Page 18 - Veritone EE Guide 07-19

Anthem Blue Cross |Basic Life and AD&D If you are unable to work due to an illness or injury, our disability
This coverage is provided by Veritone at no cost to you plans will work together to provide a source of income to meet
Life insurance protects your family or other beneficiaries in the event of your death your needs. Disability insurance provides benefits that replace
while you are still actively employed with the company. part of your lost income when you become unable to work due to
a covered injury or illness.
Accidental Death and Dismemberment (AD&D) coverage provides an additional Anthem Blue Cross | Short Term Disability
benefit to your beneficiary if your death is due to a covered accident or injury.
This coverage is provided by Veritone at no cost to you
BASIC LIFE/AD&D $50,000 Veritone offers you Short Term Disability (STD) to provide income
replacement if you become disabled due to accident, sickness, or
Anthem Blue Cross | Voluntary Life and AD&D pregnancy.
In addition to the company provided Basic Life and AD&D benefits, you may elect to SHORT TERM DISABILITY
purchase additional Term Life and AD&D insurance at discounted group rates
provided by Anthem Blue Cross. You pay for this coverage with after-tax dollars Benefit Percentage 60%
through convenient payroll deductions. Guaranteed issue is only available to you Weekly Benefit Maximum $3,462
during your initial eligibility period (upon hire). Day 8 for Accident

VOLUNTARY LIFE/AD&D GUARANTEE When Benefits Begin Day 8 for Illness
ISSUE
Employee Anthem Blue Cross | Long Term Disability
You may purchase coverage for yourself in increments of $10,000 $150,000 This coverage is provided by Veritone at no cost to you
up to a maximum benefit of $500,000, not to exceed 5 times Veritone offers you Long Term Disability (LTD) to provide income
annual earnings, whichever is less. replacement if you become disabled for an extended period of
time.
Spouse or Domestic Partner
If you buy coverage for yourself, you may also purchase coverage LONG TERM DISABILITY
for your eligible spouse. Benefits for your spouse are available in $30,000 Benefit Percentage 60%
increments of $5,000 up to a maximum benefit of $250,000, not
to exceed 50% of your employee election. Monthly Benefit Maximum $15,000

Child(ren) When Benefit Begin 180th Day
If you buy coverage for yourself, you may also purchase coverage You have the choice of having Veritone pay for your STD and/or
for your eligible dependent child(ren) in increments of $2,000 up $10,000 LTD benefit or you can pay with post-tax employee contributions.
to $10,000, not to exceed 50% of your employee election. If Veritone pays, your benefit will be taxable income when you file
Coverage begins at 15 days from birth. a claim. If you pay, the benefit is not taxed.