MRM Open Enrollment Guide 2020 [COPY]

OPEN ENROLLMENT GUIDE 2020

TABLE OF CONTENTS § Introduction 3 § Welcome to Open Enrollment 4 § Medical Benefits 6 § Health Savings Account 10 § Dental Benefits 11 § Vision Benefits 13 § Life, Short-Term / Long-Term Disability Insurance 14 § Wellness 16 § Employee Assistance Program & Key Contacts 17 § Legal Notices 19 ABC COMPANY OPEN ENROLLMENT GUIDE TABLE OF CONTENTS I 2

INTRODUCTION Asan employee of ABC Company enjoying your work and making valuable contributions to business are equally vital. The health, satisfaction and security of you and your family are important, not only to your well-being, but ultimately, in terms of achieving the goals of our organization. For the 2020 - 2021 plan year, ABC Company has worked hard to offer a competitive total rewards package that includes valuable and competitive benefits plans. These programs reflect our commitment to keeping our staff healthy and secure. We understand that your situation is unique, and ABC Company is offering an overall benefits package that can be shaped and molded by you to fit your needs. This open enrollment guide is a summary description of your ABC Company benefit plans. If there is a discrepancy between these summaries and the written legal plan documents, the plan documents shall prevail. This booklet and plan summaries do not constitute a contract of employment. We hope this open enrollment guide, along with our additional communication and enrollment portal, will help you make the best health care choices for you and your family. UPDATE ON HEALTH CARE REFORM ABC COMPANY OPEN ENROLLMENT GUIDE INTRODUCTION I 3 3

WELCOME TO OPEN ENROLLMENT! WHO IS ELIGIBLE? Eligible employees are actively employed and normally scheduled to work at least 30 hours per week. The following family members are eligible for medical & dental through ABC Company: Spouse and dependent child(ren). HOW TO ENROLL? Isolved Employee Portal Loginto your Isolved employee self-service account and click on Open Enrollment from the left hand side. If you have any questions, please refer to the Benefit Portal Instruction Guide. United HealthCare– Medical Insurance Youwill need to complete your enrollment elections for 2020/2021 in the Benefit Portal. Health Savings Account – HSA Bank You will need to complete your enrollment elections for 2020/2021 in the Benefit Portal. If you are enrolling for the first time, you will also need to open your account at HSA Bank. Visit the HSA website to open up your account: www.hsabank.com. United HealthCare – Dental Insurance Youwill need to complete your enrollment elections for 2020/2021 in the Benefit Portal. Mutual of Omaha– Basic Life/AD&D and Short-Term Disability You will be automatically enrolled in these company paid benefits, but you MUST add a beneficiary in the Benefits Portal. Mutual of Omaha – Voluntary Long-Term Disability This is voluntary coverage. You can view rates and elect this coverage in the Benefits Portal. If you are enrolling after 60-days of your hire date, you will also need to complete an Evidence of Insurability Form as the coverage will be underwritten. EyeMed–VoluntaryVision Youwill need to complete your enrollment elections for 2020/2021 in the Benefit Portal. WHEN TO ENROLL? Theopenenrollment period runs from Tuesday April , 2020 through Tuesday April , 2020. All enrollment information must be entered in the Benefit Portal by midnight on Tuesday April 21, 2020. The benefits you elect during open enrollment will be effective from May 1, 2020 through April 30, 2021. FOR MORE INFORMATION If you have questions about your benefit plans you can contact: Joe Marino, Senior Account Manager or Tom Clements, Managing Partner of Meridian Risk Management at 914-368- 1291 or via email at [email protected] or [email protected] I 4 ABC COMPANY OPEN ENROLLMENT GUIDE Welcome to Open Enrollment 4

OVERVIEW OF BENEFITS CHANGES AND QUALIFYING EVENTS WHEN COVERAGE BEGINS AND ENDS Your coverage under the benefits plans will end if you no longer meet the eligibility requirements, your contributions are discontinued or the Group Insurance Policy is terminated. QUALIFYING EVENTS • Eligible employees may enroll or make changes to their benefits elections during the annual open enrollment period. As with most benefits, once you elect an option you are bound to that choice for the entire plan year unless you experience a “Qualifying Event”. Thesemayinclude,butarenotlimited to: • Changesinemploymentstatus • Changesinlegal marital status • Changesinnumberofdependents • Taking an unpaid leave of absence • Dependentsatisfies or ceases to satisfy eligibility requirement • Family Medical Leave Act (FMLA) leave. • ACOBRA-qualifying event • Entitlement to Medicare or Medicaid • Achangeinthe place of residence of the employee, resulting in the current carrier not being available ABC COMPANY OPEN ENROLLMENT GUIDE OVERVIEW I 5 5

MEDICAL I

MEDICAL PLAN KEY TERMS TO REMEMBER ANNUAL OUT-OF DEDUCTIBLE POCKET MAXIMUM COPAYS AND PLAN TYPES COINSURANCE ABC COMPANY OPEN ENROLLMENT GUIDE MEDICAL PLAN I 7 7

MEDICAL PLAN Understanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by ABC Company, all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived. WHICH PREVENTIVE CARE SERVICES ARE COVERED? The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e. Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year: “AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE” • Routine Physical Exam • Routine Colorectal Cancer Screening • Well Baby and Child Care • Routine Prostate Test • Well WomanVisits • Routine Lab Procedures • Immunizations • Routine Mammograms • Routine BoneDensityTest • Routine Pap Smear • Routine Breast Exam • SmokingCessationPrograms • Routine Gynecological Exam • Health Education/Counseling Services • Screening for Gestational Diabetes • Health Counseling for STDs and HIV • Obesity Screening and Counseling • Testing for HPV and HIV • Routine Digital Rectal Exam • Screening and Counseling for Domestic Violence • Routine Colonoscopy ABC COMPANY OPEN ENROLLMENT GUIDE MEDICAL PLAN I 8 8

MEDICAL PLAN ABC Company will continue to offer group medical coverage. Our Medical carrier is changing to United HealthCare, effective May 1, 2020. You will have the option of choosing between two High Deductible Health Plans. Both plan options are on the EPO Choice network, which includes over 895,000 physicians and health care professionals, as well as 5,600 hospitals. To find a provider, you may visit https://www.uhc.com/individual-and-family/member- resources/choose-doctor Plan Features UHC Base Plan UHC Buy Up Plan IN NETWORK EPO –Choice Network EPO –Choice Network Calendar Year $5,000 / $10,000 $3,000 / $6,000 Deductibles (Indiv / Family) Preventive Care No Charge No Charge Primary Care Visit 0% after Deductible 20% after Deductible Specialist Visit 0% after Deductible 20% after Deductible Diagnostic Exam 0% after Deductible 20% after Deductible X-Rays 0% after Deductible 20% after Deductible Complex Images 0% after Deductible 20% after Deductible Outpatient Procedure 0% after Deductible 20% after Deductible Inpatient Visit 0% after Deductible 20% after Deductible Emergency Room 0% after Deductible 20% after Deductible Urgent Care 0% after Deductible 20% after Deductible Pharmacy / RX (30 Day Supply) $5 / $25 / 50% up to $250 $5 / $25 / 50% up to $250 Pharmacy / RX (90 Day Supply) $12.50 / $62.50 / 50% up to $625 $12.50 / $62.50 / 50% up to $625 Calendar Year Out-of-Pocket Max (Indiv / $6,650 / $13,300 $6,750 / $13,500 Family) OUT OF NETWORK Not Covered WEEKLY CONTRIBUTIONS Employee $28.52 $41.53 Employee + Spouse $58.29 $84.90 Employee + Child(ren) $47.31 $68.90 Employee + Family $82.62 $120.32 ABC Company OPEN ENROLLMENT GUIDE MEDICAL PLAN I 9 9

HEALTH SAVINGS ACCOUNT (HSA) ABC Company will continue to contribute an annual total of $1,000 for a single and $2,500 for a family to your HSA account. The contribution will be made on a monthly basis. A health savings account (HSA) is a health care account and savings account in one. The main purpose of this account is to offset the cost of a qualifying high deductible health plan (HDHP) and provide savings for your out-of-pocket eligible health care expenses – those you and your tax dependents may have now, in the future, and during your retirement. This is a “portable” account. You own your HSA! It’s included in your employee benefits package, but after you set up your account, it’s yours to keep, even if you changejobsorretire. OnceyourHSAisestablished, money is contributed to your account by you, ABC Companyorfriends and family, and you can then use your HSA dollars tax-free to pay for eligible health care expenses. You save money on expenses you’re already paying for, like doctors’ office visits, prescription drugs, and much more. Best of all, you decide how and when to use your HSA dollars. WHY IS IT A GOOD IDEA TO HAVE AN HSA? HSAs benefit everyone who is eligible to have this account – single individuals, families, and soon- to-be retirees. You save money on taxes in three ways: Tax-free deposits Tax-free earnings Tax-free withdrawals Setting aside pre-tax dollars into your HSA you pay fewer taxes and increase your take-home pay by your tax savings. You save money on eligible expenses that you are paying for out of your pocket. The amount you save depends on your tax bracket. For example, if you are in the 30 percent tax bracket, you can save $30 on every $100 spent on eligible health care expenses. HSAfunds roll over from year to year and accumulate in your account. There is no “use-it-or-lose-it” rule with HSAs, and you decide how and when to use your HSA funds, which can be used for eligible expenses you have now, in the future, or during retirement. And when you have a certain balance in your HSA, investment opportunities are available. For 2020 you can contribute up to $3,550 as a single or $7,100 as a family. ABC COMPANY OPEN ENROLLMENT GUIDE HSA I 10 10

DENTAL & VISION PLANS I

DENTAL PLANS ABC Company will be switching Dental carriers to United HealthCare effective May 1, 2020. The UHC dental plan allows you to seek treatment from the dentist of your choice. Below is an outline of the dental coverage offered for the May 1, 2020 through April 30, 2021 plan year. UHC High Plan UHC Low Plan Plan Features IN NETWORK Annual Deductible (Individual / Family) $50 / $150 $50 / $150 Preventive Care 100% 100% Basic Procedures (Extractions, fillings, etc.) 80% 80% Major Procedures (Crowns, dentures, etc.) 50% N/A Child Orthodontia N/A N/A Calendar Year Maximum Benefit $2,000 $1,000 OUT OF NETWORK Annual Deductible (Individual / Family) $50 / $150 $50 / $150 Preventive Care 100% 100% Basic Procedures (Extractions, fillings, etc.) 80% 80% Major Procedures (Crowns, dentures, etc.) 50% N/A Child Orthodontia N/A N/A Calendar Year Maximum Benefit $2,000 $1,000 WEEKLY CONTRIBUTIONS Employee $6.60 $1.54 Employee + Spouse $13.23 $3.03 Employee + Child(ren) $14.32 $4.14 Employee + Family $24.11 $5.69 ABC COMPANY OPEN ENROLLMENT GUIDE DENTAL PLAN I 12 12

VISION PLAN ABC Company is pleased to continue to offer all benefit eligible employee’s voluntary vision coverage through EyeMed. Vision coverage can be purchased for you and your dependents. Below is a brief summary of the plan being offered: EyeMed Vision Plan Features IN NETWORK Vision Exam $10 Lenses Single $10 Bifocal $10 Trifocal $10 Progressive $65 Frames $130 Allowance + 20% off Balance Elective Contact Lenses $130 Allowance + 15% off Balance Medically Necessary Contact Lenses Paid in Full Frequency (Months) Exam Every 12 Months Lenses Every 12 Months Frames Every 12 Months Contacts Every 12 Months OUT OF NETWORK Vision Exam $40 Allowance Lenses Single $30 Allowance Bifocal $50 Allowance Trifocal $70 Allowance Progressive $50 Allowance Frames $91 Allowance Elective Contact Lenses $130 Allowance Medically Necessary Contact Lenses $210 Allowance WEEKLY CONTRIBUTIONS Employee $1.96 Employee + Spouse $3.72 Employee + Child(ren) $3.92 Employee + Family $5.76 ABC COMPANY OPEN ENROLLMENT GUIDE VISION PLAN I 13 13

LIFE & DISABILITY I

LIFE / DISABILTY ABC Company provides eligible employees group term Life and Accidental Death & Dismemberment coverage. Coverage will be provided by Mutual of Omaha. Please log into ISolved to update your beneficiary and review your benefit amount. The plan features are below: Plan Features Benefits Employee Benefit Amount 2 x Salary Maximum Benefit Amount $150,000 AD&D Benefit 2 x Salary The following shows how much benefits are reduced at certain ages: Age Band Benefit Reduction 65 35% 70 50% ABC Company will continue to provide Short Term Disability coverage to our eligible employees. Coverage will be provided by Mutual of Omaha. Please log into ISolved to update your beneficiary and review your benefit amount. Short Term Disability Plan Features Benefits Employee Benefit Amount 60% Maximum Benefit Amount $1,000 Weekly Elimination Period 8 Days (Accident) Elimination Period 8 Days (Sickness) Benefit Duration 26 Weeks ABC Company provides eligible employees with Long Term Disability protection that will protect your income for qualified disabilities during your working years. Long Term Disability coverage will continue to be voluntary, and you will be responsible for 100% of the premium costs. Please note as the benefit is offered through a new carrier there is no evidence of insurability (EOI) requirement, therefore it is guaranteed to be issued. The plan features are below: Voluntary Long Term Disability Plan Features Benefits Employee Benefit Amount 60% Maximum Benefit Amount $6,000 Elimination Period 180 Benefit Duration I 15 ABC COMPANY OPEN ENROLLMENT GUIDE LIFE / DISABILITY INSURANCE 15

WELLNESS Get paid and earn incentives through United Healthcare Motion! Motion is a wellness plan that incentives you to meet FIT goals. You can earn up to $3 per day, that’s up to $1,090 per year. You can learn more and sign up at https://www.unitedhealthcaremotion.com ABC COMPANY OPEN ENROLLMENT GUIDE WELLNESS I 16 16

EMPLOYEE ASSISTANCE PROGRAM & CONTACTS I Carrier Name Website Phone Number United Healthcare https://www.uhc.com (888) 545-5205 Mutual of Omaha www.mutualofomaha.com (800) 369-3809 EyeMed www.eyemed.com (866) 723-0596 HSA Bank www.hsabank.com (800) 357-6246 Benefit Contacts Title Email Phone Number Joseph Marino Senior Account Manager [email protected] (914) 368-1291 Thomas Clements Managing Partner [email protected] (203) 339-2735 Karen Frate Human Resources Business Kfrate@hr_consulting-group.com (203) 881-1755 Partner ABC COMPANY OPEN ENROLLMENT GUIDE CONTACTS I 17

LEGAL NOTICES I