Document:

EX-10.2

 Exhibit 10.2 

APPROVED FORM (October 5, 2016) 

CHANGE IN CONTROL AGREEMENT 

THIS CHANGE IN CONTROL AGREEMENT (this “Agreement”) is made the      day of
             2016, among ICC HOLDINGS, INC., a Pennsylvania corporation (“ICC Holdings”), ILLINOIS CASUALTY COMPANY, an Illinois insurance company and wholly-owned
subsidiary of ICC Holdings (“Company” or “Employer”), and                     , an adult individual
(“Employee”). 
 WHEREAS, Employee is currently employed as the
                     of Employer; and 

WHEREAS, Employer desires to induce Employee to remain in its employ on an impartial and objective basis in the event of a transaction
pursuant to which a Change in Control (as defined in Section 2(b) of this Agreement) of Employer occurs, and is willing to provide Employee the additional benefits provided herein in consideration of Employee’s continued employment
and the additional non-competition, non-disclosure and non-solicitation covenants provided herein. 

NOW, THEREFORE, the parties hereto, intending to be legally bound hereby, agree as follows: 

1. TERM OF AGREEMENT. 

(a) GENERAL. This Agreement shall be for a period commencing on the date of this Agreement and ending on December 31, 2017 (the
“Initial Term”); provided, however, that, commencing on January 1, 2018 and on January 1 of each succeeding year (each an “Annual Renewal Date”), the Initial Term shall be automatically extended for one
(1) additional year from the applicable Annual Renewal Date (each, an “Extension”), unless Employer or Employee shall give written notice of nonrenewal to the other party at least sixty (60) days prior to an Annual Renewal Date,
in which event this Agreement shall terminate at the end of the then existing Term. References in this Agreement to the “Term” shall refer to the Initial Term and the terms of any Extensions as may become effective. Notwithstanding the
foregoing, in the event of a Change in Control, the Term shall be no shorter than one (1) year after the date of the Change in Control. 

(b) TERMINATION FOR CAUSE. Notwithstanding the provisions of Section l (a) of this Agreement, this Agreement shall terminate
automatically upon termination by Employer of Employee’s employment for Cause. As used in this Agreement, “Cause” shall mean the following: 

(i) Employee’s material breach of this Agreement or any other agreement with Employer to which Employee is a party; 

(ii) Employee’s material failure to adhere to any written policy of Employer generally applicable to employees of Employer if Employee
has been given thirty (30) days written notice of the failure to adhere and a reasonable opportunity to comply with such policy or cure Employee’s failure to comply; 

  
 1 

 (iii) Employee’s appropriation or attempted appropriation of a business opportunity of
Employer, including attempting to secure or securing any business or personal profit in connection with any transaction entered into on behalf of Employer; 

(iv) Employee’s misappropriation or attempted misappropriation of any of Employer’s funds or property (including any intellectual
property of Employer); 
 (v) Employee’s conviction of, or the entering of a guilty plea or plea of no contest with respect to, a
felony or the equivalent thereof involving dishonesty or breach of trust and the penalty for such offense could be imprisonment for more than one year; or 

(vi) Employee’s conviction of an offense involving Moral Turpitude (as defined below) under the provisions of any federal, state or
local laws or ordinances, or Employee’s use of alcohol, narcotics or illegal drugs to such an extent that will cause a material detrimental effect on Employer. For purposes of this Agreement, “Moral Turpitude” shall include the
following: (A) that element of personal misconduct in the private and social duties which a person owes to his fellow human beings or to society in general, which characterizes the act done as an act of baseness, vileness or depravity, and
contrary to the accepted and customary rule of right and duty between two human beings; (B) conduct done knowingly contrary to justice, honesty or good morals; or (C) intentional, knowing or reckless conduct causing bodily injury to
another or intentional, knowing or reckless conduct which, by physical menace, puts another in fear of imminent serious bodily injury. 
 If Employee’s
employment is terminated for Cause, Employee’s rights under this Agreement shall cease as of the effective date of such termination. 

(c) VOLUNTARY TERMINATION, RETIREMENT, OR DEATH. Notwithstanding the provisions of Section l (a) of this Agreement, this
Agreement shall terminate automatically upon termination of Employee’s employment as a result of voluntary termination by Employee (other than in accordance with Section 2 of this Agreement), retirement at Employee’s election,
or Employee’s death. In any such event, Employee’s rights under this Agreement shall cease as of the date of such event; provided, however, that if Employee dies after a Notice of Termination (as defined in Section 2(a) of this
Agreement) is delivered by Employee, the payments and benefits described in Section 3 will nonetheless be made to the person or persons determined pursuant to Section 11(b) of this Agreement. 

(d) PERMANENT DISABILITY. Notwithstanding the provisions of Section 1(a) of this Agreement, this Agreement shall terminate
automatically upon termination of Employee’s employment as a result of Employee’s Disability (as defined below) and Employee’s rights under this Agreement shall cease as of the date of such termination; provided, however, that, if
Employee becomes disabled after a Notice of Termination (as defined in Section 2(a) of this Agreement) is delivered by Employee, Employee shall nevertheless be entitled to receive all of the payments and benefits provided for in, and for
the term set forth in, Section 3 of this Agreement. As used in this Agreement, the term “Disability” means 

  
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Employee’s permanent disability, verifiable by a physician’s statement of such permanent disability whereby Employee is unable to perform the essential functions of Employee’s
position. With respect to the foregoing, Employer shall have the right to select the physician who will examine Employee for purposes of determining whether Employee is permanently disabled; and furthermore, Employee agrees to submit to such
examination so long as Employer’s request for such examination is reasonable in the circumstances. 
 2. TERMINATION FOLLOWING
CHANGE IN CONTROL. 
 (a) GOOD REASON. If a Change in Control (as defined in Section 2(b) of this Agreement) shall occur at
any time during the term of this Agreement, and if (i) within six (6) months prior to or one year after such Change in Control, Employer terminates the employment of Employee (other than for Cause), or (ii) any other material breach
of this Agreement, then, at the option of Employee, exercisable by Employee during the ninety (90) day period after the occurrence of each and every of the foregoing events (“Good Reason”), Employee may give notice of intent to
terminate employment under this Agreement (or, if involuntarily terminated, give notice of intention to collect benefits under this Agreement) by delivering a notice in writing (the “Notice of Termination”) to Employer. If Employer fails
to cure such situation within thirty (30) days after said notice, Employee will become entitled to the payments and benefits described in Section 3 of this Agreement. After the expiration of the ninety (90) day period described
above, Employee cannot exercise such right with respect to that Good Reason event. 
 (b) CHANGE IN CONTROL DEFINED. As used in this
Agreement, “Change in Control” shall mean the occurrence of any of the following: (i) a merger, consolidation, or division involving Company and/or ICC Holdings, (ii) a sale, exchange, transfer, or other disposition of
substantially all of the assets of Company and/or ICC Holdings; (iii) a “person” or “group” (within the meaning of section 13(d) of the Securities Exchange Act of 1934) becomes the “beneficial owner” of 50% or more
of the outstanding shares of common stock of Company and/or ICC Holdings; or (iv) any other change in control similar in effect to any of the foregoing and specifically designated in writing as a Change in Control by the Board of Directors of
Company and/or ICC Holdings. 
 3. RIGHTS IN EVENT OF TERMINATION FOLLOWING CHANGE IN CONTROL. In the event that Employee validly and
timely delivers a Notice of Termination to Employer, Employee shall be entitled to receive the following benefits: 
 (a) Employer shall
pay, within thirty (30) days from the later of the date of termination of employment or the delivery of a Notice of Termination, notwithstanding any termination of this Agreement during such period, a lump sum cash payment equal to (i) one
(1) times Employee’s base salary in effect as of the date the Notice of Termination is delivered, plus (ii) one (1) times Employee’s average cash bonus paid within the current calendar year and two (2) calendar years
preceding the year in which the Notice of Termination is delivered. 
 (b) In addition, during the period commencing from date of
termination of employment until the end of twelfth (12th) month after such date, Employee shall be permitted to continue participation in, and Employer shall maintain the same level of
contribution for, Employee’s participation in Employer’s medical/health insurance in effect with respect to Employee during the one (1) year period prior to Employee’s termination of employment, or, if Employer is not permitted
to provide such benefits because Employee is no longer an employee or as a result of any applicable legal requirement, Employee shall receive a dollar amount, on or within thirty (30) days following the date of termination, equal to the cost to
Employee of obtaining such benefits (or substantially similar benefits). 

  
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 4. NONCOMPETITION AND NONSOLICITATION. 

(a) Employee hereby acknowledges and recognizes the highly competitive nature of the business of ICC Holdings and Company and accordingly
agrees that, during and for the applicable period set forth in Section 4(c), Employee shall not be engaged (other than by ICC Holdings or Company), directly or indirectly, as consultant, employee, partner, officer, director, proprietor,
investor (except as an investor owning less than five percent (5%) of the stock of a publicly owned company) or otherwise of any person, firm, corporation or enterprise which competes directly with Company including, but not limited to Society
Insurance, Badger Mutual Insurance Company, Allied Insurance, Argo Group International Holdings, Ltd. , Farmers Insurance Group, Founders Insurance Company, Hanover Insurance Group, Inc., Midwest Family Mutual Insurance Company, Specialty Risk of
America, US Insurance Company, or any start-up company which provides liquor liability insurance in one or more of the same markets, any time during the last two (2) years of the Employee’s employment in the insurance industry as carried
on by Company in any state in which Company is licensed to transact business; 
 (b) During the Term and for a period of one (1) year
after the date of termination, regardless of how Employee’s employment was terminated, Employee shall not solicit any of the actual or targeted prospective customers of Company or its affiliates, subsidiaries or successors in interest with
respect to any matters related to or competitive with the business of Company; or 
 (c) During the Term and for a period of one
(1) year after the date of termination, regardless of how Employee’s employment was terminated, attempt to induce, advise, request, solicit, employ, or enter into any consulting or contractual arrangement with any key employee or former
employee of Company, its affiliates, subsidiaries or successors in interest, unless such employee or former employee has not been employed by Company, its affiliates, subsidiaries or successors in interest during the twelve (12) months prior to
Employee’s attempt to employ Employee; and Employee will not enter into a contract or engage in discussions or negotiations with potential investors in preparation to do any of the activities prohibited in subsections 4(a) through (c). 

(d) Employee specifically agrees that the one (1) year period referred to herein shall be extended by the number of days included in any
period of time during which Employee is or was engaged in the above-referenced activities. 
 (e) By signing this Agreement, Employee
acknowledges that Employee has had ample time and opportunity to have this covenant not to compete reviewed by Employee’s independent legal counsel, expressly agrees with every term and condition contained herein, and that the covenant:
(i) is reasonable as to time and geographical area; (ii) does not place any unreasonable burden upon Employee; and (iii) will not harm the general public. Employee 

  
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further acknowledges, understands and agrees that the covenant not to compete described herein is necessary for the Company’s protection because of the nature and scope of the Company’s
business and Employee’s position with and services for the Company. Further, Employee acknowledges and agrees that, in the event of Employee’s breach of this covenant not to compete, monetary damages will not sufficiently compensate the
Company for its injury caused thereby, and Employee accordingly agrees that in addition to such monetary damages, Employee may be restrained and enjoined from any continuing breach of this covenant not to compete without any bond or other security
being required by any court. Employee acknowledges and agrees that any breach of this covenant not to compete by Employee will result in irreparable damage to the Company. 

(f) Notwithstanding any of the foregoing, in the event that any of the provisions in this Section 12 shall be held to be invalid or
unenforceable, the remaining provisions thereof shall nevertheless continue to be valid and enforceable as though the invalid or unenforceable parts had not been included therein. In the event that any provision set forth in this Section 12
relating to the time period or the area of restriction or related aspects shall be declared by a court of competent jurisdiction to exceed the maximum restrictions such court deems reasonable and enforceable, the time period or areas of restriction
or related aspects deemed reasonable and enforceable by the court shall become and thereafter be the maximum restriction in such regard, and the restriction shall remain enforceable to the fullest extent deemed reasonable by such court. 

(g) The parties further agrees that if Employee breaches any of the covenants or promises made in this Section 12, the Company will be
entitled to enforce its rights by injunction proceedings restraining Employee from such breaches or threatened breaches without bond. Neither the institution of an injunction proceeding nor the granting of any injunctive relief therein shall in any
way limit the right of the Company to other relief available at law or in equity. The parties further agree that the prevailing party shall be entitled to recover its attorney’s fees and all litigation expenses incurred in the enforcement of
any provision contained in this Section 12(g) 
 (h) Notwithstanding any of the foregoing, Employee shall not be prohibited from making
personal investments, loans or real estate transactions comparable to such transactions which would have been permitted during Employee’s employment with ICC Holdings or Company. 

5. UNAUTHORIZED DISCLOSURE. During the Term of this Agreement and at any time thereafter, Employee shall not, without the written
consent of the Boards of Directors of ICC Holdings and Company, or a person authorized thereby, knowingly disclose to any person, other than an employee of ICC Holdings or Company, or a person to whom disclosure is reasonably necessary or
appropriate in connection with the performance by Employee of Employee’s duties hereunder, any material confidential information obtained by Employee while in the employ of Employer with respect to Company’s, ICC Holdings’ or any of
their respective subsidiaries, including but not limited to: (i) all historical and pro forma projections of loss ratios incurred by Company, (ii) all historical and pro forma actuarial data relating to Company, (iii) all historical
and pro forma financial results, revenue statements, and projections for Company, (iv) all information relating to Company’s systems and software (other than the portion thereof 

  
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provided by the vendor to purchases of such systems and software, (v) all information relating to Company’s underwriting strategy, (vi), all information relating to Company’s
litigation strategy, (vii) all information relating to plans for acquisitions, new state entry, or books of business by Company, (viii) non-public business plans of Company or its subsidiaries, (iv) all nonpublic information and lists
relating to Company’s business relationships with policy holders, insurance agents, insurance agencies, brokers, managing general agents, or other individuals or entities necessary to the sale or marketing of Company’s policies, products,
or services; and (x) all other information relating to the financial, business or other affairs of Company; provided, however, that confidential information shall not include any information known generally to the public (other than as a result
of unauthorized disclosure by Employee or any person with the assistance, consent, or direction of Employee), or any information that must be disclosed as required by law. 

6. REMEDIES. Employee acknowledges and agrees that the remedy at law of Employer for a breach or threatened breach of any of the
provisions of Section 4 or Section 5 would be inadequate and, in recognition of this fact, in the event of a breach or threatened breach by Employee of any of the provisions of Section 4 or Section 5,
it is agreed that in addition to all other remedies that may be available to Company or ICC Holdings at law or equity, Company and ICC Holdings shall be entitled to specific performance and any injunctive or other equitable relief as a remedy for
any breach or threatened breach of the Employee’s covenants. 
 7. NOTICES. Except as otherwise provided in this Agreement, any
notice required or permitted to be given under this Agreement shall be deemed properly given if in writing and if mailed by registered or certified mail, postage prepaid with return receipt requested, to Employee’s residence in the case of
notices to Employee; and to the principal office of Employer in the case of notices to Employer. 
 8. WAIVER. No provision of this
Agreement may be modified, waived or discharged unless such waiver, modification or discharge is agreed to in writing and signed by Employee, an executive officer specifically designated by the Board of Directors of Employer, and an executive
officer specifically designated by the Board of Directors of ICC Holdings. No waiver by either party hereto at any time of any breach by the other party hereto of, or compliance with, any condition or provision of this Agreement to be performed by
such other party shall be deemed a waiver of similar or dissimilar provisions or conditions at the same or at any prior or subsequent time. 

9. ASSIGNMENT. This Agreement shall not be assignable by any party, except by Employer to any successor in interest to Employer’s
business. 
 10. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties relating to the subject matter of this
Agreement, and in accordance with the provisions of Section 20, supersedes any prior understanding of the parties. 
 11.
SUCCESSORS; BINDING AGREEMENT. 
 (a) EMPLOYER. Employer will require any successor (whether direct or indirect, by purchase, merger,
consolidation, or otherwise) to all, or substantially all of the business and/or assets, of Employer, to expressly assume and agree to perform this Agreement in 

  
 6 

 
the same manner and to the same extent that Employer would be required to perform it if no such succession had taken place. Failure by Employer to obtain such assumption and agreement prior to
the effectiveness of any such succession shall constitute a breach of this Agreement. As used in this Agreement, “Employer” shall mean Employer as defined previously and any successor to its business and/or assets as aforesaid which
assumes and agrees to perform this Agreement by operation of law or otherwise. 
 (b) EMPLOYEE. This Agreement shall inure to the benefit of
and be enforceable by Employee’s personal or legal representatives, executors, administrators, heirs, distributees, devisees, and legatees. If Employee should die after a Notice of Termination is delivered by Employee and any amounts would be
payable to Employee under this Agreement if Employee had continued to live, all such amounts shall be paid in accordance with the terms of this Agreement to Employee’s devisee, legatee, or other designee, or, if there is no such designee, to
Employee’s estate. 
 12. CONTINUATION OF CERTAIN PROVISIONS. Any (i) termination of Employee’s employment as provided
in this Agreement, or (ii) termination of this Agreement after a Change in Control, will not affect the payment and benefit provisions of Section 3, which will, if relevant, survive any such termination and remain in full force and
effect in accordance with its terms. 
 13. OTHER RIGHTS; SEVERANCE. Except as provided in Section 24 or
Section 25, nothing herein will be construed as limiting, restricting or eliminating any rights Employee may have under any plan, contract or arrangement to which Employee is a party or in which Employee is a vested participant;
provided, however, that any termination payments required hereunder will be in lieu of any severance benefits to which Employee may be entitled under a severance plan or arrangement of Employer; and provided further, that if the benefits under any
such plan or arrangement may not legally be eliminated, then the payments hereunder will be reduced (but not below zero) by the amount payable under such plan or arrangement. 

14. NO EMPLOYMENT AGREEMENT; AT-WILL EMPLOYMENT. This Agreement does not constitute an
employment agreement or an agreement to maintain employment for any period of time. Employee’s employment with Employer constitutes “at-will” employment and either Employee or Employer may
terminate Employee’s employment at any time, subject to the procedures and consequences in the event of a termination of employment after a Change in Control set forth in this Agreement. 

15. VALIDITY. The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of
any other provision of this Agreement, which shall remain in full force and effect. 
 16. APPLICABLE LAW. This Agreement shall be
governed by and construed in accordance with the domestic laws (but not the law of conflicts of law) of Illinois. 
 17. HEADINGS.
The headings of the Sections of this Agreement are for convenience only and shall not control or affect the meaning or construction or limit the scope or intent of any of the provisions of this Agreement. 

  
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 18. NUMBER. Words used herein in the singular will be construed as being used in the
plural, as the context requires, and vice versa. 
 19. REFERENCES TO EMPLOYER. All references to Employer shall
be deemed to include references to companies affiliated with Employer, as appropriate in the relevant context. 
 20. EFFECTIVE DATE;
TERMINATION OF PRIOR UNDERSTANDINGS. This Agreement will become effective immediately upon the execution and delivery of this Agreement by the parties hereto. Upon the execution and delivery of this Agreement, any prior understanding relating to
the subject matter hereof will be deemed automatically terminated and be of no further force or effect. 
 21. WITHHOLDING FOR TAXES.
All amounts and benefits paid or provided hereunder will be subject to withholding for taxes as required by law. 
 22. INDIVIDUAL
AGREEMENT. This Agreement is an agreement solely between and among the parties hereto. It is intended to constitute a nonqualified unfunded arrangement for the benefit of a key management employee and will be construed and interpreted in a
manner consistent with such intention. 
 23. APPLICATION OF CODE SECTION 409A. 

(a) Notwithstanding anything in this Agreement to the contrary, the receipt of any benefits under this Agreement as a result of a termination
of employment shall be subject to satisfaction of the condition precedent that Employee undergo a “separation from service” within the meaning of Treas. Reg. § 1.409A-1(h) or any successor
thereto. In addition, if Employee is deemed to be a “specified employee” within the meaning of that term under Code Section 409A(a)(2)(B), then with regard to any payment or the provisions of any benefit that is required to be delayed
pursuant to Code Section 409A(a)(2)(B), such payment or benefit shall not be made or provided prior to the earlier of (i) the expiration of the six (6) month period measured from the date of Employee’s “separation from
service” (as such term is defined in Treas. Reg. § 1.409A-1(h)), or (ii) the date of Employee’s death (the “Delay Period”). Within ten (10) days following the expiration
of the Delay Period, all payments and benefits delayed pursuant to this section (whether they would have otherwise been payable in a single sum or in installments in the absence of such delay) shall be paid or reimbursed to Employee in a lump sum,
and any remaining payments and benefits due under this Agreement shall be paid or provided in accordance with the normal payment dates specified for them herein. To the extent that the foregoing applies to the provision of any ongoing welfare
benefits to Employee that would not be required to be delayed if the premiums therefore were paid by Employee, Employee shall pay the full costs of premiums for such welfare benefits during the Delay Period and ICC Holdings or Company shall pay
Employee an amount equal to the amount of such premiums paid by Employee during the Delay Period within ten (10) days after the conclusion of such Delay Period. 

(b) Except as otherwise expressly provided herein, to the extent any expense reimbursement or other
in-kind benefit is determined to be subject to Code Section 409A, the amount of any such expenses eligible for reimbursement or in-kind benefits in one calendar
year 

  
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shall not affect the expenses eligible for reimbursement or in-kind benefits in any other taxable year (except under any lifetime limit applicable to
expenses for medical care), in no event shall any expenses be reimbursed or in-kind benefits be provided after the last day of the calendar year following the calendar year in which Employee incurred such
expenses or received such benefits, and in no event shall any right to reimbursement or in-kind benefits be subject to liquidation or exchange for another benefit. 

(c) Any payments made pursuant to Section 3, to the extent of payments made from the date of termination through March 15th of the
calendar year following such date, are intended to constitute separate payments for purposes of Treas. Reg. §1.409A-2(b)(2) and thus payable pursuant to the
“short-term deferral” rule set forth in Treas. Reg. §1.409A-1(b)(4); to the extent such payments are made following said March 15th, they are
intended to constitute separate payments for purposes of Treas. Reg. §1.409A-2(b)(2) made upon an involuntary termination from service and payable pursuant to Treas. Reg.
§1.409A-1(b)(9)(iii), to the maximum extent permitted by said provision. Notwithstanding the foregoing, if Employer determines that any other payments hereunder fail to satisfy the distribution
requirement of Section 409A (a) (2) (A) of the Internal Revenue Code of 1986, as amended (the “Code”), the payment of such benefit shall be delayed to the minimum extent necessary so that such payments are not subject
to the provisions of Code Section 409A (a) (1). 
 24. LIMITATION ON BENEFITS. Anything contained in this Agreement to the
contrary notwithstanding, if any of the payments or benefits received or to be received by Employee pursuant to this Agreement (which the parties agree will not include any portion of payments allocated to the
non-solicitation and non-compete provisions of Section 5 which are classified as payments of reasonable compensation for purposes of Code Section 280G),
when taken together with payments and benefits provided to Employee under any other plans, contracts, or arrangements with Employer (all such payments and benefits being hereinafter referred to as the “Total Payments”), will be subject to
any excise tax imposed under Code Section 4999 (together with any interest or penalties, the “Excise Tax”), then such Total Payments shall be reduced to the extent necessary so that no portion thereof shall be subject to the Excise
Tax. To effectuate the reduction described above, if applicable, Employer shall first reduce or eliminate the payments and benefits provided under this Agreement. All calculations required to be made under this Section 24, including the portion
of the payments hereunder to be allocated to the restrictive covenants set forth in Section 5, will be made by Employer’s independent public accountants, subject to the right of Employee’s representative to review the same. The
parties recognize that the actual implementation of the provisions of this Section 24 are complex and agree to deal with each other in good faith to resolve any questions or disagreements arising hereunder. 

25. LIMITATION ON PAYMENTS. All payments made to Employee pursuant to this Agreement, or otherwise, are subject to and conditioned upon
their compliance with applicable laws and any regulations promulgated thereunder. 
 [Signatures follow on next page.] 

  
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 IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.

  

			
	ICC HOLDINGS, INC.
		
	By:	 	  

		
	Attest:	 	  

	
	ILLINOIS CASUALTY COMPANY
		
	By:	 	  

		
	Attest:	 	  

	
	EMPLOYEE
	
	  

  

	
	Witness:
	
	  

  
 10EX-10.3

 Exhibit 10.3 

ICC HOLDINGS, INC. 
 EMPLOYEE
STOCK OWNERSHIP PLAN 
 (Effective [INSERT DATE]) 

 Table of Contents 

 

							
	 	 	 	  	Page	 
	 ARTICLE I
	  			
	 INTRODUCTION
	  	 	1	  
		
	 ARTICLE II
	  			
	 DEFINITIONS
	  	 	2	  
		
	 ARTICLE III
	  			
	 ELIGIBILITY
	  	 	10	  
			
	 3.1
	 	 Eligibility Generally
	  	 	10	  
	 3.2
	 	 Commencement of Participation
	  	 	10	  
	 3.3
	 	 Cessation of Participation
	  	 	10	  
	 3.4
	 	 Participation upon Reemployment
	  	 	10	  
	 3.5
	 	 Change in Control
	  	 	11	  
		
	 ARTICLE IV
	  			
	 VESTING
	  	 	12	  
			
	 4.1
	 	 In General
	  	 	12	  
	 4.2
	 	 Normal Retirement Date
	  	 	12	  
	 4.3
	 	 Death or Disability
	  	 	12	  
	 4.4
	 	 Vesting upon Reemployment
	  	 	12	  
	 4.5
	 	 Forfeiture of Account
	  	 	12	  
	 4.6
	 	 Change in Control
	  	 	13	  
		
	 ARTICLE V
	  			
	 CONTRIBUTIONS AND ALLOCATIONS
	  	 	14	  
			
	 5.1
	 	 Company Contributions
	  	 	14	  
	 5.2
	 	 Time and Manner of Contributions
	  	 	14	  
	 5.3
	 	 Employee Contributions
	  	 	14	  
	 5.4
	 	 Recovery of Contributions
	  	 	14	  
	 5.5
	 	 Allocation of Employer Contributions
	  	 	14	  
	 5.6
	 	 Income on Investments
	  	 	15	  
	 5.7
	 	 Certain Stock Transactions
	  	 	15	  
	 5.8
	 	 Valuation of Trust Fund
	  	 	15	  
		
	 ARTICLE VI
	  			
	 LIMITATIONS
	  	 	16	  
			
	 6.1
	 	 Code Section 415 Limitations
	  	 	16	  
	 6.2
	 	 Code Section 409(n) Provisions
	  	 	17	  
		
	 ARTICLE VII
	  			
	 INVESTMENT OF TRUST ASSETS
	  	 	19	  
		
	 ARTICLE VIII
	  			
	 COMPANY STOCK VALUE
	  	 	20	  

  
 i 

							
	 ARTICLE IX
	  			
	 DISTRIBUTIONS
	  	 	21	  
			
	 9.1
	 	 Termination of Employment
	  	 	21	  
	 9.2
	 	 Death
	  	 	21	  
	 9.3
	 	 Time of Payment
	  	 	22	  
	 9.4
	 	 Manner of Making Payments
	  	 	22	  
	 9.5
	 	 Form of Payment
	  	 	22	  
	 9.6
	 	 Direct Rollover
	  	 	23	  
	 9.7
	 	 Diversification Election
	  	 	24	  
	 9.8
	 	 Election to Retain Interests in Plan
	  	 	24	  
	 9.9
	 	 Mandatory Distributions
	  	 	24	  
	 9.10
	 	 Dividends
	  	 	25	  
	 9.11
	 	 Change in Control
	  	 	26	  
		
	 ARTICLE X
	  			
	 RIGHT AND RESTRICTIONS ON COMPANY STOCK
	  	 	27	  
			
	 10.1
	 	 Right of First Refusal
	  	 	27	  
	 10.2
	 	 Put Requirements
	  	 	27	  
	 10.3
	 	 Prohibition on Purchase Arrangements
	  	 	28	  
	 10.4
	 	 Nonterminable Rights
	  	 	28	  
		
	 ARTICLE XI
	  			
	 VOTING AND TENDER OF COMPANY STOCK
	  	 	29	  
			
	 11.1
	 	 Voting
	  	 	29	  
	 11.2
	 	 Tender
	  	 	29	  
	 11.3
	 	 Fiduciary Responsibilities
	  	 	30	  
	 11.4
	 	 Procedures for Voting and Tender
	  	 	30	  
		
	 ARTICLE XII
	  			
	 ADMINISTRATION
	  	 	31	  
			
	 12.1
	 	 Fiduciary Responsibilities
	  	 	31	  
	 12.2
	 	 The Administrative Committee
	  	 	31	  
	 12.3
	 	 Plan Expenses
	  	 	32	  
	 12.4
	 	 Meetings and Voting
	  	 	32	  
	 12.5
	 	 Compensation
	  	 	32	  
	 12.6
	 	 Claims Procedures
	  	 	33	  
	 12.7
	 	 Liabilities
	  	 	34	  
		
	 ARTICLE XIII
	  			
	 AMENDMENTS
	  	 	35	  
			
	 13.1
	 	 Right to Amend
	  	 	35	  
	 13.2
	 	 Amendment by Administrative Committee
	  	 	35	  
	 13.3
	 	 Plan Merger and Asset Transfers
	  	 	35	  
	 13.4
	 	 Amendment of Vesting Schedule
	  	 	35	  

  
 ii 

							
	 ARTICLE XIV
	  			
	 TERMINATION
	  	 	36	  
			
	 14.1
	 	 Right to Terminate
	  	 	36	  
	 14.2
	 	 Effect of Termination
	  	 	36	  
	 14.3
	 	 Change in Control
	  	 	36	  
		
	 ARTICLE XV
	  			
	 MISCELLANEOUS
	  	 	37	  
			
	 15.1
	 	 Non-alienation of Benefits
	  	 	37	  
	 15.2
	 	 Appointment of Guardian
	  	 	37	  
	 15.3
	 	 Satisfaction of Benefit Claims
	  	 	37	  
	 15.4
	 	 Controlling Law
	  	 	37	  
	 15.5
	 	 Non-guarantee of Employment
	  	 	37	  
	 15.6
	 	 Severability and Construction of the Plan
	  	 	37	  
	 15.7
	 	 No Requirement of Profits
	  	 	38	  
	 15.8
	 	 All Risk on Participants and Beneficiaries
	  	 	38	  
	 15.9
	 	 Recoupment of Overpayments
	  	 	38	  
	 15.10
	 	 Military Service
	  	 	38	  
		
	 ARTICLE XVI
	  			
	 TOP-HEAVY PROVISIONS
	  	 	39	  
			
	 16.1
	 	 Determination of Top-Heavy Status
	  	 	39	  
	 16.2
	 	 Top-Heavy Definitions
	  	 	39	  
	 16.3
	 	 Top-Heavy Rules
	  	 	41	  
		
	 ARTICLE XVII
	  			
	 EXEMPT LOANS
	  	 	43	  
			
	 17.1
	 	 General
	  	 	43	  
	 17.2
	 	 Terms of Exempt Loan Agreements
	  	 	43	  
	 17.3
	 	 Suspense Account
	  	 	44	  

  
 iii 

 ARTICLE I 

INTRODUCTION 
 The ICC
Holdings, Inc. Employee Stock Ownership Plan (the “Plan”) was established by ICC Holdings, Inc. (the “Company”) in order for its employees to participate in the ownership of the Company. The Plan, which was effective as of
[INSERT DATE], is intended to be an employee stock ownership plan within the meaning of Section 4975(e)(7) of the Internal Revenue Code of 1986, as amended, and is designed to invest primarily in Company Stock, which at all times shall meet the
requirements for qualifying employer securities under Code Section 409(l). The purchase of Company Stock for the Plan was made with the proceeds of an exempt loan that met the requirements of
Section 54.4975-7(b) of the Treasury Regulations (including any amendments thereto) and Section 2550.408(b)-3 of the Department of Labor Regulations (including
any amendments thereto), employer contributions, dividends on qualified employer securities or a combination thereof. 

  
 1 

 ARTICLE II 

DEFINITIONS 
 The following
initially capitalized words and phrases when used in the Plan shall have the following meanings, unless the context clearly requires otherwise. 

2.1 Account means the bookkeeping account established for each Participant which reflects the value of the Participant’s interest
in the Plan. This Account shall include a Company Stock Account, which reflects the number of shares of Company Stock allocated to the Participant and an Investment Account which reflects other investments allocated to the Participant. 

2.2 Administrative Committee and Committee, used interchangeably, means the named fiduciary of the Plan, which is appointed by
the Board of Directors, as is more fully described in Article XII. In the event the Board of Directors does not appoint an Administrative Committee, Administrative Committee means the Board of Directors. 

2.3 Affiliate means the Company and any corporation which is a member of a controlled group of corporations (as defined in Code
Section 414(b)) which includes the Company; any trade or business (whether or not incorporated) which is under common control (as defined in Code Section 414(c)) with the Company; any organization (whether or not incorporated) which is a
member of an affiliated service group (as defined in Code Section 414(m)) which includes the Company; and any other entity required to be aggregated with the Company pursuant to regulations under Code Section 414(o). 

2.4 Beneficiary means the individual(s) or entities entitled to receive the Participant’s benefits under the Plan in the event of
the Participant’s death prior to receiving all benefits payable under the Plan. 
 2.5 Board of Directors means the Board of
Directors of the Company as constituted from time to time. 
 2.6 Break in Service means a Plan Year during which an Employee
(a) has terminated employment or is no longer employed with the Company or an Affiliate, and (b) fails to complete more than five hundred (500) Hours of Service. 

2.7 Change in Control means the occurrence of any of the following: 

(a) (i) a merger, consolidation, or division involving the Company, (ii) a sale, exchange, transfer, or other disposition of
substantially all of the assets of the Company, or (iii) a purchase by the Company of substantially all of the assets of another entity, unless (x) such merger, consolidation, division, sale, exchange, transfer, purchase or disposition is
approved in advance by at least a majority of the members of the Board of Directors who are not interested in the transaction and (y) a majority of the members of the board of directors of the legal entity resulting from or existing after any
such transaction and of the board of directors of such entity’s parent corporation, if any, are former members of the Board of Directors; 

  
 2 

 (b) a “person” or “group” (within the meaning of Section 13(d) of the
Securities Exchange Act of 1934) becomes the “beneficial owner” (within the meaning of Section 13(d) of the Securities Exchange Act of 1934) of 50% or more of the outstanding shares of common stock of the Company except that a Change
in Control shall not result from any transfer of ownership to the Plan; or 
 (c) at any time during any period of two consecutive years,
individuals who at the beginning of such period constitute the Board of Directors cease to constitute a majority of such Board of Directors (unless the election or nomination of each new director was approved by a vote of at least 51% of the
directors who were directors at the beginning of such period). 
 2.8 Code means the Internal Revenue Code of 1986, as amended, and
the regulations promulgated thereunder. 
 2.9 Company means ICC Holdings, Inc., a Pennsylvania Corporation, and any Affiliate which
adopts this Plan with the approval of the Board of Directors of the Company and any successor to the business of the Company that agrees to assume the Company’s obligations under the Plan. 

2.10 Company Stock means shares of common stock issued by the Company that are Readily Tradable; provided, however, if the
Company’s common stock is not Readily Tradable, “Company Stock” means common stock issued by the Company having a combination of voting power and dividend rates equal to or in excess of: (a) that class of common stock of the
Company having the greatest voting power and (b) that class of common stock of the Company having the greatest dividend rights. Non-callable preferred stock shall be treated as Company Stock for purposes of the Plan if such stock is convertible
at any time into stock that is readily tradable on an established securities market (or, if applicable, that meets the requirements of (a) and (b) next above) and if such conversion is at a conversion price that, as of the date of the
acquisition by the Plan, is reasonable. For purposes of the immediately preceding sentence, preferred stock shall be treated as non-callable if, after the call, there will be a reasonable opportunity for a conversion that meets the requirements of
the immediately preceding sentence. Company Stock shall be held under the Trust only if such stock satisfies the requirements of Section 407(d)(5) of ERISA. For purposes of this definition “Company” includes any corporation that is a
member of a controlled group of corporations with the Company (within the meaning of Section 409(l)(4) of the Code). 
 2.11
Compensation means wages within the meaning of Code Section 3401(a) for the purposes of income tax withholding at the source. Compensation must be determined without regard to any rules under Code Section 3401(a) that limit the
remuneration included in wages based on the nature or location of the employment or the services performed. Compensation also includes any salary reduction contributions elected by a Participant which is not includible in the gross income of the
Participant pursuant to any plan maintained by the Company in accordance with Code Sections 401(k), 125(a), 132(f)(4), 402(e)(3), 402(h)(1), 402(k), or 457(b). 

  
 3 

 Payments made within 2  1⁄2 months after severance from employment (within the meaning of Code Section 401(k)(2)(B)(i)(I)) will be Compensation if they are payments that, absent a severance from employment, would have been paid to the
Participant while the Participant continued in employment with the Employer and are regular compensation for services during the Participant’s regular working hours, compensation for services outside the Participant’s regular working hours
(such as overtime or shift differential), commissions, bonuses, or other similar compensation, and payments for accrued bona fide sick, vacation or other leave, but only if the Participant would have been able to use the leave if employment had
continued. Any payments not described above are not considered Compensation if paid after severance from employment, even if they are paid within 2
 1⁄2 months following severance from employment, except for payments to an individual who does not currently perform services for the Employer by reason
of qualified military service (within the meaning of Code Section 414(u)(1)) to the extent these payments do not exceed the amounts the individual would have received if the individual had continued to perform services for the Employer rather
than entering qualified military service. 
 Notwithstanding the foregoing, Compensation shall not include any amounts earned prior to
becoming a Participant in the Plan, except that Compensation in 2016 for any Employee who became a Participant on the Plan’s initial effective date shall include Compensation for the entire calendar year. 

The annual compensation for each Participant taken into account under the Plan shall not exceed $265,000, as adjusted by the Internal Revenue
Service at the same time and in the same manner as under Code Section 415(d). 
 2.12 Disability means a medically determinable
physical or mental impairment which is of such permanence and degree that it can be expected to result in death or that a Participant is unable, because of such impairment, to perform, for a continuous period of not less than twelve months, any
substantial gainful activity for which the Participant is suited by virtue of such Participant’s experience, training or education and which would entitle the Participant to benefits under the Employer’s long-term disability plan, if any,
or to Social Security disability benefits as evidenced by a disability award letter. 
 2.13 Disqualified Person means a person
defined in Code Section 4975(e), including but not limited to (i) a fiduciary of the Plan; (ii) a person providing services to the Plan; (iii) an owner of 50 percent or more of the combined voting power or value of all
classes of stock of the Company entitled to vote or the total value of shares of all classes of stock of the Company and certain members of such owner’s family; or (iv) an officer, director, 10 or greater shareholder or highly compensated
employee (who earns 10 percent or more of the yearly wages) of the Company. 
 2.14 Effective Date means [INSERT DATE] which is
the date on which the provisions of this Plan became effective. 
 2.15 Eligibility Computation Period means the twelve-consecutive
month period beginning on the first day that the Employee is entitled to be credited with an Hour of Service and subsequent twelve-month periods beginning on the first day of the Plan Year occurring during the Employee’s initial Eligibility
Computation Period. 

  
 4 

 2.16 Employee means an individual who is employed as a common law employee by the Company
or an Affiliate on a salaried or hourly basis and with respect to whom the Company or the Affiliate is required to withhold taxes from remuneration paid to such Employee by the Company or Affiliate for personal services rendered to the Company,
including any officer or director who shall so qualify. If an individual is not considered to be an Employee in accordance with the preceding sentence for a Plan Year, a subsequent determination by the Company, any governmental agency or court that
the individual is a common law employee of the Company, even if such determination is applicable to prior years, will not have a retroactive effect for purposes of eligibility to participate in the Plan. 

2.17 Employer means the Company. 

2.18 Entry Date means the first day of each calendar month. 

2.19 ERISA means the Employee Retirement Income Security Act of 1974, as amended from time to time, including any regulations
promulgated thereunder. 
 2.20 Exempt Loan means the issuance of notes, a series of notes or other installment obligations incurred
by the Trustee, in accordance with the Trust, the terms of which shall satisfy the requirements of Treasury Regulations Section 54.4975-7(b), including the requirements: (a) that the loan be
primarily for the benefit of Participants and beneficiaries; (b) that the loan bear a reasonable rate of interest, be for a definite period (rather than payable on demand), and be without recourse against the Plan, (c) that the only assets
of the Plan that may be given as collateral are shares of Common Stock purchased with the proceeds of that loan or with the proceeds of a prior Exempt Loan; and (d) that the proceeds of the Exempt Loan may be used only to repay such loan or a
prior loan, or to acquire Company Stock. 
 2.21 Highly Compensated Employee 

(a) Highly Compensated Employee means an Employee who performs service during the determination year and is described in one or more of the
following groups: 
 (i) An Employee who is a five percent owner, as defined in Code Section 416(i)(1)(A)(iii), at any time during the
determination year or the look-back year. 
 (ii) An Employee who receives Compensation in excess of $120,000 (indexed in accordance with
Code Section 415(d)) during the look-back year and is a member of the top-paid group for the look-back year. 
 (b) For purposes of
the definition of Highly Compensated Employee, the following definitions and rules shall apply: 
 (i) The determination year is the Plan
Year for which the determination of who is highly compensated is being made. 

  
 5 

 (ii) The look-back year is the 12 month period immediately preceding the determination
year, or if the Employer elects, the calendar year ending with or within the determination year. 
 (iii) The top-paid group consists of
the top 20 percent of employees ranked on the basis of Compensation received during the year. For purposes of determining the number of employees in the top-paid group, employees described in Code Section 414(q)(8) and Treasury Regulations
Section 1.414(q)-1T Q&A 9(b) are excluded. 
 (c) Compensation for purposes of this
Section 2.21 is Compensation as defined in Section 2.11 of the Plan plus any Compensation paid by an Affiliate. 
 2.22 Hours
of Service means: 
 (a) Performance of Duties. The actual hours for which an Employee is paid or entitled to be paid by the
Company for the performance of duties; 
 (b) Nonworking Paid Time. Each hour for which an Employee is paid or entitled to be paid
by the Company on account of a period of time during which no duties are performed (irrespective of whether the employment relationship has terminated) due to vacation, holiday, illness, incapacity, disability (to the extent not already included in
Compensation), layoff, jury duty, military duty or leave of absence; provided, however, no more than 501 Hours of Service shall be credited to an Employee under this subsection for any single continuous period (whether or not such period
occurs in a single computation period); and provided further that no credit shall be given for payments made or due under a plan maintained solely for the purpose of complying with applicable worker’s or unemployment compensation or disability
insurance laws or for payments which solely reimburse an Employee for medical or medically related expenses incurred by the Employee; and 

(c) Maternity, Paternity and FMLA Leave. Solely for purposes of determining whether a one year Break in Service has occurred for
purposes of determining eligibility to participate and vesting, each hour for which an Employee is absent from employment by reason of (i) pregnancy of the Employee, (ii) birth of a child of the Employee, (iii) placement of a child in
connection with the adoption of the child by an individual, or (iv) caring for the child during the period immediately following the birth or placement for adoption. Hours of Service shall also, for these limited purposes, include each hour for
which an Employee who has worked for the Company or an Affiliate for at least 12 months and for at least 1,250 Hours of Service during the year preceding the start of the leave, is absent from employment on an unpaid family leave for up to
12 weeks, as provided for in the Family and Medical Leave Act of 1993 (the “FMLA Leave”), by reason of (A) the birth or adoption of a child, (B) the care of a Spouse, child or parent with a serious health condition, or
(C) the Employee’s own serious health condition, provided that such an Employee provides the Company with a 30-day advance notice if the leave is foreseeable, and/or medical certification
satisfactory to support the Employee’s request for leave because of a serious health condition. For purposes of determining whether an Employee’s leave qualifies as a “FMLA Leave” in order to be credited with Hours of Service
under this Plan, the Family and Medical Leave Act of 1993 (“FMLA”) and the regulations promulgated thereunder shall apply. During the period of 

  
 6 

 
absence, the Employee shall be credited with the number of hours that would be generally credited but for such absence or if the general number of work hours is unknown, eight Hours of Service
for each normal workday during the leave (whether or not approved). These hours shall be credited to the computation period in which the leave of absence commences if crediting of such hours is required to prevent the occurrence of a one year Break
in Service in such computation period, and in other cases, in the immediately following computation period. The computation period shall be the same as the relevant period for determining eligibility computation periods and vesting computation
periods. Unless otherwise required under the FMLA and the regulations promulgated thereunder, no more than 501 Hours of Service shall be credited under this paragraph for any single continuous period (whether or not such period occurs in a
single computation period). 
 (d) Back Pay. Each hour for which back pay, irrespective of mitigation of damages, is either awarded
or agreed to by the Company; provided, however, Hours of Service credited under paragraphs (a), (b) and (c) above shall not be recredited by operation of this paragraph. 

(e) Equivalencies. The Administrative Committee shall have the authority to adopt any of the following equivalency methods for
counting Hours of Service that are permissible under regulations issued by the Department of Labor: (i) Working Time; (ii) Periods of Employment; (iii) Earnings; or (iv) Elapsed Time. The adoption of any equivalency method for
counting Hours of Service shall be evidenced by a certified resolution of the Committee, which shall be attached to and made part of the Plan. Such resolution shall indicate the date from which such equivalency shall be effective. 

(f) Miscellaneous. Unless the Administrative Committee directs otherwise, the methods of determining Hours of Service when payments
are made for other than the performance of duties and of crediting such Hours of Service to Plan Years set forth in Department of Labor Regulations Sections 2530.200b-2(b) and (c), shall be used hereunder
and are incorporated by reference into the Plan. 
 Participants on military leaves of absence who are not directly or indirectly
compensated or entitled to be compensated by the Company while on such leave shall be credited with Hours of Service as required by the Uniformed Services Employment and Reemployment Rights Act. 

Notwithstanding any other provision of this Plan to the contrary, an Employee shall not be credited with Hours of Service more than once with
respect to the same period of time. 
 An Employee’s Hours of Service shall not include Hours of Service attained prior to the
January 1 of the calendar year which contains the Plan’s original Effective Date. 
 2.23 Investment Manager means an
investment advisor, bank or insurance company, meeting the requirements of ERISA Section 3(38), appointed by the Company to manage the Plan’s assets in accordance with the Trust Agreement. 

  
 7 

 2.24 Leased Employee means any person who performs services for an Employer or an
Affiliate (the “recipient”) (other than an employee of the “recipient”) pursuant to an agreement between the “recipient” and any other person (the “leasing organization”) on a substantially full-time basis for
a period of at least one year, provided that such services are performed under primary direction of or control by the “recipient”. 

2.25 Normal Retirement Date means the date on which a Participant attains age 65. 

2.26 Participant means an Employee participating in the Plan in accordance with Article III. 

2.27 Plan means the ICC Holdings, Inc. Employee Stock Ownership Plan, as set forth in this document and in the Trust Agreement pursuant
to which the Trust is maintained, in each case as amended from time to time. 
 2.28 Plan Year means the calendar year; provided,
however, that the Plan’s initial Plan Year shall be for the period beginning [INSERT DATE] and ending on December 31, 2016. 

2.29 Readily Tradable means Company Stock traded on a national securities exchange that is registered under Section 6 of the
Securities Exchange Act of 1934 or is traded on a foreign national securities exchange that is officially recognized, sanctioned, or supervised by a governmental authority and where the security is deemed by the Securities and Exchange Commission as
having a ready market under SEC Rule 15c3-1. 
 2.30 Spouse means the individual to whom a Participant is married, provided that the
Participant’s and individual’s marriage is entered into under the laws of a domestic or foreign jurisdiction having the legal authority to sanction marriages and the marriage is valid and authorized under the laws of such jurisdiction.

 2.31 Suspense Account means the account established and maintained to hold Company Stock acquired with the proceeds of an Exempt
Loan and held in the Trust, which Company Stock has not been allocated to the Accounts of Participants with respect to the year of such acquisition. 

2.32 Trust or Trust Fund means all property held by the Trustee pursuant to the terms of the Trust Agreement and this Plan. Such
property shall be held for the exclusive benefit of Participants and Beneficiaries. 
 2.33 Trust Agreement means the agreement of
Trust established by the Company and the Trustee for purposes of holding title to the assets of the Plan. 
 2.34 Trustee means the
trustee as named in the Trust Agreement, or a successor thereto or substitute therefor, in any case as appointed by the Board of Directors of the Company in accordance with Article XII to hold legal title to the assets of the Trust and that
expressly agrees to be bound by the terms and conditions of the Trust Agreement. 

  
 8 

 2.35 Valuation Date means December 31 unless Company Stock is Readily Tradable, in
which case Valuation Date shall mean each day when NASDAQ is open and such other dates as the Administrative Committee may from time to time establish. 

2.36 Year of Service means a calendar year during which a Participant is credited with at least 1,000 Hours of Service. 

THE MASCULINE GENDER, WHERE APPEARING IN THE PLAN, SHALL BE DEEMED TO INCLUDE THE FEMININE GENDER, UNLESS THE CONTEXT CLEARLY INDICATES TO
THE CONTRARY. 

  
 9 

 ARTICLE III 

ELIGIBILITY 
 3.1
Eligibility Generally. An Employee is eligible to become a Participant in the Plan when the Employee has attained age 21 and completed a ninety day period of service. For purposes of determining whether an Employee has completed a ninety
day period of service, an Employee will receive credit for the aggregate of all time period(s) commencing with the Employee’s first day the Employee completes an Hour of Service and ending on the date a break in service begins. For purposes of
this Section 3.1 only, a break in service is a continuous period of time of at least 12 consecutive months during which the individual is not employed by the Company or an Affiliate. 

Notwithstanding the foregoing, the following individuals shall not be eligible to participate in the Plan: 

(a) Leased Employees; 
 (b)
Individuals whose employment with the Company or an Affiliate is governed by a collective bargaining agreement between the Company and representatives of the employee bargaining unit if evidence exists that retirement benefits were a subject of good
faith bargaining between the parties, and provided such bargaining agreement does not provide for participation in this Plan; and 
 (c)
Non-resident aliens who do not receive earned income from sources within the United States. 
 3.2 Commencement of Participation.
Each Employee who has satisfied the requirements of Section 3.1 of the Plan shall commence participation in the Plan on the later of the Plan’s original Effective Date or the Entry Date concurrent with or next following the date on which
such requirements are satisfied. 
 3.3 Cessation of Participation. An Employee shall cease to be a Participant upon the earliest of
(a) the date on which the Employee retires under the Plan; (b) the date on which the Employee’s employment with the Company terminates for any reason, including death or Disability; (c) the date on which the Employee’s
employment with the Company is governed by a collective bargaining agreement that does not provide for participation in this Plan; or (d) the date on which the Employee becomes a Leased Employee. 

3.4 Participation upon Reemployment. Subject to the exclusions contained in Section 3.1, upon the reemployment of any person after
the Effective Date who had previously been employed by the Company on or after the Effective Date, the following rules shall apply in determining the Employee’s participation in the Plan: 

(a) No Prior Participation. If the reemployed Employee was not a Participant in the Plan during the prior period of employment and the
reemployed Employee incurred a Break in Service, only Hours of Service with the Company after reemployment will count for purposes of satisfying the requirements of Section 3.1 of the Plan. If the reemployed Employee was not a Participant in
the Plan during the prior period of employment and the 

  
 10 

 
reemployed Employee did not incur a Break in Service, all Hours of Service with the Company (both before and after the Break in Service) will be aggregated for purposes of satisfying the
requirements of Section 3.1 of the Plan. 
 (b) Prior Participation. If the reemployed Employee was a Participant in the Plan
during the prior period of employment, the reemployed Employee shall be entitled to resume participation in the Plan on the date of the Employee’s reemployment. 

3.5 Change in Control. Notwithstanding the provisions of this Article III or any other provisions of the Plan to the contrary,
upon a Change in Control, no additional Employee nor reemployed Employee (who was not already a Participant at the time of his reemployment by virtue of having an Account under the Plan attributable to his previous period of employment) shall be
eligible to become a Participant in the Plan. 

  
 11 

 ARTICLE IV 

VESTING 
 4.1 In
General. Each Participant shall have a vested interest in the Participant’s Account, if any, in accordance with the following vesting schedule: 
  

			
	 Years of Service
	  	Vested Percentage
	 0-1 Years of Service
	  	0%
	 1 Year of Service
	  	25%
	 2 Years of Service
	  	50%
	 3 Years of Service
	  	75%
	 4 Years of Service
	  	100%

 4.2 Normal Retirement Date. Notwithstanding the provisions of Section 4.1 of the Plan, a
Participant whose employment terminates on or after such Participant’s Normal Retirement Date shall be 100 percent vested. 
 4.3
Death or Disability. Notwithstanding the provisions of Section 4.1 of the Plan, a Participant whose employment is terminated on account of death or Disability shall be 100 percent vested. 

4.4 Vesting upon Reemployment. Upon the reemployment of any person after the Effective Date who had previously been employed by the
Company on or after the Effective Date, the following rules shall apply in determining the reemployed Employee’s vesting in the Plan: 

(a) Five Consecutive Breaks in Service. If a Participant has five consecutive Breaks in Service, all Years of Service after such
Breaks in Service will be disregarded for the purpose of vesting the Participant’s Account balance that accrued before such Breaks in Service. Both pre-Break and post-Break service, however, will count
for the purposes of vesting the Participant’s Account balance that accrues after such Breaks in Service. The Participant’s pre-Break and post-Break Account balances will both share in the earnings and losses of the Trust Fund. 

(b) Less than Five Consecutive Breaks in Service. If a Participant does not have five consecutive Breaks in Service, both the pre-Break and post-Break service will count in vesting all Account balances. 
 4.5 Forfeiture of
Account. 
 (a) Forfeiture of Nonvested Account Balance. If, prior to being 100 percent vested, a Participant terminates
employment for a reason other than death, Disability or attainment of Normal Retirement Date, then the nonvested portion of the Participant’s Account will be forfeited and allocated as of the end of the Plan Year in which the Participant incurs
a five-year Break in Service or, if earlier, the end of the Plan Year in which the Participant 

  
 12 

 
receives a distribution, including a deemed distribution under Section 9.3(b) of the Plan, of the vested portion of the Participant’s Account. Assets in the Participant’s Account
other than Company Stock acquired with the proceeds of an Exempt Loan will be forfeited before Company Stock acquired with the proceeds of an Exempt Loan are forfeited. If the nonvested portion of a Participant’s Account includes more than one
class of Company Stock, then forfeitures of Company Stock will be proportionately made from each such class of stock. 
 (b) Use and
Allocation of Forfeitures. Forfeitures shall be allocated to the Accounts of Participants who were employed by the Company on the last day of the Plan Year (the day that the Plan terminates in the event of a Plan termination) or, in the
Company’s discretion, used to pay Plan administrative expenses. Forfeitures allocated to Participants shall be allocated in the same manner that Employer contributions are allocated under Section 5.5 of the Plan. 

(c) Restoration. If any former Participant’s Account has been distributed in accordance with Article IX and the nonvested portion
of the Participant’s Account has been forfeited in accordance with this Section 4.5, the Participant’s nonvested portion of his Account shall be restored if (i) he is reemployed by the Employer before incurring five
(5) consecutive Breaks in Service, and (ii) he repays to the Plan within five (5) years of his reemployment, a cash lump sum payment equal to the full amount distributed to him from the Plan on account of his severance from
employment. In the event of a deemed distribution for a Participant with a vested Account balance of zero, the undistributed portion of the Participant’s account must be restored in full, unadjusted by any gains or losses occurring subsequent
to the Valuation Date coinciding with or next following the Participant’s termination of employment. The source for reinstatements shall be any forfeitures occurring during the Plan Year. If such source is insufficient, then the Employer shall
contribute an amount which is sufficient to restore any such forfeited account; provided, however, that if a discretionary contribution is made for such Plan Year pursuant to Section 5.1, such contribution shall first be applied to restoring
such accounts and the remainder shall be allocated in accordance with Section 5.5. 
 4.6 Change in Control. Notwithstanding the
provisions of Section 4.1 of the Plan, a Participant shall be 100 percent vested upon a Change in Control. 

  
 13 

 ARTICLE V 

CONTRIBUTIONS AND ALLOCATIONS 

5.1 Company Contributions. For each Plan Year, the Company may contribute cash or shares of Company Stock, or both, to the Plan in such
amounts as may be determined by the Board of Directors. 
 In the event shares of Company Stock are sold to the Trustee for a Plan Year, the
fair market value of such Company Stock shall be determined in accordance with the provisions of Article VIII. 
 5.2 Time and
Manner of Contributions. All Company contributions shall be paid directly to the Trustee, and a contribution for any Plan Year shall be made not later than the date prescribed by law for filing the Company’s Federal income tax return
(including extensions, if any) for the Company’s taxable year that ends within or with that Plan Year. 
 5.3 Employee
Contributions. Participants are neither permitted nor required to make contributions to the Plan. 
 5.4 Recovery of
Contributions. The Company may recover contributions to the Plan, only as set forth in this Section 5.4. 
 (a) Contributions made
to the Plan shall be conditioned upon the initial and continuing qualification of the Plan. If the Plan is determined to be disqualified, contributions made in respect of any period subsequent to the effective date of such disqualification shall be
returned to the Company. With respect to the initial qualification of the Plan, the Company may recover contributions only if (i) the Plan receives an adverse determination letter with respect to its initial qualification and (ii) the
application for determination letter is filed within the applicable remedial amendment period that applies to new plans (determined in accordance with the concepts of Rev. Proc. 2007-44). 

(b) Contributions made to the Plan shall be conditioned upon their deductibility under the Code. To the extent that a deduction is disallowed
for any contribution, such amount shall be returned to the Company within one year after the disallowance of the deduction. 
 (c) If a
contribution, or any part thereof, is made on account of a mistake of fact, the amount of the contribution attributable to such mistake shall be returned to the Company within one year after it is made. 

5.5 Allocation of Employer Contributions. Subject to the limitations set forth in Article VI and Section 17.3(b), Employer
contributions made to the Trust for a Plan Year shall be allocated to the Accounts of Participants who completed 1,000 Hours of Service during the Plan Year and are actively employed on the last day of the Plan Year; provided, however, that if
the Plan terminates due to a Change in Control prior to the last day of the Plan Year, Employer contributions made to the Trust for the period from January 1 of such Plan Year, through the date of the Change in Control shall be allocated to the
Accounts of Participants who are actively employed on the date of the Change in Control without regard to their respective Hours of 

  
 14 

 
Service during such period. Company contributions made pursuant to Section 5.1 shall be allocated to an eligible Participant’s Account in the ratio that such Participant’s
Compensation for the Plan Year bears to the total Compensation of all eligible Participants for the Plan Year. 
 5.6 Income on
Investments. The income, gains, and losses attributable to investments under the Plan shall be allocated as of each Valuation Date or at such other times as the Administrative Committee may determine to the Accounts of Participants and
Beneficiaries who have undistributed balances in their Accounts on the Valuation Date, in proportion to the amounts in the Accounts immediately after the preceding Valuation Date, but after first reducing each Account by any distributions,
withdrawals or transfers from the Trust during the interim period and increasing each Account by any transfers to the Trust and by contributions made to the Trust during the interim period. 

Distributions from the Plan shall include income, gains, and losses accrued as of the coincident or immediately preceding Valuation Date, and
shall not be adjusted proportionately to reflect any income, gains, or losses accrued after that Valuation Date. All valuations shall be based on the fair market value of the assets in the Trust on the Valuation Date. 

5.7 Certain Stock Transactions. Shares of Company Stock received by the Trustee as a result of a stock split, dividend, conversion, or
as a result of a reorganization or other recapitalization of the Company shall be allocated as of the day on which such shares are received by the Trustee in the same manner as the shares of Company Stock to which they are attributable are then
allocated. 
 5.8 Valuation of Trust Fund. As of each Valuation Date, the Trustee shall determine the fair market value of the Trust,
after deducting withdrawals, distributions, and any expenses of Plan administration paid out of the Trust, and including any contributions allocated to Participants’ Accounts, for the valuation period ending on the Valuation Date. In
determining value, the Trustee may use such generally accepted methods as the Trustee, in its discretion, deems advisable, which, in the case of Company Stock shall be in accordance with the provisions of Article VIII. 

  
 15 

 ARTICLE VI 

LIMITATIONS 
 6.1 Code
Section 415 Limitations 
 (a) Participation Solely in This Plan. If the Participant does not participate in, and has never
participated in another plan qualified under Code Section 401(a) that is maintained by the Employer, or a welfare benefit fund (as defined in Code Section 419(e)) maintained by the Employer, or an individual medical account (as defined in
Code Section 415(l)(2)) maintained by the Employer, which provides an Annual Addition, the amount of Annual Additions which may be credited to the Participant’s Account for any Limitation Year shall not exceed the lesser of the Maximum
Permissible Amount or any other limitation contained in the Plan. If, prior to making the contribution, it is determined that the Company’s contribution that would otherwise be contributed or allocated to the Participant’s Account would
cause the Annual Additions for the Limitation Year to exceed the Maximum Permissible Amount, the amount contributed will be reduced so that the Annual Additions for the Limitation Year will equal the Maximum Permissible Amount. 

(b) Participation in Another Defined Contribution Plan. This Section 6.1(b) applies if a Participant is also covered under
another defined contribution plan or a welfare benefit fund (as defined in Code Section 419(e)), an individual medical account (as defined in Code Section 415(l)(2) or a simplified employee pension (as defined in Code Section 408(k))
maintained by the Employer which provides an Annual Addition during any Limitation Year. If the Participant participates in one or more such plans, all reductions in Annual Additions shall be made under such plans and not under this Plan. In the
event that, notwithstanding the preceding sentence, the Annual Additions to be credited under this Plan should exceed the Maximum Permissible Amount after the Annual Additions which would otherwise be credited to the Participant’s Account under
any other such plan are reduced, reductions in this plan shall be reduced in the manner set forth in Section 6.1(a) of the Plan. 

(c) Definitions. The following definitions apply solely for purposes of this Section 6.1. 

(i) Annual Additions means the sum of the following amounts credited to a Participant’s Account for the Limitation Year: 

(A) employer contributions 

(B) employee contributions 

(C) forfeitures 
 (D) amounts
allocated to an individual medical account (as defined in Code Section 415(l)(2)) which is part of a pension or annuity plan maintained by the Employer which are treated as Annual Additions to a defined contribution plan, and 

(E) amounts derived from contributions paid or accrued, which are attributable to post-retirement medical benefits, allocated to the separate
account of a key employee, as defined in Code Section 419A(d)(3), under a welfare benefit fund maintained by the Employer which are treated as Annual Additions to a defined contribution plan. 

  
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 For purposes of this Section 6.1(c)(i), the amount of employer contributions credited to a
Participant as an Annual Addition for a Limitation Year in which a payment is made with respect to the principal and interest for an Exempt Loan shall include the Participant’s proportionate share of the lesser of (i) the amount of Company
contributions credited to the Participant’s Account for the Limitation Year, or (ii) the fair market value of the shares of Company Stock credited to the Participant’s Account resulting from the release of shares on account of such
payment. 
 (ii) Employer means the Company and all members of a controlled group of corporations (as defined in Code Section 414(b)
and modified by Code Section 415(h)) all commonly controlled trades or businesses (as defined in Code Section 414(c) as modified by Code Section 415(h)), any affiliated service group (as defined in Code Section 414(m)) of which
the Company is a part, and any other entity required to be aggregated with the Employer pursuant to regulations under Code Section 414(o). 

(iii) Excess Amount means the excess of the Participant’s Annual Additions for the Limitation Year over the Maximum Permissible Amount.

 (iv) Limitation Year means the calendar year. 

(v) Maximum Permissible Amount means the Maximum Annual Additions that may be contributed or allocated to a Participant’s Account for
any Limitation Year. Such amount shall not exceed the lesser of: 
 (A) $53,000 (as adjusted for increases in the cost-of-living under Code Section 415(d)), or 
 (B)
100 percent of the Participant’s Compensation for the Limitation Year. 
 The Maximum Permissible Amount shall be pro-rated in
the case of any Limitation Year of less than 12 months created by the changing of the Limitation Year. 
 If no more than one-third of
Company contributions to the Plan for a Plan Year which are deductible under Code Section 404(a)(9) are allocated to the Accounts of Participants who are Highly Compensated Employees, there shall be excluded in determining the Maximum
Permissible Amount of each Participant for such Plan Year (A) the contributions applied to the payment of interest on an Exempt Loan; and (B) any forfeitures of Company contributions if the forfeited contributions were Company Stock
acquired with the proceeds of an Exempt Loan. 
 6.2 Code Section 409(n) Provisions. 

(a) No portion of the assets of the Plan attributable to (or allocable in lieu of) Company Stock acquired by the Plan in a sale to which Code
Section 1042 applies may be 

  
 17 

 
allocated to the Account of (i) any Qualifying Selling Shareholder during the Nonallocation Period, or (ii) any other person who owns more than 25 percent of (A) any class of
outstanding stock of the Company or any of its Affiliates, or (B) the total value of any class of outstanding stock of the Company or any of its Affiliates. 

(b) For purposes of this Section 6.2, the following initially capitalized words shall have the following meanings: 

(i) “Affiliate” means Affiliate as defined in Section 2.3 of the Plan modified in accordance with Code Section 409(l)(4).

 (ii) “Qualifying Selling Shareholder” means any shareholder of Company Stock who makes an election under Code
Section 1042(a) with respect to Company Stock, or any individual who is related to (within the meaning of Code Section 267(b)) the shareholder of Company Stock as defined above. The term shall not include any lineal descendant of such
shareholder or if the aggregate amount allocated to the benefit of all such lineal descendants during the Nonallocation Period does not exceed more than 5 percent of Company Stock (or amounts allocated in lieu thereof) held by the Plan which
are attributable to a sale to the Plan by any person related to such descendants (within the meaning of Code Section 267(c)(4)) in a transaction to which Code Section 1042 applied. 

(iii) “Nonallocation Period” means the period beginning on the date of the sale of Company Stock and ending on the later of the
date which is 10 years after the date of the sale, or the date of the Plan allocation attributable to the final payment of acquisition indebtedness incurred in connection with such sale. 

  
 18 

 ARTICLE VII 

INVESTMENT OF TRUST ASSETS 

All assets of the Plan shall be held in the Trust. The Trustee shall use the proceeds of the Exempt Loan and all Company contributions, other
than cash needed to satisfy the Plan’s ongoing liquidity needs, to purchase Company Stock in open market transactions or from other stockholders, or to buy newly issued Company Stock from the Company. If the purchase is from the Company or a
Disqualified Person, such purchase shall be for adequate consideration and no commission is to be charged with respect to the purchase. If no Company Stock is available for purchase or the Trustee determines that cash is needed to meet the
Plan’s liquidity needs, then the Trustee shall invest in other securities or property, real or personal, consistent with the requirements of Title I of ERISA. These other securities, property and cash shall be held by the Trustee in the
Trust’s investment fund. The investment fund income shall be allocated as of each Valuation Date to Participants’ Accounts in accordance with Section 5.6 of the Plan. 

  
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 ARTICLE VIII 

COMPANY STOCK VALUE 
 The
fair market value of Company Stock shall be determined, on any relevant day, as follows: (a) if such stock is Readily Tradable, then fair market value shall be equal to the closing sale price for the most recent date (including such relevant
date) during which a trade in such stock has occurred or (b) if such stock is not Readily Tradable, then fair market value shall be determined by the Trustee based upon a valuation of Company Stock by an independent appraiser who satisfies
requirements similar to those contained in regulations issued under Code Section 170(a)(1). 

  
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 ARTICLE IX 

DISTRIBUTIONS 
 9.1
Termination of Employment. In the event of the Participant’s termination of employment for any reason (including attainment of Normal Retirement Date or on account of death), a Participant shall be entitled to a distribution of all
amounts determined under Article IV that are credited to the Participant’s Account at the times set forth in this Article IX. 

9.2 Death. Upon the death of a Participant, all amounts credited to the Participant’s Account shall be distributed to the
Participant’s Beneficiary, determined in accordance with this Section 9.2. 
 (a) The Administrative Committee may require such
proof of death and such other evidence of the right of any person to receive payment of the Account of a deceased Participant as the Administrative Committee deems necessary. The Administrative Committee’s determination of death and of the
right of any person to receive payment shall be conclusive and binding on all parties. 
 (b) The Beneficiary upon the death of a
Participant shall be the Participant’s Spouse; provided, however, that the Participant may designate, on a form provided by the Administrative Committee for such purpose, a Beneficiary other than the Participant’s Spouse, if: 

(i) the Spouse has waived the right to be the Participant’s Beneficiary in the manner set forth in subsection (c) of this
Section 9.2; or 
 (ii) the Participant has established to the satisfaction of the Administrative Committee that the Participant has
no Spouse or that the Spouse cannot be located. 
 (c) Any consent by a Participant’s Spouse to waive a death benefit must be filed
with the Administrative Committee in writing, in a manner, and on a form provided by the Committee for such purpose. The Spouse’s consent must acknowledge the effect of the consent and must be witnessed by a notary public or a Plan
representative. The designation of a Beneficiary other than the Spouse made by a married Participant must be consented to by the Participant’s Spouse and may be revoked by the Participant in writing without the consent of the Spouse. Any new
beneficiary designation must comply with the requirements of this subsection (c). A former Spouse’s waiver shall not be binding on a new Spouse. 

(d) In the event the Participant fails to designate a Beneficiary, the designated Beneficiary fails to survive the Participant, or if such
designation shall be ineffective for any reason, the Participant’s Account shall be paid in the following order of priority: first to the Participant’s surviving Spouse, if any; second, if there is no surviving Spouse, to the
Participant’s surviving descendants, if any, per stirpes; third, if there is neither a surviving Spouse nor any surviving descendants, to the estate of the Participant. 

  
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 9.3 Time of Payment. 

(a) General Rule. Unless a Participant elects otherwise or Company Stock is not Readily Tradable, the distribution of a
Participant’s Account shall begin as soon as administratively feasible following an event giving rise to a distribution in accordance with the provisions of this Article IX. 

(b) Small Distributions. Notwithstanding the foregoing provisions of this Section 9.3, in the event a Participant does not have a
vested balance in his or her Account on the date the Participant terminates employment, the Participant’s account shall be deemed to have been distributed as a zero dollar deemed distribution as of the date the Participant terminated
employment. In the event a Participant has a vested Account balance that exceeds zero but does not exceed $1,000 at any time after the Participant terminates employment, the entire vested Account of the Participant shall be distributed as soon as
administratively feasible. 
 (c) Distributions to Alternate Payees. A payment to an alternate payee under a qualified domestic
relations order, as such term is defined in Code Section 414(p), shall be made as soon as administratively feasible following the determination that such domestic relations order is qualified even if such distribution is prior to the
Participant’s earliest retirement age (as defined in Code Section 414(p)(4)(B)). 
 (d) Not Readily Tradable. In the event
that Company Stock is not Readily Tradable and the Participant terminates employment on or after attaining his or her Normal Retirement Date or due to death or Disability, the distribution of the Participant’s Account shall begin as soon as
administratively feasible, but not later than 180 days after the end of the Plan Year in which the Participant’s termination of employment occurred. In the event that Company Stock is not Readily Tradable and the Participant terminates
employment prior to attaining his or her Normal Retirement Date and prior to death or Disability, the distribution of the Participant’s Account shall begin not later than 180 days after the end of the Plan Year that contains the earlier of
(i) the fifth anniversary of the Participant’s termination of employment (unless the Participant is reemployed by the Company before distributions begin) and (ii) the Plan Year in which the Participant attains his or her Normal
Retirement Date. 
 9.4 Manner of Making Payments. A Participant’s Account will be distributed in one lump sum unless Company
Stock is not Readily Tradable, in which case distributions will be made by payment in a series of substantially equal annual installments over a period not to exceed 5 years. 

9.5 Form of Payment. Distribution of a Participant’s Account balance shall be made in whole shares of Company Stock and cash to
the extent that his Account balance includes any cash or fractional shares at the time of distribution; provided, however, that a Participant may elect to have his entire Account balance distributed in cash. In the event the Participant’s
Account includes securities acquired with the proceeds of the Exempt Loan and such proceeds consist of more than one class of securities, the amount distributed shall include substantially the same proportion of each class of securities acquired
with the proceeds of the Exempt Loan. 

  
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 The value of shares of Company Stock that are distributed in cash shall be equal to the fair
market value of each share multiplied by the number of shares credited to the Participant’s Account, with appropriate adjustments to reflect intervening stock dividends, stock splits, stock redemptions, or similar changes to the number of
outstanding shares. The fair market value of a share shall be determined as of the Valuation Date coinciding with or immediately preceding the date of the distribution. 

9.6 Direct Rollover. 

(a) Notwithstanding any provision of the Plan to the contrary that would otherwise limit a distributee’s election under this
Article IX, a distributee may elect, at the time and in the manner prescribed by the Administrative Committee, to have any portion of an eligible rollover distribution paid directly to an eligible retirement plan specified by the distributee in
a direct rollover. 
 For purposes of this Section 9.6, the following definitions apply: 

“Eligible rollover distribution”. An eligible rollover distribution is any distribution of all or any portion of the balance to the
credit of the distributee, except that an eligible rollover distribution does not include: any distribution that is one of a series of substantially equal periodic payments (not less frequently than annually) made for the life (or life expectancy)
of the distributee or the joint lives (or joint life expectancies) of the distributee and the distributee’s designated Beneficiary, or for a specified period of ten years or more; any distribution to the extent such distribution is required
under Code Section 401(a)(9); a distribution on account of hardship; or the portion of any distribution that is not includable in gross income (determined without regard to the exclusion for net unrealized appreciation with respect to employer
securities). 
 “Eligible retirement plan”. An eligible retirement plan is an eligible plan under Code Section 457(b) which
is maintained by a state, political subdivision of a state, or any agency or instrumentality of a state, or political subdivision of a state and which agrees to separately account for amounts transferred into such plan from this Plan, an individual
retirement account described in Code Section 408(a), an individual retirement annuity described in Code Section 408(b), an annuity plan described in Code Section 403(a), an annuity contract described in Code Section 403(b), a
qualified plan described in Code Section 401(a), or a Roth IRA described in Code Section 408A, that accepts the distributee’s eligible rollover distribution. The definition of eligible retirement plan shall also apply in the case of a
distribution to a surviving Spouse, or to a Spouse or former Spouse who is the alternate payee under a qualified domestic relations order, as defined in Code Section 414(p). 

“Distributee”. A distributee includes an employee or former employee. In addition, the employee’s or former employee’s
surviving Spouse and the employee’s or former employee’s Spouse or former Spouse who is the alternate payee under a qualified domestic relations order, as defined in Code Section 414(p), are distributees with respect to the interest
of the Spouse or former Spouse. A distributee also includes the Participant’s non-spouse designated Beneficiary, in which case, the direct rollover may be made only to an individual retirement account or annuity described in Code
Sections 408(a) or 408(b) that is established on 

  
 23 

 
behalf of the designated Beneficiary and that will be treated as an inherited IRA pursuant to the provisions of Code Section 402(c)(11); provided, however, that the determination of any
required minimum distribution that is ineligible for rollover shall be made in accordance with Notice 2007-7, Q&A 17 and 18. 

“Direct rollover”. A direct rollover is a payment by the plan to the eligible retirement plan specified by the distributee. 

9.7 Diversification Election. Notwithstanding any provision of this Article to the contrary, a Participant who has attained age 55
and completed at least ten years of participation in this Plan may elect in writing, on a form provided by the Administrative Committee for such purpose, within ninety days after the close of each Plan Year during the Qualified Election Period, to
direct the investment of a portion of the Participant’s interest in the Company Stock Account not in excess of 25 percent of such interest, less amounts subject to all prior elections under this Section 9.7 as a transfer to the
applicable ICC Holdings, Inc. or Affiliate 401(k) Plan which permits Participants to make investment elections. Upon a Participant’s election to diversify a portion of the Participant’s interest in the Company Stock Account, Company Stock
in an amount equal to the portion so elected, valued as of the Valuation Date concurrent with or immediately preceding the date of such election will be transferred to the applicable ICC Holdings, Inc. or Affiliate 401(k) Plan which permits
Participants to make investment elections. A participant may then make investment elections among the several funds. Starting from the sixth Plan Year during the Qualified Election Period of a Participant, 50 percent shall be substituted for
25 percent in the preceding sentence. 
 For purposes of this Section 9.7, “Qualified Election Period” means, with
respect to a Participant, the period beginning with the later of (a) the Plan Year in which the Participant attains age 55 or (b) the Plan Year in which the Participant completes at least ten years of participation in the Plan and
ending with the year in which the Participant terminates employment for any reason. 
 9.8 Election to Retain Interests in Plan. No
distribution shall be made to a Participant before such Participant’s Normal Retirement Date unless (a) the Participant’s prior written consent to the distribution has been obtained by the Administrative Committee, (b) the value
of the Participant’s vested Account does not exceed $1,000 as of the date of the event giving rise to the distribution, or (c) the Plan receives a determination from the Internal Revenue Service that the Plan is qualified upon termination.

 9.9 Mandatory Distributions. 

(a) Subject to the provisions of Section 9.3 of the Plan, unless a Participant otherwise elects in writing, payment of benefits under
this Plan shall commence not later than one hundred eighty days after the close of the Plan Year in which the latest of the following dates occur: 

(i) the date on which the Participant attains age 65; 

(ii) the 10th anniversary of the date on which the Participant commenced participation in the Plan; or 

(iii) the date the Participant terminates employment with the Company. 

  
 24 

 (b) notwithstanding any provision of this Plan to the contrary, all amounts credited to a
Participant’s Account shall commence to be distributed not later than the later of (i) April 1 of the calendar year following the calendar year in which the Participant attains age
70 1⁄2 or (ii) the date the Participant terminates employment with the Company; except that distributions to a five percent owner (as defined in Code
Section 416) must commence by the April 1 of the calendar year following the calendar year in which such Participant attains age 70 1⁄2. Unless paid
quicker pursuant to another provision in the Plan, any and all subsequent distributions shall be made in accordance with the rules set forth in Code Section 401(a)(9) and Treas. Reg. Sections 1.401(a)(9)-2 through 1.401(a)-9, including the
minimum distribution incidental death benefit requirements of Code Section 401(a)(9)(G). 
 (i) In the event the Participant dies
before distributions under this Article IX have commenced, then, unless the Beneficiary of the Participant is the Participant’s Spouse, the entire balance in the Account of the Participant shall be distributed on or before the
December 31 of the calendar year in which occurs the fifth anniversary of the death of such Participant. 
 (ii) Any amount payable to
a child pursuant to the death of a Participant or former Participant shall be treated as if it were payable to the Participant’s or former Participant’s surviving Spouse if such amount would become payable to the surviving Spouse upon such
child reaching majority (or other designated event permitted by regulations). 
 9.10 Dividends. 

(a) Suspense Account. Any cash dividends on Company Stock acquired with the proceeds of an Exempt Loan and held in the Suspense
Account shall be applied first to repay the principal and, at the Administrative Committee’s discretion, the interest, on the Exempt Loan. After the payment of the principal and the interest of the Exempt Loan, any remaining cash dividends on
Company Stock acquired with the proceeds of an Exempt Loan and held in the Suspense Account may, as the Administrative Committee may determine, be used to purchase Company Stock or allocated to Accounts of Participants in accordance with
subsection (b) below. 
 (b) Participant Accounts. At the Administrative Committee’s discretion, any cash dividends on
shares of Company Stock acquired with the proceeds of the Exempt Loan and allocated to Participant’s Accounts may be used to (i) pay the principal and/or the interest of the Exempt Loan subject to the provisions of Section 17.3(b) of
the Plan, (ii) be paid currently to Participants (or within ninety days after the end of the Plan Year in which the dividends are paid to the Trust) as cash, (iii) be paid directly to Participant Accounts, or (iv) be distributed or
reinvested in Company Stock pursuant to a Participant or Beneficiary election, as described below. 

  
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 If the Administrative Committee chooses the election method described in (iv) above, then
such dividends and any reinvestment thereof shall be fully vested at all times and a Participant or Beneficiary, as applicable, shall be offered an election between (A) the allocation of cash dividends to such Participant’s or
Beneficiary’s Account and distribution to the Participant or Beneficiary of such dividends not later than ninety (90) days after the close of the Plan Year in which the dividends are paid or (B) the allocation of dividends to the
Participant’s or Beneficiary’s Account and reinvestment in Company Stock. A Participant’s or Beneficiary’s election to receive cash payment of dividends on shares of Company Stock shall be made in the manner and time directed by
the Administrative Committee. In the absence of a dividend election made in the manner directed by the Administrative Committee, the Participant or Beneficiary shall be deemed to have elected to have such cash dividends allocated to the
Participant’s Account and reinvested in Company Stock. A distribution of dividends pursuant to this Section 9.10(b) shall not include any earnings or gains on the dividend amount from the time such dividends are paid to the Plan to the
time such dividends are distributed to Participants and Beneficiaries. A distribution of dividends pursuant to this Section 9.10(b) shall be reduced by any investment losses on the dividend amount from the time such dividends are paid to the
Plan to the time such dividends are distributed to Participants and Beneficiaries. 
 9.11 Change in Control. Notwithstanding the
provisions of this Article IX or any other provisions of the Plan to the contrary, but subject to the minimum distribution requirements of Plan Section 9.9(b), distributions shall not be made from the Plan upon its termination pursuant to
a Change in Control until such time as the Plan has received a determination from the Internal Revenue Service that the Plan is qualified upon termination. 

  
 26 

 ARTICLE X 

RIGHT AND RESTRICTIONS ON COMPANY STOCK 

10.1 Right of First Refusal. In the event that Company Stock is not Readily Tradable at the time of distribution and in the event a
Participant, former Participant, or Beneficiary desires to sell to a third person Company Stock received as a distribution from the Plan, such person must first offer the Plan, then the Company, the right to purchase such Company Stock at a price
and on such terms not less favorable to the Participant than the greater of (a) the price established by a bona fide offer or (b) the fair market value of the Company Stock using the value determined as of the concurrent or immediately
preceding Valuation Date. The right of the Plan and the Company to purchase such stock shall lapse on the 14th day after such written notice is given to the Plan or the Company of the fact that an offer has been received from a third party to
purchase the Company Stock and of the price and other terms of such offer. 
 10.2 Put Requirements. 

(a) In the event Company Stock is distributed and is not Readily Tradable at the time of distribution, the Participant, former Participant,
or Beneficiary may have an option (the “Put”) to require the Company to purchase all of the shares actually distributed to such individual. The Put may be exercised at any time during the Option Period (as defined in subsection (f)
below) by giving the Administrative Committee and the Company written notice of the election to exercise the Put. The Put may be exercised by a former Participant or a Beneficiary only during the Option Period with respect to which the former
Participant or Beneficiary receives a distribution of Company Stock. 
 (b) (i) The price paid for Company Stock sold to the Plan or the
Company pursuant to the Put shall be the fair market value of each share multiplied by the number of shares to be sold under the Put, with appropriate adjustments to reflect intervening stock dividends, stock splits, stock redemptions, or similar
changes to the number of outstanding shares. The fair market value of a share shall be determined (A) as of the Valuation Date concurrent with or immediately preceding the date the Put is exercised, or (B) in the case of a transaction
between the Plan and a Disqualified Person, determined as of the date of the transaction. 
 (ii) If the distribution of Company Stock to a
former Participant or Beneficiary constituted a distribution within one taxable year of the balance of the Participant’s Account, the Company reserves the right to establish guidelines to be exercised in a uniform and nondiscriminatory manner,
to make payment for the shares subject to the Put on an installment basis in substantially equal annual, quarterly or monthly payments over a period not to exceed five years, such period beginning no later than thirty days after exercise of the Put.
The Company shall pay reasonable interest at least annually on the unpaid balance of the price and shall provide to the former Participant or Beneficiary adequate security with respect to the unpaid balance. If the distribution was part of an
installment distribution, the Company shall pay the Participant in cash within thirty days after exercise of the Put. 

  
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 (c) The Put shall not be assignable, except that the Participant’s or former
Participant’s legal representative (in the event of a Participant’s incapacity) or, the Participant’s Beneficiary (in the event of a Participant’s or former Participant’s death) shall be entitled to exercise the Put during
the Option Period for which it is applicable. 
 (d) The Trustee (on behalf of the Plan) in its discretion, may assume the Company’s
obligations under this Section at the time a Participant, former Participant, or Beneficiary exercises the Put, with the Company’s consent. If the Trustee assumes the Company’s obligations, the provisions of this Section that apply to
the Company shall also apply to the Trustee. 
 (e) The Administrative Committee shall notify each Participant, former Participant, and
Beneficiary who is eligible to exercise the Put of the fair market value of each share of Company Stock as soon as practicable following its determination. The Administrative Committee shall send all notices required under this Section to the
last known address of a Participant, former Participant, or Beneficiary, and it shall be the duty of those persons to inform the Administrative Committee of any changes in address. 

(f) For purposes of this Section, the “Option Period” is the period of sixty days following the day on which a Participant, former
Participant, or Beneficiary receives a distribution. If such person does not exercise the Put during that sixty-day period, the Option Period shall also be the sixty-day period beginning on the first anniversary of the day on which such person
received a distribution. Notwithstanding the preceding sentences, when Company Stock is acquired with the proceeds of an Exempt Loan, the “Option Period” shall be the fifteen (15) month period beginning on the date such Company Stock
is distributed to a Participant (or the Participant’s Beneficiary). Such 15-month period shall be extended by a period equal to the number of days, if any, during which the Company is precluded from honoring the put option by reason of
applicable federal or state law. 
 10.3 Prohibition on Purchase Arrangements. Except as provided in this Article X, no Company
Stock acquired with the proceeds of an Exempt Loan shall be subject to a put, call, or other option, or buy-sell or similar arrangement while held by and when distributed from the Trust, whether or not at the time of distribution the Plan is an
employee stock ownership plan. 
 10.4 Nonterminable Rights. The rights and restrictions of this Article X shall not be terminable.

  
 28 

 ARTICLE XI 

VOTING AND TENDER OF COMPANY STOCK 

11.1 Voting. 
 (a) All
shares of Company Stock held in the Trust shall be voted by the Trustee. 
 (b) Each Participant and Beneficiary shall be entitled, in a
confidential manner, to direct the Trustee as to the manner in which Company Stock allocated to the Participant’s Account is to be voted on any and all matters which may be presented to the shareholders of Company Stock. 

(c) With respect to (i) allocated Company Stock as to which no direction is received and (ii) unallocated shares of Company Stock
in the Suspense Account, the Trustee shall vote such shares in the same proportion as shares for which direction is received. In voting such shares, the Trustee shall comply with the fiduciary requirements of ERISA. 

11.2 Tender. 
 (a) The
Trustee shall not sell, alienate, encumber, pledge, transfer or otherwise dispose of any Company Stock; except (i) as specifically provided for in the Plan or a Trust Agreement, or (ii) in the case of a “tender or exchange
offer”, as set forth in subsection (b) of this Section 11.2. 
 For purposes of this Article XI, the term “tender
or exchange offer” shall mean: (A) any offer for, or request for or invitation for tenders or exchanges of, or offers to purchase or acquire any shares of Company Stock that is directed generally to shareholders of the Company, or
(B) any transaction involving Company Stock which may be defined as a “tender offer” under proposed or final rules or regulations promulgated by the Securities and Exchange Commission. 

(b) (i) In the event of a tender or exchange offer, each Participant or, if the Participant is not alive, the Participant’s Beneficiary,
shall have the right to determine, in a confidential manner, whether to tender or exchange any whole and fractional shares of Company Stock allocated to the Participant’s Account and shall be entitled to instruct the Trustee as to the tender of
such shares. Upon receipt of such instructions, the Trustee shall act with respect to such Company Stock as instructed. With respect to Company Stock as to which no instruction is received and shares of Company Stock in the Suspense Account, the
Trustee shall tender such shares in the same proportion as shares for which direction is received. In exercising such tender, the Trustee shall comply with the fiduciary requirements of ERISA. 

(ii) All shares of Company Stock held in the Trust Fund and not tendered pursuant to subsection (b)(i) of this Section 11.2,
including allocated shares for which no instructions are received, shall continue to be held by the Trustee. 
 (iii) Any shares of Company
Stock not tendered by a Participant or Beneficiary pursuant to subsection (b)(i) of this Section 11.2 shall continue to be held by the Trustee in such Participant’s or Beneficiary’s Account. The Account of each Participant or
Beneficiary tendering shares of Company Stock pursuant to subsection (b)(i) of this Section 11.2 shall be credited with the cash received by the Trustee in exchange for the shares tendered from such Participant’s or Beneficiary’s
Account. 

  
 29 

 11.3 Fiduciary Responsibilities. 

Each Participant shall be a “named fiduciary,” within the meaning of ERISA Section 402(a), with respect to the voting and
tender of Company Stock pursuant to Sections 11.1 and 11.2 of the Plan . 
 11.4 Procedures for Voting and Tender. 

(a) The Administrative Committee shall establish and maintain procedures by which Participants and Beneficiaries shall be (i) timely
notified of their right to direct the voting and tender of Company Stock allocated to their Accounts and the manner in which any such directions are to be conveyed to the Trustee, and (ii) given information relevant to making such decisions. No
directions shall be honored by the Trustee unless timely and properly conveyed in accordance with such procedures. 
 (b) Voting
instructions received from Participants and Beneficiaries shall be held in confidence by the Trustee or its delegate for this purpose and shall not be divulged to the Company or to any officer or employee of the Company or to any other person. 

  
 30 

 ARTICLE XII 

ADMINISTRATION 
 12.1
Fiduciary Responsibilities. A fiduciary shall have only those specific powers, duties, responsibilities and obligations as are specifically given to such person under the Plan or the Trust. The Company shall have sole responsibility to make
the contributions provided for under the Plan and, by action of the Board of Directors, to amend or terminate, in whole or in part, the Plan or the Trust. The Board of Directors shall have sole responsibility to appoint and remove members of the
Administrative Committee and the Trustees of the Plan. The Administrative Committee shall have sole responsibility for the general administration of this Plan and for the investment policies of the Plan, for the selection of the Plan’s
investment funds pursuant to the Plan, and for the appointment and removal of any Investment Manager. Subject to the provisions of the Plan and the Trust Agreement, the Trustee shall have sole responsibility for the administration of the Trust and
the management of the assets held in the Trust, as set forth in the Plan and the Trust. It is intended that each fiduciary shall be responsible for the proper exercise of such fiduciary’s own powers, duties, responsibilities, and obligations
and, except as otherwise provided by law, shall not be responsible for any act or failure to act by another fiduciary. A fiduciary may serve in more than one fiduciary capacity with respect to the Plan. A fiduciary of the Plan who is also an
Employee shall not be compensated in such individual’s capacity as fiduciary. 
 12.2 The Administrative Committee. Any member
of the Administrative Committee may resign with sixty (60) days advance written notice to the Board of Directors. The Administrative Committee shall select a Chairman and a Secretary to keep records or to assist it in the discharge of its
responsibilities. The Administrative Committee shall have such duties and powers as are necessary to discharge its responsibilities under the Plan, including, but not limited to, the following: 

(a) To require any person to furnish such information as it requests for the purpose of the proper administration of the Plan; 

(b) To make and enforce such rules and regulations and prescribe the use of such forms as it deems necessary for the efficient administration
of the Plan; 
 (c) To construe and interpret the Plan, including the right to determine eligibility for participation, eligibility for
payment, the amount of benefits payable, the timing of distributions and all other issues arising under the Plan as well as the right to remedy possible ambiguities, inconsistencies or omissions; provided, however, that all such interpretations and
decisions shall be applied in a uniform manner to all similarly situated Participants and Beneficiaries; 
 (d) To employ and rely upon
such advisors (including attorneys, independent public accountants, investment advisors and enrolled actuaries) as it deems appropriate or helpful in connection with the operation and administration of the Plan; 

(e) To maintain complete records of the administration of the Plan; 

  
 31 

 (f) To prepare and file with the appropriate governmental agencies such reports as required from
time to time with respect to the Plan under ERISA, the Code, or other laws and regulations governing the administration of the Plan; 
 (g)
To furnish or disclose to Participants, Employees who may become Participants, and Beneficiaries information about the Plan and statements of accrued benefits under the Plan, in accordance with ERISA, the Code, or other laws and regulations
governing the administration of the Plan; 
 (h) To delegate to one or more members of the Administrative Committee, or to persons other
than Administrative Committee members, any authority, duty or responsibility pertaining to the administration or operation of the Plan; provided, however, that each such delegation shall be made by a written instrument authorized by the
Administrative Committee and maintained with the records of the Plan. If any person other than an Employee is so designated, such person must acknowledge, in writing, acceptance of the duties and responsibilities delegated. All such instruments and
acknowledgments shall be considered a part of the Plan; 
 (i) To determine, pursuant to procedures adopted by it, whether a state domestic
relations order served upon the Plan is a “qualified domestic relations order” (as defined in Code Section 414(p)); to place in escrow any benefits payable in the period during which the Administrative Committee determines the status
of an order; and to take any necessary action to administer distributions under the terms of a “qualified domestic relations order”; 

(j) To discharge any responsibilities which are allocated to the Administrative Committee elsewhere in this Plan. 

All decisions and interpretations of the Administrative Committee shall be binding and shall be entitled to the maximum deference permitted
under the law. 
 12.3 Plan Expenses. All expenses authorized and incurred by the Administrative Committee shall be paid from the
assets of the Plan, except to the extent such expenses are paid by the Company. 
 12.4 Meetings and Voting. The Administrative
Committee shall act by a majority vote of its respective members at a meeting or, by written consent of a majority of its members, without a meeting. The Administrative Committee shall hold meetings, as deemed necessary by them, although any member
may call a special meeting of the committee by giving reasonable notice to the other members. The Secretary of the Administrative Committee shall have authority to give certified notice in writing of any action taken by the committee. 

12.5 Compensation. The members of the Administrative Committee, if Employees, shall serve without compensation. 

  
 32 

 12.6 Claims Procedures. 

(a) Any Participant or Beneficiary (“Claimant”) may file a written claim for a benefit under the Plan with the Administrative
Committee or with a person named by the Administrative Committee to receive such claims; 
 (b) In the event of a denial or limitation of
any benefit or payment due or requested by any Claimant, such Claimant shall be given a written notification containing specific reasons for the denial or limitation of the benefit. The written notification shall contain specific reference to the
pertinent Plan provisions on which the denial or limitation is based. In addition, it shall contain a description of any additional material or information necessary for the Claimant to perfect a claim and an explanation of why such material or
information is necessary. Further, the notification shall provide appropriate information as to the steps to be taken if the Claimant wishes to submit such claim for review. This written notification shall be given to a Claimant within ninety days
after receipt of the claim by the Administrative Committee (or its delegatee to receive such claims), unless special circumstances require an extension of time for processing the claim. If such an extension of time is required, written notice of the
extension shall be furnished to the Claimant prior to the termination of the ninety-day period and such notice shall indicate the special circumstances which make the postponement appropriate; 

(c) In the event of a denial or limitation of benefits, the Claimant or the Claimant’s duly authorized representative shall be permitted
to review pertinent documents and to submit issues and comments in writing to the Administrative Committee. In addition, the Claimant or the Claimant’s duly authorized representative may make a written request for a full and fair review of the
claim and its denial by the Administrative Committee; provided, however, that such written request must be received by the Administrative Committee (or its delegatee to receive such requests) within sixty days after receipt by the Claimant of
written notification of the denial or limitation. The sixty-day requirement may be waived by the Administrative Committee in appropriate cases; and 

(d) (i) A decision shall be rendered by the Administrative Committee within sixty days after the receipt of the request for review; provided,
however, that where special circumstances require an extension of time for processing the decision, it may be postponed, on written notice to the Claimant (prior to the expiration of the initial sixty-day period) for an additional sixty days, but in
no event shall the decision be rendered more than one hundred and twenty days after the receipt of such request for review. 
 (ii)
Notwithstanding subsection (d)(i) of this Section 12.6, if the Administrative Committee holds regularly scheduled meetings at least quarterly to review such appeals, a Claimant’s request for review shall be acted upon at the meeting
immediately following the receipt of the Claimant’s request unless such request is filed within thirty days preceding such meeting. In such instance, the decision shall be made no later than the date of the second meeting following the receipt
of such request by the Administrative Committee (or its delegatee to receive such requests). If special circumstances require a further extension of time for processing a request, a decision shall be rendered not later than the third meeting of the
Administrative Committee following the receipt of such request for review, and written notice of the extension shall be furnished to the Claimant prior to the commencement of the extension. 

(iii) Any decision by the Administrative Committee shall be furnished to the Claimant in writing and in a manner calculated to be understood
by the Claimant and shall set forth the specific reason(s) for the decision and the specific Plan provision(s) on which the decision is based. 

  
 33 

 (e) If a Claimant files a claim for benefits that the Administrative Committee denies, in whole
or in part, then the Claimant may file suit in federal court with respect to the Claimant’s claim for benefits after the Claimant has exhausted the Plan’s administrative procedures of this Section 12.6. The Claimant must file such
suit within three years after the date on which the Administrative Committee issues written notice denying, in whole or in part, the Claimant’s initial claim for benefits under Section 12.6(b). 

12.7 Liabilities. The Administrative Committee, each member or former member of such Committee, and each person to whom duties and
responsibilities have been delegated under the Plan shall be indemnified and held harmless by the Company, to the fullest extent permitted by ERISA, other applicable laws, and the charter and By-laws of the Company. 

  
 34 

 ARTICLE XIII 

AMENDMENTS 
 13.1 Right
to Amend. Except as otherwise set forth in this Article XIII or as may be required by law, the Board of Directors reserves the right to amend the Plan at any time and in any manner, without prior notification, consultation, or bargaining
with any Employee or representative of Employees by written resolution of the Board of Directors adopted at a duly convened meeting of the Board of Directors in accordance with the By-Laws of the Company and the laws of the Commonwealth of
Pennsylvania. To the extent required by the Code or ERISA, no amendment to the Plan shall decrease a Participant’s benefit or eliminate an optional form of distribution. No amendment shall make it possible for any assets of the Plan to be used
for or diverted to any purposes other than for the exclusive benefit of Participants and Beneficiaries. 
 13.2 Amendment by
Administrative Committee. The Administrative Committee may adopt any ministerial and nonsubstantive amendment it deems necessary or appropriate to (a) facilitate the administration, management and interpretation of the Plan,
(b) conform the Plan to current practice, or (c) cause the Plan and its related Trust to qualify under Code Sections 401(a)(1), 501(a) and 4975(e)(7) or to comply with ERISA or any other applicable laws; provided that such amendment does
not have any material effect on the estimated cost to the Company of maintaining the Plan. 
 13.3 Plan Merger and Asset Transfers.
No assets of the Trust shall be merged or consolidated with, nor shall any assets or liabilities be transferred to any other plan, unless the benefits payable to each Participant or Beneficiary, if this Plan were terminated immediately after such
action, would be equal to or greater than the benefits such individuals would have been entitled to receive if this Plan had been terminated immediately before such action. 

13.4 Amendment of Vesting Schedule. Notwithstanding anything to the contrary, no amendment to the Plan shall have the effect of
decreasing a Participant’s nonforfeitable percentage determined without regard to such amendment as of the later of the date such amendment is adopted or the date it becomes effective. If the Plan’s vesting schedule is amended, or the Plan
is amended in any way that directly or indirectly affects the computation of a Participant’s nonforfeitable percentage, each Participant with at least 3 Years of Service may elect, within a reasonable period after the adoption of the
amendment, to have the nonforfeitable percentage computed under the Plan without regard to such amendment. The Participant’s election may be made at any time during the period ending on the latest of: 

(a) 60 days after the amendment is adopted; 

(b) 60 days after the amendment becomes effective; or 

(c) 60 days after the Participant is issued written notice of the amendment by the Company or the Administrative Committee. 

  
 35 

 ARTICLE XIV 

TERMINATION 
 14.1 Right
to Terminate. While the Company intends the Plan to be permanent, the Board of Directors reserves the right to terminate the Plan at any time, without prior notification, consultation, or bargaining with any Employee or representative of
Employees by written resolution of the Board of Directors adopted at a duly convened meeting of the Board of Directors in accordance with the By-laws of the Company and the laws of the Commonwealth of Pennsylvania. 

14.2 Effect of Termination. If the Plan is terminated, contributions shall cease, and the assets remaining in the Trust, after payment
of any expenses, including expenses of administration or liquidation, shall be retained in the Trust for distribution in accordance with the terms of the Plan. Upon termination (including a partial termination), or upon the complete discontinuance
of contributions by the Company, all Participants shall be 100 percent vested in their Accounts. Subject to the minimum distribution requirements of Section 9.9(b), distributions shall not be made from the Plan upon its termination until
such time as the Plan has received a determination from the Internal Revenue Service that the Plan is qualified upon termination. 
 14.3
Change in Control. Notwithstanding the provisions of this Article XIV or any other provisions of the Plan to the contrary, the Plan will terminate, upon a Change in Control. 

  
 36 

 ARTICLE XV 

MISCELLANEOUS 
 15.1
Non-alienation of Benefits. Except as provided in Code Section 401(a)(13) (relating to qualified domestic relations orders), Code Section 401(a)(13)(C) and (D) (relating to offsets ordered or required under a criminal
conviction involving the Plan, a civil judgment in connection with a violation or alleged violation of fiduciary responsibilities under ERISA, or a settlement agreement between the Participant and the Department of Labor in connection with a
violation or alleged violation of fiduciary responsibilities under ERISA), Section 1.401(a)-13(b)(2) of Treasury regulations (relating to Federal tax levies and judgments), or as otherwise required by
law, no benefit under the Plan at any time shall be subject in any manner to anticipation, alienation, assignment (either at law or in equity), encumbrance, garnishment, levy, execution, or other legal or equitable process; and no person shall have
power in any manner to anticipate, transfer, assign (either at law or in equity), alienate or subject to attachment, garnishment, levy, execution, or other legal or equitable process, or in any way encumber the Participant’s benefits under the
Plan, or any part thereof, and any attempt to do so shall be void. 
 15.2 Appointment of Guardian. Where it is established to the
satisfaction of the Administrative Committee that a guardian has been duly appointed on behalf of a person entitled to a distribution under the Plan, the Administrative Committee may cause payment to be made to the guardian for the benefit of the
entitled person. The Administrative Committee shall have no responsibility with respect to the application of amounts so paid. 
 15.3
Satisfaction of Benefit Claims. The assets of the Trust shall be the sole source of benefits under this Plan, and each Participant or any other person who shall claim the right to any payment or benefit under this Plan shall be entitled to
look only to the Trust for such payment or benefit, and shall not have any right, claim or demand against the Company or any officer or director of the Company. Such Participant or person shall not have a right to or interest in any assets of the
Trust, except as provided from time to time under this Plan. 
 15.4 Controlling Law. The provisions of the Plan shall be construed,
administered and enforced under the laws of the United States and the Commonwealth of Pennsylvania. 
 15.5 Non-guarantee of
Employment. Nothing contained in this Plan shall be construed as a contract of employment between the Company and any Employee, or as a right of any Employee to be continued in the employment of the Company or as a limitation of the right of the
Company to discharge any of its Employees, with or without cause. 
 15.6 Severability and Construction of the Plan. 

(a) If any provision of the Plan or the application of it to any circumstance(s) or person(s) is invalid, the remainder of the Plan and the
application of such provision to other circumstances or persons shall not be affected thereby. 
 (b) Unless the context otherwise
indicates, the masculine wherever used shall include the feminine and neuter; the singular shall include the plural; and words such as “herein”, “hereof,” “hereby,” “hereunder” and words of similar import
shall refer to the Plan as a whole and not any particular part of it. 

  
 37 

 15.7 No Requirement of Profits. Contributions may be made to the Plan without regard to
current or accumulated profits of the Company. 
 15.8 All Risk on Participants and Beneficiaries. Each Participant and Beneficiary
shall assume all risk in connection with any decrease in the value of the assets of the Trust and the Participants’ and Beneficiaries’ Accounts. 

15.9 Recoupment of Overpayments. The Plan shall be entitled to recoup overpaid or erroneously paid benefits from the Plan, in any
reasonable manner, including, but not limited to, (i) repayment by a Participant or Beneficiary, in a lump sum, installments, or other method approved by the Administrative Committee, or (ii) reduction of future benefit payments until all
overpaid or erroneously paid amounts are fully recovered. The Plan may impose interest on previously overpaid or erroneously paid amount in determining the amount to be repaid or the amount by which future benefit payments are to be reduced. The
provisions of this Section 15.9 shall be applied in a nondiscriminatory and consistent manner without regard to a Participant’s employment status with the Company. 

15.10 Military Service. Notwithstanding any other provision of the Plan to the contrary, contributions, benefits, and service credit
with respect to qualified military service shall be provided in accordance with Code Sections 414(u) and 401(a)(37), including, but not limited to, the following: 

(a) If a Participant dies while performing qualified military service, the Participant’s Beneficiary shall be entitled to additional
benefits (other than contributions relating to the period of qualified military service), if any, that would be provided under the Plan had the Participant resumed employment with the Company the day before death and then terminated such employment
on account of death. 
 (b) Differential wage payments, as defined in Code Section 414(u)(12), if any, shall be included in a
Participant’s Compensation. 

  
 38 

 ARTICLE XVI 

TOP-HEAVY PROVISIONS 
 16.1
Determination of Top-Heavy Status. 
 (a) Any provision of this Plan to the contrary notwithstanding, for any Plan Year in which the
Plan is a Top-Heavy Plan, the provisions of this Article shall apply. The provisions of this Article shall have effect only to the extent required under Code Section 416. This Plan shall be deemed a Top-Heavy Plan only with respect to any
Plan Year in which, as of the Determination Date, the Top-Heavy Ratio exceeds 60 percent. 
 (b) If the Plan is not included in a
Required Aggregation Group with other plans, then it shall be Top-Heavy only if (i) when considered by itself it is a Top-Heavy Plan and (ii) it is not included in a Permissive Aggregation Group that is not a Top-Heavy Group. 

(c) If the Plan is included in a Required Aggregation Group with other plans, it shall be Top-Heavy only if the Required Aggregation Group,
including any permissively aggregated plans, is Top-Heavy. 
 16.2 Top-Heavy Definitions. Solely for purposes of this Article, the
following words and phrases shall have the following meaning; 
 (a) “Aggregation Group or Top Heavy Group” means either a
Required Aggregation Group or a Permissive Aggregation Group. 
 (b) “Determination Date” means, with respect to any Plan Year,
the last day of the preceding Plan Year or in the case of the first Plan Year of any plan, the last day of such Plan Year or such other date as permitted under rules issued by the U.S. Department of the Treasury. 

(c) “The Company” means the Company and all members of a controlled group of corporations (as defined in Code Section 414(b)
as modified by Code Section 415(h)), all commonly controlled trades or businesses (as defined in Code Section 414(c) as modified by Code Section 415(h)), or affiliated service groups (as defined in Code Section 414(m)) of which
the Company is a part. 
 (d) “Key Employee” means any employee or former employee (including any deceased employee) who at any
time during the Plan Year that includes the Determination Date was an officer of the Company having annual Compensation greater than $130,000 (as adjusted under Code Section 416(i)(1)), a five percent owner of the Company, or a one percent
owner of the Company having annual Compensation of more than $170,000, as adjusted by the Internal Revenue Service at the same time and in the same manner as under Code Section 415(d). The determination of who is a Key Employee will be made in
accordance with Code Section 416(i)(1) and the applicable regulations and other guidance of general applicability issued thereunder. Compensation for purposes of this Section 16.2 is Compensation as defined in Section 2.11 of the Plan
plus any Compensation paid by an Affiliate. 

  
 39 

 (e) “Non-Key Employee” means any Employee who
is not a Key Employee. 
 (f) “Permissive Aggregation Group” means a Required Aggregation Group plus any other plans maintained
and selected by the Company; provided that all such plans when considered together satisfy the requirements of Code Sections 401(a)(4) and 410. 

(g) “Required Aggregation Group” means each qualified plan of the Company in which at least one Key Employee participates or which
enables any plan in which a Key Employee participates to meet the requirements of Code Sections 401(a)(4) or 410. 
 (h)
“Top-Heavy Ratio” means: 
 (i) If the Company maintains one or more defined contribution plans (including any Simplified
Employee Pension Plan) and the Company has not maintained any defined benefit plan which during the 5-year period ending on the Determination Date(s) has or has had accrued benefits, the Top-Heavy Ratio is a fraction, the numerator of which is the
sum of the Account balances of all Key Employees as of the Determination Date(s) (including any part of any Account balance distributed in the 1-year period (5-year period in the case of a distribution made for a reason other than severance from
employment, death or Disability) ending on the Determination Date(s)), and the denominator of which is the sum of all Account balances (including any part of any Account balance distributed in the 1-year period (5-year period in the case of a
distribution made for a reason other than severance from employment, death or Disability) ending on the Determination Date(s)), both computed in accordance with Code Section 416 and the regulations thereunder. Both the numerator and denominator
of the Top-Heavy Ratio are increased to reflect any contribution not actually made as of the Determination Date, but which is required to be taken into account on that date under Code Section 416 and the regulations thereunder. 

(ii) If the Company maintains or has maintained one or more defined benefit plans which during the 5-year period ending on the Determination
Date(s) has or has had any accrued benefits, the Top-Heavy Ratio for any required or permissive aggregation group as appropriate is a fraction, the numerator of which is the sum of Account Balances under the aggregated defined contribution plan or
plans for all Key Employees, determined in accordance with (i) above, and the present value of accrued benefits under the aggregated defined benefit plan or plans for all Key Employees as of the Determination Date(s), and the denominator of
which is the sum of the Account balances under the aggregated defined contribution plan or plans for all Participants, determined in accordance with (i) above, and the present value of accrued benefits under the defined benefit plan or plans
for all Participants as of the Determination Date(s), all determined in accordance with Code Section 416 and the regulations thereunder. The accrued benefits under a defined benefit plan in both the numerator and denominator of the Top-Heavy
Ratio are increased for any distribution of an accrued benefit made in the 1-year period (5-year period in the case of a distribution made for a reason other than severance from employment, death or disability) ending on the Determination Date. 

(iii) For purposes of (i) and (ii) above the value of Account balances and the present value of accrued benefits will be determined
as of the most recent Valuation Date 

  
 40 

 
that falls within or ends with the 12-month period ending on the Determination Date, except as provided in Code Section 416 and the regulations thereunder for the first and second plan years
of a defined benefit plan. The Account balances and accrued benefits of a Participant (1) who is not a Key Employee but who was a Key Employee in a prior year, or (2) who has not been credited with at least one hour of service with any
Employer maintaining the plan at any time during the 1-year period ending on the Determination Date will be disregarded. The calculation of the Top-Heavy Ratio, and the extent to which distributions, rollovers, and transfers are taken into account
will be made in accordance with Code Section 416 and the regulations thereunder. Deductible employee contributions will not be taken into account for purposes of computing the Top-Heavy Ratio. When aggregating plans the value of Account
balances and accrued benefits will be calculated with reference to the Determination Dates that fall within the same calendar year. 
 The
accrued benefit of a Participant other than a Key Employee shall be determined under (1) the method, if any, that uniformly applies for accrual purposes under all defined benefit plans maintained by the Company, or (2) if there is no such
method, as if such benefit accrued not more rapidly than the slowest accrual rate permitted under the fractional rule of Code Section 411(b)(1)(C). 

(i) “Valuation Date” means, for purposes of determining if the Plan is Top-Heavy, the most recent Valuation Date in the period of
twelve months ending on the Determination Date. 
 16.3 Top-Heavy Rules. For any year in which a Plan is determined to be a Top-Heavy
Plan the following rules shall apply: 
 (a) For each Plan Year in which the Plan is Top-Heavy, minimum contributions for a Participant who
is a Non-Key Employee shall be required to be made on behalf of each Participant who is employed by the Company on the last day of the Plan Year. The amount of the minimum contribution shall be the lesser of the following percentage of compensation:

 (i) three percent, or 

(ii) the highest percentage at which Contributions are made under the Plan for the Plan Year on behalf of any Key Employee. 

(A) For purposes of this paragraph (ii), all defined contribution plans included in a Required Aggregation Group shall be treated as one
plan. 
 (B) This paragraph (ii) shall not apply if the Plan is included in a Required Aggregation Group and the Plan enables a
defined benefit plan included in the Required Aggregation Group to meet the requirements of Code Sections 401(a)(4) or 410. 
 (C) If
the highest percentage at which Contributions are made under the Plan for a top-heavy Plan Year on behalf of Key Employees is less than three percent, the amounts contributed as a result of a salary reduction agreement must be included in
determining Contributions made on behalf of Key Employees. 

  
 41 

 Any contributions that must be made under this subsection (a) shall be made under the
applicable ICC Holdings, Inc. or Affiliate 401(k) Plan. 
 (b) The vesting schedule when the Plan is Top-Heavy is as follows: 

 

			
	 Years of Service
	  	Vested Percentage
	 0-1 Years of Service
	  	0%
	 1 Year of Service
	  	25%
	 2 Years of Service
	  	50%
	 3 Years of Service
	  	75%
	 4 Years of Service
	  	100%

  
 42 

 ARTICLE XVII 

EXEMPT LOANS 
 17.1
General. The Trustee shall have the authority and discretion to borrow money from a Disqualified Person, or another source which is guaranteed by a Disqualified Person for the purpose of (a) purchasing Company Stock, or (b) repaying
a prior Exempt Loan. Any Exempt Loan shall satisfy all of the requirements of this Article XVII. 
 17.2 Terms of Exempt Loan
Agreements. All Exempt Loans shall satisfy the following requirements: 
 (a) The loan shall be primarily for the benefit of
Participants and their Beneficiaries; 
 (b) The loan shall be for a specified term and shall bear no more than a reasonable rate of
interest. 
 (c) The proceeds of the loan shall be used only to repay such loan or a prior loan, or to acquire Company Stock. 

(d) The collateral pledged by the Trustee shall consist only of the Company Stock purchased with the borrowed funds, or Company Stock that
was pledged as collateral in connection with a prior Exempt Loan that was repaid with the proceeds of the current Exempt Loan. 
 (e) Under
the terms of the agreement, the lender shall have no recourse against the Trust, or any of its assets, except with respect to the collateral and contributions (other than contributions of Company Stock) by the Company that are made to satisfy its
obligations under the loan agreement and earnings attributable to such collateral and such contributions. 
 (f) The payments made on the
loan during a Plan Year shall not exceed an amount equal to the sum of such contributions and the earnings received during or prior to the year less such payments on the exempt loan in prior years. 

(g) In the event of default, the value of the assets transferred in satisfaction of the loan shall not exceed the amount of default;
moreover, if the lender is a Disqualified Person, the loan agreement shall provide for a transfer of assets upon default only upon and to the extent of the failure of the Plan to meet the payment schedule of the loan. 

  
 43 

 17.3 Suspense Account. 

(a) Company contributions made to the Trust in the form of Company Stock purchased with the proceeds of an Exempt Loan shall be held in the
Suspense Account as the collateral for that Exempt Loan. Such stock shall be released from the Suspense Account on a pro-rata basis according to the amount of the payment on the Exempt Loan for the Plan Year,
determined under one of the following two alternative formulas in the discretion of the Administrative Committee: 
 (i) for each Plan Year
during the duration of the Exempt Loan, the number of shares of Company Stock released shall equal the number of such shares held in the Suspense Account immediately before release for the current Plan Year multiplied by a fraction, the numerator of
which is the amount of principal and interest paid for the year and the denominator of which is the sum of the numerator plus the remaining principal and interest to be paid for all future years. The number of future years under the Exempt Loan must
be definitely ascertainable and must be determined without taking into account any possible extensions or renewal periods. If the interest rate under the loan is variable, the interest to be paid in future years must be computed by using the
interest rate applicable as of the end of the Plan Year. If the collateral includes more than one class of Company Stock, the number of shares of each class to be released for a Plan Year must be determined by applying the same fraction to each
class; or 
 (ii) for each Plan Year during the duration of the Exempt Loan, the number of shares of Company Stock released is determined
solely with reference to the principal payment of the Exempt Loan. If Company Stock in the Suspense Account is released in accordance with this subsection (ii), (A) the Exempt Loan must provide for annual payments of principal and interest
at a cumulative rate that is not less rapid at any time than level annual payments of such amounts for 10 years; and (B) interest included in any payment is disregarded only to the extent that it would be determined to be interest under
standard loan amortization tables. 
 This subsection (ii) will not be applicable if by reason of a renewal, extension, or refinancing,
the sum of the expired duration of the Exempt Loan, the renewal period, the extension period, and the duration of a new Exempt Loan exceeds 10 years. 

(b) Shares of Company Stock released in accordance with Section 17.3(a) of the Plan shall first be allocated to the Accounts of
Participants in an amount equal in value to any dividends paid on shares previously allocated to Participant’s Accounts that are used to repay the Exempt Loan. The remaining shares of Company Stock shall then be allocated to the Accounts of
Participants in the same manner as described in Section 5.5. 
 IN WITNESS WHEREOF, ICC Holdings, Inc. has caused this Plan to be duly
executed under seal this      day of             , 2016. 
  

			
	ICC HOLDINGS, INC.
		
	By:	 	  

		 	Name:
		 	Title:

  
 44

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