Page 250 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

Class 3: 2 times your Annual Earnings minus the amount
of your life insurance benefit provided under the Major
League Baseball Benefit Plan, rounded to the next higher
multiple of $1,000, if not already a multiple of $1,000. The
maximum amount is $80,000 when combined with the
Major League Baseball Benefit Plan.
Plan 2 (additional): You may apply for Life Insurance in multiples of $10,000,
from $10,000 to $300,000.

The Repatriation Benefit: The expenses incurred to transport your body to a mortuary
near your primary place of residence, but not to exceed
$5,000 or 10% of the Life Insurance Benefit, whichever is
less.
Dependents Life Insurance Benefit:

If you are insured under Plan 1 Life Insurance, you are required to enroll your Spouse under the
Plan 1 Dependents Life Insurance.

If you insured under Plan 2 Life Insurance, you may elect Plan 2 Dependents Life Insurance for your
Spouse under Plan 2 Dependents Life Insurance.
For your Spouse:

Plan 1 (basic): $5,000
Plan 2 (additional): You may apply for Dependents Life Insurance in multiples
of $5,000 from $5,000 to $150,000.
The amount of Plan 1 Dependents Life Insurance for your Spouse may not exceed 100% of the
amount of your Plan 1 Life Insurance.

The amount of Plan 2 Dependents Life Insurance for your Spouse may not exceed 100% of the
amount of your Plan 2 Life Insurance.

If you are insured under Plan 1 Life Insurance, you are required to enroll your Child(ren) under Plan
1 Dependents Life Insurance.
If you are insured under Plan 2 Life Insurance, you may elect Plan 2 Dependents Life Insurance for
your Child(ren) under Plan 2 Dependents Life Insurance.
For your Child:
Plan 1 (basic): $2,000

Plan 2 (additional): $10,000
The amount of Plan 1 Dependents Life Insurance for your Child may not exceed 100% of the amount
of your Plan 1 Life Insurance.
The amount of Plan 2 Dependents Life Insurance for your Child may not exceed 100% of the amount
of your Plan 2 Life Insurance.

SCHEDULE OF AD&D INSURANCE
For you:

AD&D Insurance Benefit: The amount of your Plan 1 AD&D Insurance Benefit is equal
to the amount of your Plan 1 Life Insurance Benefit. The
amount payable for certain Losses is less than 100% of the
AD&D Insurance Benefit. See AD&D Table Of Losses.

Revised 08/10/2021 - 4 - 151138-D