TEXT: This HPLHS Prop Document is for entertainment purposes only. Designed and implemented by Andrew Leman. © 2002
  by HPLHS. All rights reserved. Permission is hereby granted for the user to print copies for his/her personal use in role-
  playing games. No other permission is granted, and any commercial or illegal use of this digital file or the prop you can
  make with it is ENTIRELY PROHIBITED.
  Please do not distribute this document.
  It is available from www.cthulhulives.org
  Questions? Ask them.
  andrew@ahleman.com
  INSURANCE DOUBLE INDEMNITY PROVISION
  This prop is based on actual vintage insurance paperwork. Considering the likelihood of
  accidental death, every occult investigator should seriously consider double indemnity.
  Enter information using built-in Acrobat form fields (or delete default entries and print
  prop “blank”, and enter info using a real typewriter or by hand).
  Print on white or off-white paper. 
  Trim 1/8 inch off right and left sides of printed prop.
  Attach to insurance policy with glue or staples on page 3 in space for endorsements, as
  shown.
  Glue or staple
  along this edge,
  then fold double
  indemnity page
  up from bottom
  so it fits within
  folded policy.
  If using glue, just
  glue a strip along the edge,
  to leave room for other
  attachments, if desired.
  
  THE[
  ]
  Provision for Double Indemnity for Death from Accident.
  This provision is issued as part of and is attached to the Policy named above.
  The Company agrees to increase the face amount payable under said policy 
  to ................................................................................................................................................................................................................................. Dollars,
  upon receipt of due proof of the Insured’s death from accident as defined below, provided such death occurs while
  said policy and this Double Indemnity provision were in force and no premium thereunder in default and before
  the anniversary of the Register date of said policy upon which the Insured’s age at nearest birthday is 65 years.
  Death from accident means death resulting solely from bodily injuries caused directly, exclusively and independently of all other
  causes by external, violent and purely accidental means and ensuing within 90 days of such injuries, but does not include death resulting
  from or caused directly or indirectly by self-destruction sane or insane, the taking of any poison or the inhaling of any gas, whether vol-
  untary or otherwise, disease or illness of any kind, physical or mental infirmity, military or naval service in time of war, the Insured’s vio-
  lation of any law, or riding in an airplane or in any other type of aircraft except as a fare-paying passenger in a license passenger aircraft
  provided by an incorporated passenger carrier and operated by a properly licensed pilot on a regular passenger route between definitely
  established airports.  The Company, in order to determine whether death resulted from accident, shall, in the absence of legal prohibition,
  have the right and opportunity to make an autopsy.
  Upon election of any of the Conversion options set forth in the said policy the amount payable in addition to the face amount of
  said policy pursuant to this Double Indemnity provision will be continued.  Subsequent premiums for such provision will remain the same
  under the Limited Payment Life option but will be discontinued under the Endowment Conversion option; under the Increased Face
  Amount and Premium Reduction options, subsequent premiums will be ............................., if payable annually, or the Company ’s equivalent
  semi-annual, quarterly or monthly premiums if premiums are so payable.
  Z
  Policy Number   
  Date
  Name of Insured  
  Name of Beneficiary  
  Relationship to Insured
  Full Policy Amount  
  Age next birthday  
  Additional Premium 
  Agent
  500 Dollars 
  Years                                                 Cents
  @
  Secretary !
  President
  Form HPLHS 1320. 32, 1. Do. Acc. 
  Conv. Gen ., & Corp.
  NO CASH VALUE{
  This Double Indemnity provision shall forthwith terminate if any premium on said
  policy or any additional premium payable for this Double Indemnity provision is not paid on
  its due date or within the days of grace unless waived in accordance with any Disability pro-
  vision of said policy, or if the insurance under said policy shall cease for any other reason.
  This Double Indemnity provision and the benefits herein provided for shall be
  excepted from the operation of the provisions of said policy with respect to Incontestibility
  and Freedom of Travel, Residence and Occupation.
  No Double Indemnity benefits will be included in any extended term insurance or
  other paid-up benefit granted upon surrender or lapse of said policy or in paid-up additional
  insurance purchased with dividends under said policy.
  Upon any anniversary of the Register date of said policy this Double Indemnity
  provision may be discontinued by returning said policy to the Company for proper endorse-
  ment, with a written request satisfactory to the Company, and thereafter the payment of the
  additional premium for this provision shall not be required.  In no event shall a premium be
  charged for this Double Indemnity provision on or after the anniversary of such Register
  date upon which the Insured’s age at nearest birthday is 65 years.
  This Double Indemnity provision shall not take effect until the first premium here-
  in provided for has been duly paid during the continued good health of the Insured.
  INCORP
  1862
  Provision for Policy No. ................................................, on the life
  of ...................................................................................................., the Insured.
  I
  ..............................................................................................................
  Ass ’t Registrar.
  89388271
  June 1, 1927
  Harley Warren
  Randolph Carter
  Sidekick
  42
  15
  J. Peabody
  Randolph Carter  One Thousand
  89388271
  Harley Warren
  
SOURCE: textdata/thevault/Call of Cthulhu (CoC) (BRP) [multi]/EXTRA/IRL Props/Prop FIles/Insurance2Ind.pdf