Policy Specifications
Policy Number [SPECIMEN]
 
Insured:
[JOHN DOE]
Issue Age and Sex:
[35] [MALE]
Rate Class:
[PREFERRED]
 
 
Owner:
[JOHN DOE]
 
 
 
 
 
Initial Specified Amount:
$[100,000]
Policy Date:
[JANUARY 1, 2026]
Minimum Specified Amount:
$[25,000]
Date of Issue:
[JANUARY 1, 2026]
Monthly Anniversary Day:
[01]
 
 
 
Plan of Insurance:
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ADJUSTABLE LIFE INSURANCE WITH LONG-TERM CARE BENEFITS
Separate Account:
[Lincoln Life Flexible Premium Variable Account M]
NOTE: This Policy provides life insurance coverage to the death of the Insured if sufficient premiums are paid.
The duration of coverage will depend on the amount, timing, and frequency of premium payments, Premium Loads, interest credited, Cost of Insurance, Administrative Fees, investment performance of the Separate Account, any loans or partial surrenders, and the cost of additional benefits. The Planned Premium may need to be increased to keep this Policy and the coverage In Force.
 
 
 
Premium Payments:
Planned Premium: $[6,487.00]
Premiums may be accepted until the Insured’s Attained Age [121]. Additional premium payments may vary by frequency or amount.
 
Payment Mode:
[ANNUALLY]
 
 
 
Minimum Additional Premium Payment Amount:
No premium payment may be less than $[200.00] Annually or $[15.00] if paid by electronic funds transfer.
 
 
Annual Premium Limit:
$[11,793] in Policy Year [4] and thereafter.
Limit Single Premium:
$[38,410]
Limit Level Premium:
$[3,931]
Beneficiary:
[As named in the application for this Policy, unless later changed.]
 
 
Guaranteed Minimum Fixed Account Interest Rate:
[1.00]% annual effective rate ([0.00272616]% daily).
 
 
Minimum Specified Amount Increase:
$[25,000]
 
Maximum Attained Age for a Specified Amount Increase:
Increases in Specified Amount not allowed after the Insured reaches Attained Age [70].
 
 
 
Maximum Number of Specified Amount Increases per Policy Year:
[Increases not allowed] in Policy Year(s) [1]; and
[1] in Policy Year [2] and thereafter.
 
 
Minimum Specified Amount Decrease:
$[1,000]
 
 
Maximum Number of Specified Amount Decreases per Policy Year:
[Decreases not allowed] in Policy Year(s) [1 and 2]; and
[1]
in Policy Year [3] and thereafter.
 
 
 
Loan Information
Minimum Loan Amount:
$[100.00]
Minimum Loan Repayment Amount:
$[25.00]
 
Loan Interest Rate Charged:
[4.00]% annual effective rate in all Policy Years.
 
Loan Account Credited Interest Rate:
[1.00]% annual effective rate ([0.00272616]% daily) in all Policy Years.
 
 
Partial Surrenders
Amount of Partial Surrenders:
Must be at least $[500.00]; and/or not more than an amount equal to the
Surrender Value of this Policy as of the end of the Valuation Period ending on the Valuation Day on which the request is received in a form acceptable to us, minus $[500.00].
 
 
Maximum Number of Partial Surrenders per Policy Year:
 
Transfers
Partial surrender not allowed in the first Policy Month; and
[1]
per Policy Year beginning with the second Policy Month and thereafter.
 
 
Minimum Transfer Amount:
$[50] or the entire value of the Fixed Account or Sub-Account being
transferred, whichever is less.
 
 
Minimum Remaining Value of the Fixed Account or any Sub-Account(s) After a Transfer:
$100.00 unless the entire value of the Fixed Account or Sub-Account(s) is being transferred.
 
 
 
Limitation on Transfers from the Fixed Account:
Cannot exceed the greater of [25.00]% of the Fixed Account Value as of the immediately preceding Policy Anniversary; or the total dollar amount transferred from the Fixed Account in the immediately preceding Policy Year.
 
 
 
Account(s) available from which to transfer funds for Dollar Cost Averaging:
[money market Sub-Account
Fixed Account (may be elected at policy issue only)]
 
Riders and Benefits Charges
Value Protection Rider
 
Factors used in the No-Lapse Provisions:
Policy Year
Monthly Accumulation Factor
Monthly No-Lapse Premium
[1 - 35
[1.00407413
$[146.15]
36] and thereafter
1.00486756]
$0.00
 
The Monthly No-Lapse Premium as of the Policy Date is shown above, and may change as described in the No-Lapse Provisions of the Value Protection Rider.
No-Lapse Guarantee Cease Age: [121]
 
 
Long-Term Care Benefits Rider
 
Minimum LTC Duration:
[36] months
Initial LTC Benefit Pool:
$[150,000.12]
Initial Maximum Monthly LTC Benefit
$[4,166.67]
Benefit Payment Option Coverage
 
Maximum Monthly LTC Benefit (Reimbursement):
$[4,166.67]
CareFlex Plus Benefit Pool:
$[8,333.34]
Maximum Monthly LTC Benefit (Indemnity):
$[3,333.34]
Indemnity Choice Factor:
[80%]
 
Market Benefit Floor:
 
$[37,500.00]
Market Benefit Multiplier:
[4]
Market Benefit Divisor:
[20]
Market Death Benefit Divisor:
[36]
[Protection Factor:
[0.6250000000]]
International Benefit Limit
[36] months
 
 
 
To contact your Long-Term Care Claims Specialist, please call [800 487-1485].
 
 
Benefit Transfer Rider
Minimum Purchase Payment Amount:
$[25,000]
Lifetime Purchase Payment Limit:
$[1,000,000]
Table of Guaranteed Purchase Values
 
Each $1,000 of Death Benefit Proceeds used to purchase benefits under the Benefit Transfer Rider will purchase the amount of Rider Death Benefit and Rider LTC Benefit shown below. The rates used to calculate these amounts are based on the Insured's Attained Age on the Purchase Date. See the Benefit Transfer Rider for more detail.
 
Insured's
Attained Age
Rider
Death Benefit
Rider
LTC
Benefit
Insured's
Attained Age
Rider
Death Benefit
Rider
LTC
Benefit
Insured's
Attained Age
Rider
Death Benefit
Rider
LTC
Benefit
[50
$1,480
$2,220
81
$1,070
$1,440
112
$1,031
$1,547
51
$1,456
$2,177
82
$1,070
$1,434
113
$1,029
$1,544
52
$1,432
$2,134
83
$1,070
$1,429
114
$1,028
$1,542
53
$1,409
$2,093
84
$1,070
$1,424
115
$1,027
$1,541
54
$1,387
$2,053
85
$1,070
$1,418
116
$1,026
$1,539
55
$1,364
$2,012
86
$1,070
$1,426
117
$1,025
$1,538
56
$1,343
$1,975
87
$1,070
$1,434
118
$1,024
$1,536
57
$1,322
$1,937
88
$1,070
$1,442
119
$1,023
$1,535
58
$1,302
$1,901
89
$1,070
$1,450
120
$1,022
$1,533]
59
$1,282
$1,866
90
$1,070
$1,458
 
 
 
60
$1,264
$1,833
91
$1,070
$1,466
 
 
 
61
$1,246
$1,801
92
$1,070
$1,474
 
 
 
62
$1,229
$1,770
93
$1,070
$1,482
 
 
 
63
$1,213
$1,741
94
$1,070
$1,490
 
 
 
64
$1,198
$1,714
95
$1,070
$1,498
 
 
 
65
$1,184
$1,688
96
$1,068
$1,504
 
 
 
66
$1,171
$1,663
97
$1,065
$1,507
 
 
 
67
$1,158
$1,639
98
$1,061
$1,510
 
 
 
68
$1,146
$1,616
99
$1,057
$1,512
 
 
 
69
$1,135
$1,595
100
$1,054
$1,516
 
 
 
70
$1,125
$1,575
101
$1,051
$1,519
 
 
 
71
$1,115
$1,556
102
$1,048
$1,523
 
 
 
72
$1,105
$1,536
103
$1,046
$1,528
 
 
 
73
$1,095
$1,517
104
$1,045
$1,534
 
 
 
74
$1,085
$1,498
105
$1,043
$1,539
 
 
 
75
$1,075
$1,479
106
$1,041
$1,544
 
 
 
76
$1,070
$1,466
107
$1,039
$1,549
 
 
 
77
$1,070
$1,461
108
$1,038
$1,555
 
 
 
78
$1,070
$1,456
109
$1,036
$1,554
 
 
 
79
$1,070
$1,450
110
$1,034
$1,551
 
 
 
80
$1,070
$1,445
111
$1,033
$1,550
 
 
 
 
 
Benefit Transfer Rider (continued)
Rider Loan Information
 
Minimum Rider Loan Amount:
$[100.00]
 
 
 
Minimum Rider Loan Repayment
$[25.00]
 
 
Amount:
 
 
 
 
 
Rider Loan Interest Rate Charged:
4.00% annual effective rate in all Policy Years.
 
 
Table of Rider Surrender Value Factors
The Rider Surrender Value Factors below are based on the Insured's sex and Attained Age, using the Ultimate 2017
CSO, Male/Female, Composite Tobacco, Age Last Birthday mortality table. See the Benefit Transfer Rider for an
explanation of how this table will be used.
 
 
 
 
 
 
Rider
 
Rider
 
Rider
 
Insured’s
Surrender
Insured’s
Surrender
Insured’s
Surrender
 
Attained
Value
Attained
Value
Attained
Value
 
Age
Factor
Age
Factor
Age
Factor
 
[35
$397.76
64
$568.13
93
$898.09
 
36
$397.76
65
$581.34
94
$903.09
 
37
$397.76
66
$594.64
95
$907.95
 
38
$397.76
67
$608.02
96
$912.74
 
39
$397.76
68
$621.48
97
$917.29
 
40
$397.76
69
$635.03
98
$921.59
 
41
$397.76
70
$648.63
99
$925.54
 
42
$397.76
71
$662.23
100
$929.10
 
43
$397.76
72
$675.78
101
$932.30
 
44
$397.76
73
$689.22
102
$935.20
 
45
$397.76
74
$702.54
103
$937.82
 
46
$397.76
75
$715.68
104
$940.22
 
47
$397.76
76
$728.67
105
$942.50
 
48
$397.76
77
$741.51
106
$944.84
 
49
$397.76
78
$754.22
107
$947.30
 
50
$397.76
79
$766.77
108
$949.66
 
51
$408.62
80
$779.15
109
$951.91
 
52
$419.71
81
$791.32
110
$954.08
 
53
$431.04
82
$803.25
111
$956.15
 
54
$442.59
83
$814.86
112
$958.14
 
55
$454.36
84
$826.05
113
$960.04
 
56
$466.35
85
$836.74
114
$961.86
 
57
$478.54
86
$846.87
115
$963.60
 
58
$490.91
87
$856.34
116
$965.26
 
59
$503.46
88
$865.08
117
$966.85
 
60
$516.16
89
$873.07
118
$968.35
 
61
$529.00
90
$880.30
119
$969.70
 
62
$541.96
91
$886.83
120
$972.76
 
63
$555.00
92
$892.72
121 and later
$1,000.00]
 
Table of Surrender Charges
See Surrender Provisions for an explanation of when this table will be used.
Surrender Charge as of
Policy Year
Beginning of Policy Year
 
[1
$[1,833.00
2
$1,746.00
3
$1,658.00
4
$1,568.00
5
$1,479.00
6
$1,388.00
7
$1,296.00
8
$1,203.00
9
$1,110.00
10
$1,015.00
11
$742.00
12
$498.00
13
$292.00
14
$126.00
15 and thereafter]
$0.00]
 
 
 
 
 
Calculation of Surrender Charge for Decrease in Specified Amount
For decreases in Specified Amount, including a decrease in Specified Amount resulting from a partial surrender but excluding full surrender of this Policy, the charge will be calculated as (1) multiplied by (2) and divided by (3), where:
(1)
is the amount of the decrease;
(2)
is the then applicable surrender charge from the Table of Surrender Charges shown above; and
(3)
is the Initial Specified Amount.
See the “Surrender Charge for Full Surrender” provision for an explanation of the charge upon full surrender of this Policy.
 
Table of Expense Charges and Fees
The following expenses and fees are charged under this Policy:
Guaranteed Maximum Premium Load
We will deduct a Premium Load from each premium payment. The Premium Load is calculated by multiplying each premium payment by the applicable percentage, which will not exceed the amount(s) shown below. After the Insured’s Attained Age 121, no further premium payments may be made.
[25.00]% for Policy Year(s) 1 and thereafter.
Cost of Insurance
See the “Cost of Insurance” provision. The Net Amount at Risk Discount Factor used in that provision is [1.00082954].
Guaranteed Maximum Monthly Administrative Fee
The Monthly Administrative Fee equals (1) plus (2) [plus (3)], where:
(1)
is a monthly charge of [0.60000] per $1,000 of Initial Specified Amount; and
(2)
is a monthly charge per $1,000 for any increase in Specified Amount [;and
(3)
is a monthly charge of [$10.00]].
 
The rate used to calculate the charges described in (1) and (2) above varies by the Insured’s sex and age (Issue Age for the charges in (1) or Attained Age on the date of the increase for the charges in (2)).
Guaranteed Maximum M&E and Asset Charge Rate
[0.125]% monthly in all Policy Years until the Insured's Attained Age 121.
Transfer Fee
$[25.00] per transfer request for each transfer request in excess of [24] during any Policy Year.
Guaranteed Maximum Partial Surrender Fee: $[150.00]
 
Table of Guaranteed Maximum Cost of Insurance Rates
The monthly Cost of Insurance rates per $1,000 of net amount at risk vary by the Insured’s sex, Issue Age and the Policy Year, but will not exceed the rates shown in the table below in accordance with the [Ultimate 2017 CSO, Male/Female, Composite Tobacco, Age Last Birthday] mortality table.
 
Policy
Year
Monthly
Rate
Policy
Year
Monthly
Rate
Policy
Year
Monthly
Rate
[1
0.11758
36
1.52184
71
50.89244
2
0.12842
37
1.69912
72
53.99864
3
0.14094
38
1.90568
73
58.09567
4
0.15263
39
2.14001
74
62.62918
5
0.16515
40
2.40147
75
67.67469
6
0.17767
41
2.68599
76
73.32811
7
0.18936
42
2.99295
77
79.71406
8
0.19939
43
3.32601
78
80.11620
9
0.20356
44
3.69588
79
80.51834
10
0.20941
45
4.11521
80
80.92048
11
0.21442
46
4.59696
81
81.32262
12
0.22027
47
5.14125
82
81.72477
13
0.22611
48
5.78293
83
82.12691
14
0.23113
49
6.55095
84
82.52905
15
0.23948
50
7.44129
85
82.93119
16
0.25118
51
8.47400
86
83.33333
17
0.26622
52
9.66230
87 and
0.00000]
18
0.28294
53
11.01321
later
 
19
0.30300
54
12.50715
 
 
20
0.32558
55
14.11597
 
 
21
0.35235
56
15.80879
 
 
22
0.38247
57
17.53629
 
 
23
0.41762
58
19.27103
 
 
24
0.45782
59
20.96545
 
 
25
0.50473
60
22.53736
 
 
26
0.55754
61
24.21720
 
 
27
0.61877
62
26.25159
 
 
28
0.68759
63
28.51121
 
 
29
0.76488
64
31.02914
 
 
30
0.84811
65
33.77547
 
 
31
0.93648
66
36.61924
 
 
32
1.03082
67
39.44941
 
 
33
1.13202
68
42.34621
 
 
34
1.24347
69
45.25809
 
 
35
1.37197
70
48.12900
 
 
 
Corridor Percentages Table
Death Benefit Qualification Test: Cash Value Accumulation Test
See the “Death Benefit Proceeds” provision and “Income Tax on Death Benefits” provision for an explanation of how this table will be used.
 
Insured’s
Attained Age
Corridor Percentage
Insured’s
Attained Age
Corridor Percentage
[35
361%
71
151%
36
351%
72
148%
37
342%
73
145%
38
334%
74
143%
39
325%
75
140%
40
317%
76
138%
41
309%
77
135%
42
302%
78
133%
43
294%
79
131%
44
287%
80
129%
45
280%
81
127%
46
273%
82
125%
47
266%
83
123%
48
260%
84
122%
49
253%
85
120%
50
247%
86
119%
51
241%
87
117%
52
235%
88
116%
53
229%
89
115%
54
223%
90
114%
55
218%
91
113%
56
212%
92
112%
57
207%
93
111%
58
202%
94
110%
59
197%
95
109%
60
193%
96
108%
61
188%
97
107%
62
184%
98
106%
63
180%
99
103%
64
176%
100
100%]
65
172%
and later
 
66
168%
 
 
67
164%
 
 
68
161%
 
 
69
158%
 
 
70
154%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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