GUARDIAN® is a registered trademark of The Guardian Life Insurance Company of America AESOPINTERMEDIATELLC Kit created 12/05/2022 ALL ELIGIBLE EMPLOYEES Groupnumber:00554984 Your accident coverage ACCIDENT COVERAGE - DETAILS Your Monthly premium $5.45 You and Spouse $8.90 You and Child(ren) $9.27 You, Spouse and Child(ren) $12.72 Accident Coverage Type On and Off Job Portability - Allows you to take your Accident coverage with you if you terminate employment. Included ACCIDENTAL DEATH AND DISMEMBERMENT Benefit Amount(s) Employee $10,000 Spouse $5,000 Child $5,000 Catastrophic Loss Quadriplegia, Loss of speech & hearing (both ears), Loss of Cognitive function: 100% of AD&D Hemiplegia & Paraplegia: 50% of AD&D Common Carrier 200% of AD&D benefit Common Disaster 200% of Spouse AD&D benefit Dismemberment - Hand, Foot, Sight Single: 50% of AD&D benefit Multiple: 100% of AD&D benefit Dismemberment - Thumb/Index Finger Same Hand, Four Fingers Same Hand, All Toes Same Foot 25% of AD&D benefit Seatbelts and Airbags Seatbelts: $10,000 & Airbags: $15,000 Reasonable Accommodation to Home or Vehicle $2,500 WELLNESS BENEFIT - Per Year Limit $50 Child(ren) Age Limits Children age birth to 26 years FEATURES Air Ambulance $500 Ambulance $100 Burns (2nd Degree/3rd Degree) 9 sq inches To 18 sq inches: $0/$1,000 18 sq inches To 35 sq inches: $500/$2,000 Over 35 sq inches: $1,500/$6,000 Burns - Skin Graft 50% of burn benefit Child Organized Sport - Benefit is paid if the covered accident occurred while your covered child, age 18 years or younger, is participating in an organized sport that is governed by an organization and requires formal registration to participate. 25% increase to child benefits Coma $5,000 Concussion Baseline Study $25 Concussions $50 30