This amendment forms a part of Group Policy No. 139604 001 issued to the Policyholder:

Insurance Committee of the Assessors' Insurance Fund

The entire policy is replaced by the policy attached to this amendment.

The effective date of these changes is January 1, 2009. The changes only apply to deaths and covered losses that occur and disabilities which start on or after the effective date.

The policy's terms and provisions will apply other than as stated in this amendment.

Dated at Portland, Maine on June 5, 2009.

Unum Life Insurance Company of America
By
Secretary

If this amendment is unacceptable, please sign below and return this amendment to Unum Life Insurance Company of America at Portland, Maine within 90 days of June 5, 2009.

YOUR FAILURE TO SIGN AND RETURN THIS AMENDMENT BY THAT DATE WILL CONSTITUTE ACCEPTANCE OF THIS AMENDMENT.

Insurance Committee of the Assessors' Insurance Fund

By ____________________________
Signature and Title of Officer

POLICYHOLDER:     Insurance Committee of the Assessors' Insurance Fund

POLICY NUMBER:     139604 001

POLICY EFFECTIVE DATE:     January 1, 2009

POLICY ANNIVERSARY DATE:     January 1

GOVERNING JURISDICTION:     Louisiana

SUBJECT: GROUP LIFE INSURANCE WITH ACCELERATED BENEFIT AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE

Unum Life Insurance Company of America (referred to as Unum) will provide benefits under this policy. Unum makes this promise subject to all of this policy's provisions.

The policyholder should read this policy carefully and contact Unum promptly with any questions. This policy is delivered in and is governed by the laws of the governing jurisdiction and to the extent applicable by the Employee Retirement Income Security Act of 1974 (ERISA) and any amendments. This policy consists of:

- all policy provisions and any amendments and/or attachments issued;
- employees' signed applications; and
- the certificate of coverage.

This policy may be changed in whole or in part. Only an officer or a registrar of Unum can approve a change. The approval must be in writing and endorsed on or attached to this policy. No other person, including an agent, may change this policy or waive any part of it.

Signed for Unum at Portland, Maine on the Policy Effective Date.

President Secretary

Unum Life Insurance Company of America
2211 Congress Street
Portland, Maine 04122
Copyright 1993, Unum Life Insurance Company of America

Receipt of accelerated benefit payments may be taxable. Assistance should be sought from a personal tax advisor.