Life and AD&D

Life and Accidental Death and Dismemberment (AD&D) insurance through Lincoln Financial, provides financial security to you and your family if you pass away or become seriously injured.

Basic Life and AD&D:

As an eligible employee, you receive both Basic Life and Basic AD&D insurance equal to 1.5 times your annual earnings to a maximum of $750,000. Coverage exceeding $50,000 is subject to imputed income. This means the premium for any amount over $50,000 must be included as income and will be subject to Social Security and Medicare taxes, which may be reflected in your paycheck. The cost of Basic Life and AD&D coverage is sponsored by Databricks.

Voluntary Life/AD&D:

In addition to Basic Life and AD&D, you may buy Optional Life and AD&D coverage at discounted rates that you may not be able to secure on your own. The chart below describes the amounts of coverage you can buy for yourself, your spouse, and your child(ren).

Benefit Features: Voluntary Life and AD&D Options*

	Employee	Spouse	Dependent Child(ren) (under age 26)
Coverage Options	Increments of $10,000	Increments of $5,000	$5,000 or $10,000
Maximum	$1,000,000	$250,000 (cannot exceed employee coverage)	$10,000
Guaranteed Issue Amount	$300,000	$50,000	$10,000

Guaranteed Issue Period: Within 30 days of benefits eligibility or a qualifying life event

*Evidence of Insurability (EOI) may be required.

How much voluntary Life and AD&D insurance should I buy?

When deciding how much voluntary Life and AD&D coverage to buy, consider the following three factors:

How much will your dependents need to pay debts, such as a mortgage, car loan, or credit card balances?
How much do your dependents need to maintain their current standard of living?
What kind of future would you like to provide for your dependents or others who depend on you for financial support?

Who should be my beneficiary?

You may choose anyone to be the beneficiary of your Life and AD&D policy in the event of your death or serious injury. Once you select your beneficiary, your designation will remain unchanged until you submit a new beneficiary designation form. We encourage you to periodically review your beneficiary designations to ensure they are up to date and accurate.

How do I review or update my beneficiary?

You can review or update your beneficiaries for your Life/AD&D policies in Workday by selecting the Benefits & Pay app from the home page. When you are redirected, select Beneficiaries found under the Benefits section on the top left of the page. If you have additional questions, please contact peopleops@databricks.com.

Cost of Coverage

Voluntary Life Premiums - Employee and Spouse

Employee	Cost per $1,000 of coverage	Spouse	Cost per $1,000 of coverage
Under age 24	$0.050	Under age 24	$0.050
25-29	$0.055	25-29	$0.055
30-34	$0.066	30-34	$0.066
35-39	$0.084	35-39	$0.084
40-44	$0.100	40-44	$0.100
45-49	$0.150	45-49	$0.150
50-54	$0.230	50-54	$0.230
55-59	$0.430	55-59	$0.430
60-64	$0.660	60-64	$0.660
65-69	$1.270	65-69	$1.270
70-99	$2.060	70-99	$2.060

Voluntary Life Premiums - Children

Age	Coverage Amount
Birth to age 26	$0.197 per $1,000 of coverage

Voluntary AD&D Premiums

Employee	Spouse / Domestic Partner	Child(ren)
$0.030/$1,000 of coverage	$0.030/$1,000 of coverage	$0.030/$1,000 of coverage

Learn more

Evidence of Insurability (EOI)

Evidence of Insurability (EOI) is the process of providing health information to qualify for certain types of insurance coverage. If you elect Optional Life and AD&D coverage above the guaranteed issue limit or outside of the guaranteed issue period, you will be required to submit a health questionnaire (in some cases, a physical exam may be required). Go to www.mylincolnportal.com to complete your EOI online (company code: Databricks).

Contact

Lincoln Financial Policy #09-LF0388 800-210-0268 www.mylincolnportal.com Company Code: Databricks