Overview of the Benefits Program If you are a ABC Company full-time employee working 30 or more hours per week, you are eligible to enroll in the benefits described in this guide on your date of hire. The following members are eligible for medical, dental and vision coverage [spouse, dependent children, and dependent stepchildren] through ABC Company. Dependents are covered to age 26 for medical, dental and vision. To Enroll: Login to the portal to review your current benefits. Select → Employee Login → Benefits → 2023 Benefits Enrollment Coverage How to Enroll Empire Blue Cross Blue Shield Review the plan documents provided to you and enroll or waive out of the Medical, Vision and Life Insurance medical coverage through the Paycom portal. You must be enrolled in the medical plan to receive the vision and life benefit through Empire. Delta Dental Review the plan documents provided to you and enroll or waive out of the Voluntary Dental Insurance voluntary dental coverage through the Paycom portal. EyeMed Review the plan documents provided to you and enroll or waive out of the Voluntary Vision Insurance voluntary vision coverage through the Paycom portal. Mutual of Omaha Review the plan documents provided to you and enroll or waive out of the Voluntary STD & LTD voluntary STD & LTD coverage through the Paycom portal. Fidelity Review the plan documents provided to you and enroll or waive out of the FSA FSA and DCFSA or DCFSA coverage via the Paycom portal. Wage Works Review the plan documents provided to you and enroll or waive out of the Commuter Benefits Commuter Benefits coverage via the Paycom portal. Fidelity You must be enrolled in the qualified high deductible health plan to both have Health Savings Account and contribute to a Health Savings Account (HSA). Review the plan documents provided to you and enroll or waive out of the HSA through the Paycom portal. Upon eligibility, you are automatically enrolled in the 401K plan. You receive Fidelity that information within your first 30 days. If you’ve opted out of auto- 401K enrollment but would like to begin contributing to the 401K, please reach out to HR. Open enrollment is running November 10th through November 29th, 2022. The benefits you elect will remain in place from January 1, 2023 – December 31, 2023, unless you have a qualifying event. Examples of a qualifying event include marriage, divorce, legal separation, adoption, or loss of coverage. 4