SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE Class Number: 007 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. DEPENDENTSPOUSEACCELERATEDLIFEBENEFIT:Youmayapplytoreceivepaymentof50%or75%ofthe DependentSpouseLifeAmountshownabove.Thisbenefitisavailableon a DependentSpouseLifeAmountof $5,000 or more. The maximum payment is limited to 50% or 75% of the Dependent Spouse Life Amount shown above or $50,000, whichever is less. See Section 20H. GC2510.2 SECTION1-SCHEDULEOFBENEFITS DEPENDENTBASICINSURANCE

Group Term Life Insurance Certificate with Accelerated Life Benefit - Page 6 Group Term Life Insurance Certificate with Accelerated Life Benefit Page 5 Page 7