CUNA MUTUAL GROUP                                                                 Certificate of Insurance

CUNA Mutual Insurance Society

P.O. Box 391 ~ 5910 Mineral Point Road ~ Madison, WI 53701-0391     Credit Life

Phone: 800/937-2644                                                                                                Credit Disability

(CalledWe)

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Within 15 days after you receive this Certificate, you have the right to return the Certificate to the credit union for cancellation and any premium paid by you will be immediately returned.

We certify that while we are paid the premiums for the Group Policy by the credit union as they become due, you are insured for the coverage marked in the Schedule, subject to the terms of the Group Policy issued to the credit union.        

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BENEFITS           Benefits are paid to your credit union to pay off or reduce your loan.  If the benefits are more than the balance of your loan, the difference will be paid to you if you are living or to the Beneficiary named by you, if any, or to your estate.  Our payment will completely discharge our liability to the extent of the payment.

                                 Death Benefit.  If you die while you are insured for life coverage, we will pay the principal balance of your loan on the date of your death, plus not more than six (6) months unpaid interest on your loan to that date, not to exceed the Maximum Amount of Life Insurance.

                                 Joint Insured Death Benefit.  If your joint insured dies while insured for life coverage, we will pay on the same basis as above.  Only one (1) death benefit, however, is payable under this Certificate.

                                 Total Disability Insurance Benefit.  If you are insured for disability coverage, we will pay a benefit if you file written proof that you become totally disabled while insured and continue to be totally disabled for longer than the period stated in the Schedule.  Payment will be calculated beginning with the day shown in the Schedule.

                                 The monthly benefit for each month of your disability to be compensated will be equal to the minimum monthly payment required on your loan on the date you become disabled.  For a partial month, each daily benefit will be equal to 1/30 ^th of the monthly benefit.  Our monthly benefit payment will not  exceed the Maximum Monthly Total Disability Benefit stated in the Schedule.

                                 Our  benefit payments will stop on the date: (1) you are not totally disabled anymore; or (2) the insured portion of your loan has been repaid or otherwise stops; or (3) the balance of your loan has been paid by lump sum disability benefit under a credit life insurance policy; or (4) of your death.

                                 Definition of Total Disability.   During the first 12 consecutive months of total disability, Total Disability means that you are not able to perform most of the duties of your occupation because of a medically determined sickness or accidental injury and are under the care and treatment of a physician.  After the first 12 consecutive months of Total Disability, the definition changes and requires that you not be able to perform the duties of any occupation for which you are reasonably qualified by education, training or experience.  You will be required to give us proof of your continuing Total Disability from time to time.

                                 If your Total Disability recurs within seven (7) days after you have recovered from that period of Total Disability, we will consider this a continuation of the period of Total Disability.  However, if your Total Disability recurs more than seven (7) days after you have recovered, we will consider it a new period of Total Disability.

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EXCLUSIONS AND RESTRICTIONS

                                 Misstated Age.  If you stated your are under the Maximum Age for Insurance stated in the Schedule, but you are not, we will return your premium when we discover that and will not pay any benefits.  This also applies to any insurance on your joint insured.

                                 Total Disabilities Not Covered.  We won’t pay a claim for any advance on a loan or return your disability insurance premium if your Total Disability: (1) begins within six (6) months after the Effective Date if insurance on the advance and results from any disease or bodily injury for which you receive medical advice, diagnosis or treatment at any time within the six (6) month period immediately preceding the Effective Date of insurance on the advance; or (2) is a result of normal pregnancy.

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WHEN INSURANCE STOPS

                                 The insurance automatically stops: (1) on the last day of the month in which we receive your written request to stop the insurance; or if earlier; (2) on the last day of the month in which you withdraw your authorization for the addition of charges for the insurance to your loan; or (3) on the last day of the month during which you reach the Maximum Age for Insurance; or (4) the date your loan stops; or (5) on the last day of the month in which you are three (3) months delinquent in any payment on your loan; or (6) on the date the Group Policy stops; or (7) when the balance of your loan has been paid by a lump sum disability benefit under a credit life insurance policy; or (8) on the date of your death; or (9) on the date your loan is transferred to a creditor other than the credit union.

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WHAT THE CONTRACT IS AND HOW STATEMENTS AFFECT IT

                                 The Group Policy, the Application for the Group Policy and the attached Member’s Application are the complete contract of insurance.  All statements made by you are considered to have been made to the best of your knowledge and belief.  No statement can be used to void this insurance or deny a claim unless that statement is signed by you.  After two (2) years from the date of insurance, no statement made by you can be used to void this insurance or deny a claim.  If you stated that you are older than the Maximum Age for Insurance or if insurance is issued over the Maximum Amount, and we do not return your premium within 75 days after we receive it, you are insured for the period the premium would purchase regardless of your actual age.

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HOW TO FILE A LIFE CLAIM

We must be given a claim report, a copy of the member’s loan record’s insurance application/certificate and certified copy of the death certificate (or other lawful evidence) as proof of a life insurance claim.

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HOW TO FILE A TOTAL DISABILITY CLAIM

                                 You must contact us or your credit union about your Total Disability claim when you are eligible for benefits.  Your credit union will provide you with claim forms or you can simply send us written proof of your disability.  That proof must show the date and the cause of the Total Disability and how serious it is, and it must be signed by a physician or chiropractor.  The initial proof should be for the initial period of Total Disability, after you have completed the Waiting Period or Elimination Period.  After that, we will require proof of your continued disability, from time to time.  You must send proof to us within 90 days after your Total Disability stops.  If you cannot send proof to us within 90 days, you must do so as soon as you can.  Unless you have been legally incapable of filing proof of Total Disability, we won’t accept it if it is filed after one (1) year from the time it should have been filed.  You can’t start any legal action until 60 days after you send us proof of your Total Disability and you can’t start any legal action more than three (3) years after you send the proof.

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CONFORMITY WITH STATE STATUTES

                                 Any part of the Group Policy which, on the Effective Date of the Group Policy, conflicts with the statutes of the state where the Group Policy was delivered is changed to conform to the minimum standards of those statutes.

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PHYSICAL EXAMINATION

                                 We, at our own expense, have the right, and you must allow us the opportunity, to examine your person as often as is reasonably required while a claim is pending.