Securian Life Variable Universal Life Account, et al. – ‘N-6’ on 2/23/06 – EX-99.26(E)(1)

On:  Thursday, 2/23/06, at 3:08pm ET   ·   Accession #:  1047469-6-2344   ·   File #s:  811-21859, 333-132009

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Registration Statement for a Separate Account (Unit Investment Trust)   —   Form N-6
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: N-6         Registration Statement for a Separate Account         71    337K 
                          (Unit Investment Trust)                                
 2: EX-99.26(A)  Miscellaneous Exhibit                                 2     14K 
 3: EX-99.26(D)(1)  Miscellaneous Exhibit                             47±   133K 
12: EX-99.26(D)(10)  Miscellaneous Exhibit                             2     16K 
13: EX-99.26(D)(11)  Miscellaneous Exhibit                             1     11K 
14: EX-99.26(D)(12)  Miscellaneous Exhibit                             2±    11K 
15: EX-99.26(D)(13)  Miscellaneous Exhibit                             3     22K 
16: EX-99.26(D)(14)  Miscellaneous Exhibit                             5±    22K 
 4: EX-99.26(D)(2)  Miscellaneous Exhibit                             47±   130K 
 5: EX-99.26(D)(3)  Miscellaneous Exhibit                             46±   128K 
 6: EX-99.26(D)(4)  Miscellaneous Exhibit                             46±   128K 
 7: EX-99.26(D)(5)  Miscellaneous Exhibit                              4±    20K 
 8: EX-99.26(D)(6)  Miscellaneous Exhibit                              4±    20K 
 9: EX-99.26(D)(7)  Miscellaneous Exhibit                              3     22K 
10: EX-99.26(D)(8)  Miscellaneous Exhibit                              3     22K 
11: EX-99.26(D)(9)  Miscellaneous Exhibit                              2     17K 
17: EX-99.26(E)(1)  Miscellaneous Exhibit                              4±    19K 
18: EX-99.26(E)(2)  Miscellaneous Exhibit                              5±    22K 
19: EX-99.26(E)(3)  Miscellaneous Exhibit                              4±    22K 
20: EX-99.26(E)(4)  Miscellaneous Exhibit                              4±    21K 
21: EX-99.26(F)(1)(A)  Miscellaneous Exhibit                           3     17K 
22: EX-99.26(F)(1)(B)  Miscellaneous Exhibit                           2     13K 
23: EX-99.26(F)(1)(C)  Miscellaneous Exhibit                           2±    11K 
24: EX-99.26(F)(1)(D)  Miscellaneous Exhibit                           2     12K 
25: EX-99.26(F)(1)(E)  Miscellaneous Exhibit                           2     13K 
26: EX-99.26(F)(1)(F)  Miscellaneous Exhibit                           1     11K 
27: EX-99.26(F)(2)  Miscellaneous Exhibit                             10     43K 
28: EX-99.26(R)  Miscellaneous Exhibit                                 2     15K 

EX-99.26(E)(1)   —   Miscellaneous Exhibit

EX-99.26(E)(1)
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                                                             Exhibit 99.26(e)(1)

EMPLOYER'S APPLICATION                                                          

SECURIAN LIFE INSURANCE COMPANY                                                 
400 Robert Street North - St. Paul, Minnesota  55101-2098                       

[SECURIAN(TM) LOGO]                                                             

Application is hereby made to Securian Life Insurance Company for a Variable    
Group Universal Life Insurance Plan providing life insurance and other          
supplemental benefits as indicated below.                                       

                                                                [Download Table]
                                                                             
APPLICANT (Policyholder)                 NATURE OF BUSINESS                  
[ABC Company]                            [Manufacturing]                     

ADDRESS (Street, City, State, Zip Code)                                      
[123 Main Street, Anytown, USA  00000]                                       

KEY CONTACT AND TITLE                    TELEPHONE NUMBER    FAX NUMBER      
[Bob Johnson, Manager]                   [(000) 111-2222]    [(000) 111-1111]

PLAN EFFECTIVE DATE                                                          
[01-01-2005]                                                                 

COVERAGE APPLIED FOR (CHECK ALL THAT APPLY).                                    

/X/  Variable Group Universal Life (employer paid)                              
/ /  Accidental Death & Dismemberment                                           
/ /  Waiver of Premium                                                          
/ /  [Spouse/Domestic Partner] Variable Group Universal Life                    
/X/  Variable Group Universal Life (employee paid)                              
/ /  Child Term Life Rider                                                      
/X/  [Spouse or Domestic Partner]/Child Term Life Rider                         
/X/  Policyholder Contribution Rider                                            
/ /  Other  ____________________________________                                

PLAN DESIGN                                                                     

/ /  Option A (Level Death Benefit)                                             
/X/  Option B (Variable Death Benefit)                                          

IRC SECTION 7702 TESTS                                                          

/X/  Cash Value Accumulation Test                                               
/ /  Guideline Premium Test                                                     

EMPLOYEE                                                                        

                                                                [Download Table]
                                                              
Minimum Coverage                  $ [10,000]                  
                                    --------------------------
Maximum Coverage                  $ [1,000,000]               
                                    --------------------------
Guaranteed Issue Amount           $ [50,000]                  
                                    --------------------------

[SPOUSE/DOMESTIC PARTNER]                                                       

                                                                [Download Table]
                                                              
Minimum Coverage                  $ [10,000]                  
                                    --------------------------
Maximum Coverage                  $ [1,000,000]               
                                    --------------------------
Guaranteed Issue Amount           $ [50,000]                  
                                    --------------------------

[*To be eligible for the guaranteed issue amount specified above, an employee's 
[spouse or domestic partner] must not be receiving or entitled to receive any   
disability income due to sickness or injury; confined at home under the care of 
a physician for sickness or injury; receiving inpatient hospital care; receiving
care in a hospice, intermediate care facility or long-term care facility; or in 
a chemotherapy, radiation therapy or dialysis treatment program.]               

CHILD TERM RIDER                                                                

                                                                [Download Table]
                                                                                 
Flat Coverage Amounts  $  [1,000]                 Cost  $  [1.00]                
                          ----------------------           ----------------------
                       $  [2,000]                 Cost  $  [1.25]                
                          ----------------------           ----------------------
                       $  [3,000]                 Cost  $  [1.50]                
                          ----------------------           ----------------------

Schedule of Insurance - please attach a list of coverage amounts for each       
employee classification.                                                        

When do changes in coverage apply? (Check only one and give date if applicable.)

/ /  First of the month on or following the salary change.                      

/X/  During annual open enrollment.                   Date: [01-01-2006]        
                                                            --------------------

/ /  Other.                                           Date:                     
                                                            --------------------

ELIGIBILITY: An eligible employee must be actively working at his or her        
employer's normal place of business at least [20] hours per week on the date he 
or she signs an application for coverage, and for [20] hours per week for each  
of the [4] week(s) immediately prior to the date his or her application for     
coverage (except retirees or other persons as designated) is approved by        
Securian Life.                                                                  

Are retirees or any other persons not actively at work to be included in this   
plan? / / Yes  /X/ No                                                           

(If yes, please attach a list of retirees or other persons, their ages, amounts 
of insurance, and under what circumstances we are providing coverage.)          

EX-99.26(E)(1)
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SECURIAN LIFE AGREES TO PROVIDE:                                                

    1.   A life insurance plan to those who have satisfied the eligibility and
any underwriting requirements;                              
2.   Enrollment materials necessary to implement the plan;            
 3.   All Underwriting, Claims and Actuarial services necessary for plan
administration.                                             

THE PARTICIPATING EMPLOYER AGREES TO PROVIDE:                                   

 1.   Employee information to Securian Life to facilitate preparation of
enrollment materials and plan set-up.                       

2.   Payroll deduction facilities to collect premiums from insured    
   employees, accounting for such premiums, and remittance of such
premiums to Securian Life.                                  

   3.   Reasonable administrative assistance to Securian Life with regard to
   notification of insured terminations, cancellations, changes in
   payroll deduction authorizations, and distributing materials to
employees.                                                  

Securian Life can terminate this agreement by giving the participating employer 
61 days advance written notice. The participating employer can terminate this   
agreement by giving Securian Life 31 days advance written notice. This agreement
is effective (date) [12-01-2004] and will remain in effect for a one-year       
period. Unless terminated by either party, this agreement shall automatically   
renew for additional one-year periods.                                          

I AGREE THAT BECAUSE THIS APPLICATION IS FOR A VARIABLE GROUP UNIVERSAL LIFE    
POLICY, THAT SECURIAN LIFE, IF IT IS UNABLE FOR ANY REASON TO COLLECT FUNDS FOR 
UNITS WHICH HAVE BEEN ALLOCATED TO A SUB-ACCOUNT UNDER THE POLICY APPLIED FOR,  
MAY REDEEM FOR ITSELF THE FULL VALUE OF SUCH UNITS. IF SUCH UNITS ARE NO LONGER 
AVAILABLE, IT MAY RECOVER THAT VALUE FROM ANY OTHER UNITS OF EQUAL VALUE        
AVAILABLE UNDER THE POLICY.                                                     

I UNDERSTAND THAT THE AMOUNT OR THE DURATION OF THE DEATH BENEFIT (OR BOTH) OF  
THE POLICY APPLIED FOR MAY INCREASE OR DECREASE DEPENDING ON THE INVESTMENT     
RESULTS OF THE SUB-ACCOUNTS OF THE SEPARATE ACCOUNT. I UNDERSTAND THAT THE      
ACCOUNT VALUE OF THE POLICY APPLIED FOR INCREASES AND DECREASES DEPENDING ON THE
INVESTMENT RESULTS. THERE IS NO GUARANTEED MINIMUM ACCOUNT VALUE FOR NET        
PREMIUMS INVESTED IN THE SUB-ACCOUNTS.                                          

                                                                [Download Table]
                                                                                  
PARTICIPATING EMPLOYER                                                            
[ABC Company]                                                                     

BY                                              TITLE                 DATE        
[Bob Johnson]                                   [Manager]             [12-01-2004]

EIN NUMBER                                      SIGNATURE                         
[4789]                                          X [/s/ Bob Johnson]               

FOR SECURIAN LIFE                                                                 

AGENT, BROKER OR REGISTERED REPRESENTATIVE                                        
[Sam S. Smith]                                                                    

AGENCY                                          DATED AT              ON          
[North Agency]                                  [Anytown, USA]        [12-01-2004]

AGENT/BROKER/REGISTERED REPRESENTATIVE LICENSE  SIGNATURE                         
[987-65-4321]                                   X [/s/ Sam S. Smith]              

5 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/26/24  Securian Life Var Universal… Acct 485BPOS     5/01/24    4:737K                                   Donnelley … Solutions/FA
 8/30/23  Securian Life Var Universal… Acct 485BPOS     8/30/23    4:697K                                   Donnelley … Solutions/FA
 4/27/23  Securian Life Var Universal… Acct 485BPOS     5/01/23    5:711K                                   Donnelley … Solutions/FA
 4/27/22  Securian Life Var Universal… Acct 485BPOS     4/29/22    5:1M                                     Toppan Merrill/FA
 4/28/21  Securian Life Var Universal… Acct 485BPOS     5/01/21    5:1M                                     Toppan Merrill/FA