BASIC LIFE, VOLUNTARY LIFE & DISABILITY BASIC LIFE AND AD&D VOLUNTARY SUPPLEMENTAL LIFE AND AD&D SHORT-AND LONG-TERM DISABILITY INSURANCE INSURANCE Basic Life Coverage 1.5x your salary up to $250,000 Amount Up to $500,000 in increments of Employee $10,000 – not to exceed 5x annual salary. Short-Term Disability Long-Term Disability Coverage Guaranteed issue is $100,000 Basic AD&D 1.5x your salary up to $250,000 Coverage Amount Based on 60% of your Based on 60% of your base weekly earnings base monthly earnings Up to $150,000 in increments of $5,000 with a maximum with a maximum No medical questions asked, up –not to exceed 50% of employee’s weekly benefit up to monthly benefit up to Guaranteed issue to Guaranteed Issue amount of Spouse Coverage voluntary election. Guaranteed issue is $100 $10,000 $250,000 $30,000 Maximum benefit period up to social Up to 24 weeks security normal Age Reduction Benefit reduces to 60% at age retirement age and 70 st day Up to $10,000 in increments of $1,000 – begins on the 181 Child Coverage not to exceed 50% employee’s voluntary IRC section 79 provides an election. Guaranteed issue is $10,000 exclusion for the first $50,000 of group-term life insurance Camunda pays the Pre-existing exclusion coverage provided under a The employee must elect the benefit for remaining % of base policy carried directly or themselves in order to elect the salary while out on of 3/12 and an Disclaimer indirectly by an employer. The coverage for a spouse/partner and/or disability to make occupation duration of imputed cost of coverage in 24 months excess of $50,000 must be Requirements children. Employees pay 100% of the you whole. included in income, using the premium for this benefit. Please see the IRS Premium Table, and are information provided by Camunda for subject to social security and rates. Medicare taxes 18 // 2022 Employee Benefit Guide