Short Term Disability Income Insurance Overview

STD-1 MP0000819539 SHORT TERM DISABILITY INCOME INSURANCE • Situs State: Kentucky • Proposed Effective Date: March 1, 2023 Eligibility • Eligible employees: 105 • Benefit-eligible employees who are : o Actively at work. o Actively at work minimum of 20.00 hours worked per week o Employee eligibility: Ages 16+ Underwriting STD Employee: • Guaranteed issue (GI) o Up to 60% of monthly income o $3,000 maximum Coverage type: • Off-Job Accident and 24-hour Sickness Plan option: • Elimination Period: 0 days accident, 7 days sickness, 3 months benefit period • Benefits are offered in $100 per-month increments with a $300 per-month minimum benefit. Participation: • Guaranteed issue (GI) participation requirement: Waived o If guaranteed issue is waived, the minimum to issue the product is 10 Employee Applications o GI participation requirements may be waived if there is an active enrollment in which at least 75% of eligible employees make an “enroll” or “waive” decision. STD Schedule of Benefits & Features • Pre-existing condition limitation: 12 months / 12 months • Coverage is not portable Included Benefits Rehabilitation Benefit: 10% increase in benefit if approved for rehabilitation plan. Waiver of Premium Benefit: Premium is waived after 90 days of continuous disability up to the maximum benefit duration. Living Organ Donor Benefit: 10% increase in monthly benefit if disability caused by donating an organ. Recurrent Total Disability: If totally disabled by the same cause within six months, each disability period will be considered part of the same disability. Only one elimination period will be required for recurrent periods of total disability.