EX-99.(D) VII 7 app10035494x1_ex99dvii.htm FORM OF WAIVER OF MONTHLY CHARGES RIDER Waiver Of Monthly Charges Rider

Item 30. Exhibit (d) vii.

 

 

Waiver Of Monthly Charges Rider

 

This rider provides a benefit if the Insured becomes totally disabled. We discuss this rider, and the rules that apply to it, in the provisions that follow.

 

Rider Part Of

The Policy

   This rider is made a part of this policy as of its Rider Issue Date, in return for the application and the payment of monthly charges for this rider. The Rider Issue Date is shown in the Policy Specifications for this rider. Monthly rider charges are discussed later in this rider. All the provisions of this policy apply to this rider, except for those that are inconsistent with this rider. This rider is in force from its Rider Issue Date or, if later, the date the first premium under this policy is paid.
Rider Benefit    This rider provides a benefit if the Insured becomes totally disabled. We will waive – that is, not deduct from the account value of the policy – the monthly charges for the policy due on specific Monthly Charge Dates.
     This benefit will be provided after the Insured has been totally disabled for four months and all conditions of this rider are met. Subject to the other provisions of this rider, the Monthly Charge Dates for which this benefit will be provided are:
    

•      Any Monthly Charge Date (except the Rider Date) during the first four months of the Insured’s total disability; and

    

•      Any Monthly Charge Date thereafter during the continuance of total disability but before the Insured’s Attained Age reaches 65; and

    

•      All Monthly Charge Dates thereafter, if total disability begins before Attained Age 60 and continues to Attained Age 65.

     For any of these Monthly Charge Dates that have already passed at the time a claim is approved, the account value of this policy will be adjusted to reflect provision of these monthly benefits. The Rider Date is shown in the Policy Specifications for this rider.
     If there is any policy debt while the Insured is totally disabled, the allowance of benefits under this rider does not guarantee that this policy will continue in force.

When Benefits

End

   The benefits under this rider will end when any of the following occurs:
    

•      The Insured is no longer totally disabled; or

    

•      Satisfactory proof of continued total disability is not given to us as required; or

    

•      The Insured refuses or fails to have an examination we require; or

    

•      The day before the Insured’s Attained Age becomes 65, if total disability began when the Insured’s Attained Age was 60 or older.

Exclusions    This rider does not provide any benefit for:
    

•      Any Monthly Charge Date before the Insured’s Attained Age 5;

    

•      Total disability directly caused by any willfully and intentionally self-inflicted injury; or

    

•      Total disability caused by war while the Insured is in the military forces of any country at war or in any civilian noncombatant unit serving with those forces. “War” includes undeclared war and any act of war. “Country” includes any international organization or group of countries.

Limitation On

Right To Increase

Face Amount

   Each increase in the Face Amount of the policy may cause an increase in the benefit amount for this rider. In certain cases, however, benefits under this rider cannot be increased. In those cases, we have the right to refuse an increase in the Face Amount. Those cases are:
    

•      The rider benefits after the increase would exceed our published limits for such benefits;

 

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•      The Insured does not meet our underwriting requirements for the additional rider benefits; and

    

•      A higher rating would apply to the additional rider benefits than to the existing benefits.

     This limitation does not apply to any increase under the policy not requiring evidence of insurability.
Total Disability    Total disability is the incapacity of the Insured that:
    

•      Is caused by sickness or injury; and

    

•      Begins while this rider is in force; and

    

•      For the first 24 months of any period of total disability, prevents the Insured from performing, for compensation, wage or profit, substantially all the duties of the Insured’s occupation; and

    

•      After total disability has continued for 24 months, prevents the Insured from engaging, for compensation, wage or profit, in any occupation the Insured is qualified to perform.

     For the first 24 months of any period of total disability, the Insured’s occupation is the Insured’s usual work, employment, business, or profession at the time total disability began. After total disability has continued for 24 months, any occupation the Insured is qualified to perform means any work, employment, business, or profession the Insured is reasonably qualified to do based on education, training, or experience. Until the Insured reaches an age at which formal education may be legally ended, occupation means attendance at school.
    

Example:    You are a full-time surgeon. You receive an injury to your hands that prevents you from performing surgery, but you can carry on a general medical practice. For the first 24 months, your occupation is surgeon. After that time, your occupation will be any that you are reasonably qualified to do based on your education, training, or experience. Since you can carry on a general medical practice, we would no longer consider you to be totally disabled.

     For some conditions, we consider the Insured to be totally disabled even if the Insured is able to work. These conditions are the total loss of sight of both eyes, or the total loss of use of both hands, or both feet, or one hand and one foot. Any of these will be total disability as long as the loss continues.

Recurrent

Disabilities

   A period of total disability following an earlier period of total disability that was due to the same, or a related, condition may be considered to be a continuation of the earlier period. This depends on how much time passed from the end of the earlier period to the beginning of the current one. If less than 6 months have passed, we will consider it to be a continuation of the earlier period. If 6 months or more have passed, we will consider it to be a new period of disability.
    

Example:    You were totally disabled for 10 months because of a severe knee injury. Two weeks after you recover, your knee fails and you are totally disabled again. We consider this to be a continuation of the earlier period of total disability.

Notice Of Claim    Notice of claim means written notice that the Insured is totally disabled and that a claim may be made under this rider. We require that this notice identify the Insured. Notice given by or for the Owner shall be notice of claim.
     No benefit will be allowed unless this notice is given to us while the Insured is living. However, if it was not reasonably possible to give us notice of claim while the Insured was living, the delay will not reduce the benefit if notice is given as soon as reasonably possible.
Proof Of Claim    Before any benefit is allowed, proof of claim must be given to us at our Home Office. Proof may be given by or for the Owner. Proof of claim means written proof, satisfactory to us, that:

 

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•      The Insured is totally disabled; and

    

•      Total disability began while this rider was in force; and

    

•      Total disability began before the Insured’s Attained Age 65; and

    

•      Total disability has continued for four months.

     We have forms that are to be used to make a claim. They will be sent promptly upon request. As part of the proof of claim, we have the right to require an examination of the Insured at our expense by a physician chosen by us.

When Proof Of

Claim Must Be

Furnished

   Proof of claim must be received at our Home Office within one year after the notice of claim was given to us. However, if it was not reasonably possible to give us proof of claim on time, the delay will not reduce the benefit if proof is given as soon as reasonably possible.

Proof Of

Continued

Disability

   During the first two years after proof of claim is received, we may require satisfactory proof of continued disability at reasonable intervals. After two years, we may require proof not more than once a year. As part of this proof, we have the right to require an examination of the Insured at our expense by a physician chosen by us.
     Proof of continued disability will not be required once the Insured has become Attained Age 65 if total disability began before the Insured was Attained Age 60.
Rider Charges    Each month while this rider is in force, the rider charge equals the Waiver Charge Rate for the Insured’s Attained Age multiplied by the sum of the policy monthly charges for the month excluding the rider charge for this rider. The Waiver Charge Rates are shown in the Policy Specifications for this rider.
Contestability    We can bring legal action to contest the validity of this rider for any material misrepresentation of a fact made in the application for this rider. However, we cannot contest the validity of this rider after it has been in force during the lifetime of the Insured for 2 years after its Rider Issue Date. The Rider Issue Date is shown in the Policy Specifications for this rider.

Termination Of

This Rider

   While monthly charges for this rider are being deducted from the account value of this policy, this rider will continue in force to, but not including, the Policy Anniversary Date on which the Insured’s Attained Age becomes 65. However, any benefits under this rider for which the Insured qualified before termination may be claimed after termination as specified in the Notice Of Claim provision.

Cancellation Of

This Rider

   This rider may be cancelled by the Owner’s written request. Such cancellation will take effect on the policy Monthly Charge Date that is on, or precedes, the date we receive the written request.

 

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY

 

ABC   ABC
PRESIDENT   SECRETARY

 

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