Group Accident Insurance Plan Highlights

www.reliancematrix.com Reliance Matrix is a branding name. Reliance Standard Life Insurance Company (Home Office Schaumburg, IL) is licensed in all states (except New York), the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. First Reliance Standard Life Insurance Company (Home Office New York, NY) is licensed in New York and Delaware. Standard Security Life Insurance Company of New York (Home Office New York, NY) is licensed in all states. Absence services are provided by Matrix Absence Management, Inc. Product features and availability may vary by state. Plan Highlights Group Accident Meyers Nave, A Professional Corporation COVERAGE Accident insurance provides a range of fixed, lump‐sum benefits for injuries resulting from a covered accident, or for accidental death and dismemberment (if included). These benefits are paid directly to the insured and may be used for any reason, from deductibles and prescriptions to transportation and childcare. ELIGIBILITY All eligible Employees and their Dependents as defined by Meyers Nave, A Professional Corporation and reflected in your Certificate of Insurance. *A person may not have coverage as both an Employee and Dependent. BENEFITS AMOUNTS See Full Schedule of Benefits on the following pages. BENEFIT FEATURES Guaranteed issue; no medical questions No Lifetime Maximum Benefit Limit Portability - you can take your coverage with you at the same rates Youth organized sports benefit - 25% benefit increase if accident occurs while participating in an organized youth sport Wellness Benefits - Any preventative health screening or test including but not limited to, annual physicals, immunizations, dental exams and mental health screenings CONTRIBUTION REQUIREMENTS Coverage is 100% employee paid. MONTHLY PREMIUM Coverage Plan B Employee $11.60 Employee and Spouse $18.12 Employee and Children $22.36 Employee and Family $29.35 BENEFIT PLAN B Ambulance Transportation $300 Ground $1,500 Air Blood/Plasma/Platelets $450 Burns 2nd Degree Burns Covering less than 10% of the body $200 Covering 10% but less than 25% of the body $400