Page 6 - Coast Sign Benefit Summary 2017 - Non- CA - sent 9.26.17

NOTE:
Basic Life and AD&D
Consider updating
Life insurance protects your family or other beneficiaries in the event of your death while you are
your beneficiary
still actively employed with the company. Coast Sign pays for coverage, offered through Anthem, in
designation if you
the amount of $25,000. If your death is due to a covered accident or injury, your beneficiary will have had a life
receive an additional amount through Accidental Death and Dismemberment (AD&D) coverage.
changing event such
as marriage, divorce,
the birth of children,
Voluntary Life and AD&D
etc. Call the Human
In addition to the company provided Basic Life and AD&D benefits, you may elect to purchase Resources
Voluntary Term Life and AD&D insurance at discounted group rates provided by Cigna. You pay for Department for a
this coverage with after-tax dollars through convenient payroll deductions. copy of the
Beneficiary
Employee: You may purchase Voluntary Life insurance coverage for yourself in increments of Designation Form if
$10,000 up to a maximum of $500,000. If you elect this benefit during your initial eligibility period needed.
(upon hire), you will not have to complete the health statement, except for amounts that exceed
the guarantee issue amount of $130,000.

Spouse: If you buy coverage for yourself, you may also purchase coverage for your eligible
spouse. Benefits for your spouse are available in increments of $5,000 to a maximum of $250,000
and may not exceed 50% of 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
amounts that exceed the guarantee issue amount of $50,000.

Child(ren): If you buy coverage for yourself, you may also purchase coverage for your eligible
dependent child(ren) in $1,000 increments up to $10,000. Guarantee issue is provided for all Important
amounts of child coverage. Note About

To provide proof of good health, and to be approved for any benefit amount over the guarantee the FSA:
issue, you will be asked to complete a health questionnaire and are subject to insurance carrier FSAs offer sizable tax
approval. Cigna may approve or decline coverage based on a review of your health history. advantages. The trade‐
off is that these

accounts are subject to
Voluntary Long Term Disability (LTD) strict IRS regulations.
Coast Sign offers you the opportunity to purchase Voluntary Long Term Disability (LTD) income According to this rule,
replacement at group discounted rates, through Cigna. If you become totally and permanently up to $500 of any
disabled, benefits begin 180 days after the start of your illness or injury. Long Term Disability works unspent funds
with California State Disability, Social Security, and any other group disability coverage, to provide remaining in your
you with a combined monthly benefit equal to 60% of your pre‐disability earnings to a maximum account at the end of
benefit of $6,000 per month. If you elect this benefit during your initial eligibility period (upon hire), the plan year will
you will not have to complete the health statement to be approved to enroll in the LTD plan. carry-over to the next
plan year, and unspent

funds above $500 will
Flexible Spending Account be forfeited. We
The Flexible Spending Account (FSA) offered through Optum Financial Services is an account where encourage you to plan
employees can set aside money before taxes are deducted to pay for certain health and dependent ahead to make the
care expenses. You may participate in two different types of accounts: most of your FSA
dollars. If you are
Health Care Reimbursement: You may put up to $2,550 of pre-tax earnings through per paycheck unable to estimate
increments into this account to be spent on eligible medical, prescription, dental, and vision your health care and
expenses. dependent care

Dependent Care Reimbursement: You may put up to $5,000 of pre-tax earnings through per expenses accurately, it
paycheck increments into this account to reimburse yourself for eligible childcare expenses. is better to be
conservative and
Note: Coast Sign’s FSA begins January 1st and runs through December 31st. Look for more details underestimate rather
on the Open Enrollment for the FSA toward the end of the year. than overestimate your
expenses.

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