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33

ACCIDENTAL DEATH AND DISMEMBERMENT

INSURANCE

EL IGIBI L ITY:

All full- and part-time employees are eligible on the first day of employment. Part-time employees must work at least

20 hours per week to be eligible for coverage.

YOU SHOULD KNOW:

➤➤

Accidental death and dismemberment coverage is provided

by Reliance Standard.

➤➤

Aflac pays the premiums for basic accidental death

and dismemberment insurance coverage. There is no cost

to you. You pay for any voluntary coverage you choose for

yourself. Spouse and dependent coverage is not available.

➤➤

Accidental death and dismemberment insurance differs

from life insurance. It pays a benefit if you sustain specific

loss-of-function injuries due to a covered accident or if you

die due to a covered accident. Additional benefits are paid

in specific situations, such as if you die while wearing a seat

belt, and to help pay a surviving child’s college expenses.

Coverage

Employee Basic Accidental Death and Dismemberment Insurance

Basic insurance

coverage

Accidental death and dismemberment insurance equal to 1.5 times your annual base salary

(as of each pay date), up to a $1,000,000 maximum. Coverage is rounded up to the next

whole $1,000.

Benefits for

covered losses

Resulting

Condition/Loss

% of Coverage

Amount Paid

Resulting

Condition/Loss

% of Coverage

Amount Paid

➤➤

Life

➤➤

Brain Death

➤➤

Two or more

members

➤➤

One member

100%

100%

100%

50%

➤➤

Quadriplegia

➤➤

Paraplegia

➤➤

Hemiplegia

➤➤

Uniplegia

➤➤

Thumb and index

finger of same hand

➤➤

Four fingers or four

toes of the same

hand or foot

200%

50%

50%

25%

25%

25%

Additional benefits

➤➤

Education up to $5,000 annually

➤➤

Day Care up to $5,000 annually

➤➤

Seatbelt/Airbag Benefit, $25,000 each

➤➤

Rehabilitation Benefit, 1% of Principal Sum or

$2,500

➤➤

Home alteration and vehicle modification, up

to $10,000

➤➤

Coma, 1% for up to 100 months

➤➤

Higher education, up to $15,000 for 4 years

➤➤

Paralysis, per schedule

Your cost

There is no cost to you for basic coverage. Aflac covers 100 percent of the cost.

Employee Voluntary Accidental Death and Dismemberment Insurance

Coverage options

You may choose increments of one to eight times your annual base salary (as of each pay date), up

to $1,000,000 maximum in addition to your basic coverage. Voluntary coverage is rounded up to

the next whole $1,000.

Your cost

You pay 100 percent of the cost of voluntary coverage at group rates.

FOR MORE INFORMATION ABOUT:

Employee accidental death and dismemberment insurance coverage: See the Summary Plan Description on

my.Aflac.com > Employee Services > Benefits

or call 706-317-0770. All of your Aflac benefits: Go to

my.Aflac.com > Employee Services > Benefits

.

Group Term Life Accidental Death and Dismemberment Flexible Spending Employee Assistance Program ADDITIONAL BENEF ITS Vision Plan Dental Plan Options Health Plan and Prescription Drug Benefits HEALTH AND WELLNESS PLANS

How to Apply for

Aflac Coverage

How to Make Your 2018 Benefits Elections 2018 Benefits Highlights 2018 BENEF ITS GUIDE About This Guide When to Enroll REFERENCE Short- and Long-Term Disability 401(k) Plan Managing Your Retirement Salary Redirection Appendix and Legal Notices Summary of Benefits Glossary Quick Reference