TomlinsonBenefitBooklet : simplebooklet.com

FINANCIAL PEACE OF MIND STARTS HERE Accident Pays CASH for on off job accidents Minor to severe HOSPITAL 1500 upon admission Group Meeting Tuesday 9 19 9 45am OPEN ENROLLMENT IS NOW AFLAC pays CASH to YOU to help provide peace of mind during the different stages of an accident or illness during care and recovery Money for everyday living expenses or copays LIFE LONG TERM CARE PLAN This plan allows for up to 150K Life Insurance with an attached 300K Long Term Care plan No medical questions or pre existing exemptions Everyone qualifies Spouse children coverage too 2023 CANCER Pays 4000 upon diagnosis Kids are FREE Wellness benefit Critical Care 7500 upon diagnosis CHESCDhKiosraTtbHTiIelSirtmyOUT Long Term Care with Life No Medical Questions No pre existing exemptions Guaranteed issue

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AFLAC ACCIDENT ADVANTAGE ACCIDENT ONLY INSURANCE OPTION 3 Policy Series A36000 A A3 Be Prepared for Life s Unexpected Mishaps Accidents can happen at any time You could suffer an accidental injury while you are working around the house or walking into work Or your child may get injured at basketball practice When an accident happens it can be costly Even with major medical insurance there may be out of pocket expenses that you ll have to pay In the event of an unexpected injury Aflac can help protect your personal finances We provide individuals and families affordable insurance that helps with expenses that may not be covered by major medical insurance Aflac pays cash benefits directly to you unless you specify otherwise so you can use the cash for anything you want Which means uncovered medical expenses won t break the bank if you are injured And since we can process your claim quickly Aflac helps give you the peace of mind knowing you can spend more time recovering and less time worrying about bills The facts say you need the protection of the Aflac Accident Advantage insurance policy FACT NO 1 FACT NO 2 1 8 ABOUT OUT OF PEOPLE SEEK MEDICAL ATTENTION FOR AN INJURY 1 5 500 THE AVERAGE MEDICAL EXPENSES FOR AN ACCIDENTAL INJURY 1 1Injury Facts 2014 Edition National Safety Council Aflac herein means American Family Life Assurance Company of Columbus

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Understand the difference Aflac can make in your financial security Aflac pays cash benefits for covered accidental injuries directly to you unless assigned Your own peace of mind and the assurance that your family will have help financially are powerful reasons to consider Aflac The financial impact of an accident is often surprising Most people have expenses after an accident they never thought of before From out of pocket medical costs to a temporary loss of income your finances may be strained If you or a family member suffered an accidental injury can your finances handle it What does the Aflac Accident Advantage policy include A wellness benefit payable for routine medical exams to encourage early detection and prevention Benefits payable for fractures dislocations lacerations concussions burns emergency dental work eye injuries and surgical procedures Benefits payable for initial treatment X rays major diagnostic exams and follow up treatments Benefits payable for physical speech and occupational therapy Daily hospitalization benefits payable for hospital stays and additional daily benefits paid for stays in a hospital intensive care unit Why Aflac Accident Advantage may be the right choice for you No underwriting questions to answer2 No coordination of benefits we pay regardless of any other insurance you may have No network restrictions you choose your own health care provider Portable take the plan with you if you change jobs or retire 24 hour accident insurance How it works AFLAC ACCIDENT ADVANTAGE OPTION 3 coverage is selected While playing in the state hockey playoffs your child was injured and was taken to the ER by ambulance His leg is broken and surgery is performed AFLAC ACCIDENT ADVANTAGE OPTION 3 coverage provides the following 5 570 BENEFITS PAYABLE The above example is based on a scenario for the Aflac Accident Advantage Option 3 that includes the following benefit conditions Ambulance Benefit of 200 ground ambulance transportation Accident Treatment Benefit of 200 hospital emergency room treatment with X rays Accident SpecificSum Injuries Benefit of 1 750 fractured leg femur open reduction under anesthesia Initial Accident Hospitalization Benefit of 1 000 Accident Hospital Confinement Benefit of 250 hospitalized for 1 day Major Diagnostic and Imaging Exams Benefit of 200 CT scan Appliances Benefit of 300 wheelchair Therapy Benefit of 315 9 physical therapy treatments Accident Follow Up Treatment Benefit of 210 6 follow up treatments Family Support Benefit of 20 hospitalized for 1 day Family Lodging Benefit of 125 hospital and motel hotel more than 50 miles from residence and Organized Sporting Activity Benefit of 1 000 The policy has limitations and exclusions that may affect benefits payable For costs and complete details of the coverage contact your Aflac insurance agent producer This brochure is for illustrative purposes only Refer to the policy for complete benefit details definitions limitations and exclusions 2Association and associate only accounts have one underwriting question

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AFLAC ACCIDENT ADVANTAGE OPTION 3 BENEFIT OVERVIEW BENEFIT NAME INITIAL ACCIDENT HOSPITALIZATION BENEFIT ACCIDENT HOSPITAL CONFINEMENT BENEFIT INTENSIVE CARE UNIT CONFINEMENT BENEFIT ACCIDENT TREATMENT BENEFIT AMBULANCE BENEFIT BLOOD PLASMA PLATELETS BENEFIT MAJOR DIAGNOSTIC AND IMAGING EXAMS BENEFIT ACCIDENT FOLLOW UP TREATMENT BENEFIT THERAPY BENEFIT APPLIANCES BENEFIT PROSTHESIS BENEFIT PROSTHESIS REPAIR OR REPLACEMENT BENEFIT REHABILITATION FACILITY BENEFIT HOME MODIFICATION BENEFIT BENEFIT AMOUNT 1 000 when admitted for a hospital confinement of at least 18 hours or 2 000 when admitted directly to an intensive care unit of a hospital for a covered accident per calendar year per covered person 250 per day up to 365 days per covered accident per covered person Additional 400 per day for up to 15 days per covered accident per covered person Payable once per 24 hour period and only once per covered accident per covered person Hospital emergency room with X ray 200 Hospital emergency room without X ray 170 Office or facility other than a hospital emergency room with X ray 150 Office or facility other than a hospital emergency room without X ray 120 200 ground ambulance transportation or 1 500 air ambulance transportation 200 once per covered accident per covered person 200 per calendar year per covered person 35 for one treatment per day up to a max of 6 treatments per covered accident per covered person 35 for one treatment per day up to a max of 10 treatments per covered accident per covered person Benefits are payable for the medical appliances listed below Back brace 300 Body jacket 300 Knee scooter 300 Wheelchair 300 Leg brace 125 Crutches 100 Payable once per covered accident per covered person Walker 100 Walking boot 100 Cane 25 800 once per covered accident per covered person 800 once per covered person per lifetime 150 per day 3 000 once per covered accident per covered person Pays benefits for the treatments listed below ACCIDENT SPECIFIC SUM INJURIES BENEFITS DISLOCATIONS 100 3 750 B U R N S 125 12 500 SKIN GR AFTS 50 of the burns benefit amount paid for the burn involved EYE INJURIES Surgical repair 300 Removal of foreign body by a physician 65 L AC ER AT I ONS Not requiring sutures 35 Less than 5 centimeters 65 At least 5 cm but not more than 15 cm 250 Over 15 centimeters 500 FR ACTURES 125 3 500 CONCUSSION brain 150 EMERGENCY DENTAL WORK Broken tooth repaired with crown 400 Broken tooth resulting in extraction 130 COMA 12 500 PA R A LY S I S Quadriplegia 12 500 Paraplegia 6 250 Hemiplegia 4 750 SURGICAL PROCEDURES 200 1 250 MISCELLANEOUS SURGICAL PROCEDURES 120 300 PAIN MANAGEMENT NON SURGICAL Epidural 100 ACCIDENTAL DEATH BENEFIT INSURED SPOUSE CHILD ACCIDENTAL DISMEMBERMENT BENEFIT WELLNESS BENEFIT FAMILY SUPPORT BENEFIT ORGANIZED SPORTING ACTIVITY BENEFIT CONTINUATION OF COVERAGE BENEFIT WAIVER OF PREMIUM BENEFIT TRANSPORTATION BENEFIT FAMILY LODGING BENEFIT Common Carrier Accident 150 000 150 000 25 000 Other Accident 40 000 40 000 10 000 Hazardous Activity Accident 10 000 10 000 5 000 300 40 000 60 once per calendar year 20 per day up to 30 days per covered accident Additional 25 of the benefits payable limited to 1 000 per policy per calendar year Waives all monthly premiums for up to two months if conditions are met Yes 600 per round trip up to 3 round trips per calendar year per covered person 125 per night up to 30 days per covered accident REFER TO THE POLICY FOR COMPLETE BENEFIT DETAILS DEFINITIONS LIMITATIONS AND EXCLUSIONS

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AFLAC CRITICAL CARE PROTECTION SPECIFIED HEALTH EVENT INSURANCE OPTION 3 Policy Series A74000 CCP3 Critical care for you Added financial protection for your family Aflac s Critical Care Protection policy helps provide financial peace of mind if you experience a serious health event such as a heart attack or stroke You will receive a lump sum benefit upon diagnosis of a covered event with additional benefits to be paid for things such as a hospital confinement intensive care unit confinement ambulance transportation lodging and therapy Benefits are also paid for specific heart surgeries such as heart valve surgery coronary angioplasty coronary stent implantation and pacemaker placement All benefits are paid directly to you unless otherwise assigned and can be used for any out of pocket expenses you have such as car payments mortgage or rent payments or utility bills Aflac Critical Care Protection allows you to help protect the things you love the most from the things you expect the least Get the facts FACT NO 1 34 ABOUT EVERY SECONDS AN AMERICAN SUFFERS A HEART ATTACK 1 1Heart Disease and Stroke Statistics 2014 Update American Heart Association FACT NO 2 40 ABOUT EVERY SECONDS SOMEONE IN THE UNITED STATES HAS A STROKE 1 Aflac herein means American Family Life Assurance Company of Columbus

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Understand the difference Aflac can make in your financial security Aflac pays cash benefits directly to you unless you choose otherwise Aflac Critical Care Protection is designed to provide you with cash benefits if you experience a specified health event such as sudden cardiac arrest or end stage renal failure This means that you will have added financial resources to help with expenses incurred due to a serious health event to help with ongoing living expenses or to help with any purpose you choose Aflac Critical Care Protection offers more types of benefits compared to other critical illness coverage on the market Pays 7 500 upon diagnosis of having had a specified health event which increases to 10 000 for dependent children Pays benefits for physical therapy speech therapy rehabilitation therapy home health care and many more Pays benefits for specified heart surgeries such as heart valve surgery coronary angioplasty coronary stent implantation pacemaker placement and many more Pays 300 per day for covered hospital stays Daily benefits payable for covered hospital intensive care unit and step down intensive care unit confinements Transportation and lodging benefits payable for travel to receive treatment Guaranteed renewable for your lifetime with some benefits reduced at age 70 as long as premiums are paid the policy cannot be canceled Specified health events covered by the Critical Care Protection policy include Heart Attack Coma Stroke Paralysis Coronary Artery Bypass Graft Surgery CABG Major Human Organ Transplant Sudden Cardiac Arrest End Stage Renal Failure Third Degree Burns Persistent Vegetative State Specified Heart Surgery Benefits covered by the Critical Care Protection policy include Tier One Heart Valve Surgery Surgical Treatment of Abdominal Aortic Aneurysm How it works Tier Two Coronary Angioplasty Transmyocardial Revascularization TMR Atherectomy Coronary Stent Implantation Cardiac Catheterization Automatic Implantable Cardioverter Defibrillator AICD Placement Pacemaker Placement AFLAC CRITICAL CARE PROTECTION OPTION 3 coverage is selected Policyholder suffers a heart attack and is transported to the hospital by ambulance He has heart surgery to implant a stent and is hospitalized After leaving the hospital he receives physical therapy Several months later he has heart valve surgery and is hospitalized AFLAC CRITICAL CARE PROTECTION OPTION 3 coverage provides the following 23 100 TOTAL BENEFITS The above example is based on a scenario for Aflac Critical Care Protection Option 3 that includes the following benefit conditions First Occurrence Benefit heart attack of 7 500 Ambulance Benefit ground ambulance transportation of 250 Specified Heart Surgery Benefit Tier Two Coronary Stent Implantation of 2 000 Hospital Intensive Care Unit Benefit 4 days of 3 200 Hospital Confinement Benefit 8 days of 2 400 Specified Heart Surgery Benefit Tier One heart valve surgery of 4 000 and Continuing Care Benefit 30 days of 3 750 The policy has limitations and exclusions that may affect benefits payable For costs and complete details of the coverage contact your Aflac insurance agent producer This brochure is for illustrative purposes only Refer to the policy for benefit details definitions limitations and exclusions

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Aflac Critical Care Protection Option 3 Benefit Overview BENEFIT NAME BENEFIT AMOUNT HOSPITAL INTENSIVE CARE UNIT BENEFIT Days 1 7 800 per day Days 8 15 1 300 per day Limited to 15 days per period of confinement no lifetime maximum STEP DOWN INTENSIVE CARE UNIT BENEFIT 500 per day limited to 15 days per period of confinement no lifetime maximum PROGRESSIVE BENEFIT FOR HOSPITAL INTENSIVE CARE UNIT STEP DOWN INTENSIVE CARE UNIT CONFINEMENT FIRST OCCURRENCE BENEFIT Named Insured Spouse Dependent Children An indemnity of 2 will accumulate for the named insured and the covered spouse for each calendar month the policy remains in force after the effective date 7 500 lifetime maximum 7 500 per covered person 10 000 lifetime maximum 10 000 per covered person SUBSEQUENT SPECIFIED HEALTH EVENT BENEFIT 3 500 Subsequent occurrence limitations apply No lifetime maximum SPECIFIED HEART SURGERY BENEFITS Tier One 4 000 when a covered person undergoes one of the following Heart Valve Surgery Surgical Treatment of Abdominal Aortic Aneurysm Tier Two 2 000 when a covered person undergoes one of the following Coronary Angioplasty Transmyocardial Revascularization TMR Atherectomy Coronary Stent Implantation Cardiac Catheterization Automatic Implantable Cardioverter Defibrillator AICD Placement Pacemaker Placement Tier One and Tier Two benefits are payable only once per covered person per lifetime Subsequent occurrence limitations apply SUBSEQUENT TIER ONE SPECIFIED HEART SURGERY BENEFIT HOSPITAL CONFINEMENT BENEFIT CONTINUING CARE BENEFIT AMBULANCE BENEFIT TRANSPORTATION BENEFIT LODGING BENEFIT WAIVER OF PREMIUM BENEFIT 1 000 Subsequent occurrence limitations apply No lifetime maximum 300 per day no lifetime maximum 125 each day when a covered person is charged for any of the following treatments Rehabilitation Therapy Physical Therapy Speech Therapy Occupational Therapy Respiratory Therapy Dietary Therapy Consultation Home Health Care Dialysis Hospice Care Extended Care Physician Visits Nursing Home Care Treatment is limited to 75 days for continuing care received within 180 days following the occurrence of the most recent covered specified health event or specified heart surgery No lifetime maximum 250 ground or 2 000 air no lifetime maximum 50 per mile per covered person whom special treatment is prescribed for a covered loss Limited to 1 500 per occurrence no lifetime maximum Up to 75 per day for covered lodging charges Limited to 15 days per occurrence no lifetime maximum Premium waived from month to month during total inability after 180 continuous days CONTINUATION OF COVERAGE BENEFIT Waives all monthly premiums for up to 2 months when all conditions for this benefit are met REFER TO THE FOLLOWING PAGES FOR BENEFIT DETAILS DEFINITIONS LIMITATIONS AND EXCLUSIONS

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AFLAC CANCER PROTECTION ASSURANCE CANCER INDEMNITY INSURANCE OPTION 3 Policy Series B70000 C3 Aflac Cancer Protection Assurance real coverage when you need it most Cancer treatment is changing and Aflac is proud to be changing with it Thanks to advances in science and treatment more and more Americans today are living with cancer 1 Aflac Cancer Protection Assurance helps cover these innovative treatments with benefits that really care for you as a whole person From prevention to recovery Aflac is with you every step of the way Our benefits are built to see you all the way through cancer treatment and they ll stay with you for life after cancer 2 CANCER STATS YOU NEED TO KNOW FACT NO 1 1 2 MEN HAVE A SLIGHTLY IN LESS THAN LIFETIME RISK OF DEVELOPING CANCER IN THE UNITED STATES 3 FACT NO 2 1 3 WOMEN HAVE A SLIGHTLY IN MORE THAN LIFETIME RISK OF DEVELOPING CANCER IN THE UNITED STATES 3 Of course four in four hope they ll never get it But for many and for certain types of cancer advances in science and treatment have transformed cancer into an illness that can be managed over a lifetime In fact 89 of women who are diagnosed with breast cancer will survive it and 98 of men who develop prostate cancer will live with it for five years or more 4 Some cancer patients even with insurance spend about a third of their household income on out of pocket health care costs outside of insurance premiums 5 1Progress Against Cancer 2019 Annual Plan National Cancer Institute https www cancer gov about nci budget plan progress Accessed November 13 2017 2Coverage remains in force as long as premiums are paid 3Cancer Facts Figures 2017 American Cancer Society 4National Cancer Institute Surveillance Epidemiology and End Results SEER Program See https seer cancer gov statfacts html breast html and https seer cancer gov statfacts html prost html SEER Cancer Statistics Review 1975 2014 National Cancer Institute Bethesda MD https seer cancer gov csr 1975_2014 based on November 2016 SEER data submission posted to the SEER web site April 2017 Accessed December 13 2017 5Widowed Early A Cancer Doctor Writes About the Harm of Medical Debt NPR August 10 2018 https www npr org sections health shots 2017 08 10 542589232 widowed early a cancer doctor writes about the harm of medical debt Accessed December 14 2017 Aflac herein means American Family Life Assurance Company of Columbus

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Understand the difference Aflac makes in your financial security Aflac pays cash benefits directly to you unless you choose otherwise This means that you can have added financial resources to help with expenses incurred due to medical treatment ongoing living expenses or any purpose you choose We re With You Aflac Cancer Protection Assurance Stays with You for Life Aflac Cancer Protection Assurance pays cash benefits directly to you unless assigned when you need them most If you re ever diagnosed with a covered cancer these benefits are more important than ever Why Because cancer treatment is expensive today cancer costs patients and families more than any other chronic illness 6 Major medical may not cover the cost of things like deductibles co pays lost work time or even travel Aflac Cancer Protection Assurance can help with cancer associated costs like these It helps support you through the physical emotional and financial costs of cancer and stays with you for life Here s how it works We re with you even when you re well We pay a benefit for early detection and preventative care like mammograms PSA blood tests and many other kinds of cancer screenings too Why Because when cancer is found and treated early you re more likely to survive it 7 We ll see you all the way through treatment If you re diagnosed with cancer we offer benefits that you can count on and thanks to One Day PaySM your claim can be processed in just one day You ll receive a benefit upon initial diagnosis of a covered cancer and our support doesn t end there We give you the freedom to choose the best care for you You and your doctor decide on a treatment plan together we help provide you with financial support for every month that you re undergoing that treatment Want a second opinion We provide a benefit for that too HOW IT WORKS AFLAC CANCER PROTECTION ASSURANCE OPTION 3 POLICYHOLDER SUFFERS FROM FREQUENT INFECTIONS AND HIGH FEVER POLICYHOLDER VISITS PHYSICIAN PHYSICIAN RECOMMENDS BONE MARROW BIOPSY PATIENT RECEIVES DIAGNOSIS OF LEUKEMIA AND UNDERGOES TREATMENT 32 150 TOTAL BENEFITS The above example is based on a scenario for Aflac Cancer Protection Assurance Option 3 that includes the following benefit conditions Bone Marrow Biopsy Cancer Screening Benefit of 100 Initial Diagnosis Benefit of 6 000 IV Chemotherapy for 3 months Physician Administered Radiation Therapy Chemotherapy Immunotherapy or Experimental Chemotherapy Benefit of 4 500 Immunotherapy Physician Administered Radiation Therapy Chemotherapy Immunotherapy or Experimental Chemotherapy Benefit for 6 months of 9 000 Antinausea Benefit 9 months of 1 350 Stem Cell Transplant Benefit of 10 000 Hospital Confinement Benefit 4 days of 1 200 Benefits and or premiums may vary based on state and benefit option selected Riders are available for an additional premium The policy has limitations and exclusions that may affect benefits payable This brochure is for illustrative purposes only Refer to the policy for complete benefit details definitions limitations and exclusions 6National Institutes of Health Discussing Health Care Expenses in the Oncology Clinic Analysis of Cost Conversations in Outpatient Encounters November 2017 https www ncbi nlm nih gov pubmed 28834684 Accessed December 13 2017 7National Cancer Institute Cancer Trends Progress Report See https progressreport cancer gov detection Published January 2017 Accessed December 13 2017

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Coverage Options Choose the Policy and Riders that Fit Your Needs BENEFIT DESCRIPTION CANCER SCREENING One 100 benefit per calendar year per covered person Benefit increases to three screenings per calendar year after the diagnosis for internal cancer or an associated cancerous condition PROPHYLACTIC SURGERY DUE TO A POSITIVE GENETIC TEST RESULT 350 per covered person per lifetime INITIAL DIAGNOSIS Named Insured or Spouse 6 000 Dependent Child 12 000 Payable once per covered person per lifetime ADDITIONAL OPINION 400 per covered person per lifetime R ADIATION THER APY CHEMOTHER APY IMMUNOTHER APY OR EXPERIMENTAL CHEMOTHERAPY Self Administered 400 per calendar month Physician Administered 1 500 per calendar month This benefit is limited to one self administered treatment and one physician administered treatment per calendar month HORMONAL THERAPY 40 once per calendar month TOPICAL CHEMOTHERAPY 200 once per calendar month ANTINAUSEA 150 once per calendar month STEM CELL AND BONE MARROW T R A NSP L A N TAT I ON 10 000 lifetime maximum of 10 000 per covered person Donor Benefit 150 for stem cell donation or 1 000 for bone marrow donation Payable one time per covered person BLOOD AND PLASMA SURGERY ANESTHESIA SKIN CANCER SURGERY PROPHYLACTIC SURGERY WITH CORRELATING INTERNAL CANCER DIAGNOSIS HOSPITALIZATION CONFINEMENT FOR 30 DAYS OR LESS HOSPITALIZATION CONFINEMENT FOR 31 DAYS OR MORE Inpatient actual charges incurred up to 75 multiplied by the number of days paid under the Hospital Confinement Benefit per covered person Outpatient actual charges incurred up to 250 per day per covered person 140 5 000 Anesthesia additional 25 of the Surgery Benefit Maximum daily benefit will not exceed 6 250 no lifetime maximum on the number of operations Laser or Cryosurgery 50 Excision of lesion of skin without flap or graft 250 Flap or graft without excision 375 Excision of lesion of skin with flap or graft 600 Maximum daily benefit will not exceed 600 No lifetime maximum on the number of operations 350 per covered person per lifetime Named Insured or Spouse 300 Dependent Child 375 Named Insured or Spouse 600 Dependent Child 750 OUTPATIENT HOSPITAL SURGICAL ROOM CHARGE 300 per day per covered person

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EXTENDED CARE FACILITY HOME HEALTH CARE HOSPICE CARE NURSING SERVICES SURGICAL PROSTHESIS NONSURGICAL PROSTHESIS BREAST RECONSTRUCTION OTHER RECONSTRUCTIVE SURGERY EGG HARVESTING STORAGE CRYOPRESERVATION AND I MP L A N TAT I ON ANNUAL CARE AMBULANCE T R A N SP O R TAT I O N LODGING WAIVER OF PREMIUM CONTINUATION OF COVERAGE OPTIONAL RIDERS INITIAL DIAGNOSIS BUILDING BENEFIT RIDER SPECIFIED DISEASE BENEFIT RIDER DEPENDENT CHILD RIDER 150 per day limited to 30 days in each calendar year per covered person 150 per day limited to 10 days per hospitalization per covered person and 30 days per calendar year per covered person 1 000 for first day 50 per day thereafter 12 000 lifetime maximum per covered person 150 per day payable for only the number of days the Hospital Confinement Benefit is payable 3 000 lifetime maximum of 6 000 per covered person 250 per occurrence per covered person lifetime maximum of 500 per covered person Breast Tissue Muscle Reconstruction Flap Procedures 3 000 Breast Reconstruction occurring within 5 years of breast cancer diagnosis 700 Breast Symmetry on the nondiseased breast occurring within 5 years of breast reconstruction 350 Permanent Areola Repigmentation on the diseased breast 150 Maximum daily benefit will not exceed 3 000 Facial Reconstruction 700 Anesthesia additional 25 of the Other Reconstructive Surgery Benefit Maximum daily benefit will not exceed 700 1 500 for a covered person to have oocytes extracted and harvested 250 for the storage of a covered person s oocyte s or sperm 250 for embryo transfer Lifetime maximum of 2 000 per covered person 300 on the anniversary date of diagnosis lifetime maximum of five annual 300 payments per covered person 250 ground 2 000 air ambulance 50 cents per mile for transportation payable up to a combined maximum of 1 500 per round trip 80 per day limited to 90 days per calendar year Yes Yes DESCRIPTION This benefit will increase the amount of your Initial Diagnosis Benefit as shown in the policy by 100 for each unit purchased up to five units for each covered person on the anniversary date of coverage while coverage remains in force When a covered person is diagnosed with any of the diseases listed in the Specified Disease Rider Initial diagnosis Hospitalization 2 000 30 days or less 400 per day 31 days or more 800 per day 10 000 when a covered dependent child is diagnosed as having internal cancer or an associated cancerous condition payable only once for each covered dependent child REFER TO THE FOLLOWING PAGES FOR BENEFIT DETAILS LIMITATIONS AND EXCLUSIONS

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SHORT TERM DISABILITY INSURANCE Policy Series A57600 DI Helping Pay Your Bills While You Pay Attention to Your Health Imagine this One day not very far in the future you become disabled And you can t go to work It could happen to you In fact last year millions of families found themselves in this situation How would you pay the mortgage Buy groceries Make your car payment And pay all the other bills that won t go away just because your paycheck is gone That s where Aflac s shortterm disability insurance policy can help make the difference The difference that means you will still have a source of income and you will know Aflac is helping take care of your bills while you re taking care of yourself Aflac herein means American Family Life Assurance Company of Columbus T h e FAC T S say yo u n e e d t h e p r o t e cti o n o f A F L AC S h o r t t e r m D I S A B I L I T Y 3in10 fact n o 0 1 Almost one third of Americans entering the work force today will become disabled before they retire nearly 90 fact no 02 of disabilities aren t work related and therefore don t qualify for workers compensation benefits over 10 fact no 03 of Americans between the ages of 18 and 64 have a disability 100 fact no 04 million Americans are not protected by private disability insurance aflac com We ve got you under our wing CDA 2010 Consumer Disability Awareness Study Council for Disability Awareness 2010

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AFLAC CHOICE HOSPITAL CONFINEMENT INDEMNITY INSURANCE OPTION 1 Policy Series B40000 HC Life is full of tough choices but this isn t one of them Aflac Choice makes selecting the right coverage easier and less stressful With your trusted Aflac agent you can tailor Aflac Choice to meet your specific needs and enhance your existing coverage Choose the options you want and ignore the rest Here s how we can help Aflac Choice offers our best selection of hospital related benefits to help with the expenses that may not be covered by major medical which can help prevent high deductibles and out of pocket expenses from derailing your life plans If choosing the right coverage has given you one giant headache in the past don t worry We re here to help Why Aflac Choice may be the right policy for you It s customizable You choose the plan that s right for you based on your specific needs It also works well with our other products Guaranteed issue options available that means there is no medical questionnaire required We pay cash directly to you unless you tell us otherwise not the doctor or hospital Aflac herein means American Family Life Assurance Company of Columbus

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Understand the difference Aflac makes in your financial security Aflac pays cash benefits directly to you unless otherwise assigned for covered hospital expenses We provide you with financial resources to help you overcome some of the unexpected expenses associated with a visit to the hospital giving you less to worry about so you can focus your energy on getting better How it works POLICYHOLDER FEELS A SHARP PAIN IN HIS RIGHT SIDE Decides to visit his urgent care clinic for care Choice 1 1 600 Aflac Choice Policy Choice 2 2 200 Policy Hospital Stay and Surgical Care Rider DOCTOR DIAGNOSES APPENDICITIS sends patient to hospital by ambulance PATIENT HAS LAB TEST diagnostic exam in hospital ER Undergoes surgery and released after 3 days Choice 3 2 010 Policy Extended Benefits Rider Choice 4 2 610 Policy Both Riders The above example is based on four scenarios Choice 1 Scenario Policyholder has the Aflac Choice policy only includes a Hospital Confinement Benefit of 1 500 and a Hospital Emergency Room Benefit of 100 Choice 2 Scenario Policyholder has the Aflac Choice policy plus the Hospital Stay and Surgical Care Rider includes the benefit amounts from Choice 1 Scenario shown above plus an Initial Assistance Benefit of 100 a Surgery Benefit appendectomy of 200 and a Daily Hospital Confinement Benefit of 300 hospitalized for 3 days Choice 3 Scenario Policyholder has the Aflac Choice policy plus the Extended Benefits Rider includes the benefit amounts from Choice 1 Scenario shown above plus a Physician Visit Benefit of 25 a Laboratory Test and X Ray Benefit of 35 a Medical Diagnostic and Imaging Exams Benefit of 150 and an Ambulance Benefit of 200 ground Choice 4 Scenario Policyholder has the Aflac Choice policy plus both the Extended Benefits Rider and the Hospital Stay and Surgical Care Rider includes the benefit amounts from Choice 1 Scenario shown above plus a Physician Visit Benefit of 25 a Laboratory Test and X Ray Benefit of 35 a Medical Diagnostic and Imaging Exams Benefit of 150 an Ambulance Benefit of 200 ground an Initial Assistance Benefit of 100 a Surgery Benefit appendectomy of 200 and a Daily Hospital Confinement Benefit of 300 hospitalized for 3 days Benefits may vary by state and benefit option selected The policy has limitations and exclusions that may affect benefits payable This brochure is for illustrative purposes only Refer to the policy for benefit details definitions limitations and exclusions

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Coverage Options Choose the Policy and Riders that Fit Your Needs BENEFIT HOSPITAL CONFINEMENT DESCRIPTION Pays 500 1 000 1 500 or 2 000 You choose the benefit amount at the time of application Payable once per calendar year per covered person REHABILITATION FACILITY Pays 100 per day limited to 15 days per confinement Limited to 30 days per calendar year per covered person HOSPITAL EMERGENCY ROOM Pays 100 for treatment in a hospital emergency room Limited to 2 payments per calendar year per covered person HOSPITAL SHORT STAY Pays 100 for hospital stays of less than 23 hours Limited to 2 payments per calendar year per policy WAIVER OF PREMIUM Yes CONTINUATION OF COVERAGE Yes OPTIONAL RIDERS EXTENDED BENEFITS RIDER DESCRIPTION Physician Visit Benefit Pays 25 for visits including telemedicine to a physician psychologist or urgent care center Individual Coverage Limited to 3 visits per calendar year per policy Insured Spouse Family Coverage Limited to 6 visits per calendar year per policy Laboratory Test and X Ray Benefit Pays 35 limited to 2 payments per covered person per calendar year Medical Diagnostic and Imaging Exams Benefit Pays 150 for a covered exam limited to 2 exams per covered person per calendar year Benefits payable for a variety of medical diagnostic and imaging exams including sleep studies Ambulance Benefit Pays 200 ground or 2 000 air for transportation to or from a hospital The benefit is limited to two trips per calendar year per covered person HOSPITAL STAY AND SURGICAL CARE RIDER Initial Assistance Benefit Pays 100 once per calendar year per rider when a covered person requires a hospital admission Surgery Benefit Pays 50 1 000 for a covered surgery Limited to one payment per 24 hour period per covered person Invasive Diagnostic Exams Benefit Pays 100 per day for one covered exam per covered person per 24 hour period Hospital Intensive Care Unit Confinement Benefit Pays 500 per day per covered person for up to 30 days Daily Hospital Confinement Benefit Pays 100 per day per covered person for up to 365 days Second Surgical Opinion Benefit Pays 50 once per covered person per calendar year AFLAC PLUS RIDER Ask your Aflac agent about the Aflac Plus Rider REFER TO THE FOLLOWING PAGES AND POLICY FOR COMPLETE BENEFIT DETAILS DEFINITIONS LIMITATIONS AND EXCLUSIONS

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APPLICANT INFORMATION Last Name Tomlinson Erwin Lambeth 2023 First M I DOB Street Address Apartment Unit City State ZIP Phone E mail Address Job Title Sex Spouse s Name Social Security No Date of Hire Sex Spouse s DOB State of Birth Dependent 1 Sex DOB Dependent 3 DOB Sex Dependent 2 Sex DOB Dependent 4 DOB Sex Beneficiary name birthday relationship WEEKLY RATES 1 2 Accident Cancer II Individual 6 78 Individual Spouse 8 91 Individual Child 10 38 Family 12 81 Individual 9 31 Family 16 75 Children FREE up to age 26 3 Critical Care Ages 18 35 36 45 46 55 56 64 Ind 4 65 6 81 9 75 13 17 Ind Sp 8 97 12 42 18 42 25 50 Ind Child 7 56 9 30 11 82 16 32 Family 10 05 13 41 19 41 27 18 4 Hospital 1000 Ages 18 49 50 59 60 64 Ind 6 36 6 48 6 69 Ind Sp 9 03 9 54 10 20 Ind Child 8 07 8 22 8 34 Family 9 57 9 69 10 32 Short Term Disability Hourly _____ Amount ______ Rate _____ Signature _______________________________ Date ______________________________