2023 Sammons Financial Group

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2023 Sammons Financial Group
BENEFITS

2023
       GUIDE
2023 Sammons Financial Group
TABLE OF
    CONTENTS
    What’s New for 2023 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 3

    Eligibility Overview.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4

    Castlight.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 5

    Medical Plan .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 6

    Prescription Drug Program.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 10

    Health Savings Account (HSA). .  .  .  .  .  .  .  .  .  .  .  .  .  . 13

    Flexible Spending Account (FSA) .  .  .  .  .  .  .  .  .  .  .  . 18

    Limited Purpose Flexible Spending
    Account (LPFSA) .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 20

    Dependent Care Flexible Spending
    Account (DCFSA).  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 23

    Non-Tobacco Incentive .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 25

    Spousal Surcharge. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 25

    Virgin Pulse Wellness Program. .  .  .  .  .  .  .  .  .  .  .  .  . 26

    Dental Plans .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 28

    Vision Plan.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 29

    Aflac Supplemental Plans.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 30

    Women’s Health and Cancer Rights Act .  .  .  .  .  . 32

    2023 Monthly Premiums .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 33

    Frequently Asked Questions for
    Open Enrollment .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 34

    Open Enrollment Instructions .  .  .  .  .  .  .  .  .  .  .  .  .  . 35

2
2023 Sammons Financial Group
2023
                                                                                              Benefits Guide

WHAT’S NEW FOR 2023
Annual benefit enrollment is an important process, allowing employees to take full advantage of SFG’s
employee offerings with a formal platform to review your benefits enrollment and ensure your current
elections are best suited to your needs—and the needs of your family. Just as our business initiatives change
each year, requiring frequent monitoring of market conditions, your Total Rewards Benefits team also
monitors feedback from our employees and external market data to adjust and improve our Total Rewards
offerings.

The high-deductible medical plan offerings at SFG serve our Total Rewards strategy well by being both
competitive and sustainable. Yet, through our Total Rewards employee survey, we heard feedback from some
team members who want an option that allows lower out-of-pocket costs when initially seeking medical
services. This request has led to the most notable change for benefit enrollment this year; the addition of a
third HSA eligible health plan for 2023 in recognition that the diverse needs of our employee population may
require equally diverse healthcare solutions.

The addition of this health plan allows further choice in determining what you value in your medical
coverage; do you prefer lower monthly premiums out of your paycheck? Or less exposure to paying a higher
medical bill at the point of service? Perhaps an equal balance between these priorities is right for you? Within
this guide you will find the information needed to learn about our benefit offerings as well as the resources
that Sammons Financial Group provides for you to be a responsible consumer of health care. The following
list highlights the few changes for 2023:

New Medical Plan
„   Consumer Basic Plan added for increased employee choice

IRS Changes
„   IRS increased HSA contribution limits: single $3,850/family $7,750

What Do I Need to Do?
„   Use the “link” to find all information regarding open enrollment and your benefits
„   Calculate your out-of-pocket expenses and what to anticipate for the next year
„   Complete your enrollment elections through UKG Pro between November 2 through November 16,
    2022; you will find open enrollment instructions on page 36 of this guide
„   Confirm enrollment of dependents in appropriate plans
„   Upload required documentation in Manage My Benefits
„   Print or email confirmation of your elections for plan year 2023 for your own records

To see a list of frequently asked questions related to open enrollment, please see page 34.

                                                       3
2023 Sammons Financial Group
ELIGIBILITY OVERVIEW
                                                         Medical                                             Dental and Vision
                          Employees regularly scheduled to work at least 30 hours per week are
Eligible Employees                                                                                           Same as medical.
                                             eligible for medical coverage.
Effective Date of         Coverage begins the first day of the month following date of hire or
                                                                                                             Same as medical.
Employee Coverage      January 1st of the year proceeding a change in open enrollment elections.

                                  An eligible employee may also elect coverage for the
                                                  following dependents:
                         Spouse to whom an eligible employee is legally married by providing a
                                                                                                           Same as medical, foster
                                             copy of the marriage certificate;
Eligible Dependents                                                                                    children are not eligible under
                         Children, including biological children, step-children, adopted children,
                                                                                                               any SFG plans.
                         children placed for adoption, and children for whom the employee (or
                          spouse) serves as legal guardian or is otherwise legally obligated to
                                        support. The limiting age for children is 26.

Effective Date of          Dependents are eligible for coverage on the later of (i) the date the
                                                                                                             Same as medical.
Dependent Coverage        employee is eligible, or (ii) the date the person becomes a dependent.

  Reminder
  The only time that you as an employee can make changes to your elections (including dropping coverage) is at open
  enrollment, or if you should have a qualifying life event such as a birth/adoption, death, marriage, divorce, or loss of
  employment. You must make changes to your benefits within 31 days of your life event or wait until the next open
  enrollment period.

                                                                   4
2023 Sammons Financial Group
2023
                                                                                                               Benefits Guide

CASTLIGHT
Castlight takes the guess work out of managing your
benefits so you can make the best decisions for both
                                                                          Online Resources
you and your family. It is a comprehensive digital                        Access your health and benefits in one place with
resource that helps you navigate access to and cost                       Castlight.
of your medical benefits, allowing you to focus on
your health and wellbeing.                                                1. Benefits—confirm dependents covered under
                                                                             your plan, view your benefit highlights, and get
Personalized Just For You                                                    answers to frequently asked questions.

„        Information is based on your unique profile and                  2. Claims Center—view claim details, including
         benefits                                                            payment amounts, a summary of your claims by
„        Receive provider recommendations with                               date of visit, names of doctors, total charges, and
         background expertise relevant to your specific                      status.
         needs and conditions                                             3. Find Care—find provider reviews and treatment
„        Get timely, regular notifications that help you                     pricing to help you make more informed
         manage your health, such as exam reminders                          healthcare decisions.
„        Track and manage your spending to become a                       4. Doctors and Hospitals—use the Provider Finder
         better healthcare consumer
                                                                             to locate a network doctor or hospital.
„        Maximize the benefits and programs available
                                                                          5. Message Center—receive notification of
         to you
                                                                             pending and finalized claims via secure
                                                                             messaging.
                                                                          6. Quick Links—find all your benefits in one place,
                                                                             print or access a digital ID card, and review your
                                                                             health summary.

    Get started with Castlight by following these three easy steps:
    1.     Sign up for Castlight at             2.   Submit your information (secure       3.   Download the Castlight app on
           mycastlight.com/                          and completely confidential)               mobile or tablet
           sammonsfinancialgroup

                                                                      5
2023 Sammons Financial Group
BLUECROSS                           MEDICAL PLAN
                                    BLUESHIELD OF
                                                                        BlueCross BlueShield of Illinois (BCBSIL) helps you
                                    ILLINOIS
                                                                        maximize your healthcare benefits with Blue Access
                                    800.458.6024                        for Members (BAM). You and all covered dependents
                                    www.bcbsil.com
                                                                        over the age 18 can create a BAM account.

With BAM, You Can:                                                      It’s Easy to Get Started!
„       Use our Provider Finder® tool to search for a                   1. Go to bcbsil.com/member
        healthcare provider, hospital or pharmacy
                                                                        2. Click Register Here
„       Request or print your ID card
                                                                        3. Use the information on your BCBSIL ID card to
„       Check the status or history of a claim
                                                                           sign up
„       View or print Explanation of Benefits statements
„       Use our Cost Estimator tool to find the price of                Or, text* BCBSILAPP to 33633 to get the BCBSIL app
        hundreds of tests, treatments and procedures                    that lets you use BAM while you’re on the go.
„       Download our app                                                *   Message and data rates may apply.
„       Sign up for text or email alerts

Confused About Where to Go for Care?
If you are not having an emergency, you may save time and money by considering the choices you have to
seek for non-emergency care. When you use in-network providers for your family’s health care, you usually
pay less for care. Search for in-network providers in your area at bcbsil.com or by calling the Customer
Service number on your member ID card.

    Important Note Regarding BlueCross BlueShield of Illinois (BCBSIL)
    You must contact BCBSIL’s Medical Service Advisory (MSA):

    „     If you or a member of your family goes to the emergency room for care and are admitted to the hospital, you must call
          to inform them of the hospitalization within 48 hours of or as soon as possible. For a scheduled admission, they need to
          call at least 24 hours in advance.

    „     If you or a member of your family undergoes an inpatient procedure. If the surgery is non-emergency, you must contact
          the MSA prior to undergoing any inpatient surgical procedure.

    If you are uncertain whether it is necessary to call, contact the MSA. If you do not call and you should have, you will be
    charged a $500 penalty. If it was not necessary for you to call, they will inform you of such. You want to make sure it gets
    recorded that you contacted them.

    The telephone number for the MSA is 800.232.7108. This telephone number can also be found on the back of the BCBSIL ID
    card you receive.

                                                                    6
2023 Sammons Financial Group
2023
                                                                                                                 Benefits Guide

Benefit Overview
Get a better understanding of how you and your health plan work together to pay for your healthcare services.
                 Deductible                             Copay/Coinsurance                                 Out-of-Pocket

 $
                                             Coinsurance is the percentage of the           The money you pay out of your own
         The total amount you must pay
                                             cost that a member pays out-of-pocket          pocket for your healthcare services before
         before your plan starts paying
                                             towards a claim, i.e., 20% member              your plan covers the rest of the cost.
         for part of your medical and
                                             coinsurance for a $100 claim would result
         prescription costs.
                                             in the member paying $20.

                                       Medical Plan Definitions
                              Embedded vs. Non-Embedded Deductible
          NON-EMBEDDED DEDUCTIBLE                                                  EMBEDDED DEDUCTIBLE
               NEW Consumer Basic Family                                                 Consumer Family
               In-Network Deductible: $3,000                                       In-Network Deductible: $6,000

    Family works as a team to meet the family deductible.                Each individual works to meet their individual deductible
    There is no individual deductible.                                   ($3,000). No individual can pay more than $3,000 towards
    The most a family will pay before moving to coinsurance              the deductible.
    is $3,000.

            $700              $1,800           $500                             $3,000             $3,000              $0
                                                                     „      This plan has an embedded family deductible.
                                                                     „      A family member is treated as an individual, as if that member
                                                                            had single employee coverage.
                              $3,000                                 „      If one family member reaches the $3,000 individual
„     The Consumer Basic Plan has a non-embedded family                     deductible, the plan begins to cover services for that individual
      (also called aggregate) deductible.                                   only.
„     Any combination of family member expenses go toward            „      The other remaining deductible amount of $3,000 needs
      the $3,000 deductible. Then the plan begins to cover                  to be reached by another family member and then the family
      services for all family members.                                      deductible is met.
„     Once deductible is met, the entire family will pay             „      Instead of everyone working toward the family deductible
      coinsurance (10%) until the family out-of-pocket                      at the same time, family members first work toward their
      maximum is met. The most an individual can pay for the                individual deductibles.
      out-of-pocket maximum is the individual out-of-pocket          „      Once the family deductible is met through the cumulation
      maximum.                                                              of members’ individual deductibles, the entire family will pay
                                                                            coinsurance (10%) until the family out-of-pocket maximum is
                                                                            met. The most a family member can pay for their own claims is
                                                                            the individual out-of-pocket maximum.
     The Consumer Plus and Traditional are embedded and would follow the same example as the Consumer plan.
                                                                 7
2023 Sammons Financial Group
Medical Plan Summary
    Medical Plan Features            Traditional (PPO)**         NEW Consumer Basic                Consumer (HD)              ConsumerPlus (HD+)
                                             2023                          2023                          2023                          2023
                                                                                                                       $250 single/$500 family
                                                                                                                      (Health Savings Account)
                                                                                                                          $1 for $1 Sammons
                                                                                                                            Financial Group
Healthcare Spending                                                                                                    provided match to HSA
                                                                    No Employer HSA           $250 single/$500 family
Accounts-Employer                 Not an HSA eligible plan                                                              account funding up to
                                                                      contribution           (Health Savings Account)
Contributions                                                                                                                     $500
                                                                                                                         Single/$1,000 family
                                                                                                                         annually–in addition
                                                                                                                       to funding listed above
                                                                                                                      (Health Savings Account)
                                                                     Non-Embedded
Calendar Year Deductible           Embedded Deductible                                         Embedded Deductible           Embedded Deductible
                                                                       Deductible
Individual                                  $1,300                      $1,500***                       $3,000                        $4,000
Family                                      $2,600                        $3,000                        $6,000                        $8,000
Medical Out-of-Pocket Maximum (Includes Deductible)
Individual/Family                       $4,750/$9,500                 $3,500/$7,000                  $3,500/$7,000               $5,000/$10,000
Rx Out-of-Pocket Maximum (Includes Deductible)
                                                                 Rx counts towards the         Rx costs count towards       Rx costs count towards
Individual/Family                       $2,100/$4,200            medical out-of-pocket          the medical out-of-          the medical out-of-
                                                                       maximum                    pocket maximum               pocket maximum
Lifetime Maximum                          Unlimited                     Unlimited                      Unlimited                    Unlimited
                                      80% covered after            90% covered after             90% covered after             80% covered after
Office Visit
                                         deductible                   deductible                    deductible                    deductible
Wellness/Preventive–
                                        100% covered                  100% covered                   100% covered                100% covered
Adults/ Children
Inpatient and Outpatient              80% covered after            90% covered after             90% covered after             80% covered after
Services                                 deductible                   deductible                    deductible                    deductible
                                   $200 copayment then             90% covered after             90% covered after             80% covered after
Emergency Room Services
                                  80% after the deductible            deductible                    deductible                    deductible
                                      80% covered after            90% covered after             90% covered after             80% covered after
Diabetic Pumps
                                         deductible                   deductible                    deductible                    deductible

*   Embedded deductible: if one member of the family meets the embedded individual deductible, then the plan coinsurance would start to pay once
    that individual deductible is met. Sammons Financial Group’s Consumer and Consumer Plus plans are required to have a minimum embedded
    individual deductible of $3,000 to remain HSA qualified in 2023, due to IRS regulations.

** Those who are currently enrolled in the Traditional plan in 2022 will be able to re-elect this plan for the benefits year 2023. Those who choose to
   leave the Traditional plan will no longer be able to move back to the Traditional medical plan.

*** Please note, the individual deductible applies only for those electing Employee Only Coverage.

                                                                                                                                     Please refer to
                                                                                                                                     the Summary
                                                                                                                                    of Benefits for a
                                                                                                                                    full description
                                                                                                                                       of benefits.

                                                                           8
2023 Sammons Financial Group
2023
                                                                                                                           Benefits Guide

Prescription Drug Plan Summary
    Prescription             Traditional (PPO)                   Consumer Basic                Consumer (HD)              ConsumerPlus (HD+)
       Drug
      Benefits           Retail            Mail Order          Retail           Mail         Retail      Mail Order        Retail      Mail Order

    Individual                                                  No               No           No            No             No             No
                                        No individual Rx
    Rx                    $150                               individual       individual   individual    individual     individual     individual
                                             ded.
    Deductible                                                Rx ded.          Rx ded.      Rx ded.       Rx ded.        Rx ded.        Rx ded.
    Generic
    Drugs
    (including
    Diabetic
                                                                90%             90%           90%           90%            80%            80%
    Test Strips,                             $20
                         $20                                  covered         covered       covered       covered        covered        covered
    Lancets,                            copayment per
                    copayment–no                               after           after         after         after          after          after
    Glucagon                            prescription (3
                        ded.                                  medical         medical       medical       medical        medical        medical
    Emergency                           month supply)
                                                                ded.            ded.          ded.          ded.           ded.           ded.
    Kits and
    Diabetic
    Pump
    Supplies)
                                              Your
                          Your
                                          coinsurance
                      coinsurance                               90%             90%           90%           90%            80%            80%
                                           = 13.33%,
    Formulary         = 20% after                             covered         covered       covered       covered        covered        covered
                                           Minimum
    Brand Name      ded., minimum                              after           after         after         after          after          after
                                          cost of $60,
    Drugs             cost of $45,                            medical         medical       medical       medical        medical        medical
                                           maximum
                     maximum $95                                ded.            ded.          ded.          ded.           ded.           ded.
                                            of $180
                    per prescription
                                        per prescription
                                              Your
                          Your
                                          coinsurance
                      coinsurance                               90%             90%           90%           90%            80%            80%
    Non-                                   = 26.67%,
                      = 40% after                             covered         covered       covered       covered        covered        covered
    Formulary                              Minimum
                    ded., minimum                              after           after         after         after          after          after
    Brand Name                           cost of $120,
                      cost of $70,                            medical         medical       medical       medical        medical        medical
    Drugs                                  maximum
                    maximum $185                                ded.            ded.          ded.          ded.           ded.           ded.
                                            of $360
                    per prescription
                                        per prescription
    Rx Out-of-Pocket Maximum (Includes Deductible)
                                                             Rx costs count towards        Rx costs count towards       Rx costs count towards
    Individual/
                               $2,100/$4,200                  the medical out-of-           the medical out-of-          the medical out-of-
    Family
                                                                pocket maximum                pocket maximum               pocket maximum

*     There is not a separate Rx deductible for the Consumer Basic, Consumer, and ConsumerPlus plans. Rx costs count towards the medical deductible
      for these plans.

                                                                          9
2023 Sammons Financial Group
PRESCRIPTION DRUG PROGRAM
SFG Medical Plan Strategies
Pharmacy Cost Saving Tools
Just as your medical plan covers visits to your
doctor, your Express Scripts prescription plan covers                    EXPRESS SCRIPTS
the medication your doctor prescribes.                                   800.818.6634
                                                                         www.express-scripts.com
Visit: www.express-scripts.com/sfg to:
                                                                         Remember that your Express Scripts ID card for the
„     Explore plan options and benefits                                  prescription drug program is separate from your BCBS
                                                                         medical ID card.
„     Price medications (tip: have your prescription

              SFG Medical Plan Strategies
      bottles nearby so you’re ready to search)
„     Find participating pharmacies in your area

                 Pharmacy Cost Saving Tools

                                                                        $0 Copay
                                                 Diabetes              Prescription
                                                Prevention                Drug
                                                                        Program

                                           Out-Of-                             Specialty
                                            Pocket                            Medication
                                          Protection                          Pharmacy
                                          (new in 2023)

                                                             SaveOnSP
                                                            (new in 2023)

                                                                                                   LOCKTON COMPANIES |   1

    MOBILE APP
    It’s easy to manage your medicine anytime, anywhere. With the Express Scripts mobile app, you can have information and
    assistance right at your fingertips. With up-to-the-minute order status, a pharmacy locater, the handy “medicine cabinet” to
    keep track of prescriptions, and more, this app is a must have!

    For more information on this app, available on the iTunes and Google Play stores, please click here!

                                                                  10
2023
                                                                                         Benefits Guide

Express Scripts Programs

                                                            1
$0 Copay Prescription Drug
Program                                                         Mail Order
Preventative medications target many illnesses and              Utilize the mail order pharmacy for ordering
                                                                a 3-month medication supply to save time,
maintain chronic conditions. If your medication is
                                                                with online and over the phone refills and
on the Copay Prescription Drug list, you pay zero               take advantage of convenient home delivery
dollars out-of-pocket!                                          with free standard shipping. Mail order also
                                                                offers you access to a licensed pharmacist by
Specialty Medication Pharmacy                                   phone and allows you to take advantage of
                                                                wholesale prescription drug prices.

ESI partners with focused pharmacy providers to
offer a full-service specialty pharmacy on chronic

                                                            2
and complex conditions.

Diabetes Prevention                                             Pharmacy
                                                                You always have the option to refill your
Personalized weight management and healthy living               prescriptions at one of the many in-network
program as a preventative measure to diagnosis of               pharmacies.

a serious condition. Qualified enrollees in program

                                                            3
incur no cost!

SaveOnSP (New in 2023)                                          Smart90 Program
                                                                The Smart90 program allows members to
Maximizes manufacturer assistance dollars offered
                                                                fill a 90-day retail supply at Walgreens or
through drug companies in order to benefit the plan             through Express Scripts mail order pharmacy.
and allow for zero cost to you on over 320 specialty            This partnership allows you to receive
                                                                your 90-day supply at a discounted price,
drugs.
                                                                compared to filling a 30-day prescription
                                                                every month. This program can be extremely
Out-of-Pocket Protection                                        beneficial for those who have continuous
(New in 2023)                                                   medications, as you can save time and
                                                                money using the Smart90 program.

Maximizes manufacturer assistance dollars offered
through drug companies for any specialty drugs not
included in SaveOnSP and passes savings onto you,
the healthcare consumer. Costs for the medication
will run through insurance like normal; deductible
and out-of-pocket maximums will apply — this does
not include any discounts.

                                                       11
Options for Filling
     Prescriptions
     RETAIL DISPENSING LIMIT

     The dispensing limit at a retail location is a 30-day
     supply for all medical plans. If you have a medication
     that is prescribed for a longer period of time,
     you can take advantage of the Smart90 program
     described on the previous page to save time
     and money.

     SPECIALTY MEDICATIONS PHARMACY

     A dedicated pharmacy for specialty medications is
     available through the prescription drug plan. This
     type of pharmacy provides access to medications
     for complex medical conditions (e.g., multiple
     sclerosis, rheumatoid arthritis, cancer, etc.), as these
     medications generally require close monitoring and
     are normally very expensive. No benefits will be
     available for specialty medications purchased at any
     other pharmacy.

     $0 COPAY PRESCRIPTION DRUG
     PROGRAM

     In addition to a healthy lifestyle, preventive
     medications can help people avoid many illnesses
     and conditions. Sammons Financial Group partners
     with Express Scripts to offer many drugs as a $0
     copay. The list includes but is not limited to certain
     drugs relating to: asthma, diabetes, bone disease,
     high blood pressure, cholesterol, smoking cessation,
     etc. To view the full list of preventive medications
     that are covered at a $0 copay, click here and
     choose your plan.

12
2023
                                                                     Benefits Guide

HEALTH SAVINGS                                                BENEFITWALLET

ACCOUNT (HSA)                                                 877.635.5472
                                                              www.mybenefitwallet.com

An HSA is a tax-advantaged savings account that
allows you to pay for current qualified medical
expenses and save for future qualified medical
expenses on a tax-favored basis. To be eligible to set
up and contribute to an HSA, you must be covered
by a qualified HDHP and not have other coverage.

Advantages of an HSA
An HSA works similarly to a personal checking
account; however, the money can only be used to
pay for qualified medical expenses. Your HSA can
pay for you and your eligible dependents’ medical
expenses tax free. Other HSA advantages include:

„   You can add tax free contributions and take the
    deduction when filing your taxes. This helps you
    save on most state and federal taxes.
„   You can change the amount you contribute
    to your HSA at any time during the plan year
    by submitting a change through Manage My
    Benefits in UKG Pro.
„   You can use the money in your account to pay
    for eligible out-of-pocket medical, dental, and
    vision expenses.
„   You can pay COBRA and some Medicare
    premiums with your HSA.
„   Any unused funds rollover from year to year
    and allows you to accumulate funds over time.
„   An HSA belongs solely to you, which means you
    keep the account even if you change jobs or
    retire.

Sammons Financial Group offers three high-
deductible medical plans that meet the IRS
qualifications to include an HSA and, depending
on the medical plan in which you enroll may also
provide you with employer funding.

                                                         13
It's your money
Save, spend or invest with your HSA

Your BenefitWallet® Health Savings Account (HSA) is a powerful savings tool that you can use
to save, spend or invest for your – and your family's – health care expenses.

  Three ways to use your HSA

                 1                                 2                             3

  Save                               Spend                         Invest
  Contribute to your HSA             Use your HSA to pay for       Similar to a 401(k), your HSA
  regularly. Then, save your         health care expenses and      has investing features that
  HSA funds to build a safety        extend the buying power of    can be used once your
  net for unexpected health          your income.                  balance reaches $1,000.
  care costs.                                                      Investing can grow your
                                     Save up to 35% on qualified
                                                                   savings over time.
  Anything you save rolls over       medical expenses such as
  year to year, so there's no risk   medications and medical,      This is helpful since the
  of losing unspent funds.           dental and vision care.       average retired couple needs
                                                                   an estimated $390,000 to pay
  Will you be prepared?              The more you spend, the
                                                                   for out-of-pocket expenses.
                                     more you save.
             $7,500
                                                                   Watch your HSA grow.
             Potential cost of a               $4,500
             broken leg                        Annual out-of-
                                               pocket medical                             $$$
             $30,000                           costs                            $$$       $$$
             Average cost of a
             3-day hospital stay               $2,515                $$$        $$$       $$$
                                               Potential annual
                                               tax savings          Year 10   Year 20   Year 30

                                                  14
2023
                                                                                                                       Benefits Guide

   How to open an HSA

                                                                                           Fund your account
                   Get started
                                                                                           by depositing funds into your HSA,
                   by enrolling in an HSA-qualified
                                                                                           ideally through your employer's
                   health plan and open your account.
                                                                                           payroll or from your bank account.

   Things you should know

   2023 contribution limits                                                                  Always tax free
   In 2023 you can maximize your HSA deposits                                   Tax          • Contributions
   by contributing up to these amounts:                                         free         • Qualified expenses
                                                                                             • Investment gains

   $3,850                $7,750                $1,000                                        Use any time
   Single                Family                Extra if you are
   coverage              coverage              55 or older                                   Funds never expire

   Qualified medical expenses                                                                Pay for medical expenses
   You can spend your HSA dollars on qualified                                               For you and your family
   medical expenses such as:
   • deductibles and copays
   • prescription and over the
     counter medications                                                                     We’re here to help
   • vision or dental care                                                                   Visit mybenefitwallet.com or call
   View a full list of qualified expenses at                                                 the BenefitWallet Service Center
   irs.gov/pub/irs-pdf/p502.pdf.                                                             at 877.472.4200.

© 2022 Conduent Inc. All rights reserved. Conduent, Conduent Agile Star and BenefitWallet® are trademarks of Conduent Inc. and/or its
subsidiaries in the United States and/or other countries. HSA-M-1000-0721

                                                                    15
2023 IRS HSA Contribution Limits
„     Single: $3,850                               „     Family: $7,750                               „    Catch-up contribution (age 55
                                                                                                           or older) $1,000

                                                  Consumer Basic (New)                Consumer                       Consumer Plus
Single
SFG Contribution
                                                             $0                          $250                             $250
Funds loaded to Employee HSA: 01/15/2023
SFG Match                                                                                                     Match up to $250 of Employee
                                                             $0                            $0
First match loaded: 04/15/2023                                                                               contribution through 03/31/2023
Second SFG Contribution
                                                             $0                            $0              Match up to full annual match $500
Second match loaded: 11/15/2023
Family (Employee + 1)
SFG Contribution
                                                             $0                          $500                             $500
Funds loaded to Employee HSA: 01/15/2023
SFG Match                                                                                                     Match up to $500 of Employee
                                                             $0                            $0
First match loaded: 04/15/2023                                                                               contribution through 03/31/2023
Second SFG Contribution
                                                             $0                            $0              Match up to full annual match $1,000
Second match loaded: 11/15/2023

In addition to the above, a catch-up contribution (age 55 or older) can contribute an additional $1,000.

Employer funding counts towards the IRS maximum. When planning your own deductions, take the IRS maximum, subtract the employer funding, and
the remainder is what you can defer.

                    Medical Plan                                   IRS Annual Maximum           Potential SFG Funding     Employee Funding
Single Consumer                                                           $3,850                         $250                  $3,600
Family Consumer                                                           $7,750                         $500                  $7,250
Single Consumer Plus                                                      $3,850                         $750                  $3,100
Family Consumer Plus                                                      $7,750                        $1,500                 $6,250
Additional Catch-Up Contributions (55 - years or older)                   $1,000                         N/A                   $1,000

Don’t Leave Money on the Table!
What Steps Do I Need to Take to enroll in the HSA and Receive
Employer Funding?
1. Open your account online through the Advantage Direct portal with three clicks!
          mybenefitwallet.com
          Use your name, Social Security number, date of birth, and ZIP code
2. Open your HSA within 60-days of being newly eligible in order to receive the employer funding.
3. Elect the amount of pre-tax funds you want to contribute through payroll deductions within the Open
   Enrollment election process. Please note, employees are not required to contribute to their own HSA
   account to receive employer funding. As long as their is an open account, Sammons Financial Group will
   fund as described above.
          Mid-year changes can be done at any time by completing a Life Event through the Manage My
          Benefits in UKG Pro.
                                                                          16
2023
                                                                                                             Benefits Guide

                                                                  Investment Options
  HSA Calculator
                                                                  „     BenefitWallet offers an integrated investment
  To help you determine how much you can contribute to                  platform with investment options from a variety
  your HSA and the amount of tax savings you may see,                   of funds.
  click here.
                                                                  „     You can open investments online once your
                                                                        HSA checking reaches $1,000.

  Have Questions?                                                 Rules and Restrictions
  Take charge of your family’s healthcare and learn how to        In order to receive the employer funded portion of
  make the most of your HSA!
                                                                  the Health Savings Account, employees must open
  Click on the following link for all your questions and          their account with Benefit Wallet within 60 days of
  answers!                                                        enrollment in the plan. You may open your account
  mybenefitwallet.com/CMS/portal/default/faqs.html
                                                                  with a different bank, but will forfeit the employer
  #/hsa/about-hsas
                                                                  funding and the ability to contribute on a pre-tax
                                                                  basis through your paycheck.

                                                                  For those that may have missed out on this
                                                                  opportunity in 2022 or in the past, you may
                                                                  receive the 2023 employer funding portion by
                                                                  opening your account with Benefit Wallet before
                                                                  the February 28, 2023 pay period. Please email
                                                                  HRbenefits@sfgmembers.com if you do not wish
                                                                  to receive ER funding.

                                                                      You should stop contributing to your HSA six months
                                                                      before you apply for Social Security retirement benefits to
                                                                      avoid potential tax penalties.

Medicare and Your HSA
Becoming eligible for Medicare does not impact your ability to make contributions or withdrawals from your
HSA, assuming you otherwise remain HSA eligible. Once you enroll in Medicare you are no longer eligible
to make contributions to your account but you can continue to pay for qualified medical expenses with your
HSA.

If you are planning to enroll in Social Security, you should consider discontinuing your HSA contributions
at least six months before you apply for Social Security retirement benefits to avoid any adverse tax
consequences.

                                                             17
FLEXIBLE                                                                                           BENEFITWALLET

SPENDING                                                                                           877.635.5472
                                                                                                   www.mybenefitwallet.com

ACCOUNT (FSA)
A Health Care Flexible Spending Account (HCFSA) allows you to use pre-tax dollars to pay for eligible out-
of-pocket health care expenses, saving you up to 35% in taxes. Use the funds to pay for a broad range of
expenses for you, your spouse and your tax dependents—even if they aren’t covered by your health plan.

Claim Reimbursement                                               Run-Out Period
The reimbursements are processed daily. If you                    All HCFSA incurred expenses for the 2022 plan
have Direct Deposit setup with BenefitWallet, you                 year must be submitted to BenefitWallet, for
should see reimbursements for claims sent to                      reimbursement no later than April 14, 2023.
BenefitWallet in the account of your choice within
1-2 business days.                                                Medical FSA and HSA?
You can either submit claims through your online                  If you are a participant in the HSA plan, you can only
account at www.mybenefitwallet.com, or you                        use the FSA to reimburse yourself for dental and
can complete a paper claim form and mail it to the                vision expenses. Your FSA will then be considered a
below address:                                                    Limited-Use FSA. Please note that you will have to
                                                                  sign the affidavit that signifies your understanding
BenefitWallet                                                     that the Limited-Use FSA is for dental and vision
P.O. Box 18009, Suite A                                           expenses only.
Norfolk, VA 23501

Claim Extension (Grace
Period)
If you have money leftover in your HCFSA at the
end of the year, you can use your 2022 money for
                                                                     Remember
expenses incurred through March 15, 2023. This                       If you are electing the FSA, please see the Benefits Prime
allows you more time to use your 2022 election                       page for instructions. You are required to re-enroll in the
                                                                     FSA program every year. Elections do not carry over.
before the “use it or lose it” provision applies.

  CASTLIGHT
  You are highly encouraged to use Castlight to become a smarter and more economical healthcare consumer. Castlight can help
  you find the highest quality medical care at the lowest cost: 800.684.0510 or mycastlight.com/sammonsfinancialgroup.

                                                             18
2023
                                                                                                 Benefits Guide

Qualifying Expenses                                           How It Works
                                                                    Estimate what you will spend on eligible out-of-
            Doctors, Labs, and                                „
                                                                    pocket healthcare expenses for the year
            Hospitalization                                   „     Enroll in an HCFSA through your employer
            Doctor’s office visits and procedures,            „     Use your funds
            hospital services, health plan                    „     Important: You must save all receipts and
            deductibles and copayments                              submit to BenefitWallet® for reimbursement

            Alternative Care/Special                          Account Advantages
            Services                                          „     Tax-free: You can save up to 35% on eligible
                                                                    healthcare costs
            Chiropractor, physical therapy, special
                                                              „     Convenient: Make your payments with your
            education for learning disabilities                     HCFSA debit card (if offered with your plan),
            Medications and Medical                                 BenefitWallet mobile app, online bill pay and
            Devices                                                 online claims submission

            Prescription drugs, over-the-counter
            medical items, insulin, hearing aids,
            hand sanitizer
                                                                  We’re Here to Help
            Eye Care
                                                                  Visit mybenefitwallet.com or call the
            Vision examinations, eye glasses, laser               BenefitWallet Service Center at 855.236.8600.
            surgery, contact lenses
            Dental Care
            Dental cleanings/treatments, braces,
            extractions, dentures/artificial teeth

 You can view a complete list of qualified expenses at
 irs.gov/pub/irs-pdf/p502.pdf.

                                                         19
LIMITED PURPOSE FLEXIBLE SPENDING
ACCOUNT (LPFSA)

   Limited Purpose Flexible
   Spending Account

   The BenefitWallet® Limited Purpose Flexible Spending Account (LPFSA) allows you to use
   pre-tax dollars to pay for eligible out-of-pocket dental and vision expenses. The account is
   typically paired with a Health Savings Account (HSA), allowing you to maximize your tax
   savings. Use the funds to pay for a broad range of expenses for you, your spouse and your tax
   dependents – even if they aren’t covered by your health plan.

   How it works                                                               Qualifying expenses
   1. Estimate what you will spend on eligible out-of-                                 Eye care
      pocket dental and vision expenses for the year.                                  •   Vision exams             •   Laser surgery
   2. Enroll in an LPFSA through your employer.                                        •   Eye glasses              •   Diagnostic Services
   3. Use your funds.                                                                  •   Eye surgery              •   Eyeglass repair kits
   4. Important: You must save all receipts and                                        •   Contact lenses           •   Copays/deductibles
      submit to BenefitWallet for reimbursement.                                       •   Saline solution

   Account advantages                                                                  Dental care
   Tax-free: Save up to 35% on eligible vision and                                     •   Teeth cleanings          •   Diagnostic services
   dental care costs. See the FAQs for more information.                               •   Dental x-rays            •   Extractions; fillings
                                                                                       •   Orthodontia              •   Copays/deductibles
   Convenient: Make payments with your LPFSA debit
   card (if offered with your plan), mobile app, online                                •   Root canals              •   Dentures/implants
   bill pay, and online claims submission.                                             •   Devices/guards           •   Crowns/bridges

                                                                                       We’re here to help
      Note: In general, LPFSA funds expire at the
      end of your plan year, though your employer                                      Visit mybenefitwallet.com or call
      may offer options, such as a grace period, run-                                  the BenefitWallet Service Center at
      out period, or rollover. These options all extend                                855.236.8600.
      your ability to use current year funds into the
      next year. See the LPFSA FAQ section for more
      details.

   © 2022 Conduent Inc. All rights reserved. Conduent, Conduent Agile Star and BenefitWallet® are trademarks of Conduent Inc. and/or its
   subsidiaries in the United States and/or other countries. LPFSA-M-2003-0122

                                                                         20
2023
                                                                                                   Benefits Guide

Limited Purpose Flexible Spending Account:
Frequently asked questions

What is a Limited Purpose FSA (LPFSA)?                       How does an LPFSA work?
An LPFSA is an employee benefit provided by your             1. Funding: During open enrollment, you decide on
employer that allows you to save money. With an                 a specific amount of pre-tax dollars with which to
LPFSA, you set a specific amount of pre-tax dollars             fund your account. Be sure to choose an amount
to be withheld from your paycheck. You can then                 you will spend as leftover money is typically lost
use those funds to pay for qualified dental and                 at the end of your plan year.
vision expenses.                                             2. Paying for qualified expenses: Pay for eligible
                                                                expenses using your LPFSA debit card (if offered
What tax savings do I get with an LPFSA?                        with your plan). You could also pay out of pocket
The money you have withheld from your paycheck is               and request reimbursement online or through the
pre-tax and not subject to federal and payroll taxes.           BenefitWallet mobile app.
You could save up to 35% if you paid 28% federal             3. Requesting reimbursement/substantiating
and 7% payroll taxes on the portion of your income              purchases: Each purchase you make must be
that instead went into your LPFSA. Please consult a             verified, or substantiated, typically with an
tax advisor for more information on your potential              itemized receipt and Evidence of Benefits. You
LPFSA tax savings.                                              can use mybenefitwallet.com or the mobile app
                                                                to submit claims and request reimbursement.
                                                             4. Reimbursement claims processing:
                                                                BenefitWallet promptly processes your request.
                                                                If you paid out of pocket, we will reimburse
                                                                you by direct deposit or check. Set up direct
                                                                deposit at mybenefitwallet.com to receive faster
                                                                reimbursements.

                                                             Whose expenses can I pay with my LPFSA?
                                                             Your LPFSA can be used to pay for your qualified
                                                             dental and vision expenses and those of your spouse
                                                             and tax dependents, if you have them.

                                                        21
What special account features does my                                      Which should I spend first – LPFSA funds or
employer offer?                                                            HSA funds?
You will need to check with your employer                                  This decision is up to you, but in general you should
about special LPFSA features that could extend                             consider spending your LPFSA funds first because
the timeframe for spending your annual funds.                              the funds typically expire if you don't use them in the
Remember, in general LPFSA funds expire at the end                         same year you fund the account. Conversely, your
of your plan year. Your employer may offer a grace                         HSA funds carry over year after year and never expire.
period (allows you to use prior-year funds to pay for
expenses incurred at the beginning of the following
year), a run-out period (allows you to submit
claims for prior-year expenses during the first
couple months of the following year) or a rollover
(allows you to roll over a maximum of $570 into the
following plan year, to be used anytime during that
next year).

What happens to my LPFSA if my
employment ends?
Deductions for your LPFSA will end when your
employment ends, unless your employer is
obligated to offer you COBRA continuation and                              What kinds of expenses qualify?
you elect this option. If you don’t choose COBRA,
you are not eligible to be reimbursed for qualified                        An LPFSA covers out-of-pocket dental and vision
medical expenses incurred after the termination                            expenses. These typically include dental cleanings,
of your employment. Reimbursement requests                                 fillings, crowns and braces. Covered vision
for claims incurred while active under the LPFSA                           expenses include contacts, glasses, eye exams and
plan must be submitted prior to the end of your                            vision correction procedures like laser surgery.
employer’s plan year.                                                      View the complete list of qualified expenses at
                                                                           irs.gov/pub/irs-pdf/p502.pdf.
Who is eligible to contribute to an LPFSA?
                                                                           Who do I contact with questions?
If you have a Health Savings Account (HSA) and
your employer offers an LPFSA (limited to dental                           Visit mybenefitwallet.com or call the BenefitWallet
and vision expenses), you are eligible to contribute                       Service Center at 855.236.8600.
to both a LPFSA and HSA. This allows you to
maximize your tax savings benefits.

© 2022 Conduent Inc. All rights reserved. Conduent, Conduent Agile Star and BenefitWallet® are trademarks of Conduent Inc. and/or its
subsidiaries in the United States and/or other countries. LPFSA-M-2003-0122

                                                                      22
2023
                                                                                                                                   Benefits Guide

DEPENDENT CARE FLEXIBLE SPENDING
ACCOUNT (DCFSA)

   Dependent Care Flexible
   Spending Account

   A Dependent Care Flexible Spending Account (DCFSA) allows you to use pre-tax dollars to
   pay for eligible out-of-pocket day care expenses for a qualified tax dependent under age 13 or
   a spouse or relative who lives with you and is physically or mentally incapable of self-care.

   How your DCFSA works                                                       DCFSA eligible expenses
   • Estimate what you will spend on eligible                                 You can use your DCFSA to pay for a wide variety of
     dependent care expenses for the year.                                    dependent care services. The IRS determines which
   • Enroll in a DCFSA by electing a contribution                             expenses are eligible for reimbursement. For example:
     through your employer.                                                         School
                                                                                             • Child day care center, nursery school,
   • Start using your DCFSA funds to reimburse                                                 before/after-school care
     yourself for expenses after services are rendered.                                      • Placement fees for a dependent care
   • Submit your expenses with appropriate                                                     provider
     documentation and receipts for reimbursement.                                           • Child care by a private sitter
   Only dependent care expenses that allow you to work                                       • Summer or holiday day camps
   are eligible for reimbursement from your DCFSA. Your                                      • Adult day care center, custodial elder
   DCFSA has a “use it or lose it” rule meaning the IRS                                        care, day camp
   requires you to forfeit any unspent funds at the end
                                                                              Ineligible expenses include expenses for non-
   of the plan year.
                                                                              disabled children 13* and older, educational expenses
                                                                              including kindergarten or private school tuition
   Benefits of your DCFSA                                                     fees, overnight camp expenses, registration fees,
   Tax-free spending: Save up to 35% on eligible                              transportation expenses, payment for services not
   dependent care expenses.                                                   yet provided and medical care.
   Easy to use: Quickly and easily create your claim
                                                                                             We’re here to help
   online or through the BenefitWallet® mobile
   app to upload your receipt documentation for                                              Visit mybenefitwallet.com or call the
   reimbursement. Qualified providers can easily certify                                     BenefitWallet Service Center at
   services they provide by placing their signature right                                    855.236.8600.
   in the app on your mobile device.

   * Please see your plan documents for age limits on dependent care eligibility.

   © 2022 Conduent Inc. All rights reserved. Conduent, Conduent Agile Star and BenefitWallet® are trademarks of Conduent Inc. and/or its
   subsidiaries in the United States and/or other countries. DCFSA-M-2002-0821

                                                                        23
Dependent Care Flexible Spending Account:
Frequently asked questions

Who qualifies as a dependent for eligible                                    How do I request reimbursement?
DCFSA expenses?                                                              You can request a reimbursement through the
A qualifying child under the age of 13* when the                             BenefitWallet member portal, mybenefitwallet.com
care was provided; your spouse who is not physically                         or the BenefitWallet mobile app. You will need to
or mentally able to care for his or herself and lives                        upload documents to substantiate or validate your
with you for more than half the year; or a person                            claim.
who is not physically able to care for his or herself,
lives with you more than half the year, and is your                          How much can I elect to contribute?
dependent. Other special tax situations may apply;                           Your contribution cannot exceed the maximum
speak with a tax advisor for more details.                                   amount specified by the Internal Revenue Code.
                                                                             Please consult a tax advisor for additional details.
What requirements must be met for the
care to qualify as dependent care?                                           What if my dependent care expenses are
In general, the care must be provided while you
                                                                             less than the amount I elected?
work or look for work. If you are married, the care                          Money contributed to your DCFSA must be used to
must be provided while your spouse works, looks                              reimburse qualified expenses incurred during the
for work, goes to school full time, or is incapable of                       plan year. Any funds not used to reimburse eligible
self-care. The care may be provided by a relative or                         expenses will be forfeited.
non-relative but cannot be provided by your child
under the age of 19, the child’s parent, or another
tax dependent.                                                                   For a complete list of eligible expenses, please
                                                                                 see IRS Publication 503 at IRS.gov.
Can I change the amount I elect to
contribute during the year?
                                                                             Who do I contact with questions?
The amount you contribute cannot be changed
during the plan year unless you experience a                                 Visit mybenefitwallet.com or call the BenefitWallet
qualified change in status event that causes your                            Service Center at 855.236.8600.
dependent to meet, or no longer meet, eligibility
requirements. Qualified status changes include
changes in marital status, the number of your
dependents, or a change in employment status.

* Please see your plan documents for age limits on dependent care eligibility.

© 2022 Conduent Inc. All rights reserved. Conduent, Conduent Agile Star and BenefitWallet® are trademarks of Conduent Inc. and/or its
subsidiaries in the United States and/or other countries. DCFSA-M-2002-0821

                                                                        24
2023
                                                                                                                   Benefits Guide

NON-TOBACCO                                                                       SPOUSAL
INCENTIVE                                                                         SURCHARGE
As an incentive towards a healthier lifestyle,                                    The working spouse provision requires that if an
Sammons Financial Group offers a Non-Tobacco                                      employee covers their spouse on the Sammons
Incentive for an individual (employee, spouse, and/                               Financial Group medical plan and the spouse has
or child) enrolled in a medical plan that does not use                            access to qualified healthcare through their own
or has not used any tobacco products in the last 6                                employer, an additional premium of $50 per month
months a $45 monthly Non-Tobacco Incentive on                                     will be deducted from the employee’s payroll.
the medical plan premium. If you were a tobacco
user, but can substantiate via an affidavit that the                              The working spouse surcharge will not be assessed if
tobacco use has ceased for a minimum period of 6                                  a spouse:
months, you will be eligible for the incentive. Any                               „   Does not work
previously submitted affidavit forms will carryover
                                                                                  „   Does not have access to qualified healthcare
into 2023.                                                                            through another employer
                                                                                      Has access to veterans benefits, Native
Starting and/or Ceasing to                                                        „
                                                                                      American benefits, Medicare, Medicaid, or other
Use Tobacco Products                                                                  state/federal healthcare
                                                                                  „   Chooses to no longer enroll in the Sammons
„     Please notify the Total Rewards Benefits Team                                   Financial Group medical plan and enroll in their
      immediately if, at any time, you or any of your                                 employers plan
      enrolled dependents begin using tobacco
      products. You will then lose eligibility for the                            If your spouse loses or obtains health coverage
      $45 monthly Non-Tobacco User Incentive.                                     through their employer, you have 31 days to notify
„     If you or any of your enrolled dependents cease                             the Total Rewards Benefits Team of such change. The
      using tobacco products at a later date for at                               Total Rewards Benefits Team needs to be notified in
      least 6 months and/or complete a cessation                                  writing of all family status changes within 31 days
      program, you may be eligible for the Non-
                                                                                  of when the change occurred. Failure to notify the
      Tobacco User Incentive. Please notify the Total
      Rewards Benefits Team and provide written                                   Total Rewards Benefits Team in a timely manner will
      verification in this situation.                                             bar you from making a change until the next annual
                                                                                  open enrollment period.
Attestation Requirement
Within the open enrollment wizard in Manage My
Benefits, you will be required to state whether or
not you or any of your enrolled dependent(s) in the
medical plan use tobacco products.

*   For the sole purpose of this policy, tobacco products include, but
    are not limited to, cigarettes, cigars, snuff, chewing tobacco, pipes,
    e-cigarettes, hookah, nicotine gels, dissolvable, etc.

                                                                             25
VIRGIN PULSE WELLNESS PROGRAM

 REWARDS
 The more you do, the more you earn.

 It’s easy and fun to earn rewards with your sponsored wellness program from Sammons Financial Group.
 Complete healthy activities, engage in challenges, start healthy habits, compete with friends and watch your
 rewards grow.

 Complete the 3 priority steps of the Wellness Program in order to begin earning discounts on your medical
 premiums:
    Complete by
                                       Biometric Lab Screening
    September 30
    Complete by                        Health Assessment
    December 31                        Next-Steps Consult

 New Employee to SFG and first year enrolled in SFG medical plan? Complete the 3 required steps and receive a $10 incentive each
 month following completion of required steps. Actions reviewed on a quarterly basis and incentive will be back dated to month
 following completion of 3 required steps.

 Earn up to $750 in rewards! Participate in healthy activities from January 1 through December 31 to earn points and
 watch your Premium Discount add up. Simply finish your priority activities and build your points by December 31.
                           Complete 3        Level 1     >       Level 2     >      Level 3     >     Level 4
                           Priority Steps
    Points                                   7,000               25,000             40,000            60,000

    Premium Discount       $150              $150                $150               $150              $150             $750

                                                                                See ways to earn points on the next page >

                                                                                                                        VIRGIN PULSE
                                                                                                                        member.virginpulse.com
                                                                                                                        888.671.9395
                                                                                                                          © Virgin Pulse 2021

                                                                                                                        support@virginpulse.com

                                                                           26
2023
                                                                                                                              Benefits Guide

 Highlighted ways to earn points:                                     Look for How to Earn in your account for a complete list of all the
                                                                      ways you can earn points.
                                         Do healthy things                                                                  Earn points
                                         Complete registration                                                                  100
                                         First login to mobile app                                                              250
                                         Connect first activity device                                                          200
 Getting started                         LabCorp Physician Form Completion1                                                     250
                                         Complete the Health Assessment2                                                      REQUIRED
                                         Complete your Biometric Lab Screening                                                REQUIRED
                                         Complete a Next-Steps Consult® appointment2                                          REQUIRED
                                         Upload steps from your activity tracker (per 1,000 steps)                               10
                                         Do your Daily Cards (2 per day)                                                         20
                                         Track your Healthy Habits (3 per day)                                                   10
                                         Track sleep nightly                                                                     20
 Daily                                   Sleep > 7 hours in a night                                                              50
                                         Complete a RethinkCare session                                                          20
                                         Browse healthy recipes                                                                  10
                                         Complete a step in Journeys®                                                            20
                                         Win the promoted Healthy Habit Challenge                                               200
                                         Complete 20 Daily Cards in a month                                                     200
                                         Track Healthy Habits 20 days in a month                                                300
                                         Track sleep 10 days in a month                                                         100
 Monthly
                                         20-Day Triple Tracker: 7,000 steps/15 active minutes/15 workout minutes                400
                                         Take validated measurements                                                            250
                                         Join the company challenge                                                             100
                                         Complete a coaching appointment (4x per month)                                         500
                                         Choose your eating type                                                                250
 Quarterly                               Choose your sleep profile                                                              250
                                         Complete a Journey (3x per quarter)                                                    250
                                         Set a wellbeing goal                                                                   200
                                         Complete the Nicotine-Free Agreement                                                   100
 Yearly                                  Invite a colleague to join                                                              50
                                         Screening Results: BMI, Blood Pressure, Cholesterol, Glucose                         50/each
1 Available only to those not enrolled in the medical plan
2 Required only for those enrolled in medical plan
and for non-medical earn 1000 points

Who’s eligible:
All employees are eligible to participate in the wellbeing program and earn rewards. Must be enrolled in
the company’s medical plan in order to earn incentives toward monthly medical premiums. If you join
the SFG medical plan during a qualifying life event the year following completion of points and priority
steps, reach out to HRbenefits@sfgmembers.com and we will review incentive eligibility.

Not a member yet?
Don’t miss out on all the fun! Get the mobile app
or go to join.virginpulse.com/SFG.

                                                                                                                                © Virgin Pulse 2022

                                                                             27
DENTAL PLANS                                                                     DELTA DENTAL
                                                                                 OF S.D.
No Plan Provision                                                                877.841.1478

Changes for 2023                                                                 www.deltadentalsd.com

       Plan Features                   Core Plan       Enhanced Plan           Seeing an in-network dentist can save you money!
Calendar Year Deductible                                                       The “no balance billing” provisions for network
     Individual                           $50                None
„
                                                                               dentists reduces out-of-pocket costs for many
„    Family                               $150               None
Annual Benefit                                                                 members.
                                   $1,500                   $2,000
Diagnostic and Preventative Services                                           Out-of-network dentists may balance bill patients
     Examinations and
„
                                                                               for charges that are higher than Delta’s maximum
     Cleanings (2 per year)       100% (no                100% (no
„    Fluoride (up to age 19)     deductible)             deductible)           allowed charges for service.
„    X-rays
Routine and Restorative Services                                               Dental benefits help maintain mouth’s health. Brush
     Cavity Repair/Fillings
                                                                               up on the 3 areas in which you save when you use
„
„    Tooth Extractions            80% after
                                                             90%
„    Oral Surgery and            deductible                                    your dental plan:
     Emergency Treatment
Endodontic and Periodontics                                                    Save your smile: visiting the dentist can help save
„    Root Canals                  50% after
„    Gum and Bone Disease        deductible
                                                             80%               you from cavities, gum disease, and other oral
Major Services                                                                 health issues, and even catch them early before they
„    Cast Restorations                                                         worsen (and become more expensive). People with
                                  50% after                  80%
     and Crowns
„    Bridges and Dentures
                                 deductible
                                                             60%               a dental plan are 70% more likely to visit the dentist
Braces (Orthodontics)                                                          than those that do not enroll.
                                                          50% up to
                                     No coverage
                                                          maximum              Save yourself stress: it’s easy to find a dentist
Orthodontia Lifetime Limit (per person)
                                                       $2,000 (annual          who accepts our dental plan and who you are
                                          N/A
                                                       limit of $1,000)        comfortable visiting. Visit Delta Dental of South
                                                                               Dakota’s website to search for in-network dentists.
Please refer to the Summary Plan Descriptions for a full description of
benefits.
                                                                               Save money: our dental plan gives you access to
                                                                               the reduced fees Delta Dental has negotiated with
    Prevention Pays—We want to encourage everyone to
                                                                               their in-network Dentists. If more expensive work
    get their preventive cleanings each year, so in addition to
    covering at no cost to you, these services will no longer                  is needed, you can work with your dentist to get a
    count towards your annual benefit maximum!                                 pre-treatment estimate to understand what the plan
                                                                               covers and what additional costs to expect.
    Health Through Oral Wellness—In order to support
    better health for those fighting gum disease, tooth
    decay, or those at risk for certain dental conditions, we                  Boost your savings even more
    will provide additional cleanings, sealants, periodontal                   by brushing twice a day, flossing       Please refer to
    maintenance, fluoride, and more for those patients who                                                             the Summary
                                                                               regularly, and eating and drinking     of Benefits for a
    need it. Talk to your dentist for more information or to
    see if you qualify.                                                        less sugar. That’s a smile-winning     full description
                                                                               plan!                                     of benefits.

                                                                          28
2023
                                                                                                          Benefits Guide

VISION PLAN                                                                                        VSP
                                                                                                   800.877.7195
No Plan Provision Changes                                                                          www.vsp.com

for 2023
You and your eyes deserve to be healthy and happy.                     Using Your Benefits is Easy
Enrolling in VSP Vision Care can create savings and you
will receive quality eye care and eyewear at low out-of-                        Create an account on vsp.com to view your
pocket costs.                                                                   in-network coverage and find the VSP network
                                                                                doctor who’s right for you.
               Plan Feature                       2023 Plan                     With access to over $3,000 in savings, discover
Copays                                                                          VSP Exclusive Member Extras to maximize your
Exam                                                  $15                       benefits and save even more.
Prescription Glasses                                  $25                       Print a Member Vision Card—if you’d like one.
Contacts                                             None                       There’s no ID card necessary-just tell your
                                                Covered in full                 provider you have VSP.
Exam                                          every calendar year
                                                  after copay
Prescription Glasses Lenses                                            You deserve personalized, affordable vision care,
                                                Covered in full        delivered with your overall well-being in mind.
Single vision, lined bifocal, and lined
                                              every calendar year
trifocal lenses
                                                  after copay          We’re committed to helping you experience a
                                             Covered up to $150        lifetime of healthy vision: See well. Be Well.
                                              every calendar year
Frames
                                            (plus 20% off any out-
                                               of-pocket costs)
Contacts                                                                 Please Note
„    Allowance applies to the cost of
     your lenses. If you choose contact                                  You will not receive an ID card from VSP, nor is one
     lenses, you will be eligible for a      Covered up to $150          needed. Please have your SSN ready and available
     frame 12 months from the date              every calendar           when visiting your provider. Claims should be
     the contact lenses were obtained.                                   handled by your provider, who will work directly
                                                year when you
     Current soft contact lens wearers
                                               choose contacts           with VSP once they identify if you are enrolled in
     may qualify for a special contact
                                              instead of glasses         the plan.
     lens program that includes a contact
     lens evaluation and initial supply
     of replacement lenses. Learn more
     from your doctor or vsp.com.
Contact Lens Fitting and Evaluation
„    This exam is in addition to your        Maximum charge of
     vision exam to ensure proper fit              $60
     of contacts.
                                              Additional discounts
                                             for lens extras such as
                                              scratch resistant and
                                            anti-reflective coatings
                                                and progressives.
Extra Discounts and Savings                                                                                      Please refer to
                                                 Discount off of
                                                                                                                 the Summary
                                            additional prescription
                                                                                                                of Benefits for a
                                            glasses and sunglasses.
                                                                                                                full description
                                               Discounts on laser
                                                                                                                   of benefits.
                                               corrective surgery.

                                                                 29
AFLAC SUPPLEMENTAL PLANS
Why choose Aflac? Individual Aflac plans supplement the group health plan offerings.
Aflac pays you cash, regardless of your enrollment in other insurance coverage. Your
Aflac coverage is portable and all rates are fixed (if coverage is continuous).

There are several plan offerings from which that you can choose and some of the offerings can cover your
family members as well as yourself.

Accident Indemnity                                       Critical Illness Plans
Advantage Plan                                           „   Plan pays a first-occurrence benefit as well as
                                                             Hospital Confinement and Continuing Care
„   Provides cash compensation in the event you              benefits when you or a covered member of your
    or a member of your family experiences an                family experiences a covered critical illness.
    accident/injury that requires treatment.
                                                         „   Covered specified health events include: heart
„   Wellness benefit provides compensation                   attack, stroke, end stage renal failure, organ
    when you or a covered member of your                     transplant, third-degree burns, coma, and more.
    family undergoes routine examinations or
    preventative testing.                                „   Plan pays benefits when you or a covered
                                                             member of your family is confined to ICU.
                                                         „   Covers organ transplants.
                                                         „   Popular for maternity and newborn claims.

                                                         Cancer Care Plans
                                                         „   Plan pays a first-occurrence benefit as well
                                                             as hospital confinement, medical imaging,
                                                             radiation and chemotherapy, and other benefits
                                                             when you or one of your covered family
                                                             members are diagnosed with cancer.
                                                         „   Cancer Screening Wellness Benefit provides
                                                             compensation when you or a covered member
                                                             of your family undergo preventative cancer
                                                             screenings that test for the presence of cancer.
                                                             A cancer diagnosis is not required for this
                                                             benefit to be payable.

                                                    30
2023
                                                                Benefits Guide

Hospital Confinement
„   Plan pays a first-occurrence and daily hospital
    confinement benefit in the event you or your
    covered member of your family experiences an
    illness or injury that results in a hospital stay.
„   Pays other benefits such as physician visits,
    invasive diagnostic exams, and surgical benefits.
„   Popular for maternity planning.

Short-Term Disability
„   Paycheck protection from $500-$6,000/month
    for up to three months.

With the exception of the Short-Term Disability
plan and the two lump sum plans, all Aflac
deductions are taken on a pre-tax basis. To
learn more about Aflac offerings and determine
rates, please contact the Aflac representative
for your location or visit AFLAC’s website,
www.aflac.com/Sammons Financial Group.

Aflac Contact Information
„   Sioux Falls: Pamela Kreber,
    605.359.2593
„   Des Moines: Mary Bishop Campbell,
    515.343.9920
„   Fargo: Sandra Strandlien,
    701.730.2179
„   Chicago: Michael Strang,
    708.606.4612

                                        Please refer to
                                        the Summary
                                       of Benefits for a
                                       full description
                                          of benefits.

                                                           31
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