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877-367-7781 i
prudential.com/mybenefits
(Web Access Code: 52943)

Life Insurance Plans Disability Income Benefits

Basic Life Insurance and Accidental Death & Dismemberment (AD&D) Plymouth Rock provides you with short-term and long-term disability coverage at no cost to you.
Plymouth Rock provides full-time and qualified regular part-time employees with both Basic Life and AD&D insurance These programs are administered by Prudential and will provide you with a portion of your salary in
at no cost through Prudential. The coverage for both Basic Life Insurance and AD&D Insurance is 2 times your annual the event you are unable to work due to illness, injury or pregnancy. You are also given the opportunity
salary, up to a maximum benefit of $500,000. to pay for your long-term disability coverage through after-tax payroll deductions. If you choose to
pay with after-tax deductions, any long-term disability benefits you receive will be paid to you on
Supplemental Life Insurance a tax-free basis.

You can purchase supplemental life insurance coverage for yourself and your spouse, civil union partner or domestic
partner and your dependent children. Premiums are paid through payroll deductions.

As a new employee, you have the opportunity to enroll in these benefits up to the guaranteed issue without providing Coverage Benefit
evidence of insurability (e.g., a medical examination). Any elections that exceed the guaranteed issue amounts or those • Covers 85% of your weekly base salary
that are made after your initial eligibility period are subject to evidence of insurability. Short-Term Disability • Benefit begins on the 8th day following an injury or illness
• Up to 12 weeks of coverage
FINANCIAL WELL-BEING For your spouse or An additional .5x, 1x, 1.5x, 2x, 2.5x, 3x, $350,000 not to exceed Refer to rate table below To File a Claim: • Coordinated with income from other sources (e.g., Social Security) FINANCIAL WELL-BEING
Benefit
Guaranteed Issue
Cost
Coverage
• Covers 60% of your basic monthly earnings up to a $12,000 monthly maximum
Long-Term Disability
• Benefit begins after 12th week of disability
For you
3.5x, 4x, 4.5x, 5x your annual salary
3x your salary
$10,000 increments
$50,000
Refer to rate table below
up to a maximum of $100,000
domestic partner*
For your children*
$0.28 per pay period
$5,000 per child, up to age 26
Not Applicable
*You must be enrolled in supplemental life for yourself in order to enroll in these benefits.
The costs for supplemental and spousal life insurance are based on the rates below. For example, if you are age 37 and Call 877-367-7781 or visit prudential.com/mybenefits
and provide control number 52943.
have $50,000 of supplemental life insurance, the monthly cost will be $4.50. (($50,000/1000)*$.09).
Supplemental & Spouse Rates per Month
Monthly Rate Monthly Rate
Age Age Additional Leaves of Absence
(per $1,000 of coverage) (per $1,000 of coverage)
Under the Family and Medical Leave Act (FMLA), employees meeting certain eligibility requirements may take up to
<25 $0.05 50-54 $0.34 twelve weeks off during a rolling twelve-month period. FMLA is unpaid time.
25-29 $0.06 55-59 $0.56 In some cases, state laws provide greater or additional benefits to employees than those provided under the FMLA.
Please contact Human Resources to learn more and review the Company staff manual for a comprehensive list of all
30-34 $0.08 60-64 $0.74
leave types.
35-39 $0.09 65-69 $1.27

40-44 $0.13 70-74 $2.09

45-49 $0.21 75+ $3.54

Note: If your spouse, civil union partner, domestic partner or dependent is also an employee enrolled in the Company’s
life insurance plan, you are not eligible for spouse or child supplemental life insurance, if applicable.
When you reach age 70 and 75, basic and supplemental life insurance coverages are reduced by 35% and 50%
respectively.

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