# Life Insurance Agreement
**THIS LIFE INSURANCE AGREEMENT (the "Agreement") is made and entered into as of [Date] ("Effective Date") by and between:**
### **1. Insurer:**
**[Insurer's Name]**
[Insurer's Address]
[City, State, Zip Code]
(Hereinafter referred to as the "Insurer")
### **2. Insured:**
**[Insured's Name]**
[Insured's Address]
[City, State, Zip Code]
(Hereinafter referred to as the "Insured")
### **3. Beneficiary:**
**[Beneficiary's Name]**
[Beneficiary's Address]
[City, State, Zip Code]
(Hereinafter referred to as the "Beneficiary")
### **4. Policy Information:**
- **Policy Number:** [Policy Number]
- **Coverage Amount:** [Coverage Amount]
- **Type of Insurance:** [Type - e.g., Term Life, Whole Life, etc.]
### **5. Premium Payment:**
The Insured shall pay premiums to the Insurer in the amount of [Premium Amount] on a [monthly/quarterly/annual] basis, commencing on [Start Date] and continuing until the Insurer's obligations under this Agreement have terminated in accordance with the terms herein.
### **6. Term of Insurance:**
This Agreement shall remain in force until [Maturity Date], subject to its termination in accordance with the terms set forth in Section 8 below.
### **7. Coverage:**
Upon the death of the Insured during the term of this insurance policy, the Insurer agrees to pay the Coverage Amount to the Beneficiary, provided that all premiums due have been paid and the policy is in force.
### **8. Termination of Agreement:**
This Agreement may be terminated under the following circumstances:
- By mutual consent of the Insurer and the Insured
- Non-payment of premiums by the Insured
- Upon the death of the Insured
- If the Insured commits suicide within [X Years] from the Effective Date of coverage
### **9. Representations and Warranties:**
The Insured represents and warrants that all statements made in the application for this policy are true and complete to the best of their knowledge and belief.
### **10. Governing Law:**
This Agreement shall be governed by and construed in accordance with the laws of the State of [State].
### **11. Entire Agreement:**
This Agreement, together with the insurance application, constitutes the entire understanding between the parties and supersedes all prior proposals, agreements, or communications, whether oral or written.
### **12. Amendments:**
No amendment or modification of this Agreement shall be valid unless made in writing and signed by both parties.
### **IN WITNESS WHEREOF, the parties hereto have executed this Life Insurance Agreement as of the Effective Date.**
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**Insurer:**
_____________________________
[Insurer's Name]
[Title/Position]
[Date]
**Insured:**
_____________________________
[Insured's Name]
[Date]
**Beneficiary:**
_____________________________
[Beneficiary's Name]
[Date]
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**Note:** Please customize the placeholders (e.g., [Insurer's Name], [Date]) in this document according to the specific agreement being made. It is advisable to consult with a legal professional to ensure compliance with local laws and regulations.