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10

BASIC LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT

(AD&D) INSURANCE

All eligible employees receive Basic Life and Accidental Death & Dismemberment coverage. This coverage is provided by Family

Farms Group at

no cost

to you. This benefit provides you with one times your annual earnings up to $300,000 in Life/AD&D

coverage. This coverage is administered through Mutual of Omaha. Benefit reductions apply upon attaining age 70.

Mutual of Omaha offers a complementary Worldwide Travel Assistance service for those who are enrolled in the Basic Life/

AD&D plan. Travel Assistance can help you avoid unexpected bumps in the road anywhere in the world for you, your

spouse and dependent children on any single trip, up to 120 days in length, more than 100 miles from home. Travel

Assistance offers access to a network of professionals who can help you with local medical referrals or provide other

emergency assistance services in foreign locations. For services within the U.S. you can call 1-800-856-9947. For services

outside the U.S. you can place a collect call to 312-935-3658.

VOLUNTARY LIFE INSURANCE AND

ACCIDENTAL DEATH & DISMEMBERMENT

(AD&D) INSURANCE

Your Voluntary Life/AD&D is administered through Mutual of Omaha. You must purchase

Voluntary Life/AD&D on yourself in order to purchase coverage for your spouse and

dependent children.

Employees can purchase up to 5 times their annual salary, with a minimum of $10,000, in

$10,000 increments up to a maximum of $500,000 of coverage. The Guarantee Issue

amount for newly eligible employees is $100,000.

Spousal coverage is available in $5,000 increments not to exceed 100% of the employee

amount, with a minimum of $5,000 up to a maximum of $100,000. The Guarantee Issue

amount for newly eligible spouses is $25,000. Coverage is available for dependent children.

Coverage for dependent children is available in $1,000 increments, with a minimum of $1,000 up to a maximum of $10,000. Benefit

reductions apply upon attaining age 70.

Please note: You and your dependents have a one-time special enrollment opportunity, which allows you and

your dependents to enroll or increase your elections up to specified limits without having to complete an

Evidence of Insurability (EOI) form. If you are not currently enrolled in the Voluntary Life/AD&D plan you can

elect up to $20,000 without having to complete any medical questions. If you are currently enrolled in the

Voluntary Life/AD&D plan you can purchase an additional $20,000 up to the plan maximum without having to

complete an Evidence of Insurability form. Annually you will be able to increase your election by $10,000 up to

the guarantee issue limit. If you chose not to enroll in the plan at this time you will be required to complete an

Evidence of Insurability (EOI) form and be approved by Mutual of Omaha before you are able to obtain coverage

in the future.

Insurance for the

Unexpected