SECTION 1 - SCHEDULE OF BENEFITS DEPENDENT BASIC INSURANCE GC 2510.2 SECTION 1 - SCHEDULE OF BENEFITS DEPENDENT BASIC INSURANCE Class Number: 007 LIFE AMOUNT Spouse under age 70 The Lesser Of $5,000 Or 50% Of the Employee’s Amount Child: Live Birth to under 6 months $1,000 6 months to 26 years The Lesser Of $2,500 Or 50% Of the Employee’s Amount CHANGES IN INSURANCE COVERAGE: Immediate. See Section 20C. CONTRIBUTIONS: Employee premium contributions are not required. See Section 20B. DEPENDENT SPOUSE ACCELERATED LIFE BENEFIT: You may apply to receive payment of 50% or 75% of the Dependent Spouse Life Amount shown above. This benefit is available on a Dependent Spouse Life Amount of $5,000 or more. The maximum payment is limited to 50% or 75% of the Dependent Spouse Life Amount shown above or $50,000, whichever is less. See Section 20H.

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