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SUPPLEMENTAL LIFE and ACCIDENTAL

DEATH & DISMEMBERMENT (AD&D)

INSURANCE

You have the opportunity to purchase Supplemental Life Insurance for yourself, your spouse, and
dependent children.

Your cost for supplemental life insurance is based on the amount you elect and your age. You must purchase Supplemental
Life Insurance for yourself in order to purchase spouse and/or dependent child (ren) coverage.

Supplemental AD&D amount is equal to the Supplemental Life coverage you elect on yourself, your spouse, and
dependent children. This program provides benefits when death is caused by an accident. It also provides accidental
dismemberment and paralysis coverage. Benefits under the Supplemental AD&D plan are paid in addition to the benefits
paid under the Supplemental Life Insurance policy (if purchased).

Coverage Available Benefit Guaranteed Amount

Employee Up to 5 times salary
$100,000
$10,000 increments ($500,000 Max)

Spouse Up to 100% of Employee Amount
$30,000
$5,000 increments ($250,000 Max)
Dependent Child(ren)
$10,000 $10,000
Flat $10,000 per child

Important: Evidence of Insurability (a brief health questionnaire) is required for all coverage above the Guaranteed
Amounts, or if coverage is elected after your initial eligibility period

Family Medical Leave
Act (FMLA)
If you have been with the company for
12 months, you may be eligible for up to
12 work weeks of unpaid leave per year
under the Family and Medical Leave Act
(FMLA). FMLA can be used for an illness of
your own, care needed for a family
member, care for a newborn, and certain
other medical needs.

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