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13

Monthly STD Rates

The cost for STD coverage is based on your age and the

weekly benefit amount you choose based on the schedule

below.

For example, $150 weekly benefit for 44 year old employee

would cost $11.73 per month ($7.82 + $3.91). $250 weekly

benefit for a 57 year old employee would cost $26.15 per

month ($10.46 + ($5.23 * 3)).

Other Important Plan Information

Benefits paid while disabled are non-taxable. Since the

premiums are paid on an after tax basis, benefits are

not taxed.

If you are eligible for state-mandated temporary

disability benefits, you may enroll in the STD program,

but the combination of this plan’s benefit and your other

income may not exceed 70% of your basic weekly

income.

STD benefits are not payable for injury or sickness that

is the result of employment.

Disability caused by self inflicted injuries or injuries

sustained as a result of your commission (or attempt to

commit) an assault or felony is not a covered disability.

To receive disability benefits, an employee must be

treated regularly by a physician during the disability

period.

STD coverage is not portable. That is, you cannot

continue coverage if you are no longer employed by the

company.

Rates will change based on age. If an employee

reaches a new rate level, the premium change will take

effect on January 1 following the birthday on which the

employee reached the new age bracket.

Worksite Benefit Program

The worksite benefit plans through UNUM have been

designed to provide dollars to offset new expenses and out

of pocket costs associated with accidents and/or illnesses

that can happen to anyone at any age. You can use the

benefit however you want – to help pay medical bills or

those everyday living expenses such as housing, car

payments, utility bills, child-care, groceries, and credit card

bills and even lost time from work.

The costs associated with the two available worksite benefits

are illustrated in the online enrollment portal or can be

accessed by calling (888) 205-3036.

Accident Expense Benefit

Accident insurance is designed to help meet the out of

pocket expenses and extra bills that can follow an accidental

injury, whether minor or catastrophic. This plan covers a

wide range of off the job accidental injuries. Indemnity lump

sum benefits are paid directly to you based on the benefit

amount listed in the schedule of benefits. The accident plan

is guaranteed issue, so no health questions are required.

This plan includes coverage for scholastic sports. This

coverage also pays $50 cash each year for any insured that

has 1 of 26 covered health screenings. More details to

follow on page 14.

Critical Illness Insurance

Critical Illness insurance is designed to help offset the final

effects of a catastrophic illness with a lump sum benefit if an

insured is diagnosed with a covered critical illness. This

benefit is based on the amount of coverage in effect on the

date of diagnosis of a critical illness or the date treatment is

received according to the terms and provisions of the policy.

There are no pre-existing condition limitations for you, your

spouse and children. This coverage also pays $50 cash

each year for any insured that has 1 of 26 covered health

screenings. More details to follow on page 15.

As a new hire, you have a one-time opportunity to enroll for

$10,000 for yourself and $5,000 for your spouse without

needing to answer any medical questions! If you do not

enroll when first eligible, all amounts of coverage will require

the completion of medical questions.

Weekly Benefit

Under

40

40-49

50-59

60+

$100

$8.67

$7.82

$10.46 $14.88

Each $50 over $100

$4.34

$3.91

$5.23

$7.44