
Certificate of Insurance
Level Term Life Insurance
$3,000 Coverage Maximum
DU TRAC COMMUNITY CREDIT UNION
014-0164-0
CUNA MUTUAL GROUP
CUNA Mutual Insurance Society
PO Box 391 - 5910 Mineral Point Road
Madison, WI 53701-0391
Phone: 800-356-2644
We are the CUNA Mutual Insurance Society of Madison, Wisconsin
We have issued a Group Policy of Life Insurance to your Credit Union
You are the MEMBER of the Credit Union who holds this Certificate
THIS CERTIFICATE IS A SUMMARY of the Key Terms of the Group Policy. In the event of a contest, the actual terms of the Group Policy will prevail. For more details, you may inspect the Group Policy at the Credit Union during their business hours.
DO YOU QUALIFY FOR THIS INSURANCE - Members qualify for insurance under the Group Policy subject to the following rules:
1. You qualify for insurance on a deposit if you are at work on the date you make the deposit subject to the following PRE-EXISTING CONDITION LIMITATION. We won't pay a benefit for the deposit if your death results from an illness or injury for which you received medical advice, consultation or treatment within the 6 month period prior to the date you make the deposit. We won't apply this rule if: (a) you die 6 months or more after the date of the deposit, or (b) your savings balance is $500 or less.
"At work" means you are actively working for pay at your job 20 hours a week or more. If you are off work solely because you are on vacation, layoff or other lack of work, or due to a temporary minor illness or injury, you will be considered "at work".
If you are not at work on the date you make a deposit, you qualify for insurance on the deposit subject to the following PRE-EXISTING CONDITION LIMITATION. We won't pay a benefit for the deposit if your death results from an illness or injury for which you received medical advice, consultation or treatment within the 6 month period prior to the date you make the deposit. We won't apply this rule if: (a) you die 6 months or more after the date of the deposit, or (b) your savings balance is $500 or less.
2. You must be under age 70 on the date you make a deposit. If you misstate your age, your insurance, if any, will be determined by your correct age.
3. You are not insured for more than $3,000 in savings. If the balance of your savings exceeds this amount, you are not insured for the excess. If you have savings in more than one account, the limit applies to the sum of your savings in all you accounts with the Credit Union.
You are not insured for any class of savings which has been excluded from coverage or which is not being reported for coverage by the Credit Union. Please see the Credit Union and the Group Policy for details on which savings are not covered.
HERE ARE THE KEY TERMS OF THE GROUP POLICY:
Who Is Insured - Insurance is on the member whose name appears first on the savings account. Second-named members are not insured. All members who qualify for insurance are included for coverage. You do not need to sign up for your insurance to start. For trust accounts, insurance is on the first-named beneficiary of the trust. However, if there is a written trust agreement on file with the Credit Union stating that the trustee is the true owner of the account, then the trustee is the insured person.
Who Pays The Premium - The Credit Union pays the premium. Youpay no direct charge to keep your insurance in force.
Who Do We Pay - If you die while you are insured under the Group Policy, we will pay the proceeds of your insurance to the Credit Union.
Beneficiary - You may name the person to whom you want the proceeds of your insurance paid. See the Credit Union for the form to file. If you do, the Credit Union will pay the proceeds to that person. If no name is on file, the proceeds will go to the same person who gets your savings.
How Much Do We Pay - The amount of your insurance is based on the insured balance of your savings on the date of your death and how old you were on the date of each deposit that makes up that balance as follows:
If your age on the date of an insured
deposit was: |
The amount of your insurance is
equal to: |
| 0-6 months |
25% of that insured deposit |
| 6 months thru 59 years |
100% of that insured deposit |
| 60 years thru 64 years |
50% of that insured deposit |
| 65 years thru 69 years |
25% of that insured deposit |
| 70 years or older |
0% of that insured deposit |
Please note your insurance is based on your age on the date of each deposit for which you are insured and does not decrease as you grow older. Withdrawal of savings will be on a last-in/first-out basis. The insured portion of your savings balance may not exceed $3,000.
How To File A Claim - All claims are filed by the Credit Union. We need a copy of the death certificate as proof of claim.
The Group Policy Can be Changed - The terms of the Group Policy can be changed without prior notice to you. No change, however, can take away any rights which arose prior to the time the change was made.
The Group Policy Can Be Stopped at any time by either CUNA Mutual or the Credit Union after prior notice is given, one to the other.
Right To Convert - If the Group Policy stops and insurance is not replaced by a new policy with similar coverage, or if you leave the Credit Union, you have the right to convert your insurance under the Group Policy to a permanent policy of your own. If you apply to us for your permanent policy within 31 days after your insurance under the Group Policy stops and pay the premium, we will issue a policy to you without evidence of you insurability for any amount not to exceed your insurance under the Group Policy. If you die during this period, we will pay a claim whether you applied for your permanent policy and paid the premium or not.
The following is added to your Certificate of Insurance:
All insured savings deposited before September 1, 1986 which have remained continuously on deposit without interruption shall continue to be insured subject to: (a) a maximum insured savings limit of $3,000 per member; and (b) all other terms of coverage as provided by the Group Policy. For determining the amount of this insurance, your age on the date of deposit shall be your age on October 1, 1961 or your age on the actual date of deposit, whichever date is later. All outstanding previously uninsured savings balances shall be eligible for coverage as though newly deposited on September 1, 1986.
The following is added to your Certificate of Insurance:
All savings balances of members less than $200 are not insured. Your savings balance would become eligible for coverage when the savings balance reaches $200 or more based on your age on the date the $200 savings balance is attained, provided you qualify for insurance on that date.
You are insured for the following specific class(es) of savings:
Main Share Class S-0 Accounts
|