Long Term Disability Summary Plan Description

SECTION 1 - SCHEDULE OF BENEFITS

ELIGIBILITY REQUIREMENTS FOR INSURANCE BENEFITS What is the Minimum Hourly Requirement?

Employees working a minimum of 30 regularly scheduled hours per week

Who is Eligible for Long Term Disability Benefits? Class 1: All active, full-time Employees Note: This policy does not cover the following Employees: Temporary and Seasonal Employees, and Employees who are not legal residents working in the United States.

What is the Eligibility Waiting Period? 1.

If you are employed by the Sponsor on the policy effective date - First of the month following 90 days of continuous, Active Employment If you begin employment for the Sponsor after the policy effective date - First of the month following 90 days of continuous, Active Employment

2.

Are Employee Contributions Required? No

ADOC-SCH-1

Schedule of Benefits

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