2020 LFG Life Certificate

SECTION 1 - SCHEDULE OF BENEFITS (Continued)

LIFE INSURANCE

What is the Amount of Insurance Benefit?

Employee Basic Life Insurance An amount equal to 1 times your Annual Earnings. If not a multiple of $1,000.00, this amount will be rounded to the next higher multiple of $1,000.00. This amount may not exceed $500,000.00. The minimum amount is $50,000.00. Employee Optional Life Insurance An amount equal to 1, 2, 3, 4, or 5 times your Annual Earnings. If not a multiple of $1,000.00, this amount will be rounded to the next higher multiple of $1,000.00. This amount may not exceed $500,000.00.

Dependent Optional Life Insurance:

SPOUSE Spouse: An amount in increments of $5,000.00. This amount may not exceed $250,000.00.

CHILD Children (Age at Death): Live birth, but under 26 years.

An amount in increments of $5,000.00. This amount may not exceed $15,000.00.

Note: The amount of Dependent Life Insurance may not exceed 50.00% of the amount of Employee Life Insurance in force on you.

GLC-SCH-2

Schedule of Benefits

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