SCHEDULE OF BENEFITS (continued) Spouse or State-Registered Domestic Partner Dependent Life Insurance Plan 2: Life Insurance for Your Dependents is Portability Eligible Insurance Plan 2: All employees of an Employing Agency who did not elect Employee-Paid Life Insurance An amount You previously elected coverage in a multiple of $5,000 for coverage on or under Your Employing Agency’s after January 1, 2017. These employees retained previous life insurance plan which coverage amounts elected prior to January 1, 2017 doesn’t match the MetLife plan that were not in a multiple of $5,000 ............................. design Accelerated Benefit Option ........................................... Up to 80% of Your Dependent Life amount not to exceed $400,000 Child Dependent Life Insurance Life Insurance for Your Dependents is Portability Eligible Insurance For each of Your Children ............................................. An amount, elected by You, which is a multiple of $5,000 Minimum Child Life Benefit ........................................... $5,000 Maximum Child Life Benefit ......................................... $20,000 Dependent Accidental Death and Dismemberment Insurance (AD&D): Amount for Dependent AD&D Dependent Accidental Death and Dismemberment Insurance is NOT Portability Eligible Insurance For Spouse or State-Registered Domestic Partner ... An amount, elected by You, which is a multiple of $10,000 Minimum Dependent Accidental Death and Dismemberment Amount for Your Spouse or State-Registered Domestic Partner ..................... $10,000 Maximum Dependent Accidental Death and Dismemberment Amount for Your Spouse or State-Registered Domestic Partner .................... $250,000 For each of Your Children .......................................... An amount, elected by You, which is a multiple of $5,000 Minimum Dependent Accidental Death and Dismemberment Amount for Your Child(ren) ...... $5,000 Maximum Dependent Accidental Death and Dismemberment Amount for Your Child (ren) ..... $25,000 GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 35