[Form of Personalized Policy DescriptionUnder Supplemental Disability Insurance Plan] Personalized Policy Description for: [Name ofExecutive Officer] NetBank, Inc.
EX-10.12 18 a05-3115_1ex10d12.htm EX-10.12
Exhibit 10.12
[Form of Personalized Policy Description Under
Supplemental Disability Insurance Plan]
Personalized Policy Description for:
[Name of Executive Officer]
NetBank, Inc.
Policy I | | |
| | |
Policy Number: |
|
|
Policy Form: |
| 601 Income III Choice, GR |
Monthly Benefit Amount: |
| $3,000.00 |
MNDA: |
| 2 Year Aggregate |
Residual: |
| To Age 65 Residual |
Elimination Period: |
| 180 Days |
Benefit Period: |
| To age 65 |
Issue Date: |
| 03/01/03 |
Annual Premium: |
| $ |
Policy II | | |
| | |
Policy Number: |
|
|
Policy Form: |
| 601 Income III Choice, GR |
Monthly Benefit Amount: | | $2,000.00 |
MNDA: |
| 2 Year Aggregate |
Residual: |
| To Age 65 Residual |
Elimination Period: |
| 180 Days |
Benefit Period: |
| To age 65 |
Issue Date: |
| 03/01/03 |
Annual Premium: |
| $ |