SCHEDULE OF BENEFITS (continued) GCERT2000 26 sch If You Are Age 70 Or Older If You are age 70 or older on Your effective date of insurance, the appropriate percentage from the following table will be applied to the amount of Your Accidental Death and Dismemberment Insurance on Your effective date of insurance, adjusted for any later changes in Your salary. If You are under age 70 on Your effective date of insurance, the amounts of Your Accidental Death and Dismemberment Insurance on and after age 70 will be determined by applying the appropriate percentage from the following table to the amount of Your insurance in effect on the day before Your 70 th birthday, adjusted for any later changes in Your salary. Age of Employee Percentage 70 or older 67% For All Active Full-Time Employees Additional Benefits: Air Bag Benefit.............................................................. Yes Seat Belt Benefit............................................................ Yes Child Care Benefit ................................................................... Yes Common Carrier Benefit ........................................................... Yes, an amount equal to the Basic AD&D Full Amount Schedule of Covered Losses for Accidental Death and Dismemberment Insurance All amounts listed are stated as percentages of the Full Amount. Covered Losses Loss of life................................................................... 100% Loss of an arm permanently severed at or above the elbow... 75% Loss of a leg permanently severed at or above the knee....... 75% Loss of a hand permanently severed at or above the wrist but below the elbow............................................................ 50% Loss of a foot permanently severed at or above the ankle but below the knee............................................................. 50% Loss of sight in one eye.................................................. 50% Loss of sight means permanent and uncorrectable loss of sight in the eye. Visual acuity must be 20/200 or worse in the eye or the field of vision must be less than 20 degrees. Loss of any combination of hand, foot, or sight of one eye, as defined above............................................................... 100% Loss of the thumb and index finger of same hand................. 25% Loss of thumb and index finger of same hand means that the thumb and index finger are permanently severed through or above the third joint from the tip of the index finger and the second joint from the tip of the thumb. Loss of speech and loss of hearing................................... 100%

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