RL-CI4-CHR2-20-IN 3 CHR-12969 (11/25) Quality of life module Covered illness/condition Percent of BENEFIT AMOUNT payable Total maximum benefit amount for coverage Permanent Paralysis 100% 1 times the BENEFIT AMOUNT Loss of Sight 100% 1 times the BENEFIT AMOUNT Loss of Hearing 100% 1 times the BENEFIT AMOUNT Loss of Speech 100% 1 times the BENEFIT AMOUNT Coma 100% No maximum benefit amount Multiple Sclerosis 100% 1 times the BENEFIT AMOUNT Amyotrophic Lateral Sclerosis (ALS) 100% 1 times the BENEFIT AMOUNT Parkinson’s Disease 100% 1 times the BENEFIT AMOUNT Advanced Dementia, including Alzheimer’s Disease 100% 1 times the BENEFIT AMOUNT Huntington’s Disease (Huntington’s Chorea) 100% 1 times the BENEFIT AMOUNT Muscular Dystrophy 100% 1 times the BENEFIT AMOUNT Infectious Disease 25% No maximum benefit amount Addison’s Disease 10% 1 times the BENEFIT AMOUNT Myasthenia Gravis 50% 1 times the BENEFIT AMOUNT Systemic Lupus Erythematosus (SLE) 50% 1 times the BENEFIT AMOUNT Enhanced cancer module Covered illness/condition Percent of BENEFIT AMOUNT payable Total maximum benefit amount for coverage Benign Brain Tumor 100% No maximum benefit amount Skin Cancer 10% The maximum is once per calendar year with a TOTAL MAXIMUM BENEFIT AMOUNT of 10 times the BENEFIT AMOUNT Bone Marrow Transplant 100% No maximum benefit amount Stem Cell Transplant 100% No maximum benefit amount