AtlantiCare 2025 Benefits Booklet

HOWTO ENROLL Take time to learn about your bene t options so you can make the best decisions for you and your family based on your needs. Make Sure You… • Read this workbook. • Review your dependent information. • Use the decision tool found on the enrollment website to help you decide which plans are best for you and your family. • Consider your 2025 health expenses to determine if participating in a exible spending account or other voluntary benefits makes sense. • Review the 2025 Wellness Program to earn HRA dollars. • Confirm your elections. * *If using MyADP.com click Confirmonce elections are selected. Remember: • The choices you make during Open Enrollment will go into e ect on January 1, and remain until December 31, unless you have a qualifying life event. • Newly eligible teammembers must actively elect to either participate in or waive bene ts. Those who do not con rm enrollment within 30 days will be automatically enrolled in the Horizon OMNIA Plan – ‘Employee Only,’ and the Basic Dental Plan – ‘Employee Only.’ • The choices you make as a new hire are effective from the rst day of the month after you are hired, until December 31.

Welcome.................................... 2 What’s New?............................. 3 How to Enroll........................... 4 Medical....................................... 6 Prescription Drug.................14 FQHC.........................................16 Additional Medical Plan Resources................................17 AtlantiCare Longevity Lifestyle Program................18 Dental.......................................20 Vision.........................................22 Life Insurance........................25 Disability..................................26 Voluntary Offerings.............27 Educational Support & Career Development..........27 Financial Well-being...........28 Health &Wellness................29 Savings.....................................31 Voluntary Benefits...............32 Spending Accounts.............35 Retirement Benefits............36 Contacts...................................38 Legal Notices.........................40 Wellness Checklist...............42

Who Can Be Covered? Eligible dependents include:

• Your spouse or domestic partner* • Dependent children, including adopted children, foster children in your care and stepchildren. Children are eligible until the end of the year of their 26th birthday. • Other minor children if you are a legal guardian. • Children over age 26 with mental or physical impairments may be eligible – physician certi cations must be provided. *If you would like to add a domestic partner as a dependent, you will need to complete the online portal process, including dependent verifcation, to get your domestic partner verifed and added. You will be required to provide documentation confrming the registry of domestic partnership with a local government. Note that domestic partners are eligible for only medical, prescription drug, dental and vision insurance.

Changing Your Coverage During the Year / Qualifying Life Events (QLE)

If you experience a Qualifying Life Event, you have 30 days to make the necessary changes to your benefits. You can make changes through myadp.com or call the AtlantiCare Bene ts Service Center ( 1-800-211-3252 ). Documentation must be submitted to con rm the event, or your old elections will be activated.

Examples of a QLE include: • Adoption • Birth of a child • Marriage • Divorce • Death of a dependent

• Teammember/dependent lose other coverage • Teammember/dependent gain other coverage

• A reduction or increase in the hours of employment resulting in a switch between part-time and full-time status

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