Benefit Summary - Short Term Disability

This document provides details about short-term disability coverage, including weekly volume, guaranteed issues, maximum amounts, waiting periods, and the effective date of the policy.

�       !"#� $%!&'!($ !� )) � *+ ,- , ./00 � ))� #1!&� !)$2$3)!� !'�)#4!!" .56756� 58 %� 9:; ?� @� A� BA� @CCD9E� F � ; G?H .I=� 0� J   .I=*J56 � *00 A� 9?� � E� 9??O� CC� B?� � PPQO RS6T5 UV 0 XYJ6507=6� � ZZZ[ 9 � (;� $CC?? � (;� RS6W85� W6>�  � DN? W/*J56

Benefit Summary - Short Term Disability - Page 1 Benefit Summary - Short Term Disability Page 2