SCHEDULE OF INSURED BENEFITS FOR EMPLOYEES Life Insurance. Accidental Death & Dismemberment Insurance (AD&D) August 1, 1996 $42,500 $42,500 January 1, 1997 $46,000 $46,000 January 1, 1998 $49,500 $49,500 January 1, 1999 $53,000 $53,000 January 1, 2000 $56,500 $56,500 January 1, 2001 $60,000 $60,000 August 1, 2002 $75,000 $75,000 January 1, 2009 $80,000 $80,000 January 1, 2011 $85,000 $85,000 January 1, 2013 $90,000 $90,000 January 1, 2016 $95,000 $95,000 NOTE: Employees not actively at work on the above-named dates shall have their coverage increased only upon their date of return to active employment. ❑ Weekly indemnity benefit at 70% of your basic weekly earnings rate with benefits payable from first day of disability due to accident or fourth day due to illness, to a maximum of
SCHEDULE OF INSURED BENEFITS FOR EMPLOYEES Life Insurance. Accidental Death & Dismemberment Insurance Jan. 1, 2009 $80,000 $80,000 Jan. 1, 2011 $85,000 $85,000 Jan. 1, 2013 $90,000 $90,000 Jan. 1, 2015 $95,000 $95,000 NOTE: Employees not actively at work on the above-named dates shall have their coverage increased only upon their date of return to active employment. • Weekly Indemnity Benefit at 70% of your basic weekly earnings rate with benefits payable from first day of disability due to accident or fourth day due to illness, to a maximum of twenty-six (26) weeks per disability. • Long Term Disability Benefit at 66-2/3% of your basic earnings rate with benefits commencing when your weekly indemnity benefits cease. For Employees and Dependents: • Semi-private hospital benefit • Major Medical: $10 per person deductible or $20 family deductible • Dental care benefits at 100% for basic services to an annual maximum of $1,000 per person, 75% for restorative services and 50% for orthodontia to a combined lifetime maximum of $7,000 per person These coverage’s are explained more fully in the following pages. The Accidental Death and Dismemberment Insurance, Weekly Indemnity, Semi-Private Hospital, Major Medical and Dental Care Benefits apply only to those accidents and sickness which are not covered by Worker's Compensation or similar legislation. Please refer to the description of each type of coverage for an explanation of what happens when you retire or terminate service.
