Page 13 - Confie Benefits Guide 01-18_FINAL_r2_dp wording

Benefits

Life and AD&D Insurance
Cigna | Basic Life and AD&D Insurance
Life insurance protects your family or other beneficiaries in the event of your death while you are still actively employed with the
company. Confie pays for coverage, offered through Cigna, in the amount of 1 times your annual base salary to a maximum benefit
of $300,000. If your death is due to a covered accident or injury, your beneficiary will receive an additional amount through
Accidental Death and Dismemberment (AD&D) coverage.

Cigna | Supplemental Life and AD&D Insurance
In addition to the company provided Basic Life and AD&D benefits, you may elect to purchase additional Supplemental Life and
AD&D insurance at discounted group rates provided by Cigna. You pay for this coverage with after-tax dollars through convenient
payroll deductions.

COVERAGE BENEFIT
Supplemental Life Insurance

For you $10,000 increments, up to $500,000 maximum, $150,000 Guarantee Issue*
For your spouse $5,000 increments, up to $100,000 maximum, not to exceed 50% of employee
coverage. Spouse Guarantee Issue is $20,000.

For your child(ren) Benefits for your children are available in the amount of $10,000 from 6 months to 26 years.
Birth to 14 days: $500. 15 days to 6 months: $1,000.

*Guarantee issue is a pre-approved amount of coverage that does not require you to provide proof of good health, and is available
to you during your initial eligibility period (upon hire). Outside of your initial enrollment period, any amount purchased for
Supplemental Life will be subject to evidence of insurability (EOI)

SUPPLEMENTAL LIFE—EMPLOYEE & SPOUSE SUPPLEMENTAL LIFE— CHILDREN
(SPOUSE AGE IS BASED ON EMPLOYEE’S AGE) $10,000 Benefit
AGE Monthly Premium Rate All Children $1.43/Month
(per $1,000 of coverage)

< 25 $0.057 SUPPLEMENTAL AD&D—EMPLOYEE ONLY
25-29 $0.057
All Ages $0.02 / $1,000 of coverage
30-34 $0.067
35-39 $0.086
HOW TO CALCULATE THE COST OF SUPPLEMENTAL
40-44 $0.133 LIFE AND AD&D INSURANCE
45-49 $0.219 Divide your coverage amount by 1,000. Multiply the
result by the applicable rate, based on your age, from
50-54 $0.361
the rate table to determine your monthly premium.
55-59 $0.570
60-64 $0.884

65-69 $1.596
70+ $2.850

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