Basic Plan Summary CL3

Group Life Insurance Basic Life and Accidental Death & Dismemberment SUMMARY OF BENEFITS Class 3 Sponsored By: Huntington County Community School Corporation Effective Date: January 1, 2023 Policy Number: 01-020575-00 The information in this summary may be replaced by any subsequently issued summary or policy amendment. Eligibility All Eligible Full-Time Certified Teachers working a minimum of 30 hours per week. Employee Life and AD&D Benefit Amount $70,000 Guaranteed Issue $70,000 Benefit Reduction Employee Original Benefit Amount 35% at age 70 Reduced By Additional Benefit Details Accelerated Death Benefit If an employee has been diagnosed as terminally ill, Symetra Life Insurance Company may pay a portion of the death benefit in advance to the employee. Please refer to your employee certificate for additional information. Conversion A conversion benefit is available that allows you to convert your group coverage to an individual policy if certain conditions apply. Please refer to your employee certificate for additional information. Waiver of Premium With proof of disability, Symetra Life Insurance Company will waive Life Insurance premiums for a period of time for an employee that becomes disabled prior to a certain qualifying age. Certain restrictions, such as an elimination period, apply. Please refer to your employee certificate for additional information. AD&D Riders Includes Seat Belt, Airbag, Repatriation, Child Education, Day Care, Rehabilitation, Spouse Education, Adaptive Home and Vehicle, Critical Burn, Therapeutic Counseling, Felonious Assault and Coma benefits. Please refer to your employee certificate for additional information. Value Added Services Beneficiary Companion Support services for beneficiaries who have experienced a loss. Travel Assist Travel assistance services for employees and eligible dependents traveling more than 100 miles from home. Identity Theft Protection Help is just a phone call away wherever employees travel, including lost wallet protection, translation service and emergency cash. This summary provides only a brief description of the Life Insurance coverage insured by Symetra Life Insurance Company under the LGC-13000 8/06 series Group Life Insurance policy. For a complete description, including all definitions, exclusions, limitations, and reductions in coverage, as well as information on termination of benefits, please contact your benefit administrator or refer to the Group Insurance Certificate you will receive when you become insured. Coverage will be offered under Group Policy number 01-020575-00. All benefits are subject to the terms and conditions of the Group Policy. If there is a difference between the information in this summary and the information contained in the Group Insurance Certificate, the terms of the Group Insurance Certificate will prevail. The terms of coverage may change over time; always refer to your current Group Insurance Certificate for information regarding your insurance benefits. Insured by Symetra Life Insurance Company Symetra® is a registered service mark of Symetra Life Insurance Company. LGP-2319/Basic-Class 3 2/17