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Coverage You Can Rely On

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(1)

Coverage You Can Rely On

(2)

COVERAGE

Disability income protection insurance provides a benefit for “short term” disability resulting from a covered injury or sickness. Benefits begin at the end of the elimination period and continue while you are disabled up to the maximum benefit duration.

ELIGIBILITY

Each Active, Full-time employee working 30 or more hours per week, and earning an annual salary of at least $15,000, except any person working on a temporary or seasonal basis.

BENEFIT AMOUNT

You may elect a weekly benefit in increments of $25, from a minimum of $100 up to a maximum benefit of $1,250 per week, not to exceed 60% of your covered earnings (rounded to the next lower increment).

DAY BENEFITS BEGIN

Injury (accident) and Sickness (illness): benefits begin on the 15th consecutive day of disability; or the day following the number of accumulated sick days applicable to the employee.

MAXIMUM BENEFIT DURATION

Benefits for one period of disability, will be paid up to a maximum of 11 weeks.

CONTRIBUTION REQUIREMENTS

Coverage is 100% employee paid.

RATES

See next page.

FEATURES

„ Maternity covered as any other illness

„ Non-occupational coverage

„ Partial Disability benefit included

„ Transfer of Coverage provision

„ Zero Day Residual included Definition

LIMITATIONS

„ Pre-Existing Condition Limitation – 3/12

Please note — pre-ex limitations also apply to benefit increases

EXCLUSIONS

Benefits will not be payable for any disability caused by: an intentionally self-inflicted injury; an act of war (declared or undeclared); commission of a felony; sickness covered by workers’ compensation or other workers’ disability law; injury occurring out of or in the course of work for wage or profit.

For a comprehensive list of exclusions, limitations, and any applicable benefit offsets, please refer to the Certificate of Insurance. The Certificate also provides all requirements necessary to be eligible for coverage and benefits.

This Plan Highlights is a brief description of the key features of the RSL insurance plan. The availability of the benefits and features described may vary by state. It is not a certificate of insurance or evidence of coverage. Insurance is provided under group policy form LRS-6451, et al.

Voluntary Group Short

Term Disability Insurance

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VOLUNTARY GROUP SHORT TERM DISABILITY INSURANCE

EMPLOYEE WEEkLY PREMIUMS

Weekly Earnings

Weekly Benefit Amount

Age

-19 20-24Age 25-29Age 30-34Age 35-39Age 40-44Age 45-49Age 50-54Age 55-59Age 60-64Age 65-69Age Age 70+

$288 $100 $1.27 $1.27 $1.36 $1.43 $1.34 $1.45 $1.80 $2.63 $3.09 $3.42 $4.22 $5.61 $288 $125 $1.59 $1.59 $1.70 $1.79 $1.67 $1.82 $2.25 $3.29 $3.87 $4.27 $5.28 $7.01 $288 $150 $1.90 $1.90 $2.04 $2.15 $2.01 $2.18 $2.70 $3.95 $4.64 $5.12 $6.33 $8.41 $292 $175 $2.22 $2.22 $2.38 $2.50 $2.34 $2.54 $3.15 $4.60 $5.41 $5.98 $7.39 $9.81 $333 $200 $2.54 $2.54 $2.72 $2.86 $2.68 $2.91 $3.60 $5.26 $6.18 $6.83 $8.45 $11.22 $375 $225 $2.86 $2.86 $3.06 $3.22 $3.01 $3.27 $4.05 $5.92 $6.96 $7.68 $9.50 $12.62 $417 $250 $3.17 $3.17 $3.40 $3.58 $3.35 $3.63 $4.50 $6.58 $7.73 $8.54 $10.56 $14.02 $458 $275 $3.49 $3.49 $3.74 $3.93 $3.68 $4.00 $4.95 $7.23 $8.50 $9.39 $11.61 $15.42 $500 $300 $3.81 $3.81 $4.08 $4.29 $4.02 $4.36 $5.40 $7.89 $9.28 $10.25 $12.67 $16.82 $542 $325 $4.13 $4.13 $4.43 $4.65 $4.35 $4.73 $5.85 $8.55 $10.05 $11.10 $13.73 $18.23 $583 $350 $4.44 $4.44 $4.77 $5.01 $4.68 $5.09 $6.30 $9.21 $10.82 $11.95 $14.78 $19.63 $625 $375 $4.76 $4.76 $5.11 $5.37 $5.02 $5.45 $6.75 $9.87 $11.60 $12.81 $15.84 $21.03 $667 $400 $5.08 $5.08 $5.45 $5.72 $5.35 $5.82 $7.20 $10.52 $12.37 $13.66 $16.89 $22.43 $708 $425 $5.39 $5.39 $5.79 $6.08 $5.69 $6.18 $7.65 $11.18 $13.14 $14.52 $17.95 $23.83 $750 $450 $5.71 $5.71 $6.13 $6.44 $6.02 $6.54 $8.10 $11.84 $13.92 $15.37 $19.00 $25.23 $792 $475 $6.03 $6.03 $6.47 $6.80 $6.36 $6.91 $8.55 $12.50 $14.69 $16.22 $20.06 $26.64 $833 $500 $6.35 $6.35 $6.81 $7.15 $6.69 $7.27 $9.00 $13.15 $15.46 $17.08 $21.12 $28.04 $875 $525 $6.66 $6.66 $7.15 $7.51 $7.03 $7.63 $9.45 $13.81 $16.23 $17.93 $22.17 $29.44 $917 $550 $6.98 $6.98 $7.49 $7.87 $7.36 $8.00 $9.90 $14.47 $17.01 $18.78 $23.23 $30.84 $958 $575 $7.30 $7.30 $7.83 $8.23 $7.70 $8.36 $10.35 $15.13 $17.78 $19.64 $24.28 $32.24 $1,000 $600 $7.62 $7.62 $8.17 $8.58 $8.03 $8.72 $10.80 $15.78 $18.55 $20.49 $25.34 $33.65 $1,042 $625 $7.93 $7.93 $8.51 $8.94 $8.37 $9.09 $11.25 $16.44 $19.33 $21.35 $26.39 $35.05 $1,083 $650 $8.25 $8.25 $8.85 $9.30 $8.70 $9.45 $11.70 $17.10 $20.10 $22.20 $27.45 $36.45 $1,125 $675 $8.57 $8.57 $9.19 $9.66 $9.03 $9.81 $12.15 $17.76 $20.87 $23.05 $28.51 $37.85 $1,167 $700 $8.88 $8.88 $9.53 $10.02 $9.37 $10.18 $12.60 $18.42 $21.65 $23.91 $29.56 $39.25 $1,208 $725 $9.20 $9.20 $9.87 $10.37 $9.70 $10.54 $13.05 $19.07 $22.42 $24.76 $30.62 $40.66 $1,250 $750 $9.52 $9.52 $10.21 $10.73 $10.04 $10.90 $13.50 $19.73 $23.19 $25.62 $31.67 $42.06 $1,292 $775 $9.84 $9.84 $10.55 $11.09 $10.37 $11.27 $13.95 $20.39 $23.97 $26.47 $32.73 $43.46 $1,333 $800 $10.15 $10.15 $10.89 $11.45 $10.71 $11.63 $14.40 $21.05 $24.74 $27.32 $33.78 $44.86 $1,375 $825 $10.47 $10.47 $11.23 $11.80 $11.04 $11.99 $14.85 $21.70 $25.51 $28.18 $34.84 $46.26 $1,417 $850 $10.79 $10.79 $11.57 $12.16 $11.38 $12.36 $15.30 $22.36 $26.28 $29.03 $35.90 $47.67 $1,458 $875 $11.11 $11.11 $11.91 $12.52 $11.71 $12.72 $15.75 $23.02 $27.06 $29.88 $36.95 $49.07 $1,500 $900 $11.42 $11.42 $12.25 $12.88 $12.05 $13.08 $16.20 $23.68 $27.83 $30.74 $38.01 $50.47 $1,542 $925 $11.74 $11.74 $12.59 $13.23 $12.38 $13.45 $16.65 $24.33 $28.60 $31.59 $39.06 $51.87 $1,583 $950 $12.06 $12.06 $12.93 $13.59 $12.72 $13.81 $17.10 $24.99 $29.38 $32.45 $40.12 $53.27 $1,625 $975 $12.38 $12.38 $13.28 $13.95 $13.05 $14.18 $17.55 $25.65 $30.15 $33.30 $41.18 $54.68 $1,667 $1,000 $12.69 $12.69 $13.62 $14.31 $13.38 $14.54 $18.00 $26.31 $30.92 $34.15 $42.23 $56.08 $1,708 $1,025 $13.01 $13.01 $13.96 $14.67 $13.72 $14.90 $18.45 $26.97 $31.70 $35.01 $43.29 $57.48 $1,750 $1,050 $13.33 $13.33 $14.30 $15.02 $14.05 $15.27 $18.90 $27.62 $32.47 $35.86 $44.34 $58.88 $1,792 $1,075 $13.64 $13.64 $14.64 $15.38 $14.39 $15.63 $19.35 $28.28 $33.24 $36.72 $45.40 $60.28 $1,833 $1,100 $13.96 $13.96 $14.98 $15.74 $14.72 $15.99 $19.80 $28.94 $34.02 $37.57 $46.45 $61.68 $1,875 $1,125 $14.28 $14.28 $15.32 $16.10 $15.06 $16.36 $20.25 $29.60 $34.79 $38.42 $47.51 $63.09 $1,917 $1,150 $14.60 $14.60 $15.66 $16.45 $15.39 $16.72 $20.70 $30.25 $35.56 $39.28 $48.57 $64.49 $1,958 $1,175 $14.91 $14.91 $16.00 $16.81 $15.73 $17.08 $21.15 $30.91 $36.33 $40.13 $49.62 $65.89 $2,000 $1,200 $15.23 $15.23 $16.34 $17.17 $16.06 $17.45 $21.60 $31.57 $37.11 $40.98 $50.68 $67.29 $2,042 $1,225 $15.55 $15.55 $16.68 $17.53 $16.40 $17.81 $22.05 $32.23 $37.88 $41.84 $51.73 $68.69 $2,083 $1,250 $15.87 $15.87 $17.02 $17.88 $16.73 $18.17 $22.50 $32.88 $38.65 $42.69 $52.79 $70.10

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COVERAGE

Disability income protection insurance provides a benefit for “long term” disability resulting from a covered injury or sickness. Benefits begin at the end of the elimination period and continue while you are disabled up to the maximum benefit duration.

ELIGIBILITY

Each Active, Full-time employee working 30 or more hours per week, and earning an annual salary of at least $15,000, except any person working on a temporary or seasonal basis.

BENEFIT AMOUNT

You may elect a monthly benefit equal to 50% of your covered earnings, up to a maximum benefit of $3,500 per month.

ELIMINATION PERIOD

90 consecutive days of total disability

MAXIMUM BENEFIT DURATION

Benefits will not extend beyond the longer of: Social Security Normal Retirement Age or Duration of Benefits below:

Age at Disablement Duration of Benefits Age 65 or less 2 years

66 1 3/4 years

67 1 1/2 years

68 1 1/4 years

Age 69 and older 1 year

CONTRIBUTION REQUIREMENTS

Coverage is 100% employee paid.

RATES

See next page.

FEATURES

„ Minimum Benefit Payable – $50

„ Own Occupation Coverage – 24 months

„ Residual and Partial Disability

„ Specific Indemnity Benefit

„ Survivor Benefit – 3 months

„ Work Incentive & Child Care provisions

VALUE ADDED SERVICES

„ Travel Assistance Service

LIMITATIONS

„ Mental/Nervous Illness Limitation – 24 month out-patient

„ Offsets (such as, but not limited to, Social Security, Workers Compensation, State Disability Plans)

„ Pre-Existing Condition Limitation – 3/12

„ Substance Abuse Limitation – 24 months

Please note- pre-ex limitations also apply to benefit increases

EXCLUSIONS

Benefits will not be payable for any disability caused by: an intentionally self-inflicted injury; an act of war (declared or undeclared); commission of a felony; injury or sickness occurring while confined in any penal or correctional institution.

For a comprehensive list of exclusions, limitations, and any applicable benefit offsets, please refer to the Certificate of Insurance. The Certificate also provides all requirements necessary to be eligible for coverage and benefits. This Plan Highlights is a brief description of the key features of the RSL insurance plan. The availability of the benefits and features described may vary by state. It is not a certificate of insurance or evidence of coverage. Insurance is provided under group policy form LRS-6564, et al.

Voluntary Group Long

Term Disability Insurance

(5)

Scheduled Benefit:

Each eligible employee may elect 50% of their monthly earnings, up to $3,500 per month benefit maximum.

To calculate your monthly payroll deduction, use the formula indicated below: (Round all numbers to the nearest whole number)

1. Enter your Annual Earnings. 1. $ __________ 2. Divide your annual earnings by 12 (monthly earnings).

Average monthly income cannot exceed $7,000 2. $ __________ 3. Find your rate from the age table displayed.. 3. ___________ 4. Multiply the amount on Line 2 by the appropriate

rate for your age entered on Line 3. 4. $ __________ 5. Divide the amount on Line 4 by 100 and enter the

amount on Line 5 to get your monthly payroll deduction. 5. $ __________ 6. Multiply the amount on Line 5 by 12, then Divide by 52

to get your weekly payroll deduction. 6. $ __________

Example Calculation: Jane Smith is Age 35.

1. Enter your Annual Earnings. 1. $ __________ 2. Divide your annual earnings by 12 (monthly earnings).

Average monthly income cannot exceed $7,000 2. $ __________ 3. Find your rate from the age table displayed.. 3. ___________ 4. Multiply the amount on Line 2 by the appropriate

rate for your age entered on Line 3. 4. $ __________ 5. Divide the amount on Line 4 by 100 and enter the

amount on Line 5 to get your monthly payroll deduction. 5. $ __________ 6. Multiply the amount on Line 5 by 12, then Divide by 52

to get your weekly payroll deduction. 6. $ __________

Age Rate per $100 of covered payroll

18-24 $0.07 25-29 $0.12 30-34 $0.21 35-39 $0.34 40-44 $0.59 45-49 $0.77 50-54 $1.08 55-59 $1.40 60-64 $1.08 65-69 $0.73 70+ $0.53

Voluntary Group Long

Term Disability Insurance

Premium Worksheet

50,000

4,167 (monthly earnings) .34(rate for age 35-39) 1416.78

14.17(monthly payroll deduction) 3.27(weekly payroll deduction)

(6)

ELIGIBILITY

Employees: Each Active, Full-time employee working 30 or more hours per week, except any person working on a temporary or seasonal basis.

Dependents: You or your spouse must be insured in order for Dependent children to be covered.

Dependents are:

„ Your legal spouse under age 70. Spouse coverage terminates at age 75.

„ Your unmarried financially dependent children* age 14 days to 20 years (to 26 years if full-time student). *natural and adopted children upon finalization of adoption; stepchildren and foster children living with you. Age limit does not apply to handicapped children.

A person may not have coverage as both an Employee and Dependent.

Only one insured spouse may cover Dependent children.

BENEFIT AMOUNT

Employee and Spouse: Choose from a minimum of $10,000 to a maximum of $500,000 (in $10,000 increments) for yourself and/or your spouse. The benefit amounts chosen need not be the same.

Eligible Dependent Child(ren): 14 Days to 6 months: $1,000 Age 6 months to 20 years of age (26, if full-time student): choice of $10,000

Choose one benefit amount for all eligible children in family.

GUARANTEED ISSUE

(Initial Eligibility Period Only) Employee:

Under age 60: $100,000

Age 60 but under age 70: $100,000 Age 70 or older: none

Spouse:

Under age 60: $20,000 Age 60 or older: none

GUARANTEED ISSUE is subject to underwriting rules and is not available in all circumstances.

FEATURES

„ Living Benefit Rider(expressed as Accelerated Death Benefit in some states and Imminent Death Benefit in PA)

„ Portability

„ Waiver of Premium

RATE

See next page.

CONTRIBUTION REQUIREMENTS

Coverage is employee paid.

AD&D SCHEDULE

For Accidental Loss of: Amount Payable:

Life 100%

Both hands or both feet 100% Sight of both eyes 100% One hand and one foot 100% One hand and sight of one eye 100% One foot and sight of one eye 100% Speech and hearing 100% One hand or One foot 50%

Sight of one eye 50%

Speech or Hearing 50%

BENEFIT REDUCTION DUE TO AGE

(applicable to employee/spouse coverage) At Age Face Amount Reduces to:

75-79 60% of available or in force amount at age 74 80-84 35% of available or in force amount at age 74 85-89 27.5% of available or in force amount at age 74 90-94 20% of available or in force amount at age 74 95-99 7.5% of available or in force amount at age 74 100 + 5% of available or in force amount at age 74

EXCLUSIONS

Death by suicide is not covered during the first two years an insured’s insurance is in force. Insurance coverage is incontestable after it has been in force two years during the insured’s lifetime, except for non-payment of premium. AD&D benefits will not be payable for a loss which results from: intentionally self-inflicted injury; any act of war, declared or undeclared; sickness or disease which contributes to a loss (except infection which results from an accidental cut or wound). Additional exclusions may apply and vary by state.

For a comprehensive list of exclusions and limitations, please refer to the Certificate of Insurance. The Certificate also provides all requirements necessary to be eligible for coverage and benefits.

This Plan Highlights is a brief description of the key features of the RSL insurance plan. It is not a certificate of insurance or evidence of coverage. Insurance is provided under group policy form LRS-8349, et al.

Voluntary Group Term

Life and AD&D Insurance

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VOLUNTARY LIFE INSURANCE PREMIUM TABLE

Scheduled Benefit: Each eligible employee and spouse may elect an amount of insurance, in increments of $10,000 from a minimum of $10,000 to a maximum of $500,000. Rates are subject to change.

WEEkLY PREMIUMS

Voluntary

Life Election Amount

Age

<30 Age 30-34 35-39Age 40-44Age 45-49Age 50-54Age Age 55-59 Age 60-64 Age 65-69 Age 70-75 Child Rates

$10,000 $0.39 $0.37 $0.49 $0.76 $1.24 $1.95 $3.32 $4.06 $6.08 $11.59 $10,000 - $0.43 $20,000 $0.79 $0.74 $0.98 $1.52 $2.47 $3.91 $6.65 $8.11 $12.16 $23.17

$30,000 $1.18 $1.11 $1.47 $2.28 $3.71 $5.86 $9.97 $12.17 $18.24 $34.76 $40,000 $1.58 $1.49 $1.96 $3.04 $4.95 $7.82 $13.29 $16.23 $24.32 $46.35 $50,000 $1.97 $1.86 $2.45 $3.80 $6.18 $9.77 $16.62 $20.28 $30.40 $57.93 $60,000 $2.37 $2.23 $2.94 $4.56 $7.42 $11.73 $19.94 $24.34 $36.48 $69.52 $70,000 $2.76 $2.60 $3.42 $5.31 $8.66 $13.68 $23.26 $28.40 $42.57 $81.11 $80,000 $3.16 $2.97 $3.91 $6.07 $9.90 $15.64 $26.58 $32.46 $48.65 $92.70 $90,000 $3.55 $3.34 $4.40 $6.83 $11.13 $17.59 $29.91 $36.51 $54.73 $104.28 $100,000 $3.95 $3.72 $4.89 $7.59 $12.37 $19.55 $33.23 $40.57 $60.81 $115.87 $110,000 $4.34 $4.09 $5.38 $8.35 $13.61 $21.50 $36.55 $44.63 $66.89 $127.46 $120,000 $4.74 $4.46 $5.87 $9.11 $14.84 $23.46 $39.88 $48.68 $72.97 $139.04 $130,000 $5.13 $4.83 $6.36 $9.87 $16.08 $25.41 $43.20 $52.74 $79.05 $150.63 $140,000 $5.52 $5.20 $6.85 $10.63 $17.32 $27.36 $46.52 $56.80 $85.13 $162.22 $150,000 $5.92 $5.57 $7.34 $11.39 $18.55 $29.32 $49.85 $60.85 $91.21 $173.80 $160,000 $6.31 $5.94 $7.83 $12.15 $19.79 $31.27 $53.17 $64.91 $97.29 $185.39 $170,000 $6.71 $6.32 $8.32 $12.91 $21.03 $33.23 $56.49 $68.97 $103.37 $196.98 $180,000 $7.10 $6.69 $8.81 $13.67 $22.26 $35.18 $59.82 $73.02 $109.45 $208.56 $190,000 $7.50 $7.06 $9.30 $14.43 $23.50 $37.14 $63.14 $77.08 $115.53 $220.15 $200,000 $7.89 $7.43 $9.78 $15.18 $24.74 $39.09 $66.46 $81.14 $121.62 $231.74 $210,000 $8.29 $7.80 $10.27 $15.94 $25.98 $41.05 $69.78 $85.20 $127.70 $243.33 $220,000 $8.68 $8.17 $10.76 $16.70 $27.21 $43.00 $73.11 $89.25 $133.78 $254.91 $230,000 $9.08 $8.55 $11.25 $17.46 $28.45 $44.96 $76.43 $93.31 $139.86 $266.50 $240,000 $9.47 $8.92 $11.74 $18.22 $29.69 $46.91 $79.75 $97.37 $145.94 $278.09 $250,000 $9.87 $9.29 $12.23 $18.98 $30.92 $48.87 $83.08 $101.42 $152.02 $289.67 $260,000 $10.26 $9.66 $12.72 $19.74 $32.16 $50.82 $86.40 $105.48 $158.10 $301.26 $270,000 $10.65 $10.03 $13.21 $20.50 $33.40 $52.77 $89.72 $109.54 $164.18 $312.85 $280,000 $11.05 $10.40 $13.70 $21.26 $34.63 $54.73 $93.05 $113.59 $170.26 $324.43 $290,000 $11.44 $10.77 $14.19 $22.02 $35.87 $56.68 $96.37 $117.65 $176.34 $336.02 $300,000 $11.84 $11.15 $14.68 $22.78 $37.11 $58.64 $99.69 $121.71 $182.42 $347.61 $310,000 $12.23 $11.52 $15.17 $23.54 $38.34 $60.59 $103.02 $125.76 $188.50 $359.19 $320,000 $12.63 $11.89 $15.66 $24.30 $39.58 $62.55 $106.34 $129.82 $194.58 $370.78 $330,000 $13.02 $12.26 $16.14 $25.05 $40.82 $64.50 $109.66 $133.88 $200.67 $382.37 $340,000 $13.42 $12.63 $16.63 $25.81 $42.06 $66.46 $112.98 $137.94 $206.75 $393.96 $350,000 $13.81 $13.00 $17.12 $26.57 $43.29 $68.41 $116.31 $141.99 $212.83 $405.54 $360,000 $14.21 $13.38 $17.61 $27.33 $44.53 $70.37 $119.63 $146.05 $218.91 $417.13 $370,000 $14.60 $13.75 $18.10 $28.09 $45.77 $72.32 $122.95 $150.11 $224.99 $428.72 $380,000 $15.00 $14.12 $18.59 $28.85 $47.00 $74.28 $126.28 $154.16 $231.07 $440.30 $390,000 $15.39 $14.49 $19.08 $29.61 $48.24 $76.23 $129.60 $158.22 $237.15 $451.89 $400,000 $15.78 $14.86 $19.57 $30.37 $49.48 $78.18 $132.92 $162.28 $243.23 $463.48 $410,000 $16.18 $15.23 $20.06 $31.13 $50.71 $80.14 $136.25 $166.33 $249.31 $475.06 $420,000 $16.57 $15.60 $20.55 $31.89 $51.95 $82.09 $139.57 $170.39 $255.39 $486.65 $430,000 $16.97 $15.98 $21.04 $32.65 $53.19 $84.05 $142.89 $174.45 $261.47 $498.24 $440,000 $17.36 $16.35 $21.53 $33.41 $54.42 $86.00 $146.22 $178.50 $267.55 $509.82 $450,000 $17.76 $16.72 $22.02 $34.17 $55.66 $87.96 $149.54 $182.56 $273.63 $521.41 $460,000 $18.15 $17.09 $22.50 $34.92 $56.90 $89.91 $152.86 $186.62 $279.72 $533.00 $470,000 $18.55 $17.46 $22.99 $35.68 $58.14 $91.87 $156.18 $190.68 $285.80 $544.59 $480,000 $18.94 $17.83 $23.48 $36.44 $59.37 $93.82 $159.51 $194.73 $291.88 $556.17 $490,000 $19.34 $18.21 $23.97 $37.20 $60.61 $95.78 $162.83 $198.79 $297.96 $567.76 $500,000 $19.73 $18.58 $24.46 $37.96 $61.85 $97.73 $166.15 $202.85 $304.04 $579.35

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COVERAGE

Voluntary critical illness insurance provides a fixed, lump-sum benefit upon diagnosis of a critical illness, which can include heart attack, stroke, paralysis and more. These benefits are paid directly to the insured and may be used for any reason, from deductibles and prescriptions to transportation and child care.

ELIGIBILITY

Employees: Each Active, Full-time employee working 30 or more hours per week,except any person working on a temporary or seasonal basis.

Dependents: You must be insured for Dependents to be covered.

Dependents are:

„ Your legal spouse. Spouse must be under age 70 at date of application. Coverage terminates at age 75.

„ Your dependent children* from age 14 days to 26 years. *natural, legally adopted, children dependent on Insured during waiting period before adoption, stepchildren, and foster children in Insured’s custody

Age limit does not apply to handicapped children.

A person may not have coverage as both an Employee and Dependent.

BENEFIT AMOUNT

Employee: Choose from a minimum of $5,000 to a maximum of $50,000 in $1,000 increments.

Spouse: Choose from a minimum of $5,000 to a maximum of $50,000 in $1,000 increments, not to exceed 100% of approved employee amount.

Dependent child(ren): 25% of approved employee amount up to a maximum of $12,500

GUARANTEED ISSUE

Employee: $10,000 Spouse: $10,000

Child: all child amounts are guaranteed issue

BENEFIT REDUCTION DUE TO AGE

(applicable to employee/spouse coverage) Age Original Benefit Reduced To

70 50%

LIMITATIONS

„ Pre-ex Condition Limitation – 12/12

„ Benefit Waiting Period – 30 Days

Please note – benefit waiting periods and pre-ex limitations also apply to benefit increases

CONTRIBUTION REQUIREMENTS

Coverage is 100% employee paid.

RATES

See next page.

FEATURES

„ Basic – 100% of Insurance Amount for: Life Threatening Cancer, Heart Attack, Stroke, Kidney (Renal) Failure, Major Organ Transplant

„ Partial – 25% of Insurance Amount for: Coronary Artery Bypass or Cancer in Situ

„ Lifetime Maximum Benefit per Category – 200% of Insurance Amount

„ Subsequent Occurrence Benefit (Different Category of Critical Illness diagnosed 6 months or later) – 100% if Basic; 25% if Partial

„ Recurrence Benefit-(Same Category of Critical Illness diagnosed 18 months or later)- 50% if Basic; 12.5% if Partial

„ FMLA / MSLA Continuation

„ Portability to employee age 70

„ Wellness (Health Screening) Benefit- $50

CRITICAL ILLNESS CATEGORIES

Category 1

Life Threatening Cancer – 100% Cancer in Situ – 25%

Category 3

Kidney (Renal) Failure – 100% Major Organ transplant – 100%

EXCLUSIONS

A benefit will not be paid if the Critical Illness is caused by or contributed to by one of the following: an act of war, declared or undeclared; intentionally selfinflicted Injury; commission or attempted commission of a felony; the use of alcohol or drugs unless taken as prescribed by a Physician; a Sickness or Injury that occurs while confined in a penal or correctional institution; cosmetic or elective surgery that is not medically necessary; committing or attempting to commit suicide while sane or insane; participation in a riot or insurrection; a Critical Illness Diagnosed outside of the US unless confirmed within the US; *for a Critical Illness which is Diagnosed before or during the Benefit Waiting Period; or a Heart Attack that occurs within 24 hours of a medical procedure.

* A Pre-existing Condition unless the Critical Illness has been Diagnosed after a specific period after the Insured’s or Insured Dependent’s effective date of coverage.

For a comprehensive list of exclusions and limitations, please refer to the Certificate of Insurance. The Certificate also provides all requirements necessary to be eligible for benefits. This Plan Highlights is a brief description of the key features of the RSL insurance plan. The availability of the benefits and features described may vary by state. It is not a certificate of insurance or evidence of coverage. Insurance is provided under group policy form LRS-9401-0111, et al.

Voluntary Group

Critical Illness Insurance

Plan Highlights

Category 2

Coronary Artery Bypass – 25% Heart Attack – 100%

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CRITICAL ILLNESS INSURANCE PREMIUM TABLE

Scheduled Benefit: Each eligible employee may elect for himself and/or his eligible spouse an amount of insurance shown in the table below. Employee/Spouse Premiums: To find you and your spouse’s premium — Determine your age band: Your age = your age at your last birthday. Spouse age = spouse age.

For employees age 70 or older, benefit amounts are reduced according to the age-based reduction chart shown in the Plan Highlights. When selecting an amount of insurance, you must select at pre-age 70 benefit amount.

Select an employee and spouse benefit from the table below. Employee and spouse rates change as insured moves from one age bracket to the next, based on the age determination rules. Please note: these rates are approximate and subject to change.

WEEkLY RATES

Benefit

Amount 0-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-54 Age 55-59 Age 60-64 Age 65-69 Age 70-74 Age Age 75-79 80-84 Age Age 85+ $5,000 $0.52 $0.84 $1.08 $1.75 $3.02 $4.75 $6.55 $9.37 $13.43 $17.25 $23.33 $29.05 $40.27 $6,000 $0.62 $1.01 $1.30 $2.10 $3.63 $5.70 $7.86 $11.24 $16.12 $20.70 $28.00 $34.86 $48.32 $7,000 $0.73 $1.18 $1.52 $2.46 $4.23 $6.66 $9.18 $13.12 $18.80 $24.15 $32.66 $40.68 $56.38 $8,000 $0.83 $1.35 $1.74 $2.81 $4.84 $7.61 $10.49 $14.99 $21.49 $27.60 $37.33 $46.49 $64.43 $9,000 $0.93 $1.52 $1.95 $3.16 $5.44 $8.56 $11.80 $16.86 $24.18 $31.05 $42.00 $52.30 $72.48 $10,000 $1.04 $1.68 $2.17 $3.51 $6.05 $9.51 $13.11 $18.74 $26.86 $34.50 $46.66 $58.11 $80.54 $11,000 $1.14 $1.85 $2.39 $3.86 $6.65 $10.46 $14.42 $20.61 $29.55 $37.95 $51.33 $63.92 $88.59 $12,000 $1.25 $2.02 $2.60 $4.21 $7.26 $11.41 $15.73 $22.49 $32.23 $41.40 $55.99 $69.73 $96.65 $13,000 $1.35 $2.19 $2.82 $4.56 $7.86 $12.36 $17.04 $24.36 $34.92 $44.85 $60.66 $75.54 $104.70 $14,000 $1.45 $2.36 $3.04 $4.91 $8.46 $13.31 $18.35 $26.23 $37.61 $48.30 $65.33 $81.35 $112.75 $15,000 $1.56 $2.53 $3.25 $5.26 $9.07 $14.26 $19.66 $28.11 $40.29 $51.75 $69.99 $87.16 $120.81 $16,000 $1.66 $2.70 $3.47 $5.61 $9.67 $15.21 $20.97 $29.98 $42.98 $55.20 $74.66 $92.97 $128.86 $17,000 $1.77 $2.86 $3.69 $5.96 $10.28 $16.16 $22.28 $31.86 $45.66 $58.65 $79.32 $98.78 $136.92 $18,000 $1.87 $3.03 $3.90 $6.31 $10.88 $17.11 $23.59 $33.73 $48.35 $62.10 $83.99 $104.59 $144.97 $19,000 $1.97 $3.20 $4.12 $6.66 $11.49 $18.06 $24.90 $35.60 $51.04 $65.55 $88.66 $110.40 $153.02 $20,000 $2.08 $3.37 $4.34 $7.02 $12.09 $19.02 $26.22 $37.48 $53.72 $69.00 $93.32 $116.22 $161.08 $21,000 $2.18 $3.54 $4.56 $7.37 $12.70 $19.97 $27.53 $39.35 $56.41 $72.45 $97.99 $122.03 $169.13 $22,000 $2.28 $3.71 $4.77 $7.72 $13.30 $20.92 $28.84 $41.22 $59.10 $75.90 $102.66 $127.84 $177.18 $23,000 $2.39 $3.87 $4.99 $8.07 $13.91 $21.87 $30.15 $43.10 $61.78 $79.35 $107.32 $133.65 $185.24 $24,000 $2.49 $4.04 $5.21 $8.42 $14.51 $22.82 $31.46 $44.97 $64.47 $82.80 $111.99 $139.46 $193.29 $25,000 $2.60 $4.21 $5.42 $8.77 $15.12 $23.77 $32.77 $46.85 $67.15 $86.25 $116.65 $145.27 $201.35 $26,000 $2.70 $4.38 $5.64 $9.12 $15.72 $24.72 $34.08 $48.72 $69.84 $89.70 $121.32 $151.08 $209.40 $27,000 $2.80 $4.55 $5.86 $9.47 $16.32 $25.67 $35.39 $50.59 $72.53 $93.15 $125.99 $156.89 $217.45 $28,000 $2.91 $4.72 $6.07 $9.82 $16.93 $26.62 $36.70 $52.47 $75.21 $96.60 $130.65 $162.70 $225.51 $29,000 $3.01 $4.89 $6.29 $10.17 $17.53 $27.57 $38.01 $54.34 $77.90 $100.05 $135.32 $168.51 $233.56 $30,000 $3.12 $5.05 $6.51 $10.52 $18.14 $28.52 $39.32 $56.22 $80.58 $103.50 $139.98 $174.32 $241.62 $31,000 $3.22 $5.22 $6.72 $10.87 $18.74 $29.47 $40.63 $58.09 $83.27 $106.95 $144.65 $180.13 $249.67 $32,000 $3.32 $5.39 $6.94 $11.22 $19.35 $30.42 $41.94 $59.96 $85.96 $110.40 $149.32 $185.94 $257.72 $33,000 $3.43 $5.56 $7.16 $11.58 $19.95 $31.38 $43.26 $61.84 $88.64 $113.85 $153.98 $191.76 $265.78 $34,000 $3.53 $5.73 $7.38 $11.93 $20.56 $32.33 $44.57 $63.71 $91.33 $117.30 $158.65 $197.57 $273.83 $35,000 $3.63 $5.90 $7.59 $12.28 $21.16 $33.28 $45.88 $65.58 $94.02 $120.75 $163.32 $203.38 $281.88 $36,000 $3.74 $6.06 $7.81 $12.63 $21.77 $34.23 $47.19 $67.46 $96.70 $124.20 $167.98 $209.19 $289.94 $37,000 $3.84 $6.23 $8.03 $12.98 $22.37 $35.18 $48.50 $69.33 $99.39 $127.65 $172.65 $215.00 $297.99 $38,000 $3.95 $6.40 $8.24 $13.33 $22.98 $36.13 $49.81 $71.21 $102.07 $131.10 $177.31 $220.81 $306.05 $39,000 $4.05 $6.57 $8.46 $13.68 $23.58 $37.08 $51.12 $73.08 $104.76 $134.55 $181.98 $226.62 $314.10 $40,000 $4.15 $6.74 $8.68 $14.03 $24.18 $38.03 $52.43 $74.95 $107.45 $138.00 $186.65 $232.43 $322.15 $41,000 $4.26 $6.91 $8.89 $14.38 $24.79 $38.98 $53.74 $76.83 $110.13 $141.45 $191.31 $238.24 $330.21 $42,000 $4.36 $7.08 $9.11 $14.73 $25.39 $39.93 $55.05 $78.70 $112.82 $144.90 $195.98 $244.05 $338.26 $43,000 $4.47 $7.24 $9.33 $15.08 $26.00 $40.88 $56.36 $80.58 $115.50 $148.35 $200.64 $249.86 $346.32 $44,000 $4.57 $7.41 $9.54 $15.43 $26.60 $41.83 $57.67 $82.45 $118.19 $151.80 $205.31 $255.67 $354.37 $45,000 $4.67 $7.58 $9.76 $15.78 $27.21 $42.78 $58.98 $84.32 $120.88 $155.25 $209.98 $261.48 $362.42 $46,000 $4.78 $7.75 $9.98 $16.14 $27.81 $43.74 $60.30 $86.20 $123.56 $158.70 $214.64 $267.30 $370.48 $47,000 $4.88 $7.92 $10.20 $16.49 $28.42 $44.69 $61.61 $88.07 $126.25 $162.15 $219.31 $273.11 $378.53 $48,000 $4.98 $8.09 $10.41 $16.84 $29.02 $45.64 $62.92 $89.94 $128.94 $165.60 $223.98 $278.92 $386.58 $49,000 $5.09 $8.25 $10.63 $17.19 $29.63 $46.59 $64.23 $91.82 $131.62 $169.05 $228.64 $284.73 $394.64 $50,000 $5.19 $8.42 $10.85 $17.54 $30.23 $47.54 $65.54 $93.69 $134.31 $172.50 $233.31 $290.54 $402.69 Dependent Child(ren): Your dependent child(ren) is eligible for a benefit amount of 25% of your Critical Illness benefit election, limited to a maximum of $12,500. To calculate Dependent Child(ren) Benefit: Employee Benefit Amount x 25% = Dependent Child(ren) Benefit. No rounding needed. To calculate Dependent Child(ren) Premium: Dependent Child(ren) Benefit/1000 x 0.074. Please Note: One rate and benefit amount for all eligible children in family, regardless of number.

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COVERAGE

Voluntary accident insurance provides a range of fixed, lump-sum benefits for injuries resulting from a covered accident, or for accidental death and dismemberment (if included). These benefits are paid directly to the insured and may be used for any reason, from deductibles and prescriptions to transportation and child care.

ELIGIBILITY

Employees: Each Active Full-Time Employee working 30 or more hours per week, except any person working on a temporary or seasonal basis. Employee must be under age 70 at date of application.

Dependents: You must be insured in order for Dependents to be covered.

Dependents are:

„ Your legal spouse. Spouse must be under age 70 at date of application.

„ Your dependent children* from live birth to 26 years. * natural, legally adopted, children dependent on Insured

during waiting period before adoption, stepchildren, and foster children in your custody

BENEFIT AMOUNT

See Full Schedule of Benefits on next page.

CONTRIBUTION REQUIREMENTS

Coverage is 100% employee paid.

RATES

See below.

FEATURES

„ Portability to employee age 70

„ FMLA/MSLA Continuation

EXCLUSIONS

Benefits will not be paid for any loss caused by: sickness; suicide; war; air travel (except as a passenger on

commercial flights); assault/felony; acute or chronic intoxication; voluntary consumption of illegal or controlled substance or prescribed narcotic or drug; or injuries arising out of or in the course of employment for wage or profit For a comprehensive list of exclusions and limitations, please refer to the Certificate of Insurance. The Certificate also provides all requirements necessary to be eligible for benefits.

This Plan Highlights is a brief description of the key features of the RSL insurance plan. The availability of the benefits and features described may vary by state. It is not a certificate of insurance or evidence of coverage. Insurance is provided under group policy form LRS-9453-0111 ,et al.

Voluntary Group

Accident Insurance

Plan Highlights

ACCIDENT INSURANCE PREMIUM TABLE

Scheduled Benefit: Each eligible employee may elect a Plan Type and Coverage Option from the table below.

„ Plan Type: Choose from the options below, refer to your plan highlight sheet for plan details

„ Coverage Options: Employee Only, Employee and Spouse, Employee and Child(ren), or Employee & Family (which includes both spouse and child(ren)

WEEkLY PREMIUMS

Plan Type Employee Employee & Spouse

Employee & Child(ren)

Employee & Family

Plan A $2.71 $4.42 $6.66 $8.39

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VOLUNTARY GROUP ACCIDENT INSURANCE SCHEDULE OF BENEFITS

Plan A Plan B

Emergency Care Benefits

Ambulance Transportation $100 Ground, $500 Air $150 Ground, $750 Air

Emergency Treatment $150 $200

Diagnostic Examination

(once per covered accident) $100 $200

Initial Physician Office Visit

(once per covered accident) $50 $75

General Treatment Benefits

Initial Hospital Admission

(once per covered accident) $500 $1,000

InitialI CU Hospital Admission $1,000 $1,500

Hospital Confinement per day $200, 365 days max $250, 365 days max

ICU Confinement per day $400, 30 days max $500, 30 days max

Rehabilitation Facility Confinement $50/day, 30 days max $100/day, 30 days max Follow-up Physician Office Visit

(once per covered accident) $50 $75

Transportation (more than 100 miles,

3 roundtrips max)

$300 $450

Lodging (for 1 person, more than

100 miles from residence) $100/30 days max $150/30 days max

Paralysis Benefits

Paralysis Benefits $10,000 quadriplegia;

$5,000 paraplegia/hemiplegia $7,500 paraplegia/hemiplegia$15,000 quadriplegia;

Surgery Benefits

SurgeryBenefits $100 for Exploratory no repair; $300 for Knee Cartilage $1,000 for Abdominal or Thoracic;$500 for Ruptured Disc; Up to $600 Tendon, Ligament, or Rotator Cuff

$150 for Exploratory no repair; $450 for Knee Cartilage; $1,500 for Abdominal or Thoracic; $750 for Ruptured Disc; Up to $900 Tendon, Ligament, or Rotator Cuff

Transitional Benefits

Medical Appliance $100 $150

Prothesis $1,000 for two or more, $500 for one $1,500 for two or more, $750 for one Physical Therapy $25 per session, up to 6 sessions $35 per session, up to 6 sessions

Specific Covered Injury & Treatment Benefits

Fractures Up to $5,000 for certain surgical repair; Up to $2,500 for non-surgical; Chip:25%

of nonsurgical full fracture benefit; Multiple:100% of highest sustained fracture

Up to $7,500 for certain surgical repair; Up to $3,750 for non-surgical; Chip:25%

of nonsurgical full fracture benefit; Multiple:100% of highest sustained fracture Dislocations Up to $3,200 for surgical; Up to $1,600 for

non-surgical; Partial- 25% of non -surgical full dislocation; Multiple -100% of highest

dislocation benefit

Up to $4,800 for surgical; Up to $2,400 for non-surgical; Partial- 25% of non-surgical

full dislocation; Multiple-100% of highest dislocation benefit

Blood/Plasma/Platelets $200 $300

Burns Up to $800 for 2nd degree burns; Up to $6400 for 3rd degree burns; Skin Graft-

25% of benefit payable for Burns

Up to $1,600 for 2nd degree burns; Up to $12,800 for 3rd degree burns; Skin Graft-

25% of benefit payable for Burns

Coma $5,000 $7,500

Concussion $100 $150

Dental Injury $150 for Crown; $50 for Extraction $300 for Crown; $75 for Extraction Eye Injury $100 for removal of foreign object;

$200 for surgical repair $150 for removal of foreign object;$300 for surgical repair

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PLAN 1: DENTAL PLAN SUMMARY

Coinsurance

Type 1 100%

Type 2 80%

Type 3 50%

Deductible $50/Calendar Year Type 2 & 3 Waived Type 1

3 Family Maximum Maximum (per person) $1,000 per calendar year Allowance 90th U&C

Waiting Period None

SAMPLE PROCEDURE LISTING

(Current Dental Terminology © American Dental Association) Type 1

„ Routine Exam (1 in 6 months)

„ Bitewing X-rays (1 in 12 months)

„ Full Mouth/Panoramic X-rays (1 in 5 years)

„ Periapical X-rays

„ Cleaning (1 in 6 months)

„ Fluoride for Children 13 and under (1 in 12 months)

„ Sealants (age 13 and under)

„ Space Maintainers Type 2

„ Restorative Amalgams

„ Restorative Composites

„ Denture Repair

„ Simple Extractions Type 3

„ Onlays

„ Crowns (1 in 10 years per tooth)

„ Crown Repair

„ Endodontics (nonsurgical)

„ Endodontics (surgical)

„ Periodontics (nonsurgical)

„ Periodontics (surgical)

„ Prosthodontics (fixed bridge; removable complete/ partial dentures) (1 in 10 years)

„ Complex Extractions

„ Anesthesia

WEEkLY RATES

Employee Only (EE) $6.92

EE + Spouse $14.02

EE + Children $17.95 EE + Spouse & Children $25.11

MAXIMUM REWARDS

This dental plan includes a valuable feature that allows qualifying plan members to carryover part of their unused annual maximum. A member earns dental rewards by

submitting at least one claim for dental expenses incurred during the benefit year, while staying at or under the threshold amount for benefits received for that year. In addition, a person earning dental rewards who submits a claim for services received through the dental PPO network earns an extra reward, called the PPO Bonus. Employees and their covered dependents may accumulate rewards up to the stated maximum carryover amount, and then use those rewards for any covered dental procedures subject to applicable coinsurance and plan provisions. If a plan member doesn’t submit a dental claim during a benefit year, all accumulated rewards are lost. But he or she can begin earning rewards again the very next year.

Benefit

Threshold $500 Dental benefits received for the year cannot exceed this amount Annual

Carryover Amount

$250 Maximum Rewards amount is added to the following year’s maximum Annual PPO

Bonus $100 Additional bonus is earned if the member sees a PPO provider Maximum

Carryover $1,000 Maximum possible accumulation for Maximum Rewards and PPO Bonus combined

LATE ENTRANT PROVISION

We strongly encourage you to sign up for coverage when you are initially eligible. If you choose not to sign up during this initial enrollment period, you will become a late entrant. Late entrants will be eligible for only exams, cleanings, and fluoride applications for the first 12 months they are covered.

DENTAL NETWORk INFORMATION

To do a network search/find a provider please just follow the following directions:

1. Go to http://www.rsli.com

2. Click on the “Find dental and vision providers near you” tab in the bottom right of the screen

3. Then click on the “find a dentist” link 4. Next enter a Zip Code and click “Search”

You can search by the provider’s name too but it is strongly recommended to search by zip code as if the provider name is not entered exactly as it is listed in the system then it will not pull that provider.

This form is a benefit highlight, not a certificate of insurance. The coverage outlined here highlights the benefits available through Reliance Standard Life, and does not include exclusions and

limitations. For details on exclusions and limitations, or a complete list of covered procedures, contact your benefits coordinator.

Voluntary

Dental Plan

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PLAN 1: TRUEVIEW PLAN H SUMMARY

EyeMed Select Network

Out of Network

Deductibles $10 Exam $25 Eye Glass Lenses

No deductible Annual Eye Exam Covered in full Up to $30

Lenses (per pair)

Single Vision Covered in full Up to $25 Bifocal Covered in full Up to $40 Trifocal Covered in full Up to $55 Lenticular 20% discount No benefit Progressive See lens options NA

Contacts

Fit & Follow Up Exams

Standard Standard: Member

cost up to $40 No benefit Premium

(Allowance)

Premium: 10% off of retail

No benefit Elective Up to $115 Up to $100 Medically Necessary Covered in full Up to $200

Frames $100 Up to $45

Frequencies (months)

Exam/Lens/Frame 12/12/24 Based on date of

service

12/12/24 Based on date of

service

Lens Options (member cost)

EyeMed Select Network

Out of Network

Progressive Lenses No benefit

Standard Standard: $65 + lens deductible Premium Premium: lens cost

- 20% discount - $120 allowance + Standard Progressive

cost

Std. Polycarbonate $40 No benefit Tint (solid and

gradient)

$15 No benefit

Scratch Resistant Coating

$15 No benefit

Anti-Reflective Coating

$45 No benefit

Ultraviolet Coating $15 No benefit Lasik or PRK Average discount of

15% off retail price or 5% off promotional

price at US Laser Network participating

providers.

No benefit

WEEkLY RATES

Employee Only (EE) $1.75

EE + Spouse $3.50

EE + Children $2.86

EE + Spouse & Children $4.60

ADDITIONAL TRUEVIEW H FEATURES

EyeMed In-Network Discounts

15% discount off the remaining balance in excess of the conventional contact lens allowance. 20% discount off the remaining balance in excess of the frame allowance. 20% discount on items not covered by the plan at network providers, which may not be combined with any other discounts or promotional offers. This discount does not apply to EyeMed Provider’s professional services, or contact lenses.

EyeMed In-Network Secondary Purchase Plan

Members receive a 40% discount on a complete pair of glasses once the funded benefit has been exhausted. Members receive a 15% discount off the retail price on conventional contact lenses once the funded benefit has been exhausted. Discount applies to materials only. Contact Lens Replacement by Mail Program

After exhausting the contact lens benefit, replacement lenses may be obtained at significant discounts on-line. Visit EyeMedvisioncare.com for details.

EYEMED SELECT NETWORk INFORMATION

To do a network search/find a provider please just follow the following directions:

1. Go to http://www.rsli.com

2. Click on the “Find dental and vision providers near you” tab in the bottom right of the screen

3. Then, click on “EyeMed” link under the “Find a PPO Vision Provider” toward the bottom of the page

4. Next, click on the “Find a Provider” link toward the top right of the screen

5. Last, enter a zip code, choose the “Select” network from the drop down menu, and click get Results

This form is a benefit highlight, not a certificate of insurance. The coverage outlined here highlights the benefits available through Reliance Standard Life, and does not include exclusions and

limitations. For details on exclusions and limitations, or a complete list of covered procedures, contact your benefits coordinator.

Voluntary

Vision Plan

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www.reliancestandard.com

Reliance Standard Life Insurance Company is licensed in all states (except New York), the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. In New York, insurance products and services are provided through First Reliance Standard Life Insurance Company, Home Office: New York, NY.

| About Us

Reliance Standard Life Insurance Company (Reliance Standard) is a leading insurance

carrier specializing in innovative and flexible employee benefits solutions including disability income and group term life insurance, a suite of voluntary (employee paid) coverage options and fully integrated absence management. Reliance Standard markets these solutions through independent brokers and agents to employers of all sizes. Rated A+ (Superior) by A.M. Best, Reliance Standard celebrated its centennial year in 2006.

Together with sister companies Matrix Absence Management, Inc., and Safety National Casualty Corporation, Reliance Standard Life Insurance Company is a leader in managing all aspects of employee absence to enhance the productivity of its clients. Our asset accumulation business emphasizes individual annuity products.

Reliance Standard Life Insurance Company is a member of the Tokio Marine Group. Tokio Marine Holdings, Inc., the ultimate holding company of the Tokio Marine Group, is incorporated in Japan and is listed on both the Tokyo and Osaka Stock Exchanges. The Tokio Marine Group operates in the property and casualty insurance, reinsurance and life insurance sectors globally. The Group’s main operating subsidiary, Tokio Marine & Nichido Fire (TMNF), was founded in 1879 and is the oldest and leading property and casualty insurer in Japan. TMNF conducts business in the United States mainly through its U.S. branch and enjoys an A.M. Best rating of A++, which ranks among the highest in the industry.

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