Common use of OPTIONAL ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN Clause in Contracts

OPTIONAL ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN. The Optional AD&D plan offers a full 24-hour, 365-day-a-year coverage against accidents occurring anywhere in the world, whether you are on or off the job. Amount of Coverage Under this plan, you may purchase accidental death and dismemberment coverage up to $500,000 in units of $10,000 for yourself. You may also request coverage for your spouse of up to 50% of your own coverage, in units of $10,000. Each child may be insured for $5,000. The full amount of insurance is payable if death is the result of an accident. In the event of accidental dismemberment and other physical losses, a percentage of the amount of insurance may be payable, for example: Accidental Loss Percentage of Coverage (Partial list of indemnities) Loss of life, both hands, both feet, 100% the entire sight in both eyes, or any combination thereof Loss of one arm or leg 75% Loss of use of one arm or one leg 75% Loss of one hand, one foot or sight in one eye 66-2/3% In the event of your accidental death while insured, the amount of insurance will be paid to the beneficiary. All other indemnities are payable to you. Cost of Plan The cost of the Optional AD&D Insurance Plan is entirely paid for by you, based on the amount of insurance you select.

OPTIONAL ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE PLAN. The Optional AD&D plan offers a full 24-hour, 365-day-a-year coverage against accidents occurring anywhere in the world, whether you are on or off the job. Amount of Coverage Under this plan, you may purchase accidental death and dismemberment coverage up to $500,000 in units of $10,000 for yourself. You may also request coverage for your spouse of up to 50% of your own coverage, in units of $10,000. Each child may be insured for $5,000. The full amount of insurance is payable if death is the result of an accident. In the event of accidental dismemberment dismemberments and other physical losses, a percentage of the amount of insurance may be payable, for example: Accidental Loss Percentage of Coverage (Partial list of indemnities) Loss of life, both hands, both feet, 100% the entire sight in both eyes, or any combination thereof Loss of one arm or leg 75% Loss of use of one arm or one leg 75% Loss of one hand, one foot or sight in one eye 66-2/3% In the event of your accidental death while insured, the amount of insurance will be paid to the beneficiary. All other indemnities are payable to you. Cost of the Plan The cost of the Optional AD&D Insurance Plan is entirely paid for by you, based on the amount of insurance you select.