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How much coverage is available? You have the option to enroll in coverage in the amount(s) below. Coverage Amount For you Choice of $10,000, $20,000 or $30,000 Your spouse $10,000 – Not to exceed 100% of employee benefit Your children* $5,000 – Not to exceed 50 % of employee benefit *Child(ren) up to age 26. What’s covered by Critical Illness Insurance? Critical Illness Insurance provides benefits for the covered conditions and diagnoses shown below. The most common conditions we pay claims for include: Heart attack* Major organ Stroke transplant** Coronary artery bypass Cancer Sample benefit amounts If one of these events happens on or after your coverage effective date, and your claim is approved, benefits are payable at 100% of the Critical Illness benefit amount shown above unless otherwise stated. Use your benefit payment however you’d like: Covered Condition % of Benefit Heart attack* 100% Cancer 100% Stroke 100% Coronary artery bypass 25% * A sudden cardiac arrest is not in itself considered a heart attack. **Listed in the certificate of coverage as “major organ transplant,” which means the irreversible failure of your heart, lung, pancreas, entire kidney or liver, or any combination thereof, determined by a physician specialized in care of the involved organ. This is only a small preview of the benefits available to you. See the full Schedule of Benefits toward the end of this document.

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