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Disclosures:

The Prescription Discounts, Urgent Care Discounts and Diagnostic Imaging Discounts are NOT insurance or a qualified health plan under the Affordable Care Act. These are discounts for certain medical services and products offered by providers who have agreed to participate in this offering to enrolled drivers. The range of discounts for the medical services and products offered under this offering will vary depending on the type of provider and medical services or products received. This offering does not make and is prohibited from making payments to providers for medical services or products received under this offering. Enrolled drivers are required and obligated to pay for these medical services and products but will receive a discount from the contracted providers. The Discount Medical Plan Organization arranging for these discounts is Alliance HealthCard of Florida, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244. You may call 1-888-409-2202 or visit blackcarfund.mymemberguide.com/locate for a list of providers.

To obtain detailed information regarding The Dental and Vision Insurance benefits, including disclosures, limitations, and exclusions; visit My Member Info or call Drivers Benefits at 1-833-814-8590.

Accident Disability Insurance Plan Disclosure:

*Monthly Benefit Amount is 70% of your pre-disability net driving income up to $1,500 per month, subject to $1,000 per month minimum monthly benefit for covered drivers, to be paid after a 30-day elimination period, for up to 1 year due to Disability caused by a non-work accident. See Certificate of Insurance for complete information (including exclusions, limitations, and terms and conditions of coverage).

The Hartford Financial Services Group, Inc., (NYSE: HIG) operates through its subsidiaries, including underwriting company Hartford Life and Accident Insurance Company, under the brand name, The Hartford®, and is headquartered at One Hartford Plaza, Hartford, CT 06155. For additional details, please read The Hartford’s legal notice at www.thehartford.com. Please see the Certificate of Insurance for more information (including exclusions, limitations, and terms of coverage).

Disability Form Series includes GBD-1001, GBD-1201, or state equivalent.

Policy Number: AGP-5969

**Personal Accident Insurance Disclosure:

Covered services/treatments must be the result of an accident or sickness as defined in the group policy/certificate. See your Disclosure Statement or Outline of Coverage/Disclosure Document for more details. METLIFE’S ACCIDENT INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY. The policy is not intended to be a substitute for medical coverage and certain states may require the insured to have medical coverage to enroll for the coverage. The policy or its provisions may vary or be unavailable in some states. There are benefit reductions that begin at age 65, if applicable. Like most group accident and health insurance policies, policies offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force.

For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Metropolitan Life Insurance Company, New York, NY 10166 © 2023

MetLife Services and Solutions, LLC L1222028153[exp1224][All States][DC,GU,MP,PR,VI]

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