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TURETMPreparenow nowwith withMy SecureAdvantage. TM.PrepareMy SecureAdvantageOnlyOnly42% 42%of U.S.havehavea will,a whichleavesnearly6 in 10Americanswithoutan anof adultsU.S. adultswill, whichleavesnearly6 in10 Americanswithoutend-of-lifeplan planin place.*It alsoleavesa burdenon familymembersto makehardhardchoicesend-of-lifein place.*It alsoleavesa burdenon familymembersto makechoicesat anatemotionaltime.time.an emotionalIt’s simple,convenient,and freeIt’s simple,convenient,and freeMy SecureAdvantagestaff canalsolocalMy SecureAdvantagestaffcanreferalso yourefertoyouto localattorneysto reviewyour legalYour planattorneysto reviewyour documents.legal documents.Your planMy SecureAdvantagetakes theguess-workout ofout ofMy SecureAdvantagetakesthe guess-workincludesa free a30-minutelegal consultationand a and25%a 25%includesfree 30-minutelegal consultationcompletinga will andother otherpersonaland businesscompletinga willmanyand manypersonaland businessdiscounton standardor hourlylegal feesadditionaldiscounton standardor hourlylegalforfeesfor additionallegal documents.And there’sno waitingwhen whenyou youlegal documents.And there’sno waitinglegal services.legal services.decidedecideto do toit. do it.My SecureAdvantage’saward-winninglegal formsmakesmakesMy SecureAdvantage’saward-winninglegal formsit easyittotakeof difficultlife andcare legaleasytochargetake chargeof difficultlifehealthand healthcare legaldecisions.You haveto hundredsof intelligent,decisions.Youaccesshave accessto hundredsof cludingyour lastwillstate-specific,web-basedincludingyourlast willand testament,living livingwill, powersof attorney,and more.and testament,will, powersof attorney,and more.Gettingstartedis easy.Gettingstartedis easy.Visit ntage.com›››Registeronlineonlineto createyour loginandIDuniqueRegisterto createyour IDloginand uniquepassword,and you’reready readyto startthe Legalpassword,and you’retousingstart usingthe LegalFormsFormstools andtoolsresources.and resources.Call 888.724.2262,Monday– FridayCall 888.724.2262,Monday– Fridayfrom from9:00 9:00am toam11:00pmESTto 11:00 pm EST(6:00(6:00am toam8:00pm PST)to speakto 8:00pm PST)to speakwith anMSArepresentative.with an MSA representative.All you’llgivetois giveyourisname,city, state,codeAllneedyou’lltoneedyour name,city,zipstate,zip codeand theandnameyourofemployeror planorsponsor.You Youthe ofnameyour employerplan sponsor.can alsovisitcigna.mysecureadvantage.comfor morecanalsovisit cigna.mysecureadvantage.comfor moreinformation,or to registerand accessonline onlinetools andinformation,or to registerand accesstools andeducationalresourcesand createlegal documents.educationalresourcesand createlegal documents.care ofimportantlegallegaldocumentsnow nowTakingcareof importantdocumentsSelectSelectthe legalyou wantcreateand andTakingthe documentslegal documentsyou towantto createcan helpgive youof mindfor thecan helpgivepeaceyou peaceof mindforfuture.the future.store themyourto worklater.store inthemindashboardyour dashboardto onworkon later.›* Care.com,“More ThanHalfThanof AmericanAdults Don’tHaveDon’ta Will,2017SurveyJanuary 2019.* Care.com,“MoreHalf of AmericanAdultsHavea Will,2017Shows”SurveyAccessedShows” AccessedJanuary 2019.My SecureMyAdvantageis a trademarkof CLC Incorporated(CLC). The(CLC).My SecureFinancial WellnessProgram isProgramindependentlyadministeredby CLC. CignadoesCignanot doesprovideSecure Advantageis a trademarkof CLC IncorporatedThe MyAdvantageSecure AdvantageFinancial Wellnessis independentlyadministeredby CLC.notfinancialprovide financialservices andmakesandnomakesrepresentationsor warrantiesas to the qualitythe informationon the CLConwebsitethe servicesCLC. Theseare NOTareinsuranceand do notservicesno representationsor warrantiesas to theof qualityof the informationthe CLCorwebsiteor theofservicesof CLC.programsThese programsNOT insuranceandprovidedo not providereimbursementfor financiallosses. Presentedhere are onlyof these programs.Full terms,Fullconditionsand exclusionsare containedin the applicableoffering descriptions.reimbursementfor financiallosses. Presentedherethearehighlightsonly the highlightsof these programs.terms, conditionsand exclusionsare containedin the applicableoffering descriptions.Program availabilitymay vary mayby planand typelocationis subjectchange.toCustomersare requiredpay thetoentirediscountedcharge forchargeany discountedproducts orservicesoravailableProgram availabilityvarytypeby planandandlocationand istosubjectchange. Customersare torequiredpay theentire discountedfor any discountedproductsservices availablethrough theseprograms.ProgramsProgramsare providedpartythirdvendorsare solelyresponsiblefor their productsservices.programsare not availablepoliciesthroughthese programs.are throughprovidedthirdthroughpartywhovendorswho aresolely responsiblefor their andproductsandTheseservices.These programsare not underavailableunderinsuredpoliciesbyinsured byCigna LifeCignaInsuranceCompanyCompanyof New York.Life Insuranceof New York.All Cigna productsservicesprovidedby or throughsubsidiariesof Cigna Corporation,including includingLife InsuranceCompanyCompanyof North AmericaConnecticutGeneral LifeAll Cigna andproductsandareservicesare exclusivelyprovided exclusivelyby oroperatingthrough operatingsubsidiariesof Cigna Corporation,Life Insuranceof NorthandAmericaand ConnecticutGeneral LifeInsuranceInsuranceCompany.Company.The CignaThename,logo,and a IntellectualProperty, Property,Inc.Cignaname,otherCignaby Cigna IntellectualInc.923962 03/192019 Cigna.Somecontentlicense.923962 03/19 2019Cigna.Someprovidedcontent underprovidedunder license.

Cignassurance ProgramWhere to go from hereTimely serviceswhen you need them most.When a loved one dies, your world can be turned upsidedown. You may find yourself faced with new challenges todeal with –insurance benefits, medical expenses, financialdecisions, unfamiliar legal questions, emotions that makeeverything harder to face – which can be overwhelming.We can help. As a beneficiary of an insurance policy,you will have questions.For starters, you should knowthat your money is safe in an account with Cigna. We’llexplain everything you need to know to access yourmoney. The Cignassurance Program also includesbereavement counseling, and financial andlegal assistance services that can help you during thistime.Caring guidance from people who knowand understand.While family and friends can offer comfort, you mightneed professional guidance and advice. Cigna can helpyou find the support you need. We offer access to free, noobligation, confidential bereavement services by phone24 hours a day, seven days a week. Whether you want totalk about your feelings of loss, or have questions aboutresources available in your community, our skilled staffcan direct you to the answers you need. No issue is toosmall to ask about. When you call Cigna you can access: Around-the-clock phone access to licensed therapistsand nurses Coordination of referrals to the Cigna BehavioralHealth Network for one or two free face-to-face bereavementcounseling sessions A call from our counselors, 14 to 21 days after a referralis made, to see how you’re doing Referrals to community-based programs including selfhelp groups and educational programsProfessional assistance with financialand legal issues.If you have legal questions, Cigna offers you a 30 minutefree telephone consultation with a licensed, practicingattorney. Then, if you need additional legal assistance, wecan refer you to an attorney in a local network for a 25%discount on usualfees. Participatingattorneysspecialize in willpreparation andestate settlements.Planning financiallyfor the future can bea source of stress.We also offer a free30 minute free telephone consultation with professionalswho have extensive experience in financial services.These professionals include Certified Public Accountants,Certified Financial Planners, Chartered FinancialConsultants, Registered Investment Advisors, CharteredLife Underwriters, Stockbrokers, and Personal FinancialSpecialists. We also facilitate additional referrals tofinancial professionals who can assist you with otherfinancial needs (additional charges may apply).The peace of mind you need.The time to think about your decisions.Once your claim is approved, your insurance benefitswill be placed into a free Cignassurance account wherethey are secure and earning interest. Your principal andany interest credited to your Cignassurance account arefully guaranteed by the insurance company. You haveimmediate access to this money, and there’s no pressurefor you to make any decisions about it until you’re ready– it’s there when you need it. For your convenience, weprovide you with a personal book of drafts. You may writean unlimited number of drafts, in any amount, at any time.Knowing that your money is available, safe, and earninginterest gives you time to decide what to do with it. Youmay keep your money in this account for as long as youlike.Call us at 1.800.570.3778The Cignassurance Program for beneficiaries is available to beneficiariesreceiving coverage checks over 5,000 from Cigna Group Life andPersonal Accident Programs. Phone and face-to-face counselingsessions must be used within one year of the date the claim is approved.Cignassurance accounts are not deposit account programs and arenot insured by the Federal Deposit Insurance Corporation or any otherfederal agency. Account balances are the liability of the insurancecompany and the insurance company reserves the right to reduce accountbalances for any payment made in error.CAPITAL INSURANCE AGENCY, INC.9

VALUABLE IDENTITYTHEFT PROTECTIONRestoration and Prevention fromMy Secure AdvantageTMIdentity Theft occurs when someone uses your personal identifying information, like your name, Social Securitynumber, or credit card number, without your permission, to commit fraud or other crimes. It is America’s fastestgrowing crime, victimizing about 15.4 million people in 2017.*Valuable help before and after identity theft.As part of your Cigna plan, My Secure Advantage identitytheft services provides tools and personal guidance tohelp with identity theft prevention, detection andresolution, including:›››A fraud resolution “emergency response kit” tohelp with:– Obtaining a free credit report– Credit freezes– Sample Dispute Letters– How to file a police reportA free 30-minute consultation with a FraudResolution Specialist for victims of identity theft,or to learn how to better protect yourself fromidentity theftInformative tips, articles and blogs on the website.* Javelin Strategy and Research, February 2018.Getting started is easy››Call 888.724.2262, Monday – Friday from 9:00 amto 11:00 pm EST (6:00 am to 8:00 pm PST)Press 2 for a Fraud Resolution SpecialistTMTo learn more and register online, visitcigna.mysecureadvantage.comCreate your login ID and unique password and you’reready to start using the website tools and resources.My Secure Advantage is a trademark of CLC Incorporated (CLC). The My Secure Advantage Financial Wellness Program is independently administered by CLC. Cigna does not provide financialservices and makes no representations or warranties as to the quality of the information on the CLC website or the services of CLC.These programs are NOT insurance and do not provide reimbursement for financial losses. Presented here are only the highlights of these programs. Full terms, conditions and exclusions arecontained in the applicable offering descriptions. Program availability may vary by plan type and location and is subject to change. Customers are required to pay the entire discounted charge forany discounted products or services available through these programs. Programs are provided through third party vendors who are solely responsible for their products and services. These programsare not available under policies insured by Cigna Life Insurance Company of New York.All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Life Insurance Company of North America and Connecticut General LifeInsurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.923973 03/19 2019 Cigna. Some content provided under license.

Plan Enrollment Application/Change FormPlan underwritten by Life Insurance Company of North America (LINA), a Cigna CompanyTO ALL FULL-TIME EMPLOYEES OF PARTICIPATING DEPARTMENTSThis is your opportunity to enroll in an excellent, low-cost Group Term Life Insurance Plan sponsored by your Department. If you ELECT TO HAVE COVERAGE, complete and sign the APPLICATION (Section I) or apply online at www.capitalins.com. If you desire to make a policy change (beneficiary or name), complete and sign the POLICY CHANGE (Section II),Attention: THIS FORM MUST REMAIN INTHE EMPLOYEE’S PERSONNEL FILE.Caution: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files astatement of claim or an application containing any false, incomplete, or misleading information is guilty ofa felony of the third degree.I. APPLICATION FOR GROUP TERM LIFE INSURANCE COVERAGEEMPLOYEE NAMEAGENT:CIRCLE REGION:DOB SSNEMPLOYEE HOME ADDRESSEMPLOYEE ID#DEPTDATE OF HIRECOUNTY OF EMPLOYMENTWORK PHONEPERSONAL PHONEPRIMARY BENEFICIARY NAME(S)DOBRELATIONSHIP%PRIMARY BENEFICIARY NAME(S)DOBRELATIONSHIP%CONTINGENT BENEFICIARY NAMEDOBRELATIONSHIP%If more names are needed please complete additional form.I hereby apply for the amount of Group Term Life Insurance for which I am eligible under my employer’s Group Insurance Plan.I authorize deductions from my earnings in the amount required to cover my premiums.EMPLOYEE SIGNATURE DATEPERSONAL EMAILII. POLICY CHANGE ONLYEMPLOYEE NAMEDOBSSNEMPLOYEE HOME ADDRESSEMPLOYEE ID#DEPTPERSONAL PHONEo BENEFICIARY CHANGEPRIMARY BENEFICIARY TO:LAST NAMEFIRST NAMERELATIONSHIPCONTINGENT BENEFICIARY TO: LAST NAMEFIRST NAMERELATIONSHIPo NAME CHANGECHANGE MY NAME FROMTOEMPLOYEE SIGNATURE DATEIII. BENEFICIARY DESIGNATIONThe beneficiary for life insurance on the lives of your spouse and children will automatically be you, if surviving, otherwise the estateof the spouse and children, subject to policy provisions. A beneficiary for employee Life Insurance may be changed upon writtenrequest. If you need assistance, contact your benefits administrator at (800) 888-5256 or your own legal counsel.IV. FOR PERSONNEL USE ONLYPLEASE FILE ORIGINAL IN EMPLOYEE’S PERSONNEL FILE. Fax a copy toCapital Insurance Agency. (850) 386-7116. DO NOT MAIL TO COMPANY262Samas CodeDistrict/div CodeEffective Date of InsuranceDeduction AmountDeduction CodeDate Processed/Initial123

Capital Insurance Agency appreciates theopportunity to provide for the insuranceneeds of State of Florida employees.“We’re HereTo Help You!”We have regional officeslocated across the statein addition to our fullylicensed home officestaff to service state employees. Contact yournearest Regional Officefor questions, forms orassistance.“Cigna” and the “Tree of Life” logo are registeredservice marks of Cigna Intellectual Property, Inc.,licensed for use by Cigna Corporation and itsoperating subsidiaries. All products and services areprovided exclusively by such operating subsidiaries,including Life Insurance Company of North America,and not by Cigna Corporation.Administrative Office: Jacksonville, FLCAPITAL INSURANCE AGENCY, INC.“We’re Here To Help You!”Contact Capital Insurance Agency1HOME OFFICE1425 E. Piedmont Dr.,Suite 301Tallahassee, FL 32308P.O. Box 15949Tallahassee, FL 32317-59492(800) 780-3100(850) 386-3100FAX (850) 386-7116groupdepartment@capitalins.com3REGIONAL LOCATIONSREGION 1REGION 2REGION 3Robert E. ‘Ed’ MillerRegional Director2236 Capital Circle NE,Suite 104Tallahassee, FL 32308David F. Spivey Jr., MDRT Regional Director1537 Dale MabryHighway, Suite 102Lutz, FL 33548Mariam Spaulding, LUTCFRegional Director5491 University Dr.,Suite 103Coral Springs, FL 33067www.capitalins.comThis Plan Marketed and Serviced ByCapital Insurance Agency, Inc.This information is a brief description of important features of the plan. It is not a contract. Terms and conditions of coverage are set forth in Group PolicyNo. FLX-200033, on Policy Form TL-004700, issued in Florida to the State of Florida. The group policy is subject to the laws of the jurisdiction in which it isissued. The availability of this offer may change. Please keep this material as a reference.Rev. 2/20, #848441F12GROUP TERM LIFE INSURANCE PROGRAM

Term Life Insurance Plan For Full-Time Employees of the State of Florida Enhancements at No Additional Cost To You: 100% Bonus Benefit Accidental Death and Dismemberment Benefit 15,000 Life Insurance Protection on Your Spouse 10,000 Life Insurance Protection on Your Eligible Child(ren) This plan marketed & serviced by Capital Insurance Agency .