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Sun MaxiLink Prime Policy

This is a non-participating, variable life insurance policy issued by

Sun Life of Canada (Philippines), Inc.


A member of the Sun Life Financial group of companies

Policy Information

Policy Owner
MARIA CHRISTINA M SANTILLAN

Life Insured
MARIA CHRISTINA M SANTILLAN

Policy Number
0828379009

Issue Age of Life Insured


39

Effective Date
Sep 9, 2020

Maturity Date
Sep 9, 2069

This Policy includes:


• Your Policy Details
• Definitions
• General Provisions
• Premium and Charges Provisions
• Benefit Provisions
• Investment Fund Provisions
• Your application for life insurance and related documents
• Additional Benefits

Sun Life of Canada (Philippines), Inc. agrees to provide the benefits described in this variable life insurance
policy according to the policy provisions.

President Corporate Secretary

PLCON00002 The original is the electronic copy, and any print out is a duplicate.

VL11.09.PF 1
POLICY DETAILS

Currency: Philippine Pesos Class: Standard

Summary of Benefits Payable by Sun Life of Canada (Phils.), Inc. Annual Premiums

Basic Benefit:

Sun - 200% of 510,000 (Face Amount) and the Fund Value 30,696.92*
MaxiLink Prime on death of Life Insured subject to the Death Benefit provision

Additional Benefits:

Accidental - a percentage of 510,000 (Principal Sum) if the Life Insured 2,233.80*


Death dies from an accident or sustains accidental bodily injury
Dismemberment which results in loss or losses before SEP 9, 2051
and Disablement and/or disablement before SEP 9, 2041

Critical Illness - 350,000.00 if Life Insured is diagnosed, while living, to have any of 2,194.52^
Benefit the critical illnesses and, where applicable, undergone any of the
specified surgeries, before SEP 9, 2051

Total - the Regular Premiums will be paid during total disability of Life 612.00*
Disability Insured beginning before SEP 9, 2030
____________________
35,737.24

Regular Premiums Payable by Owner


* Due SEP 9, 2020 and QUARTERLY thereafter while Life Insured lives before SEP 9, 2030.
^ Due SEP 9, 2020 and QUARTERLY thereafter while Life Insured lives before SEP 9, 2051.

A grace period of 31 days is allowed to pay each premium.

From
SEP 9, 2020 8,934.31 SEP 9, 2025 9,132.93 SEP 9, 2030 987.88
SEP 9, 2035 1,603.00 SEP 9, 2040 2,310.88 SEP 9, 2045 3,187.63
SEP 9, 2050 4,221.88

*Premium payment period of 10 years is not guaranteed. You may still be required to pay additional
premium after 10 years if the Fund Value is insufficient to pay the charges.

^Changes on renewal of Critical Illness Benefit

VL11.15.PD1 2 Policy No. 0828379009


POLICY DETAILS

Currency: Philippine Pesos Class: Standard

A Premium Charge is a percentage of the Basic Premium, excluding any Extra Premium, in accordance with the Premium Charge
provision. The rates are as shown below:

Policy Year Up to Regular Premium Excess Premium

1 65% 5%
2 5% 5%
3 5% 5%
4 5% 5%
5 5% 5%
6 and up 0% 5%

Monthly Periodic Charge is a percentage of the Basic Premium, excluding any Extra Premium, in accordance with the Monthly
Periodic Charge provision. The rates are as shown below:

Policy Year Monthly Periodic Charge Rate

1 0%
2 40%
3 20%
4 5%
5 5%
6 and up 0%

VL11.09.PD2 3 Policy No. 0828379009


DEFINITIONS

Under this policy, we refer to the Policy Owner or Owner as Insurance Charge is the charge for providing insurance
'you' and 'your', to Sun Life of Canada (Philippines), Inc. as coverage, including coverage for Additional Benefits, if any, in
'we', 'us', 'our' and 'the Company'. this policy as determined in accordance with the Insurance
Charge provision.
Additional Benefit Premium is the annual premium for any
attached Additional Benefit/s including any extra premium Investment Fund means one of the investment funds we offer
and is shown in the Policy Details. under this policy where you may invest your premiums in
accordance with the Investment Fund provision.
Basic Premium is the annual premium for the Basic Benefit
including any extra premium and is shown in the Policy Life Insured is the person whose life is insured under this
Details. policy.

Beneficiary is the person who is entitled to receive the Death Monthly Periodic Charge is the charge imposed in respect of
Proceeds at the Life Insured's death. the Basic Benefit under this policy as shown in the Policy
Details in accordance with the Monthly Periodic Charge
Class means the risk class of the Life Insured and is shown in provision.
the Policy Details. The Class is special if the premium is more
than the standard due to an extra risk. Otherwise, the Class is Policy Anniversary means the same day and month each year
standard. as the Effective Date.

Death Proceeds is the aggregate of the death benefit for the Policy Owner or Owner is the person who may exercise the
Basic Benefit as determined in accordance with the Death rights of ownership while the Life Insured is living.
Benefit provision and benefits payable to the Beneficiary in
respect of the Life Insured's death under the attached Policy Year means a twelve-month period ending on a Policy
Additional Benefits, if any. Anniversary.

Effective Date is the month, day and year this policy takes Premium Charge is the charge imposed in respect of premiums
effect. payable under this policy as shown in the Policy Details in
accordance with the Premium Charge provision.
Excess Premium is the premium paid in respect of this policy
in addition to annual Regular Premium. Regular Premium means the Basic Premium and the Additional
Benefit Premium, if any, and is shown in the Policy Details.
Face Amount is the Face Amount for the Basic Benefit and is
shown in the Policy Details. The amounts for the Additional Termination Date is the date this policy terminates in
Benefits, if any, are shown separately in the Policy Details. accordance with the Termination provision.

Fund Allocation Instruction is your written instruction Unit means a notional allocation of premium in an Investment
regarding how you would like your premiums, after Fund used for the purpose of determining the Fund Value. A
deducting the Premium Charge, to be allocated to the various fraction of less than one tenth of a Unit will not be created or
Investment Funds offered under this policy. will be cancelled.

Fund Management Charge is the charge imposed by the Unit Price of an Investment Fund is the price for creating or
Company for managing the Investment Fund as determined canceling a Unit of the Investment Fund as determined in
in accordance with the Fund Management Charge provision. accordance with the Valuation provision.

Fund Value is the aggregate of the number of outstanding Valuation Date is the day on which the net asset value of the
Units of each Investment Fund allocated to this policy Investment Fund is determined in accordance with the
multiplied by their respective Unit Prices on the relevant Valuation provision.
Valuation Date.

DF100.09.2 4 Policy No. 0828379009


GENERAL PROVISIONS

ENTIRE CONTRACT Your entire contract with us consists of this policy, the attached copy of the application,
proposal illustration, other policy forms, any endorsement and any amendments agreed
upon in writing after this policy is issued. The benefits payable under the Basic Benefit
of this policy are linked to the performance of the Investment Fund/s chosen by you.

Only the President, a Vice-President, the Actuary or the Secretary of the Company can
agree to any change in the contract or to any waiver of its rights or requirements and
then only in writing.

NON-PARTICIPATING This policy does not provide for participation in the distribution of surplus or profits
that may be declared by us.

CURRENCY AND All amounts payable either to or by us will be in the currency specified in the Policy
PLACE OF PAYMENT Details. We will make or accept payments at any of our offices or such other location as
determined by us from time to time.

INCONTESTABILITY After this policy has been in force during the lifetime of the Life Insured for a period of
two years from its Effective Date or from the last reinstatement, it will be incontestable
except for non-payment of Premium Charges, Monthly Periodic Charges and Insurance
Charges or any other ground recognized by law and jurisprudence.

The two year contestability period will likewise apply to any increase in death benefit
due to any payment of Excess Premium.

For any benefit other than death stated under Basic and Additional Benefits, it will be
considered contestable if the date of the diagnosis, confinement or occurrence of any
covered event falls within two years from the date the benefit comes into force or its last
reinstatement.

Where no benefit is payable, we will pay only the sum of Premium Charges, Monthly
Periodic Charges and Insurance Charges paid, plus the Fund Value. Under this
provision, the amount of Premium Charges, Monthly Periodic Charges and Insurance
Charges paid is calculated from the Effective Date or date of last reinstatement,
whichever is later. If the Life Insured is living, the Fund Value is calculated with the
respective Unit Prices of the relevant Investment Fund/s on the Valuation Date on
which outstanding Units allocated to this policy are cancelled. The Units of the relevant
Investment Fund/s will be cancelled on the Valuation Date immediately following the
date the policy is cancelled based on any of the occurrences stated in Section 64 of the
Insurance Code. If the Life Insured dies, the Fund Value is calculated in accordance with
the Death Benefit provision.

SUICIDE We will not be liable if the Life Insured dies by suicide less than two years after the
Effective Date or date of last reinstatement of this policy; provided, however, that
suicide committed in the state of insanity will be compensable regardless of the date of
commission.

The same rule will likewise apply to any increase in death benefit due to any payment of
Excess Premium on death of the Life Insured by suicide less than two years from such
payment.

Where death benefit is not payable, we will pay only the sum of Premium Charges,
Monthly Periodic Charges and Insurance Charges paid, plus the Fund Value. Under this
provision, the amount of Premium Charges, Monthly Periodic Charges and Insurance
Charges paid is calculated from the Effective Date or date of last reinstatement,
whichever is later. The Fund Value is calculated in accordance with the Death Benefit
provision.

GP100216.2 5 Policy No. 0828379009


GENERAL PROVISIONS (cont.)

MISSTATEMENT OF If the Life Insured's age or sex has been misstated, the Face Amount and any
AGE OR SEX Additional Benefits payable under this policy will be adjusted to the amount
which the premiums would have bought for the correct age or sex as of the
Effective Date.

If based on the correct age, the Life Insured is not eligible for any insurance under
this policy or its Additional Benefits, we will refund the sum of premiums paid less
any fund withdrawal(s) made under this policy.

RIGHTS While the Life Insured is living, you may exercise all rights provided by this policy,
to the extent permitted by law. This will be subject to the consent of all
Beneficiaries designated as irrevocable Beneficiaries while they exist. If you die
before the Life Insured, all of your rights shall pass to the Life Insured.

ASSIGNMENTS This policy may be assigned. We will not be bound by any assignment unless it is
in writing, filed with, and received by, us at the Company's office. Any filing will
be without prejudice to us as to any payment we made before receipt of the
assignment in accordance with the provisions hereof. We are not responsible for
the validity or legality of any assignment.

BENEFICIARY Beneficiary will be as named in the application.

Beneficiaries are classified either as Primary or as Contingent. Unless otherwise


specified, surviving Beneficiaries within a class (Primary or Contingent) will share
equally. The benefit proceeds are payable to the Primary Beneficiaries or in their
absence, to the Contingent Beneficiaries. Moreover, if no Beneficiary survives the
Life Insured, the benefit proceeds are payable to you, if living, otherwise, to the
estate of the Life Insured.

COOLING OFF PERIOD If you are not completely satisfied with this policy, you may send us a written
notice to cancel your policy. Such notice must be signed by you, sent direct to and
received at the Company's office within 20 days from the date the policy was
electronically transmitted to you.

When we receive your written request, we will then refund the Fund Value of the
Units including initial charges thereof. This will result to the cancellation of the
policy.

The Fund Value is calculated with the respective Unit Prices of the relevant
Investment Fund/s on the Valuation Date on which outstanding Units allocated to
this policy are cancelled. The Units of the relevant Investment Fund/s will be
cancelled on the Valuation Date immediately following the date we receive at the
Company's office the written notice of your request for policy cancellation.

The Cooling Off Period will commence on the date that this policy was
electronically transmitted to you.

All our obligations and liabilities under this policy will end immediately when we
receive your notice to cancel it.

GP101220.1 6 Policy No. 0828379009


GENERAL PROVISIONS (cont.)

POLICY SURRENDER You may surrender this policy at any time for its Fund Value. The effective date of
surrender is the date we receive and approve your request for surrender. Once this
policy is surrendered, it will no longer be eligible for reinstatement.

Under this provision, the Fund Value is calculated with the respective Unit Prices
of the relevant Investment Fund/s on the Valuation Date on which outstanding
Units allocated to this policy are cancelled. The Units of the relevant Investment
Fund/s will be cancelled on the Valuation Date immediately following the date of
our approval of the request for surrender.

TERMINATION This policy terminates on the earliest of:

1) the date this policy is surrendered for its Fund Value or the Fund Value is
deemed to be fully withdrawn; or
2) the death of the Life Insured; or
3) the end of the grace period during which the relevant Monthly Periodic
Charges and Insurance Charges can no longer be covered by the Fund Value in
accordance with the Grace Period provision; or
4) the Maturity Date of this policy.

CLAIM SETTLEMENT When making any claim, this policy must be submitted at the authorized office of
the Company together with due proofs for the claim and such other requirements
satisfactory to the Company.

LIMITATION OF No legal action on this policy may be filed after five years from the time the cause
ACTION of action accrues.

GP102-04.2 7 Policy No. 0828379009


PREMIUM AND CHARGES PROVISIONS

PREMIUMS While this policy is in effect, any premium received by us at the Company's office,
after deducting the relevant Premium Charges, is used to create Units in the
relevant Investment Fund/s for allocation to this policy in accordance with the
Fund Allocation Instruction. The Units for the relevant Investment Fund/s will be
created based on the Unit Price of the Investment Fund on the Valuation Date
immediately following the receipt at the Company's office of such premium in
cleared funds.

1) Regular Premium and Excess Premium

While this policy is in effect, you may, in addition to the annual Regular
Premium, pay Excess Premiums subject to our then current administration
rules regarding minimum and maximum amounts. The Company reserves the
right to require evidence of insurability on the Life Insured satisfactory to us
with respect to payment of any Excess Premium.

Any Excess Premium is considered as such only after the annual Regular
Premium has been fully paid.

Regular Premium may be changed by the Company subject to the approval of


the Insurance Commission.

2) Additional Benefit Premium

The Additional Benefit Premium is the premium for any attached Additional
Benefit, and is shown in the Policy Details.

CHARGES 1) Premium Charge

A Premium Charge is imposed in respect of the Basic Benefit starting on the


first policy year. The rates are as shown in the Policy Details. For purposes of
calculating the Premium Charge, the Basic Premium shall exclude any extra
premium.

A Premium Charge is also imposed on all Excess Premiums as shown in


the Policy Details.

The Premium Charge is due on the date the Basic Premium and/or the
Excess Premium are paid, in accordance with the Regular Premium and Excess
Premium provisions. It will be deducted from the Regular Premium and
Excess Premium, if any, upon receipt by us in cleared funds at the Company's
office.

The Premium Charge may be changed by the Company subject to the


approval of the Insurance Commission.

2) Monthly Periodic Charge

A Monthly Periodic Charge is imposed in respect of the Basic Benefit starting


on the second policy year. The rates are as shown in the Policy Details. For
purposes of calculating the Monthly Periodic Charge, the Basic Premium shall
exclude any extra premium.

PC100209.2 8 Policy No. 0828379009


PREMIUM AND CHARGES PROVISIONS (cont.)

CHARGES (cont.) The Monthly Periodic Charge is due monthly in advance on the same day
of the calendar month as the Effective Date. It is deducted from the Fund
Value by cancelling the number of Units allocated to this policy equal in value
to the amount of the charge. If Units of more than one Investment Fund are
allocated to this policy, they will be cancelled in proportion to the respective
values of Units of the relevant Investment Fund/s.

The Units are cancelled on the due date for the Monthly Periodic Charge
based on the Unit Price of the Investment Fund on the Valuation Date
immediately following the said date and in accordance with the Company's
administrative rules.

The Monthly Periodic Charge may be changed by the Company subject to the
approval of the Insurance Commission.

3) Insurance Charge

An Insurance Charge is imposed in respect of the Basic Benefit starting on the


first policy year and in respect of any attached Additional Benefit upon its
effectivity.

The Insurance Charge for the Basic Benefit is calculated by multiplying the
higher of:

a) 200% of the Face Amount, and

b) 500% of the annual Regular premium plus 125% of all Excess Premiums
paid less 125% of all partial withdrawals made less the Fund Value

by the insurance rate determined by the Company from time to time


applicable to the Life Insured with reference to matters including sex, attained
age, smoking habit and risk class of the Life Insured. The Fund Value is
calculated with the respective Unit Prices of the relevant Investment Fund/s on
the Valuation Date immediately following the due date of the Insurance
Charge.

The Insurance Charge for any attached Additional Benefit is equal to the
Premium of the Additional Benefit.

The Insurance Charge is due monthly in advance on the same day of the
calendar month as the Effective Date. It is deducted from the Fund Value by
canceling the number of Units allocated to this policy equal in value to the
amount of the charge. If Units of more than one Investment Fund are
allocated to this policy, they will be cancelled in proportion to the respective
values of Units of the relevant Investment Fund/s. The Units are cancelled on
the due date for the Insurance Charge based on the Unit Price of the
Investment Fund on the Valuation Date immediately following the said due
date and in accordance with the Company's administrative rules.

The Insurance Charge may be changed by the Company subject to the


approval of the Insurance Commission.

PC101.09.2 9 Policy No. 0828379009


PREMIUM AND CHARGES PROVISIONS (cont.)

CHARGES (cont.) 4) Fund Management Charge

A Fund Management Charge is imposed on each Investment Fund as


determined by the Company from time to time. It accrues daily and is
deducted monthly and reflected in the calculation of the net asset value of
each Investment Fund in accordance with the Valuation provision.

The Fund Management Charge may be changed by the Company subject to


the approval of the Insurance Commission.

GRACE PERIOD If the Fund Value calculated with the respective Unit Prices of the relevant
Investment Funds on the due date for the relevant Monthly Periodic Charges and
Insurance Charges is insufficient to cover the relevant Monthly Periodic Charges
and Insurance Charges due, you are allowed a grace period of 31 days from the
due date to pay for the relevant Monthly Periodic Charges and Insurance Charges.
This policy will continue to be in effect during the grace period.

If no premium is received during the grace period to cover the overdue Monthly
Periodic Charges and Insurance Charges, then the policy will lapse after the grace
period. However, during the first year after the Effective Date of the policy, if total
premiums paid less withdrawals is at least equal to the total regular premiums due
as of any given date, the policy will continue to be in effect. Should the Fund Value
become insufficient to cover the relevant Monthly Periodic Charges and Insurance
Charges due, the grace period will commence on the date the total premiums paid
less withdrawals is less than the total regular premiums due or after the first policy
anniversary, whichever is earlier.

In any event, the Fund Value will be reduced by the relevant Monthly Periodic
Charges and Insurance Charges due or becoming due in accordance with the terms
of this policy so that this policy will be in effect for the longest possible period.

Any overdue Monthly Periodic Charges and Insurance Charges will be deducted
from the Death Proceeds and other benefits payable under this policy during the
grace period.

REINSTATEMENT Subject to the approval of the Company, this policy, and Additional Benefits, if
any, may be reinstated at any time within three years from the date when the Fund
Value becomes insufficient to cover the relevant Monthly Periodic Charges and
Insurance Charges due in accordance with the Grace Period provision, provided:

1) this policy has not been surrendered for its Fund Value, in accordance with
the Policy Surrender provision;
2) a written application for reinstatement is submitted to the Company
together with evidence of insurability of the Life Insured satisfactory to the
Company, and
3) all amounts necessary to put this policy back into force are received by the
Company.

Any reinstated policy will only cover loss or insured events which occur after the
date of approval of the reinstatement, subject to the Incontestability provision of
this policy.

PC102108.2 10 Policy No. 0828379009


BENEFIT PROVISIONS

DEATH BENEFIT The death benefit is equal to the aggregate of the Fund Value and 200% of the Face
Amount.

The death benefit, however, will not be less than:

a) 500% of the annual Regular Premium; plus


b) 125% of all Excess Premiums paid; less
c) 125% of all partial withdrawals made.

Under this provision, the Fund Value is calculated with the respective Unit Prices
of the relevant Investment Fund/s on the Valuation Date on which outstanding
Units allocated to this policy are cancelled. The Units of the relevant Investment
Fund/s will be cancelled on the Valuation Date immediately following the date we
receive at the Company's office the written notice of the Life Insured's death.

MATURITY BENEFIT If at the Maturity Date of this policy the Life Insured is living, the designated
Beneficiary on maturity shall receive a maturity benefit equivalent to the Fund
Value at the Maturity Date of this policy.

Under this provision, the Fund Value is calculated with the respective Unit Prices
of the relevant Investment Fund/s on the Valuation Date on which outstanding
Units allocated to this policy are cancelled. The Units of the relevant Investment
Fund/s will be cancelled on the Valuation Date immediately following the
Maturity Date.

TERMINATION If at the Termination Date of this policy other than the Maturity Date, the Life
BENEFIT Insured is living, the Owner shall receive a termination benefit equivalent to the
Fund Value at the Termination Date of this policy.

Under this provision, the Fund Value is calculated with the respective Unit Prices
of the relevant Investment Fund/s on the Valuation Date on which outstanding
Units allocated to this policy are cancelled. The Units of the relevant Investment
Fund/s will be cancelled on the Valuation Date immediately following the
Termination Date.

LOYALTY BONUS A loyalty bonus will be credited to this policy on the tenth (10th) Policy
Anniversary and every fifth (5th) Policy Anniversary thereafter while this policy is
in effect. The amount of the bonus is determined by the Company from time to
time and will only be used to create additional Units for allocation to this policy in
accordance with the Fund Allocation Instruction. The Units of the relevant
Investment Fund/s will be created based on the Unit Price of the Investment Fund
on the Valuation Date immediately following the dates the bonus is credited.

BP100.09.2 11 Policy No. 0828379009


INVESTMENT FUND PROVISIONS

INVESTMENT FUND Each Investment Fund is unitized, segregated from the Company's life funds, and
individually managed for the exclusive interest of its Unit holders. Investment Funds
and all assets in the Investment Funds are solely, legally and beneficially owned by
the Company at all times. The allocation of Units in the Investment Funds to this
policy is notional and is solely for the purpose of determining the Fund Value.

We may designate classes of Units that are available under this policy. We may also
subdivide or consolidate such Units or classes of Units.

The Investment Policy of each of the Investment Funds may be changed with the
prior approval of the Insurance Commission.

INVESTMENT FUND We may from time to time add new Investment Funds to be made available for this
ADDITIONS AND policy. All provisions of this policy will apply to the additional Investment Funds
unless stated otherwise.
CLOSURES
We have the right at any time to close an existing Investment Fund from the purchase
of new Units. We also have the right at any time to terminate an existing Investment
Fund altogether and require the transfer of all Units into other Investment Funds. In
both cases, we will give you no less than 3 months written notice of our intention to
close or terminate an Investment Fund. Unless we receive new instructions from you
before the date specified in the notice given by us, we will:

1) allocate any premiums directed to the closed Investment Fund to one or more
Investment Funds to be selected by us; and
2) select one or more Investment Funds to replace the closing Investment Fund on
your behalf by creating Units in the replacing Investment Fund/s for allocation to
this policy, with proceeds from the cancellation of Units in the closing Investment
Fund, on the Valuation Date of the replacing Investment Fund/s immediately
following the date of closure of the closing Investment Fund.

VALUATION The Company will determine the net asset value and the Unit Price of an Investment
Fund on each Valuation Date of the Investment Fund. The frequency of the Valuation
Date is at the absolute discretion of the Company, but will not be less frequent than
weekly.

In determining the net asset value of an Investment Fund, the Company will comply
with the relevant investment and borrowing restrictions under applicable laws in the
Philippines.

The net asset value of an Investment Fund reflects:


1) all income, gains and losses, whether realized or unrealized, attributable to the
investments within the Investment Fund;
2) all expenses incurred by the Company directly or indirectly upon the purchase
and sale of investments within the Investment Fund;
3) all other expenses incurred by the Company such as but not limited to loan
interests and other costs of borrowing within the Investment Fund, if any;
4) all expenses incurred by the Company directly or indirectly in managing,
maintaining and valuing assets within the Investment Fund;

IF100-04.0 12 Policy No. 0828379009


INVESTMENT FUND PROVISIONS (cont.)

VALUATION (cont.) 5) all taxes or other statutory levies imposed by law or regulatory bodies either
directly or indirectly attributable to the investments within the Investment
Fund;
6) the Fund Management Charge accrued with respect to the Investment Fund.

The Unit Price of an Investment Fund on a Valuation Date is determined by dividing


the net asset value of the Investment Fund on the Valuation Date by the aggregate
number of outstanding Units of the Investment Fund (whether for this policy or
otherwise) on the Valuation Date, with the result being rounded down to the fourth
decimal place.

CREATION OF UNITS While this policy is in effect, Units of an Investment Fund are created using the Unit
Price of the Investment Fund on the relevant Valuation Date immediately following
the date of receipt of premiums at the Company's office in cleared funds. An amount
equal to the number of Units created multiplied by the Unit Price on such Valuation
Date is added to the Investment Fund accordingly.

No Unit of an Investment Fund may be created other than on a Valuation Date of the
Investment Fund.

CANCELLATION OF While this policy is in effect, Units of an Investment Fund are cancelled using the
UNITS Unit Price of the Investment Fund on the Valuation Date on which the Units are
cancelled. An amount equal to the number of Units cancelled multiplied by the Unit
Price is deducted from the Investment Fund accordingly.

No Unit of an Investment Fund may be cancelled other than on a Valuation Date of


the Investment Fund.

FUND SWITCHING While this policy is in effect, you may apply to switch Units of one Investment Fund
allocated to this policy to another Investment Fund subject to the following
conditions:

1) We must receive at the Company's office a valid written application in the form
prescribed by us; and
2) The amount to be switched must not be less than the minimum amount
determined by the Company from time to time; and
3) After the fund switching, the number of Investment Funds for which Units
are allocated to this policy must not be more than the maximum number of
Investment Funds for allocation to this policy determined by the Company from
time to time, subject to a minimum allocation percentage in each Investment
Fund determined by the Company from time to time; and
4) Units of the Investment Fund to be switched from are cancelled on the
Valuation Date of the Investment Fund immediately following the date we receive
and approve your application for fund switching; and
5) Units of the Investment Fund to be switched to are created for allocation to
this policy, with the proceeds from the cancellation of Units of the Investment
Fund switched from, on the Valuation Date immediately following the date we
receive and approve your application for fund switching; and
6) The fund switching will also be subject to any other administrative rules
determined by the Company from time to time; and
7) A fund switching fee as may be determined by the Company may be charged
by us.

IF101-04.0 13 Policy No. 0828379009


INVESTMENT FUND PROVISIONS (cont.)

CHANGE OF FUND You may provide the Fund Allocation Instruction to us at the time of application for
ALLOCATION this policy.
INSTRUCTION The Fund Allocation Instruction shall comply with the minimum allocation
percentage in an Investment Fund and maximum number of Investment Funds to
which the premiums may be allocated as determined by the Company from time to
time. While this policy is in effect, you may apply to change your Fund Allocation
Instruction. Your application for change of Fund Allocation Instruction must be filed
with, and received by, us at the Company's office in the form prescribed by us. Such
change will be effective on the Valuation Date immediately following the date of our
approval of your application.

Any application for change of Fund Allocation Instruction will also be subject to any
other administrative rules determined by the Company from time to time.

FUND WITHDRAWAL While this policy is in effect, you may apply to withdraw part of the Fund Value by
specifying the amount or the number of Units to be withdrawn and the Investment
Fund/s from which such amount or Units shall be withdrawn. Your application for
withdrawal must be filed with, and received by, us at the Company's office in the
form prescribed by us.

The amount of withdrawal is the aggregate of such number of outstanding Units of


the Investment Fund/s to be withdrawn multiplied by the respective Unit Prices on
the Valuation Date on which the Units are cancelled. If there are more than one
Investment Funds and you do not specify the Investment Fund/s from which the
amount requested is to be withdrawn, then the same shall proportionately be taken
from each Investment Fund. The Units of the relevant Investment Fund/s will be
cancelled on the relevant Valuation Date immediately following our approval of your
application. No withdrawal will be allowed if the amount of withdrawal, or the
resultant Fund Value of this policy after withdrawal will be less than the minimum
amounts set by the Company from time to time.

Any fund withdrawal will also be subject to any other administrative rules
determined by the Company from time to time.

EXCEPTIONAL The Company reserves the right, at any time and in its absolute discretion, to
CIRCUMSTANCES AND temporarily suspend or defer the valuation, creation or cancellation of Units of an
Investment Fund under this policy due to exceptional circumstances. Circumstances
LIMITATIONS which the Company, in its sole discretion, may consider exceptional, include but are
not limited to:

1) closure or suspension of dealings on a principal stock exchange; and


2) suspension of valuation or dealings in the investment attributable to
the Investment Fund.

The Company may also limit the number of Units of an Investment Fund (whether
for this policy or otherwise) to be cancelled on any Valuation Date to 10% of the
aggregate number of outstanding Units of the Investment Fund on the Valuation Date
(disregarding any Units which are to be created on the Valuation Date). In such case,
Units of the Investment Fund allocated to this policy will be cancelled on a pro rata
basis. Units not cancelled will be carried forward for cancellation, subject to the same
limitation, on the next Valuation Date of the Investment Fund.

IF102-04.0 14 Policy No. 0828379009


ADDITIONAL BENEFIT
Accidental Death, Dismemberment and Disablement

CONDITIONS a) Death or bodily injury from the accident must occur within one year of the
accident; and

b) the accidental death and bodily injury results directly and independently of
disease, medical or surgical treatment in any of the losses and/or disablement
listed below.

DEFINITIONS Principal Sum means the amount shown on the Policy Details page.

Benefit Amount means the percentage of Principal Sum payable as the amount of
accidental death, dismemberment or disablement benefit.

Loss of hand or foot means severance of hand or foot at or above the wrist or ankle.
Loss of an arm means severance at or above the elbow.
Loss of a leg means severance at or above the knee.
Loss of thumb and finger of one hand means severance through or above the
metacarpophalangeal joints.
Loss of toe means severance at or above metatarsophalangeal joint.
Loss of sight means the total and irrecoverable loss of sight in one or both eyes,
certified by an ophthalmologist's report, as a result of accident.
Loss of hearing means the total and irrecoverable loss of hearing in one or both ears.

Total Disability or Totally Disabled means the life insured, because of injury, is
completely unable, during the first two years, to carry own occupation and thereafter,
to carry on any occupation, and total disability must be continuous.

SCHEDULE OF BENEFITS a) Accidental Death

If the life insured dies from an accident, we will pay, subject to Exclusions, a
Benefit Amount equivalent to 100% of the Principal Sum less any
dismemberment and/or disablement Benefit Amount as described in the
provisions below paid or payable as a result of one accident.

In any policy year, the amount of benefit payable on death of the life insured
arising from independent and unrelated accident will be 100% of the Principal
Sum regardless of the Benefit Amount paid under the dismemberment and/or
disablement benefits.

ADD 01-04 15 Policy No. 0828379009


SCHEDULE OF BENEFITS b) Dismemberment, Loss of Sight, Loss of Hearing
(cont.)
If the life insured incurs any of the following losses, we will pay as Benefit
Amount, subject to the Exclusions, the corresponding percentage of the
Principal Sum for such loss on such date:

entire sight of both eyes 100% four fingers 35%


both hands or both feet 100% hearing of one ear 25%
one hand and one foot 100% all toes on one foot 25%
either hand or foot & sight thumb 15%
of one eye 100% index finger 10%
arm at or above elbow 70% middle finger 6%
leg at or above the knee 60% ring finger 5%
one hand at or above wrist 50% big toe 5%
one foot at or above the ankle 50% little finger 4%
hearing of both ears 50% metacarpals of 1st or
sight of one eye 50% 2nd (additional) 3%
four fingers and thumb of metacarpals of 3rd, 4th,
one hand 50% or 5th (additional) 2%
any toe other than
big toe, each 1%

If the life insured sustains more than one of the losses as a result of one
accident, we will pay for that one loss for which the largest amount is payable.
Losses sustained as a result of any subsequent accident will be considered for
payment separately from and independently of other losses sustained in a
previous accident.

In any policy year, the aggregate benefits payable under the dismemberment
benefit in respect of one or more accidents resulting in loss or losses will be
100% of the Principal Sum less any disablement Benefit Amount paid or
payable.

c) Disablement

If, in addition to the conditions stated above, the life insured as a result of
accidental bodily injury, becomes Totally Disabled as defined and:

1) such disability has continued uninterruptedly for at least six (6) months
during his lifetime, except for disability that does not require the six (6)
months waiting period;
2) such disability occurs before the policy anniversary on or following the
life insured's 60th birthday;
3) satisfactory proof of disability is submitted to us

We will pay the Principal Sum less any dismemberment Benefit Amount paid
or payable as a result of one or more accidents, at the rate of 10% per year for
each year that the life insured remains totally disabled.

The first yearly payment will start on the 7th month of disability or if such
disability does not require the six (6) months waiting period, the first yearly
payment will have its effective date on the onset of disability. Subsequent yearly
payment will be payable during the continuance of such disability but in no
event will the number of payments exceed ten (10).

ADD 02-04 16 Policy No. 0828379009


SCHEDULE OF BENEFITS The remaining payments will no longer be payable from the date on which
(cont.) either of the following occurs:

1) the owner fails to provide proof of continuing Total Disability of the


life insured as required; or
2) the life insured becomes able again to carry on own occupation during
the first two years and thereafter, to carry on any occupation; or
3) the life insured dies

and this disablement benefit shall be deemed terminated.

Total Disability that does not require a waiting period of six (6) Months are:

a) total and irrecoverable loss of sight in both eyes, or


b) severance of two limbs at or above the wrist or ankle.

EXCLUSIONS Payment will not be made for claims directly or indirectly caused by or arising
from any of the following:

1) suicide while sane or insane, or intentionally self-inflicted injuries;


2) bodily or mental infirmity or disease of any kind or infection other than
infection occurring simultaneously with and in consequence of an accidental
cut or wound;
3) committing a criminal offense;
4) homicide;
5) poison, carbon monoxide or drug overdose;
6) alcohol abuse;
7) insurrection, civil commotion or hostile action of armed forces, whether or
not the life insured was actually participating therein;
8) injury sustained from any aviation or marine activities, other than riding as a
fare paying passenger in an air or marine device operated by a commercial
airline or shipping line on a scheduled passenger trip over its established
passenger route

LIMITATIONS In any policy year, the aggregate of all percentages payable under the Accidental
Death, Dismemberment and Disablement Benefit in respect of any one accident
resulting in loss or losses will be the Principal Sum.

In any policy year, the aggregate benefits payable under the Dismemberment or
Disability Benefit in respect of one or more accidents resulting in loss or losses will
not exceed the Principal Sum.

In any policy year, the amount of benefit payable for loss of life arising from
independent and unrelated accident will always be the Principal Sum.

ADD 03-04 17 Policy No. 0828379009


NOTICE Written notice must be given to us within 30 days from the date of the accident.
Failure to give notice within such time will not invalidate any claim if it will be
shown not to have been reasonably possible to give such notice and that notice
was given as soon as was reasonably possible.

PROOF We must receive satisfactory proof that the life insured sustained loss or bodily
injury from an accident before a benefit is payable.

Proof must be given to us from time to time as may be required by us.

We may require a medical examination by an examiner of our choice as part of proof.

LEGAL PROCEEDINGS Unless the claim has been rejected, no legal action under the benefit may be filed
before the end of sixty (60) days after proof of loss or bodily injury has been filed in
accordance with its provisions.

In any event, no legal action may be filed after 2 years from the date of loss or bodily
injury.

TERMINATION This benefit automatically terminates and its premium ceases to be payable on the
earliest of the following:

a) the day the policy lapses, is surrendered or continued under any of the
applicable Paid-Up options;
b) the day the policy terminates or matures;
c) the day we receive written notice from the owner to cancel this benefit;
d) the day this benefit expires; or
e) in the event of accidental death of the life insured.

Termination of this benefit will be without prejudice to any claim arising prior to
such termination.

NON-PARTICIPATING We will not allot any dividends to this benefit.

ADD 04-04 18 Policy No. 0828379009


ADDITIONAL BENEFIT

Critical Illness Benefit

CONDITIONS a) Critical Illness must occur more than 90 days after the date this benefit
comes into force, or, if later, 90 days after the date of last reinstatement;

b) the Life Insured must have been diagnosed, while living, with any one or
more of the Critical Illnesses listed below by a registered Doctor as defined
below and agreed to by our medical officer. Such diagnosis must occur
before the expiration of this benefit as shown in Policy Details; and

c) for Critical Illness requiring surgery, the Life Insured, in addition to


conditions a) and b) above, must actually undergo surgery.

DEFINITIONS Doctor means a legally qualified medical practitioner or surgeon duly registered
and practicing within the scope of his or her license, who confirmed the diagnosis
or performed the surgery. His or her license must be legally authorized by the
government of the geographical area of his or her license. A Doctor cannot be the
owner, the Life Insured or any member of either such owner or the Life Insured's
immediate family unless approved by us.

Critical Illness means any of the illnesses specified and defined below.

1. Acute Heart Attack


A confirmed diagnosis of the death of heart muscle due to acute obstruction of
a coronary artery that results in a documented rise and fall of biochemical
cardiac markers to levels considered diagnostic of myocardial infarction and
includes at least one of the following:

- acute heart attack symptoms for which the Life Insured is admitted to
hospital;
- new electrocardiogram (ECG) changes characteristic of a Heart Attack.

Exclusions:
Acute Heart Attack does not include:
- myocardial infarction that occurs as a consequence of any interventional
procedure (such as coronary angiography, percutaneous coronary artery
intervention or coronary artery bypass grafting) unless the infarct results
in the development of new Q waves or new regional wall motion
abnormalities that are deemed to be permanent. This exclusion pertains to
all infarcts that occur during interventional procedures and to all infarcts
that occur within the 30 day period following the procedure;
- silent myocardial infarction, including ECG or imaging changes suggesting
a prior myocardial infarction, without a documented rise in biochemical
markers;
- elevated biochemical cardiac markers due to myocarditis, traumatic
myocardial injury or in the presence of angiographically normal coronary
arteries;

- cardiac arrhythmia or cardiac arrest unless there is proof of acute coronary


artery occlusion by angiography, or new Q waves on the ECG.

CIBV.21.15 19 Policy No. 0828379009


DEFINITIONS (cont.) 2. Alzheimer's Disease
Progressive and permanent deterioration or loss of intellectual capacity as
evidenced by clinical state and accepted standardized questionnaires or tests or
abnormal behaviour arising from Alzheimer's disease or irreversible organic
degenerative brain disorders resulting in significant reduction in mental and
social functioning and requiring the continuous supervision of the Life Insured
and subject to the acceptance of the medical advisor appointed by us. There
must also be an inability of the Life Insured to perform (whether aided or
unaided) at least 3 of the Activities of Daily Living (ADLs) for a continuous
period of at least six (6) months. We require that the ADLs are to be assessed by
a certified occupational therapist and the diagnosis confirmed by a specialist.

Exclusions:
- other causes of dementia and psychiatric disease;
- Neurosis and psychotic illnesses.

3. Amyotrophic Lateral Sclerosis(ALS)


Characterized by muscular weakness and atrophy, evidence of anterior horn cell
dysfunction, visible muscle fasciculations, spasticity, hyperactive deep tendon
reflexes and exterior plantar reflexes, evidence of corticospinal tract involvement,
dysarthric and dysphagia. Diagnosis by a certified neurologist must be
confirmed by electromyography.

4. Aplastic Anaemia
Aplastic Anaemia must be diagnosed by a certified hematologist. There must be
permanent bone marrow failure resulting in bone marrow cellularity of less than
25% and must have two of the following:
- Absolute neutrophil count of less than 500/mm3
- Platelets count less than 20,000/mm3
- Reticulocyte count of less than 20,000/mm3

The Life Insured must be receiving treatment with frequent blood product
transfusions, bone marrow stimulating agents, immunosuppressive agents for
more than 3 consecutive months or has received a bone marrow transplant.

Temporary or reversible aplastic anaemia is excluded and not covered in this


policy.

5. Bacterial Meningitis
Bacterial meningitis causing inflammation of the membranes of the brain or
spinal cord resulting in permanent neurological deficit lasting for at least
three(3) months. The diagnosis of meningitis and permanent neurologic deficit
is to be confirmed by a registered consultant neurologist and the evidence of a
lumbar puncture confirming the presence of bacterial infection in the
cerebrospinal fluid.

6. Benign Brain Tumour


A non-cancerous tumour in the brain, which either requires Surgical excision or
causes significant permanent neurological deficit persisting for at least six
consecutive months. The presence of the underlying tumour must be confirmed
by imaging studies such as CT scan or MRI.

Cysts, granulomas, malformations in, or of, the arteries or veins of the brain,
haematomas and tumours in the pituitary gland or spine, tumours of the
acoustic nerve are excluded.

CIBV.22.15 20 Policy No. 0828379009


DEFINITIONS (cont.) 7. Cerebral Metastasis
Evidence of secondary (metastatic) cancer of the brain where the primary
(index/original) cancer lesion cannot be established. The diagnosis must be
confirmed with diagnostic imaging by a registered oncologist.

8. Coma
A state of unconsciousness for a continuous period of one (1) week, with no
response to verbal stimuli and only primitive reflex response to painful stimuli.
Primitive reflex response is the extension of a limb in response to a painful
stimuli applied to that limb. It must persist continuously with the use of a life
support system which must include the use of a respirator for a period of at least
96 hours. Permanent neurological deficit must be present.

The Glasgow coma score must be four or less continuously during the seven (7)
days. Less severe changes in consciousness and a coma resulting directly or
indirectly from alcohol or drug abuse are excluded.

9. Deafness
Acquired total and irreversible loss of hearing (involving the loss of at least 90
decibels in all frequencies of hearing) in both ears as a result of illness or injury.
The diagnosis must be clinically confirmed by an Otorhinolaryngologist or ENT
specialist.

Exclusions:
- partial or temporary loss of hearing;
- loss of hearing in one ear;
- surgically correctable loss of hearing.

10. Dissecting Aortic Aneurysm


An illness where the inner lining of the aorta (intima layer) is interrupted so that
blood enters the wall of the aorta and separates its layers which requires aortic
graft insertion surgery with thoracotomy. Diagnosis must be confirmed by CT
scan, MRI, MRA or angiogram and attested by a cardiovascular specialist. A
proven diagnosis by a specialist is also required.

Aorta is defined as the thoracic and abdominal aorta but not its branches.

11. Encephalitis
Severe inflammation of brain substance which results in significant and
permanent neurological deficit persisting for at least six (6) consecutive months
as certified by a certified neurologist.

12. End Stage Liver Failure


End stage liver failure as evidenced by all of the following:
a) permanent jaundice;
b) ascites; and
c) encephalopathy.

CIBV.23.15 21 Policy No. 0828379009


DEFINITIONS (cont.) 13. End Stage Lung Disease
End stage lung disease including interstitial lung disease, as evidenced by all of
the following:
- requiring continuous oxygen therapy;
- FEV1 test result of consistently less than 1L despite bronchodilators;
- Baseline arterial blood gas analysis (in room air) showing arterial partial
oxygen pressure at a level of fifty-five (55) mmHg or less; and
- Dyspnea at rest.

14. End Stage Renal Disease


End stage renal failure presenting as chronic irreversible failure of both kidneys
to function, as a result of which either chronic renal dialysis or renal transplant is
initiated.

15. Fulminant Hepatitis


A submassive to massive necrosis of the liver caused by the hepatitis virus,
leading precipitously to liver failure. The diagnosis in respect of this illness
must be based on the meeting of all of the following criteria:
- a rapidly decreasing liver size;
- necrosis involving entire lobules, leaving only a collapsed reticular
framework;
- rapid deterioration of liver function tests; and
- deepening jaundice.

Evidence of the following must be produced:


- liver function test to show massive parenchymal liver disease; and
- objective signs of portosystemic encephalopathy.

16. Guillain-Barre Syndrome


A disorder characterized by progressive symmetrical paralysis and loss of reflexes
due to destruction of peripheral nerves and spinal roots. A certified neurologist
must make the unequivocal diagnosis of Guillain-Barre syndrome and the
diagnosis must be verified with typical abnormalities on nerve conduction
studies. There must also be permanent functional neurological deficits with
abnormal motor or sensory signs on objective examination by a certified
neurologist one (1) month after the initial diagnosis of the disease.

17. Invasive Cancer


The presence of one or more malignant tumors characterized by the
uncontrolled growth and spread of malignant cells, and invasion of tissue,
including Leukemia (other than chronic lymphocytic leukemia less than RAI
Stage 3) and Hodgkin’s disease.
The cancer must require treatment by surgery, radiotherapy, or chemotherapy.
The diagnosis must be confirmed with a valid pathology report and a report
from an approved specialist.

The following are excluded:


- All carcinoma-in-situ or Non-invasive cancer;
- Non-invasive, pre-malignant or benign tumors or growths;
- Prostatic Intraepithelial Neoplasia (PIN);
- Cervical Intraepithelial Neoplasia (CIN);
- Any skin cancer other than malignant melanoma;

CIBV.24.15 22 Policy No. 0828379009


DEFINITIONS (cont.) - Thyroid cancer that is histologically described utilizing the TNM
classification as T1N0M0 as well as Papillary microcarcinoma of thyroid
that is less than 2 cm in diameter;
- Malignant melanoma of less than 1.5mm Breslow thickness unless there is
spread to lymph nodes or distant metastases;
- Prostate cancer classified as stage T1N0M0 unless the Gleason stage is 7 or
higher and the pre-treatment PSA is >10;
- Ovarian cancer classified as T1a according to TMN Classification;
- Cancer of urinary bladder classified as stage T1N0M0 according to TMN
Classification;
- Borderline malignancy or Low malignant potential;
- Tumor in presence of HIV infection.

18. Loss of Limbs


Complete and permanent severance of two limbs at or above the wrist or ankle.

19. Loss of Speech


Acquired total and irrecoverable loss of the ability to speak for a continuous
period of twelve (12) months due to physical damage to the vocal chords as a
result of physical injury or disease. Diagnosis must be clinically confirmed by a
certified neurologist or ENT specialist.

Exclusion:
Loss of speech caused by or related either directly or indirectly to a psychiatric
illness.

20. Major Burns


Third degree burns covering at least 20 percent of the surface of the body
determined by clinically accepted body surface area charts.

21. Major Head Trauma


Major trauma to the head with disturbance of the brain function confirmed by
definite diagnosis by a certified neurologist. The disturbance must result in a
permanent bedridden situation or the inability to perform without assistance
three (3) or more activities of daily living:

- bathing;
- dressing;
- using the lavatory;
- eating;
- moving in or out of the bed or a chair.

These illnesses have to be medically documented for at least three (3) months.

22. Medullary Cystic Disease


The formation of multiple cysts in the medulla region of both kidneys and
involving the collecting ducts as diagnosed by a registered medical specialist, and
agreed to by our medical officer. The diagnosis must be confirmed by a
progressive renal dysfunction with decreased creatinine clearance and the
imaging evidence of multiple medullary cysts with cortical atrophy.

CIBV.25.15 23 Policy No. 0828379009


DEFINITIONS (cont.) 23. Meningeal Tuberculosis
Meningitis caused by tubercle bacilli resulting in permanent neurological deficit
persisting for at least six (6) consecutive months. The diagnosis must be
confirmed by a neurologist and supported by analysis of the cerebrospinal fluid.

24. Motor Neuron Disease


A group of disorders characterized by a steady progressive degeneration of motor
neurons in the brain, brainstem and spinal cord. The specific disease covered
under this benefit include spinal muscular atrophy, progressive bulbar palsy,
amyotrophic lateral sclerosis and primary lateral sclerosis. A certified neurologist
must make the unequivocal diagnosis of a motor neuron disease that is verified
by typical changes on electrodiagnostic studies. There must also be evidence that
the disease is progressive and resulting in permanent functional neurological
deficit.

25. Multiple Sclerosis


Confirmation by a certified neurologist of a definite diagnosis of having at least
two clinically documented episodes of well-defined neurological abnormalities
with objective evidence of demyelinating lesions at more than one site within
the central nervous system. Investigations such as Magnetic Resonance Imaging,
Computerized Tomography, or other reliable imaging techniques must confirm
the diagnosis. One of these episodes must persist for a continuous period of at
least six (6) months and resulted in measurable disability.

26. Paralysis
Complete and permanent loss of use of both arms or both legs, or of one arm
and one leg through paralysis which has been present for at least six (6)
consecutive months.

27. Parkinson’s Disease


Slowly progressive disease of the central nervous system with an unequivocal
diagnosis by a certified specialist and agreed to by our medical officer and where
the condition:
- cannot be resolved by medication; and
- shows signs of progressive impairment; and
- the inability to perform without assistance three or more of the following
- activities of daily living: bathing, dressing, using the lavatory, eating, the
ability to move in or out of bed or chair. We require that the ADLs are to
be assessed by a certified occupational therapist.

Only idiopathic Parkinson’s Disease is covered. All others including drug


induced or toxin causes are excluded.

28. Progressive Bulbar Palsy (PBP)


Characterized by progressive degeneration of the muscle innervated by cranial
nerve and corticobulbar tracts leading to difficulty in chewing, swallowing and
talking. Diagnosis by a specialist must be confirmed by electromyography.

29. Progressive Muscular Atrophy (PMA)


Characterized by progressive muscle wasting and marked weakness in the arms,
shoulders, and legs. The diagnosis must be confirmed by electromyography. The
condition must result in the inability of the Life Insured to perform (whether
aided or unaided) at least 3 of the following 6 "Activities of Daily Living" for a
continuous period of at least 6 months:

Activities of Daily Living:


a) Washing - the ability to wash in the bath or shower (including
getting into and out of the bath or shower) or wash satisfactorily by
other means;

CIBV.26.15 24 Policy No. 0828379009


DEFINITIONS (cont.) b) Dressing - the ability to put on, take off, secure and unfasten all
garments and, as appropriate, any braces, artificial limbs or other
surgical appliances;
c) Transferring - the ability to move from a bed to an upright chair or
wheelchair and vice versa;
d) Mobility - the ability to move indoors from room to room on level
surfaces;
e) Toileting - the ability to use the lavatory or otherwise manage bowel
and bladder functions so as to maintain a satisfactory level of
personal hygiene;
f) Feeding - the ability to feed oneself once food has been prepared
and made available.

30. Stroke
Any cerebrovascular incident producing infarction of brain tissue, hemorrhage
and embolization from an extra-cranial source resulting in any major, clinically
permanent neurological deficit lasting at least four (4) weeks that will require
physical rehabilitation. The Diagnosis of Stroke must be based on changes seen
in a CT scan or MRI and must be confirmed by a neurologist

Specifically excluded are:


- transient ischemic attacks;
- attacks of vertebrobasilar ischemia;
- brain damage due to an accident or injury, infection, vasculitis,
inflammatory disease or migraine;
- Vascular disease affecting the eye or optic nerve or vestibular functions.

31. Terminal Illness


The Life Insured must be suffering from an illness which in the opinion of the
medical specialist attending and our medical officer is to result in death within
twelve (12) months after all forms of clinically accepted therapy have been tried.

32. Total Blindness


Acquired total permanent and irrecoverable loss of all vision in both eyes.
The corrected visual acuity must be less than 6/60 or 20/200 using standard eye
chart e.g. Snellen chart, or visual field restriction to 20° or less in both eyes.

The diagnosis must be clinically confirmed by an appropriate consultant. The


blindness must not be correctable by aides or surgical procedures.

Critical Illness Requiring Surgery means any of the surgeries specified and defined as
follows:

33. Coronary Artery Bypass Surgery


The actual undergoing of surgery with median sternotomy for the correction of
one or more coronary arteries, which are narrowed or blocked, by coronary
artery bypass graft (CABG). The surgery must have been proven to be necessary
by means of coronary angiography.

Exclusions:
- angioplasty;
- chelations;
- other palliative procedures including rotablation and laser application;
- all other intra-arterial and non-surgical procedures.

34. Major Organ Transplant


The actual undergoing of transplant of a heart, liver, lung, kidney, pancreas or
bone marrow as recipient. The major organ transplant must have been done
because of the specific organ failure. Stem cell and Pancreatic Islet cell transplant
are excluded.

CIBV.27.15 25 Policy No. 0828379009


DEFINITIONS (cont.) 35. Replacement of Heart Valve
The actual undergoing of open-heart surgery for the purpose of the replacement
of one or more heart valves due to stenosis or incompetence, or a combination
of these conditions.

Exclusion:
Heart valve repair or Valvotomy (surgical cutting through a valve to relieve
obstruction cause by stenosed valves) is specifically excluded.

36. Surgery for Disease of the Aorta (Aorta Surgery)


The actual undergoing of surgery via a thoracotomy or laparotomy for disease of
the aorta requiring excision and surgical replacement of the diseased aorta with a
graft. Aorta means the thoracic and/or abdominal aorta but not the branches of
the aorta.

Exclusions:
- Traumatic injury of the aorta;
- Surgery of the aortic branches;
- Surgery performed using only minimally invasive or intra-arterial techniques.

EXCLUSIONS The Critical Illness benefit will not apply to or be payable for claims arising from any
of the following:

a) Critical illnesses diagnosed within 90 days from the issue date of this benefit or
its last reinstatement, whichever is later;
b) Any pre-existing or recurring critical illnesses which are diagnosed or which the
Life Insured contracted prior to the issue date of this benefit or date of last
reinstatement;
c) Congenital abnormalities;
d) Any Human Immunodeficiency Virus (HIV) and/or any HIV-related illness
including Acquired Immune Deficiency Syndrome (AIDS) and/or any
mutations, derivation or variations thereof;
e) Attempted suicide or self-inflicted injury while sane or insane;
f) Taking or absorbing, accidentally or otherwise, any intoxicating liquor, sedative
or poison drug, narcotic or medicine, except as prescribed by a Doctor; and
g) Inhaling any gas or fumes except if inhalation is accidental AND in the course of
duty.

For purposes of exclusion b) above, pre-existing critical illness means any illness:

a) which existed or was existing; or


b) the cause of which existed or was existing; or
c) where the Life Insured had knowledge, received treatment or medical
consultation of the disease; or
d) where any laboratory test or investigation showed the likely presence of the
illness;

prior to the date of issue of the policy, or date of last reinstatement, whichever is later.

CIBV.28.15 26 Policy No. 0828379009


LIMITATIONS If the Life Insured suffers from more than one Critical Illness, the total amount of
benefit payable shall be limited to the amount of Critical Illness benefit shown on
Policy Details.

The Critical Illness benefit amount may range from 50% to 400% of the Face Amount
of the policy to which this benefit is attached but not to exceed PhP 15,000,000.

In no event will we pay more than PhP 15,000,000 for all coverages for critical illness
under all policies issued by us and Sun Life Assurance Company of Canada in respect
of the Life Insured, including SUN Healthier Life, any Sun LifeAssure, any Critical
Illness benefit, and any Critical Condition Rider.

NOTICE Written notice must be given to us within 30 days from the date the Critical Illness
was first diagnosed. If notice cannot be given within the applicable time period, we
must be notified as soon as it is reasonably possible.

PROOF We must receive satisfactory proof that the Life Insured is actually suffering or had
suffered before his or her death from a Critical Illness and, for a Critical Illness
requiring surgery, that the Life Insured has actually undergone surgery, before a
Critical Illness benefit is payable. Such proof must be given to us within 60 days of
notice. If proof is not received within the specified time, it must be given as soon as
reasonably possible.

We may require medical examinations by one or more Doctors of its choice as part of
proof.

COOLING OFF PERIOD This benefit may be cancelled by the owner's written request to us within twenty (20)
days from the date this policy document was electronically transmitted to the owner.
Upon receipt of the written notice, we will refund the premium paid for this benefit
without interest. All of our obligations and liabilities under this benefit will end
immediately upon receipt of the written notice.

RENEWAL This benefit automatically renews every 5 years with a changed premium but can only
be kept in force until the date shown on Policy Details. We may change the premium
rate of this benefit from time to time but not more often than once a year, subject
to the approval of the Insurance Commission. We will advise the owner by written
notice as to the new premium rate prior to the renewal date.

TERMINATION This benefit automatically terminates and its premium ceases to be payable on the
earliest of the following:

a) the day the policy lapses or is surrendered or continued under


any of the applicable Paid-up Options;
b) the day the policy matures or expires;
c) the day we receive written notice from owner to cancel this benefit;
d) the day this benefit expires; or
e) the Critical Illness benefit is paid as a claim.

CIBV.29.20 27 Policy No. 0828379009


PAYMENT OF The Critical Illness Benefit will be paid to the owner. However, if the owner dies
BENEFIT before such payment is made, we will pay the benefit to the beneficiary designated in
the policy.

Where we believe the owner to be incompetent, and receives a certificate signed by a


Doctor to this effect, we will be entitled to pay the Critical Illness benefit to the
owner's duly appointed guardian, the owner's spouse or other family member at our
option and the receipt given by such person shall discharge us from further liability
under this policy.

Where the owner dies before the payment of benefit is made but after the claim for
the benefit in respect of the Critical Illness benefit is submitted, the benefit as
specified in the Policy Details will be paid to the beneficiary named in the policy and
the policy terminates.

NON- We will not allot any dividends to this benefit.


PARTICIPATING

CIBV.30.15 28 Policy No. 0828379009


ADDITIONAL BENEFIT
Total Disability Benefit

CONDITIONS The life insured must be completely unable, during the first two years, to
carry on own occupation and, thereafter, to carry on any occupation, and
total disability must be continuous.

EXCLUSIONS Total disability:

1) lasting less than six months except for:

a) total permanent and irrecoverable loss of all vision in both eyes, or


b) severance of two limbs at or above the wrist or ankle; or

2) from self-inflicted injuries, or


3) from insurrection, civil commotion or hostile action of armed forces, whether or
not the life insured was actually participating therein, or
4) from injury sustained or disease contracted, in either event, before applying
for this benefit unless the injury or disease was disclosed in the application, or
5) from drug or alcohol abuse, or
6) from mental and nervous conditions, or
7) from committing or attempting to commit a criminal offense.

NOTICE Notice must be given to us

1) during the lifetime of the life insured;


2) during total disability, and
3) before the life insured's 61st birthday.

PROOF Proof must be given to us

1) within six months of notice, and


2) then, from time to time as required by us.

Failure to give proof within such time will not invalidate any claim if it will be shown
not to have been reasonably possible to give such proof and that proof was given as
soon as was reasonably possible.

We may require a medical examination by an examiner of our choice as part of proof.

LIMITATION This benefit will not apply to any premium due more than one year before
notice of total disability is given to us.

NON-PARTICIPATING We will not allot any dividends to this benefit.

COOLING OFF PERIOD This benefit may be cancelled by the owner's written request to us within twenty (20)
days from the date this policy document was electronically transmitted to the owner.
Upon receipt of the written notice, we will refund the premium paid for this benefit
without interest. All of our obligations and liabilities under this benefit will end
immediately upon receipt of the written notice.

TDB 12-20 29 Policy No. 0828379009


SUN LIFE OF CANADA (PHILIPPINES), INC.
2/F Sun Life Centre
5th Avenue cor. Rizal Drive
Bonifacio Global City, Taguig City
P.O. Box 2520 MCPO
TIN 204-962-522-000

IMPORTANT NOTICE
The Insurance Commission, with offices in Manila, Cebu and
Davao, is the government office in charge of the enforcement of all
laws related to insurance and has supervision over insurance
companies. It is ready at all times to assist the general public in
matters pertaining to insurance. For any inquiries or complaints,
please contact the Public Assistance and Mediation Division
(PAMD) of the Insurance Commission at 1071 United Nations
Avenue, Manila with telephone numbers +(632) 8-523-84-61 to 70
and email address publicassistance@insurance.gov.ph. The official
website of the Insurance Commission is www.insurance.gov.ph.

DOCUMENTARY STAMPS PAID

Revenue stamps have been duly


affixed on policy owner's record

Branch Office: MULAWIN NEW BUSINESS OFFICE

DSTA-IN19 30 Policy No. 0828379009


Premium Confirmation Notice
Sun Life of Canada (Philippines), Inc.
A member of the Sun Life Financial group of companies

Policy Information
11 SEPTEMBER 2020 Policy Number
0828379009
MARIA CHRISTINA M SANTILLAN Plan
PUROK 1A PIGCARANGAN SUN MAXILINK PRIME
TUBOD, LANAO DEL NORTE Life Insured Name
PHILIPPINES 9209 MARIA CHRISTINA SANTILLAN
Policy Currency
PHP
Branch Office
MULAWIN NEW BUSINESS OFFICE

We are pleased to confirm receipt of your payment, which we have allocated as follows:

Effective Date of Policy 9 September 2020


Premium Received PHP 9,000.01
Premium Charge PHP 5,024.94
Total Allocated Amount PHP 3,975.07

Fund Allocation Summary


Fund Name Allocated Amount Unit Price Number of Units

Sun Life Phils - Peso Equity Fund PHP 3,975.07 PHP 3.2666 1,216.80

Please contact us within thirty (30) days from date of your transaction if you find any erroneous
information in this Premium Confirmation Notice.

For service or more information regarding your policy, please contact your representative or our
Customer Care Center, SunLink, at telephone number 8-849-9888 or call toll-free at 1800-10-SUNLIFE
(786-5433) using a PLDT line. You may also visit our website at www.sunlife.com.ph to inquire about
other financial services being offered by Sun Life Financial in the Philippines.

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