SCHEDULE OF BENEFITS (continued) Portability Eligible Life Insurance Supplemental Life Insurance and Basic Life Insurance: Portability Eligible Life Insurance For You: In any combination of Basic Life and Supplemental Life Insurance: Minimum Portability Eligible Life Insurance Amount ...................... $10,000 Maximum Portability Eligible Life Insurance Amount ..................... The lesser of Your total Life Insurance in effect on the date You elect to Port or $2,000,000 If Your Portability Eligible Insurance ends due to the end of the Group Policy or the amendment of the Group Policy to end the Portability Eligible Insurance, the maximum amount of insurance that You may Port is the lesser of:  the amount of Your Portability Eligible Insurance that ends under the Group Policy less the amount of life insurance for which You become eligible under any group policy issued to replace this Group Policy; or  $10,000. Life Insurance For Your Spouse or State-Registered Domestic Partner: Portability Eligible Spouse or State-Registered Domestic Partner Life Insurance: Minimum Portability Eligible Spouse or State-Registered Domestic Partner Life Insurance Amount ........................................................................................... $2,500 ($10,000 when porting Spouse or State-Registered Domestic Partner Life Insurance alone) Maximum Portability Eligible Spouse or State-Registered Domestic Partner Life Insurance Amount ........................................................................................... The lesser of Your total Spouse or State-Registered Domestic Partner Life Insurance in effect on the date You elect to Port or $250,000 If Your Portability Eligible Insurance or Your Portability Eligible Dependent Insurance ends due to the end of the Group Policy or the amendment of the Group Policy to end the Portability Eligible Insurance or Your Portability Eligible Dependent Insurance, the maximum amount of insurance that You may Port is the lesser of:  the amount of Your Portability Eligible Insurance or Your Portability Eligible Dependent Insurance that ends under the Group Policy less the amount of life insurance for which You become eligible under any group policy issued to replace this Group Policy; or  $10,000. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 38

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