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THE <br />HARTFORD <br />Aggregate Summary for All Lines <br />Inforce Monthly <br />Premium <br />Renewal <br />Premium <br />Change <br />Basic Employee Life <br />$4,613 <br />$4,613 <br />0% <br />Basic ADD <br />$904 <br />$904 <br />0% <br />Supplemental Employee Life <br />$20,001 <br />$20,001 <br />0% <br />Supplemental ADD <br />$2,373 <br />$2,373 <br />0% <br />Long Term Disability <br />$5,575 <br />$5,575 <br />0% <br />Total <br />$33,466 <br />$33,466 <br />0% <br />With this rate structure the employer may be electing to partially support employer paid coverages <br />with the rate for the employee paid coverages. This means that premiums paid for one coverage <br />may cover the cost of another coverage under the Plan. When we quote rates with such partial <br />support between the employee paid and employer paid coverages we do so with the understanding <br />that the employer and employee coverages are part of a single ERISA plan sponsored by the <br />employer and that the employer has determined that the rate structure is consistent with <br />information provided to employees and with its ERISA obligations. For those cases that are not <br />governed by ERISA, we are quoting the rates with the understanding that the employer has <br />determined the rate structure is consistent with the information provided to employees. If our <br />understanding is not accurate, please contact us. <br />r r R' 55A-38 ; ,' " <br />