� �� !�"#�$!$"$ %&�'!$'$(���)#� !!� !� ""$$(��*# & %&�+$�'!* !"���!,�""%!� ��!!*$ %&�#!� !�+#!�$� *�,!� !�!"�((! �,-#��""%!� *�&�!"�* ! ,-#�!)(��" $ !�)-#�,$- +$��+!!$�)#�!)!. �# %&�#(#�$ /$ 0� !�%&�) #+$!#&�+(�� 1'!!'$ � $! ##�+%$ 2 $!$�34516171892:61;;�$�# �?*�$-!���!'&�%$,�$-�B*$�C+""!&��& +!�%*$�% #$�$-�%*$�% #$ '!)#> 9*$ �- ,� �$-�$�!��+""!&�* !"��!�* !�(!#�* !"$ #�'+!' >�
Accidental Death and Dismemberment Benefit Summary Page 1 