SECTION1-SCHEDULEOFBENEFITS BASICINSURANCE CLASS005 CLASSIFICATION: All Eligible Retired Administrative Employees LIFEAMOUNT: TwoTimesTheAnnualBaseSalary,ThenRoundedDowntotheNearest$1WithAMinimumOf$10,000AndA MaximumOf$350,000 ANNUALBASESALARY:AnnualBaseSalarywithnoCommissionsorBonuses.AnnualBaseSalaryexcludes overtime. CHANGESININSURANCECOVERAGE:Immediate.SeeSection6. CONTRIBUTIONS:Employeepremiumcontributionsarenotrequired.SeeSection4. ELIGIBILITY:First of the Month. See Section 3. FULL-TIMEEMPLOYEEREQUIREMENT:30hoursormoreperweek.SeeSection2,Definitions-Employee,and Section 3, Eligibility. GC2510.2 SECTION1-SCHEDULEOFBENEFITS
Certificate of Insurance: Group Term Life Insurance Page 2 Page 4