Page 1 of 6 Engility Corporation Full-Time Basic and Supplemental Term Life and Accidental Death and Personal Loss Coverage (AD&D Ultra ) Benefit Election Period: 10/26/2015 to 11/10/2015 Coverage Effective Date: 01/01/2016 Your Group Life Insurance Benefits Protecting your greatest asset - your family Am I eligible for coverage? You qualify if you are an active full-time employee working at least 30 hours a week. You must be working in an eligible group as defined by your employer. When does my coverage begin? When does coverage become effective?* The "Guaranteed Issue Amount" is the most coverage you can get without having to submit Evidence of Insurability (EOI). Coverage up to the Guaranteed Issue Amounts will begin on 01/01/2016. *You must be actively-at-work for your coverage to begin. Other rules may apply. Please review your policy documents for more information. Do I have to provide proof of good health (EOI) to enroll? EOI is not required up to specified "Guaranteed Issue Amounts" if you or your dependents have never been declined for coverage and you enroll in the Supplemental Life insurance during this Special Enrollment Period. If you and your dependents are currently covered, you may be able to increase coverage without EOI. An EOI Form (medical questionnaire) will be required for amounts over the "Guaranteed Issue Amounts" and for any amount if you enroll late. When will coverage that requires proof of good health (EOI) begin? Coverage will begin after Aetna reviews and approves your EOI. If EOI is not approved, coverage will be limited to any "Guaranteed Issue Amounts" that apply. How much coverage does my Employer provide? Employer Paid - Term Life Your employer pays for a benefit in the amount of: You: 1.5 times your basic annual earnings rounded to the next higher $1,000 to a maximum of $1,000,000 or $50,000 Employer Paid - AD&D Ultra Your employer pays for a benefit in the amount of: You: 1.5 times your basic annual earnings rounded to the next higher $1,000 to a maximum of $1,000,000 Life insurance provides your loved ones with financial protection if you die. It can help pay your final expenses like funeral and burial; everyday living expenses like mortgage or rent, car payments and groceries; future expenses like college tuition payments. AD&D Ultra provides additional financial protection for the unexpected. AD&D Ultra pays a benefit if you are dismembered as the result of an accident, or an additional benefit to your life insurance benefit if you die as the result of an accident. It will also provide benefits for accidental; loss of eyesight, hearing or speech, loss of a limb, loss of limb use due to paralysis, disfiguring third-degree burns, or coma. Your basic coverage may begin to reduce when you reach a certain age.
Page 2 of 6 Engility Corporation- Full-Time Can I buy coverage and how much will it cost? You can buy coverage called Supplemental Life insurance for yourself and your spouse and children. You can purchase Supplemental AD&D Ultra coverage for yourself and your spouse and children. Supplemental Life Coverage Available Coverage Amounts You 1, 2, 3, 4, 5, 6, 7 or 8X Basic Annual Earnings up to a maximum of $1,000,000 Your Spouse Options of: $25,000; $50,000; or 1, 2, 3 or 4X employee s Basic Annual Earnings Child(ren) Options of: $10,000, $20,000 or $30,000 Guaranteed Issue Amounts New Hire/Newly Eligible* Special Enrollment 10/26/2015-11/10/2015** You 5X Basic Annual Earnings or $600,000, whichever is less 1 or 2X Basic Annual Earnings or $300,000, whichever is less Your Spouse $50,000 Child(ren) $30,000 $30,000 *Available during initial eligibility period. See your policy documents for more information. **Special Enrollment 2015: Employees who are not currently covered can enroll by 1 or 2x your Basic Annual Earning up to a maximum of $300,000, without EOI. Currently covered employees can increase already existing coverage amounts by up to 2X your Basic Annual Earnings up to $300,000, not to exceed current GI of 5x or $600k. Employee must buy supplemental life coverage to buy dependent life coverage. Dependent coverage cannot exceed 100% of employee s coverage amount. Child(ren) Eligibility: Live Birth to age 26 Spouse rated on Employee's age Monthly Rates for Term Life Insurance (rate per $1,000) Age bands <20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Employee 0.037 0.037 0.045 0.058 0.066 0.077 0.117 0.179 0.332 0.495 0.968 1.700 1.700 Spouse 0.037 0.037 0.045 0.060 0.068 0.076 0.115 0.176 0.332 0.507 0.990 1.693 1.693 Child(ren): $0.085 per $1,000 of coverage
Page 3 of 6 Supplemental AD&D Ultra Coverage You Your Spouse Child(ren) Coverage Amounts 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10X Basic Annual Earnings up to a maximum of $1,000,000 75% of employee's elected amount (60% if child included) 25% of employee's elected amount (15% if spouse included) Supplemental AD&D Monthly Rates Employee rate is $0.017 per $1,000 of coverage. Employee plus Family rate is $0.029 per $1,000 of coverage. Reductions that apply to Life Insurance Your coverage will reduce as you age. Your coverage will reduce as follows: At age 65 your coverage will reduce by 8% of the original amount. At age 66 your coverage will reduce by 16% of the original amount. At age 67 your coverage will reduce by 24% of the original amount. At age 68 your coverage will reduce by 32% of the original amount. At age 69 your coverage will reduce by 40% of the original amount. At age 70 your coverage will reduce by 50% of the original amount. What additional features should I know about? Accelerated Death Benefit Provision AD&D Ultra Features A benefit is paid to your surviving spouse/domestic partner or dependent children if you die in an accident. Conversion If your coverage ends or is reduced, you can convert your term life policy to a Whole Life Policy. You may be eligible to receive up to 80% of your (combined basic and supplemental) life insurance coverage if diagnosed with a terminal or serious medical condition. Seatbelt/airbag benefits: If you or your dependent die from a motor vehicle accident while wearing a seatbelt, a benefit is paid. An added benefit is paid if an airbag inflated. Educational benefit: For your spouse and each eligible dependent child under 23. Childcare Benefit: For each dependent child under 13 to help pay for childcare. Repatriation of Mortal Remains: If you or your dependent die in an accident 200 miles or more from home, a benefit will be paid to transport the body to your hometown funeral home. You may convert your basic and/or supplemental coverage into a Whole Life Policy with rates based on your age at that time by paying premiums directly to Aetna. Whole life insurance is generally more expensive than term insurance so a change in your premium may apply. You will have 31 days to convert your coverage without answering any medical questions.
Page 4 of 6 Portability If you leave your employer, you can take your term life plan with you. You have an additional option to conversion. You can continue your basic and/or supplemental life insurance as a term policy by paying premiums directly to Aetna. Term insurance is generally less expensive than Whole Life insurance but your rates will increase as you reach higher age bands. You will have 31 days to convert or port your coverage without answering any medical questions. Aetna Life Essentials Aetna Life Essentials web address: www.aetna.com/aetnalifeessentials/ Legal: Create a will, living will, health care directive or a durable/financial power of attorney. Financial: Financial planning to help your beneficiaries maximize their life/ad&d Ultra payment. Emotional: Master-level social workers provide emotional support in the event of an advanced illness or disabling condition. Physical: Save on gym memberships, fitness equipment, eyeglasses, contact lenses and hearing aids. Funeral Planning and Concierge Services Advisory Assistance to help you and your family make decisions on all funeral-related issues. Planning advice and cost-comparison tools available 24/7 by phone and online. Call 1-800-913-8318 or visit www.everestfuneral.com/aetna (Ask your Human Resources department for your company code.) Premium calculation Calculation: Step 1: Benefit / 1000 = # Units Step 2: # Units x Age-banded Rate = $ Premium Per Month Step 3: Monthly Premium x 12 = Annual Premium / # Pay Periods = $ Payroll Deduction Example: 35 year old, $100,000 Benefit Step 1: Step 2: $100,000 / 1000 = 100 Units 100 x 0.07 (35 year old rate) = $6.60 Premium Per Month
Page 5 of 6 Supplemental Term Life Employee Coverage Amounts and Monthly Premiums Age $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 <20 $0.37 $0.74 $1.11 $1.48 $1.85 $2.22 $2.59 $2.96 $3.33 $3.70 20-24 $0.37 $0.74 $1.11 $1.48 $1.85 $2.22 $2.59 $2.96 $3.33 $3.70 25-29 $0.45 $0.90 $1.35 $1.80 $2.25 $2.70 $3.15 $3.60 $4.05 $4.50 30-34 $0.58 $1.16 $1.74 $2.32 $2.90 $3.48 $4.06 $4.64 $5.22 $5.80 35-39 $0.66 $1.32 $1.98 $2.64 $3.30 $3.96 $4.62 $5.28 $5.94 $6.60 40-44 $0.77 $1.54 $2.31 $3.08 $3.85 $4.62 $5.39 $6.16 $6.93 $7.70 45-49 $1.17 $2.34 $3.51 $4.68 $5.85 $7.02 $8.19 $9.36 $10.53 $11.70 50-54 $1.79 $3.58 $5.37 $7.16 $8.95 $10.74 $12.53 $14.32 $16.11 $17.90 55-59 $3.32 $6.64 $9.96 $13.28 $16.60 $19.92 $23.24 $26.56 $29.88 $33.20 60-64 $4.95 $9.90 $14.85 $19.80 $24.75 $29.70 $34.65 $39.60 $44.55 $49.50 65-69 $9.68 $19.36 $29.04 $38.72 $48.40 $58.08 $67.76 $77.44 $87.12 $96.80 70-74 $17.00 $34.00 $51.00 $68.00 $85.00 $102.00 $119.00 $136.00 $153.00 $170.00 75+ $17.00 $34.00 $51.00 $68.00 $85.00 $102.00 $119.00 $136.00 $153.00 $170.00 Supplemental Term Life Spouse Coverage Amounts and Monthly Premiums Age $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 <20 $0.37 $0.74 $1.11 $1.48 $1.85 $2.22 $2.59 $2.96 $3.33 $3.70 20-24 $0.37 $0.74 $1.11 $1.48 $1.85 $2.22 $2.59 $2.96 $3.33 $3.70 25-29 $0.45 $0.90 $1.35 $1.80 $2.25 $2.70 $3.15 $3.60 $4.05 $4.50 30-34 $0.60 $1.20 $1.80 $2.40 $3.00 $3.60 $4.20 $4.80 $5.40 $6.00 35-39 $0.68 $1.36 $2.04 $2.72 $3.40 $4.08 $4.76 $5.44 $6.12 $6.80 40-44 $0.76 $1.52 $2.28 $3.04 $3.80 $4.56 $5.32 $6.08 $6.84 $7.60 45-49 $1.15 $2.30 $3.45 $4.60 $5.75 $6.90 $8.05 $9.20 $10.35 $11.50 50-54 $1.76 $3.52 $5.28 $7.04 $8.80 $10.56 $12.32 $14.08 $15.84 $17.60 55-59 $3.32 $6.64 $9.96 $13.28 $16.60 $19.92 $23.24 $26.56 $29.88 $33.20 60-64 $5.07 $10.14 $15.21 $20.28 $25.35 $30.42 $35.49 $40.56 $45.63 $50.70 65-69 $9.90 $19.80 $29.70 $39.60 $49.50 $59.40 $69.30 $79.20 $89.10 $99.00 70-74 $16.93 $33.86 $50.79 $67.72 $84.65 $101.58 $118.51 $135.44 $152.37 $169.30 75+ $16.93 $33.86 $50.79 $67.72 $84.65 $101.58 $118.51 $135.44 $152.37 $169.30
Page 6 of 6 Child(ren) Term Life Child(ren) Coverage Amount and Monthly Premiums Rate $10,000 $20,000 $30,000 Child(ren) $0.085 $0.85 $1.70 $2.55 Supplemental AD&D Ultra Employee, Family Coverage Amount and Monthly Premiums Rate $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 Employee $0.017 $0.17 $0.34 $0.51 $0.68 $0.85 $1.02 $1.19 $1.36 $1.53 Family $0.029 $0.29 $0.58 $0.87 $1.16 $1.45 $1.74 $2.03 $2.32 $2.61 Supplemental AD&D Ultra Employee, Family Coverage Amount and Monthly Premiums Rate $100,000 Employee $0.017 $1.70 Family $0.029 $2.90