Voluntary Life – Benefit Outline

Benefit Options Employee Spouse Children Live Birth to 15 days 15 days to Age 26

$ 10,000 Increments $ 5,000 Increments

$ 1,000 $ 2,500 Increments

Benefit Maximums Employee Spouse Children Live Birth to 15 days 15 days to Age 26

Guarantee Issue ( no medical questions , only applies at time of initial eligibility ) Employee Spouse Children

Lesser of 5x annual salary or $ 500,000 Lesser of 50 % of employee amount or $ 100,000

$ 1,000 $ 10,000

$ 150,000 $ 30,000 Full Benefit

Benefits Begin to Reduce at Age : 70 Waiver of Premium Portability

Included Included

Voluntary Life – Monthly Cost Outline

Age

Employee and Spouse Rates ( Per $ 1,000 )

Child ( ren ) Rate ( Per $ 1,000 )

$ 0.20

Voluntary AD & D – Monthly Cost Outline

Employee Per $ 1,000 $ 0.04 Spouse Per $ 1,000 $ 0.04

Prepared by Gallagher for the Employees of The Suquamish Tribe 18