Return to flip book view

Hampton County School District 2025 Supplemental Employee Benefits Guide NBC Benefits 4020 Shipyard Boulevard Wilmington, NC 28403 This booklet highlights the benefits offered to all eligible employees for the current plan year. It is for general information only. For specific information please consult your Hampton County School District employee manual, the State of SC PEBA Benefits, or your specific policy. Supplemental benefits described in this booklet are voluntary benefits paid for by the employee.

TABLE OF CONTENTS Description of Benefits Page Benefit & Plan Information 3 Enrollment Information 4 Accident Insurance 5 Cancer Insurance 11 Critical Illness Insurance 18 Hospital Indemnity Insurance 25 Short-Term Disability Income Insurance 30 Life Insurance with Long-Term Care Benefits 37 Contact Information Back Enrolling employees will be provided a Benefit Summary with a general description of the benefits and payroll deductions for the upcoming year. 2Not Available31

Benefit & Plan Information Eligibility: Full-time employee working 30 hours or more per week. Benefit Plan Year: Hampton County School District January 1, 2025, through December 31, 2025 Cafeteria Plan Information: For 2025: Enrollment is necessary for all Cafeteria Plan benefits during the open enrollment period. Payroll Deductions Deductions will take place with each pay period beginning with your first pay period in January 2025 and continue through your last pay period in December 2025. Benefits Effective Insurance Products – New Benefits for 2025 Effective January 1, 2025 Pre-Tax Accident Insurance from The HartfordCancer Insurance from Allstate BenefitsCritical Illness Insurance from Allstate BenefitsHospital Indemnity Insurance from The HartfordTeleHealth/Virtual Medical & Behavioral Health ConsultingPost Tax Life Insurance with Long-Term Care BenefitsDisability Income Insurance from Allstate BenefitsBenefits acquired in a prior year continue in force unless changed. Aflac –Critical Illness Aflac – Hospital Indemnity Aflac – Short-Term Disability Chubb – Accident Insurance Newly Hired Employees New employees enroll for benefits within 30 days following the date of hire. In most cases, benefits will be effective on the first day of the month following date of hire. New enrollees will be contacted by NBC Benefits for enrolling. 3

Enrollment Information Face-to-Face enrollment Your benefit counselor meeting will provide an opportunity to have your questions answered while enrolling for the benefits you select for you and your family. The counselor will complete the submission for you assuring accurate and timely activation of benefits. Please review the information made available to you prior to your benefit counselor meeting. Family Information for Enrollment When enrolling your spouse and/or children please have their dates of birth and social security numbers available. Certificate and Policy Information Coverage provided by the various voluntary supplemental benefits may have limitations, and exclusions. Please refer to your policy or certificate for specific coverage. The Hampton County School District has applied for and been issued a Group Master Contract for each policy line. The policy is available for review in the Hampton County School District Office. Individual Certificates of Insurance are also available for review in the Hampton County School District Office. Please request a link to access a comprehensive copy of specific benefits, which is available online. You may print the document as a permanent record. Printed certificates may be numerous pages. If you should leave employment at Hampton County School District, you may retain your policies through a portability provision in each Master Contract. You must request and complete a portability form and submit it to the appropriate carrier upon termination. IRS guidelines permit some policies to be deducted from your pay before taxes. Some benefit payments may be subject to federal and/or state tax. Please consult a tax advisor for specific guidelines. If you have questions about your benefits or the HCSD Benefit Program, please contact your Benefit Administrator. IMPORTANT NOTE & DISCLAIMER This is neither an insurance contract nor a Summary Plan Description; actual policy provisions apply. All information in this booklet including premiums quoted are subject to change. Policy descriptions are for information purposes only. Your actual policies may be different from the policies described in this booklet. 4

Accident Insurance from The Hartford Accidents happen, and they are costly. Accident insurance can help ease the financial pain!Hartford accident benefits can help you get back on your feet. Eligibility: Active full-time employees working 30 hours per week Plan Information Plan Design Options Plan Type Custom Designed Plan 1 Custom Designed Plan 2 Coverage Type 24 Hour Coverage (On and off-job) Dependent Benefit Amounts Available for all dependents Accident Benefits The Hartford’s Accident plan(s) will pay each scheduled benefit for treatment, injury or services incurred by a covered person who is injured in an accident while insurance is in effect, subject to any plan limitations and exclusions. Emergency, Hospital & Treatment Care Package³: Treatment/Service Detail (Per covered person) Custom Plan 1 Custom Plan 2 ACCIDENT FOLLOW-UP Up to 3 Treatments/accident within 90 Days $100 $150 ACUPUNCTURE Up to 10 visits/accident within 365 Days $50 $75 AMBULANCE – AIR Once/accident within 72 Hours $2,000 $2,500 AMBULANCE – GROUND Once/accident within 90 Days $750 $1,000 BLOOD/PLASMA/PLATELETS Once/accident within 90 Days $300 $400 CHILD CARE Up to 30 Days/accident while insured is confined $35 $50 CHIROPRACTIC CARE Up to 10 visits/accident within 365 Days $50 $75 DAILY HOSPITAL CONFINEMENT Up to 365 Days/lifetime (Total daily and ICU) $400 $600 DAILY ICU CONFINEMENT Up to 30 Days/accident (Subject to 365 Days/lifetime) $600 $800 DIAGNOSTIC EXAM Once/accident within 90 Days $300 $400 EMERGENCY DENTAL – CROWN Highest benefit once/accident within 90 Days $450 $600 EMERGENCY DENTAL – EXTRACTION Highest benefit once/accident within 90 Days $150 $200 EMERGENCY ROOM Once /accident within 72 Hours $200 $250 HOSPITAL ADMISSION Once/accident within 90 Days $1,500 $2,000 INITIAL PHYSICIAN OFFICE VISIT Once/accident within 90 Days $100 $150 LODGING Up to 30 Nights/lifetime $150 $175 MEDICAL APPLIANCE Once/accident within 90 Days $200 $300 PHYSICAL THERAPY Up to 10 Visits/accident within 90 Days $75 $100 REHABILITATION FACILITY Up to 15 Days/lifetime within 90 Days $300 $450 TRANSPORTATION Up to 3 Trips/accident $600 $800 URGENT CARE Once /accident within 72 Hours $150 $200 X-RAYOnce/accident within 90 Days $150 $200 5

Specified Injury & Surgery Benefit Package: Injury/Treatment/Service Detail (Per covered person) Custom Plan 1 Custom Plan 2 ABDOMINAL/THORACIC SURGERY Once/accident within 90 Days $3,000 $4,000 ARTHROSCOPIC SURGERY Once/accident within 90 Days $500 $750 BURN – 2ND DEGREE (≥ 34% OF BODY SURFACE) Highest benefit once/accident within 72 Hours $1,500 $2,000 BURN – 3RD DEGREE (≥ 18IN² OF BODY SURFACE) Highest benefit once/accident within 72 Hours $15,000 $20,000 BURN – SKIN GRAFT (FOR 3RD DEGREE BURN) Once/accident 50% of burn benefit 50% of burn benefit CONCUSSION Up to 3 Concussions/year within 72 Hours $200 $250 EYE INJURY – OBJECT REMOVAL Highest benefit once/accident within 90 Days $400 $600 EYE INJURY – SURGERY Highest benefit once/accident within 90 Days $750 $1,000 HERNIA REPAIR Once/accident within 365 Days $400 $600 JOINT REPLACEMENT Once/accident within 90 Days $4,000 $6,000 KNEE CARTILAGE – WITH REPAIR Highest benefit once/accident within 12 Months $2,000 $3,000 KNEE CARTILAGE – WITHOUT REPAIR $500 $750 LACERATION – 2” TO 6” Highest benefit once/accident within 72 Hours $500 $750 LACERATION – 6” OR GREATER Highest benefit once/accident within 72 Hours $1,000 $1,500 ORGANIZED AMATEUR SPORTS INJURY -- 25% increase of non-catastrophic benefits RUPTURED DISC Once/accident within 365 Days $2,000 $3,000 TENDON/LIGAMENT/CUFF – SINGLE Highest benefit once/accident within 365 Days $1,000 $1,500 TENDON/LIGAMENT/CUFF – 2 OR MORE $2,000 $3,000 Specified Injury & Surgery Benefit Package: Dislocations (dollar amounts shown are for Open Surgical injuries) Injury Detail (Per covered person) Custom Plan 1 Custom Plan 2 SPOUSE BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount CHILD(REN) BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount ANKLE, FOOT BONES (EXCEPT TOES) Once/joint/lifetime (Open or closed) $5,000 $7,500 COLLARBONE – ACROMIO/SEPARATION $1,000 $1,500 COLLARBONE – STERNOCLAVICULAR $2,000 $3,000 ELBOW $2,000 $3,000 FINGER, TOE $500 $750 HIP $8,000 $12,000 KNEE $5,000 $7,500 LOWER JAW $2,000 $3,000 SHOULDER (GLENOHUMERAL ) $2,000 $3,000 WRIST $2,000 $3,000 HAND BONES (EXCEPT FINGERS) $1,500 $2,000 CLOSED (NON-SURGICAL) 50% of open benefit INCOMPLETE/WITHOUT ANESTHESIA 25% of closed benefit MULTIPLE DISLOCATIONS/FRACTURES -- ≤ 200% of highest benefit 6

Specified Injury & Surgery Benefit Package: Fractures (dollar amounts shown are for Open Surgical injuries) Injury Detail (Per covered person) Custom Plan 1 Custom Plan 2 SPOUSE BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount CHILD(REN) BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount ANKLE Once/bone/accident within 90 Days $2,000 $3,000 FOOT BONES (EXCEPT TOES) $1,500 $2,000 COCCYX $750 $1,000 COLLARBONE/CLAVICLE OR STERNUM $4,000 $6,000 FINGER, TOE $500 $750 FOREARM – RADIUS OR ULNA $2,000 $3,000 HIP, THIGH/FEMUR $8,000 $12,000 KNEECAP/PATELLA $3,000 $4,500 LOWER JAW/MANDIBLE (EXC. ALV. PROCESS) $1,500 $3,000 LOWER LEG – FIBULA OR TIBIA $4,000 $6,000 NOSE, FACIAL BONES EXCEPT JAW BONES $1,500 $2,000 PELVIS (EXCEPT COCCYX) $10,000 $12,000 VERTEBRAE – PROCESSES $1,500 $2,000 RIB $750 $1,000 SHOULDER BLADE/SCAPULA $4,000 $6,000 SKULL – DEPRESSED $10,000 $12,000 SKULL – NON-DEPRESSED/SIMPLE $4,000 $6,000 UPPER ARM/HUMERUS $2,000 $3,000 UPPER JAW/MAXILLA (EXC. ALVEOLAR PROCESS) $1,500 $2,000 VERTEBRAE – BODY $3,000 $4,500 WRIST, HAND BONES (EXCEPT FINGERS) $2,000 $3,000 CLOSED (NON-SURGICAL) 50% of open benefit CHIP FRACTURE 25% of closed benefit MULTIPLE FRACTURES/DISLOCATIONS -- ≤ 200% of highest benefit Catastrophic Benefits Package: Injury/Treatment/Service Detail (Per covered person) Custom Plan 1 Custom Plan 2 ACCIDENTAL DEATH – EMPLOYEE Within 90 Days $75,000 $100,000 ACCIDENTAL DEATH – SPOUSE 50% of EE benefit ACCIDENTAL DEATH – CHILD(REN) 25% of EE benefit COMMON CARRIER DEATH Within 90 Days 2 X death benefit 2 X death benefit COMA (≥ 168 CONTINUOUS HOURS) Once/accident within 90 Days $15,000 $20,000 HOME HEALTH CARE Up to 30 Days/accident $75 $100 PARALYSIS – QUADRIPLEGIA Highest benefit once/accident within 90 Days $75,000 $100,000 PARALYSIS – PARAPLEGIA $37,500 $50,000 PROSTHESIS – SINGLE Highest benefit once/accident within 365 Days $1,500 $2,000 PROSTHESIS – 2 OR MORE $3,000 $4,000 7

Catastrophic Benefits Package: Dismemberments Injury Detail (Per covered person) Custom Plan 1 Custom Plan 2 SPOUSE BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount CHILD(REN) BENEFIT AMOUNTS -- 100% of Employee's Coverage Amount BOTH HANDS OR BOTH FEET Within 90 Days $75,000 $100,000 SIGHT – BOTH EYES $75,000 $100,000 SPEECH & HEARING (BOTH EARS) $75,000 $100,000 1 HAND & 1 FOOT Once/accident within 90 Days $75,000 $100,000 1 HAND/FOOT & SIGHT OF 1 EYE $75,000 $100,000 1 HAND OR 1 FOOT $37,500 $50,000 SIGHT – 1 EYE $37,500 $50,000 SPEECH OR HEARING (BOTH EARS) $37,500 $50,000 THUMB & INDEX FINGER (SAME HAND) $10,000 $15,000 Additional Plan Features & Services: PORTABILITY Included CONTINUATION OF COVERAGE Included CONTINUITY OF COVERAGE Included ACCIDENT PREVENTION BENEFIT $75 once per year for each covered person ABILITY ASSIST® ¹ Included HEALTH CHAMPION℠ ¹ Included THE HARTFORD'S CLAIMS CONNECTIONS Concierge-Guided Experience⁵ – Employees receive text or email notification of potential claims opportunities based on core claim events with option for telephonic claims intake Enrollment & Contribution: ENROLLMENT TYPE Annual Open Enrollment4 EMPLOYEE CONTRIBUTION 100% Employee paid (Voluntary) PLAN TYPE Employee Employee & Spouse Employee & Child(ren) Family MONTHLY RATES – CUSTOM PLAN 1 $11.91 $18.77 $20.38 $31.88 MONTHLY RATES – CUSTOM PLAN 2 $16.55 $26.07 $28.16 $44.09 1 HealthChampion℠ and Ability Assist® are offered through The Hartford by ComPsych®. ComPsych is not affiliated with The Hartford and is not a provider of insurance services. The Hartford is not responsible and assumes no liability for the goods and services provided by ComPsych. 2 Actual per pay period premium deductions may differ slightly from monthly billed amounts due to rounding. The Hartford offers a billing tolerance to help account for this difference. 3 Hospital does not include: convalescent homes, or convalescent, rest or nursing facilities; facilities affording primarily custodial, educational or rehabilitory care; or facilities for the aged, drug addicts or alcoholics. 4 All eligible employees can enroll in the plan without providing evidence of insurability during the initial enrollment period and subsequent scheduled enrollment periods occurring annually thereafter. Annual Open Enrollment necessitates that pre-defined enrollment experience practices are agreed to be implemented by the employer. 8

Accident Insurance Benefit and Feature Information Accident Benefits This insurance offers added financial protection by paying a cash benefit if a covered person is injured as the result of a covered accident. Accident benefits are intended to help employees and their loved ones handle the out-of-pocket expenses and unexpected bills that can follow an accidental injury. Lump sum benefits are paid to the employee (or designated beneficiary), based on the amount stated in the schedule of benefits and subject to any plan limitations or exclusions. Accident Prevention Benefit This optional provision offers a benefit once each year for each covered person who undergoes a covered screening or prevention activity (as defined in the policy). This benefit may not be available in all states. Accident Prevention Screening Test or Program means any of the following: (a) a dental exam, eye exam or hearing exam conducted by a Physician or medical professional;(b) an annual physical, sports physical or well child exam conducted by a Physician or medical professional;(c) an employer-sponsored wellness or biometric screening;(d) a serum cortisol test (for stress levels); or(e) successful completion of an appropriately licensed or accredited:1) emotion management or stress reduction program;2) driver safety and training program;3) motorcycle safety and training program; or4) workplace safety and training program.Ability Assist® Employee Assistance Program2 Employees receive professional counseling for financial, legal and emotional issues, 24/7/365. Includes unlimited phone access and three face-to-face sessions per year. Services are also available to spouses and dependent children. 2 Ability Assist® is offered through The Hartford by ComPsych®. ComPsych is not affiliated with The Hartford and is not a provider of insurance services. The Hartford is not responsible and assumes no liability for the goods and services provided by ComPsych. HealthChampionSM Health Care Support Service2 A service that offers unlimited access to benefit specialists and nurses for administrative and clinical support to address medical care and claims concerns. Service includes: claim and billing support, explanation of benefits, cost estimates/fee negotiation, information related to conditions and available treatments, and support to help prepare for medical visits. 2 HealthChampion℠ is offered through The Hartford by ComPsych®. ComPsych is not affiliated with The Hartford and is not a provider of insurance services. The Hartford is not responsible and assumes no liability for the goods and services provided by ComPsych. Portability The Hartford’s accident policies allow insureds to port their coverage due to a qualifying event. With this valuable feature, participants can port their coverage with a choice of three different plan designs. All an employee has to do is enroll for portability at termination. The choice in plan design allows the employee to select the coverage that best meets their financial protection needs at the time of port. This is an affordable way for insureds to stay protected even when leaving the employer. Portability is not available if an employee or covered dependent is entering active military service. An employee cannot port coverage if termination of coverage is due to non-payment of premium, termination of the group policy or termination of the Employer as a Participating Employer under a group policy. Continuation of Coverage The Hartford’s policies allow insurance to continue under the group plan in certain circumstances when an employee is unable to satisfy the active work and/or minimum work hours requirements of a plan, such as when an employee is on family or medical leave. Flexible options are available to assist employees in retaining benefits. 9

Accident Insurance – Exclusions The information provided below is applicable in most states; however, please be aware that state variations may apply. A benefit is not payable for an injury that results from or is caused by:  Suicide or attempted suicide, whether sane or insane, or intentionally self-inflicted injury. War or act of war, whether declared or undeclared. A nuclear, chemical, biological, or radiological event. A covered person's participation in a felony, riot or insurrection. A covered person's service in the armed forces or units auxiliary to it. A covered person's taking drugs, including but not limited to sedatives, narcotics, barbiturates, amphetamines, orhallucinogens, unless as prescribed by or administered by a physician. A covered person’s sickness or bacterial infection. A covered person’s participation in bungee jumping or hand gliding. A covered person’s participation or competition in semi-professional or professional sports. Cosmetic surgery or any other elective procedure that is not medically necessary. A covered person being intoxicated as defined by the jurisdiction in which the cause of loss was incurred. While a covered person is on any aircraft: as a pilot, crewmember or student pilot; as a flight instructor or examiner; if itis owned, operated or leased by or on behalf of the policyholder, or any employer or organization whose eligible personsare covered under the policy; or being used for tests, experimental purposes, stunt flying, racing or endurance tests. Operating, learning to operate, serving as a crew member of or jumping or falling from any aircraft. Aircraft includesthose which are not motor-driven. This exclusion does not apply where a covered person is riding as a fare-payingpassenger on a regularly scheduled commercial airline or as a passenger for transportation only and not as a pilot or crewmember. Riding in or driving any motor-driven vehicle in a race, stunt show or speed test.All exclusions may not be applicable, or may be adjusted, as required by state regulations in the situs state of a group. THIS IS AN ACCIDENT-ONLY POLICY The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including underwriting companies Hartford Life and Accident Insurance Company and Hartford Fire Insurance Company. Home Office is Hartford, CT. All benefits are subject to the terms and conditions of the policy. Policies underwritten by the underwriting companies listed above detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in force or discontinued. This proposal explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this proposal and the policy, the terms of the policy apply. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy as issued to the policyholder. Benefits are subject to state availability. This proposal includes a quote(s) for one or more products, which are issued on the following forms: Accident Form Series includes GBD-2000, GBD-2300, or state equivalent. Accidental Death and Dismemberment Form Series for all states except PR, WA and CA includes GBD-1000 and GBD-1300, or state equivalent, and in PR, WA and CA Form 7582 and Form PA-5427, or state equivalent. Critical Illness Form Series includes GBD-2600, GBD-2700, or state equivalent. Disability Form Series includes GBD-1000, GBD-1200, or state equivalent. Life Form Series includes GBD-1000, GBD-1100, Z-PORT, or state equivalent. Hospital Indemnity Form Series includes GBD-2800, GBD-2900, or state equivalent. RID: 63381 10

A 01651MJBC ecnarusnI recna P sesaesid deificeps 92 dna recnac fo tnemtaert eht rof noitcetorH skroW tI woH s’ere• stnedneped ruoy edulcni nac egarevoC• 92 dna recnac rof egarevoc sedulcnIs sesaesid deificep• nehw syad 09 retfa muimerp fo reviaWd )ylno eeyolpme( recnac ot eud delbasi• ruoy ot refer ;deunitnoc eb yam egarevoCc sliated rof etacifitre• rof thgir s’taht egarevoc eht tceleSy ylimaf ruoy dna uo• a ro recnac htiw desongaid fIs mialc a elif uoy ,esaesid deificep• hsac mus-pmul a eviecer yam uoYb detisoped tcerid ro kcehc aiv tifenet hsiw uoy revewoh esu nac uoy tahY – sgnivas ruoy rof drah dekrow ev’uo d .tuo meht epiw sisongaid recnac a tel t'no• sgnivas dna gnikcehc ruoy tcetorP• )k(104 ro ASH ruoy otni pid t’noDP secnaniF ruoY gnitcetorM sdeeN ruoY gniteeT recnac evitaler raey-evif eh s revo devorpmi sah etar lavivru t rof sedaced lareves tsap eh m sepyt recnac tso† T srovivrus recnac fo rebmun eh i si dna ,gnisaercni si .S.U eht n e 1.22 ylraen ot pmuj ot detcepx m 0302 yb noilli††E devorpmi ,noitceted ylra t ot ssecca dna stnemtaer c taht srotcaf era era i lavivrus recnac ecneulfn† T SIHT TUOBA KNIHA secnanif ruoY .snoisiced tluciffid dna stnemtnioppa rotcod fo dniwlrihw a emoceb nac efil ruoy ,sisongaid recnac a retf d .reisae elttil a tser uoy pleh nac stifeneB etatsllA morf ecnarusnI recnaC .seirrow fo tsil ruoy ot dedda eb ot deen t’no †Life After Cancer: Survivorship by the Numbers, American Cancer Society, 2021. ††Cancer Treatment & Survivorship Facts & Figures, 2019-2021. GVCP3BSC 11

G 3PCV BSC A 01651MJBT levarC rof yap pleh na e elihw sesnepx r ni tnemtaert gniviece a ytic rehtonH emoC eht yap pleh na m latner eunitnoc ,egagtro p emoh droffa ro ,stnemya r erac retfa rof sriapeE sesnepxC sih rof yap pleh na f ,sesnepxe gnivil s’ylima s ,yticirtcele ,sllib sa hcu a sag dnF secnaniC ,sASH tcetorp pleh na s tnemeriter ,sgniva p morf s)k(104 dna snal b detelped gnieC ESOOHU EST .tnemllornE nepO s’reyolpme sih gnirud ecnarusnI recnaC stfieneB etatsllA rof pu sngis JT ,latrop bew tneinevnoc eht hguorht egarevoc ecnarusnI recnaC stifeneB etatsllA sih no mialc a selif J M .*stifeneByH :rof stifeneb hsac seviecer eC MIAL• tifeneB ssenlleW• sisongaiD laitinI recnaC• tnemenifnoC latipsoH suounitnoC• noitatropsnarT lacoL-noN• yregruS• aisehtsenA• gnigamI lacideM• enicideM dna sgurD tneitapnI• ecnadnettA s’naicisyhP• aesuaN-itnAR yrevoceP yregruS-tsoS yregruP gnitseT pO-er H yatS latipsoA eh ,yregrus retf s sruoh lareves sdnep i yrevocer eht n w moor gnitiaH sih ot derrefsnart s’e r yb detisiv dna moo h -2 a gnirud rotcod sid yats latipsoh yaT rotcod sih stisiv J r 2 a gnirud ylraluge m doirep yrevocer htnoH eht ot dettimda si e h rof latipso l etatsorp cipocsorapa c yregrus recnaT ASP seogrednu J t latipsoh a ta gnitse 3 morf selim 00 h emoh siM JT teeO tuoba noitamrofni tnatropmi ot ssecca 7/42 sreff y smialc ruoy kcehc dna timbus ,ngiSe .stifeneb ruo ( eb ot stifeneb hsac tseuqer ,)yrotsih mialc gnidulcnid lanosrep ot segnahc ekam ,detisoped tceri i .erom dna ,noitamrofn* latroP gniliF mialC stifeneByMA moc.etatslla.stifenebym :sseccA :htap tnemtaert sih s’ereH .recnac etatsorp sah eh taht snrael JT ,retal shtnom wef H stifeneb hsac sih esu nac JT syaw eht fo emos era ere12

PLAN1PLAN2$100 $300$100 $300$100 $300$100 $300$100 $300PLAN 1 PLAN 2$5,000 $12,500$5,000 $12,500$100 $250$250 $625PLAN 1 PLAN 2$1,500 $3,00025% 25%$250 $500$200 $400PLAN 1 PLAN 2$25 $25$50 $50$100 $1000.40/Mile 0.40/Mile$50 $50$500.40/Mile$500.40/Mile$50 $50$5,000 $5,000$2,000 $2,000$25 $25$50 $50$200 $200Yes YesPLAN 1 PLAN 2$5,000 $5,000$100 $1001. Autologous2. Non-autologous (cancer or specified disease treatment)3. Non-autologous (Leukemia)1Paysactualcostuptoamountlisted.2PaysactualchargesuptoamountlistedincertificateScheduleofSurgicalProcedures.Amountpaiddependsonsurgery.3Paysactualchargesuptoamountlisted.*Atleast70milesaway,upto700miles.**Transportationupto700milespercontinuoushospitalconfinement.Cancer Initial Diagnosis (one-time benefit)Wellness BenefitSecond Opinion MISCELLANEOUS BENEFITSInpatient Drugs and Medicine (daily)Physician’s Attendance (daily)CancerInsurance(GVCP3)Includescoveragefor29SpecifiedDiseasesfromAllstateBenefitsBENEFITAMOUNTSforHamptonCountySchoolDistrictEmployeesContinuous Hospital Confinement (daily)Hospice Care Center (daily) orHospice Care Team (per visit)Private Duty Nursing Services (daily)Extended Care Facility (daily)At Home Nursing (daily)Government or Charity Hospital (daily) HOSPITAL CONFINEMENT AND RELATED BENEFITS$500$1,250$2,500$1,000$2,500$5,000Waiver of Premium (employee only)OPTIONAL/ADDITIONAL BENEFITSNew or Experimental Treatment3 (every 12 months)Prosthesis3 (per amputation)Hair Prosthesis (every 2 years)Nonsurgical External Breast Prosthesis1Anti-Nausea Benefit1 (once per calendar year)Ambulance (per confinement)Non-Local Transportation1Outpatient Lodging (daily; limit $2,000/12 mo. period)Family Member Lodging (daily per trip; max. 60 days)and Transportation (coach fare or amount shown per mile**)Physical or Speech Therapy (daily)Ambulatory Surgical Center (daily)Bone Marrow or Stem Cell Transplant (once/year)Hematological Drugs1 (every 12 months)Medical Imaging1 (every 12 months) SURGERY AND RELATED BENEFITS Surgery2Anesthesia (% of surgery benefit) RADIATION/CHEMOTHERAPY/RELATED BENEFITS$300$300$100$100Radiation/Chemotherapy for Cancer1 (every 12 months)Blood, Plasma, and Platelets1 (every 12 months)13

Mode EE EE + SP EE + CHFSemi-Monthly 8.74 13.91 12.10 17.25Mode EE EE + SP EE + CHFSemi-Monthly 15.15 23.55 21.37 29.75EEEE + SPEE + CHFBENEFITAMOUNTSforHamptonCountySchoolDistrictEmployeesFor use in enrollments sitused in: SC. This rate insert is part of the approved brochure for Hampton County School and is not to be used on its own.This material is valid as long as information remains current, but in no event later than October 1, 2027. Allstate Benefits is the marketing name used by American Heritage Life Insurance Company (Home Office, Jacksonville, FL), a subsidiary of The Allstate Corporation. ©2024 Allstate Insurance Company. www.allstate.com or allstatebenefits.com.FOR HOME OFFICE USE ONLY - GVCP3Opt 1-1Hosp; 2Rad; 1Surg; 1Misc; 5Init; 0ICU; 4Well; 0ProgOpt 2-3Hosp; 5Rad; 2Surg; 1Misc; 5Init; 0ICU; 4Well; 0ProgV.2024.08.30 FA Rate Insert Creation Date: 10/1/2024 ABJ30590-3 - Insert - 65278PLAN 1 PremiumsPLAN 2 PremiumsEmployeeEmployee + SpouseCancerInsurance(GVCP3)Includescoveragefor29SpecifiedDiseasesfromAllstateBenefitsEmployee & ChildrenFamily14

H STIFENEB DETALER DNA TNEMENIFNOC LATIPSOC tnemenifnoC latipsoH suounitno - i tneitapn a tnemenifnoc dna noissimdG latipsoH ytirahC ro tnemnrevo - c tpecxe ,stifeneb rehto lla fo ueil ni stnemenifno W muimerP fo reviaP secivreS gnisruN ytuD etavir - f emit-llu n naicisyhp gnidnetta yb dezirohtua secivres gnisruE ytilicaF eraC dednetx - w a fo syad 41 nihti h fo syad fo rebmun eht ot pu elbayap ;yats latipso t yats latipsoh ehA gnisruN emoH t - p tsum erac gnisrun etavir b ;yats latipsoh derevoc a fo syad 41 nihtiw nige p suoiverp eht fo syad fo rebmun eht ot pu elbaya h yats latipsoH maeT ro retneC eraC ecipso - t ssenlli lanimre c yad rep tisiv eno ;emoh ta ro ytilicaf a ni eraR STIFENEB DETALER DNA YPAREHTOMEHC/NOITAIDAR recnaC rof yparehtomehC/noitaida - c yfidom ro yortsed ot stnemtaert derevo c eussit suorecnaB steletalP dna amsalP ,dool - t ,snoisufsnar a ,gnissecorp ,segrahc noitartsinimd p gnihctam ssorc ,tnemerucorH sgurD lacigolotame - b senil llec stsoo f nehw elbayap ;steletalp dna stnuoc llec der/etihw ro R diap si tifeneb recnaC rof yparehtomehC/noitaidaM gnigamI lacide - i pu-wollof ro sisongaid laitin e maxe gnigami derevoc no desab noitaulavS STIFENEB DETALER DNA YREGRUS yregru - b fo eludehcS etacifitreC no desa S enod seiregrus erom ro owT .serudecorP lacigru a yrtne ro noisicni eno hguorht emit emas eht t p noitarepo ehT .noitarepo eno deredisnoc era tnio w si tneitaptuO .diap eb lliw tifeneb tsegral eht hti p eludehcS eht ni detsil tnuoma eht fo %051 ta dia o rehto rof yap ton seoD .serudecorP lacigruS f s stifeneb rehto yb derevoc seiregruA aisehtsen - 2 rof tifeneb yregruS fo %5 a tsitehtsena na yb deviecer aisehtsenB tnalpsnarT lleC metS ro worraM eno - a fo tnemtaert rof suogolotua-non ,suogolotu c ,aimekueL naht rehto esaesid deificeps ro recna o aimekueL fo tnemtaert rof suogolotua-non rA retneC lacigruS yrotalubm - p fi ylno elbaya S diap si tifeneb yregruS noinipO dnoce - s noinipo dnoce f ni ton rotcod a yb tnemtaert ro yregrus ro p rotcod ruoy htiw ecitcarM STIFENEB SUOENALLECSII enicideM dna sgurD tneitapn - n to i eht rednu derevoc enicidem/sgurd gnidulcn R -itnA ro recnaC rof yparehtomehC/noitaidaN stifeneb aesuaP ecnadnettA s’naicisyh - o tneitapni en v naicisyhp eno yb tisiA ecnalubm - t latipsoh morf ro ot refsnar w ro ecivres desnecil a yb denifnoc ereh h ecnalubma denwo-latipsoN noitatropsnarT lacoL-no - o gniniatb t yllacol elbaliava ton tnemtaerO gnigdoL tneitaptu -m selim 001 naht erof emoh morF noitatropsnarT dna gnigdoL rebmeM ylima - a lacol-non gnirud uoy htiw slevart rebmem ylimaf tlud h noitatropsnarT .tnemtaert dezilaiceps rof syats latipso n diap si tifeneb noitatropsnarT lacoL-noN fi diap toP yparehT hceepS ro lacisyh - t erotser o n noitcnuf ydob lamroN tnemtaerT latnemirepxE ro we - p elbaya i rof ylno dna yrassecen eb ot segduj naicisyhp f t stifeneb ycilop rehto rednu derevoc ton tnemtaerP sisehtsor - s citehtsorp fo noitatnalpmi lacigru d noitatupma hcae rof eciveH sisehtsorP ria - w owt yreve eceipriah ro gi y ssol riah ot eud sraeN sisehtsorP tsaerB lanretxE lacigrusno - i laitrap ro derevoc a retfa sisehtsorp laitin m ymotcetsaA tifeneB aesuaN-itn - p aesuan-itna debircser m sisab tneitaptuo no noitacideW )ylno eeyolpme( muimerP fo revia - m tsu b gnol sa ,recnac ot eud wor a ni syad 09 delbasid e a stsal ytilibasid sO STIFENEB LANOITIDDA/LANOITPC sisongaiD laitinI recna - f emit-tsrif ro d recnac niks naht rehto recnac fo sisongaiW tifeneB ssenlle - o eno rof raey rep ecn o rof stset doolB ;recnac niks rof yspoiB .smaxe 32 f t nairavo( 521AC ,)recnac tsaerb( 3-51AC ,sedirecylgir c ;)recnac etatsorp( ASP ,)recnac noloc( AEC ,)recna B ;ypocsonoloC ;yar-X tsehC ;gnitseT worraM eno D ralucsav larehpirep ro sditorac rof gnineercs relppo d elbixelF ;GKE ;margoidracohcE ;esaesi s VPH ;sisylana loots tluccomeH ;ypocsodiomgi ( lenap dipiL ;noitaniccaV )surivamollipaP namuH ( gnidulcni ,yhpargommaM ;)tnuoc loretselohc latot B paP ;gnineercS recnaC lacivreC ;dnuosartlU tsaer S nietorP mureS ;tseT paP perPnihT gnidulcni ,raem E tset ssertS ;)amoleym rof tset( siserohportcel o dnuosartlU dna ;yhpargomrehT ;llimdaert ro ekib n s smsyruena citroa lanimodba rof gnineercS SESAESID DEIFICEP2 derevoC sesaesiD deificepS 9 - A cihportoym L ralucsuM ,)esaesiD s’girheG uoL( sisorelcS lareta D ,sisorelcS elpitluM ,sitileymoiloP ,yhportsy E ,sisolucrebuT ,sunateT ,seibaR ,sitilahpecn O lanipsorbereC ,reveF telracS ,airehthpiD ,sitileymoets M ,aimenA lleC elkciS ,sisollecurB ,sitignine T ,reveF dettopS niatnuoM ykcoR ,aimessalah L s’nesnaH ,esaesiD s’nosiddA ,esaesiD ’seriannoige D diohpyT ,)C ro B cinorhC( sititapeH ,aimeraluT ,esaesi F yramirP ,emordnyS s’eyeR ,sivarG ainehtsayM ,reve S emyL ,)esaesiD s’notyaP retlaW( sitignalohC gnisorelc D citsyC ,susotamehtyrE supuL cimetsyS ,esaesi F sisohrriC yrailiB yramirP dna ,sisorbiD SNOITINIFEA egrahC lautc -a ro tnemtaert a rof dellib tnuom s stnemyap ro stnuocsid ecnarusni yna erofeb ecivreA tsoC lautc - a no ro yb diap yllautca tnuom b eht yb tnemyap lluf sa detpecca ,uoy fo flahe p secivres ro sdoog fo redivorG 3PCV BSC A 01651MJBB stifene - B gniwollof eht rof diap stifene ( )4 dna 3 segap no detsil sa smumixam ot tcejbus15

We’re the name you know and trust, protecting America’s families for over 50 years. Our valuable coverage options help empower people to make the best decisions for their finances and their futures. Once you’ve elected coverage, register with our convenient customer service portal, MyBenefits, for anytime access to your coverage details and important documents. MyBenefits also allows you to file claims quickly and easily – and get benefits deposited directly into your bank account (authorization required). When you choose ALLSTATE BENEFITS, we can help give you and your family financial peace of mind. Are you in good hands?® G 3PCV BSC A 01651MJBP .gnivil yadyreve rof stfieneb lacitcar®16

G 3PCV BSC A 01651MJBA .noitaroproC etatsllA ehT fo yraidisbus a ,ynapmoC ecnarusnI efiL egatireH naciremA yb desu eman gnitekram eht si stifeneB etatsll© moc.stifenebetatslla ro moc.etatslla.www .ynapmoC ecnarusnI etatsllA 4202E ytilibigil - C ro esuops ruoy ,uoy edulcni yam egarevo d .62 ega rednu nerdlihc dna ,rentrap citsemoT egarevoC fo noitanimre - C rednu egarevo t eht ;delecnac si ycilop eht etad eht no sdne ycilop eh l fo yad tsal eht ;edam erew stnemyap muimerp yad tsa a ot eud deunitnoc si egarevoc sselnu ,tnemyolpme evitc T dna ylimaF ro ecnesbA fo evaeL ,ffoyaL yraropme M si ssalc ruoy ro uoy etad eht ;ecnesbA fo evaeL lacide n .elbigile regnol o S sdne egarevoc rentrap citsemod/esuop u .htaed ruoy ro pihsrentrap fo noitanimret/ecrovid nop C ega sehcaer dlihc eht nehw sdne nerdlihc rof egarevo 2 stnemeriuqer eht teem ot seunitnoc ehs ro eh sselnu ,6 o .tnedneped elbigile na fP egelivirP ytilibatro - C deunitnoc eb yam egarevo u rednu egarevoc nehw noisivorP ytilibatroP eht redn t ecnarusnI fo etacfiitreC ruoy ot refeR .sdne ycilop eh f .sliated roP noitatimiL noitidnoC gnitsixE-er - W gnitsixe-erp a rof stfieneb yap ton od e c egarevoc s’nosrep taht etad eht no gninnigeb doirep htnom-21 eht gnirud noitidno s detsixe smotpmys hcihw rof noitidnoc ro esaesid a si noitidnoc gnitsixe-erp A .strat w tnemtaert ro ecivda lacidem ro ,etad evitceffe eht ot roirp doirep htnom-21 eht nihti w htnom-21 eht nihtiw lanoisseforp lacidem a morf deviecer ro dednemmocer sa p a hguoht neve tsixe nac noitidnoc gnitsixe-erp A .etad evitceffe eht ot roirp doire d .edam neeb tey ton sah sisongaiE snoitatimiL dna snoisulcx - W recnac ot eud sessol rof tpecxe ssol yna rof yap ton od e o yb detavargga ro desuac snoitidnoc rof diap ton era stfieneB .esaesid defiiceps a r c ro recnac ot eud dedeen eb tsum secivres dna tnemtaerT .esaesid defiiceps a ro recna a .seirotirret sti ro setatS detinU eht ni deviecer eb dna esaesid defiiceps H noitatimiL maeT eraC ecipso - S ybab-llew ,slaem ro doof rof derevoc ton era secivre c .htaed s’nosrep derevoc retfa ylimaf eht rof troppus ro sreetnulov ,eraB noitatimiL steletalP dna amsalP ,dool - D doolb ro snilubolgonummi edulcni ton seo r .sronod yb decalpeS stfieneB sisehtsorP dna tnemtaerT latnemirepxE ro weN ,yregru - W fo %05 yap e t .ssol fo foorp sa elbaniatbo ton era segrahc cfiiceps nehw mumixam elbacilppa ehR tfieneB recnaC rof yparehtomehC/noitaida - W lacimehc rehto yna :rof yap ton od e s /noitaidar htiw noitcnujnoc ni ro htiw deretsinimda eb yam hcihw ecnatsbu c dna ngised eht ;tnemeganam ro noitatlusnoc ,gninnalp tnemtaert ;yparehtomeh c fo epyt yna ;noitaluclac yrtemisod noitaidar cisab ;secived tnemtaert fo noitcurtsno l eht ;gnirotinom ro sisongaid rof desu gnigami rehto ro yar-X ;stset yrotaroba d gnidulcni seilppus ro secived yna ro ;stnemtaert eseht ot detaler stset citsongai i .stnemtaert eseht ot detaler seldeen dna snoitulos suonevartnI snoitatimiL dna snoisulcxE eraC evisnetn - B ,edicius detpmetta rof diap ton era stfiene i ton sgurd fo ecneuflni eht rednu gnieb ro noitacixotni ,yrujni detciflni-fles lanoitnetn p rof diap ton era stfieneB .noitcidda gurd ro msilohocla ro ,naicisyhp a yb debircser c ,tinu erac evisnetni latipsoh a sa yfilauq ton seod taht tinu erac a ot stnemenfino i smoor etavirp ,erac etaidemretni ,erac evisnetni etucabus ,erac evissergorp gnidulcn w -pets rof diap ton era stfieneB .stinu erac ressel rehto dna nwod-pets ro ,gnirotinom htid -tsop ;smoor yrevocer lacigrus ro yrtemelet :stinu gniwollof eht ni stnemenfinoc nwoa ;smoor derotinom etavirp ;erac etaidemretni ;erac evissergorp ;erac aisehtsen o etavirp ro ,sdraw ,sdeb ;stinu yregrus tneitaptuo ro smoor ycnegreme ni stinu noitavresb o ton od taht seitilicaf rehto ro ;smoor yreviled ro robal ,ycnegreme ;smoor etavirp-imes r m rof diap ton era stfieneB .tinu erac evisnetni latipsoh nwod-pets a rof sdradnats eht tee c .etad evitceffe eht ot roirp noitazilatipsoh a gnirud gnirrucco stnemenfinoc suounitno C tnemenfinoc rof derevoc ton era etad evitceffe eht fo shtnom 01 nihtiw nrob nerdlih o rof yap ton od eW .efil s’dlihc eht fo syad 03 tsrfi eht gnirud gninnigeb ro gnirrucc a .tfieneb ecnalubmA esaesiD defiicepS dna recnaC eht rednu diap fi ecnalubmL SNOISULCXE DNA SNOITATIMIC SNOITACIFICEPS ETACIFITRET ni desutis stnemllorne ni esu rof si eruhcorb sih SC. T ,ycnegA ,tnegA stifeneB etatsllA na yb edam eb yam tcatnoc ;ecnarusni fo noitaticilos a si tnemesitrevda sih o .evitatneserpeR rT naht retal tneve on ni tub ,tnerruc sniamer noitamrofni sa gnol sa dilav si lairetam sih O .7202 ,10 rebotc G mrof ycilop rednu dedivorp era stifeneb recnaC puor G foereht snoitairav etats ro ,3PCV . T .ecnarusni esaesid deificeps dna recnac latnemelppus tifeneb detimil si dedivorp egarevoc eh T rof elbigile fI .yciloP tnemelppuS eracideM a ton si ycilop eh M egarevoc siht rednu stifeneb taht seriuqer wal a nehw secnatsni eb yam erehT .stifeneB etatsllA morf elbaliava ediuG s’reyuB tnemelppuS eracideM weiver ,eracide b ecnarusni htlaeh ruoy ot refer esaelp ,noitairav etats a ro ,diacideM ,eracideM rednu egarevoc evah tnedneped a ro uoy fI .uoy ot naht rehtar ytrap driht a ot diap e d .ylppa yam sneil ro stnemngissa rehtehw mrifnoc ot stnemucoT .)LF ,ellivnoskcaJ ,eciffO emoH( ynapmoC ecnarusnI efiL egatireH naciremA yb nettirwrednu ycilop puorg eht rednu elbaliava stifeneb eht fo weivrevo feirb a si sih D etatsllA ruoy tcatnoc yam uoy ,noitamrofni lanoitidda roF .deussi setacifitrec eht ni dedulcni era snoitatimil rehto dna snoisulcxe gnidulcni ,egarevoc eht fo sliate B .evitatneserpeR stifeneT tnemeriuqer eht yfsitas ton seod dna )”egarevoc lacidem rojam“ sa ot derrefer netfo( egarevoc ecnarusni htlaeh evisneherpmoc etutitsnoc ton seod egarevoc eh o .tcA eraC elbadroffA eht rednu egarevoc laitnesse muminim f17

G 4PICV BSC A 31651MJBC ecnarusnI ssenllI lacitir P sisongaid ssenlli lacitirc a htiw decaf nehw noitcetorI .ylkciuq worg nac secnanif ruoy ot tcapmi eht ,krow fo tuo uoy speek ti dna ssenlli lacitirc a htiw desongaid er’uoy f C .retteb gnitteg no sucof nac uoy os dnim ruoy esae pleh nac stifeneB etatsllA morf ecnarusnI ssenllI lacitirH skroW tI woH s'ere• muimerp dna tifeneb a tceleSa sdeen ruoy teem ot tnuom• hcae detcuded eb lliw smuimerPp doirep ya• lacitirc a htiw desongaid er'uoy fIi a eviecer dna mialc a elif ,ssenlll *tifeneb hsac mus-pmuP secnaniF ruoY gnitcetor M sdeeN ruoY gniteeT SIHT TUOBA KNIHB ,5302 y 4 .S.U eht fo %1.5 p ot detcejorp si noitalupo h DVC fo mrof emos eva† †E ,sdnoces 04 yrevs .S.U eht ni enoemo h ekorts a sa† E ,sdnoces 04 yreva reffus lliw naciremA n a kcatta traeh † †H noitaicossA traeH naciremA eht morF tropeR A :etadpU 3202—scitsitatS ekortS dna esaesiD trae . ††C /ne/gro.traeh.www//:sptth .esaesiD ralucsavoidraC = DV n wohs-scitsitats-stluda-nacirema-fo-flah-ylraen-tceffa-sesaesid-ralucsavoidrac/13/10/9102/swe * .eruhcorb siht fo noitces snoitatimiL dna snoisulcxE eht ot refer esaelPY – sgnivas ruoy rof drah dekrow ev'uo d .tuo meht epiw ssenlli lacitirc a tel t'no• sgnivas dna gnikcehc ruoy tcetorP• )k(104 ro ASH ruoy otni pid t'noD• tuohtiw egarevoc eussI deetnarauGa *noitatimiL noitidnoC gnitsixE-erP • stnedneped ruoy edulcni nac egarevoC• rehto yna fo sseldrager diap stifeneBm egarevoc nalp ytilibasid ro lacide• ot refer ;deunitnoc eb yam egarevoCy sliated rof etacifitrec ruo18

G 4PICV BSC A 31651MJBT levarC rof yap pleh na e elihw sesnepx r ni tnemtaert gniviece a ytic rehtonH emoC eht yap pleh na m latner eunitnoc ,egagtro p emoh droffa ro ,stnemya r erac retfa rof sriapeE sesnepxC s’ylimaf sih yap pleh na l sa hcus ,sesnepxe gnivi b sag dna ,yticirtcele ,slliF secnaniC ,sASH tcetorp pleh na s snalp tnemeriter ,sgniva a morf s)k(104 dn b detelped gnieC ESOOHU ESC .tnemllornE nepO s'reyolpme sih gnirud ecnarusnI ssenllI lacitirC stfieneB etatsllA rof pu sngis solraT .yrav yam ecneirepxe laudividni ruoy ;noitautis lanoitcif a sliated evoba elpmaxe ehF .5 dna 4 ,3 segap ees ,stnuoma tifeneb dna stifeneb fo gnitsil a roC ,latrop bew tneinevnoc eht hguorht egarevoc ssenllI lacitirC stifeneB etatsllA sih htiw mialc a selif solra M .*stifeneByH :rof tifeneb hsac mus-pmul a seviecer eC MIAL• ssenlleW dexiF• yregruS ssapyB yretrA yranoroCR yrevoceD noisiceD sisongaiW maxE ssenlle S yregruH sdnemmocer rotcod si s a evomer ot yregru b sllet dna egakcol C lliw yrevocer sih solra t skeew thgie ot xis ekaC sah solra b dna yregrus ssapy i rof latipsoh eht ni s 4 syad C emoh seog solra t yrevocer sih nigeb o a raluger sah dn d stisiv rotcoA a dna stset erom retf v ,tsigoloidrac a ot tisi C desongaid si solra w yranoroc htia esaesid yretrC stceted rotcod ’solra a noitidnoc traeh d launna sih gniru w maxe ssenlleM solraC teeO dna timbus ,ngiSe .stifeneb ruoy tuoba noitamrofni tnatropmi ot ssecca 7/42 sreff c tcerid eb ot stifeneb hsac tseuqer ,)yrotsih mialc gnidulcni( smialc ruoy kceh d .erom dna ,noitamrofni lanosrep ot segnahc ekam ,detisope* latroP gniliF mialC stifeneByMA moc.etatslla.stifenebym :sseccA :yrots sih s'ereH .esaesid yretra yranoroc a sah eh snrael solraC ,retal shtnom wef H stifeneb hsac sih esu nac solraC syaw eht fo emos era ere19

PLAN 1 PLAN 2$10,000 $20,000$10,000 $20,000$10,000 $20,000$10,000 $20,000$2,500 $5,000Yes YesPLAN 1 PLAN 2Yes YesPLAN 1 PLAN 2$2,500 $5,000Pulmonary Embolism (25%)$2,500 $5,000Pulmonary Fibrosis (25%)$2,500 $5,000$1,000 $1,000Non-Local Transportation1Air Fare(per trip or mile )Personal Vehicle$500$0.50/mi.$500$0.50/mi.Outpatient Lodging2 (daily)$100 $100Family Member Lodging2 (daily) Transportation1 (per trip) Air Fare Personal Vehicle (per trip or mile)$100$500$0.50/mi.$100$500$0.50/mi.5,000$ 10,000$ $5,000$10,000 $10,000$20,000 10,000$ 20,000$ Advanced Parkinson's Disease (100%) 10,000$ 20,000$ Benign Brain Tumor (100%) 10,000$ 20,000$ Coma (100%) 10,000$ 20,000$ Complete Loss of Hearing (100%) 10,000$ 20,000$ Complete Loss of Sight (100%) 10,000$ 20,000$ Complete Loss of Speech (100%) 10,000$ 20,000$ Paralysis (100%) 10,000$ 20,000$ 50$ 50$ Fixed Wellness Rider (per year)1Limit of $5,000 in a calendar year. 2Limit of $1,000 in a calendar year. Maximum of 1,000 miles.Second Evaluation, Transportation and Lodging Rider Second EvaluationSpecified Chronic Illness Ridert (50%)Specified Chronic Illness or Injury RidertIllness (50%)Injury (100%)Supplemental Critical Illness Ridert Advanced Alzheimer's Disease (100%)Coronary Artery Bypass Surgery (25%)Waiver of Premium (employee only)REOCCURRENCE OF CRITICAL ILLNESS BENEFITStInitial Critical Illness (same amount as Initial Critical Illness Benefit)RIDER BENEFITSCardiopulmonary Enhancement Ridert Sudden Cardiac Arrest (25%)Group Critical Illness (GVCIP4)Critical Illness Insurance from Allstate BenefitsOffered to employees of: Hampton County School DistrictBENEFIT AMOUNTSPercentages below are based on the Basic Benefit Amount of$10,000 (Plan 1) or $20,000 (Plan 2)tCovered dependents receive 50% of your benefit amount.INITIAL CRITICAL ILLNESS BENEFITStHeart Attack (100%)Stroke (100%)End Stage Renal Failure (100%)Major Organ Transplant (100%)20

PLAN 3 PLAN 4$30,000 $40,000$30,000 $40,000$30,000 $40,000$30,000 $40,000$7,500 $10,000Yes YesPLAN 3 PLAN 4Yes YesPLAN 3 PLAN 4$7,500 $10,000Pulmonary Embolism (25%) $7,500 $10,000Pulmonary Fibrosis (25%) $7,500 $10,000$1,000 $1,000Non-Local Transportation1Air Fare(per trip or mile )Personal Vehicle$500$0.50/mi.$500$0.50/mi.Outpatient Lodging2 (daily)$100 $100Family Member Lodging2 (daily) Transportation1 (per trip) Air Fare Personal Vehicle (per trip or mile)$100$500$0.50/mi.$100$500$0.50/mi.15,000$ 20,000$ $15,000$30,000 $20,000$40,000 30,000$ 40,000$ Advanced Parkinson's Disease (100%)30,000$ 40,000$ Benign Brain Tumor (100%)30,000$ 40,000$ Coma (100%)30,000$ 40,000$ Complete Loss of Hearing (100%)30,000$ 40,000$ Complete Loss of Sight (100%)30,000$ 40,000$ Complete Loss of Speech (100%)30,000$ 40,000$ Paralysis (100%)30,000$ 40,000$ 50$ 50$ 1Limit of $5,000 in a calendar year. 2Limit of $1,000 in a calendar year. Maximum of 1,000 miles.Group Critical Illness (GVCIP4)Critical Illness Insurance from Allstate BenefitsOffered to employees of: Hampton County School DistrictBENEFIT AMOUNTSPercentages below are based on the Basic Benefit Amount of$30,000 (Plan 3) or $40,000 (Plan 4)tCovered dependents receive 50% of your benefit amount.Specified Chronic Illness Ridert (50%)Specified Chronic Illness or Injury RidertIllness (50%)Injury (100%)Supplemental Critical Illness Ridert Advanced Alzheimer's Disease (100%)Fixed Wellness Rider (per year)RIDER BENEFITSCardiopulmonary Enhancement Ridert Sudden Cardiac Arrest (25%)Second Evaluation, Transportation and Lodging Rider Second EvaluationMajor Organ Transplant (100%)Coronary Artery Bypass Surgery (25%)Waiver of Premium (employee only)REOCCURRENCE OF CRITICAL ILLNESS BENEFITStInitial Critical Illness (same amount as Initial Critical Illness Benefit)INITIAL CRITICAL ILLNESS BENEFITStHeart Attack (100%)Stroke (100%)End Stage Renal Failure (100%)21

Age EE & CH Family EE & CH Family EE & CH Family EE & CH FamilyAge18-29 $1.78 $3.01 $2.40 $3.94 $2.89 $4.66 $4.13 $6.5230-39 $2.86 $4.69 $4.34 $6.89 $4.98 $7.84 $7.92 $12.2640-49 $5.09 $8.11 $8.15 $12.69 $9.27 $14.35 $15.38 $23.5150-59 $9.04 $14.14 $14.01 $21.60 $16.93 $25.96 $26.87 $40.8760-64 $12.73 $19.76 $19.68 $30.17 $24.15 $36.88 $38.04 $57.7165+ $21.83 $33.48 $34.10 $51.87 $42.20 $64.02 $66.72 $100.81EE & CH Family EE & CH Family EE & CH Family EE & CH FamilyAge18-29 $3.98 $6.31 $5.84 $9.10 $5.08 $7.96 $7.56 $11.6930-39 $7.08 $11.02 $11.50 $17.64 $9.21 $14.19 $15.09 $23.0240-49 $13.42 $20.61 $22.58 $34.36 $17.59 $26.86 $29.81 $45.1950-59 $24.80 $37.78 $39.71 $60.16 $32.68 $49.61 $52.57 $79.4360-64 $35.56 $54.00 $56.39 $85.25 $46.97 $71.12 $74.76 $112.7965+ $62.55 $94.55 $99.34 $149.73 $82.91 $125.10 $131.96 $198.67==For use in enrollments sitused in: SC. This rate insert is part of the approved brochure for Hampton County School and is not to be used on its own.This material is valid as long as information remains current, but in no event later than October 1, 2027. Allstate Benefits is the marketing name used by American Heritage Life Insurance Company (Home Office, Jacksonville, FL), a subsidiary of The Allstate Corporation. ©2024 Allstate Insurance Company. www.allstate.com or allstatebenefits.com. Same Rate Family RateEmployee EE Spouse SP & Children CHFOR HOME OFFICE USE ONLY - GVCIP4All PlansNo Pre-Ex; 1/2/3/4.0U Base; RCIB; SCI W/O; CER; SCIR90; SCIR365; 2U FWR; 2ndETLABQ V 06.01.2024 Proposal Creation Date: 10/1/2014SEMI-MONTHLY ISSUE AGE PREMIUMS$10,000 Plan $20,000 Plan$30,000 Plan $40,000 PlanSEMI-MONTHLY ISSUE AGE PREMIUMS SEMI-MONTHLY ISSUE AGE PREMIUMSNon-Tobacco Tobacco Non-Tobacco TobaccoSEMI-MONTHLY ISSUE AGE PREMIUMSEE CH - Employee EE and Chidren CHNon-Tobacco Tobacco Non-Tobacco Tobacco22

G 4PICV BSC A 31651MJBB stifene - I STIFENEB SSENLLI LACITIRC LAITIN ( )setanimret egarevoc eht ,desu neeb evah stifeneb lla nehW .nosrep derevoc rep ecno diap stifeneBH kcattA trae - t eht fo noitrop a fo htaed eh h .ylppus doolb etauqedani ot eud elcsum trae E dna noitcrafni laidracoym )dlo( dehsilbats c derevoc ton era tserra caidraS ekort - t niarb eht fo noitrop a fo htaed eh p gnidulcni ealeuqes lacigoloruen gnicudor i dna egahrromeh ,eussit niarb fo noitcrafn e .ecruos lainarc-artxe na morf noitazilobm T ,yrujni daeh ,)sAIT( skcatta cimehcsi tneisnar c elbisrever dna ycneiciffusni ralucsavorberec cinorh i derevoc ton era sticifed lacigoloruen cimehcsE eruliaF laneR egatS dn - i fo eruliaf elbisreverr b ro sisylaid laenotirep ni gnitluser ,syendik hto h citamuart yb desuac eruliaf laneR .sisylaidome e derevoc ton era ,amuart lacigrus gnidulcni ,stnevM tnalpsnarT nagrO roja - p rehtie sya C tnalpsnarT lanoitaN no decalp fi tifeneB etadidna L ,traeh fo tnalpsnart rof tifeneB yregruS ro ,tsi l syendik dna sgnuL .syendik ro saercnap ,revil ,sgnu a fo sseldrager ,nagro rojam eno deredisnoc hcae er w era syendik ro sgnul htob ro eno rehteh t etadidnaC fi diap ton tifeneB yregruS .detnalpsnar B diap ton osla ;nagro rojam emas eht rof diap tifene f snagro namuh-non ro lacinahcem roC yregruS ssapyB yretrA yranoro - t tcerroc o n yranoroc erom ro eno fo egakcolb ro gniworra a citroa lanimodbA .tfarg ssapyb htiw seiretr b ,ymotcelobme resal ,ytsalpoigna noollab ,ssapy a lacigrus-non dna tnemecalp tnets ,ymotcereht p derevoc ton era serudecorW )ylno eeyolpme( muimerP fo revia - p evitucesnoc 09 rof delbasid fi deviaw smuimer d esaesid deificeps ro ssenlli lacitirc a ot eud syaR )S(TIFENEB SSENLLI LACITIRC FO ECNERRUCCOE ( )setanimret egarevoc eht ,desu neeb evah stifeneb lla nehW .nosrep derevoc rep ecno diap stifeneBI ssenllI lacitirC laitin - s erom sisongaid dnoce t rof sisongaid fo etad tsrif eht retfa shtnom 6 nah w diap saw tifeneb ssenllI lacitirC laitinI na hcihR STIFENEB REDIC rediR tnemecnahnE yranomlupoidra - o ecn p nosrep derevoc rep ssenlli re• tserrA caidraC nedduS - p eht si ti fi elbayap traeh( noitcrafni laidracoyM .sisongaid yramir a derevoc ton si )kcatt• msilobmE yranomluP • sisorbiF yranomluP S dna noitatropsnarT ,noitaulavE dnoce L rediR gnigdo - • noitaulavE dnoceS - m ot roirp deniatbo eb tsus rehto naicisyhp a yb dna tnemtaert ro yregru t dnoces enO .naicisyhp tnerruc ruoy nah e tnemtaert ro yregrus rep noitaulav• noitatropsnarT lacoL-noN - t eviecer ot gnilevaro ssenlli lacitirc derevoc a rof tnemtaert tneitaptu m emoh morf selim 57 naht ero• gnigdoL tneitaptuO - w tneitaptuo gniviecer elih t naht erom ssenlli lacitirc derevoc a rof tnemtaer 7 emoh morf selim 5• noitatropsnarT dna gnigdoL rebmeM ylimaF - f erac dna ynapmocca ot rebmem ylimaf tluda eno ro f lacol-non gnirud nosrep derevoc detaticapacni na roh ylimaf morf selim 57 naht erom( syats latipso m .tnemtaert dezilaiceps rof )emoh s'rebme T lacoL-noN fi diap ton tifeneb noitatropsnar T diap tifeneb noitatropsnarS rediR ssenllI cinorhC deificep - m eb tsu c eht fo eno gnivah sa naicisyhp a yb deifitre f noitcnufopyH lanerdA :sessenlli cinorhc gniwollo ( ;)SLA( esaesiD s’girheG uoL ;)esaesiD s’nosiddA A ;sisorelcS elpitluM ;aerohC s’notgnitnuH ;sitirhtr M .sisoropoetsO ;sitileymoetsO ;yhportsyD ralucsu M yliad owt tsael ta mrofrep ot elbanu eb tsu a seitivitca yliaD .syad 09 tsael ta rof seitivitc i dna reddalb ,gniteliot ,gnisserd ,gnihtab :edulcn b stifeneB .gnitae dna gnirrefsnart ,ecnenitnoc lewo p stifeneb lla nehW .nosrep derevoc rep ecno dia h setanimret egarevoc eht ,desu neeb evaS rediR yrujnI ro ssenllI cinorhC deificep - m tsu b eno ro yrujni na gnivah sa naicisyhp a yb deifitrec e o noitcnufopyH lanerdA :detsil sessenlli cinorhc eht f ( ;)SLA( esaesiD s’girheG uoL ;)esaesiD s’nosiddA A ;sisorelcS elpitluM ;aerohC s’notgnitnuH ;sitirhtr M .sisoropoetsO ;sitileymoetsO ;yhportsyD ralucsu M yliad owt tsael ta mrofrep ot elbanu eb tsu a seitivitca yliaD .syad 563 tsael ta rof seitivitc i dna reddalb ,gniteliot ,gnisserd ,gnihtab :edulcn b stifeneB .gnitae dna gnirrefsnart ,ecnenitnoc lewo p stifeneb lla nehW .nosrep derevoc rep ecno dia h setanimret egarevoc eht ,desu neeb evaS rediR ssenllI lacitirC latnemelppu - • esaesiD s'remiehzlA decnavdA - m tibihxe tsui deifitrec eb dna tnemgduj dna yromem deriapm u seitivitca yliad owt tsael ta mrofrep ot elban w :edulcni seitivitca yliaD .ecnatsissa tluda tuohti b lewob dna reddalb ,gniteliot ,gnisserd ,gnihta c gnitae dna gnirrefsnart ,ecnenitno• esaesiD s'nosnikraP decnavdA - m tibihxe tsut ,ytidigir elcsum :gniwollof eht fo erom ro ow t dna lacisyhp ni ssenwols( sisenikydarb ro ,romer m ot elbanu deifitrec eb dna ;)sesnopser latne p tluda tuohtiw seitivitca yliad owt tsael ta mrofre a ,gnihtab :edulcni seitivitca yliaD .ecnatsiss d ,ecnenitnoc lewob dna reddalb ,gniteliot ,gnisser t gnitae dna gnirrefsnar• romuT niarB ngineB - a romut tnangilam-non l ro sevren lainarc ,segninem ,niarb ot detimi p yratiutip ,lluks eht fo sromuT .dnalg yratiuti a era samonimreg dna ,mm01 naht ssel samonedn derevoc to• amoC - u ot evisnopser ton dna suoicsnocne lanretni ot evisnopser ro noitalumits lanretx n gnitluser amoc ,amoc decudni-yllacideM .sdee f niarb fo sisongaid dna ,esu gurd ro lohocla mor d derevoc ton era htae• gniraeH fo ssoL etelpmoC - p fo ssol tnenamreh srae htob ni gnirae• thgiS fo ssoL etelpmoC - p fo ssol tnenamrev seye htob ni noisi• hceepS fo ssoL etelpmoC - p fo ssol tnenamres noitacinummoc labrev ro hceep• sisylaraP - p ni noitcnuf elcsum fo ssol tnenamre t seoD .yrujni ro esaesid ot eud ,sbmil erom ro ow n ot detimil noitcnuf elcsum fo ssol edulcni to f seot ro sregniF rediR ssenlleW dexi - 2 rep ecnO .smaxe 4 p dexiF ees ;raey radnelac hcae yrogetac rep ,nosre W derevoc rof tset dna secivreS fo tsiL rediR ssenlle w stset dna secivres ssenlleF STSET DNA SECIVRES FO TSIL REDIR SSENLLEW DEXIB ,sedirecylgirt rof stset doolB ;recnac niks rof yspoi C ,)recnac nairavo( 521AC ,)recnac tsaerb( 3-51A C enoB ;)recnac etatsorp( ASP ,)recnac noloc( AE M rof eussit ro doolb fo gnilpmaS ;gnitseT worra g ;yar-X tsehC ;ksir recnac rof gnitset citene C ro ditorac rof gnineercs relppoD ;ypocsonolo p ;GKE ;margoidracohcE ;esaesid ralucsav larehpire F ;sisylana loots tluccomeH ;ypocsodiomgis elbixel H dipiL ;noitaniccaV )surivamollipaP namuH( VP p ,yhpargommaM ;)tnuoc loretselohc latot( lena i gnidulcni ,raemS paP ;dnuosartlU tsaerB gnidulcn T siserohportcelE nietorP mureS ,tseT paP perPnih ( ;llimdaert ro ekib no tset ssertS ;)amoleym rof tset T rof gnineercs dnuosartlU ;yhpargomreh a smsyruena citroa lanimodbB snoitidnoc gniwollof eht fo eno fo sisongaid nopu diap stifene ( )4 dna 3 segap no detsil sa smumixam ot tcejbus23

G 4PICV BSC A 31651MJBA .noitaroproC etatsllA ehT fo yraidisbus a ,ynapmoC ecnarusnI efiL egatireH naciremA yb desu eman gnitekram eht si stifeneB etatsll© moc.stifenebetatslla ro moc.etatslla.www .ynapmoC ecnarusnI etatsllA 4202T ni desutis stnemllorne ni esu rof si eruhcorb sih SC. T ,ycnegA ,tnegA stifeneB etatsllA na yb edam eb yam tcatnoc ;ecnarusni fo noitaticilos a si tnemesitrevda sih o .evitatneserpeR rT naht retal tneve on ni tub ,tnerruc sniamer noitamrofni sa gnol sa dilav si lairetam sih O .7202 ,10 rebotcG .foereht snoitairav etats ro ,4PICVG mrof ycilop rednu dedivorp era stifeneb ssenllI lacitirC puor C redir gniwollof eht rednu dedivorp era stifeneb rediR ssenllI lacitir f :foereht snoitairav etats ro ,smro C deificepS ;RES4PICG rediR gnigdoL dna noitatropsnarT ,noitaulavE dnoceS ;REC4PICG rediR tnemecnahnE yranomlupoidra C rediR ssenlleW dexiF ;2RS4PICG rediR ssenllI lacitirC latnemelppuS ;R2CS4PICG rediR yrujnI ro ssenllI cinorhC deificepS ;R1CS4PICG rediR ssenllI cinorh G .RWF4PICT .ecnarusnI ssenllI lacitirC latnemelppuS tifeneB detimiL si dedivorp egarevoc eh T weiver ,eracideM rof elbigile fI .yciloP tnemelppuS eracideM a ton si ycilop eh M .stifeneB etatsllA morf elbaliava ediuG s'reyuB tnemelppuS eracideT .)LF ,ellivnoskcaJ ,eciffO emoH( ynapmoC ecnarusnI efiL egatireH naciremA yb nettirwrednu ycilop puorg eht rednu elbaliava stifeneb eht fo weivrevo feirb a si sih D etatsllA ruoy tcatnoc yam uoy ,noitamrofni lanoitidda roF .deussi setacifitrec eht ni dedulcni era snoitatimil rehto dna snoisulcxe gnidulcni ,egarevoc eht fo sliate B .evitatneserpeR stifeneT tnemeriuqer eht yfsitas ton seod dna )”egarevoc lacidem rojam“ sa ot derrefer netfo( egarevoc ecnarusni htlaeh evisneherpmoc etutitsnoc ton seod egarevoc eh o .tcA eraC elbadroffA eht rednu egarevoc laitnesse muminim fC SNOITACIFICEPS ETACIFITRE E SNOITATIMIL DNA SNOISULCXE ytilibigil - Y rof elbigile si ohw sediced reyolpme ruo y sruoh dna ecivres fo htgnel sa hcus( puorg ruo w .revo dna 81 era sega eussI .)keew hcae dekroD noitanimreT/ytilibigilE tnednepe -F esuops ruoy era egarevoc rof elbigile srebmem ylima o rof egarevoC .nerdlihc dna rentrap citsemod r c sselnu ,62 ega sehcaer dlihc eht nehw sdne nerdlih h na fo stnemeriuqer eht teem ot seunitnoc ehs ro e e dilav nopu sdne egarevoc esuopS .tnedneped elbigil d rentrap citsemoD .htaed ruoy ro ecrovid fo eerce c sdne pihsrentrap citsemod eht nehw sdne egarevo o .htaed ruoy rW sdnE egarevoC neh - C ycilop eht rednu egarevo e si etacifitrec eht etad eht :fo tseilrae eht no sdn c pots uoy ;delecnac si ycilop eht etad eht ,delecna p evitca fo yad tsal eht ;muimerp ruoy gniya e ;elbigile regnol on era ssalc ruoy ro uoy ;tnemyolpm a neeb evah stifeneb lla nehw ro ;delif si mialc eslaf p .elbacilppa fi ,sredir dna ycilop eht rednu diaC egarevoC ruoY gniunitno - Y ot elbigile eb yam uo c ycilop eht rednu egarevoc nehw egarevoc eunitno e .sliated rof ecnarusnI fo etacifitreC ruoy ot refeR .sdnC stimiL dna snoitidno - A ton si snigeb egarevoc ruoy erofeb gnirrucco sisongaid p retfa esaesid defiiceps ro ssenlli lacitirc derevoc yna fo sisongaid a ,revewoh ;elbaya y .snoisulcxe dna snoitatimil lla ot tcejbus era stfieneB .elbayap eb lliw etad evitceffe ruo A eht ni detats sesongaid fo setad dna snoitinfied eht teem tsum sessenlli lacitirc ll p .tceffe ni si egarevoc elihw naicisyhp a yb desongaid eb dna yciloE snoitatimiL dna snoisulcx - B yrujni detciflni-fles yllanoitnetni :rof diap ton era stfiene o elihw ,noitcurtsed-fles ro ,enas elihw edicius ;snoitapucco ro seitivitca lagelli ;noitca r i esuba ,msilohocla ,lohocla gnidulcni ,esuba ecnatsbus ;rehtie ta tpmetta yna ro ,enasn o ro ,sgurd debircserp-non fo esu lagelli ro ,noitacidem noitpircserp deniatbo yllagel f n sselnu ,scitocran ro sgurd ,lohocla fo ecneuflni eht rednu gnieb ro ;scitocra a .naicisyhp a yb debircserp sa nekat dna deretsinimd24

Hospital Indemnity (HI) Insurance Hospital Indemnity Benefits – The Hartford’s Hospital Indemnity plan(s) will pay a scheduled benefit for hospital1 confinement that occurs for a covered person while insurance is in effect. Additional benefits for certain services or treatments may also be available, if described below. All benefits are subject to applicable policy limitations and exclusions. State specific variations may apply to the benefits shown below. HSA Compatibility – The IRS limits the types of supplemental insurance that an individual who participates in a Health Savings Account (HSA) may have, while still maintaining the tax-exempt status of HSA contributions. The Hartford offers plan designs that are designed to be HSA compatible. However, in any circumstance, please consult a tax and/or legal advisor to determine which supplemental insurance may be purchased by employees who participate in a HSA. Plan design(s) that are designed to be HSA compatible are indicated below. Additional Features & Services Continuation of Coverage Included Portability Included Ability Assist® 2 Included Health ChampionSM 2 Included The Hartford’s Claims Connections Concierge-Guided Experience⁶ – Employees receive text or email notification of potential claims opportunities based on core claim events with option for telephonic claims intake Policy Information Detail Class Description(s) All Active Full-time Employees Min. Hours for Active Work 30 hours per week Plan Options Plan 1 or Plan 2 Underwriting Type Guaranteed issue for all covered persons Dependent Coverage Available Dependent Benefit Amounts Dependent benefit amount - same benefit as employee unless noted Plan Information Plan 1 Plan 2 Coverage Type 24 Hour 24 Hour Covered Events Illness and Injury Illness and Injury Pregnancy Coverage5 (SAAOI – Same as Any Other Illness) SAAOI SAAOI Pre-Existing Condition Limitation None, Day 1 Coverage None, Day 1 Coverage HSA Compatible Yes No Benefit(s) Plan 1 Plan 2 First Day Hospital Confinement $1,000; Once/year $1,000; Once/year Daily Hospital Confinement $150; Up to 30 days/year $150; Up to 30 days/year Daily ICU Confinement $200; Up to 10 days/year $200; Up to 10 days/year Medical Travel $100; Up to 2 days/year $100; Up to 2 days/year Companion Lodging $100; Up to 10 days/year $100; Up to 10 days/year Health Screening $50; Once/year $50; Once/year Continuous Care Confinement (Rehab, Skilled Nursing & Hospice) $150; Up to 10 days/year $150; Up to 10 days/year Inpatient Surgery Not Included $500; Once/year Outpatient Surgery–Physician Office/ER Not Included $150; Once/year Outpatient Surgery–Hospital/ASC Not Included $150; Once/year Newborn Routine Hospital Care $150; Once/Live Birth $150; Once/Live Birth 25

Premium Rate Information Plan 1 Plan 2 Premium Structure Voluntary Employee paid Voluntary Employee paid Coverage Tier Structure Employee Employee & Spouse/Partner Employee & Children Family Premium/Rate Monthly Premium Cost Rates4 Plan 1 Plan 2 Employee $20.62 $25.20 Employee & Spouse/Partner $39.96 $48.44 Employee & Child(ren) $32.07 $38.02 Family $52.09 $62.97 1 Hospital does not include: convalescent homes, or convalescent, rest or nursing facilities; facilities affording primarily custodial, educational or rehabilitory care; or facilities primarily for care of the aged/elderly, persons with substance abuse issues/disorders or mental/nervous disorders. Confined means the assignment to a bed in a medical facility for a period of at least 20 hours. State variations may apply. 2 HealthChampion℠ and Ability Assist® are offered through The Hartford by ComPsych®. ComPsych is not affiliated with The Hartford and is not a provider of insurance services. The Hartford is not responsible and assumes no liability for the goods and services provided by ComPsych. 3 Assumes all eligible employees can enroll in the plan and/or increase existing benefits without providing evidence of insurability during the scheduled initial enrollment period and subsequent scheduled enrollment periods occurring annually thereafter. Pre-existing condition limitations may apply. 4 Rates/benefits may change on a class or plan basis. Actual per pay period premium deductions may differ slightly from monthly billed amounts due to rounding. The Hartford offers a billing tolerance to help account for this difference. 5 Complications of pregnancy (as defined in the policy) are always covered under the policy without limitation. ⁶ Core claims events include STD, LTD, leave, life, AD&D and workers' compensation claim events insured or administered by The Hartford for this policyholder. It is strongly recommended that the policyholder provide employee personal or work email or cell phone in the eligibility file/eligibility information for an employee to receive notifications. Program applies to covered event claims only (accidents, covered illness diagnosis or hospitalizations). 26

Hospital Indemnity (HI) Insurance – Limitations & Exclusions Exclusions A benefit is not payable for any illness or injury that results from or is caused by a covered person’s:  suicide or attempted suicide, whether sane or insane, or intentional self-infliction voluntary intoxication (as defined by the law of the jurisdiction in which the illness or injury occurred) or whileunder the influence of any narcotic, drug or controlled substance, unless administered by or taken accordingto the instruction of a physician or medical professional voluntary intoxication through use of poison, gas or fumes, whether by ingestion, injection, inhalation orabsorption voluntary commission of or attempt to commit a felony, voluntary participation in illegal activities (except formisdemeanor violations), voluntary participation in a riot, or voluntary engagement in an illegal occupation incarceration or imprisonment following conviction for a crime travel in or descent from any vehicle or device for aviation or aerial navigation, except as a fare-payingpassenger in a commercial aircraft (other than a charter airline) on a regularly scheduled passenger flight orwhile traveling on business of the policyholder ride in or on any motor vehicle or aircraft engaged in acrobatic tricks/stunts (for motor vehicles),acrobatic/stunt flying (for aircraft), endurance tests, off-road activities (for motor vehicles), or racing participation in any organized sport in a professional or semi-professional capacity participation in abseiling, base jumping, Bossaball, bouldering, bungee jumping, cave diving, cliff jumping,free climbing, freediving, freerunning, hang gliding, ice climbing, Jai Alai, jet powered flight, kite surfing,kiteboarding, luging, mountain biking, mountain boarding, mountain climbing, mountaineering, parachuting,paragliding, parakiting, paramotoring, parasailing, Parkour, proximity flying, rock climbing, sail gliding,sandboarding, scuba diving, sepak takraw, slacklining, ski jumping, skydiving, sky surfing, speed flying, speedriding, train surfing, tricking, wingsuit flying, or other similar extreme sports or high risk activities travel or activity outside the United States or Canada active duty service or training in the military (naval force, air force or National Guard/Reserves or equivalent)for service/training extending beyond 31 days of any state, country or international organization, unlessspecifically allowed by a provision of the policy involvement in any declared or undeclared war or act of war (not including acts of terrorism), while serving inthe military or an auxiliary unit attached to the military, or working in an area of war whether voluntarily or asrequired by an employerIn addition, benefits are not payable unless required by law for:  elective abortion or complications thereof artificial insemination, in vitro fertilization, test tube fertilization sterilization, tubal ligation or vasectomy, and reversal thereof aroma therapeutic, herbal therapeutic, or homeopathic services any mental and nervous disorder, unless specifically allowed by a provision of the policy substance abuse, unless specifically allowed by a provision of the policy medical mishap or negligence on the part of any physician, medical professional, or therapist, includingmalpractice treatment, supplies or services provided by, through or, behalf of any government agency or program; unlesspayment is required by a covered person custodial care, unless specifically allowed by a benefit provision in the policy or any rider attached to thepolicy (if applicable); elective or cosmetic surgery or procedures, except for reconstructive surgery:- incidental to or following surgery for disease, infection or trauma of the involved body part- due to congenital anomaly or disease of a dependent child which has resulted in a functional defect dental care or treatment, except for:- treatment due to an injury to sound natural teeth within 12 months of the accident- treatment necessary due to congenital disease or anomaly27

Hospital Indemnity (HI) Insurance Benefit and Feature InformationThe added financial stress of being in the hospital can make recovery from an accident or serious illness more challenging. Even with the best primary health insurance plan, out-of-pocket costs from a hospital stay can add up. This insurance pays a fixed indemnity benefit for each day a covered person is confined in a hospital for a covered event, with optional additional daily benefits for related services. These benefits can help offset expenses that primary health insurance doesn’t cover (like deductibles, co-insurance amounts or co-pays), or benefits can be used for any non-medical expenses (like housing costs, groceries, car expenses, etc.). Lump sum benefits are paid to the employee (or designated beneficiary) based on the amount stated in the schedule of benefits and subject to any plan limitations or exclusions. As medical costs continue to rise and employers continue to increase employees’ share of these costs, HI provides an additional level of financial protection. Employers can make this insurance available without affecting the company’s bottom line (voluntary/100% employee-paid), or they can fund all or some of the cost of this insurance to help minimize the impact of more significant health insurance plan changes (noncontributory/100% employer-paid or contributory/cost-sharing). Both HSA compatible and non-HSA compatible expanded plan designs are available. Voluntary Enrollment Services We are committed to making it as easy as possible to communicate information on your plan and the associated cost to your employees. Our goals are to engage employees so they fully understand the benefits offering, and make it easy for them to enroll. Enrollment Annual Open Enrollment: This standard enrollment type has scheduled enrollment periods for initial enrollment and for subsequent enrollments occurring annually thereafter. Annual Open Enrollment requires that certain employer characteristics are met and defined enrollment experience practices are agreed upon and implemented by the employer. These practices include:  Personalized enrollment experience. Mandatory employee group meetings or, Benefit Fairs. Employer support of enrollment events to help ensure the attendance of at least 75% of eligible employees. On-site benefit counselors at each employer location for group meetings, Benefit Fairs and on-site enrolling.Coverage is guaranteed issue and does not require evidence of insurability, including when:  Enrolling or changing coverage during any scheduled annual enrollment period. Enrolling new hires within 31 days of eligibility. Enrolling or changing coverage within 31 days of Change in Family Status.Electing or changing coverage outside of scheduled annual enrollment periods (or additional enrollment events, if available) or qualified Family Status Change periods is not permitted. Enrollment or coverage changes will be deferred until the next scheduled annual enrollment period. For certain coverages, pre-existing condition limitations apply. See the policy for details. 28

Ability Assist® Employee Assistance Program2Employees receive professional counseling for financial, legal and emotional issues, 24/7/365. Includes unlimited phone access and three face-to-face sessions per year. Services are also available to spouses and dependent children. HealthChampionSM Health Care Support Service2This service offers unlimited access to benefit specialists and nurses for administrative and clinical support to address medical care and claims concerns. Available services include: claim and billing support, explanation of benefits, cost estimates/fee negotiation, information related to conditions and available treatments and support to help prepare for medical visits. Specialists are only available during business hours. Inquiries outside of this timeframe can either request a call-back the next day or schedule an appointment. Portability The Hartford’s hospital indemnity policies allow insureds to port their coverage due to a qualifying event. With this valuable feature, participants can port their coverage with a choice of three different plan designs. All an employee has to do is enroll for portability at termination. The choice in plan design allows the employee to select the coverage that best meets their financial protection needs at the time of port. Since the coverage is offered at a group rate, this can be an affordable way for many insureds to help stay protected even when they leave their employer, subject to a pre-existing condition limitation. Portability is not available if an employee or covered dependent is entering active military service. An employee cannot port coverage if termination of coverage is due to non-payment of premium, termination of the group policy or termination of the employer as a participating employer under a group policy. Continuation of Coverage The Hartford’s policies allow insurance to continue under the group plan in certain circumstances when an employee is unable to satisfy the active work and/or minimum work hours requirements of a plan, such as when an employee is on family or medical leave. Flexible options are available to meet employee needs. 29

G IDV SC A 41651MJBD ecnarusnI ytilibasi P yrujni boj-eht-ffo ro ssenkcis a morf delbasid era uoy fi tifeneb ylhtnom a sedivorI .revocer ot uoy rof tiaw t’now sllib ylhtnom ruoy dna — emit emos rof krow ot elba eb ton yam uoy ,tnedicca na evah ro kcis teg uoy fD .htlaeh laicnanif ruoy tcetorp dna emocni tsol ruoy ecalper uoy pleh nac stifeneB etatsllA morf ecnarusnI ytilibasiH skroW tI woH s’ere• ruoy retfa yad tsrif eht trats stifeneBe nehw ,doirep )gnitiaw( noitanimilt krow tonnac uoy dna delbasid yllato• eb nac dna elbadroffa era smuimerPc detcuded lloryap yltneinevno• evael uoy fi uoy htiw og yam egarevoCy egarevoc slecnac reyolpme ro boj ruo ^• eht teem ot tifeneb ylhtnom a tceleSn ylimaf ruoy dna uoy fo sdee• tifeneb a eviecer uoy ,delbasid yllatot fIa htnom hcae tnuom• aiv tifeneb hsac ylhtnom a eviecer uoYc nac uoy taht tisoped tcerid ro kcehu hsiw uoy revewoh esY – sgnivas ruoy rof drah dekrow ev’uo d .tuo meht epiw ytilibasid a tel t’no• sgnivas dna gnikcehc ruoy tcetorP• )k(104 ro ASH ruoy otni pid t’noDP secnaniF ruoY gnitcetorM sdeeN ruoY gniteeT SIHT TUOBA KNIHI ,serutcarf sa hcus seirujn s eht era sniarts dna sniarp m mret-trohs nommoc tso d *smialc ytilibasi J fo 4 ni 1 revo tsu t sdlo-raey-02 s’yado w delbasid emoceb lli b *eriter yeht erofe M fo %04 naht ero A droffa tonnac snacirem t detcepxenu na yap o $ **llib lacidem 005 * .0202 ,weivrevo/gro.neppahnacytilibasid ,ssenerawA ytilibasiD rof licnuoC ,ytilibasiD fo secnahC * dnA tuobA seirroW cilbuP :etoN ataD“ ,noitadnuoF ylimaF resiaK* E /794c1f1/gro.ffk.www//:sptth ”,slliB lacideM esirpruS htiW ecneirepx ^ .sliated rof etacifitrec ruoy ot refeR 31

G IDV SC A 41651MJBT levarC rof yap pleh na e elihw sesnepx r ni tnemtaert gniviece a ytic rehtonH emoC eht yap pleh na m latner eunitnoc ,egagtro p emoh droffa ro ,stnemya r erac retfa rof sriapeE sesnepxC reh rof yap pleh na f ,sesnepxe gnivil s'ylima s ,yticirtcele ,sllib sa hcu a sag dnF secnaniC ,sASH tcetorp pleh na s snalp tnemeriter ,sgniva a morf s)k(104 dnb detelped gnieC ESOOHU ESJ .tnemllornE nepO s’reyolpme reh gnirud ecnarusnI ytilibasiD stfieneB etatsllA rof pu dengis naoJ gnipeek elihw ,sesnepxe gnivil reh teem ot tifeneb ylhtnom a seviecer dna egarevoc ytilibasiD stifeneB etatsllA reh no mialc a selif nao t ,latrop bew tneinevnoc eht gnissecca yb egarevoc reh fo kcar M .*stifeneByS :rof stifeneb hsac seviecer ehC MIAL• :tifeneB ecnarusnI ytilibasiDylhtnom diaPT .yrav yam ecneirepxe laudividni ruoy ;noitautis lanoitcif a sliated evoba elpmaxe ehF .5 dna 4 ,3 segap ees ,stnuoma tifeneb dna stifeneb fo gnitsil a roM naoJ teeO dna timbus ,ngiSe .stifeneb ruoy tuoba noitamrofni tnatropmi ot ssecca 7/42 sreff c tcerid eb ot stifeneb hsac tseuqer ,)yrotsih mialc gnidulcni( smialc ruoy kceh d .erom dna ,noitamrofni lanosrep ot segnahc ekam ,detisope* latroP gniliF mialC stifeneByMA moc.etatslla.stifenebym :sseccA :yrots reh s’ereH .esuoh reh gnitniap elihw reddal a ffo sllaf naoJ ,retal shtnom wef H stifeneb hsac reh esu nac naoJ syaw eht fo emos era ereA ecnalubmJ eht stisiv nao e dna moor ycnegrem i yb denimaxe sa rotcod D sisongaiS htiw desongaid si eh a dna csid nrot s deludehcs si yregru t niap reh eveiler oC mialS trohS reh selif eh T mialc ytilibasiD mre o ot roirp eniln u yregrus gniogrednS yregruS demrofrep si yregru a desaeler si naoJ dn f ot latipsoh eht mor r emoh ta revoceR yrevoceJ pu-wollof sah nao v rotcod reh htiw stisi d keew xis a gniru r doirep yrevoce32

Group Voluntary Disability Income (South Carolina)Benefit Period: 12 Months Accident Elimination Period: 14 daysPortability: Yes Sickness Elimination Period: 14 daysMental and Nervous Premium Mode: Semi-Monthly Disorders Covered: Yes Rate Class: Preferred PlatinumAdditional Riders:18-49 50-59 60-64 65-69 70 +$400 $7.42 $9.82 $13.54 $14.35 $16.70$500 $9.27 $12.28 $16.92 $17.94 $20.88$600 $11.13 $14.73 $20.31 $21.52 $25.05$700 $12.98 $17.18 $23.69 $25.11 $29.23$800 $14.84 $19.64 $27.08 $28.70 $33.41$900 $16.69 $22.09 $30.46 $32.28 $37.58$1,000 $18.54 $24.55 $33.84 $35.87 $41.76$1,100 $20.40 $27.00 $37.23 $39.46 $45.93$1,200 $22.25 $29.46 $40.61 $43.04 $50.11$1,300 $24.11 $31.91 $44.00 $46.63 $54.28$1,400 $25.96 $34.37 $47.38 $50.22 $58.46$1,500 $27.81 $36.82 $50.76 $53.80 $62.63$1,600 $29.67 $39.28 $54.15 $57.39 $66.81$1,700 $31.52 $41.73 $57.53 $60.98 $70.98$1,800 $33.38 $44.18 $60.92 $64.56 $75.16$1,900 $35.23 $46.64 $64.30 $68.15 $79.34$2,000 $37.09 $49.09 $67.69 $71.74 $83.51$2,100 $38.94 $51.55 $71.07 $75.32 $87.69$2,200 $40.79 $54.00 $74.45 $78.91 $91.86$2,300 $42.65 $56.46 $77.84 $82.50 $96.04$2,400 $44.50 $58.91 $81.22 $86.08 $100.21$2,500 $46.36 $61.37 $84.61 $89.67 $104.39$2,600 $48.21 $63.82 $87.99 $93.26 $108.56$2,700 $50.06 $66.28 $91.37 $96.84 $112.74$2,800 $51.92 $68.73 $94.76 $100.43 $116.91$2,900 $53.77 $71.19 $98.14 $104.02 $121.09$3,000 $55.63 $73.64 $101.53 $107.60 $125.26$3,100 $57.48 $76.09 $104.91 $111.19 $129.44$3,200 $59.34 $78.55 $108.30 $114.78 $133.62$3,300 $61.19 $81.00 $111.68 $118.36 $137.79$3,400 $63.04 $83.46 $115.06 $121.95 $141.97$3,500 $64.90 $85.91 $118.45 $125.54 $146.14$3,600 $66.75 $88.37 $121.83 $129.12 $150.32$3,700 $68.61 $90.82 $125.22 $132.71 $154.49$3,800 $70.46 $93.28 $128.60 $136.30 $158.67$3,900 $72.31 $95.73 $131.98 $139.88 $162.84$4,000 $74.17 $98.19 $135.37 $143.47 $167.02$4,100 $76.02 $100.64 $138.75 $147.06 $171.19$4,200 $77.88 $103.09 $142.14 $150.64 $175.37$4,300 $79.73 $105.55 $145.52 $154.23 $179.55$4,400 $81.59 $108.00 $148.91 $157.82 $183.72$4,500 $83.44 $110.46 $152.29 $161.40 $187.90$4,600 $85.29 $112.91 $155.67 $164.99 $192.07$4,700 $87.15 $115.37 $159.06 $168.58 $196.25$4,800 $89.00 $117.82 $162.44 $172.16 $200.42$4,900 $90.86 $120.28 $165.83 $175.75 $204.60$5,000 $92.71 $122.73 $169.21 $179.34 $208.77This rate insert is part of the approved brochure for Hampton County School and is not to be used on its own.Issue AgesMonthly BenefitProduct IllustrationNoneThis material is valid as long as information remains current, but in no event later than 10/01/2027. Allstate Benefits is the marketing name used by American Heritage Life Insurance Company (Home Office, Jacksonville, FL), a subsidiary of The Allstate Corporation. ©2024 Allstate Insurance Company. www.allstate.com or allstatebenefits.comGVDI-Insert-96296G IDV SC A 41651MJB33

Group Voluntary Disability Income (South Carolina)Benefit Period: 12 Months Accident Elimination Period: 30 daysPortability: Yes Sickness Elimination Period: 30 daysMental and Nervous Premium Mode: Semi-Monthly Disorders Covered: Yes Rate Class: Preferred PlatinumAdditional Riders:18-49 50-59 60-64 65-69 70 +$400 $4.81 $6.82 $8.04 $8.50 $10.17$500 $6.01 $8.52 $10.05 $10.63 $12.71$600 $7.21 $10.22 $12.06 $12.75 $15.25$700 $8.41 $11.93 $14.07 $14.88 $17.79$800 $9.61 $13.63 $16.08 $17.01 $20.33$900 $10.81 $15.34 $18.09 $19.13 $22.87$1,000 $12.01 $17.04 $20.10 $21.26 $25.41$1,100 $13.22 $18.74 $22.11 $23.38 $27.95$1,200 $14.42 $20.45 $24.12 $25.51 $30.49$1,300 $15.62 $22.15 $26.13 $27.63 $33.03$1,400 $16.82 $23.85 $28.14 $29.76 $35.57$1,500 $18.02 $25.56 $30.15 $31.88 $38.11$1,600 $19.22 $27.26 $32.16 $34.01 $40.66$1,700 $20.42 $28.97 $34.17 $36.13 $43.20$1,800 $21.62 $30.67 $36.18 $38.26 $45.74$1,900 $22.83 $32.37 $38.19 $40.39 $48.28$2,000 $24.03 $34.08 $40.20 $42.51 $50.82$2,100 $25.23 $35.78 $42.21 $44.64 $53.36$2,200 $26.43 $37.48 $44.22 $46.76 $55.90$2,300 $27.63 $39.19 $46.23 $48.89 $58.44$2,400 $28.83 $40.89 $48.24 $51.01 $60.98$2,500 $30.03 $42.60 $50.25 $53.14 $63.52$2,600 $31.23 $44.30 $52.26 $55.26 $66.06$2,700 $32.44 $46.00 $54.27 $57.39 $68.60$2,800 $33.64 $47.71 $56.28 $59.51 $71.15$2,900 $34.84 $49.41 $58.29 $61.64 $73.69$3,000 $36.04 $51.11 $60.30 $63.76 $76.23$3,100 $37.24 $52.82 $62.31 $65.89 $78.77$3,200 $38.44 $54.52 $64.32 $68.02 $81.31$3,300 $39.64 $56.23 $66.33 $70.14 $83.85$3,400 $40.84 $57.93 $68.34 $72.27 $86.39$3,500 $42.05 $59.63 $70.35 $74.39 $88.93$3,600 $43.25 $61.34 $72.36 $76.52 $91.47$3,700 $44.45 $63.04 $74.37 $78.64 $94.01$3,800 $45.65 $64.74 $76.38 $80.77 $96.55$3,900 $46.85 $66.45 $78.39 $82.89 $99.09$4,000 $48.05 $68.15 $80.40 $85.02 $101.64$4,100 $49.25 $69.86 $82.41 $87.14 $104.18$4,200 $50.45 $71.56 $84.42 $89.27 $106.72$4,300 $51.66 $73.26 $86.43 $91.40 $109.26$4,400 $52.86 $74.97 $88.44 $93.52 $111.80$4,500 $54.06 $76.67 $90.45 $95.65 $114.34$4,600 $55.26 $78.37 $92.46 $97.77 $116.88$4,700 $56.46 $80.08 $94.47 $99.90 $119.42$4,800 $57.66 $81.78 $96.48 $102.02 $121.96$4,900 $58.86 $83.49 $98.49 $104.15 $124.50$5,000 $60.06 $85.19 $100.50 $106.27 $127.04This rate insert is part of the approved brochure for Hampton County School and is not to be used on its own.Issue AgesMonthly BenefitProduct IllustrationNoneThis material is valid as long as information remains current, but in no event later than 10/01/2027. Allstate Benefits is the marketing name used by American Heritage Life Insurance Company (Home Office, Jacksonville, FL), a subsidiary of The Allstate Corporation. ©2024 Allstate Insurance Company. www.allstate.com or allstatebenefits.comGVDI-Insert-25463G IDV SC A 41651MJB34

G IDV SC A 41651MJBB stifene - B snoitidnoc gniwollof eht rof diap tifene ( )5 dna 4 ,3 segap no detsil sa smumixam ot tcejbusB STIFENEB YCILOP ESA T ytilibasiD lato - t retfa strats tifeneb ylhtnom eh t lliw stifeneB .tem neeb sah doirep noitanimile eh n doirep tifeneb mumixam eht dnoyeb eunitnoc toP ytilibasiD laitra - 5 si tifeneb ylhtnom eht fo %0 p latoT eht taht htnom eno tsael ta retfa dia D eunitnoc stnemyaP .elbayap si tifeneB ytilibasi w ton tub ,shtnom 3 ot pu rof delbasid yllaitrap elih b doirep tifeneb mumixam eht dnoyeP ycnanger - a latot fi diap si ycnangerp rof tifeneb d neeb sah etacifitrec eht retfa snigeb tsrif ytilibasi i shtnom 9 tsael ta rof ecrof nO ronoD nagr - a delbasid nehw diap si tifeneb f nagro na gnitanod morW muimerP fo revia - p retfa deviaw era smuimer m syad 03 rof elbayap era stifeneb ytilibasid ylhtno i era stifeneb ylhtnom sa gnol sa rof ,wor a n p elbayaB SNOITIDNOC STIFENEB YCILOP ESA C ytilibasiD tnerrucno - o si tifeneb ylhtnom en p eno naht erom ot eud delbasid era uoy fi neve ,dia c esuac eno naht erom morf delbasid gnieB .esua d eht rednu stifeneb fo tnemyap eht dnetxe ton seo m doirep tifeneb mumixaR ytilibasiD tnerruce - a fi diap si tifeneb d 6 nihtiw esuac detaler ro emas eht morf delbasi m mumixam ro doirep gnitiaw wen a tuohtiw shtno b doirep tifeneO 1 noitpM tifeneB ylhtnoM mumixa -$5 000, B doireP tifene - 1 shtnoM 2E tnediccA rof doireP noitanimil - 1 syaD 4E ssenkciS rof doireP noitanimil - 1 syaD 4O 2 noitpM tifeneB ylhtnoM mumixa -$5 000, B doireP tifene - 1 shtnoM 2E tnediccA rof doireP noitanimil - 3 syaD 0E ssenkciS rof doireP noitanimil - 3 syaD 0D EGAREVOC FO SLIATEM tifeneB ylhtno - Y edulcni hcihw emocni fo secruos elbitcuded rehto morf stnemyap ytilibasid eviecer uoy fi decuder eb yam tifeneb ytilibasid ylhtnom ruo i ecnediser fo etats ruoy fi detceffa eb osla yam tifeneb ylhtnom ruoy fo noitaluclac ehT .egarevoc ecnarusni puorg rehto ro seicilop emocni ytilibasid laudividn m .ecnarusni ytilibasid etats setadnaD SNOITINIFET ytilibasiD lato - d uoy ,yrujni ro ssenkcis a ot eu a laitnatsbus dna lairetam eht mrofrep ot elbanu :er d raluger eht rednu ;noitapucco nwo ruoy fo seitu c rof boj yna ni gnikrow ton dna ;rotcod a fo era w tiforp ro egaP ytilibasiD laitra - d ,yrujni ro ssenkcis a ot eu y dna lairetam eht mrofrep ot elbanu :era uo s -lluf a no noitapucco nwo ruoy fo seitud laitnatsbut dna ;emit-trap krow ot elba era tub ,sisab emi u rotcod a fo erac raluger eht rednE doireP )gnitiaW( noitanimil - a fo doirep c deifsitas eb tsum hcihw ytilibasid latot suounitno b stifeneb eviecer ot elbigile era uoy erofeO noitapuccO nw - t era uoy noitapucco eh p snigeb ytilibasid fo doirep a nehw gnimrofre35

G IDV SC A 41651MJBA .noitaroproC etatsllA ehT fo yraidisbus a ,ynapmoC ecnarusnI efiL egatireH naciremA yb desu eman gnitekram eht si stifeneB etatsll© moc.stifenebetatslla ro moc.etatslla.www .ynapmoC ecnarusnI etatsllA 4202T ni desutis stnemllorne ni esu rof si eruhcorb sih SC. T ,ycnegA ,tnegA stifeneB etatsllA na yb edam eb yam tcatnoc ;ecnarusni fo noitaticilos a si tnemesitrevda sih o .evitatneserpeR rT naht retal tneve on ni tub ,tnerruc sniamer noitamrofni sa gnol sa dilav si lairetam sih O .7202 ,10 rebotcG .foereht snoitairav etats ro ,PIDVG mrof ycilop rednu dedivorp era stifeneb ytilibasiD mreT trohS puor T .)LF ,ellivnoskcaJ ,eciffO emoH( ynapmoC ecnarusnI efiL egatireH naciremA yb nettirwrednu ycilop puorg eht rednu elbaliava stifeneb eht fo weivrevo feirb a si sih D etatsllA ruoy tcatnoc yam uoy ,noitamrofni lanoitidda roF .deussi setacifitrec eht ni dedulcni era snoitatimil rehto dna snoisulcxe gnidulcni ,egarevoc eht fo sliate B .evitatneserpeR stifeneC SNOITACIFICEPS ETACIFITRE E SNOITATIMIL DNA SNOISULCXE ytilibigil - Y rof elbigile si ohw sediced reyolpme ruo y sruoh dna ecivres fo htgnel sa hcus( puorg ruo w .revo dna 81 era sega eussI .)keew hcae dekroT dna ylimaF ro ,ecnesbA fo evaeL ,ffoyaL yraropme M noisivorP ecnesbA fo evaeL lacide - W lliw e c ruoy htiw ecnadrocca ni egarevoc ruoy eunitno e ffoyal yraropmet no ycilop ecruoser namuh s'reyolpm o dna eunitnoc stnemyap muimerp fi ecnesba fo evael r y uoy fI .gnitirw ni evael ruoy devorppa reyolpme ruo a egarevoc ,ecnesba fo evael ro ffoyal yraropmet no er w evitca desaec uoy retfa shtnom 3 rof deunitnoc eb lli e fo evaeL lacideM dna ylimaF no era uoy fI .tnemyolpm A ni era uoy hguoht sa eunitnoc lliw egarevoc ,ecnesb a .tnemyolpme evitcI ton seod ycilop ecruoser namuh s'reyolpme ruoy f p ylimaf a gnirud egarevoc ruoy fo noitaunitnoc rof edivor a eb lliw egarevoc ruoy ,ecnesba fo evael lacidem dn r .tnemyolpme evitca ot nruter uoy nehw detatsnieW wen a ylppa ,doirep gnitiaw wen a ylppa ton lliw e p ecnedive eriuqer ro ,noisulcxe snoitidnoc gnitsixe-er o .ytilibarusni fW sdnE egarevoC neh - C ycilop eht rednu egarevo e si ycilop puorg eht etad eht :fo tseilrae eht no sdn c muimerp hcihw rof doirep eht fo yad tsal eht ;delecna p evitca ni era uoy yad tsal eht ;edam erew stnemya e yraropmeT eht rednu dedivorp sa tpecxe ,tnemyolpm L evaeL lacideM dna ylimaF ro ecnesbA fo evaeL ,ffoya o na ni regnol on era uoy etad eht ;noisivorp ecnesbA f e regnol on si ssalc ruoy ro uoy etad eht ;ssalc elbigil e si noitatneserpersim lairetam ro duarf ro ;elbigil d .derevocsiP egelivirP ytilibatro - C deunitnoc eb yam egarevo u rednu egarevoc nehw noisivorP ytilibatroP eht redn t ecnarusnI fo etacfiitreC ruoy ot refeR .sdne ycilop eh f .sliated roP noitatimiL noitidnoC gnitsixE-er - B strats taht ytilibasid a rof diap ton era stfiene w -erp a evah uoY .noitidnoc gnitsixe-erp a morf etad evitceffe ruoy fo shtnom 21 nihtie ;etad evitceffe eht retfa shtnom 21 eht gnirud nageb ytilibasid eht fi noitidnoc gnitsix a citsongaid ,secivres ro erac ,noitatlusnoc ,tnemtaert lacidem deviecer uoy dn m 21 eht ni snoitadnemmocer tnemtaert dewollof ro snoitacidem koot ro ,serusae m saw stfieneb ni esaercni na etad eht ro ,egarevoc fo etad evitceffe eht ot roirp shtno e etad eht ro etad evitceffe eht ot roirp shtnom 21 eht ni detsixe smotpmys ro ;evitceff a .evitceffe saw stfieneb ni esaercni nE snoisulcx - W noitapicitrap ro raw :morf gnitluser seitilibasid rof stfieneb yap ton od e i ;noitapucco lagelli na ni noitapicitrap ro seitivitca lagelli ;noilleber ro noitcerrusni ,toir a n i -eraf a sselnu scituanorea ni noitapicitrap ;noitca ro yrujni detciflni-fles yllanoitnetnp ro semuf gnilahni yliratnulov ;tfarcria reirrac-nommoc desnecil a no regnessap gniya g eht gnirud snoitidnoc gnitsixe-erp ;)derevoc era snoitacilpmoc( yregrus citemsoc ;sesa fi -eht-no na yb derevoc sselnu ,yrujni ro ssenkcis lanoitapucco ;egarevoc fo shtnom 21 tsrj .noitarecracni gnirud ytilibasid rof yap ton od eW .redir ytilibasid boW ecnarusnI ytilibasiD etatS ro noitasnepmoC 'srekro - T ton seod etacfiitrec eh r etats ro noitasnepmoC ’srekroW yna yb egarevoc rof stnemeriuqer eht tceffa ro ecalpe d .ecnarusni ytilibasi36

G LW BSC A 51651MJBW ecnarusnI efiL eloh P yraicifeneb ruoy ot yltcerid tifeneb hsac a sedivorW stifeneB etatsllA morf ecnarusnI efiL elohW .snoitagilbo laicnanif dniheb evael ot tnaw t'nod uoy — htaed detcepxenu na hti c .evila llits elihw no ward nac uoy eulav hsac sdliub dna ,rehtegot derahs uoy smaerd dna slaog eht ezilaer ylimaf ruoy pleh naH skroW tI woH s'ere• tifeneb htaed deetnaraug-ylluF ( )59 ega ot elbayap smuimerp• mus-pmul a ,121 ega ot evil uoy fI m diap si tifeneb ytiruta• **derevoc eb yam )ner(dlihC • smuimerp elbadroffA• rof thgir s'taht egarevoc eht tceleS y *ylimaf ruoy dna uo• ruoy ,yawa ssap uoy fi nehT b mialc a selif yraicifene• yb elbayap tifeneb hsac mus-pmul Ad desu eb nac kcehc ro tisoped tceri h hsiw yeht revewoW nac tifeneb htaed eht ,gninnalp hti p morf eerf seiraicifeneb ruoy ot ssa s tlusnoC .sexat etatse laredef ro etat w .scificeps rof rosivda xat ruoy htiP secnaniF ruoY gnitcetorM sdeeN ruoY gniteeT SIHT TUOBA KNIHO yler sdlohesuoh .S.U fo flah rev o semocni laud n ( )%45 ,2 a rof ,dn m eb dluoc emocni eno gnisol ,yna d secnanif dlohesuoh ot gnitatsave†A .noitaroproC etatsllA ehT fo yraidisbus a ,ynapmoC ecnarusnI efiL egatireH naciremA yb desu eman gnitekram eht si stifeneB etatsll 12 ,tropeR retemoraB ecnarusnI 120 L .ARMI 2U htiw elbaliava eb yam egarevoC .tnemllorne ta snoitseuq htlaeh rewsna ot deriuqer eb yam uoY* .dibi ,yevruS erutidnepxE remusnoC ,scitsitatS robaL fo uaeruB .S. r .deriuqer era snoitseuq htlaeh ot srewsna ,doirep tnemllorne laitini ruoy retfa llorne uoy fI .doirep tnemllorne laitini ruoy gnirud reyolpme ruoy hguorht gnitirwrednu decude * .setats emos ni tnuoma ecaf s'eeyolpme eht fo egatnecrep a ot detimil eb yam )ner(dlihc rof egarevoC*4 %2 o ecaf dluow seilimaf f f xis nihtiw pihsdrah laicnani m dna ,shtno 2 %5 w reffus dluo f htnom a nihtiw yllaicnani1 Whole Life InsuranceProvides a cash benefit directly to your beneficiaryUnderwritten by: AMERICAN HERITAGE LIFE INSURANCE COMPANY†GWLBAL PODXXXXXHere’s How It Works Meeting Your Needs• Fully-guaranteed death benefit(premiums payable to age 95)• If you live to age 121, a lump-summaturity benefit is paid• Spouse and children covered througha separate certificate or rider**• Aordable premiumsWith an unexpected death — you don’t want to leave behind financial obligations. Whole Life Insurance from Allstate Benefits can help your family realize the goals and dreams you shared together, and builds cash value you can draw on while still alive.42% of families would face financial hardship within six months, and 25% would suer financially within a month.1Reasons for purchasing life coverage include: replace income, final expenses, wealth transfer and mortgage payo.1• Select the coverage that’s right foryou and your family*• Then if you pass away, yourbeneficiary files a claim• A lump sum cash benefit is directdeposited or a check is mailed andcan be used however they wishProtecting Your FinancesWith planning, the death benefit can pass to your beneficiaries free from state or federal taxes. Consult with your tax advisor for specifics.THINK ABOUT THISPractical benefits for everyday living.®†Allstate Benefits is the marketing name used by American Heritage Life Insurance Company, a subsidiary of The Allstate Corporation. 12021 Insurance Barometer Report, LIMRA. 2U.S. Bureau of Labor Statistics, Consumer Expenditure Survey, ibid. *You may be required to answer health questions at enrollment. Coverage may be available with reduced underwriting through your employer during your initial enrollment period. If you enroll after your initial enrollment period, answers to health questions are required. **Coverage for spouse and child(ren) may be limited to a percentage of the employee’s face amount in some states.Over half of U.S. households rely on dual incomes (54%),2 and, for many, losing one income could be devastating to household finances.CA License No: _________________________R efil gnisahcrup rof snosae c :edulcni egarevo r ecalpe i htlaew ,sesnepxe lanif ,emocn t ffoyap egagtrom dna refsnar1 U :ybnettirwrednA NACIREM H EFILEGATIRE I ECNARUSN C YNAPMO† 37

G LW BSC A 51651MJBH emoY hsac eht esu nac yraicifeneb ruo b ,egagtrom eht yap pleh ot stifene c ro ,stnemyap latner eunitno p sriaper emoh dedeen mrofreE sesnepxC s'ylimaf ruoy yap pleh na l sa hcus sesnepxe gnivi b sag dna ,yticirtcele ,slliF secnaniC ruoy tcetorp pleh na s dna snalp tnemeriter ,sgniva 4 detelped gnieb morf s)k(10C efil fo segats lla rof egarevoA .deen yeht ecnarusni efil fo epyt eht etatcid srotcaf niatrec ,efil fo segats eht hguorht evom elpoep s D ruo fo egarevoc dnuoraparw eht tub ,ecnarusni efiL mreT edivorp yam reyolpme na ,sraey gnikrow gniru G eulav hsac sdliub tneps uoy yenom eht esuaceb dnim fo ecaep evig pleh nac tcudorp efiL elohW puor t rof deen eht setartsulli woleb hparg ehT .tuoyap tfieneb mret eht ot dda ro efil ni retal esu nac uoy tah t .efil fo segats suoirav eht tuohguorht ecnarusni efil elohw tnenamrep dna mreT .yrav yam egarevoc rof snosaer dna sdeen laudividni ruoy ;sdeen dna sessecorp thguoht lanoitcif liated evoba selpmaxe ehT ekam dluow seno devol ruo woh tuoba kniht ot su esuac taht efil ni stnemom era ereh e .decuder saw troppus laicnanfi rieht dna yldetcepxenu deid ew fi ,teem sdnH desu eb nac stifeneb hsac eht syaw eht fo emos era ereT ECNARUSNI EFIL MREP ECNARUSNI EFIL TNENAMRE2 s'03 s'0 4 s'0 5 s'0 6 s'0 7 s'08 s'0S elgni M deirra G ylimaF gniwor E tseN ytpm R tnemerite I ssenll L ycageC EFIL FO SEGATS TNEREFFID ta SDEEN EGAREVO38

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age):N O N - T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted)FaceAmount$20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000FaceAmountIssue Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 IssueAge Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Age18 $5.22 $7,034 $7.83 $10,551 $10.43 $14,068 $13.05 $17,585 $15.65 $21,102 $18.26 $24,619 $20.87 $28,136 1819 4.80 6,997 7.20 10,495 9.60 13,993 12.00 17,492 14.40 20,990 16.80 24,488 19.20 27,986 1920 4.94 6,957 7.40 10,436 9.87 13,914 12.34 17,393 14.80 20,872 17.27 24,350 19.74 27,829 2021 5.10 6,916 7.65 10,374 10.20 13,832 12.75 17,290 15.30 20,748 17.85 24,206 20.40 27,664 2122 5.32 6,873 7.98 10,309 10.64 13,745 13.29 17,182 15.95 20,618 18.61 24,054 21.27 27,490 2223 5.54 6,827 8.31 10,240 11.07 13,653 13.84 17,067 16.60 20,480 19.37 23,893 22.14 27,306 2324 5.80 6,778 8.71 10,168 11.60 13,557 14.51 16,946 17.40 20,335 20.31 23,724 23.20 27,114 2425 6.08 6,727 9.12 10,091 12.15 13,455 15.19 16,819 18.23 20,182 21.26 23,546 24.30 26,910 2526 6.36 6,674 9.54 10,011 12.72 13,348 15.90 16,685 19.08 20,021 22.26 23,358 25.44 26,695 2627 6.65 6,617 9.97 9,925 13.28 13,234 16.61 16,542 19.93 19,850 23.25 23,159 26.57 26,467 2728 6.94 6,557 10.40 9,835 13.87 13,114 17.34 16,392 20.80 19,670 24.27 22,949 27.74 26,227 2829 7.28 6,494 10.92 9,741 14.55 12,988 18.19 16,235 21.83 19,481 25.47 22,728 29.10 25,975 2930 7.64 6,427 11.47 9,641 15.29 12,855 19.11 16,069 22.93 19,282 26.75 22,496 30.57 25,710 3031 8.03 6,357 12.04 9,536 16.05 12,715 20.07 15,894 24.08 19,072 28.09 22,251 32.10 25,430 3132 8.45 6,284 12.68 9,426 16.90 12,568 21.13 15,710 25.35 18,851 29.58 21,993 33.80 25,135 3233 8.94 6,207 13.42 9,310 17.89 12,414 22.36 15,517 26.83 18,620 31.30 21,724 35.77 24,827 3334 9.64 6,126 14.47 9,189 19.29 12,252 24.11 15,316 28.93 18,379 33.75 21,442 38.57 24,505 3435 10.35 6,042 15.53 9,064 20.70 12,085 25.88 15,106 31.05 18,127 36.23 21,148 41.40 24,170 3536 10.76 5,955 16.14 8,933 21.52 11,910 26.90 14,888 32.28 17,866 37.66 20,843 43.04 23,821 3637 11.17 5,864 16.76 8,797 22.34 11,729 27.92 14,661 33.50 17,593 39.09 20,525 44.67 23,458 3738 11.81 5,769 17.72 8,654 23.62 11,539 29.52 14,424 35.43 17,308 41.33 20,193 47.24 23,078 3839 12.44 5,670 18.67 8,505 24.89 11,340 31.11 14,175 37.33 17,010 43.55 19,845 49.77 22,680 3940 13.11 5,565 19.67 8,347 26.22 11,130 32.77 13,912 39.33 16,694 45.88 19,477 52.44 22,259 4041 13.85 5,454 20.78 8,180 27.70 10,907 34.63 13,634 41.55 16,361 48.48 19,088 55.40 21,814 4142 14.72 5,336 22.08 8,004 29.43 10,672 36.79 13,340 44.15 16,007 51.51 18,675 58.87 21,343 4243 15.63 5,211 23.44 7,816 31.25 10,422 39.07 13,027 46.88 15,632 54.69 18,238 62.50 20,843 4344 16.58 5,078 24.87 7,617 33.15 10,156 41.44 12,695 49.73 15,233 58.02 17,772 66.30 20,311 4445 17.47 4,936 26.21 7,405 34.93 9,873 43.67 12,341 52.40 14,809 61.14 17,277 69.87 19,746 4546 18.55 4,786 27.83 7,179 37.10 9,572 46.38 11,966 55.65 14,359 64.93 16,752 74.20 19,145 4647 19.76 4,626 29.64 6,940 39.52 9,253 49.40 11,566 59.28 13,879 69.16 16,192 79.03 18,506 4748 21.08 4,456 31.62 6,685 42.15 8,913 52.69 11,141 63.23 13,369 73.76 15,597 84.30 17,826 4849 22.44 4,276 33.67 6,414 44.89 8,552 56.11 10,690 67.33 12,827 78.55 14,965 89.77 17,103 4950 23.89 4,084 35.84 6,125 47.79 8,167 59.73 10,209 71.68 12,251 83.63 14,293 95.57 16,334 50This rate insert is for use with materials for accounts sitused in South Carolina, and is not to be used on its own.¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt.EXCLUSIONS AND LIMITATIONS: Suicide Exclusion- If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person.Pre-existing Condition Limitation -The Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1) rider may contain a pre-existing condition limitation.Other Exclusions and Limitations -Rates shown are based on Tobacco/Non-tobacco, Issue Age Specific rating structure. SEMIMONTHLY means 24 times per year.Ratecard generated October 1, 2024 - 9:09 AM by ABQuote 09.30.2024.is $2.28.The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage.Please refer to the certificate for details.This information is valid as long as information remains current, but in no event later than 12/31/2025. Group Whole Life Insurance benefits are provided under form GWLC, or stateTerm (GWPCT) and Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1).This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL).Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued.For additional information, you may contact your Allstate Benefits Representative.Allstate Benefits is the marketing name used byAmerican Heritage Life Insurance Company (HomeOffice, Jacksonville, FL), a subsidiary of The AllstateCorporation. ©2024 Allstate Insurance Company.www.allstate.com or allstatebenefits.comHO Use Only: clqqd-20241001-8211-SC-TNTS-B_STD_-FALSE-450-FA-10000-80000-10000-PI:E-24x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCRE:T-CT:T-ST:F-UWR39

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age):N O N - T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted)FaceAmount$20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000FaceAmountIssue Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 IssueAge Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Age51 $25.44 $3,879 $38.16 $5,819 $50.87 $7,759 $63.59 $9,699 $76.30 $11,638 $89.02 $13,578 $101.74 $15,518 5152 27.38 3,663 41.07 5,494 54.75 7,325 68.44 9,157 82.13 10,988 95.82 12,819 109.50 14,650 5253 29.36 3,433 44.04 5,149 58.72 6,866 73.40 8,582 88.08 10,298 102.76 12,015 117.44 13,731 5354 31.41 3,189 47.12 4,783 62.82 6,378 78.52 7,972 94.23 9,566 109.93 11,161 125.63 12,755 5455 33.88 2,930 50.82 4,395 67.75 5,860 84.69 7,326 101.63 8,791 118.57 10,256 135.50 11,721 5556 36.50 3,075 54.76 4,613 73.00 6,150 91.25 7,688 109.50 9,226 127.75 10,763 146.00 12,301 5657 39.20 3,228 58.80 4,842 78.40 6,456 98.00 8,070 117.60 9,683 137.20 11,297 156.80 12,911 5758 42.21 3,388 63.32 5,082 84.42 6,776 105.52 8,470 126.63 10,164 147.73 11,858 168.84 13,552 5859 45.15 3,557 67.72 5,335 90.28 7,113 112.86 8,892 135.43 10,670 158.00 12,448 180.57 14,226 5960 48.27 3,733 72.40 5,600 96.54 7,467 120.67 9,334 144.80 11,200 168.94 13,067 193.07 14,934 6061 52.26 3,919 78.39 5,878 104.52 7,837 130.65 9,797 156.78 11,756 182.91 13,715 209.04 15,674 6162 55.87 4,113 83.80 6,169 111.74 8,225 139.67 10,282 167.60 12,338 195.54 14,394 223.47 16,450 6263 61.22 4,315 91.83 6,473 122.43 8,630 153.05 10,788 183.65 12,945 214.26 15,103 244.87 17,260 6364 62.09 4,526 93.14 6,789 124.19 9,052 155.23 11,315 186.28 13,577 217.33 15,840 248.37 18,103 6465 63.03 4,744 94.54 7,117 126.05 9,489 157.57 11,861 189.08 14,233 220.59 16,605 252.10 18,978 6566 72.30 4,971 108.46 7,457 144.60 9,942 180.75 12,428 216.90 14,913 253.05 17,399 289.20 19,884 6667 78.02 5,205 117.03 7,808 156.04 10,411 195.04 13,014 234.05 15,616 273.06 18,219 312.07 20,822 6768 88.90 5,447 133.34 8,171 177.78 10,894 222.23 13,618 266.68 16,341 311.12 19,065 355.57 21,788 6869 92.13 5,695 138.21 8,543 184.27 11,390 230.34 14,238 276.40 17,085 322.47 19,933 368.53 22,780 6970 99.33 5,947 148.99 8,921 198.65 11,895 248.32 14,869 297.98 17,842 347.64 20,816 397.30 23,790 70w/EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI w/EOI71 94.34 6,246 141.52 9,369 188.69 12,492 235.86 15,615 283.03 18,738 330.20 21,861 377.37 24,984 7172 101.99 6,553 152.98 9,830 203.97 13,107 254.96 16,384 305.95 19,660 356.94 22,937 407.94 26,214 7273 110.60 6,876 165.90 10,315 221.20 13,753 276.50 17,191 331.80 20,629 387.10 24,067 442.40 27,506 7374 120.15 7,217 180.23 10,826 240.30 14,434 300.38 18,043 360.45 21,652 420.53 25,260 480.60 28,869 7475 130.81 7,566 196.22 11,348 261.62 15,131 327.02 18,914 392.43 22,697 457.83 26,480 523.24 30,262 7576 142.80 7,923 214.20 11,884 285.60 15,846 357.00 19,807 428.40 23,768 499.80 27,730 571.20 31,691 7677 156.29 8,305 234.43 12,458 312.57 16,610 390.71 20,763 468.85 24,916 546.99 29,068 625.14 33,221 7778 171.41 8,722 257.12 13,083 342.82 17,444 428.52 21,805 514.23 26,165 599.93 30,526 685.64 34,887 7879 188.38 9,189 282.57 13,783 376.75 18,378 470.94 22,972 565.13 27,566 659.32 32,161 753.50 36,755 7980 207.39 9,739 311.08 14,608 414.77 19,477 518.46 24,347 622.15 29,216 725.84 34,085 829.54 38,954 80This rate insert is for use with materials for accounts sitused in South Carolina, and is not to be used on its own.¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt.EXCLUSIONS AND LIMITATIONS: Suicide Exclusion- If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person.Pre-existing Condition Limitation -The Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1) rider may contain a pre-existing condition limitation.Other Exclusions and Limitations -Rates shown are based on Tobacco/Non-tobacco, Issue Age Specific rating structure. SEMIMONTHLY means 24 times per year.Ratecard generated October 1, 2024 - 9:09 AM by ABQuote 09.30.2024.The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage.Please refer to the certificate for details.This information is valid as long as information remains current, but in no event later than 12/31/2025. Group Whole Life Insurance benefits are provided under form GWLC, orstate variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI),This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL).$10,000 is $2.28.Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued.For additional information, you may contact your Allstate Benefits Representative.Allstate Benefits is the marketing name used byAmerican Heritage Life Insurance Company (HomeOffice, Jacksonville, FL), a subsidiary of TheAllstate Corporation. ©2024 Allstate InsuranceCompany. www.allstate.com orallstatebenefits.comHO Use Only: clqqd-20241001-8211-SC-TNTS-B_STD_-FALSE-450-FA-10000-80000-10000-PI:E-24x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCRE:T-CT:T-ST:F-UWR40

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age):T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted)FaceAmount$20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000FaceAmountIssue Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 IssueAge Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Age18 Issue age 18 will be issued as Non-Tobacco. Please see the Non-Tobacco rate table.19 $7.91 $8,794 $11.87 $13,192 $15.82 $17,589 $19.78 $21,986 $23.73 $26,383 $27.68 $30,780 $31.64 $35,178 1920 7.96 8,745 11.94 13,118 15.92 17,491 19.90 21,864 23.88 26,236 27.86 30,609 31.84 34,982 2021 8.33 8,694 12.49 13,041 16.65 17,388 20.82 21,735 24.98 26,081 29.14 30,428 33.30 34,775 2122 8.72 8,640 13.08 12,959 17.44 17,279 21.79 21,599 26.15 25,919 30.51 30,239 34.87 34,558 2223 9.12 8,582 13.68 12,873 18.23 17,164 22.79 21,456 27.35 25,747 31.91 30,038 36.47 34,329 2324 9.54 8,522 14.31 12,783 19.07 17,044 23.84 21,306 28.60 25,567 33.37 29,828 38.14 34,089 2425 10.01 8,459 15.02 12,689 20.02 16,918 25.02 21,148 30.03 25,377 35.03 29,607 40.03 33,836 2526 10.45 8,392 15.68 12,589 20.90 16,785 26.13 20,981 31.35 25,177 36.58 29,373 41.80 33,570 2627 10.90 8,322 16.36 12,483 21.80 16,644 27.25 20,805 32.70 24,966 38.15 29,127 43.60 33,288 2728 11.40 8,247 17.09 12,371 22.78 16,495 28.48 20,619 34.18 24,742 39.87 28,866 45.57 32,990 2829 11.88 8,169 17.82 12,253 23.75 16,337 29.69 20,422 35.63 24,506 41.57 28,590 47.50 32,674 2930 12.31 8,085 18.47 12,128 24.62 16,170 30.77 20,213 36.93 24,256 43.08 28,298 49.24 32,341 3031 12.92 7,997 19.38 11,996 25.83 15,994 32.30 19,993 38.75 23,992 45.21 27,990 51.67 31,989 3132 13.57 7,904 20.36 11,857 27.14 15,809 33.92 19,761 40.70 23,713 47.49 27,665 54.27 31,618 3233 14.29 7,806 21.43 11,709 28.57 15,612 35.71 19,516 42.85 23,419 50.00 27,322 57.14 31,225 3334 15.04 7,703 22.57 11,555 30.09 15,407 37.61 19,259 45.13 23,110 52.65 26,962 60.17 30,814 3435 15.76 7,596 23.64 11,394 31.52 15,192 39.40 18,990 47.28 22,787 55.16 26,585 63.04 30,383 3536 16.53 7,483 24.79 11,224 33.05 14,965 41.32 18,707 49.58 22,448 57.84 26,189 66.10 29,930 3637 17.47 7,364 26.21 11,046 34.94 14,728 43.67 18,411 52.40 22,093 61.14 25,775 69.87 29,457 3738 18.46 7,240 27.69 10,861 36.92 14,481 46.15 18,101 55.38 21,721 64.61 25,341 73.84 28,962 3839 19.44 7,110 29.17 10,666 38.89 14,221 48.61 17,776 58.33 21,331 68.05 24,886 77.77 28,442 3940 20.36 6,974 30.54 10,460 40.72 13,947 50.90 17,434 61.08 20,921 71.26 24,408 81.44 27,894 4041 21.57 6,829 32.36 10,244 43.13 13,659 53.92 17,074 64.70 20,488 75.49 23,903 86.27 27,318 4142 22.83 6,677 34.24 10,016 45.65 13,354 57.06 16,693 68.48 20,031 79.89 23,370 91.30 26,708 4243 24.14 6,515 36.20 9,773 48.27 13,031 60.34 16,289 72.40 19,546 84.47 22,804 96.54 26,062 4344 25.53 6,344 38.29 9,516 51.05 12,688 63.82 15,860 76.58 19,032 89.34 22,204 102.10 25,376 4445 26.85 6,161 40.28 9,242 53.70 12,323 67.13 15,404 80.55 18,484 93.98 21,565 107.40 24,646 4546 28.31 5,967 42.47 8,951 56.62 11,935 70.77 14,919 84.93 17,902 99.08 20,886 113.23 23,870 4647 29.95 5,762 44.93 8,642 59.90 11,523 74.88 14,404 89.85 17,285 104.83 20,166 119.80 23,046 4748 31.72 5,543 47.58 8,315 63.44 11,086 79.30 13,858 95.15 16,630 111.01 19,401 126.87 22,173 4849 33.52 5,311 50.28 7,967 67.04 10,623 83.79 13,279 100.55 15,934 117.31 18,590 134.07 21,246 4950 35.45 5,065 53.18 7,598 70.90 10,130 88.63 12,663 106.35 15,195 124.08 17,728 141.80 20,260 50This rate insert is for use with materials for accounts sitused in South Carolina, and is not to be used on its own.¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt.EXCLUSIONS AND LIMITATIONS: Suicide Exclusion- If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person.Pre-existing Condition Limitation -The Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1) rider may contain a pre-existing condition limitation.Other Exclusions and Limitations -Rates shown are based on Tobacco/Non-tobacco, Issue Age Specific rating structure. SEMIMONTHLY means 24 times per year.Ratecard generated October 1, 2024 - 9:09 AM by ABQuote 09.30.2024.HO Use Only: clqqd-20241001-8211-SC-TNTS-B_STD_-FALSE-450-FA-10000-80000-10000-PI:E-24x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCRE:T-CT:T-ST:F-UWR$10,000 is $2.28.This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL).Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued.For additional information, you may contact your Allstate Benefits Representative.The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage.Please refer to the certificate for details.This information is valid as long as information remains current, but in no event later than 12/31/2025. Group Whole Life Insurance benefits are provided under form GWLC, orstate variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI),Allstate Benefits is the marketing name used byAmerican Heritage Life Insurance Company (HomeOffice, Jacksonville, FL), a subsidiary of TheAllstate Corporation. ©2024 Allstate InsuranceCompany. www.allstate.com orallstatebenefits.com41

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age):T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted)FaceAmount$20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000FaceAmountIssue Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 Semimonthly CV @ age 65 IssueAge Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Age51 $37.65 $4,803 $56.47 $7,204 $75.28 $9,606 $94.11 $12,007 $112.93 $14,408 $131.75 $16,810 $150.57 $19,211 5152 39.96 4,524 59.94 6,786 79.92 9,048 99.90 11,311 119.88 13,573 139.86 15,835 159.83 18,097 5253 42.42 4,227 63.63 6,341 84.84 8,455 106.04 10,569 127.25 12,682 148.46 14,796 169.67 16,910 5354 45.01 3,912 67.52 5,867 90.02 7,823 112.52 9,779 135.03 11,735 157.53 13,691 180.03 15,646 5455 47.61 3,575 71.42 5,363 95.22 7,150 119.02 8,938 142.83 10,725 166.63 12,513 190.43 14,300 5556 50.80 3,686 76.21 5,528 101.60 7,371 127.00 9,214 152.40 11,057 177.80 12,900 203.20 14,742 5657 53.98 3,795 80.97 5,693 107.95 7,590 134.94 9,488 161.93 11,386 188.91 13,283 215.90 15,181 5758 57.44 3,905 86.15 5,858 114.87 7,811 143.59 9,764 172.30 11,716 201.02 13,669 229.74 15,622 5859 60.81 4,017 91.22 6,025 121.62 8,034 152.02 10,042 182.43 12,050 212.83 14,059 243.24 16,067 5960 64.04 4,130 96.07 6,196 128.09 8,261 160.11 10,326 192.13 12,391 224.15 14,456 256.17 16,522 6061 67.85 4,245 101.78 6,368 135.70 8,491 169.63 10,614 203.55 12,736 237.48 14,859 271.40 16,982 6162 72.49 4,364 108.73 6,546 144.97 8,728 181.21 10,910 217.45 13,092 253.69 15,274 289.94 17,456 6263 77.08 4,488 115.62 6,732 154.15 8,976 192.69 11,220 231.23 13,464 269.76 15,708 308.30 17,952 6364 82.02 4,631 123.03 6,946 164.04 9,261 205.05 11,577 246.05 13,892 287.06 16,207 328.07 18,522 6465 86.15 4,811 129.22 7,216 172.28 9,621 215.36 12,027 258.43 14,432 301.50 16,837 344.57 19,242 6566 89.82 5,002 134.73 7,502 179.64 10,003 224.55 12,504 269.45 15,005 314.36 17,506 359.27 20,006 6667 96.27 5,206 144.40 7,809 192.54 10,412 240.67 13,015 288.80 15,618 336.94 18,221 385.07 20,824 6768 103.91 5,425 155.87 8,138 207.82 10,851 259.77 13,564 311.73 16,276 363.68 18,989 415.64 21,702 6869 111.69 5,662 167.54 8,493 223.39 11,324 279.23 14,156 335.08 16,987 390.92 19,818 446.77 22,649 6970 119.64 5,914 179.45 8,871 239.27 11,828 299.09 14,785 358.90 17,742 418.72 20,699 478.54 23,656 70w/EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI w/EOI71 115.42 6,175 173.13 9,263 230.84 12,350 288.54 15,438 346.25 18,526 403.96 21,613 461.67 24,701 7172 124.16 6,442 186.24 9,663 248.32 12,884 310.40 16,105 372.48 19,326 434.56 22,547 496.64 25,768 7273 133.76 6,710 200.64 10,065 267.52 13,420 334.40 16,775 401.28 20,130 468.16 23,485 535.04 26,840 7374 144.46 6,979 216.69 10,469 288.92 13,958 361.15 17,448 433.38 20,937 505.61 24,427 577.84 27,916 7475 156.43 7,263 234.64 10,895 312.85 14,526 391.07 18,158 469.28 21,789 547.49 25,421 625.70 29,052 7576 169.82 7,557 254.73 11,335 339.64 15,113 424.54 18,892 509.45 22,670 594.36 26,448 679.27 30,226 7677 184.75 7,856 277.13 11,784 369.50 15,712 461.88 19,640 554.25 23,567 646.63 27,495 739.00 31,423 7778 201.34 8,183 302.02 12,274 402.69 16,365 503.36 20,457 604.03 24,548 704.70 28,639 805.37 32,730 7879 219.75 8,557 329.63 12,836 439.50 17,114 549.38 21,393 659.25 25,672 769.13 29,950 879.00 34,229 7980 240.14 9,021 360.20 13,532 480.27 18,043 600.34 22,554 720.40 27,064 840.47 31,575 960.54 36,086 80This rate insert is for use with materials for accounts sitused in South Carolina, and is not to be used on its own.¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt.EXCLUSIONS AND LIMITATIONS: Suicide Exclusion- If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person.Pre-existing Condition Limitation -The Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1) rider may contain a pre-existing condition limitation.Other Exclusions and Limitations -Rates shown are based on Tobacco/Non-tobacco, Issue Age Specific rating structure. SEMIMONTHLY means 24 times per year.Ratecard generated October 1, 2024 - 9:09 AM by ABQuote 09.30.2024.HO Use Only: clqqd-20241001-8211-SC-TNTS-B_STD_-FALSE-450-FA-10000-80000-10000-PI:E-24x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCRE:T-CT:T-ST:F-UWR$10,000 is $2.28.This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL).Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued.For additional information, you may contact your Allstate Benefits Representative.The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage.Please refer to the certificate for details.This information is valid as long as information remains current, but in no event later than 12/31/2025. Group Whole Life Insurance benefits are provided under form GWLC, orstate variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI),Allstate Benefits is the marketing name used byAmerican Heritage Life Insurance Company (HomeOffice, Jacksonville, FL), a subsidiary of TheAllstate Corporation. ©2024 Allstate InsuranceCompany. www.allstate.com orallstatebenefits.com42

P yadot erutuf eht rof eraperR .ylppa taht lla ro emos kcehc dna weive Y ylimaf ruoy dna renrae egaw yramirp eht er'uo w tuohtiw ylbatrofmoc gnivil elbuort evah dluo y emocni ruo Y rac ,egagtrom ekil ,stbed raluger evah uo p sdrac tiderc ro tnemya Y 81 rednu nerdlihc evah uo Y egarevoc deetnaraug ylluf ,tnenamrep tnaw uo Y ruoy ot tifeneb htaed eerf-xat a reffo ot ekil d'uo b yraicifeneH skrow efiL elohW puorG woh s’ereP eht regnol ehT .detcuded lloryap yltneinevnoc era dna 59 ega ot elbayap era smuimer p .sdliub eulav hsac eht erom eht ,diap era smuimerp dna seunitnoc egarevoc yciloC stnemyap dna seulav hsaA ta deetnaraug era smuimerP .emit revo eulav hsac gnidliub si ycilop eht ,diap era smuimerp s i .diap neeb evah smuimerp lla fi 59 ega ta pu-diap ylluf semoceb egarevoc eht dna eussI sah dna evitceffe si egarevoc eht retfa smuimerp gniyap pots ot edam si noisiced eht f d ecnarusnI mreT dednetxE .elbaliava era snoitpo erutiefrof-non suoirav ,eulav hsac depoleve ( evitca on si ereht dna pots stnemyap muimerp nehw noitpo erutiefrof-non tluafed eht si )ITE s mret retrohs a won( egarevoc fo noitarud eht secuder ITE .egarevoc eunitnoc ot edam noitcele i .tifeneb htaed fo tnuoma emas eht sedivorp tub ,)efil elohw fo daetsnW rosivda xat ruoy htiw tlusnoc esaelP .sexat etatse laredef ro etats morf eerf seiraicifeneb ruoy ot ssap nac tifeneb htaed eht ,gninnalp reporp hti f .noitamrofni cificeps roB stifeneG :REHTIE SEDIVORP ECNARUSNI EFIL ELOHW PUOR D tifeneB htae - p tifeneb hsac mus-pmul a sya w seid 121 ega erofeb derusni eht neh M tifeneB ytiruta - p tifeneb hsac mus-pmul a sya i 121 ega ta gnivil llits si derusni eht f O STIFENEB REDIR LANOITIDDA/LANOITP A ro ssenllI lanimreT rof tifeneB htaeD detarelecc C noitidno -a htaed eht fo %57 fo ecnavda mus-pmul b deifitrec nehw )000,001$ deecxe ot ton( tifene t si elbayap tifeneb ehT .naicisyhp a yb lli yllanimre d smuimerP .etar tnuocsid tnerruc eht gnisu detnuocsi a tifeneb eht fo tnemyap retfa deviaw er P era smuimer w tifeneb fo tnemyap retfa deviaC mreT s'nerdlih - l hcae rof ecnarusni mret leve c .62 ega rednu dlihc tnedneped derevo S ot tcejbu s egarevoc efil tnedneped no stimil etatA mreT gnoL rof tifeneB htaeD detarelecc C dna stifeneB fo noitarotseR htiw era E stifeneB fo noisnetx -a %4 fo ecnavda ylhtnom o elihw shtnom 05 ot pu rof tifeneb htaed eht f r a retfa secivres erac mret-gnol deifilauq gniviece 9 deifitrec nehw doirep noitanimile yad-0 c .renoititcarp erac htlaeh desnecil a yb lli yllacinorh T tifeneb htaed eht serotser tifeneb noitarotser eh a ,stnuoma noitarelecca-erp eht ot eulav hsac dn a tifeneb htaed eht sdnetxe tifeneb noisnetxe eht dn f .mret tifeneb lanigiro eht ot lauqe doirep a ro P eht nehw shtnom eht rof deviaw era smuimer b elbayap si tifeneG LW BSC A 51651MJBW evig pleh nac e y ylimaf ruoy dna uo f fo ecaep laicnani m .dni A ni uoy er g ®?sdnah dooW elpoep ®sdnaH dooG eht era eW egarevoc elbaulav ruO .sraey 05 revo rof seilimaf s’aciremA gnitcetorp ,tsurt dna wonk uoy eman eht er’e o .serutuf rieht dna secnanif rieht rof snoisiced tseb eht ekam ot elpoep rewopme pleh snoitpO emityna rof ,stifeneByM ,latrop ecivres remotsuc tneinevnoc ruo htiw retsiger ,egarevoc detcele ev’uoy ecn a dna ylkciuq smialc elif ot uoy swolla osla stifeneByM .stnemucod tnatropmi dna sliated egarevoc ruoy ot ssecc e .)deriuqer noitazirohtua( tnuocca knab ruoy otni yltcerid detisoped stifeneb teg dna – ylisaP ®.gnivil yadyreve rof stfieneb lacitcarT .setats lla ni ro stnedneped derevoc lla ot elbaliava eb ton yam dna ,ega noitanimret ro eussi yb ytilibaliava ni yrav yam ,snoitatimil dna snoisulcxe evah sredir eh A .egarevoc ot dedda sredir rof deriuqer eb yam smuimerp lanoitidd43

C SNOITACIFICEPS ETACIFITREP noitatimiL noitidnoC gnitsixE-erA dna rediR stfieneB fo noitarotseR htiw eraC mreT gnoL rof tfieneB htaeD detarelecc E rediR stfieneB fo noisnetx -B gnitsixe-erp a morf gnitluser erac ssenlli cinorhc fo doirep a rof diap ton era stfiene c sihT .egarevoc fo etad evitceffe eht retfa shtnom 6 tsrfi eht nihtiw snigeb taht noitidno d -erp A .etad evitceffe eht retfa shtnom 6 gninnigeb erac fo doirep a ot ylppa ton seoe saw tnemtaert ro ecivda lacidem hcihw rof noitidnoc a si noitidnoc gnitsix r eht erofeb shtnom 6 nihtiw lanoisseforp lacidem a morf deviecer ro dednemmoce e .etad evitceffE snoisulcxA dna stfieneB fo noitarotseR htiw eraC mreT gnoL rof tfieneB htaeD detarelecc E rediR stfieneB fo noisnetx -B ro latnem fo tluser a :era taht secivres erac mret gnol rof diap ton era stfiene e era taht aitnemed elines ro ytilines ,esaesiD s'remiehzlA rof tpecxe( redrosid lanoitom o tnemtaert ,ssenlli fo tluser a ;noitcidda gurd ro msilohocla fo tluser a ;)nigiro cinagro f o ro toir ,ynolef a ni noitapicitrap ,raw fo tca ,raw :ot eud snoitidnoc lacidem r i ta tpmetta ro edicius ,stinu yrailixua ro secrof demra eht ni gnivres ,noitcerrusn s ytilicaf tnemnrevog laredef a ni dedivorp ;yrujni detciflni-fles yllanoitnetni ro ,ediciu ( rednu elbaliava era stfieneb hcihw rof secivres ;)wal yb deriuqer esiwrehto sselnu M ro selbitcuded rof tpecxe eracideM rednu elbaliava eb dluow stfieneb ro( eracide c yna ,)diacideM tpecxe( margorp latnemnrevog rehto ro )stnemeriuqer ecnarusnio s esaesid lanoitapucco ro ytilibail s'reyolpme ,noitasnepmoc 'srekrow laredef ro etat l .seirotirret sti ro setatS detinU eht edistuo deviecer ;wal tluaf-on elcihev rotom ro ,waS rof noisulcxE ediciu G rediR mreT s'nerdlihC ;efiL elohW puor - I fo etad evitceffe eht fo sraey 2 nihtiw edicius stimmoc derusni redir ro derusni eht f c .diap smuimerp eht ot detimil eb lliw tfieneb htaed eht ,egarevoG LW BSC A 51651MJBA .noitaroproC etatsllA ehT fo yraidisbus a ,ynapmoC ecnarusnI efiL egatireH naciremA yb desu eman gnitekram eht si stifeneB etatsll© moc.stifenebetatslla ro moc.etatslla.www .ynapmoC ecnarusnI etatsllA 4202T ni desutis stnemllorne ni esu rof si eruhcorb sih SC. T ,ycnegA ,tnegA stifeneB etatsllA na yb edam eb yam tcatnoc ;ecnarusni fo noitaticilos a si tnemesitrevda sih o .evitatneserpeR rT naht retal tneve on ni tub ,tnerruc sniamer noitamrofni sa gnol sa dilav si lairetam sih S .7202 ,03 rebmetpeG .foereht snoitairav etats ro ,PLWG mrof rednu dedivorp era stifeneb ecnarusnI efiL elohW puor R etats ro ,smrof gniwollof eht rednu dedivorp era stifeneb redi v :foereht snoitaira A eraC mreT gnoL rof tifeneB htaeD detareleccA ;)TCPWG( mreT s'nerdlihC ;)ITPWG( noitidnoC ro ssenllI lanimreT rof tifeneB htaeD detarelecc w .)1ERCTLPWG ,ERCTLPWG( stifeneB fo noisnetxE dna stifeneB fo noitarotseR htiT ,eciffO emoH( ynapmoC ecnarusnI efiL egatireH naciremA yb nettirwrednu ycilop yratnulov puorg eht rednu elbaliava stifeneb eht fo weivrevo feirb a si sih J uoy ,noitamrofni lanoitidda roF .deussi setacifitrec eht ni dedulcni era snoisivorp rehto dna ,snoitcirtser ,snoisulcxe gnidulcni ,ecnarusni eht fo sliateD .)LF ,ellivnoskca m .evitatneserpeR stifeneB etatsllA ruoy tcatnoc ya44

Need help? We have you covered! 4 ways to contact NBC if you have a question. Toll Free 844-515-2203 Fax 815-377-3556 Email nbc@nbc007.com Website www.nbc007.com/contact-us Information we will need to help you:  Employee name and contact information Type of coverage Specific questions about a benefitWe are here to answer your questions! ✔ Accident Insurance✔ Cancer Insurance✔ Critical Illness Insurance✔ Hospital Indemnity✔ Disability Income Insurance✔ Life Insurance with Long-Term Care Benefits Not Available