GC 3100.2 SECTION 1 - SCHEDULE OF BENEFITS 2005 SECTION 1 - SCHEDULE OF BENEFITS CLASS NUMBER 001 ELIGIBLE CLASS All Eligible Full-Time Employees Requirement for full-time Employees 17.50 hours or more per week. STANDARD BENEFITS BASIC MONTHLY EARNINGS Description Basic Monthly Earnings. See Section 2. CONTINUATION OF PERSONAL INSURANCE UNDER FAMILY MEDICAL LEAVE ACT (FMLA) This benefit is included for this class. See Section 5B. CONTINUATION OF PERSONAL INSURANCE DURING A Leave of Absence End of the Month Option. See Section 5C. Layoff End of the Month Option. See Section 5C. CONTINUATION OF PERSONAL INSURANCE DURING LEAVE FOR ACTIVE MILITARY SERVICE This benefit is included for this class. See Section 5D. CONTINUITY OF COVERAGE This benefit is included for this Certificate. See Section 12. COST OF LIVING ADJUSTMENT BENEFIT See Section 14. Benefit Duration 5 Years Percentage Option Lesser of CPI (Consumer Price Index) or 4%. DISABILITY DEFINITION Duration 2 Year Regular Occ. See Section 2. DRUG AND ALCOHOL ABUSE LIMITATION 24-month Lifetime Accumulation Benefit. See Section 10.
Certificate of Insurance for Group Long Term Disability Income Insurance Page 2 Page 4