SCHEDULE OF BENEFITS EFFECTIVE DATE: January 1, 2023 ELIGIBLE CLASSES: Each active, Full-time Non-Certified Personnel, except any person employed on a temporary or seasonal basis. INDIVIDUAL EFFECTIVE DATE: The first of the month following the day you become eligible. INDIVIDUAL REINSTATEMENT: 6 months AMOUNT OF INSURANCE: Basic Life and Accidental Death and Dismemberment: $25,000. Supplemental Life (Applicable only to you if you elected Supplemental coverage and are paying the applicable premium): $10,000 to $500,000 in increments of $10,000, not to exceed five (5) times Earnings. The above Basic and Supplemental amounts cannot exceed a combined maximum of seven (7) times Earnings. Amounts of supplemental insurance over the guaranteed issue amount of $200,000 are subject to our approval of your proof of good health. However, any proof of good health required due to late application for this insurance (See EFFECTIVE DATE OF INDIVIDUAL INSURANCE) will be at no expense to us. For Insureds age 70 and over, the Amount of Basic Life and Accidental Death and Dismemberment Insurance and Supplemental Life Insurance is subject to automatic reduction. Upon the Insured’s attainment of the specified age below, the Amount of Basic Life and Accidental Death and Dismemberment Insurance and Supplemental Life Insurance will be reduced to the applicable percentage. This reduction also applies to Insureds who are age 70 or over on their Individual Effective Date. Age Percentage of available or in force amount at age 69 70+ 50% Dependent Life: Spouse Amount: $5,000 to $250,000 in increments of $5,000 Child Amount: birth to 6 months: $2,000 to $10,000 in increments of $2,000 6 months and over: $2,000 to $10,000 in increments of $2,000 The Spouse Amount of Insurance may not exceed 100% of your amount. Amounts of Insurance for spouses over the guaranteed issue amount of $25,000 are subject to our approval of your spouse's proof of good health. However, any proof of good health required due to late application for this insurance (See EFFECTIVE DATE OF DEPENDENT INSURANCE) will be at no expense to us. The Spouse Amount of Insurance will reduce in the same manner as your Amount of Insurance upon your spouse’s attainment of reducing ages. The Life amount will be reduced by any benefit paid under the Accelerated Benefit Rider. LRS-6423-1 Ed. 04/16 Page 1.0