TEMPORARY LIFE INSURANCE AGREEMENT

AMOUNT OF COVERAGE: If the Temporary Life Insurance questions have been answered “no” and if money has been accepted as advance payment for life insurance and the proposed insured dies while this temporary insurance is in effect, we will pay the beneficiary an amount equal to the lesser of:

(a) the amount of all death benefits applied for with this application, including any accidental death benefits, if applicable; or

(b) a maximum amount under all Temporary Life Insurance Agreements with SAFECO Life or American States Life of $250,000.

COVERAGE BEGINS: Life insurance under this Agreement will begin on the date of this application, if the Temporary Life Insurance questions have been completed and answered “no” and money equal to the first full premium has been accepted as advance payment for life insurance.

COVERAGE ENDS: Life insurance under this Agreement will terminate on the earliest of:

(a) 90 days from the date of this Agreement; or

(b) the date that insurance takes effect under the policy applied for; or

(c) the date a policy, other than as applied for, is offered to the applicant; or

(d) the date the Company mails notice of termination of coverage and a return of the payment to the applicant.

LIMITATIONS:

(a) This Agreement does not provide benefits for disability.

(b) Fraud or material misrepresentation in the application or in the answers to the questions of this Agreement invalidate this Agreement and the Company’s only liability is for refund of the payment made.

(c) If the proposed insured is less than 15 days old or more than 80 years old, the Company’s liability under this Agreement is limited to a refund of the payment made.

(d) If the proposed insured commits suicide, the Company’s liability under this Agreement is limited to a refund of the payment made. (For citizens of Missouri, suicide is no defense unless we can show that the insured intended suicide when the application was completed.)

(e) If the check or draft submitted as payment is not honored by the bank, there is no coverage under this Agreement.

(f) No one is authorized to waive or modify the terms of this Agreement.