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<br />SCHEDULE OF INSURANCE (CONTINUED) <br /> <br />DEPENDENTS INSURANCE <br />(For Class 1) <br /> <br />Dependent <br /> <br />Amount of Life Insurance <br /> <br />Spouse <br /> <br />$10,000 <br /> <br />Dependent Child <br />(age 14 days to 6 months) <br /> <br />250 <br /> <br />Dependent Child <br />(age 6 months to 19 years, <br />23 years if a full-time student) <br /> <br />5,000 <br /> <br />Spouse Life Insurance will terminate when the Spouse attains age 70. <br /> <br />Dependent's Life Insurance is subject to a maximum of 50% of the Insured Employee's Life Insurance Benefit. <br /> <br />Insured Persons are not required to make contributions for Personal Life Insurance and AD&D Insurance. Insured <br />Persons are required to make contributions for Dependent Life Insurance. . <br /> <br />Under the Policy Termination section on form GL 1101-7, the participation rate requirements in part (3) will not apply during <br />policy years when the Employer's premium contributions are made through a Section 125 plan. <br /> <br />GL1101-2 <br /> <br />3-3 <br /> <br />05101/01 <br />