AMERICAN INCOME LIFE INSURANCE COMPANY

AMERICAN THIS P. O. POLICY Box 2608, INCOME DOES ACCIDENT Waco, NOT A STOCK PROVIDE LIFE Texas ONLY COMPANY INSURANCE 76797 www.ailins.com 254-761-6400 FOR COMPANY1.Accident only coverage is designed REQUIRED to provide FORM OUTLINE you NO. with A74004 coverage OF COVERAGE for death, dismemberment, SICKNESS2.Read income Paragraph for features important basic Your itself for of 4. your disability Policy sets hospital, The policy. forth, benefits Carefully. resulting This basic described detail, is from This the not medical-surgical, in a rights outline the Paragraph covered insurance and of obligations coverage accident 4 may contract provides only. or of limited and major both only Coverage a by you very expenses. the Paragraph brief actual is your provided description 5. insurance policy Coverage provisions for company. of the some benefits emergency will not of It control. the is, provided outlined therefore, important care, Thepolicy, that you you have READ 10 YOUR days POLICY to return CAREFULLY. it to the Remember, company if and you get are your not money satisfied back. with your in3.Premiums.4.Benefits. Premiums are Annual Mode subject to change. You have a 31 Initial day grace Premium period each premium payment Renewalpolicy PremiumA.Total B.Emergency is Disability in We force. will Benefit. pay the We benefits will listed pay a below $100 Weekly for loss Benefit resulting for from total an disability accidental up injury to a after maximum you the receive first of while 26 premium.C.Accidental Benefits injury 90 not begin to Death Accident exceed the and first Benefit. $100. Dismemberment day This after We a will 7 Benefit. day pay will elimination for not treatment be will paid period. pay if the you a amounts receive hospital any listed as other an below outpatient for loss under within which this 72 occurs policy. hours weeks. within of thisboth days hands, of the loss life, accident. of loss sight of This of both both benefit feet eyes, or is in lieu of, or Regular Benefit will be reduced by other Accident Auto benefits paid under Common Carrier this policy. an5.Exclusions, A.Suicide B.War for one loss foot of Limitations or of one one sight hand of and and one Reductions. one eye, foot loss This ofpolicy does not $10,000-OR-$25,000-OR-$50,000C.Aviation, D.Any $5,000-OR-$12,500-OR-$25,000E.Sickness, F.Committing or or any any act of war, thereat, whether while declared sane or or undeclared, insane; or or intentionally pay service for loss in self-inflicted the resulting armed from:We will type not except illness, of be or hernia; liable attempting as disease, a for fare any to or paying commit mental loss passenger sustained a illness; felony on or a assault. contracted regularly scheduled in consequence commercial of you forces airline; injury; being for intoxicated any country;AG-2015 influence NJof any narcotic unless administered the advice of a physician. or Q20155 under the

6.Renewability. change applicable This table policy of premium is guaranteed rates under renewable this policy to Age on 65 a class of the basis Insured. by State. The Company reserves the right toFOR ADDITIONAL INFORMATION ABOUT POLICY BENEFITS OR CLAIMS, TELEPHONE 1-800-433-3405.AG-2015 NJP20155