2026 AtlantiCare Benefits Booklet

MEDICAL (CONT.)

WELCOME....................................2 WHAT’S NEW..............................3 HOW TO ENROLL......................4 HEALTHCARE TRANSFORMATION CONSORTIUM (HTC)...............6 GETTING TO KNOW YOUR PLAN.................................7 MEDICAL......................................8 PRESCRIPTION DRUG.......... 17 FQHC........................................... 19 ADDITIONAL MEDICAL PLAN RESOURCES................. 20 WELLNESS PROGRAM......... 21 DENTAL...................................... 23 VISION........................................ 25 LIFE INSURANCE.................... 28 DISABILITY............................... 30 VOLUNTARY OFFERINGS... 31 EDUCATIONAL SUPPORT & CAREER DEVELOPMENT...................... 31 FINANCIAL WELL-BEING.... 32 HEALTH &WELLNESS.......... 33 SAVINGS.................................... 34 VOLUNTARY BENEFITS....... 35 SPENDING ACCOUNTS............................... 38 RETIREMENT BENEFITS................................... 39 CONTACTS................................ 41 LEGAL NOTICES....................... 43 WELLNESS CHECKLIST........ 45

Spouse & Partner Preferred Choice Premium

AtlantiCare continuously balances the need to ofer meaningful and comprehensive employee benefits with the need to remain financially sound in the current healthcare environment. To achieve this balance, we require a Spouse and Partner Preferred Choice Premium. This premiumwill be applied to your bi-weekly contribution if your spouse/partner chooses to obtain medical coverage through AtlantiCare when they have the option of obtaining benefits through their own employer. This premiumwill not be applied if your spouse/partner is not ofered benefits through their employer, is not currently employed or also works at AtlantiCare.

PREMIUM SALARY $50

Less than $110,000 More than $110,000

$100

AtlantiCare will conduct audits throughout the year, during which you will be asked to supply documentation (i.e., a letter from employer or tax return showing no income) if you have indicated that your spouse/partner is not eligible for medical coverage by their own employer. This acknowledgment is considered a legal process and should be treated as such. If your spouse is self-employed and not obtaining benefits through their business, they will need to supply proof of self-employment.

Tobacco Usage Premium Surcharge If you use tobacco products, you are subject to a $25 bi-weekly surcharge under the AtlantiCare Health Plan However, there are three available different options for tobacco users who want to avoid the surcharge: 1. You can complete a Tobacco Cessation program that is made available to you at no cost; 2. You can complete a 1:1 Coaching Session for Nicotine and Tobacco Cessation with an in-house Wellness Specialist, again at no cost; or 3. We will work with you (and your doctor, if you would like,) to develop a customized alternative program. If you complete option 1, 2 or 3 (listed above) before the end of the year, the surcharge will no longer be applied and you will be refunded the surcharges you paid during the year to date. This is true regardless of whether you cease using tobacco products. For additional information about these options, or the surcharge (including refunds) please contact the Benefits team at Benefits@atlanticare.org

– 11 –

11