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Get Enhancement Document Template

) 355-4385 1. OWNER ELECTION (Completed by Owner) Policy Owner Name Policy Number Name of Confined Individual (Owner initials) I hereby elect to activate the Income Enhancement benefit due to confinement in a hospital or Nursing Facility, as defined in the rider, for medical necessity. I understand that the rider withdrawal percentage will increase to double the maximum annual withdrawal percentage otherwise allowed under the rider. The rider with the Income SM Enhancement benefi.

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