EXHIBIT 10.39
EXECUTIVE LIFE INSURANCE
ABOUT THE PLAN
As a Home Depot Executive, you are automatically eligible to enroll in the
Executive Life Insurance, Death Benefit Only Plan. This Plan adds to your Total
Value Package because the Company insures your life for $250,000 and pays all
of the premiums for you. Additionally, the Plan has no imputed income for you to
report.
To enroll in this benefit, you will need to complete several forms:
- Pacific Life application
- Consent to Insure
- Employment Death Benefit Agreement
- Beneficiary Designation form
These are in the pocket at the back of this binder. Please answer all of the
questions, provide information and sign where indicated.
EXECUTIVE LIFE ENROLLMENT CHECKLIST
For your convenience, we have prepared the following enrollment checklist.
Please follow these steps before returning your EXECUTIVE BENEFITS ELECTION
WORKSHEET.
ON THE APPLICATION PLEASE ANSWER:
Question 3: State of birth
Question 25: Activity at work
Question 27: Smoking status
PLEASE SIGN AND DATE ALL FORMS.
PLEASE RETURN ALL ORIGINAL FORMS to the Executive Benefits Representative,
Benefits Department, C-9, Atlanta SSC within two weeks of receiving this
enrollment binder. If you have questions about how the program works, or about
any of the options, please call the Executive Benefits Representative at the
Store Support Center in Atlanta.
