Page 13 - Burnham Benefits Guide 2017

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. Burnham pays for coverage, offered through Standard Insurance, in the amount of one times your annual
earnings to a maximum benefit of $150,000. If your death is due to a covered accident or injury, your beneficiary will receive
additional benefits through Accidental Death and Dismemberment (AD&D) coverage from Standard Insurance.

VOLUNTARY LIFE AND AD&D INSURANCE

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 by Standard Insurance. You pay for this coverage with after-tax
dollars through convenient payroll deductions.

Employee

You may purchase coverage for yourself in increments of $5,000 up to a maximum benefit of $300,000. If you elect this
benefit during your initial eligibility period (upon hire), you will not have to complete the health statement, except for
coverage amounts that exceed the guarantee issue amount of $150,000.

Spouse
If you buy coverage for yourself, you may also purchase coverage for your eligible spouse. Coverage for your spouse is
available in increments of $5,000 to a maximum benefit of $300,000 and may not exceed your employee election. If you
elect this benefit during your initial eligibility period (upon hire), you will not have to complete the health statement, except
for coverage amounts that exceed the guarantee issue amount of $25,000.

Child(ren)
If you buy coverage for yourself, you may also purchase coverage for your eligible dependent child(ren). Benefits for your
child(ren) are available in increments of $1,000 to a maximum benefit of $10,000.

You may enroll in Voluntary Life and AD&D insurance anytime following your initial eligibility period as long as you provide
proof of good health. To provide proof of good health, you will be asked to complete a health questionnaire which will be
subject to insurance carrier approval. Standard Insurance may approve or decline coverage based on a review of your health
history.

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