Unum Group Life and AD&D Employee Certificate Booklet

Accidental Death and Dismemberment Highlights

Accidental death and dismemberment (AD&D) insurance provides financial protection by paying a benefit in the event of a Covered Loss. This section includes highlights of an Insured's coverage. Please refer to the Accidental Death and Dismemberment Details for further information on the benefits available. Eligible Group(s) Full-Time Employees in Active Employment working a minimum of 30 hours per week.

Paying for Coverage

For you Basic Coverage Your Employer must make premium contributions for your coverage. Additional Coverage You must make premium contributions for your coverage. For your Spouse Additional Coverage You must make premium contributions for your Spouse's coverage. For your Children Additional Coverage You must make premium contributions for your Children's coverage.

Coverage Amounts

The following Coverage Amounts are available to you, your Spouse, and your Children. Basic Coverage For you 1 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, with a minimum of $50,000, to a maximum of $500,000 Additional Coverage For you Option A: 1 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, to a maximum of $500,000 Option B: 2 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, to a maximum of $500,000 Option C: 3 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, to a maximum of $500,000 Option D: 4 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, to a maximum of $500,000 Option E: 5 x your annual Earnings rounded to the next higher $1,000 if not already an exact multiple thereof, to a maximum of $500,000 For your Spouse A minimum of $5,000 to a maximum of $250,000, in $5,000 increments For your Children A minimum of $5,000 to a maximum of $15,000, in $5,000 increments Coverage Amounts for your Spouse and Children will not be more than 50% of your Coverage Amount. Please refer to the Start of Coverage section of this certificate for any enrollment rules, and effective dates of coverage.

UA-GTLC21-1

Group Life and Accidental Death and Dismemberment Certificate

(1/1/2025) 11

Unum Life Insurance Company of America

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