount factor; and
b.
is the current Specified Amount immediately prior to a benefit payment.
2.
Chronic Illness Monthly Benefit Payments:
Each Chronic Illness Monthly Benefit Amount will reduce the above values, in each case, to an amount determined by multiplying each value by a Reduction Ratio of (b-a)/b where:
a.
is the Chronic Illness Monthly Benefit Amount divided by the applicable Chronic Illness actuarial discount factor; and
b.
is the current Specified Amount immediately prior to a benefit payment.
3.
Terminal Illness Benefit Payment:
The payment of the Terminal Illness benefit will reduce the above values, in each case, to an amount determined by multiplying each value by a Reduction Ratio of (b-a)/b where:
a.
is the Terminal Illness benefit payment divided by the applicable Terminal Illness actuarial discount factor; and
b.
is the current Specified Amount immediately prior to the benefit payment.






Policy Specifications

Policy Number [SPECIMEN]

Table of Surrender Charges

See Surrender Provisions for an explanation of when this table will be used.

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]

Calculation of Surrender Charge for Decrease in Specified Amount
For decreases in Specified Amount, excluding full surrender of this Policy, the charge will be calculated as (1) divided by (2), then multiplied by (3), where:

(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.



Policy Specifications

Policy Number [SPECIMEN]

Table of Expense Charges and Fees

The following expenses and fees are charged under this Policy:

Guaranteed Maximum Premium Load
We will deduct a Premium Load from each premium payment. The Premium Load is calculated by multiplying each premium payment by the applicable percentage, which will not exceed the amount(s) shown below.  After the younger Insured’s Attained Age 121, no further premium payments may be made.

[5.00]%
for Policy Year(s) [1 and thereafter].

Cost of Insurance
See the “Cost of Insurance” provision.  The Net Amount at Risk Discount Factor used in that provision is [1.00082954].

Guaranteed Maximum Monthly Administrative Fee
The Monthly Administrative Fee equals (1) plus (2) plus (3), where:
(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)).
 

Guaranteed Maximum Mortality and Expense Risk ("M&E") Charge Rate
[0.25]% annually ([0.020833]% monthly) in Policy Year(s) [1 and thereafter].

Transfer Fee
$[25.00] per transfer request for each transfer request in excess of [24] during any Policy Year.


Policy Specifications

Policy Number [SPECIMEN]

Table of Guaranteed Maximum Cost of Insurance Rates

The monthly Cost of Insurance rates per $1,000 of net amount at risk vary by each Insured’s sex, Premium Class, Attained Age, and the Policy Year but will not exceed the rates shown in the table below in accordance with the [Ultimate 2017 CSO Male/Female, Unismoke, age nearest birthday] mortality table.  The monthly Cost of Insurance rates are determined under an actuarial formula, on file with the insurance supervisory official of the jurisdiction in which this Policy is delivered, that reflects one-alive and both-alive probabilities. The Guaranteed Maximum Cost of Insurance Rates shown in the table below reflect the applicable Risk Factor(s) and/or Flat Extra Monthly Insurance Cost(s), if any, shown in the Policy Specifications as described in the “Cost of Insurance Rates” provision.

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
       


Policy Specifications

Policy Number [SPECIMEN]

Corridor Percentages Table

Death Benefit Qualification Test: [Guideline Premium Test]

See the “Death Benefit Proceeds” provision and “Income Tax on Death Benefits” provision for an explanation of how this table will be used.

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
 
           
           


Policy Specifications

Policy Number [SPECIMEN]

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.



Policy Specifications

Policy Number [SPECIMEN]

Holding Account Specifications

Guaranteed Minimum Holding Account Interest Rate:
[1.00]% annual effective rate ([0.00272616]% daily)

Indexed Account Specifications

Initial Indexed Account Allocation Date:
[The 15th day of the calendar month following the date we process payment of the initial premium.]
   
[Monthly] Indexed Account Allocation Date:
[The 15th day of each subsequent calendar month following the Initial Indexed Account Allocation Date.]
   
Segment Date:
The date a Segment is created.
   
Segment Month:
Beginning when a Segment is created (the Segment Date) until the Segment Maturity Date, the period of time measured from the beginning of the [15th] day of each calendar month to the end of the [14th] day of the subsequent calendar month.
   
Monthly Segment Balance:
The value of the Segment at the end of each Segment Month. It is determined by taking the value of the Segment on the Segment Date less any withdrawals from the Segment through the end of each Segment Month.
If the Segment does not have a positive value at the end of a Segment Month, a Monthly Segment Balance of zero will be used for that month.
   
Average Monthly Segment Balance:
The sum of all Monthly Segment Balances for the entire Segment Duration divided by 12.
   
Segment Maturity Date:
The date each Segment matures, which is determined from the Segment Date plus the Segment Duration.
   
Segment Maturity Value:
The Monthly Segment Balance on the Segment Maturity Date plus any Index Credit. See Indexed Account Option description(s) which follow.


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