www.reliancematrix.com Plan Highlights The Life is Good Company The benefit amount is equal to 60% of your monthly covered earnings, to a maximum benefit of $5,513 per month. To calculate your weekly payroll deduction, use the formula indicated below: 1. Enter your Annual Earnings. 1. $ Rate per $100 of covered payroll $0.38 2. Divide your annual earnings by 12 (monthly earnings). Average monthly income cannot exceed $9,188. 2. $ 3. Multiply the amount on Line 2 by $0.38. 3. $ 4. Divide the amount on Line 3 by 100 and enter the amount on Line 4 to get your monthly payroll deduction. 4. $ 5. Multiply the amount on Line 4 by 12, then Divide by 52 to get your weekly payroll deduction. 5. $ Example Calculation: 1. Enter your Annual Earnings. 1. $ 50,000 2. Divide your annual earnings by 12 (monthly earnings). Average monthly income cannot exceed $9,188. 2. $ 4,167 (monthly earnings) 3. Multiply the amount on Line 2 by $0.38. 3. $ 1,583.46 4. Divide the amount on Line 3 by 100 and enter the amount on Line 4 to get your monthly payroll deduction. 4. $ 15.83 (monthly payroll deduction) 5. Multiply the amount on Line 4 by 12, then Divide by 52 to get your weekly payroll deduction. 5. $ 3.65 (weekly payroll deduction) Group Long Term Disability Insurance

Group Long Term Disability Insurance Plan Highlights - Page 2 Group Long Term Disability Insurance Plan Highlights Page 1