Please check the appropriate box, complete the information required under the appropriate request, and in each case, complete (4) below.
if surviving the Insured. Unless otherwise provided herein, if more than one beneficiary is named, payment shall be made in equal shares to the beneficiaries who survive the Insured, if no beneficiary survives the Insured payment shall be made to such persons in such order of preferences as constitute the legal laws of the beneficiaries. The right to further change the beneficiary is reserved unto the Insured without the consent on the beneficiary.
It is warranted that this insurance is not now assigned.