� � � � � � � ! !� � "� � � � � � #� # $%#� � � � !� � � � $� � %#� � " � %� � !&$� � !� %#' � # � � � � � ##� � � # ! # " � # � %� � #� (� � � " � ) � ! #)$� ) � % #)$)% #)� � � � � !� * � +,� &� ( � -%� ( � !� # .� / *0*+ � � ( � !� #� � � .� / � - � !� 1# � $� ! � # � # � � ! � # � � � 01 � � 2� 01 � � # � � � ! !� � %#$� � � � � � %� � � " � � ! � #$� # !� � ! $� " � %$� � , � � � ( � ! � #� � � %!� � $� !� %� � � � "� � !� #� ##� � � 3 ' � 01 � � # % � � �# � � � !� #� # � � % � &� " � %� # �# � #� % � � � %� 4' � 3�005-602$7$0 � � #8� 3�00&-60 � � #8� 3�005- 90 � � #$� 3�00 &- 90 � #8� 3�005- :0 � � #$� � 4� 3�005-00 � � # ;@ABCDE=
Benefit Summary: Voluntary Long Term Disability Page 2 Page 4