Colonial Penn Life Insurance Company

Home Office: 399 Market Street, Philadelphia, PA 19181
(215) 928-8000 www.colonialpenn.com

Disclosure for Critical Illness - Heart Attack or Stroke and Terminal Illness

Accelerated Death Benefit Rider - For Whole Life Insurance Policy<
Brief Description:

If the insured is diagnosed as having a Qualifying Event, this rider allows the owner to receive part of the policy's Death Benefit that would otherwise be payable to the beneficiary upon the insured's death. The Accelerated Death Benefit is a lump sum benefit and is in lieu of payment of the full Death Benefit of the policy. Refer to the example below.

Qualifying Events that can trigger payment of the Accelerated Death Benefit.

The Qualifying Event for the Accelerated Death Benefit is the Critical Illness - Heart Attack or Stroke or Terminal Illness of the insured. The Qualifying Event must occur and be certified by a Licensed Physician while the rider is in force.

  1. Critical Illness is a positive diagnosis of the insured's Heart Attack or Stroke, by a Licensed Physician through clinical findings, with corroboration from electrocardiographic findings or blood enzyme findings for Heart Attack, or with corroboration from electroencephalogram, imaging tests or blood flow tests for Stroke.
    1. Heart Attack means a myocardial infarction. A myocardial infarction occurs when the blood supply to the heart is severely reduced, commonly due to blockage in one of the coronary arteries, resulting in damage to the heart muscle. A diagnosis of cardiac arrest is not by itself a positive diagnosis of Heart Attack.
    2. Stroke means a cerebrovascular accident that causes neurological deficiency lasting more than 24 hours. A cerebrovascular accident means a sudden, unexpected interference in brain function resulting from an insufficient supply of blood to part of the brain. Stroke does not mean a head injury, Transient Ischemic Attack, or chronic cerebrovascular insufficiency.
    3. Terminal Illness is a medical condition from which the insured is not reasonably expected to recover and from which the insured is expected to die within 12 months from the date of Certification by a Licensed Physician.
Cost of Insurance

The premium for this rider is based on the rider benefit and the gender and age of the insured when the policy takes effect.

Administrative Fee

An Administrative Fee will be charged to you for processing the payment of the Accelerated Death Benefit. It will be automatically deducted from the Accelerated Death Benefit payment.

Impact on Policy Values

The Death Benefit, cash value, policy premium and loan amount, if any, of the policy will be reduced proportionately by the Accelerated Death Benefit. The new premium for the policy will be based on the remaining Death Benefit amount using the same premium rate that applied at issue.

This rider provides an Accelerated Death Benefit which is intended to qualify for tax treatment under Section 101(g)(1)(A) of the Internal Revenue Code, except as provided by Section 101(g)(5), for insureds who are Terminally Ill.

Receipt of an Accelerated Death Benefit may be a taxable event. You should consult your personal tax advisor.

Any benefit received under this rider may impact the recipient's eligibility for Medicaid or other government benefits or entitlements.

This rider is not a qualified long-term care insurance contract under Section 7702B of the Internal Revenue Code, nor is it a non-qualified long-term care insurance contract. This rider does not provide long-term care insurance, nor does it replace long-term care insurance coverage. Carefully review all limitations of this rider, as well as those of the policy to which it is attached.

Only one (1) Accelerated Death Benefit is payable under this rider.

Upon a request to accelerate the policy death benefit and upon the payment of the Accelerated Death Benefit, you and any irrevocable beneficiary shall be given a statement demonstrating the effect of the acceleration of the payment of death benefit on the Death Benefit, cash value, policy premium and policy loans, if any, under the policy. The accelerated benefit payment will be paid in one lump one sum to the owner. The rider will terminate when the accelerated benefit is paid.

Hypothetical Example of an Accelerated Death Benefit Payment

Whole Life Insurance Policy with Critical Illness - Heart Attack or Stroke and Terminal Illness Accelerated Death Benefit Rider

Issue Age 40
Sex Male
Beginning of Policy Year 11
Before Acceleration
Death Benefit $50,000.00
Mode Monthly
Policy Premium $76.04
Rider Premium $7.23
Total Monthly Premium $83.27
Cash Value $4,050.00
Policy Loan and Accrued Loan Interest $1,000.00
Interest Rate 4.20%
Qualifying event Critical Illness | Heart/Stroke Terminal Illness
Qualifying event Critical Illness | Heart/Stroke Terminal Illness Acceleration % 50.00% 50.00%
Accelerated death benefit payment calculation
Accelerated Death Benefit $25,000.00 $25,000.00
Acceleration % x Policy Loan and Accrued Loan Interest $500.00 $500.00
12 months interest on Accelerated Death Benefit NA $1,050.00
Due and unpaid premium on Policy and Rider $0.00 $0.00
Present value of premiums payable on Accelerated Death Benefit NA $425.46
Administrative Fee $100.00 $100.00
Accelerated Death Benefit payment $24,400.00 $22,924.54
After Acceleration
Death Benefit $25,000.00 $25,000.00
Policy Premium $39.89 $39.89
Rider Premium $0.00 $0.00
Total Premium $39.89 $39.89
Cash Value $2,025.00 $2,025.00
Policy Loan and Accrued Loan Interest $500.00 $500.00

Whole Life Insurance/Living Insurance

Find Your Accelerated Death Benefit Rider Additional Monthly Premium based on Your Selected Whole Life Benefit Amount

Male Monthly Rider Premiums

Whole Life Benefit Amount

Issue Age $10,000 $20,000 $30,000 $40,000 $50,000
40 $1.45 $2.89 $4.34 $5.78 $7.23
41 1.52 3.03 4.55 6.07 7.58
42 1.60 3.20 4.80 6.40 8.00
43 1.69 3.38 5.07 6.77 8.46
44 1.79 3.57 5.36 7.15 8.94
45 1.90 3.79 5.69 7.58 9.48
46 2.02 4.03 6.05 8.07 10.08
47 2.15 4.29 6.44 8.58 10.73
48 2.28 4.57 6.85 9.13 11.42
49 2.43 4.86 7.29 9.72 12.15
50 2.59 5.17 7.76 10.35 12.94
51 2.76 5.52 8.27 11.03 13.79
52 2.93 5.87 8.80 11.73 14.67
53 3.12 6.24 9.36 12.48 15.60
54 3.32 6.64 9.96 13.28 16.60
55 3.53 7.06 10.59 14.12 17.65
56 3.75 7.50 11.25 15.00 18.75
57 3.98 7.96 11.94 15.92 19.90
58 4.22 8.43 12.65 16.87 21.08
59 4.46 8.92 13.39 17.85 22.31
60 4.72 9.45 14.17 18.90 23.62
61 5.00 9.99 14.99 19.98 24.98
62 5.29 10.57 15.86 21.15 26.44
63 5.60 11.19 16.79 22.38 27.98
64 5.92 11.84 17.76 23.68 29.60
65* 6.27 12.53 18.80 25.07 31.33
66* 6.64 13.27 19.91 26.55 33.19
67* 7.03 14.07 21.10 28.13 35.17
68* 7.45 14.90 22.35 29.80 37.25
69* 7.90 15.79 23.69 31.58 39.48
70* 8.37 16.74 25.11 33.48 41.85
71* 8.88 17.77 26.65 35.53 44.41
72* 9.44 18.88 28.32 37.77 47.21
73* 10.05 20.10 30.15 40.20 50.25
74* 10.71 21.42 32.14 42.85 53.56
75* 11.45 22.91 34.36 45.81 57.27
Female Monthly Rider Premiums

Whole Life Benefit Amount

Issue Age $10,000 $20,000 $30,000 $40,000 $50,000
40 $1.06 $2.12 $3.17 $4.23 $5.29
41 1.11 2.22 3.32 4.43 5.54
42 1.16 2.32 3.47 4.63 5.79
43 1.21 2.42 3.64 4.85 6.06
44 1.27 2.54 3.81 5.08 6.35
45 1.33 2.67 4.00 5.33 6.67
46 1.40 2.81 4.21 5.62 7.02
47 1.48 2.97 4.45 5.93 7.42
48 1.57 3.13 4.70 6.27 7.83
49 1.65 3.31 4.96 6.62 8.27
50 1.75 3.50 5.25 7.00 8.75
51 1.86 3.72 5.57 7.43 9.29
52 1.97 3.94 5.91 7.88 9.85
53 2.10 4.19 6.29 8.38 10.48
54 2.22 4.45 6.67 8.90 11.12
55 2.37 4.73 7.10 9.47 11.83
56 2.52 5.03 7.55 10.07 12.58
57 2.67 5.35 8.02 10.70 13.37
58 2.85 5.69 8.54 11.38 14.23
59 3.02 6.04 9.06 12.08 15.10
60 3.21 6.42 9.62 12.83 16.04
61 3.40 6.81 10.21 13.62 17.02
62 3.62 7.23 10.85 14.47 18.08
63 3.85 7.69 11.54 15.38 19.23
64 4.10 8.19 12.29 16.38 20.48
65* 4.37 8.73 13.10 17.47 21.83
66* 4.66 9.32 13.99 18.65 23.31
67* 4.99 9.98 14.97 19.97 24.96
68* 5.36 10.72 16.07 21.43 26.79
69* 5.76 11.52 17.27 23.03 28.79
70* 6.19 12.38 18.57 24.77 30.96
71* 6.65 13.30 19.95 26.60 33.25
72* 7.15 14.29 21.44 28.58 35.73
73* 7.70 15.39 23.09 30.78 38.48
74* 8.32 16.63 24.95 33.27 41.58
75* 9.03 18.06 27.09 36.12 45.14

You must be age 40-75 to apply. *The Chronic Illness and Terminal Illness Accelerated Death Benefit Rider is not available for ages 65-75. Your premium is based on your gender and age when coverage takes effect. If approved, coverage will be effective on the date shown on your rider as long as the initial premium has been paid. To calculate other payment options, multiply the monthly rate by 3 (for quarterly), 6 (for semi-annual) or 12 (for annual).

ICC18-30-061
LL29886
SIWL - Critical