SP-05395 10/05
JPF Advantage FlexTerm
Term Life Insurance
Disability Income Rider Specifi cations
JPF Advantage Solutions
Universal Life Insurance
Discover the Advantage
Underwriting Classes/Issue Ages ...3
Monthly Benefi t Amount ...3
Rider Termination ...3
Reinstatement ...4
Submission Requirements ...4
Rider Coverage Provisions ...5
Monthly Disability Benefi t ...5
Elimination Period ...5
Defi nition of Total Disability ...5
Presumptive Disability ...5
Successive Periods of Total Disability ...5
Concurrent Disability ...5
Contestability...5
Exclusions and Limitations ...5
Premium Waiver ...6
Rider Description
The Disability Income (DI) Rider provides the insured the choice of a monthly income benefi t, which is payable for a maximum of two years in the event that the insured becomes disabled as defi ned by the rider.
Rider Availability
The DI Rider is available only under full (regular) underwriting. The rider will be underwritten separately from the base coverage. A Disability Income Application supplement (BJF-05269) will be required at the time of application. The insured may be the base policy insured on a term or universal life policy or the insured of a Supplemental Term Insurance Rider on Other Insured on a universal life policy. The DI Rider may not be added to an in-force policy, or issued on a policy with Waiver of Premium, Waiver of Monthly Deductions or Waiver of Specifi ed Premium. These waivers may not be added to an in-force policy that previously included a Disability Income Rider that was terminated at the policyowner’s request.
Underwriting Classes/Issue Ages
Issue ages:
20 – 55 (age nearest birthday) Underwriting Classes:
Non-tobacco (available if the base life coverage is rated Preferred Plus, Preferred Non-tobacco, Standard Non-tobacco or Rated Non-tobacco)
Tobacco (available if the base life coverage is rated Preferred Tobacco, Standard Tobacco or Rated Tobacco)
Occupation Classes:
A: No manual duties (e.g., doctors, dentists, secretaries) B: Some manual duties (e.g., carpenters, plumbers, mechanics)
Substandard Issues: The DI Rider is only available on a base policy that is not rated. The rider will not be rated, nor will there be any Substandard Flat Extra added to the rider.
Changes in Class: Changes in class (Tobacco to Non-tobacco) are not allowed during the fi rst policy year. Such changes may occur any time after the fi rst policy year and prior to attained age 100. Revised policy data pages will be sent to the policyowner after a change in class.
Monthly Benefi t Amount
The maximum Monthly Benefi t Amount, set at the time of issue, is the least of: 1. 1.5 percent of the life insurance death benefit
2. 60 percent of the insured’s monthly income (at the time of issue) less any other disability coverage
3. $2,500
Underwriting Requirements: 1. Income verification
2. Life Application and other life requirements (APS, MIB, Labs, etc.) 3. Disability Income Application supplement
The Monthly Benefi t Amount is subject to underwriting and reinsurance availability and may not be changed after issue.
Rider Termination
The DI Rider terminates at the earliest of the following events: 1. The policy anniversary at the insured’s age 60.
2. When coverage terminates under the base life policy (other than for conversion of the underlying life policy and Disability Income Rider).
3. When a Supplemental Term Insurance Rider on Other Insured on a UL policy terminates or expires, if the Disability Income Rider covers the Other Insured. 4. When premiums or monthly deductions are not paid and the policy lapses,
subject to the Grace Period.
5. When the insured requests that the rider be terminated. 6. On the date of the insured’s death.
If, on the date the rider terminates, the insured has a total disability and is eligible for the monthly disability benefi t under the terms of the rider, monthly disability benefi ts will continue to be paid until the earlier of: (1) the date the total disability ends, or (2) the end of the maximum benefi t period.
Reinstatement
The insured may request reinstatement of this rider within six months after the rider ceases to be in force due to the base policy lapsing according to the provisions of the Grace Period. Evidence of insurability is required. If reinstated after 90 days, a new Disability Income Application supplement must be submitted.
The reinstated rider covers only total disability occurring after the eff ective date of reinstatement or a sickness that manifests itself more than 10 days after the eff ective date of reinstatement. There is no coverage under this rider between the lapse date and the date the rider is reinstated.
After the reinstatement, a new contestability period will begin for information disclosed on the reinstatement application.
Submission Requirements
Application:
Complete and submit Disability Income Application supplement, Form BJF-05269. Income Verifi cation:
If insured is a Business Owner: Income Verifi cation (copy of most recent business tax return, including all schedules) is required with application.
If insured is a “Non-Owner” Employee: Income Verifi cation (copy of most recent W2 or pay stub) is only required if the total of benefi ts currently in force and benefi ts applied for exceeds $2,500 per month. Replacements:
If replacing any existing disability coverage, details should be provided in the Replacement question
Rider Coverage Provisions
This is a summary of the rider provisions. Please refer to the contract for complete details.
Monthly Disability Benefi t
If the insured becomes disabled according to the Defi nition of Total Disability, monthly payments of the benefi t amount will be made to the policyowner until the earlier of two years from the date payments commenced, or the date that the insured is no longer totally disabled. Payments will start after the Elimination Period.
Elimination Period
There will be a 90-day elimination period, during which the insured must have a continuous total disability from the same or related sickness or injury. No monthly disability benefi ts are payable during the elimination period unless under the “presumptive disability” feature.
Defi nition of Total Disability
Due to an injury or sickness, the insured is not able to perform all of the material and substantial duties of his or her occupation and the insured is not engaged in any other occupation for wage or profi t for which he or she is qualifi ed by training, education or experience.
Presumptive Disability
The Monthly Disability Benefi t will be paid for the maximum benefi t period and the elimination period will not apply in the event that the insured, as a result of an injury or sickness, suff ers the total and irrecoverable loss of:
1. Sight of both eyes, or 2. Use of both hands or feet, or 3. Use of one hand and one foot.
Successive Periods of Total Disability
Considered to be a single period of total disability unless the insured has resumed an occupation for wage or profi t for a continuous period of six months, or the subsequent total disability results from an unrelated injury or sickness. One elimination period and one maximum benefi t period will apply to each single period of disability.
Concurrent Disability
A period of total disability due to more than one cause is considered a single period of total disability. We will not pay more than the Monthly Disability Benefi t regardless of whether the total disability is due to more than one cause.
Contestability
The DI Rider is incontestable after it has been in force for two years from the issue date of the rider, except in the case of a fraudulent misstatement on the application. A new period of contestability begins if the rider is reinstated and will apply to statements made by the insured on the application for reinstatement.
Exclusions and Limitations
The Monthly Disability Benefi t will not be paid if the total disability results from, or is contributed to by, any of the following:
Attempted suicide while sane or insane, or an intentionally self-inflicted injury.
Committing or attempting to commit an assault or felony.
War or any act of war, declared or undeclared.
The insured being under the influence of alcohol or drugs, excluding those drugs taken as prescribed by a health care provider and taken as prescribed while under the care of a health care provider.
Normal pregnancy or childbirth, except for Total Disability due to complications of pregnancy.
A Pre-existing Condition, meaning a physical condition or mental disorder: 1. Which was misrepresented or not fully disclosed on the application; and 2. Which causes a total disability during the first two years after this rider
is in force.
Mountaineering, sky diving, hang gliding, scuba diving or bungee jumping.
Participating in any form of aviation other than as a fare-paying passenger in a fully licensed passenger-carrying aircraft.
Premium Waiver
Waiver of Premium is not included in the Monthly Disability Benefi t for either the DI Rider or the base life policy. If the rider is attached to a term life insurance policy, premiums will continue to be due on the policy. If the rider is attached to a universal life insurance policy, the cost of insurance will continue to be charged for the whole policy including the rider.
Conversion
If the DI Rider is on a term policy and the term policy is converted to a universal life insurance policy that has the DI Rider available, the DI Rider may be converted to a DI Rider on the universal life policy. The DI Rider on the universal life policy will be at the higher attained age at conversion, issued as a new coverage on the new policy. If the DI Rider is on an Other Insured on a universal life policy and the Supplemental Term Insurance Rider on Other Insured is converted to a universal life policy that has the DI Rider available, the DI Rider may be converted to a DI Rider on the universal life policy. The DI Rider on the universal life policy will be at the higher attained age at conversion, issued as a new coverage on the new policy. This conversion privilege will be non-commissionable. The DI Rider premium does not increase the universal life Target Premium in a conversion.
Jeff erson-Pilot Life Insurance Company 100 North Greene Street
Greensboro, NC 27401 www.myjpf.com
© 2005 Jeff erson Pilot Corporation. All rights reserved.
Please note: Life insurance policies or certifi cates marketed by or through a bank or other fi nancial institution are: Not a Deposit – Not FDIC Insured – Not Insured by any Federal Government Agency – Not Guaranteed by the Bank – May Go Down in Value.
Jeff erson Pilot Financial Insurance Company One Granite Place
