YRT Reinsurance Agreement
effective 8-1-83
between
CUNA Mutual Life Insurance Company
and
Connecticut General Life Insurance Company
(CIGNA)
now Swiss Re
(Not open for new business as of 12/1/90)
YEARLY RENEWABLE TERM REINSURANCE AGREEMENT, Effective August 1, 1983
between
LUTHERAN MUTUAL LIFE INSURANCE COMPANY
(Waverly, Iowa)
and
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
(Hartford, Connecticut)
INDEX
-----
ARTICLE PAGE
------- ----
Accounting Statements 11 5
Amounts at Risk 7 3
Application of Agreement 1 1
Arbitration 16 10
Cancellations 10 5
Changes 10 4
Claim Payments 12 7
Claim Procedures 12 6
Conditions of Reinsurance 6 3
Contested Claims 12 7
Continuation of Reinsurance 2 1
Data Requirements 11 6
Duration of Agreement 17 11
Exchanges 10 4
Experience Refunds 14 9
Extra-Contractual Damages 12 7
Facultative Reinsurance 2 1
Insolvency 12 8
Liability of Connecticut General 5 2
Misstatements of Age or Sex 12 8
New Limits of Retention 2 2
Notification 4 2
Oversights 16 10
Premium Payment Basis 8 4
Premium Rates 8 3
Premium Tax Reimbursements 9 4
Procedure for Facultative Reinsurance 3 2
Recaptures 13 9
Reductions 10 5
Reinstatements 10 5
Right to Inspect 15 10
Supplementary Benefits 2 1
Yearly Renewable Term 7 3
SCHEDULES
---------
A Retention of Lutheran Mutual
B Reinsurance Application
C Bulk Reporting Forms
D Reinsurance Premiums
YEARLY RENEWABLE TERM REINSURANCE AGREEMENT
between
LUTHERAN MUTUAL LIFE INSURANCE COMPANY
(Hereinafter called Lutheran Mutual)
and
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
(Hereinafter called Connecticut General)
It is agreed by the two companies as follows:
Article 1
---------
[See amendment No.2] Article 2
---------
FACULTATIVE REINSURANCE
-----------------------
Whenever Lutheran Mutual desires reinsurance of individual life insurance,
it may apply to Connecticut General for reinsurance under the provisions of
this agreement.
CONTINUATION OF REINSURANCE
---------------------------
Any Universal Life policy issued in exchange or conversion of a prior
policy will be reinsured under this agreement provided that the original
policy was reinsured in Connecticut General.
SUPPLEMENTARY BENEFITS
----------------------
Reinsurance under this agreement may include supplementary disability
waiver of premium benefits.
-1-
NEW LIMITS OF RETENTION
-----------------------
Lutheran Mutual's usual limits of retention are shown in Schedule A,
attached hereto. Lutheran Mutual will notify Connecticut General of all
subsequent changes in these limits. Included in Lutheran Mutual's retention
is Insurance retained by Century Life Insurance Company of lowa
(hereinafter called Century Life) which has been ceded to Lutheran Mutual
by Century Life.
Article 3
---------
PROCEDURE FOR FACULTATIVE REINSURANCE
-------------------------------------
Whenever Lutheran Mutual applies to Connecticut General for facultative
reinsurance, it will forward Connecticut General an application form in
substantial accord with Schedule B, attached hereto, together with copies
of the original application, medical examiners' reports, inspection reports,
and all other commonly accepted underwriting evidence bearing on the
insurability of the risk. Connecticut General will examine the papers
immediately upon receipt of such application and, as soon as possible,
notify Lutheran Mutual of its decision.
Article 4
---------
NOTIFICATION
------------
Lutheran Mutual will notify Connecticut General when reinsurance is not
required on a risk for which reinsurance has been applied on a facultative
basis.
Article 5
---------
LIABILITY OF CONNECTICUT GENERAL
--------------------------------
The liability of Connecticut General, on each reinsurance accepted by
Connecticut General under this agreement, will commence simultaneously with
that of Lutheran Mutual under the respective policy of Lutheran Mutual,
subject to Lutheran Mutual having notified Connecticut General of its
acceptance of Connecticut General's offer. Subject to the provisions of
Articles 10, 13 and 17 and the payment of reinsurance premiums as provided
under Articles 8 and 11 of this agreement, each reinsurance will be
continued in force as long as Lutheran Mutual is liable under its
respective policy and will terminate when the liability of Lutheran Mutual
terminates.
-2-
Article 6
---------
CONDITION OF REINSURANCE
------------------------
Reinsurance under this agreement will be subject to all the applicable
provision contained in the respective policies of Lutheran Mutual.
Connecticut General will not be called upon to participate in policy loans
on policies reinsured hereunder.
Lutheran Mutual will furnish Connecticut General with specimen copies of all
of its current application, policy and rider forms, and tables of rates and
values which may be required for the proper administration of the
reinsurance under this agreement and will advise Connecticut General of all
subsequent modifications thereof and new forms under which reinsurance may
be effected. In addition, Lutheran Mutual will promptly notify Connecticut
General of any non-contractual modifications of its policy forms and any
systematic revision of available benefits.
Article 7
---------
YEARLY RENEWABLE TERM
---------------------
Life reinsurance under this agreement will be on the Yearly Renewable Term
plan for the amounts at risk on the portion of the original policy
reinsured in Connecticut General.
AMOUNTS AT RISK
---------------
The percentage relationship of reinsurance to total original issue will be
determined at issue and will then remain constant for the given death
benefit. The reinsurance amount at risk will be the amount equal to the
death benefit at issue less the cash value less the amount Lutheran Mutual
is retaining on the policy.
Increases in the death benefit that are underwritten in accordance with
Lutheran Mutual's usual underwriting standards for individually selected
risks for new issues will be considered as new insurance for the purpose of
determining the reinsurance amount at risk.
Article 8
---------
PREMIUM RATES
-------------
Premiums for reinsurance under this agreement will be computed at the rates
shown in Schedule D, attached hereto. The renewal rates which are guaranteed
for life reinsurance, however, are those shown in Schedule D, except that
where such rates are less than the 1958 CSO net premiums at 3% for the
applicable rating, it is such net premium rates which are guaranteed.
-3-
PREMIUM PAYMENT BASIS
---------------------
Reinsurance premiums will be payable on an annual basis and in accordance
with the provisions of Article 11.
Whenever reinsurance hereunder is reduced or terminated, Connecticut General
will refund the unearned reinsurance premium.
Whenever reinsurance hereunder is reinstated, Lutheran Mutual will pay
Connecticut General the proportionate part of the reinsurance premium, based
on the premiums payable for the year of reinstatement, for the period from
the date of reinstatement to the policy anniversary date next following.
Thereafter, reinsurance premiums will be payable in accordance with Articles
8 and 11.
In the event of Disability, Lutheran Mutual will continue to pay to
Connecticut General the Schedule D premiums for all coverage which continue
during disability, notwithstanding any payments made by Connecticut General
to Lutheran Mutual under the provisions of Article 12.
Article 9
---------
PREMIUM TAX REIMBURSEMENTS
--------------------------
Connecticut General will reimburse Lutheran Mutual for Connecticut General's
share of premium taxes paid by Lutheran Mutual to those states and provinces
which do not allow reinsurance premiums paid by Lutheran Mutual to
Connecticut General to be deducted from Lutheran Mutual's taxable premiums.
Article 10
----------
CHANGES
-------
Whenever a change is made in the plan of a policy or portion of a policy
reinsured hereunder, reinsurance hereunder on that policy or policy portion
will terminate; however, the new policy will be reinsured in Connecticut
General under the provisions of a reinsurance agreement between the two
companies which provides reinsurance on that particular plan. Whenever a
change is made in the underwriting classification of a policy reinsured
hereunder, a corresponding change will be made in the reinsurance subject to
the prior approval of Connecticut General.
EXCHANGES
---------
Lutheran Mutual will inform Connecticut General of company exchange programs
with respect to currently reinsured in force policies so that good faith
negotiations can be undertaken to continue coverage.
-4-
REDUCTIONS, CANCELLATIONS
-------------------------
Whenever a policy upon which reinsurance is based is reduced or terminated
or whenever all or part of the insurance which was in force at the date
reinsurance was effected and not covered by previous reinsurance is reduced
or terminated, the reinsurance will be reduced by a like amount as of the
date of such reduction or termination. If reinsurance has been effected in
more than one company, the reduction is the reinsurance in Connecticut
General will be that proportion of the total amount of the reduction which
the reinsurance in Connecticut General is of the total amount reinsured.
REINSTATEMENTS
--------------
Whenever a policy reinsured hereunder lapses, or is continued on the paid-up
or extended term insurance basis, and is later approved for reinstatement by
Lutheran Mutual in accordance with its usual underwriting standards,
reinsurance of the excess over Lutheran Mutual's original retention
resulting from such reinstatement will be automatically reinstated by
Connecticut General for an amount not exceeding that part of the policy
originally reinsured in Connecticut General. However, if such reinsurance
was effected on a facultative basis Lutheran Mutual will obtain Connecticut
General's prior approval before reinstating the policy.
Lutheran Mutual will promptly notify Connecticut General of such
reinstatement, and the reinsurance so reinstated will become effective as of
the date of Lutheran Mutual's underwriting approval of reinstatement.
Article 11
----------
ACCOUNTING STATEMENTS
---------------------
On or before the 30th day of each month Lutheran Mutual will forward
Connecticut General an itemized statement in substantial accord with
Schedule C - Section I, attached hereto, in duplicate, covering the
following for the month immediately preceding:
a. First year premiums due on new reinsurance.
b. Renewal premiums due on existing reinsurance with renewal anniversaries
during the previous month.
c. Premium adjustments outstanding on changes in reinsurance and previous
accounting statement entries.
Lutheran Mutual will include with its statement, a remittance for the
balance due Connecticut General. If the balance is due Lutheran Mutual, then
Connecticut General will promptly remit the amount of such balance to
Lutheran Mutual.
-5-
The payment of reinsurance premiums in accordance with the terms of the
preceding paragraph will be a condition precedent to the liability of
Connecticut General under reinsurance covered by this agreement. If
reinsurance premiums due Connecticut General are not paid by Lutheran Mutual
within sixty days of the due date described above, Connecticut General will
have the right to terminate the reinsurance under the cessions for which
premiums are in default. If Connecticut General elects to exercise its right
of termination, it will give Lutheran Mutual thirty days' written notice of
termination. If all reinsurance premiums in default, including any which may
become in default during the thirty-day period, are not paid before the
expiration of such period, Connecticut General will thereupon be relieved of
future liability under all reinsurance for which premiums remain unpaid.
Prior to January 15 of each year, Lutheran Mutual will forward Connecticut
General any information necessary to complete the Annual Statement. Such
information will be supplied in substantial accord with Schedule C - Section
II, attached hereto.
DATA REQUIREMENTS
-----------------
Lutheran Mutual will provide Connecticut General with details pertaining to
the policies reinsured hereunder when and as requested by Connecticut
General.
Article 12
----------
CLAIM PROCEDURES
----------------
Lutheran Mutual will notify Connecticut General of each claim promptly
after first receipt of such information.
Connecticut General will abide the issue as settled between Lutheran Mutual
and its claimant, whether with or without contest, and the claim proofs
accepted by Lutheran Mutual will also be accepted by Connecticut General,
provided, however, that in any case where the amount of life or other
reinsurance carried by Lutheran Mutual in Connecticut General and in force
at the time of claim is greater than four times the amount of such coverage
retained by Lutheran Mutual, Lutheran Mutual will obtain Connecticut
General's recommendation before conceding any liability to or making any
settlement with its claimant.
Lutheran Mutual will furnish Connecticut General with copies of the claim
proofs and will notify Connecticut General of the payment of the claim, and
Connecticut General will then pay its portion of the claim to Lutheran
Mutual.
-6-
CLAIM PAYMENTS
--------------
In settlement of any death claim, Connecticut General will pay one sum
regardless of the method of settlement under the original policy. In
settlement of any Disability Waiver of Premium claim, Connecticut General
will pay Lutheran Mutual the reinsured portion of each gross premium waived.
CONTESTED CLAIMS
----------------
Lutheran Mutual will notify Connecticut General of its intention to contest,
compromise or litigate a claim involving reinsurance, and Connecticut
General will pay its share of the payment and specific expenses, including
legal or arbitration costs, special investigations or similar expenses, but
excluding salaries of employees, therein involved, unless it declines to be
a party to the contest, compromise or litigation, in which case it will pay
Lutheran Mutual the full amount of the reinsurance. In the event that
Connecticut General agrees to be a party to the contest, it will also pay
its pro rata portion of any penalties, attorneys fees, and interest imposed
automatically by statute against Lutheran Mutual and arising solely out of a
judgement being rendered against Lutheran Mutual as a result of the
contested claim.
EXTRA-CONTRACTUAL DAMAGES
-------------------------
Connecticut General assumes no liability under this Agreement or otherwise
for any extra-contractual damages, including, but not limited to
consequential, compensatory, exemplary or punitive damages, which are
awarded against Lutheran Mutual, its agents or representatives in connection
with a claim or any aspect of the insurance reinsured under this Agreement,
or which Lutheran Mutual voluntarily pays in settlement of a dispute or
claim.
If Connecticut General agrees to a denial of a claim, it will, however,
participate in extra-contractual damages awarded against Lutheran Mutual as
a proximate result of Connecticut General's gross negligence or intentional
wrongdoing. The extent of such participation by Connecticut General is
dependent upon a good faith assessment of culpability in such case to be
determined by Connecticut General and Lutheran Mutual. If the parties are
unable to agree on the proportionate shares of culpability, the issue will
be determined by arbitration in accordance with Article 16. Notwithstanding
the above, in no event shall Connecticut General's participation exceed its
proportion of the total risk accepted by it for the plan of insurance
involved.
-7-
If Connecticut General does not agree to denial of a claim, it may decline
to be a party to the suit and may instead pay its proportional share of the
contractual claim liability to Lutheran Mutual. Any extra-contractual
damages assessed against Lutheran Mutual based on its denial of the claim or
any expenses or attorneys' fees resulting from resistance of the claim shall
then be the sole responsibility of Lutheran Mutual.
MISSTATEMENTS OF AGE OR SEX
---------------------------
Whenever the amount of insurance on a policy reinsured hereunder is
increased or reduced because of a misstatement of age or sex established
after the death of the insured, the two companies will share in such
increase or reduction in proportion to the respective net liabilities
carried by the two companies on the policy immediately prior to the
adjustment.
INSOLVENCY
----------
All reinsurance under this agreement will be payable by Connecticut General
directly to Lutheran Mutual, its liquidator, receiver or statutory successor
on the basis of the liability of Lutheran Mutual under the policy or
policies reinsured, without diminution because of the insolvency of Lutheran
Mutual. It is understood, however, that in the event of such insolvency, the
liquidator or receiver or statutory successor of Lutheran Mutual will give
written notice of the pendency of a claim against Lutheran Mutual on the
policy reinsured within a reasonable time after such claim is filed in the
insolvency proceedings, and that during the pendency of such claim
Connecticut General may investigate such claim and interpose, at its own
expense, in the proceedings where such claim is to be adjudicated, any
defense or defenses which it may deem available to Lutheran Mutual or its
liquidator or receiver or statutory successor.
It is further understood that the expense thus incurred by Connecticut
General will be chargeable, subject to court approval, against Lutheran
Mutual as part of the expense of liquidation to the extent of a
proportionate share of the benefit which may accrue to Lutheran Mutual
solely as a result of the defense undertaken by Connecticut General. Where
two or more reinsurers are involved in the same claim and a majority in
interest elect to interpose defense to such claim, the expense will be
apportioned in accordance with the terms of the reinsurance agreement as
though such expense had been incurred by Lutheran Mutual.
-8-
Article 13
----------
RECAPTURES
----------
Whenever Lutheran Mutual increases its maximum limit of retention for new
business, it will have the option of recapturing a corresponding amount of
insurance on each life reinsured under this agreement, provided that
reinsurance will not be so recaptured before the end of the respective
tenth policy year of any given cession. Reinsurance will be eligible for
recapture on each life on which Lutheran Mutual has maintained its maximum
limit of retention, as shown in Schedule A, for the age, plan and mortality
classification of the risk at time of issue. Special limits for specific
underwriting hazards or impairments will not be considered to be maximum
limits of retention.
Lutheran Mutual will, within ninety days after the effective date for its
increase in retention of new issues, notify Connecticut General of its
intention to exercise its option to recapture and the effective date such
recapture is to commence. Reinsurance in force will then be reduced, as
herein provided, on the respective anniversary date next following, or the
tenth anniversary date, where applicable. If recapture as provided above is
elected by Lutheran Mutual, then all reinsurance eligible for such
recapture will be similarly recaptured. Recapture will commence with the
effective date established by Lutheran Mutual and will continue
uninterrupted by Lutheran Mutual until all eligible policies have been
recaptured.
Notwithstanding the above, whenever reinsurance is issued hereunder on the
conversion of a policy originally reinsured under this or any other
agreement between the two companies, the recapture provisions applicable to
the original reinsurance will continue to apply to the reinsurance of the
new policy.
The reduction in each risk will be of such an amount as will increase
Lutheran Mutual's share in the risk to its new maximum limit of retention
for the age, plan and mortality classification at time of issue. If
reinsurance is in force with other companies on a given risk, the reduction
in the reinsurance in Connecticut General will be that proportion of the
total reduction indicated which the reinsurance in Connecticut General is
of the total amount reinsured.
Article 14
----------
EXPERIENCE REFUNDS
------------------
Life reinsurance accepted under this agreement will not be eligible for
experience refunds.
-9-
Article 15
----------
RIGHT TO INSPECT
----------------
Connecticut General may, at all reasonable times, inspect in the offices of
Lutheran Mutual the original papers, records, books, files and other
documents referring to the business covered by this agreement.
Article 16
----------
OVERSIGHTS
----------
If nonpayment of premiums within the time specified or failure to comply
with any of the other terms of this agreement is shown to be unintentional
and the result of oversight or misunderstanding on the part of either
Lutheran Mutual or Connecticut General, this agreement will not be
considered abrogated thereby, but both Lutheran Mutual and Connecticut
General will be restored to the position they would have occupied had no
such oversight or misunderstanding occurred.
ARBITRATION
-----------
Should a disagreement arise between the two companies regarding the rights
or liabilities of either company under any transaction under this
agreement, the same will be referred to arbitrators, one to be chosen by
each company from among the officers of other life insurance companies and
a third to be chosen by the said two arbitrators before entering upon
arbitration. If one of the parties declines to appoint an arbitrator, or if
the two appointed arbitrators are unable to agree on the choice of a third,
then the President of the American Council of Life Insurance will be
requested to make such selection. The arbitrators will regard this document
as an honorable agreement and not merely as a legal obligation, and their
decision will be final and binding upon both companies.
The place of meeting of the arbitrators will be decided by a majority vote
of the members thereof. All expenses and fees of the arbitrators will be
borne equally by Lutheran Mutual and Connecticut General (unless the
arbitrators decide otherwise).
-10-
Article 17
----------
DURATION OF AGREEMENT
---------------------
This agreement will take effect as of August 1, 1983. It is not limited in
duration, but may be amended at any time by mutual consent of the two
companies and may be terminated as to further new reinsurance at any time by
either company upon three months' notice by registered letter. Such
termination as to new reinsurance will not affect existing reinsurance which
will remain in force until the termination or expiry of each individual
reinsurance in accordance with the terms and conditions of this agreement
provided, however, that Connecticut General will not be liable under this
agreement for any claims or premium refunds which are not reported to
Connecticut General within 180 days following the termination or expiry of
all reinsurance reinsured hereunder.
In witness whereof, this agreement is signed in duplicate on the dates indicated
at the home office of each company.
LUTHERAN MUTUAL LIFE INSURANCE COMPANY
By /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
---------------------------------------------------
▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇▇. V.P. - Gen. Counsel & Secy.
Date June 12, 1985
-------------------------------------------------
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
By /s/ Signature
---------------------------------------------------
Date March 27, 1985
-------------------------------------------------
-11-
SCHEDULE A
----------
Maximum Combined Limits of Retention of Century Life and Lutheran Mutual
Life Insurance*
--------------
Standard
--------
All Ages $300,000
Substandard
-----------
Age A & AA B & BB C-D E-F H-J L-P
--- -------- -------- -------- -------- -------- -------
0-50 $300,000 $265,000 $225,000 $180,000 $115,000 $60,000
51 289,000 255,000 217,000 173,000 111,000 58,500
52 278,000 245,000 208,000 167,000 106,000 56,000
53 266,000 235,000 200,000 160,000 102,000 53,500
54 255,000 225,000 191,000 153,000 98,000 51,000
55 244,000 215,000 183,000 146,000 93,000 49,500
56 233,000 205,000 174,000 140,000 89,000 47,000
57 221,000 195,000 166,000 133,000 85,000 44,500
58 210,000 186,000 158,000 126,000 81,000 42,000
59 199,000 176,000 149,000 119,000 76,000 40,500
60 188,000 166,000 141,000 113,000 72,000 38,000
61 176,000 156,000 132,000 106,000 68,000 35,000
62 165,000 146,000 124,000 99,000 63,000 33,000
63 154,000 136,000 115,000 92,000 59,000 31,500
64 143,000 126,000 107,000 86,000 55,000 29,000
65 131,000 116,000 98,000 79,000 50,000 26,500
66 120,000 106,000 90,000 72,000 46,000 24,000
67 109,000 96,000 82,000 65,000 42,000 22,500
68 98,000 86,000 73,000 59,000 37,000 20,000
69 86,000 76,000 65,000 52,000 33,000 17,500
70 75,000 66,000 56,000 45,000 29,000 15,000
*Lutheran Mutual will retain such additional amounts as will serve to avoid
reinsurance cessions for amounts of less than $15,000.
Disability Waiver of Premium Benefit
------------------------------------
$150,000 of total premium
Accidental Death Benefit**
------------------------
$100,000
**Lutheran Mutual will retain such additional amounts as will serve to avoid
reinsurance cessions for amounts of less than $10,000.
SCHEDULE A
APPLICATION FOR REINSURANCE
[] COINSURANCE [] YRT
TO
CONNECTICUT GENERAL REINSURANCE
CONNECTICUT GENERAL LIFE INSURANCE COMPANY; ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇
---------------------------------------------------------------------------------------------------------------------------------
A. APPLICATION NAME OF INSURED SEX AGE
[] AUTOMATIC [] Nearest birthday
[] FACULTATIVE [] M [] F [] Last birthday
Is this your first -------------------------------------------------------------------------------------------------------
notice of application DATE OF BIRTH STATE OF BIRTH STATE OF RESIDENCE OCCUPATION
to us on this case? -------------------------------------------------------------------------------------------------------
[] Yes [] No LIFE
-------------------------------------------------------------- DISABILITY ACCIDENTAL
Basic Term Rider Total DEATH
---------------------------------------------------------------------------------------------------------------------------------
Previous Inforce
---------------------------------------------------------------------------------------------------------------------------------
Retention
---------------------------------------------------------------------------------------------------------------------------------
Current Application
---------------------------------------------------------------------------------------------------------------------------------
Proposed Retention
---------------------------------------------------------------------------------------------------------------------------------
Rating
---------------------------------------------------------------------------------------------------------------------------------
Total Retention
---------------------------------------------------------------------------------------------------------------------------------
Reinsurance Applied For
---------------------------------------------------------------------------------------------------------------------------------
Is reinsurance being submitted elsewhere? [] Yes [] No OUTSTANDING REQUIREMENTS
Will policy contain aviation exclusion provision? [] Yes [] No
Does application represent exercise of a guaranteed-insurability option? [] Yes [] No
--------------------------------------------------------------------------------------------
It is assumed that the MIB Pre-notification form has been given to this applicant and
the insurer authorization has been signed. If not, please explain under REMARKS.
--------------------------------------------------------------------------------------------
Please indicate codes your company is reporting to MIB
---------------------------------------------------------------------------------------------------------------------------------
REMARKS CEDING COMPANY
[] BULK ADMINISTRATION By _____________ Date _____________
---------------------------------------------------------------------------------------------------------------------------------
IF THIS FORM IS BEING PREPARED TO SERVE AS AN AMENDED CESSION, PLEASE DESTROY THIS COVER SHEET AND ENTER INFORMATION ONTO
REMAINING PORTION OF FORM, INDICATING IN REMARKS SECTION THAT CESSION IS BEING AMENDED.
B 9201 Cat. #259580
APPLICATION FOR REINSURANCE
[] COINSURANCE [] YRT
TO
CONNECTICUT GENERAL REINSURANCE
CONNECTICUT GENERAL LIFE INSURANCE COMPANY; ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇
----------------------------------------------------------------------------------------------------------------------------------
A. APPLICATION NAME OF INSURED SEX AGE
[] AUTOMATIC [] Nearest birthday
[] FACULTATIVE [] M [] F [] Last birthday
Is this your first ----------------------------------------------------------------------------------------------------------
notice of application DATE OF BIRTH STATE OF BIRTH STATE OF RESIDENCE OCCUPATION
to us on this case? ----------------------------------------------------------------------------------------------------------
[] Yes [] No LIFE
-------------------------------------------------------------- DISABILITY ACCIDENTAL
Basic Term Rider Total DEATH
----------------------------------------------------------------------------------------------------------------------------------
Previous Inforce
----------------------------------------------------------------------------------------------------------------------------------
Retention
----------------------------------------------------------------------------------------------------------------------------------
Current Application
----------------------------------------------------------------------------------------------------------------------------------
Proposed Retention
----------------------------------------------------------------------------------------------------------------------------------
Rating
----------------------------------------------------------------------------------------------------------------------------------
Total Retention
----------------------------------------------------------------------------------------------------------------------------------
Reinsurance Applied For
----------------------------------------------------------------------------------------------------------------------------------
Is reinsurance being submitted elsewhere? [] Yes [] No OUTSTANDING REQUIREMENTS
Will policy contain aviation exclusion provision? [] Yes [] No
Does application represent exercise of a guaranteed-insurability option? [] Yes [] No
--------------------------------------------------------------------------------------------
It is assumed that the MIB Pre-notification form has been given to this applicant and
the insurer authorization has been signed. If not, please explain under REMARKS.
--------------------------------------------------------------------------------------------
Please indicate codes your company is reporting to MIB
----------------------------------------------------------------------------------------------------------------------------------
REMARKS CEDING COMPANY
[] BULK ADMINISTRATION By ___________ Date _____________
----------------------------------------------------------------------------------------------------------------------------------
LIFE
B. YRT CESSION ----------------------------------------------------------- DISABILITY ACCIDENTAL
Basic Term Rider Total DEATH
----------------------------------------------------------------------------------------------------------------------------------
Current Issue
-------------------------------------------------------------------------------------------------------------------- <- DO NOT
Retention | COMPLETE
-------------------------------------------------------------------------------------------------------------------- | IF SAME
Reinsurance | AS
-------------------------------------------------------------------------------------------------------------------- | SECTION A
Rating <- ABOVE
----------------------------------------------------------------------------------------------------------------------------------
CEDING COMPANY'S POLICY NUMBER PLAN OF ORIGINAL POLICY RESERVE BASIS
---------------------------------------------- (Mortality Table) (Interest Rate) (Method)
POLICY DATE AGE [] ANB
[] ALB
----------------------------------------------
SHORT TERM FROM ▇▇▇'L PREMIUM TO BE WAIVED
----------------------------------------------------------------------------------------------------------------------------------
C. REINSURANCE NOT REQUIRED
---------------------------
[] Filed as incomplete [] Policy not placed
[] Amount placed within our retention [] Reinsurance placed elsewhere
B 9201 Cat. #259580 SCHEDULE B
APPLICATION FOR REINSURANCE
[] COINSURANCE [] YRT
TO
CONNECTICUT GENERAL REINSURANCE
CONNECTICUT GENERAL LIFE INSURANCE COMPANY; ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇
----------------------------------------------------------------------------------------------------------------------------------
A. APPLICATION NAME OF INSURED SEX AGE
[] AUTOMATIC [] Nearest birthday
[] FACULTATIVE [] M [] F [] Last birthday
Is this your first ----------------------------------------------------------------------------------------------------------
notice of application DATE OF BIRTH STATE OF BIRTH STATE OF RESIDENCE OCCUPATION
to us on this case? ----------------------------------------------------------------------------------------------------------
[] Yes [] No LIFE
----------------------------------------------------------- DISABILITY ACCIDENTAL
Basic Term Rider Total DEATH
----------------------------------------------------------------------------------------------------------------------------------
Previous Inforce
----------------------------------------------------------------------------------------------------------------------------------
Retention
----------------------------------------------------------------------------------------------------------------------------------
Current Application
----------------------------------------------------------------------------------------------------------------------------------
Proposed Retention
----------------------------------------------------------------------------------------------------------------------------------
Rating
----------------------------------------------------------------------------------------------------------------------------------
Total Retention
----------------------------------------------------------------------------------------------------------------------------------
Reinsurance Applied For
----------------------------------------------------------------------------------------------------------------------------------
Is reinsurance being submitted elsewhere? [] Yes [] No OUTSTANDING REQUIREMENTS
Will policy contain aviation exclusion provision? [] Yes [] No
Does application represent exercise of a guaranteed-insurability option? [] Yes [] No
--------------------------------------------------------------------------------------------
It is assumed that the MIB Pre-notification form has been given to this applicant and
the insurer authorization has been signed. If not, please explain under REMARKS.
--------------------------------------------------------------------------------------------
Please indicate codes your company is reporting to MIB
----------------------------------------------------------------------------------------------------------------------------------
REMARKS CEDING COMPANY
[] BULK ADMINISTRATION By ___________ Date _____________
----------------------------------------------------------------------------------------------------------------------------------
LIFE
B. YRT CESSION ----------------------------------------------------------- DISABILITY ACCIDENTAL
Basic Term Rider Total DEATH
----------------------------------------------------------------------------------------------------------------------------------
Current Issue
-------------------------------------------------------------------------------------------------------------------- <- DO NOT
Retention | COMPLETE
-------------------------------------------------------------------------------------------------------------------- | IF SAME
Reinsurance | AS
-------------------------------------------------------------------------------------------------------------------- | SECTION A
Rating <- ABOVE
----------------------------------------------------------------------------------------------------------------------------------
CEDING COMPANY'S POLICY NUMBER PLAN OF ORIGINAL POLICY RESERVE BASIS
--------------------------------------------- (Mortality Table) (Interest Rate) (Method)
POLICY DATE AGE [] ANB
[] ALB
---------------------------------------------
SHORT TERM FROM ▇▇▇'L PREMIUM TO BE WAIVED
----------------------------------------------------------------------------------------------------------------------------------
C. REINSURANCE NOT REQUIRED
---------------------------
[] Filed as incomplete [] Policy not placed
[] Amount placed within our retention [] Reinsurance placed elsewhere
B 9201 Cat. #259580 SCHEDULE B
Exhibit A
UNIVERSAL LIFE MONTHLY REPORT
-----------------------------
To: CIGNA RE Date: _______________________
____ CG Business
____ ▇▇▇▇ Business Prepared By: _______________________
From: __________________________ Telephone: _______________________
Account: _______________________ Reinsurance Report Covering
Month of: _______________
SECTION I: ACCOUNTING STATEMENT
-------------------------------
Life Dis. ADB Total
---- ---- --- -----
Reinsurance Premiums:
First Year
Renewal
Total
Claim Payments
Claim Expenses*
Premium Taxes
(____% of Total Premium)
Net Amount Due: Check enclosed for: $________________
Please remit check for: $________________
SECTION II: POLICY EXHIBIT
--------------------------
Number of Reinsurance
Policies Amount at Risk
--------- --------------
In Force Beginning of Month
Plus: Issued (listing attached)
Increased
Revived
Less: Deductions during Month
Death
Expiry
Lapse (listing attached)
Decrease
Recapture
In Force End of Month
Investigation and Settlement
Legal expense
Interest on claims
------------------ -----------------------------------
Claim Expenses SCHEDULE C - SECTION I, PAGE 1
MONHTLY REPORT
(Continued)
--------------
SECTION III: POLICY LISTING
---------------------------
1. The following information must be provided for each policy issued during
the month:
a. Policy number
b. Policy issue date
c. Name of insured
d. Date of birth
e. Plan of insurance
f. Insurance face amount: Life
Insurance face amount: ADB
g. Reinsurance face amount: Life
Reinsurance face amount: ADB
▇. ▇▇▇▇▇ reinsurance premium to be waived
Disability premium paid
i. Automatic/facultative
j. Substandard rating
2. The following information must be provided for every policy i) lapsed, ii)
with a changed substandard rating and/or iii) with a changed reinsurance
amount:
a. Policy number
b. Name of insured
▇. ▇▇▇▇ of birth
d. New reinsurance amount
e. New substandard rating
f. Effective date of change
SCHEDULE C - SECTION I, Page 2
Exhibit B
UNIVERSAL LIFE
ANNUAL STATEMENT MATERIAL
-------------------------
To: CIGNA RE Date: _______________________
____ CG Business
____ ▇▇▇▇ Business Prepared By: _______________________
From: __________________________ Telephone: _______________________
Account: _______________________
Exhibit 8: Aggregate Reserve for Life Policies and Contracts (Reinsurance
--------- Amounts)
Section A - Life Insurance
Valuation Amount of Life
Basis Reinsurance Reserve
--------- ----------- -------
Section D - Accidental Death Benefits
Valuation Amount of ADB
Basis Reinsurance Reserve
--------- ----------- -------
Section E - Disability: Active Lives
Valuation Basis Active Life Reserve
--------------- -------------------
SCHEDULE C - SECTION II, Page 1
ANNUAL IN FORCE LISTING
-----------------------
Detail for policies in force with Connecticut General on December 31, 19____.
Policy Policy Name of Date of Reinsurance Face Reinsurance Net
Number Issue Date Insured Birth Amount (on 12/31) Amount at Risk
------ ---------- ------- ------- ----------------- ---------------
SCHEDULE C - SECTION II, Page 2
SCHEDULE D
----------
YEARLY RENEWABLE TEAM REINSURANCE PREMIUMS
------------------------------------------
Special Lutheran Mutual, Universal Life Rate Program
Non-Experience Rated Basis
Applicable to reinsurance of new business on the Adjustable Life plan.
Life Reinsurance: Premium rates are shown on pages 2 to 5 of this section. The
total life reinsurance premium on standard cessions and on those substandard
cessions with a percentage rating consists of the appropriate rate per $1,000
applied to the amount at risk. Substandard extra premiums are direct multiples
of the standard life premium. On substandard cessions involving flat extra
premiums payable for more than five years, the reinsurance flat extra premium is
20% of the reinsured portion of the gross flat extra premium charged on the
original policy in the first year and 75% in renewal years. When the flat extra
premium is payable for five years or less, the reinsurance flat extra premium is
75% in all years. Reinsurance premiums on substandard risks will revert to the
standard risk basis on the policy anniversary on which the insured attains age
65 or on the 20th policy anniversary, whichever is later.
For joint life cessions with proceeds payable at the first death where the
amount of reinsurance is the same for all lives covered, the total life
reinsurance premium is 95% of the sum of the attained age single life rates
applied to the amount at risk. In all other situations the reinsurance premiums
are calculated as for single life cessions for each life covered.
Disability Waiver of Premium: The monthly waiver of premium rates are shown on
page 6 of this section. In the first policy year the reinsurance premium is
zero. In renewal years the reinsurance premium equals 90% of the gross
disability premium charged on the original policy.
TERM RENEWALS AND TERM CONVERSIONS
----------------------------------
Term renewals and term conversions are considered as continuations of the
original insurance for the purpose of determining the duration and appropriate
premiums thereon.
SCHEDULE D - SECTION I, PAGE 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL NONSMOKER MALE RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED RENEWAL
AGE PREMIUM
-------- -------
20 1.44
21 1.46
22 1.47
23 1.49
24 1.50
25 1.52
26 1.54
27 1.55
28 1.57
29 1.58
30 1.60
31 1.62
32 1.63
33 1.65
34 l.67
35 1.70
36 1.72
37 1.74
38 1.78
39 1.82
40 l.88
41 2.01
42 2.19
43 2.39
44 2.62
45 2.86
46 3.13
47 3.42
48 3.74
49 4.10
50 4.48
51 4.88
52 5.31
53 5.78
54 6.30
55 6.87
56 7.50
57 8.19
58 8.94
59 9.74
60 10.64
61 11.67
62 12.82
63 14.06
64 15.44
65 16.95
66 18.63
67 20.47
68 22.50
69 24.73
70 27.18
71 29.06
72 32.82
73 36.07
74 39.65
75 43.57
76 47.89
77 52.62
78 57.84
79 63.56
80 69.86
81 76.78
82 84.38
83 92.73
84 101.91
85 112.00
86 122.99
87 134.89
88 147.69
89 161.39
90 176.00
91 191.51
92 207.93
93 225.25
94 243.47
THE FIRST YEAR REINSURANCE PREMIUM IS ZERO
JUNE 1984
NO ANNUAL FEE IS APPLICABLE
SCHEDULE D - SECTION I, PAGE 2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL NONSMOKER FEMALE RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED RENEWAL
AGE PREMIUM
-------- -------
20 0.84
21 0.85
22 0.86
23 0.89
24 0.91
25 0.95
26 1.01
27 1.06
28 1.10
29 1.15
30 1.20
31 1.25
32 1.33
33 1.41
34 1.48
35 1.54
36 1.60
37 1.62
38 1.69
39 1.74
40 1.83
41 1.98
42 2.17
43 2.38
44 2.62
45 2.82
46 3.06
47 3.26
48 3.49
49 3.73
50 3.99
51 4.18
52 4.35
53 4.55
54 4.77
55 5.05
56 5.34
57 5.66
58 6.01
59 6.38
60 6.78
61 7.30
62 7.86
63 8.45
64 9.08
65 9.78
66 10.50
67 11.22
68 12.02
69 12.95
70 14.12
71 15.36
72 16.70
73 18.21
74 20.06
75 22.29
76 24.89
77 27.74
78 31.01
79 34.69
80 38.93
81 43.60
82 48.67
83 54.29
84 60.62
85 67.74
86 75.88
87 84.87
88 95.13
89 108.13
90 123.85
91 138.44
92 154.62
93 171.82
94 190.76
THE FIRST YEAR REINSURANCE PREMIUM IS ZERO
JUNE 1984
NO ANNUAL FEE IS APPLICABLE
SCHEDULE D - SECTION I, PAGE 3
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL SMOKER MALE RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED RENEWAL
AGE PREMIUM
-------- -------
1.43
1 1.30
2 1.25
3 1.20
4 1.15
5 1.12
6 1.08
7 1.05
8 1.02
9 1.02
10 1.02
11 1.05
12 1.08
13 1.14
14 1.20
15 1.26
16 1.33
17 1.39
18 1.44
19 1.48
20 1.52
21 1.55
22 1.57
23 1.60
24 1.61
25 1.64
26 1.66
27 1.69
28 1.72
29 1.76
30 1.81
31 1.86
32 1.92
33 1.98
34 2.06
35 2.17
36 2.28
37 2.40
38 2.51
39 2.65
40 2.87
41 3.18
42 3.55
43 3.94
44 4.41
45 4.70
46 5.12
47 5.59
48 6.11
49 6.69
50 7.32
51 8.01
52 8.75
53 9.57
54 10.46
55 11.42
56 12.49
57 13.66
58 14.64
59 15.66
60 16.77
61 18.00
62 19.36
63 20.80
64 22.37
65 24.02
66 26.01
67 28.16
68 30.46
69 32.95
70 35.67
71 38.56
72 41.66
73 45.10
74 48.73
75 52.63
76 57.30
77 62.40
78 68.08
79 74.12
80 80.71
81 88.21
82 96.39
83 105.34
84 115.11
85 125.79
86 137.61
87 150.49
88 163.97
89 178.67
90 194.10
91 209.97
92 228.87
93 244.11
94 282.33
THE FIRST YEAR REINSURANCE PREMIUM IS ZERO
JUNE 1984
NO ANNUAL FEE IS APPLICABLE
SCHEDULE D - SECTION I, PAGE 4
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL SMOKER FEMALE RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED RENEWAL
AGE PREMIUM
-------- -------
1.34
1 1.29
2 1.16
3 1.11
4 1.07
5 1.02
6 0.98
7 0.96
8 0.94
9 0.92
10 0.91
11 0.89
12 0.87
13 0.86
14 0.85
15 0.84
16 0.84
17 0.85
18 0.86
19 0.87
20 0.88
21 0.90
22 0.92
23 0.94
24 0.97
25 1.02
26 1.08
27 1.13
28 1.19
29 1.25
30 1.31
31 1.38
32 1.48
33 1.60
34 1.73
35 1.83
36 1.92
37 2.00
38 2.09
39 2.19
40 2.37
41 2.60
42 2.85
43 3.09
44 3.36
45 3.65
46 3.90
47 4.51
48 4.70
49 5.12
50 5.59
51 6.11
52 6.59
53 6.90
54 7.25
55 7.68
56 8.14
57 8.65
58 9.20
59 9.78
60 10.40
61 11.00
62 11.61
63 12.25
64 12.92
65 13.64
66 14.45
67 15.23
68 16.06
69 17.07
70 18.33
71 19.64
72 21.00
73 22.58
74 24.45
75 26.74
76 29.60
77 32.73
78 36.30
79 40.27
80 44.80
81 49.96
82 55.42
83 61.56
84 68.29
85 75.99
86 84.81
87 94.52
88 105.56
89 119.55
90 136.42
91 151.65
92 168.39
93 186.65
94 205.38
THE FIRST YEAR REINSURANCE PREMIUM IS ZERO
JUNE 1984
NO ANNUAL FEE IS APPLICABLE
SCHEDULE D - SECTION I, PAGE 5
Waiver of Monthly Deduction
Age Rate Age Rate Age Rate Age Rate Age Rate
--- ---- --- ---- --- ---- --- ---- --- ----
0 .10 15 .10 30 .10 45 .22 60 1.03*
1 .10 16 .10 31 .10 46 .25 61 1.03*
2 .10 17 .10 32 .10 47 .28 62 .98*
3 .10 18 .10 33 .10 48 .32 63 .81*
4 .10 19 .10 34 .10 49 .38 64 .42*
5 .10 20 .10 35 .11 50 .45
6 .10 21 .10 36 .11 51 .55
7 .10 22 .10 37 .12 52 .67
8 .10 23 .10 38 .13 53 .84
9 .10 24 .10 39 .14 54 1.06
10 .10 25 .10 40 .14 55 1.34
11 .10 26 .10 41 .15 56 1.65*
12 .10 27 .10 42 .17 54 1.99*
13 .10 28 .10 43 .18 58 2.40*
14 .10 29 .10 44 .20 59 2.86*
*For renewal only
SCHEDULE D - SECTION I, PAGE 6
SCHEDULE D
----------
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS
------------------------------------------
Special Lutheran Mutual, Universal Life Exchange Rate Program
Non-Experience Rated Basis
Applicable to reinsurance of exchanges to the Adjustable Life plan.
Life Reinsurance: Reinsurance premium rates are shown on pages 2 to 5 of this
section. The total life reinsurance premium on standard cessions and on those
substandard cessions with a percentage rating consists of the appropriate rate
per $1,000 applied to the amount at risk. Substandard extra premiums are direct
multiples of the standard premium. On substandard cessions involving flat extra
premiums payable for more than five years, the reinsurance flat extra premium is
20% of the reinsured portion of the gross flat extra premium charged on the
original policy in the first year and 75% in renewal years. When the flat extra
premium is payable for five years or less, the reinsurance flat extra premium is
75% in all years. Reinsurance premiums on substandard risks will revert to the
standard risk basis on the policy anniversary on which the insured attains age
65 or on the 20th policy anniversary, whichever is later.
For joint life cessions with proceed payable at the first death where the amount
of reinsurance is the same for all lives covered, the total life reinsurance
premium is 95% of the sum of the attained age single life rates applied to the
amount at risk. In all other situations the reinsurance premiums are calculated
as for single life cessions for each life covered.
Disability Waiver of Premium: The monthly waiver of premium rates are shown on
page 6 of this section. In all years the reinsurance premium equals 90% of the
gross disability premium charged on the original policy.
EXCHANGES, TERM RENEWALS AND TERM CONVERSIONS
---------------------------------------------
Exchanges, term renewals and term conversions are considered as continuations of
the original insurance for the purpose of determining the duration and
appropriate premiums thereon.
SCHEDULE D - SECTION II, PAGE 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL/MALE NONSMOKER RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED
AGE PREMIUM
-------- -------
20 1.60
21 1.62
22 1.64
23 1.66
24 1.67
25 1.69
26 1.71
27 1.73
28 1.74
29 1.76
30 1.78
31 1.80
32 1.82
33 1.83
34 1.86
35 1.89
36 1.91
37 1.94
38 1.98
39 2.02
40 2.09
41 2.23
42 2.44
43 2.66
44 2.91
45 3.18
46 3.48
47 3.80
48 4.16
49 4.56
50 4.98
51 5.43
52 5.91
53 6.43
54 7.01
55 7.65
56 8.35
57 9.11
58 9.94
59 10.84
60 11.84
61 12.99
62 14.26
63 15.65
64 17.18
65 18.86
66 20.73
67 22.78
68 25.03
69 27.51
70 30.23
71 33.22
72 36.52
73 40.13
74 44.11
75 48.47
76 53.28
77 55.54
78 64.35
79 70.71
80 77.71
81 85.41
82 93.87
83 103.16
84 113.38
85 124.60
86 136.83
87 150.06
88 164.30
89 179.55
90 195.80
91 213.06
92 231.32
93 250.59
94 270.86
4/5/84
SCHEDULE D - SECTION II, PAGE 2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL/FEMALE NONSMOKER RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED
AGE PREMIUM
-------- -------
20 0.93
21 0.94
22 0.96
23 0.99
24 1.01
25 1.06
26 1.12
27 1.17
28 1.23
29 1.28
30 1.34
31 1.39
32 1.48
33 1.57
34 1.65
35 1.72
36 1.78
37 1.81
38 1.88
39 1.94
40 2.04
41 2.20
42 2.41
43 2.64
44 2.91
45 3.13
46 3.41
47 3.63
48 3.88
49 4.15
50 4.44
51 4.65
52 4.84
53 5.06
54 5.30
55 5.62
56 5.95
57 6.30
58 6.68
59 7.09
60 7.55
61 8.12
62 8.75
63 9.40
64 10.10
65 10.88
66 11.69
67 12.49
68 13.38
69 14.41
70 15.71
71 17.09
72 18.57
73 20.26
74 22.32
75 24.90
76 27.69
77 30.87
78 34.50
79 38.59
80 43.31
81 48.51
82 54.15
83 60.40
84 67.44
85 75.37
86 84.42
87 94.42
88 105.83
89 120.29
90 137.78
91 154.01
92 172.01
93 191.15
94 212.22
4/5/84
SCHEDULE D - SECTION II, PAGE 3
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL/MALE SMOKER RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED
AGE PREMIUM
-------- -------
1.24
1 1.20
2 1.09
3 1.04
4 1.00
5 0.97
6 0.93
7 0.91
8 0.89
9 0.88
10 0.89
11 0.91
12 0.94
13 0.99
14 1.04
15 1.10
16 1.15
17 1.20
18 1.26
19 1.28
20 1.32
21 1.34
22 1.37
23 1.39
24 1.40
25 1.42
26 1.45
27 1.47
28 1.50
29 1.53
30 1.58
31 1.62
32 1.67
33 1.72
34 1.79
35 1.88
36 1.99
37 2.09
38 2.18
39 2.31
40 2.50
41 2.76
42 3.09
43 3.42
44 3.74
45 4.08
46 4.45
47 4.85
48 5.31
49 5.81
50 6.36
51 6.96
52 7.61
53 8.31
54 9.09
55 9.93
56 10.86
57 11.87
58 12.72
59 13.61
60 14.57
61 15.64
62 16.83
63 18.07
64 19.44
65 20.88
66 22.61
67 24.47
68 26.47
69 28.64
70 31.00
71 33.51
72 29.64
73 39.19
74 42.35
75 45.73
76 49.80
77 54.22
78 59.17
79 64.42
80 70.14
81 76.66
82 83.77
83 91.55
84 100.04
85 109.32
86 119.59
87 130.78
88 142.50
89 155.27
90 168.68
91 182.48
92 196.99
93 212.15
94 227.98
SCHEDULE D - SECTION II, PAGE 4
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS PER $1000
SPECIAL LUTHERAN MUTUAL/FEMALE SMOKER RATES
NONEXPERIENCED RATED AGE LAST BIRTHDAY
ATTAINED
AGE PREMIUM
-------- -------
1.17
1 1.12
2 1.01
3 0.96
4 0.93
5 0.89
6 0.85
7 0.83
8 0.82
9 0.80
10 0.79
11 0.77
12 0.76
13 0.74
14 0.74
15 0.73
16 0.73
17 0.74
18 0.74
19 0.75
20 0.77
21 0.78
22 0.80
23 0.82
24 0.85
25 0.88
26 0.93
27 0.99
28 1.04
29 1.09
30 1.14
31 1.20
32 1.28
33 1.39
34 1.50
35 1.59
36 1.67
37 1.74
38 1.82
39 1.91
40 2.06
41 2.26
42 2.47
43 2.69
44 2.92
45 3.18
46 3.45
47 4.74
48 4.08
49 4.45
50 4.85
51 5.31
52 5.72
53 5.99
54 6.30
55 6.67
56 7.07
57 7.52
58 7.99
59 8.50
60 9.04
61 9.56
62 10.09
63 10.64
64 11.23
65 11.86
66 12.56
67 13.23
68 13.96
69 14.83
70 15.93
71 17.07
72 18.25
73 19.62
74 21.25
75 23.24
76 25.73
77 28.44
78 31.55
79 35.00
80 38.93
81 43.42
82 48.17
83 53.49
84 59.35
85 66.04
86 73.71
87 82.14
88 91.74
89 103.89
90 118.56
91 131.79
92 146.34
93 161.69
94 178.49
SCHEDULE D - SECTION II, PAGE 5
Waiver of Monthly Deduction
Age Rate Age Rate Age Rate Age Rate Age Rate
--- ---- --- ---- --- ---- --- ---- --- ----
0 .10 15 .10 30 .10 45 .22 60 1.03*
1 .10 16 .10 31 .10 46 .25 61 1.03*
2 .10 17 .10 32 .10 47 .28 62 .98*
3 .10 18 .10 33 .10 48 .32 63 .81*
4 .10 19 .10 34 .10 49 .38 64 .42*
5 .10 20 .10 35 .11 50 .45
6 .10 21 .10 36 .11 51 .55
7 .10 22 .10 37 .12 52 .67
8 .10 23 .10 38 .13 53 .84
9 .10 24 .10 39 .14 54 1.06
10 .10 25 .10 40 .14 55 1.34
11 .10 26 .10 41 .15 56 1.65*
12 .10 27 .10 42 .17 57 1.99*
13 .10 28 .10 43 .18 58 2.40*
14 .10 29 .10 44 .20 59 2.86*
*For renewal only
SCHEDULE D - SECTION II, PAGE 6
SCHEDULE D
----------
YEARLY RENEWABLE TERM REINSURANCE PREMIUMS
------------------------------------------
Special Universal Life Program, Non-Experience Rated Basis
Applicable to reinsurance of the UniVers-ALL Life II plan.
Life Reinsurance: Century Life's Cost of Insurance (COI) rates are shown on
pages 6 and 7 of this section. The total life reinsurance premium on standard
cessions and on those substandard cessions with a percentage rating consists of
the correct percentage from the following table of the appropriate rate per
$1,000 applied to the amount at risk. Substandard premiums are direct multiples
of the standard life premium.
YRT Rates Expressed as a
Percentage of UniVers-ALL
II, Current COI Rates
-------------------------
Type of Business Duration Non-Smoker and Smoker
---------------- -------- ---------------------
New Issues 1 25%
2+ 95%
Exchanges All 95%
Disability Waiver of Premium: In the first policy year the reinsurance premium
is zero. In renewal years the reinsurance premium equals 90% of the gross
disability premium charged on the original policy.
SCHEDULE D - SECTION III, PAGE 1
UNIVERS-ALL LIFE II COST OF INSURANCE RATES
ANNUAL RATES PER $1000
MALE FEMALE
==================================== ====================================
ATT -------CURRENT------- -------CURRENT------- ATT
AGE GUARANTEED STANDARD NONSMOKER GUARANTEED STANDARD NONSMOKER AGE
0 4.43 1.70 3.94 1.58 0
1 1.64 1.64 1.54 1.54 1
2 1.49 1.49 1.38 1.38 2
3 1.43 1.43 1.32 1.32 3
4 1.37 1.37 1.27 1.27 4
5 1.33 1.33 1.22 1.22 5
6 1.28 1.28 1.17 1.17 6
7 1.25 1.25 1.14 1.14 7
8 1.22 1.22 1.12 1.10 8
9 1.21 1.20 1.11 1.06 9
10 1.22 1.20 1.12 1.03 10
11 1.25 1.20 1.13 1.01 11
12 1.29 1.21 1.15 .99 12
13 1.36 1.23 1.19 .97 13
14 1.43 1.26 1.24 .96 14
15 1.50 1.30 1.29 .95 15
16 1.58 1.34 1.36 .95 16
17 1.65 1.37 1.43 .96 17
18 1.72 1.37 1.50 .97 18
19 1.76 1.37 1.58 .98 19
20 1.81 1.37 1.37 1.65 1.00 1.00 20
21 1.84 1.37 1.37 1.72 1.01 1.01 21
22 1.87 1.37 1.37 1.76 1.03 1.03 22
23 1.90 1.37 1.37 1.81 1.05 1.05 23
24 1.92 1.37 1.37 1.84 1.07 1.07 24
25 1.95 1.39 1.37 1.87 1.09 1.08 25
26 1.98 1.41 1.37 1.90 1.13 1.11 26
27 2.01 1.48 1.39 1.92 1.17 1.14 27
28 2.05 1.56 1.41 1.95 1.22 1.18 28
29 2.10 1.67 1.43 1.98 1.25 1.21 29
30 2.16 1.77 1.45 2.01 1.33 1.25 30
31 2.22 1.82 1.47 2.05 1.37 1.28 31
32 2.29 1.87 1.50 2.10 1.43 1.32 32
33 2.36 1.94 1.52 2.16 1.53 1.36 33
34 2.45 2.03 1.56 2.22 1.61 1.40 34
35 2.58 2.11 1.59 2.29 1.69 1.44 35
36 2.72 2.19 1.61 2.36 1.76 1.48 36
37 2.90 2.27 1.64 2.45 1.83 1.52 37
38 3.13 2.36 1.67 2.58 1.92 1.57 38
39 3.39 2.46 1.70 2.72 2.01 1.62 39
40 3.68 2.58 1.76 2.90 2.16 1.67 40
41 4.00 2.82 1.88 3.13 2.37 1.79 41
42 4.35 3.13 2.06 3.39 2.64 1.96 42
43 4.72 3.43 2.24 3.68 2.92 2.13 43
44 5.13 3.77 2.45 4.00 3.21 2.30 44
45 5.59 4.16 2.68 4.35 3.48 2.47 45
46 6.09 4.54 2.90 4.72 3.71 2.61 46
47 6.65 4.97 3.15 5.13 3.92 2.72 47
48 7.27 5.44 3.43 5.59 3.10 2.83 48
49 7.96 5.94 3.71 6.09 4.30 2.94 49
SCHEDULE D - SECTION III, PAGE 2
UNIVERS-ALL LIFE II COST OF INSURANCE RATES
ANNUAL RATES PER $1000
MALE FEMALE
==================================== ====================================
ATT -------CURRENT------- -------CURRENT------- ATT
AGE GUARANTEED STANDARD NONSMOKER GUARANTEED STANDARD NONSMOKER AGE
50 8.71 6.49 4.03 6.65 4.48 3.05 50
51 9.53 7.13 4.40 7.27 4.80 3.25 51
52 10.42 7.83 4.80 7.96 5.12 3.45 52
53 11.39 8.59 5.22 8.71 5.47 3.67 53
54 12.45 9.42 5.69 9.53 5.86 3.92 54
55 13.60 10.34 6.21 10.42 6.33 4.22 55
56 14.87 11.24 6.88 11.39 6.86 4.57 56
57 16.26 12.20 7.64 12.45 7.44 4.96 57
58 17.79 13.26 8.47 13.60 8.09 5.39 58
59 19.46 14.41 9.40 14.87 8.80 5.86 59
60 21.28 15.65 10.43 16.26 9.56 6.38 60
61 23.26 17.00 11.58 17.79 10.23 6.96 61
62 25.43 18.46 12.83 19.46 10.91 7.59 62
63 27.79 20.06 14.24 21.28 11.65 8.27 63
64 30.38 21.78 15.79 23.26 12.42 9.00 64
65 33.22 23.66 17.53 25.43 13.27 9.83 65
66 36.36 25.78 19.38 27.79 14.15 10.64 66
67 39.82 28.09 21.44 30.38 15.03 11.46 67
68 43.60 30.61 23.74 33.22 15.98 12.39 68
69 47.65 33.33 26.27 36.36 17.10 13.46 69
70 51.91 36.32 29.05 39.82 18.49 14.79 70
71 56.34 39.50 32.13 43.60 19.95 16.22 71
72 60.89 42.96 35.54 47.65 21.48 17.77 72
73 65.61 46.75 39.26 51.91 23.24 19.52 73
74 70.65 50.82 43.91 56.34 25.33 21.66 74
75 76.16 55.79 48.50 60.89 28.17 24.50 75
77 82.31 61.62 54.07 65.61 31.65 27.78 76
78 89.22 68.07 60.28 70.65 35.52 31.45 77
79 96.93 75.24 67.12 76.16 39.94 35.66 78
105.35 83.11 74.83 82.31 44.96 40.51 79
80 114.39 91.77 83.40 89.22 50.74 46.14 80
81 123.95 101.63 92.88 96.93 57.37 52.41 81
82 133.92 112.53 103.43 105.35 64.50 59.31 82
83 144.30 124.48 115.05 114.39 72.54 67.00 83
84 155.12 137.83 128.12 123.95 81.57 75.85 84
85 166.47 152.62 142.68 133.92 92.00 85.94 85
86 178.39 168.87 158.48 144.30 103.88 97.41 86
87 191.02 186.70 175.72 155.12 117.06 110.20 87
88 204.57 204.48 193.39 166.47 131.43 124.20 88
89 219.37 220.39 209.03 178.39 147.25 139.68 89
90 235.82 234.03 222.82 191.02 164.29 156.44 90
91 254.44 246.36 235.93 204.57 177.72 170.20 91
92 275.82 261.30 251.68 219.37 193.92 186.81 92
93 300.67 283.40 274.58 235.82 215.81 209.10 93
94 330.70 310.33 302.42 254.44 242.76 236.60 94
SCHEDULE D - SECTION III, PAGE 3