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26

Life Insurance

VOLUNTARY AD&D

Voluntary AD&D Insurance allows you to purchase additional accidental death and dismemberment insurance to

protect your family's financial security in case you suffer from loss of a limb, speech, sight or hearing or if you die

in an accident. The cost of coverage is paid in full by the Employee. Coverage is provided by Hartford Insurance

Group.

Employee Only Voluntary AD&D

Amount

Increments of $10,000 (minimum: $10,000) up to lesser of 10x covered

annual earnings or $500,000

Employee & Family Voluntary AD&D

Election

Spouse Amount:

50% of Employee amount if employee does not cover any children under AD&D

policy. 40% of employee amount if employee covers any children.

Child(ren) Amount:

15% of Employee amount is employee does not cover a spouse under AD&D

policy.

10% of employee amount if employee covers spouse.

Beneficiary Reminder:

You must select a primary and contingent beneficiary for your life insurance benefit. It is important to make

sure that your beneficiaries are up-to-date following marriage, divorce or birth of a child. Should you choose

to name a beneficiary other than your spouse, kindly make sure that he/she provides consent by affixing

his/her signature on Page 2 of the Hartford enrollment form.

The information in this booklet is a general outline of the benefits offered under College of Marin benefits program. This booklet may not include all relevant limitations and conditions.

Specific details and limitations are provided in the plan documents, which may include a Summary of Plan Description (SPD), Evidence of Coverage (EOC), and/or insurance policies. The

plan documents contain relevant plan provisions. If the information in this booklet differs from the plan documents, the plan documents will prevail.