InsurancePolicy1_EN_final


    





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Certificate of Insurance for Life Insurance     No. 174 596-00
Commercial Direct Insurance (salary conversion)


Personal data
	
		
	Policyholder
	Charles River Wiga GmbH

	Insured party
	Dr. Joerg Geller
DOB 09/26/1954

	 
	 

	Term-life insurance according to 
Rate III M
	 

	Amount insured
	DM 87,304

	Maturity
	Upon the death of the insured party, no later than 01/01/2015

	Technical commencement *)
	01/01/1988

	Age at entry
	33 years

	Term of insurance
	27 years

	Age at expiry
	60 years

	Expiration of insurance
	01/01/2015

	Duration of premium payment
	27 years

	Expiration of premium payment
	01/01/2015

	Allocation of profits
	Interest-bearing accumulation until the expiration date






Entitlement to benefits
The insured party is irrevocably entitled to benefits, in the event of both death as well as survival.
In the event of death, the insurance benefit is to be paid to: his wife, Marie Theres, née Tebartz, if deceased, to his children, Felix, DOB 02/23/1984, and Meike, DOB 08/18/1985, if deceased, to his parents, if deceased, to the heirs of the insured party. The aforementioned surviving beneficiaries in the event of death have an irrevocable claim to the insurance benefits in the event of the death of the insured person. The entitlement to benefits also applies to the excess shares.


Continued on page 2











Page 2


Certificate of Insurance for Life Insurance     No. 174 596-00


Annual premium
	
		
	For DM 87,304 primary amount insured
	DM 2,400.00

	 
	DM 2,400.00

	 
	 

	Form of payment
	 

	Annual
	DM 2,400.00

	Payable by 01/01 of each year
	DM 2,400.00

	 
	 

	Initial premium
	 

	Amount payable from 01/01/1988 to 12/31/1988
	DM 2,400.00

	Remaining initial premium
	DM 2,400.00






which we will debit from your account.


Subsequent premiums
We will also have the subsequent premiums debited from your account No.:
1012005500
BfG Schweinfurt (Routing No. 79310111).
We will not send premium statements on the individual due dates.


Commencement of insurance coverage
The insurance coverage commences upon receipt of this insurance policy, but not prior to the technical commencement of insurance. We assume that the initial premium can be debited from your account by the next debit date, and that the debit note will not be disputed. Otherwise the insurance coverage would be rendered invalid retroactively.


Continued on page 3







Page 3
Certificate of Insurance for Life Insurance     No. 174 596-00


Additional insurance agreement
The right to choose an annuity is excluded for this agreement.


For the duration of employment, it is irrevocably agreed that a transfer of the capacity of policyholder and an assignment of rights arising from this agreement to the insured employee until the date at which the insured employee turns 59, is excluded, insofar as the premiums have been paid by the policyholder (employer). 


The assignment or lending of the irrevocable entitlement against security is excluded.


**********

















Enclosure
Certificate of Insurance for Life Insurance     No. 174 596-00


Table of cash-in values and premium-free amounts insured


If this insurance is terminated or made premium-free, the following cash-in values (“RW”) or premium-free amounts insured (“bS”) will result without consideration for profit credits:


	
			
	 
	Figures in DM

	Effective date
	RW
	bS

	01/01/1989
	1,618
	3,580

	01/01/1990
	3,746
	8,045

	01/01/1991
	5,944
	12,392

	01/01/1992
	8,212
	16,618

	01/01/1993
	10,550
	20,722

	01/01/1994
	12,959
	24,706

	01/01/1995
	15,443
	28,576

	01/01/1996
	18,004
	32,335

	01/01/1997
	20,647
	35,989

	01/01/1998
	23,373
	39,539

	01/01/1999
	26,187
	42,991

	01/01/2000
	29,090
	46,344

	01/01/2001
	32,087
	49,604

	01/01/2002
	35,180
	52,772

	01/01/2003
	38,369
	55,847

	01/01/2004
	41,660
	58,835

	01/01/2005
	45,058
	61,739

	01/01/2006
	48,572
	64,565

	01/01/2007
	52,212
	67,321

	01/01/2008
	55,989
	70,010

	01/01/2009
	59,912
	72,637

	01/01/2010
	63,993
	75,205

	01/01/2011
	68,245
	77,718

	01/01/2012
	72,681
	80,179

	01/01/2013
	77,321
	82,594

	01/01/2014
	82,187
	84,968

	01/01/2015
	87,304
	87,304






When comparing with your payments, please note that only the savings portions of your premiums are available for the values in the table. This is because your premium has three components:
		
	–Risk component–
	We use this to fund the benefits to which there is a claim upon the death of the insured party.


		
	–Cost component–
	We use this to cover the cost of concluding your insurance and of its continued maintenance.


		
	–Savings component–
	We use this to generate an “actuarial reserve,” which reaches the amount insured by the expiration of the policy. The level it reaches at a given time is the basis for the values in the table.










	
			
	Advisor: 189523  Client: 14
	Charles River Germany GmbH & Co. KG
Sandhofer Weg 7
97633 Sulzfeld
	VKZ: 2YM  Date: 01/26/2012
Page: 1






Reconciliation list  Data transfer  Employee payments  01/2012


	
										
	UniCredit Bank-HypoVereinbank
	Acct. No. 347156922
	Routing No. 79320075
	 
	 
	 
	 
	 

	Pers. No.
	Name
	Bank
	 
	Acct. No.
	Routing No.
	Amount €
	Text key
	VKZ

	 
	Payment rates wages/salaries 01/2012
	 
	 
	 
	 
	 
	 

	1
	Geller Dr. Jörg
	Genobank Rhön-Grabfeld
	7158130
	79069165
	12,371.97
	53000
	3

	 
	Purpose of use: Wage/salary statement 01/2012
	 
	[handwritten:]
	43,5000
	 
	 

	 
	Payment rates capital-forming benefits 01/2012
	 
	[handwritten:]
	[illegible]
	 
	 

	1
	USB business acct. Union deposit account
	DZ Bank
	 
	686
	50060400
	27.00
	54002
	3

	 
	Purpose of use: Unt. dep. 4534059301    Policy No. Geller Dr. Jörg  
	 
	 
	 

	 
	Capital-forming benefit 01/2012
	 
	 
	 
	 
	 

	1
	Hannoversche Leben
	Deutsche Bank Hannover
	 
	234005
	25070070
	1,227.10
	510000
	3

	 
	Purpose of use: Geller Dr. Jörg
	 
	 
	 
	 
	 

	 
	0000174 596-35 Dr. Jörg Geller
	 
	 
	 
	 
	 

	Number of payment transactions:
	3
	 
	Total sum:
	 
	13,626.07*
	 
	 

	 
	 
	 
	 
	Date file created:
	 
	 
	 















	
		
	Hanover, dated 2/8/1988
*) Section 1,2 ALB regulates the commencement of insurance coverage
	Hannoversche Lebensversicherung a. G.
previously Preußischer Beamten-Verein
[signature]

	

8741 Sulzfeld
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