Guaranteed Universal Life A Flexible Universal Life Insurance Policy Life Insurance Policy Proposal Prepared for: Presented by: Adding Certainty - 500k Jim Armstrong CLU ChFC Mutual of Omaha Mutual of Omaha Plaza Omaha, NE 68175 402-351-2313 United of Omaha Life Insurance Company, Mutual of Omaha Plaza, Omaha, Nebraska 68175 is licensed in all states, except New York 12/04/2013 AFN 43615 Policy Form Number ICC10L046P Page 1 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 Guaranteed Universal Life POLICY VALUES AND BENEFITS Guaranteed Universal Life is an individual universal life insurance policy that features flexible premiums to age 120 and an adjustable death benefit. This policy provides a No-Lapse Protection, which means the policy s death benefit will remain in force, for as long as certain requirements described in the policy are met, but no longer than the policy s maturity date. Accumulation Surrender Guaranteed Elements, Variables and s The policy s accumulation value is the accumulation at Interest of the premiums paid and any additional payments made, less all applicable policy charges, less any partial withdrawals, less surrender charges applicable to reductions in the Specified Amount, and less the cost of insurance rates for both the base plan and any rider added to the policy. The policy's surrender value is the accumulation value less any applicable surrender charges and less any loan not repaid. Guaranteed policy values and benefits are shown on the following pages. All values and benefits assume that the payments are received on the first day of each payment period when due, and that the assumptions on which this proposal is based do not change. The guaranteed values and benefits shown assume the guaranteed interest rate of 2.00%, which is the lowest interest rate that can be credited to the policy, the guaranteed maximum cost of insurance rates, the actions specified in this proposal and any No-Lapse Protection. Partial withdrawals, loans, specified amount changes, changing the premium payment mode, and changes in rider coverages will have an impact on these guaranteed values and any No-Lapse Protection in effect. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 2 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 Maturity Date Outlay Policy No-Lapse Protection POLICY MATURITY This policy matures on the policy anniversary date following the date the insured attains the age of 120. Upon policy maturity, if the insured is still living and the policy is still in-force, we will pay the policy s death benefit, if any. PREMIUMS The Outlay is the amount of premium assumed to be paid out of pocket for the mode selected, including any Section 1035 rollover amounts and any additional payments made. The Outlay payments shown in this proposal are calculated on an annualized basis and assume that payment is made when due at the beginning of each modal period. The Outlay for policy year 1 reflects either (a) the annualized requested premium, (b) the minimum premium required to issue the policy, (c) the annualized requested premium, increased by an amount necessary to meet the minimum premium required to issue the policy after applying any first year additional payments and any Section 1035 rollover amounts, or (d) the maximum allowable premium that will not violate the guideline maximum single premium, whichever is applicable. POLICY NO-LAPSE PROTECTION This policy provides a No-Lapse Protection as described below. All s associated with a No- Lapse Protection are based on the insured s issue age, sex, risk class and rate class, the current Specified Amount and the length of time the policy has been in-force. A No-Lapse Protection is not a guarantee that the policy can never Lapse. Please see the No-Lapse Protection section of the policy for more information. Based on premiums paid as illustrated in the Outlay column of this proposal, the policy s death benefit is guaranteed through policy year 65 providing premiums are paid when due and are paid according to the premium mode selected. Failure to meet any conditions required to maintain this guarantee could reduce the number of years the No-Lapse Protection remains in force or cause it to be lost. If the premium requirement necessary to maintain the No-Lapse Protection is not met, an additional premium will be required. Lifetime No-Lapse Protection The annualized premium required to guarantee a $ death benefit to policy year 65, the policy year in which the insured attains the age of 120, is $.20. This assumes that premiums are paid continuously for 65 policy years when due and that the premium payment mode is Monthly. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 3 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 ADDITIONAL POLICY FEATURES Disbursements Policy loans are available up to the surrender value. The maximum loan amount available is the surrender value, less any loan interest owed to the end of the policy year, and less the monthly deduction amount sufficient to continue this policy in force for one month. Loan interest will be charged at the rate of 4.76% in advance, which is an effective annual interest rate of 5.00%. The portion of the Accumulation which has been borrowed will be credited with an Interest Rate of 2.00%. Unpaid policy loans reduce the death benefit payable upon death of the insured, or the surrender value upon surrender of the policy. Partial withdrawals from the surrender value are available after the first policy anniversary subject to the terms of the policy The amount of each partial withdrawal must be at least $500. The amount of each policy loan must be at least $100. Specified Amount Changes Changes in Specified Amount are allowed once each policy year starting after the first policy year. The insured must apply for an increase in the Specified Amount with a new application and provide evidence of insurability that United of Omaha will accept. A decrease in the Specified Amount will result in a surrender charge if done during the first 19 years of the policy. Increases in the Specified Amount are not allowed after the policy anniversary following the insured s 90 th birthday. Any change in Specified Amount will affect the No-Lapse Protection values, which determines whether the No- Lapse Protection is in effect. This means that the No-Lapse Protection could be lost unless you pay additional premiums. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 4 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 RIDERS Riders provide extra benefits not included in the basic policy. Riders may affect your policy's accumulation values. Waiver of Surrender Charges for Partial Withdrawals Rider Accelerated Death for Terminal and Chronic Illness Unless otherwise set forth in the rider, this Rider allows for the waiver of all applicable Surrender Charges when a partial withdrawal is made after one or more of the following events occur and the requirements set forth in the rider are met: (a) you become confined at the recommendation of a physician; for medically necessary reasons to, a hospital or a nursing home as defined in the Rider for at least 30 consecutive days, (b) you become eligible for Social Security Disability s prior to age 65, (c) you are diagnosed with a terminal illness that will, with a reasonable degree of certainty, result in your death within 12 months or less, (d) you become unemployed and have received unemployment benefits for at least 60 consecutive days, (e) you become an organ transplant donor or recipient for the body organs defined in the Rider, (f) your residence suffers physical damage in the amount of $50,000 or more, or (g) you experience the death of your spouse or minor dependent. Those events which qualify for a waiver of surrender charge may differ from state to state. See the rider language for the exact events and requirements to be satisfied in order to qualify for the waiver of surrender charges in your state. This Rider allows the owner to accelerate a portion of the policy's death benefit provided the Insured is either: (a) diagnosed as having a terminal illness that, with a reasonable degree of certainty, will result in the Insured's death within 12 months or less from the date a physician signs the statement of proof of terminal illness, or (b) is diagnosed as being "chronically ill"**. The cumulative maximum accelerated death benefit amount available is the lesser of: (a) $250,000 of the policy's current death benefit, or (b) the initial Specified Amount stated in the policy data pages minus the minimum Specified Amount as stated in the Change in Specified Amount provision of your policy. A one-time election is allowed if the Insured is diagnosed as being terminally ill. If the Insured is diagnosed with a chronic illness, the owner may request multiple accelerations provided the total amount accelerated does not exceed the maximum amount available. There is no premium or cost of insurance charge for this rider. However, there will be a $100 charge for each acceleration made. ** The definition of "chronically ill" may vary by state. See the rider language for the requirements in your state that must be met for the insured to be diagnosed as "chronically ill". See policy for additional Rider restrictions. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 5 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 DEFINITION OF TERMS Initial Death Interest Interest Rate Guaranteed Interest Rate At Age This is the total amount of insurance selected. The term "Interest", as used in the policy, and this proposal as it relates to the policy, means the dollar amount of interest credited to the accumulation value or the Proceeds held by United of Omaha as a result of the application of an Interest Rate for a specified period of time. The term "Interest Rate", as used in the policy, and this proposal, means an annualized rate of Interest. (Note: To calculate Interest, we will multiply the accumulation value or Proceeds by a daily periodic rate which, when compounded daily, will result in the accumulation value or Proceeds earning the Interest Rate set in accordance with the applicable provisions of the policy.) This is the Interest Rate the company guarantees to credit to the accumulation value, which is 2.00%. The age of the insured at the end of the policy year. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 6 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 DEFINITION OF TERMS - continued Annualized Outlay Accumulation Surrender Monthly No- Lapse Protection Test Lapse Cost of Insurance Rates Surrender Charge This is the amount of premium assumed to be paid out of pocket for the mode selected and shown on an annualized basis. This amount includes any section 1035 rollover amounts and any additional payments made. The policy s accumulation value is the accumulation at Interest of the premiums paid and any additional payments made, less all applicable policy administrative charges, less any partial withdrawals, less surrender charges applicable to reductions in the Specified Amount, and less the cost of insurance charges for both the base plan and any rider added to the policy. The surrender value is the accumulation value less any applicable surrender charges and less any outstanding loans and loan interest due. The test performed on the policy s Monthly Deduction Date to determine if the No-Lapse Protection remains in effect. This is termination of the policy due to insufficient surrender value to pay the monthly deduction. This is the monthly charge for each $1,000 of insurance. This is a charge for each $1000 of insurance which is deducted from the accumulation value if the policy is surrendered during the applicable policy years. A surrender charge will also be deducted if the Specified Amount of insurance is decreased or a partial withdrawal is taken. Surrender charges last for 19 policy years and are shown in the policy. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 7 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 Death Option: 1 (Level) Mode: Monthly End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 1 56 8107 3270 0 500000 2 57 8107 6294 0 500000 3 58 8107 9080 0 500000 4 59 8107 11625 0 500000 5 60 8107 13872 0 500000 6 61 8107 15736 0 500000 7 62 8107 17112 0 500000 8 63 8107 17899 0 500000 9 64 8107 18023 1523 500000 10 65 8107 17433 2433 500000 11 66 8107 16071 2571 500000 12 67 8107 13896 1896 500000 13 68 8107 10836 336 500000 14 69 8107 6799 0 500000 15 70 8107 1626 0 500000 16 71 8107 0 0 500000 17 72 8107 0 0 500000 18 73 8107 0 0 500000 19 74 8107 0 0 500000 20 75 8107 0 0 500000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 8 of 11
End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 21 76 8107 0 0 500000 22 77 8107 0 0 500000 23 78 8107 0 0 500000 24 79 8107 0 0 500000 25 80 8107 0 0 500000 26 81 8107 0 0 500000 27 82 8107 0 0 500000 28 83 8107 0 0 500000 29 84 8107 0 0 500000 30 85 8107 0 0 500000 31 86 8107 0 0 500000 32 87 8107 0 0 500000 33 88 8107 0 0 500000 34 89 8107 0 0 500000 35 90 8107 0 0 500000 36 91 8107 0 0 500000 37 92 8107 0 0 500000 38 93 8107 0 0 500000 39 94 8107 0 0 500000 40 95 8107 0 0 500000 41 96 8107 0 0 500000 42 97 8107 0 0 500000 43 98 8107 0 0 500000 44 99 8107 0 0 500000 45 100 8107 0 0 500000 46 101 8107 0 0 500000 47 102 8107 0 0 500000 48 103 8107 0 0 500000 49 104 8107 0 0 500000 50 105 8107 0 0 500000 51 106 8107 0 0 500000 52 107 8107 0 0 500000 53 108 8107 0 0 500000 54 109 8107 0 0 500000 55 110 8107 0 0 500000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 9 of 11
End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 56 111 8107 0 0 500000 57 112 8107 0 0 500000 58 113 8107 0 0 500000 59 114 8107 0 0 500000 60 115 8107 0 0 500000 61 116 8107 0 0 500000 62 117 8107 0 0 500000 63 118 8107 0 0 500000 64 119 8107 0 0 500000 65 120 8107 0 0 500000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 10 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 500k Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 675.60 Guaranteed Level Annualized Lifetime : $.20 Annualized Minimum : $4,605.00 TAMRA 7-PAY: $32,680.00 Guideline Maximum Level: $14,322.22 Guideline Max Single: $151,896.22 cp8190 THIS PRODUCT IS NOT INSURED BY THE FDIC OR ANY OTHER GOVERNMENT AGENCY, IS NOT A DEPOSIT OR OTHER OBLIGATION OF ANY BANK, AND IS NOT GUARANTEED BY ANY BANK. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 11 of 11
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 500k Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 1 56 6,067.36 2 57 16,214 636.92 3 58 24,322 256.70 4 59 32,429 147.96 5 60 40,536 99.75 60 40,536 40,536 99.75 6 61 48,643 73.30 7 62 56,750 56.85 8 63 64,858 45.74 9 64 72,965 37.80 10 65 81,072 31.87 65 81,072 81,072 31.87 11 66 89,179 27.30 12 67 97,286 23.68 13 68 105,394 20.75 14 69 113,501 18.33 15 70 121,608 16.32 70 121,608 121,608 16.32 16 71 129,715 14.61 17 72 137,822 13.15 18 73 145,930 11.89 19 74 154,037 10.79 20 75 162,144 9.83 75 162,144 162,144 9.83 21 76 170,251 8.97 22 77 178,358 8.22 23 78 186,466 7.54 24 79 194,573 6.94 25 80 202,680 6.39 80 202,680 202,680 6.39 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #21 Page 5.1 of 5.3
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 500k Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 26 81 210,787 5.89 27 82 218,894 5.44 28 83 227,002 5.03 29 84 235,109 4.66 30 85 243,216 4.31 85 243,216 243,216 4.31 31 86 251,323 4.00 32 87 259,430 3.71 33 88 267,538 3.44 34 89 275,645 3.18 35 90 283,752 2.95 90 283,752 283,752 2.95 36 91 291,859 2.74 37 92 299,966 2.53 38 93 308,074 2.35 39 94 316,181 2.17 40 95 324,288 2.00 95 324,288 324,288 2.00 41 96 332,395 1.85 42 97 340,502 1.70 43 98 348,610 1.57 44 99 356,717 1.44 45 100 364,824 1.32 100 364,824 364,824 1.32 46 101 372,931 1.20 47 102 381,038 1.09 48 103 389,146.99 49 104 397,253.89 50 105 405,360.80 105 405,360 405,360.80 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #21 Page 5.2 of 5.3
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 500k Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 51 106 413,467.71 52 107 421,574.63 53 108 429,682.55 54 109 437,789.47 55 110 445,896.40 110 445,896 445,896.40 56 111 454,003.33 57 112 462,110.27 58 113 470,218.21 59 114 478,325.15 60 115 486,432.09 115 486,432 486,432.09 61 116 494,539.04 62 117 502,646 -.02 63 118 510,754 -.07 64 119 518,861 -.11 65 120 526,968 -.16 120 526,968 526,968 -.16 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #21 Page 5.3 of 5.3
Company: Product: Case: Mutual of Omaha - United of Omaha-A GUL v1.00 Sales & Marketing Concepts 9.11.13 Client Input Summary December 4, 2013 6.103.0, 6.99.60 Client #22 Insured UL Plan Guaranteed Universal Life Client Name Adding Certainty - 500k Sex Male Age Last Birthday 55 Risk Class Standard Plus Non-Tobacco Table Rating None Flat Extra Substandard Amount Association Member No State Code NE Solve For Solve For Solve Solve Option No Lapse Protection No Lapse Year/@Age Max Illustrate Catch-up Extend No Lapse Protection Year/@Age Year/@Age to Increase s Face Amount 01 to 65-500000 Years to Pay Max Policy Options Death Option Level Mode BSP Prevent MEC No Pour-In Amount Regular 01 to 65-0 1035 Rollover Amount 0 Basis Yes Years to Print Max Riders Riders No Re- proposal Reproposal No Agent Info Producer Name Producer Office Producer Address Jim Armstrong CLU ChFC Mutual of Omaha Mutual of Omaha Plaza Page 1 of 2
Company: Product: Case: Mutual of Omaha - United of Omaha-A GUL v1.00 Sales & Marketing Concepts 9.11.13 Client Input Summary December 4, 2013 6.103.0, 6.99.60 Client #22 Agent Info - Cont'd Producer City Omaha Producer State Nebraska Producer Zip Code 68175 Producer Phone 402-351-2313 Guar IRR on Death Tax Bracket 01 to 120-35 Page 2 of 2
Guaranteed Universal Life A Flexible Universal Life Insurance Policy Life Insurance Policy Proposal Prepared for: Presented by: Adding Certainty - 1MM Jim Armstrong CLU ChFC Mutual of Omaha Mutual of Omaha Plaza Omaha, NE 68175 402-351-2313 United of Omaha Life Insurance Company, Mutual of Omaha Plaza, Omaha, Nebraska 68175 is licensed in all states, except New York 12/04/2013 AFN 43615 Policy Form Number ICC10L046P Page 1 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 Guaranteed Universal Life POLICY VALUES AND BENEFITS Guaranteed Universal Life is an individual universal life insurance policy that features flexible premiums to age 120 and an adjustable death benefit. This policy provides a No-Lapse Protection, which means the policy s death benefit will remain in force, for as long as certain requirements described in the policy are met, but no longer than the policy s maturity date. Accumulation Surrender Guaranteed Elements, Variables and s The policy s accumulation value is the accumulation at Interest of the premiums paid and any additional payments made, less all applicable policy charges, less any partial withdrawals, less surrender charges applicable to reductions in the Specified Amount, and less the cost of insurance rates for both the base plan and any rider added to the policy. The policy's surrender value is the accumulation value less any applicable surrender charges and less any loan not repaid. Guaranteed policy values and benefits are shown on the following pages. All values and benefits assume that the payments are received on the first day of each payment period when due, and that the assumptions on which this proposal is based do not change. The guaranteed values and benefits shown assume the guaranteed interest rate of 2.00%, which is the lowest interest rate that can be credited to the policy, the guaranteed maximum cost of insurance rates, the actions specified in this proposal and any No-Lapse Protection. Partial withdrawals, loans, specified amount changes, changing the premium payment mode, and changes in rider coverages will have an impact on these guaranteed values and any No-Lapse Protection in effect. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 2 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 Maturity Date Outlay Policy No-Lapse Protection POLICY MATURITY This policy matures on the policy anniversary date following the date the insured attains the age of 120. Upon policy maturity, if the insured is still living and the policy is still in-force, we will pay the policy s death benefit, if any. PREMIUMS The Outlay is the amount of premium assumed to be paid out of pocket for the mode selected, including any Section 1035 rollover amounts and any additional payments made. The Outlay payments shown in this proposal are calculated on an annualized basis and assume that payment is made when due at the beginning of each modal period. The Outlay for policy year 1 reflects either (a) the annualized requested premium, (b) the minimum premium required to issue the policy, (c) the annualized requested premium, increased by an amount necessary to meet the minimum premium required to issue the policy after applying any first year additional payments and any Section 1035 rollover amounts, or (d) the maximum allowable premium that will not violate the guideline maximum single premium, whichever is applicable. POLICY NO-LAPSE PROTECTION This policy provides a No-Lapse Protection as described below. All s associated with a No- Lapse Protection are based on the insured s issue age, sex, risk class and rate class, the current Specified Amount and the length of time the policy has been in-force. A No-Lapse Protection is not a guarantee that the policy can never Lapse. Please see the No-Lapse Protection section of the policy for more information. Based on premiums paid as illustrated in the Outlay column of this proposal, the policy s death benefit is guaranteed through policy year 65 providing premiums are paid when due and are paid according to the premium mode selected. Failure to meet any conditions required to maintain this guarantee could reduce the number of years the No-Lapse Protection remains in force or cause it to be lost. If the premium requirement necessary to maintain the No-Lapse Protection is not met, an additional premium will be required. Lifetime No-Lapse Protection The annualized premium required to guarantee a $ death benefit to policy year 65, the policy year in which the insured attains the age of 120, is $.16. This assumes that premiums are paid continuously for 65 policy years when due and that the premium payment mode is Monthly. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 3 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 ADDITIONAL POLICY FEATURES Disbursements Policy loans are available up to the surrender value. The maximum loan amount available is the surrender value, less any loan interest owed to the end of the policy year, and less the monthly deduction amount sufficient to continue this policy in force for one month. Loan interest will be charged at the rate of 4.76% in advance, which is an effective annual interest rate of 5.00%. The portion of the Accumulation which has been borrowed will be credited with an Interest Rate of 2.00%. Unpaid policy loans reduce the death benefit payable upon death of the insured, or the surrender value upon surrender of the policy. Partial withdrawals from the surrender value are available after the first policy anniversary subject to the terms of the policy The amount of each partial withdrawal must be at least $500. The amount of each policy loan must be at least $100. Specified Amount Changes Changes in Specified Amount are allowed once each policy year starting after the first policy year. The insured must apply for an increase in the Specified Amount with a new application and provide evidence of insurability that United of Omaha will accept. A decrease in the Specified Amount will result in a surrender charge if done during the first 19 years of the policy. Increases in the Specified Amount are not allowed after the policy anniversary following the insured s 90 th birthday. Any change in Specified Amount will affect the No-Lapse Protection values, which determines whether the No- Lapse Protection is in effect. This means that the No-Lapse Protection could be lost unless you pay additional premiums. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 4 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 RIDERS Riders provide extra benefits not included in the basic policy. Riders may affect your policy's accumulation values. Waiver of Surrender Charges for Partial Withdrawals Rider Accelerated Death for Terminal and Chronic Illness Unless otherwise set forth in the rider, this Rider allows for the waiver of all applicable Surrender Charges when a partial withdrawal is made after one or more of the following events occur and the requirements set forth in the rider are met: (a) you become confined at the recommendation of a physician; for medically necessary reasons to, a hospital or a nursing home as defined in the Rider for at least 30 consecutive days, (b) you become eligible for Social Security Disability s prior to age 65, (c) you are diagnosed with a terminal illness that will, with a reasonable degree of certainty, result in your death within 12 months or less, (d) you become unemployed and have received unemployment benefits for at least 60 consecutive days, (e) you become an organ transplant donor or recipient for the body organs defined in the Rider, (f) your residence suffers physical damage in the amount of $50,000 or more, or (g) you experience the death of your spouse or minor dependent. Those events which qualify for a waiver of surrender charge may differ from state to state. See the rider language for the exact events and requirements to be satisfied in order to qualify for the waiver of surrender charges in your state. This Rider allows the owner to accelerate a portion of the policy's death benefit provided the Insured is either: (a) diagnosed as having a terminal illness that, with a reasonable degree of certainty, will result in the Insured's death within 12 months or less from the date a physician signs the statement of proof of terminal illness, or (b) is diagnosed as being "chronically ill"**. The cumulative maximum accelerated death benefit amount available is the lesser of: (a) $250,000 of the policy's current death benefit, or (b) the initial Specified Amount stated in the policy data pages minus the minimum Specified Amount as stated in the Change in Specified Amount provision of your policy. A one-time election is allowed if the Insured is diagnosed as being terminally ill. If the Insured is diagnosed with a chronic illness, the owner may request multiple accelerations provided the total amount accelerated does not exceed the maximum amount available. There is no premium or cost of insurance charge for this rider. However, there will be a $100 charge for each acceleration made. ** The definition of "chronically ill" may vary by state. See the rider language for the requirements in your state that must be met for the insured to be diagnosed as "chronically ill". See policy for additional Rider restrictions. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 5 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 DEFINITION OF TERMS Initial Death Interest Interest Rate Guaranteed Interest Rate At Age This is the total amount of insurance selected. The term "Interest", as used in the policy, and this proposal as it relates to the policy, means the dollar amount of interest credited to the accumulation value or the Proceeds held by United of Omaha as a result of the application of an Interest Rate for a specified period of time. The term "Interest Rate", as used in the policy, and this proposal, means an annualized rate of Interest. (Note: To calculate Interest, we will multiply the accumulation value or Proceeds by a daily periodic rate which, when compounded daily, will result in the accumulation value or Proceeds earning the Interest Rate set in accordance with the applicable provisions of the policy.) This is the Interest Rate the company guarantees to credit to the accumulation value, which is 2.00%. The age of the insured at the end of the policy year. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 6 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 DEFINITION OF TERMS - continued Annualized Outlay Accumulation Surrender Monthly No- Lapse Protection Test Lapse Cost of Insurance Rates Surrender Charge This is the amount of premium assumed to be paid out of pocket for the mode selected and shown on an annualized basis. This amount includes any section 1035 rollover amounts and any additional payments made. The policy s accumulation value is the accumulation at Interest of the premiums paid and any additional payments made, less all applicable policy administrative charges, less any partial withdrawals, less surrender charges applicable to reductions in the Specified Amount, and less the cost of insurance charges for both the base plan and any rider added to the policy. The surrender value is the accumulation value less any applicable surrender charges and less any outstanding loans and loan interest due. The test performed on the policy s Monthly Deduction Date to determine if the No-Lapse Protection remains in effect. This is termination of the policy due to insufficient surrender value to pay the monthly deduction. This is the monthly charge for each $1,000 of insurance. This is a charge for each $1000 of insurance which is deducted from the accumulation value if the policy is surrendered during the applicable policy years. A surrender charge will also be deducted if the Specified Amount of insurance is decreased or a partial withdrawal is taken. Surrender charges last for 19 policy years and are shown in the policy. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 7 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 Death Option: 1 (Level) Mode: Monthly End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 1 56 15722 6151 0 1000000 2 57 15722 11800 0 1000000 3 58 15722 16962 0 1000000 4 59 15722 21631 0 1000000 5 60 15722 25689 0 1000000 6 61 15722 28967 0 1000000 7 62 15722 31251 0 1000000 8 63 15722 32342 0 1000000 9 64 15722 32084 0 1000000 10 65 15722 30373 373 1000000 11 66 15722 27094 94 1000000 12 67 15722 22161 0 1000000 13 68 15722 15424 0 1000000 14 69 15722 6698 0 1000000 15 70 15722 0 0 1000000 16 71 15722 0 0 1000000 17 72 15722 0 0 1000000 18 73 15722 0 0 1000000 19 74 15722 0 0 1000000 20 75 15722 0 0 1000000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 8 of 11
End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 21 76 15722 0 0 1000000 22 77 15722 0 0 1000000 23 78 15722 0 0 1000000 24 79 15722 0 0 1000000 25 80 15722 0 0 1000000 26 81 15722 0 0 1000000 27 82 15722 0 0 1000000 28 83 15722 0 0 1000000 29 84 15722 0 0 1000000 30 85 15722 0 0 1000000 31 86 15722 0 0 1000000 32 87 15722 0 0 1000000 33 88 15722 0 0 1000000 34 89 15722 0 0 1000000 35 90 15722 0 0 1000000 36 91 15722 0 0 1000000 37 92 15722 0 0 1000000 38 93 15722 0 0 1000000 39 94 15722 0 0 1000000 40 95 15722 0 0 1000000 41 96 15722 0 0 1000000 42 97 15722 0 0 1000000 43 98 15722 0 0 1000000 44 99 15722 0 0 1000000 45 100 15722 0 0 1000000 46 101 15722 0 0 1000000 47 102 15722 0 0 1000000 48 103 15722 0 0 1000000 49 104 15722 0 0 1000000 50 105 15722 0 0 1000000 51 106 15722 0 0 1000000 52 107 15722 0 0 1000000 53 108 15722 0 0 1000000 54 109 15722 0 0 1000000 55 110 15722 0 0 1000000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 9 of 11
End of Policy Year At Age Annualized Outlay End of Year Accumulation - - - - - - - Guaranteed s - - - - - - - Guaranteed Interest Rate: 2.00% End of Year Surrender End of Year Death 56 111 15722 0 0 1000000 57 112 15722 0 0 1000000 58 113 15722 0 0 1000000 59 114 15722 0 0 1000000 60 115 15722 0 0 1000000 61 116 15722 0 0 1000000 62 117 15722 0 0 1000000 63 118 15722 0 0 1000000 64 119 15722 0 0 1000000 65 120 15722 0 0 1000000 Version: 1.00 Policy Form: ICC10L046P State: NE Page: 10 of 11
Life Insurance Proposal For Guaranteed Universal Life A Flexible Universal Life Insurance Policy Insured: Adding Certainty - 1MM Age : 55 / Male / Standard Plus Non-Tobacco Initial Death : $ Outlay: $ 1,310.18 Guaranteed Level Annualized Lifetime : $.16 Annualized Minimum : $8,840.00 TAMRA 7-PAY: $65,360.00 Guideline Maximum Level: $28,577.78 Guideline Max Single: $302,935.11 cp15880 THIS PRODUCT IS NOT INSURED BY THE FDIC OR ANY OTHER GOVERNMENT AGENCY, IS NOT A DEPOSIT OR OTHER OBLIGATION OF ANY BANK, AND IS NOT GUARANTEED BY ANY BANK. Version: 1.00 Policy Form: ICC10L046P State: NE Page: 11 of 11
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 1MM Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 1 56 6,260.45 2 57 31,444 649.09 3 58 47,166 260.82 4 59 62,889 150.19 5 60 78,611 101.23 60 78,611 78,611 101.23 6 61 94,333 74.40 7 62 110,055 57.72 8 63 125,777 46.47 9 64 141,499 38.42 10 65 157,222 32.41 65 157,222 157,222 32.41 11 66 172,944 27.78 12 67 188,666 24.11 13 68 204,388 21.14 14 69 220,110 18.70 15 70 235,832 16.65 70 235,832 235,832 16.65 16 71 251,555 14.92 17 72 267,277 13.45 18 73 282,999 12.17 19 74 298,721 11.05 20 75 314,443 10.08 75 314,443 314,443 10.08 21 76 330,165 9.21 22 77 345,888 8.45 23 78 361,610 7.76 24 79 377,332 7.15 25 80 393,054 6.59 80 393,054 393,054 6.59 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #22 Page 5.1 of 5.3
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 1MM Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 26 81 408,776 6.09 27 82 424,498 5.63 28 83 440,220 5.22 29 84 455,943 4.84 30 85 471,665 4.49 85 471,665 471,665 4.49 31 86 487,387 4.17 32 87 503,109 3.87 33 88 518,831 3.59 34 89 534,553 3.34 35 90 550,276 3.10 90 550,276 550,276 3.10 36 91 565,998 2.88 37 92 581,720 2.68 38 93 597,442 2.49 39 94 613,164 2.31 40 95 628,886 2.14 95 628,886 628,886 2.14 41 96 644,609 1.98 42 97 660,331 1.83 43 98 676,053 1.70 44 99 691,775 1.56 45 100 707,497 1.44 100 707,497 707,497 1.44 46 101 723,219 1.32 47 102 738,942 1.21 48 103 754,664 1.11 49 104 770,386 1.01 50 105 786,108.91 105 786,108 786,108.91 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #22 Page 5.2 of 5.3
Life Insurance Proposal IRR on Death Initial Death $ Name: Adding Certainty - 1MM Male Age : 55-Standard Plus Non-Tobacco Date: 12/4/2013 Initial Payment $ Guaranteed Interest Rate 2.00% Tax Bracket 35% Year Age Annual Cumul. Net Outlay Net Death IRR On Net Death 51 106 801,830.82 52 107 817,552.74 53 108 833,274.66 54 109 848,997.58 55 110 864,719.51 110 864,719 864,719.51 56 111 880,441.44 57 112 896,163.37 58 113 911,885.31 59 114 927,607.25 60 115 943,330.19 115 943,330 943,330.19 61 116 959,052.13 62 117 974,774.08 63 118 990,496.03 64 119 1,006,218 -.02 65 120 1,021,940 -.07 120 1,021,940 1,021,940 -.07 This is a supplemental proposal. All values and benefits shown assume that the payments are received on the first day of each payment period when due, and that the assumptions on which the proposal is based do not change. Presented by: Jim Armstrong CLU ChFC Case Name: Sales & Marketing Concepts 9.11.13 - #22 Page 5.3 of 5.3
Company: Product: Case: Mutual of Omaha - United of Omaha-A GUL v1.00 Sales & Marketing Concepts 9.11.13 Client Input Summary December 4, 2013 6.103.0, 6.99.60 Client #23 Insured UL Plan Guaranteed Universal Life Client Name Adding Certainty - 1MM Sex Male Age Last Birthday 55 Risk Class Standard Plus Non-Tobacco Table Rating None Flat Extra Substandard Amount Association Member No State Code NE Solve For Solve For Solve Solve Option No Lapse Protection No Lapse Year/@Age Max Illustrate Catch-up Extend No Lapse Protection Year/@Age Year/@Age to Increase s Face Amount 01 to 65-1000000 Years to Pay Max Policy Options Death Option Level Mode BSP Prevent MEC No Pour-In Amount Regular 01 to 65-0 1035 Rollover Amount 0 Basis Yes Years to Print Max Riders Riders No Re- proposal Reproposal No Agent Info Producer Name Producer Office Producer Address Jim Armstrong CLU ChFC Mutual of Omaha Mutual of Omaha Plaza Page 1 of 2
Company: Product: Case: Mutual of Omaha - United of Omaha-A GUL v1.00 Sales & Marketing Concepts 9.11.13 Client Input Summary December 4, 2013 6.103.0, 6.99.60 Client #23 Agent Info - Cont'd Producer City Omaha Producer State Nebraska Producer Zip Code 68175 Producer Phone 402-351-2313 Guar IRR on Death Tax Bracket 01 to 120-35 Page 2 of 2