Page 18 - Rubrik 2022 Benefits Guide

LIFE AND ACCIDENTAL

DEATH & DISMEMBERMENT

(AD&D) INSURANCE

It’s important to give some serious thought to what expenses and income needs your dependents would have if something
happened to you. To make sure you have financial protection, Rubrik offers employer-paid Group Life and AD&D insurance,
Business Travel Accident insurance through AIG, plus optional, employee-paid Voluntary Life and AD&D insurance
through Lincoln.

Group Life insurance is provided at no cost to you, and you are automatically enrolled even if you don’t elect medical
coverage. You may choose to reduce your automatic coverage to void taxation.

Group AD&D insurance is provided as part of your Basic Life coverage and provides you specified benefits for a covered
accidental bodily injury that directly causes dismemberment (i.e., the loss of a hand, foot, or eye). In the event that death
occurs from an accident, 100% of the AD&D benefit would be payable to your beneficiary(ies).

Coverage Level Coverage Amount

2x your annual earnings, rounded to the next $1,000, up to a maximum of $1,000,000.
Employee Employees will have an option to elect a Basic Life benefit of $50,000 if they wish to avoid
imputed income tax (see callout box below).

Voluntary Life and AD&D Coverage
Imputed Income
Under current tax laws, imputed income is the value of your Basic Life insurance that exceeds $50,000 and is subject
to federal income, Social Security, and state income taxes, if applicable. This imputed income amount will be included
in your paycheck and shown on your W-2 statement.

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