TD TERM TO 100 LIFE INSURANCE

SAMPLE

TD TERM TO 100 LIFE INSURANCE

Policy Package

Your TD Term to 100 Life insurance policy # 123 456 789 is enclosed in this booklet

TD Insurance TD Term to 100 Life insurance

WELCOME TO TD INSURANCE

Thank You For Choosing TD Term to 100 Life insurance

Life insurance is the cornerstone of a sound financial plan. With TD Term to 100 Life insurance, you've taken an important step in protecting the financial security of your loved ones, if you were to die. Please read your policy carefully to ensure you fully understand the benefits it provides, and keep it in a safe place with your other important documents. Please complete the Beneficiary Designation Form on the last page of this booklet and

S A M P L E return it in the enclosed postage-paid envelope.

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Insurance Policy

Policy Schedule

6

Premiums Summary

6

If you change your mind within 30 days

8

Definitions of the terms we have used

8

Eligibility

9

How the death benefit is calculated

9

Living Benefit

10

S A M P L E When we will not pay an insurance benefit

Paying for your policy Making a claim When insurance coverage ends Beneficiary Assignments and other documents General provisions Waiver of premiums on total disability

11 11 12 13 13 13 14 16

Agent Disclosure

19

Declaration and Authorization

20

Other Information

Privacy Agreement

22

Beneficiary Designation Instructions and Form

32

Your Health Question Confirmation Responses

42

Please read your policy carefully and keep it as your permanent record of coverage.

TD Insurance TD Life Insurance Company P.O. Box 1 TD Centre Toronto, Ontario M5K 1A2

January 1, 2018

Jane Sample Address City, PR A1A 1A1

TD Insurance TD Term to 100 Life insurance

Your TD Term to 100 Life insurance could provide a valuable tax-free benefit for your family when they need it most

Dear Jane Sample

S A M P L E Thank you for applying for TD Term to 100 Life insurance coverage, underwritten by TD Life

Insurance Company (a member of the TD Bank Group). By accepting this important coverage, you've joined the thousands of TD customers who feel confident that they've made a wise financial decision ? for themselves, and for the people who depend on them.

Your Insurance Policy, which starts on page 6 of this booklet, describes the benefits of your coverage as well as the exclusions and limitations. Please read it carefully and keep it in a safe place with your valuable papers.

Please review the following documents for accuracy and retain for your records:

Your Health Question Confirmation responses

Privacy Agreement

If any of the answers are incorrect or incomplete, contact us immediately at 18887880839, as this could affect your insurability. Any applicable Endorsements to this policy will be mailed to you separately and will form part of the policy.

Your insurance took effect on January 1, 2018. As you requested your first monthly premium is scheduled to be deducted from your payment account on January 1, 2018 and thereafter on the first of every month.

The benefits from your policy will be paid to the beneficiary you name in the Beneficiary Designation Form on the last page of this booklet. Please complete the Beneficiary Designation Form and mail it to us in the enclosed postage-paid envelope. If no beneficiary is named, the benefits will be paid to your estate.

All trade-marks are the property of their respective owners. ?The TD logo and other TD trade-marks are the property of The Toronto-Dominion Bank.

4 TD Term to 100 Life insurance | Policy Package

TD Insurance TD Term to 100 Life insurance

Your TD Term to 100 Life insurance premiums are fixed, and are guaranteed not to increase over the term of the policy, regardless of your age or changes in your health. You can enjoy the confidence of knowing you're covered for your lifetime ? as long as premiums are paid when due. Premiums will cease at age 100.

This convenient and straightforward coverage is also available to your spouse, partner or other family members. Applying is as simple as visiting or calling the number below.

You have a 30 day review period from your effective date to review your policy. During that time, you will be insured as outlined in the policy. If you're not completely satisfied and wish to cancel coverage, simply contact us within the 30 day period. Any premium charged to your account will be promptly refunded in full.

S A M P L E In this booklet, we have provided answers to some frequently asked questions about term life

insurance. If you still have questions, call toll-free 18887880839, Monday to Friday, 8 a.m. to 10 p.m. (ET) and Saturday 10 a.m. to 6 p.m., (ET), to speak to a TD Insurance representative.

Again, thank you for choosing TD Insurance. We appreciate your business and look forward to serving you and your family.

Sincerely,

Mark Hardy Vice President, Life and Health TD Life Insurance Company

*TD Life Insurance Company is the authorized administrator for this insurance. For more details on insurer and/or administrator information, please refer to the Insurance Policy. All trade-marks are the property of their respective owners. ?The TD logo and other TD trade-marks are the property of The Toronto-Dominion Bank.

TD Term to 100 Life insurance | Policy Package 5

TD Insurance TD Term to 100 Life insurance

Your TD Term to 100 Life insurance

Underwritten by TD Life Insurance Company (referred to as "the insurer" and "we", "us" and "our" in this policy).

This Insurance Policy # 123 456 789 is issued to: Jane Sample Address City, PR A1A 1A1

Policy Schedule

Insured Person First Name

Jane

S A M P LE InsuredPersonLastName

Date of Birth of Insured Person Risk Class Issue Age Policy Owner First Name Policy Owner Last Name Policy Payor Sum Insured Effective Date Reinstatement Effective Date Issue Date

Sample

May 25, 1981 Female/Non-smoker 35 years old Jane Sample Jane Sample $188,650.00 September 7, 2016 September 7, 2016 September 7, 2016

First Premium Due Date

October 7, 2016

Premium Payment Frequency Premium Payment Account Type Plan Waiver of Premiums

Monthly Credit Card ending in 1234 TD 100-Year Term Life insurance No

Premiums Summary

Premium From

Basic Premium

Waiver of Premium

September 7, 2016

$95.21

N/A

The premiums shown in this schedule are guaranteed not to increase while this policy is in effect. The Waiver of Premium benefits ends at age 65.

6 TD Term to 100 Life insurance | Policy Package

Total $95.21 monthly

TD Insurance TD Term to 100 Life insurance

Premiums on this policy are payable until the insured person reaches the age of 100. The policy will continue after this point until a death claim is submitted.

If you keep this policy in effect it can provide coverage for life. If the insured person dies while this policy is in effect, the insurer will pay the Sum Insured to the beneficiary or your estate if no beneficiary is named.

This is a non-participating policy.

All amounts are stated in Canadian Funds, and taxes are included where applicable.

S A M P L E Raymond Chun

President and Chief Executive Officer TD Life Insurance Company

Mark Hardy Vice President, Life and Health TD Life Insurance Company

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TD Insurance TD Term to 100 Life insurance

If you change your mind within 30 days

You have a 30 day review period from your the effective date of the original policy in which to review the benefits provided and decide whether or not the coverage suits your needs. If you decide to discontinue this policy during that period, simply contact us, provided no claim has been made, any premium paid will be promptly refunded and your policy will be cancelled as of your effective date. All of our obligations and liabilities under this policy will end immediately when we receive your request to cancel the policy.

S A M P L E To cancel your policy, please provide your verbal or written request to:

TD Life Insurance Company, P.O. Box 1, TD Centre; Toronto, Ontario, M5K 1A2. TD Insurance at 18887880839.

Definitions of the terms we have used

This policy uses the following terms, which have been listed in italics throughout the document. Beneficiary means the person or persons you name in writing to receive all benefits under this policy. Effective Date means the date(s) the policy goes into effect, as shown in the Policy Schedule. Grace Period is the length of time after the premium is due and unpaid during which the policy remains in effect. If the full premium is paid during the grace period, the premium is considered to have been paid on time. Issue Date is the date the policy is issued to the policy owner. Lapse refers to the termination of this policy because the premium was not paid within the grace period. Lapse Date refers to the date the policy lapses. Insured person is the person whose life is insured under this policy.

8 TD Term to 100 Life insurance | Policy Package

TD Insurance TD Term to 100 Life insurance

Policy means this document which provides evidence of your insurance. Policy Owner is the person or party who owns this individual insurance policy. The policy owner is not necessarily the person whose life is insured. Reinstatement is the restoration of a lapsed policy as described in the section, `Putting your policy back into effect'. Reinstatement Effective Date is the date this policy is reinstated as described in the section, `Putting your policy back into effect'. Term Insurance is a type of insurance that provides protection for a limited number of years.

SAMPLE Eligibility

To be eligible to apply for insurance coverage under this policy, a proposed insured person must, at the time of application: Be a Canadian citizen; or Have applied for or been granted Permanent Resident (Landed Immigrant) status by the

Canadian Government; and Be at least 18 years old and within 6 months of the 70th birthday.

How the death benefit is calculated

If a death benefit is payable under this policy, then we will pay the Sum Insured in effect at the time of death minus any outstanding premiums that are owed at the time the insured person dies. This policy ends on the date the insured person dies.

TD Term to 100 Life insurance | Policy Package 9

TD Insurance TD Term to 100 Life insurance

Living Benefit

While this policy is active, you may request an advance payment of 50% of the Death Benefit if the insured person has a terminal illness (to a maximum of $100,000). The payment of this Living benefit is subject to our administrative rules in effect at the time of your request and subject to the following conditions: You must be diagnosed with a terminal illness with a life expectancy of 12 months or less; and Your policy must be in force and paid current. We will pay the benefit to the insured person;

S A M P L E Any irrevocable beneficiary or policy owner under this policy must consent to the payment of the benefit; A special collateral assignment arrangement is used to assign the policy to us when the benefit is

approved and paid. By administering the benefit as a loan means that in most instances the benefit is non-taxable. When you claim the Living benefit, you agree to the following conditions and limitations on your rights as a policy owner: You may not cancel this policy; If premiums are not paid, either directly or through the waiver benefit, the amount of any unpaid premiums will increase the amount of the living benefit. The living benefit amount and any unpaid premium amount will accumulate interest until the death of the insured person. Interest is set at the current prime rate and may be adjusted if prime fluctuates by 1% or more.

10 TD Term to 100 Life insurance | Policy Package

TD Insurance TD Term to 100 Life insurance

When we will not pay an insurance benefit

We will not pay any insurance benefit if: The claim for insurance benefits is not made within 365 days of the date of death of the

insured person; or

The insured person dies due to suicide (whether the insured person is aware or not aware of the result of their actions, regardless of their state of mind) within 2 years of the effective date of coverage or the most recent reinstatement effective date. If no insurance benefit is payable as a result of suicide, then we will pay the policy owner 100% of premiums paid since the effective date or since the most recent reinstatement effective date if the policy has been reinstated.

SAMPLE Paying for your policy

Premiums for this policy We will provide you with the benefits described in this policy if you pay the premiums shown in the premium schedule. You must pay all premiums to us by the premium due date.

If you are paying on a monthly basis, the first premium will be due on the First Premium Due Date specified in the Policy Schedule. Each subsequent premium due date will follow one calendar month later.

If you are paying on an annual basis, the first premium will be due on the First Premium Due Date specified in the Policy Schedule. Each subsequent premium due date will follow one year later.

Premiums on this policy are payable until the insured reaches the age of 100. The policy will continue after this point until a death claim is submitted.

You may be eligible for a premium discount, which if applicable will be applied to your premium payments. If you subsequently become ineligible for a premium discount, we will adjust your premiums accordingly. Any premium that we have collected that relates to insurance coverage after the date of death of the insured person will be refunded in the same manner as the Sum Insured.

You must notify us if you wish to change the method or frequency of payments.

TD Term to 100 Life insurance | Policy Package 11

TD Insurance TD Term to 100 Life insurance

If premiums are not received We will allow a grace period of thirty (30) calendar days, during which time this policy will remain in effect even if premiums are not paid by the due date. If a claim becomes payable during the grace period, all outstanding premiums will be deducted from any claim payable. If the outstanding premiums are not paid by the end of the grace period, this policy will lapse. Putting your policy back into effect If your policy ended because it lapsed, you may apply to have it put back into effect if the insured person is alive. This process is called reinstatement. You may apply to us within 2 years of the lapse date to have your policy reinstated. In order to reinstate your policy in that time period, you must meet all of the following criteria:

S A M P L E The insured person must be alive;

You must pay us all unpaid premiums due from the lapse date up to and including the reinstatement effective date;

You must provide us with a completed Reinstatement Application; and You must provide us with new evidence of insurability for the insured person that

we consider satisfactory.

Making a claim

Before we will pay any claim under this policy, the person making the claim (the claimant) must provide: Proof, satisfactory to us, that the insured person has died; Upon our request, access to any medical records that we require to assess the claim, including an

attending physician's statement and a coroner's report. In addition, the claimant must provide further proof of claim, if applicable. In all cases, the proof must be provided within one (1) year of the date of death of the insured person and any cost incurred in providing proof of claim is at the claimant's expense.

12 TD Term to 100 Life insurance | Policy Package

TD Insurance TD Term to 100 Life insurance

When insurance coverage ends

All coverage under this policy will end on the earliest of the date when any of the following occurs: The insured person dies; or We receive request from you to cancel your coverage; or The end of the grace period if premiums are not paid; or Upon a fraudulent claim made by you or the beneficiary

SAMPLE Beneficiary

If a benefit is payable, we will pay the benefit to: Your beneficiary(ies); or If there is no beneficiary when the insured person dies, to you or your estate. The right to name or change the beneficiary designation is reserved to you only. You do not need the consent of any beneficiary or beneficiaries to change any beneficiary under this policy, unless any rule of law requires his or her consent. All beneficiary designations are revocable unless otherwise stated or unless any contrary law applies. If you wish to name or change your beneficiary, you must submit a written request to us, but such change shall not be binding on us until received at our Head Office. Once the beneficiary change request has been received, it will be our responsibility to fulfill the request as of the date the request was signed, but we will not be responsible for any benefits paid to the previous beneficiary before the receipt of the beneficiary request.

Assignments and other documents

We are not bound by any documents that affect rights under this contract unless the document itself or written notice of it is received at our Head Office. We are not responsible for ensuring that any such document is valid or has the desired effect.

TD Term to 100 Life insurance | Policy Package 13

TD Insurance TD Term to 100 Life insurance

General provisions

Premium Adjustments If incorrect information was provided during the application process that qualified the insured person for preferred rates we reserve the right to re-issue the policy with an adjusted premium based on the correct information.

Any information you provide after the policy's effective date and which impacts the premium can only be honored at time of notification.

Misstatement of Age and Sex at Birth

S A M P L E If a policy is issued to an insured person based on an incorrect age, the following may apply:

If the insured person is still eligible for insurance, the premium amount will be adjusted to the correct amount based on the correct date of birth at the insured person's effective date and; ? If overpaid, we will refund the excess premiums calculated at the time a claim is made against this policy; or ? If underpaid, we will decrease the benefit amount by the amount underpaid at the time a claim is made against this policy.

If the insured person is not eligible for insurance, all coverages under this policy will be considered never to have been in force and we will refund all premiums paid.

If a policy is issued to an insured person based on an incorrect sex assigned at birth, the following may apply:

The premium amount will be adjusted to the correct amount based on the correct sex assigned at birth at the insured person's effective date and: ? If overpaid, we will refund the excess premiums calculated at the time a claim is made against this policy; or ? If underpaid, we will decrease the benefit amount by the amount underpaid at the time a claim is made against this policy.

Contestability We rely on the truth and completeness of the statements and answers you give us as evidence of insurability.

You understand that we may void your insurance coverage under this policy if you have concealed or misrepresented any information.

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TD Insurance TD Term to 100 Life insurance

After insurance has been in effect for two (2) years from the effective date or reinstatement effective date we will treat all of the answers you gave as evidence of insurability as true, except for cases of fraudulent misrepresentation. This does not apply to information about the date of birth of the insured person in which case section Misstatement of Age and Sex at Birth above will apply. Waiver We shall not be deemed to have waived or changed any condition of this policy, either in whole or in part, unless such waiver or change is clearly expressed in writing and signed by an officer of TD Life Insurance Company. Legal Action No action at law or in equity shall be brought to recover on the policy prior to the expiration of 120 days after proof of claim has been furnished in accordance with the requirements of the policy.

S A M P L E Every action or proceeding against an insurer for the recovery of insurance money payable under

the contract is absolutely barred unless commenced within the time set out in the Insurance Act (for actions or proceedings governed by the laws of Alberta and British Columbia), the Insurance Act (for actions or proceedings governed by the laws of Manitoba), the Limitations Act, 2002 (for actions or proceedings governed by the laws of Ontario), or other applicable legislation. For those actions or proceedings governed by the laws of Quebec, the prescriptive period is set out in the Civil Code of Quebec. Applicable Laws Your insurance will be governed by the laws of the province where you were resident when you initially applied for insurance under this policy, without reference to that province's rules about conflicts of laws. English Language It is the express wish of the parties that this policy and all related documents, including notices and other communications, be drawn up in the English language only.

TD Term to 100 Life insurance | Policy Package 15

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