BENEFITS AT A GLANCE HC13GPIN 5 B-21114 (11/25) TOTAL BENEFIT CAP If you are eligible to receive payments under the policy in addition to your monthly payment, the total benefit payable to you on a monthly basis (including all benefits provided under the policy) will not exceed 100% of your monthly earnings. However, if you are participating in a vocational rehabilitation plan, the total benefit payable to you on a monthly basis (including all benefits provided under the policy) will not exceed 110% of your monthly earnings. The above items are only highlights of the policy. For a full description of your coverage, including any additional benefits, exclusions or limitations that may apply, continue reading your Certificate of Coverage.

Monthly Disability Income Insurance Plan for Noblesville Schools Employees - Page 6 Monthly Disability Income Insurance Plan for Noblesville Schools Employees Page 5 Page 7