BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022

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BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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2022
Retail Staff
BENEFITS
GUIDE
January 1—December 31, 2022
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
Welcome                                                                      2

                                                                                                     Inside
Your benefits are an important part of your overall                                                  Medical
compensation. We are pleased to offer a
                                                                                                     Dental
comprehensive array of valuable benefits to protect
your health, your family and your way of life. This guide                                            Vision
answers some of the basic questions you may have                                                     Flexible Spending
about your benefits. Please read it carefully, along with                                            Accounts (FSAs)
any supplemental materials you receive.
                                                                                                     Life and AD&D
                                                                                                     Disability
Eligibility                                            Choose Carefully
                                                                                                     Employee Assistance
You are eligible for benefits if you work 30 or        Due to IRS regulations, you cannot
more hours per week. You may also enroll               change your elections until the next          Program (EAP)
your eligible family members under certain             annual Open Enrollment period, unless
plans you choose for yourself. Eligible family         you have a qualified life event during        Voluntary Benefits
members include:                                       the year. Following are examples of the
 Your legally married spouse
                                                       most common qualified life events:            Valuable Extras
                                                        Marriage or divorce
 Your registered domestic partner (RDP)                                                            Cost of Benefits
    and/or their children, where applicable             Birth or adoption of a child
    by state law
                                                        Child reaching the maximum                 Contact information
 Your children who are your biological                    age limit
    children, stepchildren, adopted children
                                                        Death of a spouse, RDP, or child
    or children for whom you have legal
    custody (age restrictions may apply).               You lose coverage under your

                                                                                                     Enrollment
    Disabled children age 26 or older who                   spouse’s/RDP’s plan
    meet certain criteria may continue on
                                                        You gain access to state coverage
    your health coverage.
                                                            under Medicaid or CHIP

                                                       Making Changes
                                                                                                     Visit http://
When Coverage Begins
                                                       To make changes to your benefit
                                                                                                     hubenroll.employee
 New Hires: You must complete the
    enrollment process within 30 days of
                                                       elections, you must contact Human             navigator.com and login
                                                       Resources within 31 days of the
    your date of hire. If you enroll on time,
                                                       qualified life event (including               using your user name &
    coverage is effective on the first of the
    month following 60 days of employment.
                                                       newborns). Be prepared to show                password.
                                                       documentation of the event such as a
    If you fail to enroll on time, you will NOT        marriage license, birth certificate or a      Unique Company Identifier:
    have benefits coverage (except for                 divorce decree. If changes are not
    company-paid benefits).                            submitted on time, you must wait until        mokangoodwill
                                                       the next Open Enrollment period to
 Open Enrollment: Changes made
                                                       make your election changes.
    during Open Enrollment are effective
    January 1 - December 31, 2022.

Required Information—When you enroll, you will be required to enter a Social Security number
(SSN) for all covered dependents. The Affordable Care Act (ACA), otherwise known as health
care reform, requires the company to report this information to the IRS each year to show that you
and your dependents have coverage. This information will be securely submitted to the IRS and
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
Medical                                                               3

We are proud to offer you a choice of 5 medical plans that
provide comprehensive medical and prescription drug
coverage. The plans also offer many resources and tools to
help you maintain a healthy lifestyle. Following is a brief
description of each plan.
BlueKC 3000 PPO Broad Plan
(Preferred Care Blue)
This is a plan design with premium savings, but still utilizing the
Blue Network Savings. This plan gives you the freedom to seek
care from the provider of your choice. However, you will
maximize your benefits and reduce your out-of-pocket costs if
you choose a provider who participates in the Preferred-Care
Blue network. The calendar-year deductible must be met before
certain services are covered.
BlueKC 3000 PPO Optimized Plan
(BlueSelect Plus)
This is a plan with premium savings, but still utilizing the Blue
Network Savings. This plan gives you the freedom to seek care
from the provider of your choice. However, you will maximize
your benefits and reduce your out-of-pocket costs if you choose
a provider who participates in the Blue Select network. The
calendar-year deductible must be met before certain services are
covered.                                                                  Plan Definitions:
BlueKC 6500 Value PPO Broad Plan                                           Annual Deductible: You must meet the entire
(Preferred Care Blue)                                                         annual deductible before the plan starts to pay for
                                                                              non-preventive medical and prescription drug
This plan gives you the freedom to seek care from the provider of
                                                                              expenses.
your choice. However, you will maximize your benefits and
reduce your out-of-pocket costs if you choose a provider who               Coinsurance: Once you’ve met the plan’s annual de-
participates in the Preferred-Care Blue network. The calendar-                ductible, you are responsible for a percentage of your
year deductible must be met before certain services are covered.              medical expenses, which is called coinsurance. For
BlueKC 6500 Value PPO Optimized Plan                                          example, the plan may pay 80 percent and you may
                                                                              pay 20 percent.
(BlueSelect Plus)
This is a plan design with premium savings, but still utilizing the        Out-of-Pocket Maximum: Once your deductible and
Blue Network Savings. This plan gives you the freedom to seek                 coinsurance add up to the plan’s annual out-of-pocket
care from the provider of your choice. However, you will                      maximum, the plan will pay 100 percent of all eligible
maximize your benefits and reduce your out-of-pocket costs if                 covered services for the rest of the calendar year.
you choose a provider who participates in the BlueSelect Plus
network. The calendar-year deductible must be met before
certain services are covered.
BlueKC 3000 SpiraCare EPO Plan
(Exclusive Provider Organization)
SpiraCare is built on an Exclusive Provider Organization (EPO)
insurance model. While this plan is ideal for members who
utilize the no-additional-cost primary and paediatric care at the
Care Centers, members still have access to more than 3,000
providers in the BlueSelect Plus network. Members will also
have the nationwide coverage of the BlueCard network outside
of the 32-county Blue KC service area.
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
Medical Plans
                                                                                    4

Following is a high-level overview of the coverage available. For complete coverage details, please refer to certificate or the Summary Plan
Description (SPD) located at www.mokangoodwill.org.benefits.

Note-Only full-time employees working 30 or more hours per week are eligible to enroll in the medical plans.

                                         Preferred Care Blue        BlueSelect Plus          Preferred Care Blue      BlueSelect Plus
                                                                                                                                            BlueSelect Plus 3000
                                          3000 PPO Broad          3000 PPO Optimized           6500 Value PPO         6500 Value PPO
                                                                                                                                            SpiraCare EPO Plan
                                                 Plan                    Plan                    Broad Plan           Optimized Plan
 Key Medical Benefits
                                          In-Network Only          In-Network Only            In-Network Only        In-Network Only          In-Network Only

 Deductible (per calendar year)

 Individual / Family                       $3,000 / $9,000           $3,000 / $9,000          $6,500 / $13,000       $6,500 / $13,000          $3,000 / $9,000

 Out-of-Pocket Maximum (per calendar year)

 Individual / Family                       $3,000 / $9,000           $3,000 / $9,000          $6,500 / $13,000       $6,500 / $13,000          $3,000 / $9,000

 Covered Services

 Office Visits (physician/specialist)      $20 / $60 copay           $20 / $60 copay             Deductible             Deductible               Deductible

 SpiraCare Visit
                                                 N/A                       N/A                         N/A                  N/A                   No charge
 (physician/specialist/Urgent Care)

 Routine Preventive Care                      No charge                No charge                  No charge              No charge                No charge

 Outpatient Diagnostic (lab/X-ray)           Deductible                Deductible                Deductible             Deductible               Deductible

 Complex Imaging                             Deductible                Deductible                Deductible             Deductible               Deductible

 Hi Tech Diagnostic (lab/x-ray)              Deductible                Deductible                Deductible             Deductible               Deductible

 Emergency Room                              Deductible                Deductible                Deductible             Deductible               Deductible

 Urgent Care Facility                         $60 copay                $60 copay                 Deductible             Deductible               Deductible

 Inpatient Hospital Stay                     Deductible                Deductible                Deductible             Deductible               Deductible

 Outpatient Surgery                          Deductible                Deductible                Deductible             Deductible               Deductible

 Prescription Drugs (Tiers 1 /2 / 3): Optum Rx
                                                                                              $12 / 100% after        $12 / 100% after
 Retail Pharmacy (34-day supply)            $5 / $30 / $50            $5 / $30 / $50                                                        $15 / $50 / Deductible
                                                                                            deductible Tier 2 & 3   deductible Tier 2 & 3
                                                                                              $30 / 100% after        $30 / 100% after
 Mail Order (102-day supply)             $12.50 / $75 / $125       $12.50 / $75 / $125                                                      $15 / $125 / Deductible
                                                                                            deductible Tier 2 & 3   deductible Tier 2 & 3

   Out of Pocket Maximum includes deductible, coinsurance and copays
   Coinsurance percentages and copay amounts shown in the above chart represent what the member is responsible for paying.
   If you use an out of network provider, you will be responsible for any charges above the maximum allowed amount.
   SpiraCare Enrollment:
             You must live in one of the following counties to be eligible for the SpiraCare plan:
               Kansas (Johnson & Wyandotte) Missouri (Jackson, Clay, Cass, Clinton, DeKalb, Johnson, Lafayette, Ray, Caldwell and Platte).
             Hospitals Include: Children’s Mercy Hospital, Children’s Mercy Hospital-South, Liberty Hospital, North Kansas City Hospital, Olathe Health-Olathe
               Medical Center, Truman Medical Center-Hospital Hill, Truman Medical Center-Lakewood, Shawnee Mission Medical Center, The University of
               Kansas Health System.
             SpiraCare Clinic Locations include: Crossroads, Lee’s Summit, Liberty, Olathe, Shawnee, Wyandotte, Tiffany Springs and Overland Park.
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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   RATES
   2022 Goodwill of Western Missouri and Eastern Kansas Retail
   EMPLOYEE CONTRIBUTIONS
   January1, 2022- December 31, 2022

   Your contributions toward the cost of medical, dental and vision coverage are automatically deducted from your
   paycheck before taxes.

MEDICAL COVERAGE

                                              Retail Employee Contribution
Medical: 3000 PPO Broad Plan                       Employee        Employee + Spouse   Employee + Child(ren)        Family
 Employee Semi-Monthly Rates                        $129.60             $691.22               $518.41               $907.21
Medical: 3000 Optimized PPO Plan                   Employee        Employee + Spouse   Employee + Child(ren)        Family
 Employee Semi-Monthly Rates                        $116.64             $622.10               $466.57               $816.49
Medical: 6500 Value PPO Broad Plan                 Employee        Employee + Spouse   Employee + Child(ren)        Family
 Employee Semi-Monthly Rates                        $53.48              $516.94               $376.43               $695.19
Medical: 6500 Value PPO Optimized Plan             Employee        Employee + Spouse   Employee + Child(ren)        Family
 Employee Semi-Monthly Rates                        $48.13              $465.25               $338.79               $625.67
Medical: 3000 SpiraCare EPO Plan                   Employee        Employee + Spouse   Employee + Child(ren)        Family
 Employee Semi-Monthly Rates                        $47.73              $461.45               $334.15               $620.56

DENTAL COVERAGE

                                              Retail Employee Contribution
Dental                                             Employee        Employee + Spouse Employee + Child(ren)           Family
Employee Semi-Monthly Rates                         $16.31              $31.79              $30.42                   $46.39

VISION COVERAGE

                                              Retail Employee Contribution
Vision                                              Employee        Employee + Spouse Employee + Child(ren)          Family
 Employee Semi-Monthly Rates                          $4.12              $8.20                 $8.83                $13.03
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
Dental                                                                                9

We are proud to offer you a dental plan.
Delta Dental PPO: This plan offers you the freedom and flexibility to use the dentist of your choice. However, you will maximize your
benefits and reduce your out-of-pocket costs if you choose a dentist who participates in the Delta Dental Premier and/or PPO network.
Following is a high-level overview of the coverage available.

                                                                                                                    Delta Dental PPO
                              Key Dental Benefits
                                                                                               In-Network Only                      Out-of-Network1

  Deductible (per calendar year)
  Individual / Family                                                                                                  $50 / $150
  Benefit Maximum (per calendar year; Preventive, Basic, and Major Services combined)
  Per Individual                                                                                                        $1,500
  Right Start 4 Kids (RS4K)
                                                                                           No charge, for all services covered under this plan, excluding
  Kids 12 and under
                                                                                               Orthodon cs, when seen by a in‐network provider.
  Covered Services
                                                                                                                       No charge
  Diagnostic / Preventive Services                                                        Includes Unlimited Cleanings (regular, prophylaxis & periodontal
                                                                                                              maintenance cleanings)
  Basic Services (endo/periodontic, composite filings, oral surgery)                                                     20%*

  Major Services (crowns, bridges, root canal)                                                                           50%*
 Orthodontia (Child under age 19)                                                                         50%* / $1,000 Maximum Benefit

 Coinsurance percentages shown in the above chart represent what the member is responsible for paying.
 *Benefits with an asterisk ( * ) require that the deductible be met before the Plan begins to pay.
 1. If you use an out-of-network provider, you will be responsible for any rges above the maximum allowed amount.

                                                                           Vision
                                                                           We are proud to offer you a vision plan.

                                                                           The SunLife vision plan gives you the freedom to seek care from the provider
                                                                           of your choice. However, you will maximize your benefits and reduce your
                                                                           out-of-pocket costs if you choose a provider who participates in the Vision
                                                                           Service Provider (VSP) network.
                                                                           Following is a high-level overview of the coverage available.

                                                                            Key Vision Benefits                                           In-Network

                                                                            Exam Copay (once every 12 months)                                 $10
                                                                            Materials Copay                                                   $25
                                                                            Lenses (once every 12 months)
                                                                            Single Vision
                                                                                                                                        No charge after
                                                                            Bifocal
                                                                                                                                        materials copay
                                                                            Trifocal
                                                                                                                                    $130 Allowance + 20% off
                                                                            Frames (once every 24 months)
                                                                                                                                       remaining balance
                                                                            Contact Lenses
                                                                                                                                        $130 Allowance
                                                                            (once every12 months; in lieu of glasses)
BENEFITS GUIDE 2022 Retail Staff - January 1-December 31, 2022
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Flexible Spending Accounts
                                                                                                             FSA Rules
We provide you with an opportunity to participate in up to two different flexible
spending accounts (FSAs) administered through Ameriflex. FSAs allow you to set                               YOU MUST ENROLL EACH
aside a portion of your income, before taxes, to pay for qualified health care and/or                        YEAR TO PARTICIPATE
dependent care expenses. Because that portion of your income is not taxed, you pay
less in federal income, Social Security and Medicare taxes.                                                  Because FSAs can give you a
                                                                                                             significant tax advantage, they must
Health Care FSA                                                                                              be administered according to specific
                                                                                                             IRS rules:
For 2022, you may contribute up to $2,750 to cover qualified health care expenses
incurred by you, your spouse and your children up to age 26. Some qualified
expenses include:
                                                                                                             Health care FSA: Unused funds up to
   Coinsurance                 Prescriptions                    Eye exams/eyeglasses
                                                                                                             $500 from one year can carry over to
   Copayments                  Dental treatment                 Lasik eye surgery
                                                                                                             the following year. Carryover funds
   Deductibles                 Orthodontia
                                                                                                             will not count against or offset the
For a complete list of eligible expenses, visit www.irs.gov/pub/irs-pdf/p502.pdf.                            amount that you can contribute
                                                                                                             annually. Unused funds over $500
Dependent Care FSA                                                                                           will NOT be returned to you or carried
                                                                                                             over to the following year.
For 2022, you may contribute up to $5,000 (per family) to cover eligible dependent care
expenses ($2,500 if you and your spouse file separate tax returns). Some qualified
expenses include:
   Care of a dependent child under the age of 13 by babysitters, nursery schools, pre-
     school or daycare centers

   Care of a household member who is physically or mentally incapable of caring for
     him/herself and qualifies as your federal tax dependent
For a complete list of eligible expenses, visit www.irs.gov/pub/irs-pdf/p503.pdf.

Life and AD&D Insurance
Life/AD&D Insurance                                                          Supplemental Life/AD&D (100% Employee-paid)
Life Insurance provides your named beneficiary(ies) with a                   This benefit is provided through MetLife for all full-time eligible
benefit in the event of your death.                                          employees. If you determine you need more than the basic coverage,
Accidental Death and Dismemberment (AD&D) Insurance                          you may purchase additional coverage through MetLife for yourself and
provides specified benefits to you in the event of a covered                 your eligible family members.
accidental bodily injury that directly causes dismemberment
(i.e., the loss of a hand, foot, or eye). In the event that your
death occurs due to a covered accident, both the Life and                                         Benefit Option                               Guaranteed Issue1
the AD&D benefit would be payable.                                                               Up to 5x base salary to a
                                                                             Employee            maximum of $500,000; $10,000                        $150,000
Basic Life/AD&D (100% Employee-paid)                                                             increments
This benefit is provided through USAble for all eligible full-time &
                                                                                                 Up to $250,000 (not to exceed
part-time employees..
                                                                             Spouse              50% of your additional life                          $50,000
                                                                                                 coverage); $5,000 increments
Group Life/AD&D (100% Employer-paid)
This benefit is provided through MetLife for all eligible full-time          Child(ren)                             $1,000 / $5,000 / $10,000
employees..

                                                                             1. During your initial eligibility period only, you can receive coverage up to the Guaranteed
                                                                             Issue amounts without having to provide Evidence of Insurability (EOI, or information about
Basic Life/AD&D Benefit Amount          $10,000 maximum                      your health). Coverage amounts that require EOI will not be effective unless approved by
                                                                             the insurance carrier.
                                        1x annual salary up to
Group Life AD&D Benefit Amount
                                        $150,000 maximum
Disability                                                                     Voluntary Benefits
                                                                          11

Disability insurance provides benefits that replace part of your lost          Our benefit plans are here to help you and your family live well—and
income when you become unable to work due to a covered injury                  stay well. But did you know that you can strengthen your coverage
or illness. Note-only full-time employees working 30 or more hours             even further? It’s true! Our voluntary benefits through SunLife are
per week are eligible.                                                         designed to complement your health care coverage and allow you to
                                                                               customize our benefits to you and your family’s needs. The best
Voluntary Short-Term Disability                                                part? Benefits from these plans are paid directly to you! Coverage is
Provided at an affordable group rate through MetLife                           also available for your spouse and dependents.

 Benefit Percentage                  60%                                       You can enroll in these plans during Open Enrollment—they’re
                                                                               completely voluntary, which means you are responsible for paying for
 Weekly Benefit Maximum              $1,000
                                                                               coverage at affordable group rates.
 When Benefits Begin                 15th day of accident or sickness
 Maximum Benefit Duration            Up to 11 weeks                            Accident Insurance
                                                                               Accident insurance can soften the financial impact of an accidental
Employer Paid Long-Term Disability
                                                                               injury by paying a benefit to you to help cover the unexpected out-of-
Provided at NO COST to you through MetLife                                     pocket costs related to treating your injuries.
 Benefit Percentage                  60%
 Monthly Benefit Maximum             $6,000                                    Critical Illness including a $50 Wellness Benefit
                                                                               Did you know that the average total out-of-pocket cost related to
 When Benefits Begin                 After 90th day of disability
                                                                               treating a critical illness is over $7,000? With critical illness
 Maximum Benefit Duration            Social Security Retirement Age            insurance, you’ll receive a lump-sum benefit if you are diagnosed
                                                                               with a covered condition that you can use however you would like,

Employee Assistance                                                            including to help pay for: treatment (e.g. experimental), prescriptions,
                                                                               travel, increased living expenses, and more.

Program (EAP)
                                                                                Valuable Extras
Life is full of challenges, and sometimes balancing it is difficult. We
are proud to provide a confidential program dedicated to supporting
the emotional health and well-being of our employees and their
families. The employee assistance program (EAP) is provided at
NO COST to you through Personal Assistance Program.

This program can help with the following issues, among others:
 Mental health
 Relationships or marital conflicts
 Child and eldercare
 Substance abuse
 Grief and loss
 Legal or financial issues

Personal Assistance Service Benefits:
 Assistance for you and your household members
 Up to 6 short term sessions with a counselor per issue, per year,
    per individual
 Unlimited toll-free phone access and online resources using
    Goodwill code: 0534 or wayforward app code: goodwill mokan                 We also offer the following additional benefits:

                                                                           Volunteer Time Off                        Education Assistance
                                                                           Paid Time Off                             Pet Insurance
                                                                           Paid Parental Leave                       Helping Hands Fund
                                                                           401 (a) & 403(b) Retirement Plans  Discount Opportunities
12
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                       Your Resource for Life’s Questions
             Each of us experiences demands for our time and energy, both on and off the job. In
             addition to our responsibilities at work, we also seek to fulfill our family responsibilities,
             meet our financial obligations, enjoy personal interests, and maintain a healthy family
             and social life. The key to balancing it all is having access to the right tools, resources
             and support.

                                                      Through PAS you have access to:
   Personal Assistance Services
                                                  •    Elder care managers
   (PAS) provides you with
                                                  •    Child care specialists
   a wealth of confidential,
                                                  •    Certified child development and parenting professionals
   professional services that can                 •    Organization and time management specialists
   help you address challenges                    •    Retirement coaches
   and strengthen your work and                   •    Career coaches
   home life.                                     •    Tobacco cessation coaches
                                                  •    Master’s level licensed counselors
   This is a pre-paid benefit                      •    Registered and licensed dietitians
   funded completely by your                      •    Certified financial counselors
   employer and free to you and                   •    Attorneys
   your dependents. The EAP                       •    Life coaches
   is confidential - PAS does                      •    Health coaches
   not disclose information                       •    Self-paced cognitive behavioral therapy through the
   to anyone about your                                wayForward digital app
   participation unless you give                  •    Downloadable resources, financial tools, legal forms and
   your consent to do so (except                       more on the PAS website
   as required by law).
                                        website: https://www.paseap.com
                                        To register, use organization code: 0534
                                        wayForward app code: goodwill mokan

                                                 Free & Confidential                       Clickk here
                                                                                          Cli    h or scan
© Personal Assistance Services           800.356.0845 • www.paseap.com             to download the wayForward app
16

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             Healthcare Is Complicated.
             HealthJoy Makes It Simple.

  No Smartphone? No Worries.
  HealthJoy is the first stop for all your healthcare
  and employee benefits needs. We make everything
  simple, quick and painless. Don’t try and navigate your
  healthcare alone. HealthJoy makes the right decision
  the easy decision. We’ll save you time, money and a ton
  of aggravation.

  Talk with us today by calling (877) 500-3212
                                      500-3212
  or via email at groups@healthjoy.com.
17

                                                    HealthJoy is the first stop for all your healthcare and

How to Download and                                 employee benefits needs. Getting started is simple, all
                                                    you need to do is activate your HealthJoy account and
Activate HealthJoy                                  download our app.

                                   You’ll receive a welcome message in two ways: email and text
                                   messages to your smartphone (when supplied by your company).
      SMS            Email

  Step 1: Receive Activation Email

  To activate, click the web link in either message from your
  smartphone. The link will take you to an activation screen
  where you can create an account.

                                                   Step 2: Create Password

                                                   You’ll be taken to a web page asking you to create
                                                   an 8 character password (minimum).

  Step 3: Add Family Members

  Adding family members is free, and we encourage you
  to invite all members of your immediate family that are
  over 18 years old. They will get access to all the same
  services including access to free healthcare Concierges
  and online doctors.
18

Step 4: Download the App

Next download, install and log into the
HealthJoy app. The app is available for
Android, iPhone, and iPad and requires
an Internet connection. Just click the
download button at the end of the setup
process and will be taken to our app
within your smartphone’s app store.

 Step 5: Log In

 Finally, after you download the HealthJoy app, all you need to do is log in to the app with the
 email address where you received your invitation and the password you created. JOY, your virtual
 healthcare assistant, will welcome you to the app. You can start using the app within seconds.

   Did you forget your password or missed your activation email?
   Forgot password — If you forgot your password, all you need
   to do is open the HealthJoy app and tap the “Forgot Password?”
                                                                               If you have any other
   link at the bottom of the login screen. We will send you a link to
                                                                               issue with activation or
   create a new password to the email your company supplied us.
                                                                               logging into our system,
                                                                               please call or email us at:
   New Activation Email — If you can’t find or accidentally
   deleted our activation email, click “Set up your account” at the            groups@healthjoy.com

   bottom of the login screen to request a new one. We will ask                (877) 500-3212
   you for your email address, and our Concierge will confirm your
   eligibility. We’ll send a new activation email as soon as possible.
19

                              HealthJoy Services

Healthcare Concierge                                      Online Medical Consultaons
Confused about your benefits? Don’t worry — we            Not feeling well? Connect with a doctor anytime,
are here to help. We can explain deductibles,             anywhere - 24/7/365. We can even write
formularies, out-of-pocket expenses, co-insurance,        prescriptions. Give us a call.
preauthorization, copays and more.

Provider Recommendaons                                   Rx Savings Review
Need an awesome doctor or facility that takes your        Want to save money on your prescriptions? We’ll
insurance? Our Concierge will extensively research        review your medications and identify lower-
every recommendation and call to confirm                  cost alternatives. Let our team help reduce your
in-network participation and availability.                medication spend.

Medical Bill Review

Got a medical bill that’s confusing? Our team of
                                                          Health Spending Accounts
experts can answer questions, explain how billing         Trying to understand your HSA, HRA or FSA? We
works, and negotiate with providers to save you           can explain what’s a qualified expense including
money. Just email us your bill at                         medical, dental, vision and prescription spending.
groups@healthjoy.com.
20

Nationw ide ®pet insurance
    My Pet Protection®plan sum m ary

Nat ionw id e p et insurance help s you cover vet erinary exp enses so you can p rovid e your p et s
w it h t he b est care p ossib le w it hout w orrying ab out t he cost .

            My Pet Prot ect ion coverag e hig hlig ht s

We off er a choice of reim b ursem ent op t ions so you can fi nd coverag e t hat fi t s your b ud g et . A ll p lans have a $250 annual
d ed uct ib le and $7,50 0 m axim um annual b enefi t . Coverag e includ es*:
•    Accid ent s                                                                            •     Dent al d iseases
•    Illnesses                                                                              •     Behavioral t reat m ent s
•    Hered it ary and cong enit al cond it ions                                             •     Rx t herap eut ic d iet s and sup p lem ent s
•    Cancer                                                                                 •     A nd m ore

Plus, every My Pet Prot ect ion p olicy includ es t hese ad d it ional b enefi t s t o m axim ize your value:
•    Lost p et ad vert ising and rew ard exp ense                                           •     Loss d ue t o t heft
•    Em erg ency b oard ing                                                                 •     Mort alit y b enefi t

          Includ ed w it h every p olicy

•     24/ 7 access t o vet erinary exp ert s ($110 value)                                   •     Save t im e and m oney by fi lling p et p rescrip t ions at
•     Availab le via p hone, chat and em ail                                                      p art icip at ing in-st ore ret ail p harm acies across t he U.S.
•     Unlim it ed help for everyt hing from g eneral p et                                   •     Rx claim s sub m it t ed d irect ly t o Nat ionw id e
      q uest ions t o id ent ifying urg ent care need s                                     •     More t han 4 ,70 0 p harm acy locat ions

          Ad d it ional hig hlig ht s

•    Exclusive p rod uct for em p loyer g roup s only                                       •     Mult ip le-p et d iscount s
•    Preferred p ricing for em p loyees                                                     •     Guarant eed issuance

Get a fast , no-ob lig at ion q uot e t od ay.
                                      PetsNationwide.com • 877-738-7874

*Som e exclusions m ay ap p ly. Cert ain coverag es m ay b e exclud ed d ue t o p re-exist ing cond it ions. See p olicy d ocum ent s for a
com p let e list of exclusions.
Prod uct s und erw rit t en by Vet erinary Pet Insurance Com p any (CA ), Colum b us, OH; Nat ional Casualt y Com p any (all ot her st at es),
Colum b us, OH. A g ency of Record : DVM Insurance Ag ency. A ll are sub sid iaries of Nat ionw id e Mut ual Insurance Com p any. Sub ject
t o und erw rit ing g uid elines, review and ap p roval. Prod uct s and d iscount s not availab le t o all p ersons in all st at es. Insurance
t erm s, d efi nit ions and exp lanat ions are int end ed for inform at ional p urp oses only and d o not in any w ay rep lace or m od ify t he
d efi nit ions and inform at ion cont ained in ind ivid ual insurance cont ract s, p olicies or d eclarat ion p ag es, w hich are cont rolling .
Nat ionw id e, t he Nat ionw id e N and Eag le, vet helpline, and Nat ionw id e is on your sid e are service m arks of Nat ionw id e Mut ual
Insurance Com p any. ©20 21Nat ionw id e. 21PMC830 2E_GRP
21

Pet insurance
from Nationwide®
With two budget-friendly options, there’s
never been a better time to protect your pet.

Our popular My Pet Protection® pet insurance plans now feature more choices
and more flexibility

    Get cash back on eligible vet bills: Choose your reimbursement level of 50% or 70%1

    Available exclusively for employees: Plans with preferred pricing only offered through your company

    Use any vet, anywhere: No networks, no pre-approvals

Choose your level
of coverage with
                                                  50%
                                              reimbursement
                                                                                                                           70%
                                                                                                                         reimbursement
My Pet Protection®
                                              $20-$35/month2                                                             $27-$47/month2

How to use your
pet insurance plan
                         1    Visit any vet,
                              anywhere.                                   2               Submit
                                                                                          claim.                         3           Get
                                                                                                                                     reimbursed.

                                      Get a fast, no-obligation quote today at PetsNationwide.com

                                1Some exclusions may apply. Certain coverages may be subject to pre-existing exclusion. See policy
                                 documents for a complete list of exclusions. Reimbursement options may not be available in all
                                 states.
                                2Starting prices indicated. Final cost varies according to plan, species and ZIP code.                 Nationwide
                                                                                                                                           onwide
                                                                                                                                               de is on your
                                                                                                                                                        you side
                                Products underwritten by Veterinary Pet Insurance Company (CA), Columbus, OH; National
                                Casualty Company (all other states), Columbus, OH. Agency of Record: DVM Insurance Agency.
                                All are subsidiaries of Nationwide Mutual Insurance Company. Nationwide, the Nationwide N and
                                Eagle, and Nationwide is on your side are service marks of Nationwide Mutual Insurance Company.
                                ©2021 Nationwide. 21GRP8274C
22

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29

                                                          Helping Hand Fund
                                                       Contribution Election Form

The Employee Emergency Needs Fund (The Helping Hand Fund) was created by the Agency to
aid employees who need financial assistance in significant hardship situations. A committee
composed of employees representing each division administers the fund. The committee
establishes the eligibility requirements, the procedures for the distribution of funds and
determines whether the requests meet the established guidelines.
If you would like to become a contributor to the Employee Emergency Fund, please
contact the Human Resources Department or complete this election form. Contributions
to the Fund are made via payroll deductions and employees may contribute any amount
between $1.00 and $10.00 per paycheck. Contributions are not tax deductible.
Contributing employees will be allowed a 35% discount at any local Goodwill store.

I understand contributions to the fund are voluntary and will be automatically deducted from my
paycheck until I request otherwise, in writing. Please return this to your manager or HR.
Employee name _________________________________________________________
Location: _______________________________________________________________

I would like to donate ________ per paycheck.
Contributions are not tax deductible and will not be returned upon separation from the Agency.
Signature _________________________________________ Date _________________

For information on applying to receive assistance from the fund, please visit www.mokangoodwill.org/benefits.

Please return to Human Resources via fax (816-842-7616) or scan to benefits@mokangoodwill.org
Cost of Benefits                                                                                            30

Your contributions toward the cost of benefits are automatically deducted from your pay check before taxes. The
amount will depend upon the plan you select and if you choose to cover eligible family members.

Contact Information
                           Coverage                                                        Carrier                                         Phone #                      Website/Email

                                                                                       BCBS of KC                                     (816) 395-2950                   www.bluekc.com
 Medical
                                                                                        SpiraCare                                     (913) 297-7472                  www.spiracare.com
 Dental                                                                           Delta Dental of KS                                  (800) 733-5823                 www.deltadentalks.com

 Vision & Voluntary Benefits                                                               SunLife                                    (800) 733-7879                    www.sunlife.com

 Flexible Spending Accounts (FSAs)                                                       Ameriflex                                    (888) 868-3539                 www.myameriflex.com

 Basic Life/AD&D                                                                           USAble                                     (800) 370-5856                   www.usable.com

 Voluntary Life / /AD&D & Disability                                                       MetLife                                    (800) 638-5433                   www.metlife.com

 Employee Assistance Program (EAP)                                         Personal Assistance Service                                (800) 356-0845              www.paseap.com / Code 0534

 HealthJoy                                                                               HealthJoy                                    (877) 500-3112              www.groups@healthjoy.com

 Pet Insurance                                                                          Nationwide                                    (877) 263-6008                Www.petinsurance.com

   Our benefits website
   www.mokangoodwill.org/work-for-
   goodwill/your-benefits.com can be
   accessed anytime you want additional
   information on our benefit programs or
   you can call (816) 842-7425 x123

   Questions?
   If you have additional questions, you
   may also contact:

   Jen Boylan
   (816)708-4671
   jen.boylan@hubinternational.com

   Carri Guinn
   (816)708-4658
   carri.guinn@hubinternational.com

   Claims Advocacy
   (816)708-4666
   Hub-kc.ebclaims@hubinternational.com

                                                                                                       DISCLAIMER: The material in this benefits brochure is
for informational purposes only and is neither an offer of coverage or medical or legal advice. It contains only a partial description of plan or program bene-
fits and does not constitute a contract. Please refer to the Summary Plan Description (SPD) for complete plan details. In case of a conflict between your
plan documents and this information, the plan documents will always govern. Annual Notices: ERISA and various other state and federal laws require that
employers provide disclosure and annual notices to their plan participants. The company will distribute all required notices annually.
31

                          Benefitsfor202Notes

202 Benefits Open Enrollment   This booklet provides only a summary of your benefits. All services described within are
                                subject to the definitions, limitations, and exclusions set forth in each insurance carrier
                                or provider’s contract.
32

                          Benefitsfor202Notes

202 Benefits Open Enrollment   This booklet provides only a summary of your benefits. All services described within are
                                subject to the definitions, limitations, and exclusions set forth in each insurance carrier
                                or provider’s contract.
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