Page 19 - Veritone EE OOS Benefit Guide_2020

DISABILITY

If you are unable to work due to an illness or accident, our disability plans will work together to provide a source of income to meet your needs. Disability insurance
provides benefits that replace part of your lost income up to the plan maximum. Insured employees are disabled if a significant change in your mental or functional
abilities has occurred, for which you are prevented from performing at least one of the material duties of your regular job and are unable to generate current
earnings. Your benefit amount may be reduced by other sources of income such as state disability plans, other group disability plans, paid family leave, or salary
continuance sick leave. Pre-existing and exclusion limitations may apply, please see plan documents for more details.

Anthem Blue Cross | Short Term Disability Anthem Blue Cross | Long Term Disability

This coverage is provided by Veritone at no cost to you This coverage is provided by Veritone at no cost to you
Veritone offers you Short Term Disability (STD) to provide income replacement Veritone offers you Long Term Disability (LTD) to provide income replacement
if you become disabled due to accident, illness, or disability such as pregnancy. if you become disabled for an extended period of time.

SHORT TERM DISABILITY LONG TERM DISABILITY

Benefit Percentage 60% Benefit Percentage 60%
Weekly Benefit Maximum $3,462 Monthly Benefit Maximum $15,000

Day 8 for Accident When Benefit Begin 180th Day
When Benefits Begin
Day 8 for Illness
You have the choice of having Veritone pay for your STD and/or LTD benefit or you can pay with post-tax employee contributions. If Veritone pays,
your benefit will be taxable income when you file a claim. If you pay, the benefit is not taxed. See illustrations below:

Veritone Pays You Pay
Long Term Disability Benefits are TAXED Long Term Disability Benefits are NOT TAXED

Employee Annual Salary $40,000 Employee Annual Salary $40,000
Annual LTD Benefit $24,000 OR Annual LTD Benefit $24,000
(60% of Salary Max $15,000/Month) (60% of Salary Max $15,000/Month)

Annual Taxes (assumed at 30%) $7,200 Annual Taxes (assumed at 30%) $0
Final Annual LTD Claim Payment $16,800 Final Annual LTD Claim Payment $24,000

19 EMPLOYEE BENEFITS