SECTION1-SCHEDULEOFBENEFITS BASICINSURANCE CLASS007 CLASSIFICATION: All Active Board Members LIFEAMOUNT: $50,000 AD&DPRINCIPALSUM: $50,000 ACCELERATEDLIFEBENEFIT(ALB):Youmayrequestpaymentof25%,50%or75%oftheLifeAmountshown above. This benefit is available on a Life Amount of $10,000 or more. The maximum payment is limited to 25%, 50% or 75% of the Life Amount shown above or $37,500, whichever is less. See Section 13. ACCIDENTALDEATHANDDISMEMBERMENTBENEFIT:Thisbenefitisincludedinthiscertificate.See Section 12. ADDITIONALACCIDENTALDEATHBENEFITS: SEATBELTBENEFIT:Thisbenefitisincludedinthiscertificate.SeeSection12A. AIRBAGBENEFIT:Thisbenefitisincludedinthiscertificate.SeeSection12B. REPATRIATIONBENEFIT:Thisbenefitisincludedinthiscertificate.SeeSection12C. CHILDHIGHEREDUCATIONEXPENSEBENEFIT:Thisbenefitisincludedinthiscertificate.SeeSection 12D. CHILDCAREBENEFIT:Thisbenefitisincludedinthiscertificate.SeeSection12E. ANNUALBASESALARY:AnnualBaseSalarywithnoCommissionsorBonuses.AnnualBaseSalaryexcludes overtime. CHANGESININSURANCECOVERAGE:Immediate.SeeSection6. CONTRIBUTIONS:Employeepremiumcontributionsarenotrequired.SeeSection4. ELIGIBILITY:Immediate.SeeSection3. FULL-TIMEEMPLOYEEREQUIREMENT:24hoursannually.SeeSection2,Definitions-Employee,andSection 3, Eligibility. GC2510.2 SECTION1-SCHEDULEOFBENEFITS
Group Term Life Insurance Certificate with Accelerated Life Benefit Page 3 Page 5