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| LIFE INSURANCE |
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| Accidental
Death & Dismemberment Insurance |
Accidental Death and Dismemberment (AD&D) insurance coverage pays
a benefit if you die or suffer certain injuries — such as the
loss of a limb or eyesight — as the result of an accident.
You are automatically covered by AD&D insurance in the same amount
as your basic life insurance. If you get a base pay increase, the amount
of your AD&D insurance will increase. If you are not actively at
work on this date, your coverage increase will become effective the
day you return to work.
Benefits will be payable if the injury or death results within 365
days after the date of the accident. The maximum benefit that will be
paid as the result of any one accident is 100% of your AD&D benefit.
AD&D death benefits, in addition to your life insurance benefits,
are payable to your beneficiary if you die as the result of a covered
accident. Benefits for other losses are payable to you.
The chart below shows the AD&D benefit that would be payable for
specific accidental losses.
| Type
of Loss |
Benefit
Payable |
|
Life
|
100% Principal Sum
|
|
Use of both hands or both feet
|
100% Principal Sum
|
| Use of one hand and one foot |
100% Principal Sum |
| Sight of both eyes |
100% Principal Sum |
| Speech and hearing in both ears |
100% Principal Sum |
| Use of either hand or foot and sight
of one eye |
100% Principal Sum |
| Movement of both upper and lower
limbs (Quadriplegia) |
100% Principal Sum |
| Movement of both lower limbs (Paraplegia) |
75% of Principal Sum |
| Movement of three limbs
(Triplegia) |
75% of Principal Sum |
| Movement of the upper and lower
limbs of one side of the body (Hemiplegia) |
50% of Principal Sum |
| Either hand or foot |
50% of Principal Sum |
| Sight of one eye |
50% of Principal Sum |
| Speech or hearing in both ears |
50% of Principal Sum |
|
Use of four fingers - same hand
|
25% of Principal Sum
|
|
Thumb and index finger of either hand
|
25% of Principal Sum |
Other Benefits
| Type of Benefit |
Benefit
Payable |
| Home Alteration and Vehicle
Modification Benefit - Payable for the one-time cost of alterations
to the primary residence to make it wheelchair accessible and habitable |
Lesser of 10% of Principal
Sum or $10,000 |
| Monthly Coma Benefit |
1% of Principal Sum amount for 100 months |
| Seat Belt |
Additional benefit of 10% of Principal
Sum to a maximum of $25,000 |
| Air Bag |
Additional benefit of 5% of Principal
Sum to a maximum of $25,000 |
| Day Care |
Additional benefit of 3% of Principal
Sum to a maximum of $3,000 per year for each eligible child for
up to 4 years |
| Surviving Spouse Education Benefit |
Additional benefit of $5,000 for expenses
incurred within 30 months |
| Critical Burn |
Additional benefit of lesser of 10%
of Principal Sum or $10,000 |
| Conversion of Insurance |
Lesser of previous Principal Sum or
$250,000 |
| Rehabilitation |
Additional benefit of lesser of actual
expenses incurred within 2 years, 5% of Principal Sum or $5,000 |
| Car Jacking |
Maximum additional benefit of lesser
of 10% of Principal Sum or $10,000 |
| Aircraft Coverage |
Covered if the person is riding as a
passenger in or on, boarding or alighting from: any civilian aircraft
having a current or valid airworthiness certificate and pilot certificate;
any transport type aircraft operated by the Military Airlift Command
of the US or governmental authority |
| Travel Assist |
Medical, information, personal, legal
assistance available 24 hours a day, 7 days a week when traveling
100+ miles from home |
Losses Not Covered
You will not receive AD&D benefits for any loss resulting from:
- Intentionally self-inflicted injury;
- Suicide or attempted suicide, whether sane or insane;
- War or act of war, whether declared or not;
- Injury sustained while on full-time active duty as a member of the
armed forces (land, water, air) of any country or international authority;
- Injury sustained while taking drugs, including but not limited to
sedatives, narcotics, barbiturates, amphetamines, or hallucinogens,
unless as prescribed by or administered by a Physician;
- Injury sustained while committing or attempting to commit a felony;
or
- Injury sustained while intoxicated.
Reduction of Basic Life and AD&D Insurance
Coverage
At age 70, your basic life and AD&D insurance coverage will be reduced
to 65% of the amount in effect on the day before your 70th birthday.
At age 75, coverage will be reduced to 50% of the amount in effect on
the day before your 75th birthday.
 
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Summary Plan Description
The legal summary of this benefit will be included in the
2008 Benefits Handbook.
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