Voluntary Group Accident Insurance Overview

www.reliancematrix.com This Plan Highlight is not a complete description of the insurance coverage. Insurance is provided under group policy form LRS-9547, et al. This is not a binding contract. Should there be a difference between this Plan Highlight and the contract, the contract will govern. The Certificate of Coverage will be made available to you that describes the benefits in greater detail; however a benefit will not be paid if caused or contributed by an exclusion listed in the Certificate. Reliance Standard Life Insurance Company is licensed in all states (except New York), the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. In New York, insurance products and services are provided through First Reliance Standard Life Insurance Company, Home Office: New York, NY. Product features and availability may vary by state. Plan Highlights The Life is Good Company COVERAGE Voluntary group 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 Active Full-Time and Part-Time Employees working 30 hours or more per week, except for any person working on a temporary or seasonal basis. Dependents: You must be insured for your Dependents to be covered. Dependents are:  Your legal spouse or domestic partner.  Your dependent children from birth to 26 years.  A person may not have coverage as both an Employee and Dependent. BENEFIT AMOUNT See Full Schedule of Benefits on next page CONTRIBUTION REQUIREMENTS Coverage is 100% Employee Paid. WEEKLY PREMIUM Coverage Plan A Plan C Employee $ 1.80 $ 5.08 Employee and Spouse $ 2.93 $ 7.95 Employee & Children $ 3.05 $ 8.16 Employee & Family $ 4.18 $ 11.03 FEATURES  Portability  FMLA/MSLA Continuation  24-Hour Travel Assistance Services  24-Hour Coverage Voluntary Group Accident Insurance