Page 18 - Veritone EE Guide OOS_ 2019
P. 18

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 your
       Life insurance protects your family or other beneficiaries in the event of your death while   needs. Disability insurance provides benefits that replace part of your
       you are still actively employed with the company.                                   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 benefit     Anthem Blue Cross | Short Term Disability
       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
       purchase additional Term Life and AD&D insurance at discounted group rates provided    SHORT TERM DISABILITY
       by  Anthem  Blue  Cross.  You  pay  for  this  coverage  with  after-tax  dollars  through   Benefit Percentage                    60%
       convenient  payroll  deductions.    Guaranteed  issue  is  only  available  to  you  during  your   Weekly Benefit Maximum        $3,462
       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 up   $150,000       This coverage is provided by Veritone at no cost to you
       to a maximum benefit of $500,000, not to exceed 5 times annual                      Veritone offers you Long Term Disability (LTD) to provide income
       earnings, whichever is less.                                                        replacement if you become disabled for an extended period of time.

       Spouse or Domestic Partner                                                             LONG TERM DISABILITY
       If you buy coverage for yourself, you may also purchase coverage for                Benefit Percentage                             60%
       your eligible spouse. Benefits for your spouse are available in     $30,000
       increments of $5,000 up to a maximum benefit of $250,000, not to                    Monthly Benefit Maximum                      $15,000
       exceed 50% of your employee election.                                               When Benefit Begin                          180th Day
       Child(ren)                                                                            You have the choice of having Veritone pay for your STD and/
       If you buy coverage for yourself, you may also purchase coverage for                or  LTD  benefit  or  you  can  pay  with  post-tax  employee
       your eligible dependent child(ren) in increments of $2,000 up to    $10,000         contributions.      If  Veritone  pays,  your  benefit  will  be  taxable
       $10,000, not to exceed 50% of your employee election.   Coverage                    income  when  you  file  a  claim.  If  you  pay,  the  benefit  is  not
       begins at 15 days from birth.                                                       taxed.
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