2020 U.S. BENEFITS ANNUAL ENROLLMENT GUIDE - DRIV BENEFITS
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2020 U.S. Benefits Annual Enrollment Guide FULL-TIME SA L A RIED TE A M MEMBER S MOTORPARTS: You must enroll now to have DRiV™ benefits coverage in 2020. CORPORATE AND RIDE PERFORMANCE: Take action to elect your HSA and FSA payroll deductions or change your current benefits elections for 2020. OCTOBER 16–NOV EMBER 5, 2019 DRiVbenefits.com
Rev up for a new year of benefits
DRiV™ is proud to offer a competitive benefits package that supports the health and well-being of you,
our driving force, and your family. It’s one of the most important ways we take care of each other.
Annual Enrollment is your once-a-year opportunity to change or make new benefit elections that fit your
personal situation. Most DRiV™ benefits will remain the same in 2020. Still, it’s smart to take a fresh look at
your options and costs. Before making your 2020 benefits decisions, review the plan highlights and important
reminders in this guide.
This year’s enrollment is special for a couple of reasons:
• DRiVbenefits.com is our new online home for all things benefits. This new website has all the information
in this Annual Enrollment Guide and much more. While you will still go to myDRiVbenefits.com to enroll and
view your elections, the new DRiVbenefits.com provides information and resources to help you explore your
benefits all year long. You can access the new site any time, from any device — even on a smartphone.
• Motorparts team members must actively enroll during Annual Enrollment to have benefits coverage in 2020.
Corporate and Ride Performance team members need to take action only to elect your payroll deductions
for the Health Savings Account (HSA) and Flexible Spending Accounts (FSAs) or Limited Purpose FSA
(LPFSA), or to change your current benefits elections for 2020.
When you’re ready to enroll: GO TO: myDRiVbenefits.com OR
CALL: DRiV™ Benefits Center at 1-877-436-3409
Monday–Friday, 7 a.m.–7 p.m. CT
Annual Enrollment Period: October 16–November 5, 2019
Learn how to enroll on page 6
What’s Inside
WHAT TO EXPECT FOR 2020...................................... 3 • Employee Assistance Program (EAP)....................16
• Retirement Savings Plan............................................ 17
2020 BENEFITS AT-A-GLANCE.................................... 4
• Life Insurance and Accidental Death and
ENROLLMENT CHECKLIST............................................ 6 Dismemberment (AD&D) Benefits..........................18
• Short-Term Disability (STD) and
WHO YOU CAN COVER...................................................7
Long-Term Disability (LTD) Benefits.......................19
YOUR 2020 BENEFITS.................................................... 8 • Optional Benefits.........................................................20
• HSA Medical Plan.......................................................... 8
OTHER BENEFITS...........................................................22
• Health Savings Account (HSA).................................11
• Employee Discounts...................................................22
• Flexible Spending Accounts (FSAs).......................13
• Dental Benefits..............................................................15 YOUR 2020 SEMI-MONTHLY COSTS......................23
• Vision Benefits...............................................................15 CONTACT INFORMATION...........................................26
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 2
What to Expect for 2020
• DRiV™ will contribute to your HSA. The Health Savings Account (HSA) is a valuable feature of DRiV’s
medical plan offering, a way for you to manage your health care spending today while saving for retirement.
DRiV™ will also make a contribution to eligible team members’ HSAs in 2020. The DRiV™ HSA contribution
is prorated for new team members hired after January 1, 2020 and team members who experience certain
qualified life events. Learn more on page 11.
• Sharing in health care costs. Health care costs are still on the rise nationwide, and DRiV™ continues
to share in those costs by paying the larger share of your medical plan premiums. Your medical plan
contributions will increase roughly 3% for 2020 and will vary based on your base salary and the number
of eligible dependents you cover.
• Review your options for Supplemental Life Insurance and Optional Benefits. We’ve added some new
coverage levels for these benefits, so be sure to review all your available options to choose what’s right for
you in 2020. Learn more about your life insurance options on page 18 and optional benefits on page 20.
2 4 / 7 AC CE S S TO
NEW! DRi V T M BENEFIT S
DRiVbenefits.com is our new online
website for benefits where team members
and their families can find details about
the plans, links to resources and important
documents, and more. Visit any time,
anywhere, even on your mobile device.
Ready to enroll? Go to myDRiVbenefits.com or call the DRiV™
Benefits Center at 1-877-436-3409, Monday–Friday, 7 a.m.–7 p.m. CT.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 3
2020 Benefits At-A-Glance
Here are highlights of the benefits that are available to you as a Salaried DRiV™ team member. You have the
opportunity to enroll for coverage during the Annual Enrollment period.
See page 8 See page 10 See page 10 See page 11
Medical Prescription Drugs Doctor On Demand Health Savings
HSA Medical Plan Prescription drug Access to U.S. board- Account (HSA)
through Blue Cross coverage, managed certified doctors Triple tax-advantaged
Blue Shield of Illinois by CVS Caremark, 24/7/365. Get the care account managed
helps you pay for you need via mobile by WageWorks
• In-network preventive prescribed medicines device or computer
services covered at • Contribute pre-tax
100% (no deductible) • Most maintenance Doctors can treat and via payroll deductions
• Most in-network care preventive drugs write prescriptions for into your HSA
is covered at 80% covered at 100% conditions like cold/flu, • Interest earned in
after you meet the (no deductible) allergies, skin, ear and your HSA is tax-free
annual deductible • Combined with eye infections, etc. • Pay for eligible health
care expenses tax-free
• Use your HSA to pay annual medical plan
for eligible health care deductible WHO PAYS: WHO PAYS:
expenses You and DRiV™ You can contribute via
WHO PAYS: share the cost payroll deductions up
WHO PAYS: You and DRiV™ to the annual IRS limit. DRiV™
You and DRiV™ share the cost will also make a company
share the cost contribution in 2020
See page 13 See page 15 See page 15 See page 16
Flexible Spending Dental Vision Employee Assistance
Accounts (FSAs) Coverage provided Two plan options Program (EAP)
Pre-tax accounts that through Delta Dental available through Vision Coverage provided
help you save money of Illinois Service Plan (VSP) through Beacon Health
on eligible health care covering: Options offering
and/or dependent care • In-network Preventive
Care at 100% • Vision Exam convenient and confidential
expenses, administered services including:
by WageWorks • Basic Care at 80% • Prescription Lenses
• Major Care at 50% • Frame Allowance • 24/7 EAP support
• Dependent Care FSA • Orthodontia at 50%, • Glasses (grief, divorce, stress
• Health Care FSA
• Limited Purpose FSA — $1,500 lifetime max • Contact Lenses management)
compatible with HSA • 6 face-to-face
WHO PAYS: WHO PAYS: sessions per event
to cover eligible You and DRiV™ You pay the full cost
dental and vision • Referral services —
expenses share the cost legal and financial
WHO PAYS: WHO PAYS:
You can contribute via Provided by DRiV™
payroll deductions up at no cost to you
to the annual IRS limit
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 4
See page 17 See page 18 See page 18 See page 18
Retirement Life Insurance Accidental Death & Dependent
Savings Plan Life insurance through Dismemberment Life Insurance
Retirement Savings MetLife, to protect (AD&D) Insurance Life insurance through
Plan administered by you and your family MetLife, offering
in the event of an AD&D Insurance through
Fidelity Investments MetLife, in the event of protection in the event
unexpected loss of the unexpected loss
• 401(k) with matching death or dismemberment
• Life: 1.5x annual due to an accident of a dependent
company contribution
• Company Retirement base pay to max of • Spouse/domestic
$2.5 million • AD&D: 1.5x annual
Contribution (CRC) base pay to max of partner: $5,000
• Supplemental Life: to $150,000
WHO PAYS: 1x to 6x annual $2.5 million
• Supplemental AD&D: • Child: $5,000
You and DRiV™ both base pay to max of and $10,000
contribute to your $4 million 1x to 6x annual base
account pay up to a max of WHO PAYS:
WHO PAYS: $1 million You pay the full cost
DRiV™ pays for Basic Life.
You pay the full cost of WHO PAYS:
Supplemental Life DRiV™ pays for Basic AD&D.
You pay the full cost of
Supplemental AD&D
See page 19 See page 19 See page 20 See page 22
Short-Term Long-Term Optional Benefits Employee Discounts
Disability Disability These additional DRiV™ provides
Coverage through Coverage through financial protection employee discounts
MetLife, provides MetLife, provides programs are offered for various products
income protection for income protection if through MetLife to help and services
up to 26 weeks for an you continue to be you with unexpected
approved medical leave unable to work after losses and/or expenses
of absence lasting more 180 days due to an • Critical Illness
than 7 days approved, continuous • Accident
disability • Hospital Indemnity
• Team members with
less than 1 year of • Replaces 60% of • Hyatt Legal Services
service = 60% of pay monthly base salary • Home
• Team members with to max of $20,000/ • Auto
1 year or more = 100% month WHO PAYS:
of pay for the first 10 You pay the full cost
weeks of disability; WHO PAYS:
Provided by DRiV™ of these supplemental
60% thereafter up coverages
to 16 weeks at no cost to you
WHO PAYS:
Provided by DRiV™
at no cost to you
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 5
Enrollment Checklist
Enroll online or by phone: October 16 – November 5, 2019 JOINING DRi V ™
O C T OBER 16–
ONLINE DECEMBER 31, 2019?
1. Go to: myDRiVbenefits.com When you enroll, you will
2. Enter your employee ID (printed on your pay statement) and your password (PIN) need to make benefit
NOTE: First time users should enter your employee ID and date of birth elections for both the
(MMDDYY) as your password remainder of 2019 and for
3. Click on “Annual Enrollment” your 2020 benefits.
4. View your personal information
5. Certify tobacco use status for you and your enrolled spouse/domestic partner If you’re joining Motorparts,
6. Review/add your dependents take these two steps:
7. View your benefit options and costs, then make your elections
8. Review/update your beneficiaries 1. Enroll for 2019 benefits
9. Make sure you Save and Accept your 2020 elections at portal.adp.com, and
2. Enroll for 2020 benefits
at myDRiVbenefits.com
BY PHONE or call the DRiV™ Benefits
Contact the DRiV™ Benefits Center to enroll or if you have questions: Center (see details
1-877-436-3409 | Monday–Friday, 7 a.m.–7 p.m. CT at left)
A confirmation of your 2020 elections will be mailed to your home address.
You can also print your online confirmation statement. Please review your IMP OR TA N T:
statement for accuracy and keep it for your records. If there are any errors,
contact the DRiV™ Benefits Center before December 6, 2019 at 1-877-436-3409. Forgot Your Password?
Click on the “Forgot
Password” link on the
C ORP OR ATE A ND RIDE PERFORM A NCE TE A M MEMBER S Welcome page.
You need to enroll during Annual Enrollment ONLY if you want to do any of First Time User?
the following in 2020: Enter your Employee ID and
• Make pre-tax HSA contributions through pay deductions (requires enrollment your date of birth (MMDDYY)
in the HSA Medical Plan) as your password.
• Elect your FSA or LPFSA payroll deductions for 2020 Tobacco Surcharge
• Change your current elections for any benefit other than HSA, FSA or LPFSA
• Add or remove eligible dependents from your benefits If you and/or your spouse/
• Add or update your beneficiaries for life insurance and the 401(k) Retirement domestic partner use
Savings Plan (can update anytime during the year) tobacco products, you
will each pay an additional
If you don’t take action, your 2019 benefit elections — other than HSA, FSA, $50 per month tobacco
LPFSA payroll deductions — will automatically continue for 2020, and your current surcharge for medical
dependents will remain enrolled. coverage.
MOTORPA R T S TE A M MEMBER S You Can Kick the
Tobacco Habit
You must enroll during Annual Enrollment if you want DRiV™ benefits in 2020. You can kick the habit
and avoid the tobacco
If you don’t enroll, you will not be covered in 2020 and will not have another surcharge by completing the
opportunity to enroll until the Annual Enrollment period for 2021 benefits next fall, BCBSIL tobacco cessation
unless you have a qualified life event. program. Contact
Dependent eligibility is subject to verification. BCBSIL at bcbsil.com
or 1-800-677-1973.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 6
Who You Can Cover
You can enroll yourself and your eligible dependents for benefits.
UP DAT E YOUR
BENEF ICI A R IE S
YOUR ELIGIBLE DEPENDEN T S INCLUDE:
Annual Enrollment is a great
• Your spouse/domestic partner time to review and update
—— You cannot enroll your spouse/domestic partner for DRiV™ medical your beneficiaries for life
benefits if your spouse/domestic partner has coverage available through insurance and the 401(k)
another employer Retirement Plan. It’s a
• Your biological, adopted, foster, step-children, your domestic partner’s simple, quick way to protect
children and children for whom you are sole legal guardian, up to the end your family’s future, and you
of the month in which they reach age 26 can do it any time during
• Disabled children age 26 or older, who meet the eligibility requirements the year.
Take two steps to review and
YOU CA NNOT C OV ER: update your beneficiaries:
• Your grandchildren, nieces or nephews, unless you have sole legal guardianship 1. Life Insurance — go to
• Your child or your domestic partner’s child age 26 or older (unless disabled myDRiVbenefits.com
prior to age 26) 2. Retirement Plan — go to
• Your ex-spouse or ex-domestic partner the Fidelity site at
• A former domestic partner’s children 401k.com
• Your parents or in-laws
QUA LIFIED LIFE E V EN T S
Annual Enrollment is your one chance to enroll for benefits coverage for 2020. You cannot change your
benefits during the year unless you have a qualified life event such as:
• Marriage • Birth or adoption • Death of a dependent
• Divorce or legal separation • Gain or loss of coverage • A dependent is no longer eligible for coverage
If you have a qualified life event, you must provide written documentation and notify the DRiV™ Benefits Center
within 30 days of the event. If you do not report the event within 30 days, you must wait until the next Annual
Enrollment period to make any changes. Any changes you make to your benefits must be consistent with the
event. For example, if you have a baby, you can add the new child to your coverage, but you cannot drop your
spouse/domestic partner from coverage.
DEP ENDEN T EL IGIBIL I T Y S UB JEC T T O V ER IF IC AT ION
Before you add a new dependent during Annual Enrollment or for a qualified
life event, make sure that your dependent meets the eligibility requirements.
Dependent eligibility is subject to audit at any time.
Domestic Partner Coverage and Imputed Income
If your domestic partner and his or her children do not qualify as your tax dependents under Section 152 of the Internal Revenue Code, imputed
income applies to the cost of their coverage. The IRS considers health coverage for a domestic partner a taxable fringe benefit that must be included
in the associate’s gross income. Imputed income is the taxable amount equal to the associate cost for coverage for non-qualified dependents.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 7
Your 2020 Benefits
HSA Medical Plan
The HSA Medical Plan is designed to help you and your family stay well through preventive care, and to
protect you against medical expenses if you need care for an illness or injury.
The plan features the Blue Cross Blue Shield of Illinois (BCBSIL) national provider network. When you use
in-network providers, you’ll enjoy quality care benefits and lower costs.
When you enroll in the HSA Medical Plan, a Health Savings Account (HSA) is automatically opened in your
name with BNY Mellon Bank and administered by WageWorks. You may be eligible for an HSA contribution
from DRiV™, and you can elect to make your own pre-tax contributions as well.
YOUR H S A MEDICA L PL A N C OS T S A ND HOW IT A LL WORK S TOGE THER
You and DRiV™ Preventive care For other eligible After you meet The plan’s out-of-
share in the cost is covered 100% services, you the deductible, pocket maximum
of medical plan in-network, which must pay 100% the plan pays works as a safety
coverage. Your means there’s of the cost until a percentage net to limit how
contribution is no cost to you you meet the of expenses much you pay in
made each pay (the deductible deductible. (coinsurance). a year.
period on a does not apply). For most in-network
pre-tax basis. expenses, the
plan pays 80%.
Pay Deduction Preventive Deductible Coinsurance Out-of-Pocket
Care Maximum
Medical It includes visits After you reach
contributions are such as your the out-of-pocket
based on your annual physical, maximum,
base salary as of well-woman Health Savings Account the plan pays
October 1, 2019, exam, checkups Use the tax-free money in your Health 100% of eligible
the number of for dependent Savings Account (HSA) expenses for the
people you cover children and to pay for eligible expenses toward rest of that year.
and whether immunizations. your deductible and coinsurance.
you and/or Flu shots are
your spouse/ available at EXAMPLE: If you get sick and visit the
domestic partner your doctor doctor, you will be responsible for 100%
use tobacco. A or in-network of the bill until you reach your annual
tobacco surcharge pharmacy at deductible. If you have saved enough,
may apply. no cost. you may use HSA funds to pay the bill.
In-network and out-of-network. In-network providers have negotiated service rates with BCBSIL. An out-of-
network provider may charge more than BCBSIL is willing to pay. Because of this, the out-of-network deductible
is higher than the in-network deductible. Before receiving treatment, go to bcbsil.com/find-a-doctor-or-hospital
to ensure a doctor, lab, hospital, specialist or other provider is in-network.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 8
MEDICA L BENEFIT S
The chart below summarizes how medical services are covered under the HSA Medical Plan.
Plan Feature In-Network Out-of-Network
Annual Deductible Individual: $1,500 Individual: $3,000
Family: $3,000 Family: $6,000
Annual Out-of-Pocket Maximum Individual: $3,750 Individual: $7,500
Family: $7,500 Family: $15,000
Preventive Care Plan pays 100% — Plan pays 60% —
no deductible applies no deductible applies
Coinsurance*
• Doctor visits, hospitalization, outpatient care After you meet the After you meet the
• Inpatient/outpatient mental health and deductible: deductible:
substance abuse Plan pays: 80% Plan pays: 60%
• Home health care, rehab, durable medical You pay: 20% You pay: 40%
equipment, skilled nursing care, hospice
Emergency Care After you meet the After you meet the
deductible: deductible:
Plan pays: 80% Plan pays: 80%
You pay: 20% You pay: 20%
Plus additional $200 copay Plus additional $200 copay
(waived if admitted) (waived if admitted)
Urgent Care After you meet the After you meet the
deductible: deductible:
Plan pays: 80% Plan pays: 60%
You pay: 20% You pay: 40%
* Visit limitations and/or precertification may apply to some services.
Infertility coverage includes diagnosis and treatment for underlying cause;
otherwise, there is a $17,000 lifetime maximum for related prescriptions.
T O OL S AT YOUR F INGER T IP S
• Visit bcbsil.com for tools and resources available 24/7.
Find valuable information, check your coverages, look
for network providers, review your EOB and much more
• Download the BCBSIL app! Text BCBSILAPP to 33633 or
search for BCBSIL in the iTunes App Store or Google Play
bcbsil.com
1-800-677-1973 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 9
PRE S CRIP TION DRUG BENEFIT S
Once you satisfy the HSA Medical Plan annual deductible, the plan generally pays 80% and you pay 20% of
the cost for medication. How much of your prescription cost the plan covers will also depend upon the type of
prescription drug you receive (generic, formulary, or non-formulary) and whether you use a retail pharmacy or the
mail order pharmacy.
Many preventive maintenance generic prescriptions are covered at 100% (no deductible). You’ll save money
and get the same active ingredients when you use generic prescription medicines instead of more costly name
brand drugs — and the mail order pharmacy helps you save, too:
In-Network Retail Pharmacy (30-day supply) Mail Order (90-day supply)
Generic Drug After you meet the deductible: After you meet the deductible:
Plan pays: 80% Plan pays: 80%
You pay: 20% ($10 min/$25 max) You pay: 20% ($20 min/$50 max)
Formulary Brand After you meet the deductible: After you meet the deductible:
Name Drug Plan pays: 70% Plan pays: 70%
You pay: 30% ($35 min/$75 max) You pay: 30% ($70 min/$150 max)
Non-Formulary After you meet the deductible: After you meet the deductible:
Brand Name Drug Plan pays: 60% Plan pays: 60%
You pay: 40% ($55 min/$120 max) You pay: 40% ($110 min/$240 max)
View the latest preferred drug list:
info.caremark.com/druglist
DOC TOR ON DEM A ND
If you’re enrolled in the HSA Medical Plan, you and your eligible dependents have access to Doctor on Demand
which provides 24/7 access to board-certified physicians via smartphone, tablet or computer. In 15 minutes or
less, receive a virtual consult with a doctor who can:
• Diagnose,
• Provide treatment advice, and
• Prescribe medications.
YOU PAY $ 4 0
Using Doctor on Demand is easy: P ER SE S SION
• Go to doctorondemand.com or download the app from the
App Store or Google Play
• Register your account
• Review the doctor profiles to choose a specific physician, or choose
“See a Doctor Now” to access the first available physician
• Pay with your credit card or HSA debit card (your Doctor on Demand
copay counts toward your medical plan deductible)
Doctor on Demand can provide advice, treatment and prescriptions
for non-emergency medical issues including cold/flu symptoms,
ear infections, allergies and more.
caremark.com doctorondemand.com
1-844-416-1296 Download the mobile app DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 10Health Savings Account (HSA) MO T OR PA R T S
T E A M MEMBER S
The Health Savings Account (HSA) is a valuable feature of DRiV’s medical
plan that enables you to manage your health care spending today while If you currently have an HSA
saving for retirement. with your Federal-Mogul
medical plan, you can use
With an HSA, you get triple-tax advantages: your current HSA debit card
to pay for eligible expenses
Tax-free Contributions Tax-free Growth Tax-free HSA Money through December 31, 2019.
The money goes in Account balances When you use the Your account will close on
tax-free through over $1,000 can money in your HSA for January 1, 2020, and your
your pre-tax payroll be invested and qualified health care debit card will be deactivated
deductions the interest earned expenses, it comes out and should be discarded.
is tax-free of your account tax-free If you enroll in the DRiV™
HSA Medical Plan for 2020,
HOW THE H S A WORK S any remaining funds from
a Federal-Mogul HSA will
W HO C A N H AV E A N H S A transfer automatically to a
new DRiV™ HSA, and a new
Certain rules may apply to your participation in an HSA:
debit card will be mailed to
• Must be enrolled in the HSA Medical Plan you by January 1, 2020.
• Cannot be enrolled in Medicare
NOTE: You may not have
• Cannot be claimed as a dependent on someone else’s tax return
• Cannot participate in a Health Care FSA access to your 2019 HSA
• Cannot be covered by another health insurance plan that is not a balance between January
High Deductible Health Plan (such as TRICARE, TRICARE for Life, 1–14 as funds transfer to
or the Health Care FSA of your spouse/domestic partner) your new account; however,
• Can participate in the Limited Purpose FSA if you incur any eligible
expenses during this period,
you may submit them for
HO W A N H S A GE T S S TA R T ED
reimbursement through
• Your HSA account will be automatically opened after you enroll in the WageWorks.
HSA Medical Plan for the first time
• Watch for the “Get Started” kit from WageWorks, the HSA administrator, To access information
with details to help you understand more about your new HSA account about your 2020 DRiV™
account online, register at
wageworks.com or via the
HO W YOU A ND DRi V ™ C ON T R IBU T E T O YOUR AC C OUN T
WageWorks mobile app.
• You contribute through pre-tax payroll deductions directly to your HSA.
You decide how much you want to contribute, up to the IRS limits for 2020 —
and you can change the amount at anytime
• If you’re age 55 or older, you can contribute an extra $1,000
• The HSA contribution from DRiV™ in 2020 is based on your medical plan coverage tier
If You Elect Medical DRiV’s 2020 Your HSA Annual IRS Limit Total With
Coverage For: Contribution* Pre-Tax (DRiV’s and Your Additional Catch-Up
Contributions Contributions Combined) (Age 55+)
Employee $500 Up to $3,050 $3,550 $4,550
Employee + Spouse/ $750 Up to $6,350 $7,100 $8,100
Domestic Partner
Employee + Child(ren) $750 Up to $6,350 $7,100 $8,100
Employee + Family $1,000 Up to $6,100 $7,100 $8,100
* DRiV’s HSA contribution will be made by January 1, 2020. You must be hired on or before December 31, 2019 and elect the HSA Medical Plan
for 2020 to qualify for the full amount. New team members hired after January 1, 2020 and team members who experience certain qualified
life events will receive a prorated company HSA contribution.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 11HO W YOU C A N PAY FOR HE A LT H C A R E E X P EN SE S
Use your HSA to pay for health care expenses such as your annual deductible and coinsurance.
(For a complete list of eligible expenses, visit irs.gov or wageworks.com.)
I T ’S YOUR MONE Y
• There are no “use it or lose it” rules
• Money you don’t spend rolls over from year-to-year
• If you leave DRiV™, switch to another medical plan or even retire, your HSA is always yours to keep.
You can also choose to save to pay for eligible health care expenses tax-free in retirement
Turn the page for a chart comparing the Health Savings
Account to Flexible Spending Accounts (FSAs).
E X A MPLE: HOW THE H S A CA N S AV E YOU MONE Y
Here’s an example of how the HSA can reduce your taxes and help you save tax-free money for eligible health
care expenses. Let’s say you enroll in the HSA Medical Plan for Employee + Family coverage, your taxable
income is $80,000 and you’re in the 22% tax bracket. Contributing $1,500 to your HSA would lower your taxes
by $445.
DRiV™ will put $1,000 into your HSA in 2020, which means you’ll have $2,500 in tax-free money to use toward
eligible health care expenses — this year or in future years, even into retirement. Unlike the FSA, you can keep
rolling your full account forward, and take it with you if you leave the company or retire. And it stays tax-free as
long as you use it for eligible health care expenses.
With the HSA Without the HSA
Annual Gross Income $80,000 $80,000
Annual HSA Contributions $1,500 $0
Annual Gross Income After HSA Contributions $78,500 $80,000
Federal (22%) and FICA Taxes (7.65%) $23,275 $23,720
Tax Reduction $445 $0
DRiV’s 2020 HSA Contribution $1,000 $0
Your HSA Contribution $1,500 $0
Health Savings Account $2,500 $0
Tax-free money for eligible
health care expenses and retirement
wageworks.com
1-877-924-3967
(Monday–Friday, 7 a.m.–7 p.m. CT) DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 12Flexible Spending Accounts (FSAs) IMP OR TA N T!
Flexible Spending Accounts (administered by WageWorks) help you save money on If you enroll in the
eligible health care and/or dependent care expenses. HSA Medical Plan,
you can participate
in a Limited Purpose
L IMIT ED P URP OSE F S A FSA, but not a
Health Care FSA.
A Limited Purpose FSA is compatible with the HSA and allows you to pay for eligible dental
and vision expenses. Here’s a look at the tax-advantaged accounts offered by DRiV™:
Flexible Spending Accounts
Health Savings Health Care FSA Limited Purpose FSA Dependent Care FSA
Account (HSA) (HCFSA) (LPFSA) (DCFSA)
Can I participate if I enroll in the HSA Medical Plan and…
Decline HSA participation Yes No Yes
Participate in the HSA No Yes Yes
How much can I contribute in 2020?
• Up to $3,550 for $2,700 $2,700 • Up to $5,000 if you
employee only (subject to change (subject to change are married and file
coverage by the IRS) by the IRS) a joint tax return or
• Up to $7,100 for if you are single
family coverage • Up to $2,500 if you are
• Reduced by any married and file separate
employer contributions tax returns
• Age 55+ can contribute
additional $1,000
What expenses can I use it for?
• Eligible medical, • Eligible medical, • Eligible dental and • Eligible daycare expenses
dental and vision dental and vision vision expenses for your child under age 13,
care expenses not care expenses not your handicapped child of
covered by any other covered by any any age, a spouse/domestic
benefit plan other benefit plan partner or parent incapable
• This includes copays, • This includes of self-care that allow:
coinsurance and copays, coinsurance —— You and/or your
amounts paid toward and amounts paid spouse/domestic
your annual deductible toward your annual partner to work, or
deductible —— Your spouse/domestic
partner to attend
school full-time
When are the funds available for use?
• Funds must be • The full amount you elect to contribute for the • Funds must be deposited in
deposited in your year is immediately available your account to use them
account to use them • Funds should be deposited
• Funds should be into your account within 3
deposited into your business days from the date
account within 3 of payroll
business days from
the date of payroll
(continued on next page)
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 13Flexible Spending Accounts
Health Savings Health Care FSA Limited Purpose FSA Dependent Care FSA
Account (HSA) (HCFSA) (LPFSA) (DCFSA)
What happens to unused funds at the end of the year?
• HSA funds rollover • Up to $500 can be carried over to the next plan • Unused DCFSA funds
from year-to-year and year; there is no associated deadline to utilize at the end of the plan
you keep them even if these funds year may be forfeited
you leave DRiV™ • Any remaining balance over $500 is subject • You have until March 31
to forfeit of the following year
to submit claims for
expenses incurred by
December 31 of the
current plan year
Can I change my contributions during the year?
You can start, stop You can stop or change your contribution during the year only if you have a
or change your qualified life event
contributions at any time
Watch these videos to learn more:
• HSA: https://vimeo.com/75910504
• Health Care FSA: https://vimeo.com/78947294
• Limited Purpose FSA: https://www.wageworks.com/employees/healthcare-benefits/hsa-compatible-
flexible-spending-account/
• Dependent Care FSA: https://vimeo.com/87194727
• Welcome to your WageWorks Account (general navigation): https://vimeo.com/87138529
• EZ Receipts App (a must!): https://vimeo.com/87209799
MOTORPA R T S TE A M MEMBER S
If you currently have a Health Care or Limited Purpose FSA with Federal-Mogul, you may use your current FSA
debit card to pay for eligible expenses through December 31, 2019. On January 1, 2020, your debit card will be
deactivated and should be discarded; however, you have until March 31, 2020 to submit for reimbursement any
eligible expenses incurred in 2019.
After March 31, 2020, remaining HC FSA or LP FSA funds up to $500 will transfer automatically to a new DRiV™
account. Any amount over $500 will be forfeited.
NOTE: You may not have access to your funds April 15–20, 2020 as they transfer to your new account; however,
if you incur any eligible expenses during this period, you may submit them for reimbursement through WageWorks.
If you currently have a Dependent Care FSA with Federal-Mogul, you have until March 31, 2020 to submit
for reimbursement any eligible expenses incurred in 2019. After March 31, 2020, remaining DC FSA funds will
be forfeited.
If you enroll in the DRiV™ medical plan and elect the Limited Purpose FSA for 2020, you will receive a new
debit card that will allow you to access funds from both your HSA and LP FSA.
To access information about your 2020 DRiV™ account online, register at wageworks.com or via the
WageWorks mobile app.
wageworks.com
1-877-924-3967 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 14Dental Benefits
Good dental health is essential to your overall health and well-being, which is why DRiV™ provides dental
benefits. Dental services do not require an ID card under this plan administered by Delta Dental of Illinois.
Plan Feature1 Plan Benefit2
Annual Deductible • Individual: $50
• Family: $150
Annual Maximum Benefit $1,500 per person
Preventive Care — such as routine exams and cleanings 100%
Basic Services — such as fillings, oral surgery and endodontics 80% after you meet the deductible
Major Restorative Services — such as implants, crowns or dentures 50% after you meet the deductible
Orthodontia — $1,500 lifetime maximum 50% after you meet the deductible
1. Additional restrictions regarding number of treatments, plan allowable limits, etc. may apply.
2. You may pay more when you use an out-of-network provider that charges more than the plan’s allowable limit.
Vision Benefits
Vision benefits are provided through VSP. You have a choice of two plans: the Base Plan or the Deluxe Plan.
Plan Feature Base Plan Deluxe Plan
Exams • Well Vision Exam
• Copay $10 $10
• Contact fitting/evaluation Plan pays up to $60 Plan pays up to $60
• Frequency Once every calendar year Once every calendar year
Lenses • Copay for all lenses $20 $10
• Frequency Once every calendar year Once every calendar year
Frames* • Retail frame allowance $150 $250
• Featured frame allowance $170 $270
• Frequency Once every other calendar year Once every calendar year
Contacts* • Elective contact allowance $150 $200
• Non-elective contact copay $20 $10
• Frequency Once every calendar year Once every calendar year
* You can use the allowance for either frames or contacts but not both.
The vision benefits also include fixed copays for many lens enhancements, such as anti-reflective coating,
UV protection and scratch resistant coatings.
Log on to vsp.com to find an in-network eye care professional and review your coverage information. Vision
services do not require an ID card. At your appointment, simply tell them you have a vision plan through VSP.
deltadentalil.com vsp.com
1-800-323-1743 1-800-877-7195 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 15Employee Assistance Program (EAP)
Life has its moments, and sometimes we could all use a little help. That’s why DRiV™ offers the EAP at
no cost to you.
EAP services are available to you and your family members living in your home. You do not have to be enrolled
in the HSA Medical Plan to receive EAP services. Contact Beacon Health Options, our EAP administrator 24/7
at 1-866-898-6020.
EAP Services What’s Offered
Counseling Up to 6 face-to-face, phone or video sessions for stress management, relationship,
work/life balance, divorce, grief and loss support
Legal Referral services for divorce, landlord, tenant issues, real estate transactions, will and
powers of attorney, civil suits and contracts, and identity theft recovery
Financial Referral services for saving for college, debt consolidation, mortgage issues, estate
planning, general tax questions, retirement planning and family budgeting
Work/Life Referral services for care services such as adult care, child care, special needs care,
summer camps and holiday care; education services; growing family services; and
convenience services
P R I VACY I S A P R IOR I T Y
The EAP upholds strict confidentiality
standards. Your personal information
is kept confidential in accordance with
federal and state laws.
achievesolutions.net/driv
1-866-898-6020 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 16Retirement Savings Plan
DRiV’s Retirement Savings Plan helps you save and invest for your financial future through three types of
contributions to your account.
BUILDING YOUR RE TIREMEN T S AV ING S
The plan lets you save and build investment earnings on a pre-tax basis.
1 2 3
Your 401(k) Savings Company 401(k) Match Company Retirement
Contribution (CRC)
After 60 days of employment, DRiV™ makes a company
you are automatically enrolled match when you contribute to DRiV™ makes a Company
to save 3% of your pre-tax pay, the 401(k) portion. Retirement Contribution
but you can instead choose to DRiV™ matches: (CRC) every pay period,
save from 1% to 75% up to the • 100% of the first 3% of pay you even if you don’t make your
annual IRS limit. contribute own contributions.
• 50% of the next 2% of pay you
• You can change your contribution contribute The CRC percentage is based on your
at any time • You are always 100% vested in age, as shown in the table below.
• Get the most from your plan by DRiV’s 401(k) match Your Age CRC Contributions
contributing at least 5%
• You are always 100% vested in your Under 40 2.50%
own contributions 40–44 2.75%
• If you are age 50 or older, you can 45–49 3.00%
make an additional $6,000 pre-tax 50–54 3.25%
contribution to your 401(k) 55–59 3.50%
60 or older 4.00%
A N E X A MP L E: ONE Y E A R OF C ON T R IBU T ION S
Assumptions: Age 45 team member, earning $80,000 annually, with 401(k) contributions of 5% of pay (or $4,000)
1 2 3
Your 401(k) Savings Company 401(k) Match Company Retirement
Contribution (CRC)
$2,400 + $1,600 = $4,000 $2,400 + $800 = $3,200
3% 2% 3% of pay 2% of pay
$80,000 x 3.00% = $2,400
of pay of pay x 100% x 50% Earnings Age-based
Your Contributions: $4,000 DRiV’s Total Contributions: $5,600
EL IGIBIL I T Y A ND V E S T ING IN T HE CR C
• Eligibility. Eligible team members can receive the CRC after 1 year of service.
• Vesting. Eligible team members become vested in the CRC after 3 years of service (3 years from your date of
hire). This means you “own” the amount of the CRC contributions in your 401(k) and they are yours to keep. If you
leave DRiV™ before reaching 3 years of service, you’ll lose the value of any CRC contributions you’ve received.
For example, if your date of hire was September 1, 2018, you will become vested in your CRC contributions
on September 1, 2021 upon reaching three years of service. Being vested means that if you leave DRiV™,
the value of the CRC contributions in your 401(k) account is yours to keep. However, if you leave DRiV™ prior
to September 1, 2021, you will lose the value of any CRC contributions that DRiV™ had previously made on
your behalf.
401k.com
1-866-612-4588 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 17Life Insurance and Accidental Death and Dismemberment (AD&D) Benefits
Through MetLife, DRiV™ offers several insurance plans to help protect you and your family in the event
of an unexpected loss.
FOR YOU
NOTE: Newly hired
Life Insurance
team members electing
• DRiV™ provides Basic Life Insurance of 1.5x your annual base pay to a maximum coverage are eligible for
of $2.5 million — at no cost to you up to $50,000 guaranteed
• You can purchase Supplemental Life Insurance coverage equal to 1x to 6x issuance of supplemental
your annual base pay to a maximum of $4 million life and AD&D coverages.
Accidental Death and Dismemberment Insurance (AD&D)
• DRiV™ provides Basic AD&D Insurance of 1.5x your annual base pay to a maximum
of $2.5 million — at no cost to you
• You can purchase Supplemental AD&D coverage equal to 1x to 6x your annual base pay to a maximum
of $1 million
FOR YOUR DEPENDEN T S
Life Insurance
DRiV™ also offers Spouse/Dependent Life Insurance options you can purchase through MetLife:
• Spouse coverage — $5,000 to $150,000
• Child coverage — $5,000 and $10,000
—— During enrollment, you must attest to your child(ren)’s eligibility for coverage
—— Children eligible for coverage include those age 19 and under who are unmarried,
or age 19–25 who are unmarried full-time students
—— See the official plan documents for complete eligibility guidelines
C OMP L E T E S T EP S T O P R O V IDE E V IDENCE OF
IN S UR A BIL I T Y (EOI)
You may be required to provide proof of good health (also
known as EOI) when you first apply for life insurance coverage
or increase your coverage for you or your dependents.
During 2020 benefits enrollment, DRiV™ will introduce the
EnrollSmart process to simplify EOI. If EOI is required, MetLife
will contact you directly via email or U.S. mail to complete a
brief, five-question statement of health.
Life Insurance
mybenefits.metlife.com
1-800-638-6420 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 18Short-Term Disability (STD) and Long-Term Disability (LTD) Benefits
At no cost to you, DRiV™ offers income protection benefits if you are unable to work due to an
approved medical leave of absence. Disability benefits are administered by MetLife.
SHOR T-TERM DIS A BILIT Y BENEFIT S
STD insurance provides you with a benefit for up to 26 weeks when you are unable to work due to an approved
medical leave of absence lasting more than 7 days. The 7-day waiting period is waived if you are hospitalized.
You may use any unused paid time off or take unpaid time off during the first 7 days before STD benefits begin.
• Team members with less than 1 year of service receive 60% of base pay
• Team members with 1 year of service or more receive 100% of base pay for the first 10 weeks of disability;
60% thereafter, up to an additional 16 weeks
LONG-TERM DIS A BILIT Y BENEFIT S
LTD insurance provides you with a benefit if you are unable to work due to a prolonged disability.
Benefits begin after you have been continuously disabled for 180 days and is equal to 60% of your monthly
base salary to a maximum of $20,000 a month.
Disability Insurance
mybenefits.metlife.com
1-888-777-8432 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 19Optional Benefits
Your HSA Medical Plan, disability and life insurance benefits from DRiV™ provide a comprehensive level
of benefits and financial protection. You may wish to purchase additional insurance through MetLife
depending on your personal needs.
MetLife optional benefits include the following:
AC CIDEN T IN SUR A NCE
If you or a covered dependent is injured and needs treatment, the plan can help pay costs not covered by your
medical plan.
Low Plan Pays: High Plan Pays:
Fractures $50–$3,000 $100–$6,000
Ambulance $200–$750 $300–$1,000
Emergency Care $25–$50 $50–$100
Physician Follow Up $50 $75
Hospital Admission (per accident) Non-ICU: $500 Non-ICU: $1,000
ICU: $1,000 ICU: $2,000
CRITICA L ILLNE S S IN SUR A NCE
Coverage for a diagnosis of a covered condition such as heart attack, stroke, or cancer. The plan may pay a
reduced amount for a recurrence of the condition.
Low Plan Pays: High Plan Pays:
Employee Initial Benefit $15,000 $30,000
Spouse/Domestic Partner Benefit 50% of Employee Initial Benefit
Dependent Child Benefit 25% of Employee Initial Benefit
Total Benefit Maximum 3 times the Initial Benefit
HOSPITA L INDEMNIT Y IN SUR A NCE
If you or a covered dependent is admitted to the hospital.
Low Plan Pays: High Plan Pays:
Admission for Accident (within 180 days of accident) Non-ICU: $500 Non-ICU: $1,000
or Admission for Sickness (once per year) ICU: $1,000 ICU: $2,000
Confinement (per accident or sickness, up to 31 days) Non-ICU: $100 per day Non-ICU: $200 per day
ICU: $200 per day ICU: $400 per day
Inpatient Rehab (immediately after hospital $100 per day $200 per day
confinement and within 365 days of accident) (15 days per accident, 30 (15 days per accident,
days per year) 30 days per year)
Optional Benefits
mybenefits.metlife.com
1-866-626-3705 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 20ME TLIFE HOME IN SUR A NCE
Coverage for:
• Damage to property, furniture, and other home contents resulting from covered causes including lightning,
fire, smoke, windstorm and theft; and
• Liability judgments, court fees and legal defense expenses from lawsuits resulting from injuries sustained on
your property
ME T L IFE AU TO INSUR A NCE
Offers competitive rates on auto insurance through payroll deductions.
H YAT T LEGA L
Hyatt Legal offers affordable and convenient legal counseling. Once enrolled, you have access to a plan
attorney through Hyatt’s nationwide network of more than 13,500 qualified attorneys. You may contact an
attorney via phone for:
• Debt and consumer matters
• Family law
• Juvenile court matters
• Advice, and office consultations
• Representation for legal services including:
—— Wills and estate planning
—— Real estate matters
—— Traffic defense
—— Civil lawsuits and more
Home and Auto Insurance Hyatt Legal Services
mybenefits.metlife.com legalplans.com
1-800-438-6388 1-800-821-6400 DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 21Other Benefits
Employee Discounts
DRiV™ provides you with the following discounts:
DIS C OUN T S AT CDW NIS S A N V EHICLE P URCH A SE
cdw.com/epp PROGR A M ( V PP)
TA Access Code: AC99B39A insidenissan.com
• Click on Business Associates
• Enter your first and last name and the
GM CA R DIS C OUN T
VPP Company Code: VPP002777
gmsupplierdiscount.com
You may also create your own claim form number
TA Company Code: 805838
by selecting CREATE CLAIM ID or request one at
1-800-299-4753.
FORD CA R DIS C OUN T Once you have your Claim Number, visit your
fordpartner.com/login/login.asp local Nissan dealership, identify yourself as a VPP
TA Partner Code: E606B customer, provide your VPP Company Number
(VPP002777), and the company name; proof of
employment (a recent paycheck stub, business card,
DA IMLER-CHRYSLER CA R DISC OUNT or a security card with your name), along with your
chrysleraffiliates.com driver’s license, is required.
or call Program Headquarters at 1-888-444-4321
Company code: #S73994 V ERIZON EMPLOY EE DIS C OUN T
verizonwireless.com/discounts
VOLK S WAGEN SUPPLIER
P URCH A SE PROGR A M
DRi V ™ AT&T W IRELE S S EMPLOY EE
vwpartnerprogram.com DISC OUNT
Print a personalized program certificate,
required for redemption at the dealership — att.com/wireless/tenneco
DRiV™ number: 0902HG
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 22Your 2020 Semi-Monthly Costs
DRiV™ provides some benefits at no cost to you. For others, you and DRiV™ share the cost, and for some
optional benefits, you pay the full cost.
HSA Medical Plan Cost
If you and/or your spouse/domestic partner use tobacco products, you will each pay an additional $50 per-month
tobacco surcharge for medical coverage. See page 6.
Your Cost Per Pay Period If You Earn*
If You Elect Less than $50,000 to $70,000 to $90,000 to $120,000
Coverage For $50,000 $69,999 $89,999 $119,999 or more
Employee $44.88 $49.87 $62.34 $69.82 $74.80
Employee + Spouse/ $98.75 $109.72 $137.15 $153.61 $164.58
Domestic Partner
Employee + Child(ren) $80.80 $89.77 $112.22 $125.68 $134.66
Employee + Family $134.66 $149.62 $187.02 $209.47 $224.43
* Base salary as of October 1, 2019.
Dental Plan Cost
If You Elect Coverage For Your Cost Per Pay Period
Employee $6.50
Employee + Spouse/Domestic Partner $11.50
Employee + Child(ren) $13.00
Employee + Family $21.50
Vision Plan Cost
If You Elect Coverage For Your Base Plan Cost Per Pay Period Your Deluxe Plan Cost Per Pay Period
Employee $3.86 $7.36
Employee + Spouse/ $6.17 $11.76
Domestic Partner
Employee + Child(ren) $6.30 $12.01
Employee + Family $10.16 $19.37
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 23Supplemental Life Insurance Cost
Your Age on Last January 1 Your Monthly Cost (per $1,000)
Under 25 $0.05
25–29 $0.06
30–34 $0.08
35–39 $0.09
40–44 $0.10
45–49 $0.17
50–54 $0.35
55–59 $0.51
60–64 $0.71
65–69 $1.12
70+ $1.81
Supplemental AD&D Insurance Cost
Employee-Only Coverage: Family Coverage:
Your Monthly Cost (per $1,000) Your Monthly Cost (per $1,000)
$0.02 $0.03
Dependent Life Insurance Cost
Coverage Option Your Monthly Cost
Child: $5,000 $0.79
Child: $10,000 $1.58
Spouse/Domestic Partner: $5,000 $1.01
Spouse/Domestic Partner: $10,000 $2.02
Spouse/Domestic Partner: $20,000 $4.04
Spouse/Domestic Partner: $25,000 $5.05
Spouse/Domestic Partner: $30,000 $6.05
Spouse/Domestic Partner: $40,000 $8.07
Spouse/Domestic Partner: $50,000 $10.09
Spouse/Domestic Partner: $100,000 $20.20
Spouse/Domestic Partner: $150,000 $30.30
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 24Optional Benefits Costs
Your Cost Per Pay Period
Hospital Indemnity Employee $5.40
Insurance — Low Option
Employee + Spouse/Domestic Partner $10.68
Employee + Child(ren) $9.75
Employee + Family $16.42
Hospital Indemnity Employee $10.68
Insurance — High Option
Employee + Spouse/Domestic Partner $21.15
Employee + Child(ren) $19.31
Employee + Family $32.20
Accident Insurance — Employee $4.12
Low Option
Employee + Spouse/Domestic Partner $7.45
Employee + Child(ren) $8.47
Employee + Family $10.68
Accident Insurance — Employee $7.91
High Option
Employee + Spouse/Domestic Partner $14.28
Employee + Child(ren) $16.10
Employee + Family $20.32
Hyatt Legal Services $9.75
Critical Illness
$15,000 Benefit Plan: Your Cost Per Pay Period $30,000 Benefit Plan: Your Cost Per Pay Period
Employee Employee
+ Spouse/ + Spouse/
Your Employee Domestic Employee Employee Your Employee Domestic Employee Employee
Age Is Only Partner + Child + Family Age Is Only Partner + Child + FamilyContact Information
Refer to this chart for contact information about your DRiV™ benefits. If you don’t know who to call,
contact the DRiV™ Benefits Center at 1-877-436-3409.
Visit DRiVbenefits.com for details about benefits, links to resources and important documents, and more.
NEW! Ready to enroll? Go to DRiVbenefits.com or call the DRiV™ Benefits Center at 1-877-436-3409.
For Questions About DRiV™ Partner Phone (all times CT) Website
General Benefit Inquiries,
Benefits 1-877-436-3409
Qualified Life Events or myDRiVbenefits.com
Center M–F: 7 a.m.–7 p.m.
Pre-65 Retiree Benefits
Medical Benefits 1-800-677-1973
bcbsil.com
Tobacco Cessation M–F: 8 a.m.–6 p.m.
Health Savings Account (HSA) 1-877-924-3967
Flexible Spending Accounts (FSAs) 24/7
wageworks.com
1-866-747-0039
COBRA Benefits
M–F: 7 a.m.–7 p.m.
24/7 Medical Assistance via 1-800-997-6196
doctorondemand.com
Mobile Device or Computer 24/7
1-844-416-1296
Prescription Drug Benefits caremark.com
24/7
1-800-323-1743
Dental Benefits M–Th: 7 a.m.–7 p.m. deltadentalil.com
F: 7 a.m.–6 p.m.
1-800-877-7195
Vision Benefits M–F: 7 a.m.–10 p.m. vsp.com
Sat–Sun: 9 a.m.–10 p.m.
401(k) Retirement Savings Plan 1-866-612-4588
401k.com
and Pension Plan M–F: 7:30 a.m.–7 p.m.
Employee Assistance 1-866-898-6020
achievesolutions.net/driv
Program (EAP) 24/7
1-800-638-6420
Life Insurance
M–F: 7 a.m.–5 p.m.
1-888-777-8432
Disability Insurance
M–F: 7 a.m.–10 p.m.
1-866-626-3705 mybenefits.metlife.com
Optional Benefits
M–F: 7 a.m.–7 p.m.
1-800-438-6388
Home and Auto Insurance M–F: 7 a.m.–10 p.m.
Sat: 7 a.m.–4 p.m.
1-800-821-6400
Hyatt Legal Services legalplans.com
M–F: 7 a.m.–7 p.m.
Via Benefits (Age 65+ retirees 1-844-222-2972
my.viabenefits.com/driv
eligible for medical benefits) M–F: 7 a.m.–8 p.m.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 26This guide provides highlights of the DRiV™ benefits program for Salaried team
members. Every effort has been made to ensure the information provided is
complete and accurate. However, this guide is neither a legal benefit plan
document or employment agreement. If there are ever any conflicts between
the information provided in this guide and the legal plan documents, the legal
plan documents will govern. DRiV™ reserves the right to change or terminate
any or all the benefit plans at its discretion.
DRiVbenefits.com | DRiV™ Benefits Center: 1-877-436-3409 | 27You can also read
