2026 AtlantiCare Benefits Booklet

VOLUNTARYBENEFITS

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

Accident Insurance* Allstate Group Voluntary Accident Insurance pays a lump sum benefit for accidental on- and off-the-job injuries, plus benefits associated with the treatment of the injury. Because accident insurance is supplemental, it pays in addition to other coverage. The coverage pays a benefit up to a specified amount for:

Auto & Home Insurance provided by Farmers and Liberty Mutual Special Savings on Auto, Home and Renters Insurance! Ideal for you if: • You own or rent a home • You own or are buying a new car • You want to bundle coverage and save on these necessary insurances What does it cover? Auto • See howmuch you could save with your employee advantage that is not available to the general public. • 24-Hour Roadside Assistance: If your car breaks down, we won’t leave you stranded. From a jump-start to a tow, our optional 24-Hour Roadside Assistance will get you moving again. • Multi-Policy Discount: When you insure both your car and home, you qualify for comprehensive protection and additional savings. Home • If your house becomes unlivable due to a loss (e.g. fire, water damage), this service covers any necessary increase in living expenses. • Loss Forgiveness: Your price won’t increase because of the first qualified loss in your home. • You may qualify for special savings if your home was recently built or substantially renovated. • Your home and personal belongings are covered fromwater damage due to sewer and drain backups or the mechanical failure of your sump pump. Learn more Exact coverage varies. For more details about this benefit plan and what’s not covered, visit your benefits portal. 1-855-799-5400 customercare@corestream.com

• Accidental death • Dismemberment • Dislocation/fracture • Initial hospitalization confinement • Hospitalization confinement • Intensive care

• Ambulance service • Medical expenses • And more

1-855-799-5400 customercare@corestream.com *Subject to Open Enrollment and Plan guidelines.

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