Common use of Long-term Disability Coverage Clause in Contracts

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" Xxxxxxx, Jr.

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 2,669 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 17,669 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" Xxxxxxx, Jr.Xxx Xxxxxx

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 2,669 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 17,669 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx Xxxxxxxxx X. "Xxxx" XxxxxxxXxxxxx Date: January 20, Jr.2021

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 21,100 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 36,100 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx Xxxxxx X. "Xxxx" Xxxxxxx, Jr.Xxxxx

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 2,669 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 17,669 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" XxxxxxxXxxxxxxxx Xxxxxxxx Date: January 20, Jr.2021

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" XxxxxxxXxxxxx Date: February 5, Jr.2013

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 2,669 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 17,669 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" XxxxxxxXxxx Xxxxxx Date: January __, Jr.2021

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 2,669 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 17,669 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" XxxxxxxDate: October 27, Jr.2020

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 $ 5,098 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 20,098 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" Xxxxxxx, Jr.Xxx Xxxxxxxxxx

Long-term Disability Coverage. Standard Monthly Benefit $10,000 (guaranteed for life) Rider No. 1 $ 5,000 (guaranteed for life) Rider No. 2 $18,433 25,000 (guaranteed for 3 years, then must reapply) Total Monthly Benefit $33,433 40,000 In the event the participant is disabled for more than 365 days, Lloyds of London will issue a one-time lump sum payment of $1,000,000. Long-term disability policy premiums (for both standard coverage and riders) will be paid by the Company. Signature of Participant: /s/ Xxxxxxx X. "Xxxx" Xxxxxxx, Jr.Xxxxx Xxxxxxxxx