SECTION 1 - SCHEDULE OF BENEFITS (Continued)
ADDITIONAL ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
What is the Employee Seat Belt Benefit? Maximum Benefit Amount: What is the Employee Air Bag Benefit? Maximum Benefit Amount: What is the Employee Repatriation Benefit? Maximum Benefit Amount: What is the Employee Disappearance Benefit? Maximum Benefit Amount: What is the Employee Child Education Benefit? Maximum Annual Benefit (Per Dependent child): Maximum Lifetime Family Benefit Amount:
10.00% of Full Amount up to $25,000.00
10.00% of Full Amount up to $10,000.00
$2,000.00
Full Amount up to $500,000.00
$2,500.00 $20,000.00
Dependent Children Maximum Age:
26 years
Employee Coma Benefit: Maximum Benefit Amount:
10.00% of Full Amount up to $50,000.00
What is the Reduction Formula?
Applicable to Basic Insurance: The amount of Life and Accidental Death and Dismemberment Insurance applicable to the Covered Person's class of benefits will reduce at age 70 or older as follows: ages 70-74: to 65% ages 75 & up: to 50% Applicable to Optional Insurance: The amount of Life and Accidental Death and Dismemberment Insurance applicable to the Covered Person's class of benefits will reduce at age 70 or older as follows: ages 70-74: to 65% ages 75 & up: to 50%
GLC-SCH-4.14
Schedule of Benefits
Made with FlippingBook Online newsletter