SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE Class Number: 001 LIFEAMOUNT Spouse under age 70 TheLesserOf$5,000Or50%Ofthe Employee’sAmount Child: Live Birth to under 6 months $1,000 6 months to 26 years TheLesserOf$2,500Or50%Ofthe Employee’sAmount CHANGESININSURANCECOVERAGE:Immediate.SeeSection20C. CONTRIBUTIONS:Employeepremiumcontributionsarenotrequired.SeeSection20B. GC2510.2 SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE

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