Cover Sheet

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NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE

Principal Office: West Des Moines, IA

In this Policy, North American Company for Life and Health Insurance is referred to as the “Company”. “We”, “Us, “Our”
refers to the Administrative Office listed above. “You” and “Your” refer to the Owner.

This is a legal contract between You and the Company. Read it carefully.
The Company agrees to pay to the Beneficiary the Policy Proceeds payable due to the Insured’s death if the Insured dies
before the Expiry Date while this Policy is in effect. Payment will be made upon receipt at the Administrative Office of due
proof of the Insured’s death. This agreement is subject to the terms of this Policy.

CONSIDERATION - This Policy is issued in consideration of the application(s) and payment of the first Premium.

RIGHT TO EXAMINE POLICY - It is important to Us that You are satisfied with this Policy and that it meets Your insurance
goals. Read it carefully. If You are not satisfied with it, You may return it to the Administrative Office or to Your agent
within 30 days after You receive it. We will then void it as of the Policy Date as though it was never issued and We will
refund all Premiums that have been paid.

If this Policy is issued as a replacement for existing coverage, the Right To Examine Policy time period is 30 days, or any
longer period as may be required by applicable law in the state where the Policy is issued for delivery.

Issued and signed by North American Company for Life and Health Insurance.

Level Term Life Insurance


INSURANCE PAYABLE UPON DEATH BEFORE THE EXPIRY DATE
PREMIUMS PAYABLE TO PREMIUM GUARANTEE PERIOD
NON-RENEWABLE
NON PARTICIPATING - NOT ELIGIBLE FOR DIVIDENDS

ICC17LS181 REV 10-20


Guide to Policy Provisions
Section
Page 1.............. Right to Examine Policy

Schedules ........ Schedule of Policy Benefits

1 ...................... Definitions

2 ...................... Policy Proceeds


2.1 .....................Payment of Proceeds
2.2 .....................Proceeds Payable

3 ...................... General Provisions


3.1 .....................Contract
3.1.1 ..................Entire Contract
3.1.2 ..................Conformity with Interstate Insurance Product Regulation Commission Standards
3.2 .....................Changes to Policy
3.3 .....................Incontestability
3.4 .....................Suicide
3.5 .....................Misstatement of Age or Sex
3.6 .....................Non-Participating
3.7 .....................Ownership and Beneficiary
3.7.1 ..................Owner’s Rights
3.7.2 ..................Change of Owner
3.8 .....................Assignment
3.9 .....................Beneficiary
3.9.1 ..................Change of Beneficiary
3.9.2 ..................Beneficiary Death in Common Event
3.10 ...................Effective Date
3.11 ...................Termination of Coverage

4 ...................... Premiums
4.1 .....................Payment of Premiums
4.2 .....................Grace Period
4.3 .....................Reinstatement

Copies of all applications are attached.

ICC17LS181 REV 10-20

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