Employee Benefits Guide

Basic Life and AD&D Insurance Life and accidental death and dismemberment (AD&D) insurance is an important element of your income protection planning, especially for those who depend on you for financial security. As a part of this benefit offering, Carrier Name offers a travel assistance program to help you cope with emergencies while traveling. Please see your Benefit Administrator for detailed information. You may elect basic life and AD&D coverage equal to one, two, or three times your annual salary rounded up to the next highest $1,000 (to a maximum of $300,000; minimum coverage amount is $50,000). Benefits will reduce at age 65. Guaranteed Issue If you elect coverage when first eligible, you may elect up to the guaranteed issue amount without answering medical questions (evidence of insurability). During open enrollment, if you elect to increase your coverage amount by more than one level, you will be required to complete evidence of insurability. AD&D Benefit Employee Coverage Amounts

Please be sure to keep your beneficiary designations up to date.

Your AD&D benefit is equal to your life benefit. If you die as a result of an accident, your beneficiary will receive both the life benefit and the AD&D benefit. In cases where an accident results in the loss of limb or eyesight rather than death, you will receive a portion of the AD&D benefit depending on the type of loss. Coverage for Dependents Dependent life insurance is available to all dependents of benefits-eligible active employees who elect basic life and AD&D insurance for themselves. Dependent children must be under age 26. Coverage Amounts There are three levels of dependent life insurance benefit amounts available for your spouse/domestic partner and child(ren). Each level provides coverage for all dependents at one low cost. Level 1 • Spouse/domestic partner: $5,000 • Child(ren): $5,000 Level 2 • Spouse/domestic partner: $10,000 • Child(ren): $10,000 Level 3 • Spouse/domestic partner: $20,000 • Child(ren): $20,000 Guaranteed Issue When dependents first become eligible and are enrolled in Carrier Name basic dependent life insurance plan within 31 days of their initial eligibility, you may elect level 1, level 2, or level 3 of dependent coverage without evidence of insurability. You may elect to add dependent coverage or change from level 1, level 2, or level 3 during open enrollment without evidence of insurability. Benefit Payment The benefit amount is always paid to the employee or retiree who elected the coverage for the dependent(s). The benefit payment is made in a lump sum.

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