GC 3100.2 SECTION 1 - SCHEDULE OF BENEFITS 2005 SECTION 1 - SCHEDULE OF BENEFITS CLASS NUMBER 001 RETURN TO WORK BENEFIT 12 months. See Section 8. SOCIAL SECURITY INCENTIVE 1 Month. See Section 8. SOCIAL SECURITY INTEGRATION Direct Family. See Section 8. SURVIVOR BENEFIT 3 months. See Section 8. TOTAL BENEFIT CAP If a Person is eligible to receive benefits under the Group Policy in addition to the Monthly Benefit, the total benefit payable to the Person on a monthly basis (including all benefits provided under the Group Policy) will not exceed 100% of the Person’s Basic Monthly Earnings. TOTAL DISABILITY DEFINITION 2-Year Regular Occupation, any Gainful Occupation thereafter. See Section 2. VOCATIONAL REHABILITATION PROGRAM This benefit is included for this class. See Section 15A. WAITING PERIOD Initial Employees New Employees First of the month following 0 days First of the month following 0 days WORKPLACE MODIFICATION BENEFIT This benefit is included for this class. See Section 16.
Certificate of Insurance for Group Long Term Disability Income Insurance Page 4 Page 6