Automatic Coverage 
For Health Insurance Subscribers

UNDERWRITTEN BY GROUP LIFE AND HEALTH INSURANCE COMPANY OF DALLAS, TEXAS

At the time you are enrolled for health insurance with the Texas Farmers Union Group, you are automatically enrolled for Group Life Insurance. The life insurance amount depends on the subscriber's age, and coverage begins with approval of the health insurance application.

SCHEDULE FOR GROUP LIFE INSURANCE

Subscriber's Age, Followed by Amount of Life Insurance

Under 30-- $12,000 (member),$500 (spouse)

30, but under 40-- $10,000 (member),$500 (spouse)

40, but under 50-- $ 5,000 (member),$500 (spouse)

50, but under 55-- $ 3,000 (member),$500 (spouse)

55, but under 60-- $ 2,000 (member),$500 (spouse)

60, but under 65-- $ 1,500 (member),$500 (spouse)

65, but under 70-- $ 1,000 (member),$500 (spouse)

70 and over-- None

The Plan is low-cost group Term Life Insurance and is intended to provide the greatest protection at the lowest cost. The member may name anyone as beneficiary.

The Plan also offers conversion privileged. When the amount of group life insurance coverage is lowered or automatically terminates due to a change in age, or if you terminate the health insurance program, you may convert that amount to an Individual Permanent Policy on a direct pay basis. No evidence of insurability is required.

Texas Farmers Union, P.O. Box 738, Sweetwater, Tx 79556