Common use of BENEFITS TABLE Clause in Contracts

BENEFITS TABLE. Plan Mandatory (M) Optional (O) Carrier % premium Board % premium Member Description & Comments Life Insurance M Great West Life 100 85 0 15 salary to $65,501 $65,502 - $250,000 For a total of $250,000 Dependent Group Life Insurance O Great West Life 0 100 $15,000 life insurance on spouse and $7,500 on each dependent child Accidental Death and Dismemberment M RBC 85 15 $250,000 Optional Group Life Insurance O Great West Life 0 100 Available in $10,000 units to a maximum of $250,000 with male/female, smoker/non-smoker, age-banded rates. Subject to approval of evidence of insurability. Dental Plan M* Great West Life 85 15 Including, but not limited to: Prescription Drugs Deluxe Travel Plan Outside Canada Coverage Private Nursing / Physiotherapy Accidental Dental / Prosthetic Appliances Rental or at the plan’s discretion, purchase of certain medical supplies, appliances and prosthetic devices prescribed by a physician Ambulance / Chiropractor / Osteopath / Podiatrist and Chiropodist Hearing Aids Eye Glasses / Laser Surgery Eye Exam Orthodontics Major Restorative O.D.A. fee schedule one year behind current effective Jan. 1 of each year Major Restorative and Dentures M* 85 15 Orthodontics M* 85 15 Extended Health Care M* 85 15 Vision Care M* 85 15 Semi-Private O 85 15 Long Term Disability M OTIP Liberty #L7010-902 0 100 Ontario Teachers’ Insurance Plan Employee Assistance Program M Family Counselling Centre Family Service Kent 85 15 Family Counselling Centre - Sarnia Family Service Kent – Chatham-Kent * unless covered by spouse NOTE: Benefit Enhancements to be implemented in September 2009, will be posted on the District website (xxx.xxxxxx00.xx) and Board website (xxx.xxxxx.xxx).

BENEFITS TABLE. Plan Mandatory (M) Optional (O) Carrier % premium Board % premium Member Description & Comments Life Insurance M Great West Life 100 85 0 15 salary to $65,501 $65,502 - $250,000 For a total of $250,000 Dependent Group Life Insurance O Great West Life 0 100 $15,000 life insurance on spouse and $7,500 on each dependent child Accidental Death and Dismemberment M RBC 85 15 $250,000 Optional Group Life Insurance O Great West Life 0 100 Available in $10,000 units to a maximum of $250,000 with male/female, smoker/non-smoker, age-banded rates. Subject to approval of evidence of insurability. Dental Plan M* Great West Life 85 15 Including, but not limited to: Prescription Drugs Deluxe Travel Plan Outside Canada Coverage Private Nursing / Physiotherapy Accidental Dental / Prosthetic Appliances Rental or at the plan’s discretion, purchase of certain medical supplies, appliances and prosthetic devices prescribed by a physician Ambulance / Chiropractor / Osteopath / Podiatrist and Chiropodist Hearing Aids Eye Glasses / Laser Surgery Eye Exam Orthodontics Major Restorative O.D.A. fee schedule one year behind current effective Jan. 1 of each year Major Restorative and Dentures M* 85 15 Orthodontics M* 85 15 Extended Health Care M* 85 15 Vision Care M* 85 15 Semi-Private O 85 15 Long Term Disability M OTIP Liberty #L7010-902 0 100 Ontario Teachers’ Teachers= Insurance Plan Employee Assistance Program M Family Counselling Centre Family Service Kent 85 15 Family Counselling Centre - Sarnia Family Service Kent – Chatham-Kent - Chatham * unless covered by spouse NOTE: Benefit Enhancements to be implemented in September 2009, will be posted on the District website (xxx.xxxxxx00.xx) and Board website (xxx.xxxxx.xxx).