Basic Term Life Insurance

Basic Term Life Insurance may provide a benefit to employees and their eligible dependents if any were to die while the employee was working for Leidos.

How Basic Term Life Insurance Works

Eligible employees automatically receive Basic Term Life Insurance coverage for themselves and their eligible dependents, including their spouse or registered domestic partner and their dependent children. Leidos pays the full cost of Basic Term Life Insurance coverage. Additional information can be found in the Evidence of Coverage.

Basic Term Life Insurance benefit amounts over $50,000 are subject to income tax. The value of an employee’s life insurance coverage over $50,000 will be added each year to his or her W-2 form as taxable income. This is called “imputed income.”

The employee may choose to waive any coverage over $50,000 at any time. However, if an employee waives coverage over $50,000, the employee may only increase to the one (1) times annual compensation during a life event or during open enrollment. An employee must be actively at work to increase this coverage.

Coverage

The amount of coverage that an employee may receive is based on his or her classification.

Class	Basic Term Life Insurance Benefit	Detailed Plan Information
All regular full-time employees working at least 30 hours per week and regular part-time employees working 12 – 29 hours per week and who are benefit eligible	Greater of $50,000 or one (1) times annul compensation, rounded to the next higher multiple of $1,000 if not already a multiple of $1,000,prior to calculating the amount of insurance, to a maximum of $1 million	Plan Summary

_{*"Annual compensation" means an employee's annual wage or salary as reported by his or her employer for the work performed as of the date of loss. It does not include earnings received as bonuses, overtime pay or other extra compensation.}

When an employee reaches age 70, the total amount of the employee's Basic Term Life Insurance benefit will be reduced by 35%. The amount lost due to the age reduction is not eligible for port or conversion.

Coverage for an employee's eligible dependents equals $2,000 per person. Under the Basic Term Life Insurance plan, an eligible dependents may include the employee's spouse or registered domestic partner, employee's natural child(ren), legally adopted child(ren), child(ren) placed with the employee for adoption prior to legal adoption¹ and the employee's stepchild(ren)² or Domestic Partner's child(ren)².

Refer Eligibility in the Participating in the Plans section for more information about eligibility requirements.

¹_{A child placed with an employee for adoption prior to legal adoption is considered a Qualified Dependent from the date of placement for adoption.}

²_{To qualify for this benefit, a stepchild or registered domestic partner's child must reside with the Leidos participant.}

Other Information

Basic Term Life Insurance also pays additional benefits, including:

Accelerated Benefits — If an employee becomes terminally ill and is not expected to live for more than 12 months, he or she may request an accelerated benefit. The accelerated benefit is equal to 50% of the Basic Term Life Insurance coverage amount, up to a maximum of $250,000. Any remaining benefit amount will be paid to the employee’s designated beneficiary upon their death or to the employee upon the death of a covered dependent.

IMPORTANT INFORMATION FOR RESIDENTS OF CERTAIN STATES: There are state-specific requirements that may change the provisions under the Coverage(s) described in this Group Insurance Certificate. If you live in a state that has such requirements, those requirements will apply to your Coverage(s) and are made a part of your Group Insurance Certificate. Prudential has a website that describes these state-specific requirements. When you access the website, you will be asked to enter your state of residence and your Access Code. Your Access Code is 52844.

Leidos is required by law to inform you about the relationship between your insurer (Prudential) and their third-party administrator (“TPA”), Accenture Insurance Services, LLC. View the TPA Disclosure Notice.

Benefits for part-time employees will be calculated by using their pay, pro-rated by their regularly scheduled hours per week.