2 ( First, an important note from our lawyers. This booklet is intended only as a guide and does not establish any legal rights. It is intended as a summary of the benefits provided at the time of publication. Member's rights to benefit coverage and payments are stated only in the Plan, which is available, for viewing at the Plan Administration Office. If there is an inconsistency between this booklet and Plan, the terms of the Plan prevail. The purpose of this booklet is to provide you and your family with a brief and informative description of the Death and Disability Benefits available for members of the +, who are covered by the -./// with 01-2 and 2 as specified in the Collective Agreement. Benefits payable will depend on the benefits that are negotiated for the province where you are employed. Possession of this booklet alone does not mean that you and your dependants are covered under the Plan. You must be a member of the TWBP and satisfy all of the requirements of the Plan to receive benefit payments. Please check your Statement of Earnings to confirm your membership. A - 3 Plan deduction indicates membership in 1&2..( 24 5$6 The TWBP may provide benefits for TWU members with employers other than TELUS Communications Inc. The Plan is organized into PARTs. Each PART of the Plan applies to only one employer. This booklet describes PARTs B&C all of which apply only to TELUS and its affiliates. We suggest that you read this Benefit Booklet carefully then file it in a safe place with your other important documents for future reference. ( '
3 Coverage is provided through British Columbia Life & Casualty Company (BC LIFE) for: and Group Term Life Short Term Disability (STD) through TWBP for: Survivor Income Benefit (SIB) * (
5 % ( ' 2 $ ) ( " 12..( %% Group Life Insurance PART B Survivor Income Benefit (SIB) - PART B Beneficiary Designations $ %8 Short Term Disability (STD) PART C Annual Earnings Calculation Plan Costs Claim Procedures Membership Termination '7 8
6 2 $ The Benefit Summary contains a brief summary of your benefits. Please refer to the appropriate page in this booklet for a more detailed benefit description. As a Member of the Telecommunication Workers Benefit Plan - PARTs B&C (TWU H&B Plan is your payroll deduction) you are protected by a plan that provides benefits for you and your family if you are unable to do your job due to serious illness, disability or death. Life insurance protection for Members of PARTs B&C is provided in two parts. The Group Life Benefit and monthly Survivor Income Benefit (SIB) provides your family with a one-time payment and an ongoing income in the event of your death. Short Term Disability (STD) insurance provides you as a regular employee with wage loss protection for up to 2 years from the first date that you are unable to do your own job due to serious illness or disability. This is done by paying top up benefits when the TELUS benefit drops below 100% of pay. STD coverage is only available for regular employees. TWBP members who are temporary employees pay a reduced premium and are covered for Group Life and SIB coverage only. /0 $9 1( 1 x Annual Earnings, rounded to the nearest $1000, plus $2000 = Lump Sum Payment to your Group Life Beneficiary. 2..( +2(, 25% of Annual Earnings divided by 12 = monthly payments to your SIB Beneficiary. 2 $ )
7 If your SIB Beneficiary is your Spouse - the benefit is payable for your spouse's lifetime or 10 years, whichever is longer. If your SIB Beneficiary is other than your Spouse - the benefit is payable for 10 years. 24 5$ This benefit is designed to ensure that your income from all sources while disabled is approximately equal to your pre-disability net income. As there is no income tax payable on this benefit and the Member may be in receipt of other sources of income replacement which may affect the STD Benefit amount, the amount of the STD benefit will vary for each Member. For more information on the amount paid in each situation, please see the chart under the detailed information for Short Term Disability, which follows later in the booklet. Members pay 1.5% of actual gross earnings for Group Life, SIB & STD coverage. $0 $9 1( 1 x Annual Earnings rounded to the nearest $1000 plus $2000 = Lump Sum Payment to your Group Life Beneficiary. 2..( +2(, 25% of Annual Earnings divided by 12 = monthly payments to your SIB Beneficiary. If your SIB Beneficiary is your Spouse - the benefit is payable for your spouse's lifetime or for 10 years, whichever is longer. If your SIB Beneficiary is other than your Spouse - the benefit is payable for 10 years. 24 5$ Not available to Temporary Employees. Members pay 1.0% of actual gross earnings for Group Life & SIB coverage.! 2 $
8 ( 4 The Telecommunication Workers Benefit Trust Fund was established by the Telecommunication Workers Union (TWU) to provide group benefit coverage for TWU members at reasonable cost. The Trust Agreement requires the TWU to appoint a Board of Trustees comprised of TWU members. The Trustees are responsible for all aspects of the administration of the Trust Fund. They must adopt and administer the Benefit Plan (the TWBP) and they may amend it as and when they consider it necessary to do so. They must set contribution levels from time to time to pay benefits and for the administration of the Fund. Contributions must also be consistent with the requirements, if any, of the current Collective Agreement. The Trustees are responsible for receiving contributions to the Fund and arranging the provision of benefits under the Plan. They may appoint professional advisors, enter into insurance contracts, and appoint an Administrator. The Plan is organized into PARTs. PARTs B&C cover TELUS employees. The funding and the experience of each PART of the Plan are separately accounted for. #4 The Trustees are pleased to be able to offer these benefits and are committed to ensuring the operation of the Plan on a financially sound basis. It is important to the TWU that participating Members are able to obtain these provisions should they require them and encourages all eligible members to join. The Trustees review the Plan provisions on a regular basis to identify areas for improvement and/or to provide added benefits to Members. We welcome your comments and suggestions. ( "
9 The Trustees communicate benefit changes and/or improvements to the Members through booklets, letters, Transmitter articles and the TWBP webpage at The TW Benefit Plan office sends an application card to members upon receiving notice from the TWU office of a new hire. Members have 60 days from the date the application card was sent, to return the completed card to the TW Benefit Plan office. If the card is not completed within the required 60 days the member is deemed to have declined coverage. $/0 $ If you transfer from Temporary employment to Regular employment and you are already enrolled in the Plan your benefit coverage and contributions are adjusted accordingly. 5./ Participants may elect to withdraw coverage at anytime by completing a withdrawal card. Participants who elect to withdraw their coverage or members who decline coverage are deemed to be Non-Plan Members. Non-Plan Members who wish to join the Plan after either declining or cancelling coverage must provide satisfactory evidence of insurability before their application is approved. If you wish to submit a late application for coverage, the Plan Administration Office will provide you with an initial short questionnaire and an application form. This information will be submitted to the Plan's insurer who may require further medical information to determine whether or not you are eligible to participate in the Plan. As medical information is private, the insurer will correspond directly with you. If your application for late enrollment is declined by the insurer, you may appeal this decision by submitting a letter to the insurer stating that you wish to appeal the decision. For more information, please contact the Plan Administration Office and request a copy of the appeal procedures. (
10 #:$; (-$1(#1< No, a Member of the Telecommunication Workers Benefit Plan cannot assign or encumber any benefit under this Plan without the consent of the Trustees. 44( =24< All benefits are non-taxable. $&B >+)7,7*9** #=>+)7,7*98* 8 0 >/C A6 ( %
11 12..( 1(D E1( 6 In the event of your death, a non-taxable lump sum payment will be made to your Group Life beneficiary. 1 The amount of this benefit is equal to your Annual Earnings "rounded" to the nearest $1,000 plus $2,000. For example: Annual Earnings $53,761 Annual Earnings rounded to the nearest $54,000 $1,000 Group Life Insurance $56,000 (i.e. $54,000 + $2,000) If you die while you are disabled, the benefit will be based on your Annual Earnings at the date you stopped receiving 100% of earnings from your employer. 2..( +2(,9 The Survivor Income Benefit is a form of life insurance that provides your survivor(s) with a monthly income rather than one lump sum. In the event of your death, a non-taxable monthly benefit is payable to your Survivor Income beneficiary starting on the first day of the month following your death. %% 1
12 4$2..( The amount of the monthly benefit equals 25% of your Annual Earnings divided by 12. For example: Annual Earnings $53,761 25% of Annual Earnings $13,440 Monthly Survivor Income benefit $1,120 (i.e. $13,440 divided by 12) If you die while you are disabled, the monthly benefit will be based on your Annual Earnings at the date you stopped receiving 100% of earnings from your employer ( a) (E$E2 the benefit is payable for your F lifetime. If your spouse dies before 10 years of payments are made, the benefit will continue to your spouse's estate for the balance of the 10-year period. b) (E$44E2 - the benefit is payable for 10 years of payments. If your beneficiary dies before 10 years of payments are made, the payments for the balance of the 10-year period will continue to your beneficiary's estate. For Survivor Income Benefit purposes, Spouse has the same meaning as in the Canada Pension Plan except that the Spouse is not required to be a person of the opposite sex. $5/ 5/ You are required to designate two beneficiaries to receive any death benefits that may become payable under the Plan. You must complete the Designation of Beneficiary card and return it to the Plan Administration Office. The beneficiaries you must name are: 1. A Group Life Insurance beneficiary to receive the lump sum insurance payable on your death. 1 %'
13 2. A Survivor Income Benefit (SIB) beneficiary to receive the monthly income payable on your death. /42 $441( 2( You may name the same beneficiary for both benefits or select different beneficiaries for each benefit. If you choose to name one person as the beneficiary for both benefits you must ensure that you have separately named that person as your beneficiary for each benefit. / 4$ You may designate multiple beneficiaries under both benefits. However, if you name your spouse as your SIB beneficiary you cannot have multiple SIB beneficiaries because the SIB is payable to a spouse for their lifetime. /4 Minor children can be named as beneficiaries, however it is strongly recommended that you consult with your lawyer or the Plan Administration Office in order to ensure that you understand all of the implications of naming a minor child. 4//E$ You can change your beneficiary at any time, by completing a Notification of Change of Beneficiary card. You must then re-designate other beneficiaries even if you are changing only one of them. 0/ Your annual earnings, for PART B - Group Life and SIB benefit purposes is the GREATER of a) Your daily rate of pay multiplied by * (prorated for Members who work less than full time by multiplying this amount by the percentage of full time equivalent (FTE); AND b)(i)actual Gross Earnings for the last 26 pay periods, excluding the final pay period, up to a maximum of 120% of your daily rate of pay times *, OR (ii) If you have been employed for less than 26 pay periods your actual gross earnings will be annualized up to a maximum of 120% of your daily rate of pay times *, i.e. if employed %* 1
14 for 14 pay periods, actual earnings would be earnings, excluding the final pay period, divided by 13 then multiplied by 26 to determine Annual Earnings. G is the average number of paid days in a work year (includes holidays, ATO days and vacation) 0= %9H'I$ Actual earnings for the last 26 pay periods:** $55,000 Earnings based on Daily rate x $200 Maximum Earnings ($200 x x 120%): Annual earnings for Benefit Purposes $52,178 $62,614 $55,000 0= '9H%"I$A4$ Actual earnings for the last 26 pay periods:** $57,000 Earnings based on Daily rate x $180 Maximum Earnings ($180 x x 120%): Annual earnings for Benefit Purposes $46,960 $56,352 $56,352 0= *9H%!I$& $%7$ Actual earnings for the last 13 pay periods:** $25,712 Annualized Earnings ($25,712/13 X 26): Maximum Earnings ($170 x x 120%): Annual earnings for Benefit Purposes $51,424 $53,222 $51,424 GG#$= 46 1 %7
15 24 5$ 24 5$+25,D 424 5$+25, provides up to 24 months of disability income benefits to Regular Employee Members who are unable to work because of disability. : STD is not available to Temporary Employee Members. 55$4 Disability means the Member is unable to work at his normal occupation because of an injury, accident, or illness and is under the care of a physician. The physician must be licensed to practice medicine in your province of residence or some other jurisdiction approved by the Plan Trustees. 55$ This is the first calendar day that a Member is unable to work because of accident or illness. If the Member is on an unpaid leave of absence at this date, the Member's date of disability is the date the unpaid leave ceases. 254$ Your STD benefit is a non-taxable benefit intended to ensure that you continue to receive approximately the same amount of net income you were receiving while you were working. The amount of benefit is based on your Annual Earnings at the date of disability as well as any other sources of income that you are receiving while disabled. The amount of the monthly benefit payable is calculated as a percentage of your monthly earnings (Annual Earnings divided by 12) as shown in the following table: %8 24 5$
16 2( 44 $ 9=25 +J 0/, No other income 80% on the first $20,000 60% on the remainder 70% from Telus Sick Benefit 18% of Annual Earnings 70% from Company LTD Benefit 7.5% of Annual Earnings Receiving CPP Disability Benefit 80% on the first $20,000 60% on the remainder Receiving CPP Disability Benefit plus 70% of Company Sick Benefit 0% of Annual Earnings PART C benefits payable to you will be reduced by 100% of any amounts that you receive from the Canada Pension Plan as a primary disability benefit payment. This reduction excludes any CPP cost of living adjustments that are made after your benefit payments commence. (All benefits shown, other than WCB and TWBP payments, are taxable). Example: Member earning $45,000, quoted in monthly amounts Company Short Term Plan paying 70% benefit $2,625 taxable benefit TW Benefit Plan: 18% of Annual Earnings = $675 non-taxable benefit 24 5$ %)
17 0/ /#9 0 $ Annual Earnings for STD benefit purposes is your daily rate multiplied by /9 0 $ Annual Earnings for STD benefit purposes is the actual gross earnings for the last 26 pay periods excluding the final pay period (annualized for periods of employment less than 26 biweekly pay periods) up to a maximum of 120% of your daily rate of pay times STD payments start from the first day after you stop receiving 100% of earnings from your employer..25 In order to receive STD benefits, you must complete an Application for STD Benefits and: be receiving sick leave benefits from your employer; or provide satisfactory medical proof of your disability to the Trustees. In addition, you must: suffer a loss of earnings while disabled; be under the regular care of a physician; and agree to reimburse the Plan for any overpayments. (When you complete an application for STD benefits you also agree to reimburse the Plan for any benefit overpayments.) > At any time during a Member's disability period, the Trustees or their agent may request medical proof of disability. (E25 5 If your claim for STD benefits is denied, you may appeal the decision by making a written request to the Trustees for their special consideration. %! 24 5$
18 1/425 Monthly STD payments continue while disabled for up to 24 months following your date of disability, but not beyond the date: a) you retire under the Telecommunication Workers Pension Plan; or b) you reach age 65; or c) your employment is terminated, whichever occurs first. E $0/5$ If your disability is severe and expected to continue for more than 4 months you should apply for Canada Pension Plan (CPP) disability benefits immediately. (E./5$ 4./25 Your STD Benefit from the TWBP will be coordinated with the CPP benefits until the end of the 24 month period. If you qualify for CPP Disability Benefits, you should notify the Plan Administration Office immediately. (E5$$4#4$ STD Benefits are not payable for disabilities caused by the fault of a third party, that is someone from whom you may be seeking monetary compensation (for example, a disability resulting from a motor vehicle accident that was the fault of another person). If your disability is caused by the fault of a third party, a Disability Loan rather than STD benefits may be payable from the Plan. The Trustees may, in their absolute discretion, provide you with a loan pending settlement of your claim against the third party PROVIDED THAT you sign an agreement to reimburse the Trustees of the Plan. The amount of reimbursement is dependent upon the actual amount of your settlement and takes into account your legal expenses and the amounts you may be required to repay to your employer. If you release a third party of liability, without making a claim for lost wages, you will still be required to reimburse the Trustees. Therefore, in order to avoid your having to repay a loan without the offsetting recovery from the third party at fault, it is extremely important that you advise your adjuster or lawyer of your claim for lost wages at the beginning of any disability caused by the fault of a third party. 24 5$ %"
19 25.$ Overpayments may occur because of your STD benefits or disability loan payments being paid to you while you are awaiting a decision concerning your eligibility for other income benefits to which you may be entitled, for example from Workers Compensation, CPP disability benefits, Employer paid LTD Plan benefits or recovery from a third party. All overpayments must be repaid to the TWBP immediately after receiving a retroactive benefit from any other source. (E 55/1. 2/ STD benefits will not commence being paid while you are on a leave of absence from your employer or if you are either on strike or locked-out by your employer. STD benefits will begin on the date you would normally have returned to work. (E 9 Your monthly benefit will be reduced by the days paid from working. The following example assumes that a disabled member returns to work for 3 days and is based on a regular full-time employee with annual earnings of $45,000 and all figures are approximate: % 24 5$
20 Annual Earnings (pre-disability) $45,000 0 $!J Annual benefit amount: Daily benefit (i.e. $31,500/260.89) Monthly benefit (i.e. $ x days) 0 $ deducts 3 days days worked = x $ $31,500/annum (taxable) $120.74/day (taxable) $2,625 monthly (taxable) H'&')*=$ $%"J Annual benefit amount: Daily benefit (i.e. $8,100/260.89) Monthly Benefit (i.e. $31 x days) $8,100 $31 per day $675 monthly deducts 3 days days worked = x $31 H8"%9= $ #$ $ 3 days full pay $ x 3 H8%!=$ $ 4 4 H*&*)' (E / 5 a) 2 5$ - If you are disabled under the Plan, return to work and again become disabled within 90 calendar days following your Return to Work Date as a result of the same cause, it is considered a continuation of the same disability period. STD benefits will start from the time you again become disabled, however, the 24-month period will not restart. If you return to work for more than 90 calendar days and become disabled it is treated the same as a different cause of disability. b) 55$ - If you were disabled under the Plan, return to work and again become disabled as a result of a different cause, the subsequent disability is considered a new disability period c) 25$4$ / > Injury or sickness which was intentionally self-inflicted, while sane or insane; 24 5$ '
21 Participation in a rebellion, a riot, or disorderly conduct; Participation in a war or by service in the armed forces; Flying or air travel, except when flying in an aircraft for which a certificate of airworthiness has been issued by the appropriate government authority and which is operated by a properly licensed pilot; The commission of an offence under the Criminal Code of Canada or another country; Non-medical consumption of drugs or alcohol, except that the Trustees may approve a claim for disability benefits if the Member is being treated for chemical dependency or alcoholism; or Further, no STD benefits are payable while the Member: is institutionalized in a penitentiary or jail; resides at a place other than his ordinary residence or at a hospital; is not under the regular care of a physician. Members of B & C of the Plan pay the full cost of the benefits provided. There are no employer contributions. Contributions are made by payroll deduction and forwarded by your employer to the Plan Administrator. 4D The required contribution rates are a percentage of your actual gross earnings. A table showing the current required contributions for Regular and Temporary Employee Members, at various earnings levels follows: '% 24 5$
22 $+')E, 0/ $ / %68J $ %6J $1,500 $22.50 $ , , /1. You are required to continue your contributions during any unpaid leave of absence (LOA) in order to maintain your coverage. Your employer or the Plan Administration Office will advise you of the amount you are required to pay during a LOA. > If you do not pay the required contributions, your coverage lapses and you will be required to provide satisfactory medical evidence of insurability before rejoining the Plan. 45 If you become disabled under the terms of the Plan, all of your contributions will be waived and payroll deductions will stop as soon as your earnings stop being paid by your employer. No further contributions are required and your coverage continues as long as you remain disabled and an employee of the Company under the terms of the Plan. # Group Life, SIB and STD claim forms are available from the Plan Administration Office. 54 Your beneficiary should provide a completed claim form, together with proof of death (generally the Death Certificate), to the Plan Administration Office. This should be done as soon after the date of death as possible. 24 5$ ''
23 5$ ($./ $21. K - you must complete an Application for Short Term Disability Benefits; no additional medical certificate is required on initial application. ($./ $21. K - you must complete a special Application for Short Term Disability Benefits plus provide a medical certificate supporting disability. > At any time during disability you may be required to provide medical proof of continuing disability. ($25 5 If your claim for STD benefits is denied, you may appeal the decision by making a written request to the Trustees for their special consideration. 4 Your membership in the Telecommunication Workers Benefit Plan terminates on the earliest of the following dates: the date you are no longer employed by TELUS; the date you are no longer a Member of the TWU Bargaining Unit at TELUS./ If your membership under the Plan terminates due to termination of your employment or Plan termination, you will continue to be covered for Group Life Insurance and Survivor Income Benefit for a further 31 days. During this period you can apply to the Plan's insurance company for an individual policy of insurance for an amount not exceeding the total value of your coverage at the date your membership terminated. Although you would not have to provide medical evidence of insurability you may wish to do so in order to obtain lower premium rates which may be available to younger, non-smoking, low-risk individuals. '* 24 5$
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Staker Parson Short Term Disability Income Protection Plan Effective Date: 01/01/2006 Contact Information Plan Administrator: Address and Telephone #: Claims Administrator: Address and Telephone #: Staker
YOUR GROUP WEEKLY DISABILITY INCOME INSURANCE PLAN For Employees of Valley Schools Employee Benefit Trust 6CC000 Balsz Elementary School District B-14166 (9-13) E-Book CONTENTS CERTIFICATION PAGE.............................................
Buy-up Long Term Disability Insurance For the employees of Montana University System Answers To Your Questions About Coverage From Standard Insurance Company About This Booklet This booklet is designed
YOUR GROUP LIFE INSURANCE PLAN For Members of 6CC000 B-14564 4-15 CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE OF BENEFITS...........................................
Employee Group Benefits UNDERWRITTEN BY SUN LIFE ASSURANCE COMPANY OF CANADA INTEGRITYOne Partners, Inc. YOUR GROUP LIFE INSURANCE CONTAINS AN ACCELERATED BENEFITS OPTION. RECEIPT OF ACCELERATED BENEFITS
Member Handbook Regina Civic Employees Long Term Disability Plan Table of Contents About the Plan.. Eligibility and Enrollment.... Contributions Definition of Disability.. Applying for Benefits... Qualifying
The Lincoln National Life Insurance Company A Stock Company Home Office Location: Fort Wayne, Indiana Group Insurance Service Office: 8801 Indian Hills Drive, Omaha, NE 68114-4066 (800) 423-2765 Online:
BT Lifetime Super Employer Plan Additional Information Booklet Part 3 Insurance Dated: 1 July 2015 Last updated: 1 July 2015 About this Additional Information Booklet This document is Part 3 of the Additional
Table of Contents Section 4: Disability YOUR CALTECH DISABILITY BENEFITS... 4.1 Short Term Disability... 4.1 Paid Family Leave... 4.1 Long Term Disability... 4.1 YOUR BASIC AND SUPPLEMENTAL LONG TERM DISABILITY
University System of Maryland Your Group Life Insurance Plan Identification No. 115327 011 Underwritten by Unum Life Insurance Company of America 7/9/2013 CERTIFICATE OF COVERAGE The Group Insurance Policy
Group Life Insurance Plan Commentary TABLE OF CONTENTS YOUR GROUP LIFE INSURANCE PLAN... 3 PROTECTING YOUR PRIVACY... 4 ELIGIBILITY... 6 OVERVIEW... 9 CLAIMS... 13 BASIC LIFE INSURANCE... 14 BASIC AD&D
Life Insurance Plan for Full-Time Appointed Employees of IndianaUniversity University Human Resource Services Effective January 1, 2004 This booklet is designed to summarize the group Life Insurance Plan
YOUR GROUP LIFE INSURANCE PLAN For Employees of Louisana Sheriffs Association 6CC000 B-15022 (07-14) CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE OF BENEFITS...........................................
YOUR GROUP LIFE INSURANCE PLAN For Employees of University System of New Hampshire 6CC000 Class I B-12270 11-12 E-Book CONTENTS CERTIFICATION PAGE............................................. 1 SCHEDULE
WARNING : The Great West Life Assurance Company. This version of the contract is sent to you for convenience of reference only. Please refer to the most current paper version of this document. In the event
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper AMP Life Association and Personal fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document
YOUR GROUP INSURANCE PLAN BENEFITS LOCAL UNION 134 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS The enclosed certificate is intended to explain the benefits provided by the Plan. It does not constitute
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Standard Insurance Company A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 97204-1282 (503) 321-7000 Certificate: Group Life Insurance Policyholder: City of Seattle Policy Number: 608217-D
Section 4: Optional Benefits State of Oregon PEBB offers eligible employees the opportunity to select optional benefits. This section summarizes the following plans. Optional Employee and Spouse or Domestic
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BT Business Super Additional Information Booklet Part 3 Insurance Dated: 1 July 2015 Last updated: 1 July 2015 About this Additional Information Booklet This document is Part 3 of the Additional Information