Cannistraro 2024-2025 Benefits Guide

May 1, 2024 - April 30, 2025

Benefits Overview

Your needs, and those of your family, are unique to you. That’s why Cannistraro provides a comprehensive and flexible benefits program that you can customize to fit your personal situation. Our programs offer you and your family important healthcare coverage and financial security.

Your benefits are an important part of your total compensation at Cannistraro. Please take the time to review and evaluate all the options available to you and your family.

Company Paid Benefits

• Health Reimbursement Arrangement - London Health Administrators

• Basic Life/AD&D - MetLife

• Short-Term Disability - MetLife

• Long-Term Disability - MetLife

• Employee Assistance Program (EAP) - AllOne Health

Benefit Options Requiring Employee Contributions

• Medical - Harvard Pilgrim Health Care

• HMO Plan (only available to MA, ME, NH, RI and VT employees)

• PPO Plan (available to all employees)

 Plans include prescription drug coverage through OptumRx

• Dental - Delta Dental of Massachusetts

• Voluntary Vision - EyeMed

• Voluntary Life and AD&D - MetLife

• Flexible Spending Account (FSA) - London Health Administrators

• Health Care FSA

• Dependent Care FSA

• Pet Insurance - Pets Best

• 401(k) Retirement Plan - Empower Financial

This guide is not intended to be a complete description of the insurance coverage offered, nor is it a binding contract. Controlling provisions are provided in each benefit plan policy. This guide also serves as a Summary of Material Modifications (“SMM”) and includes updates that affect Cannistraro’s Summary Plan Descriptions. Please keep this guide with your Summary Plan Descriptions for future reference. If there is any discrepancy between this guide, the Summary Plan Descriptions and the Plan document, the Plan document will control. Cannistraro reserves the right to end, suspend, or amend their plans or the benefits provided thereunder, at any time, for any reason, in whole or in part.

Eligibility

Who is Eligible?

You are eligible for benefits if you work 30 or more hours per week. You may also enroll your eligible dependents under certain plans you choose for yourself.

Your dependents are eligible if they are:

• Your legal spouse or domestic partner

• Your and/or your domestic partner’s child(ren)* up to age 26

• Your disabled child(ren) up to any age

* Includes natural, step, legally adopted/or a child placed for adoption, or a child under your legal guardianship.

About Domestic Partner Coverage

Domestic partner coverage is available for the medical, dental, and vision programs.

When Can I Enroll in Benefits?

• New Hires: within 30 days of your date of hire

• During the annual Open Enrollment period

• During the plan year, if you experience a Qualifying Life Event (QLE)

When Does Coverage Begin?

Benefits for new hires become effective one month following date of hire.

Benefits elected during Open Enrollment become effective May 1st of the applicable plan year.

Benefits elected during a Qualifying Life Event (QLE) become effective the date of the event.

How Do I Enroll in Benefits?

You must actively enroll in all benefits that require employee contributions. You will be automatically enrolled in all company paid benefits.

To enroll (or make changes) to your benefits, you must log onto PlanSource via the Manage My Benefits link on the BambooHR home page.

If you fail to enroll on time, you will NOT have benefits coverage with the exception of company paid benefits.

Eligibility

Choose Carefully!

Per IRS regulations, you cannot change your elections until the next annual Open Enrollment period, unless you have a Qualifying Life Event (QLE) during the year. Following are examples of the most common QLEs:

• Marriage or divorce

• Birth or adoption of a child

• Child reaching the maximum age limit

• Death of a spouse or child

• Change in child custody

• Change in coverage election made by your spouse during his/her employer’s Open Enrollment period

You lose coverage under your spouse’s plan

Making Changes

To make changes to your benefit elections, you must contact Human Resources within 30 days of the QLE.

Be prepared to show documentation of the event such as a marriage license, birth certificate or a divorce decree. If changes are not submitted on time, you must wait until the next Open Enrollment period to make your election changes.

Termination of Coverage

If you or a covered dependent no longer meet the eligibility requirements or if your employment ceases, your medical, dental, vision, and FSA coverage will end on the last day of the month in which you become ineligible.

You may be eligible to elect COBRA for yourself and your eligible dependents for medical, dental, vision and Health Care FSA (depending on Health Care FSA balance).

Life and AD&D coverage will end on the day you become ineligible. Your life coverages are convertible.

You are responsible for informing Human Resources within 30 days if any of your dependents become ineligible for benefits.

Medical Plans

Cannistraro offers two medical plans through Harvard Pilgrim Health Care:

HMO Plan

In-Network Only Plan

• Only available to employees in MA, ME, NH, RI and VT

How it works

• In-network benefits only

• Referral required to see a specialist

Primary care physician (PCP)

Out-of-network coverage

In the case of emergency

PCP designation required; you must choose a PCP.

Out-of-network services are not covered under this plan.

Emergency care is covered, inand out-of-network.

PPO Plan

In and Out-of-Network Plan

• Available to all employees nationwide

• Employees outside of MA, ME, NH, RI and VT are required to enroll in this plan

• In- and out-of-network coverage available

• No referral required to see a specialist

PCP selection is encouraged; but not required.

Out-of-network services are covered under this plan.

Emergency care is covered, inand out-of-network.

Finding In-Network Providers

To search for in-network medical providers, log onto Harvardpilgrim.org Select “Find a provider” at the top right-hand corner of the screen. For the HMO plan, select “HMO or HMO Open Access” and for the PPO plan, select “PPO.”

Access to Your Healthcare

After you are enrolled in a Cannistraro medical plan, log onto Harvardpilgrim.org and select “Member login” and register to access self-service tools and resources to help manage your medical benefits.

Medical Plans

How The Health Plan Works

A Note About Health Care Reform

If you choose to purchase individual coverage through the Marketplace, you should know that because Cannistraro’s medical insurance meets specific ACA requirements, you may not be eligible to receive a federal subsidy.

Additional information is available at www.healthcare.gov

Deductible

The amount you pay each plan year for eligible in-network and out-of-network charges before the plan begins to pay.

Out of Pocket Maximum

The most you will pay each plan year for eligible network services including prescriptions. After you reach your outof-pocket maximum, the plan picks up the full cost of covered medical care for the remainder of the plan year.

Embedded

"Embedded" means that no one person in a covered family will have to meet more than the individual deductible and/or out-of-pocket maximum.

Copay

The per-service fixed fee you pay for certain covered medical expenses (for example, office visits).

Coinsurance (Applies to the PPO Plan)

Once you’ve met your deductible, you and the plan share the cost of care, called coinsurance. For example, you pay 20% for services and the plan will pay 80% of the cost until you have reached your out-of-pocket maximum.

Explanation of Benefits / Active Summary

An EOB (Explanation of Benefits) is also known as Harvard Pilgrim’s ‘Active Summary’. It is a claim statement highlighting how they have processed claims for medical services you've received. Click here to learn how to read your Active Summary.

Medical Plans

Coinsurance percentages and copay amounts 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.

Prescription Drugs

When you enroll in a medical plan, you receive comprehensive prescription drug coverage through OptumRx

Some medications may be subject to prior authorization, quantity limits or step therapy requirements to be approved for coverage. For a list of approved drugs, log onto HarvardPilgrim.org/rx and select the Premium 3-Tier link under 2024 Prescription Drug Plans

Three Ways to Obtain Prescription Drugs



 View a list of approved drugs

 Use for maintenance drugs such as medication for high blood

arthritis or diabetes

 Pay less than retail pharmacy for a 90-day supply

 No additional cost for standard shipping

 Medications used to treat complex conditions like multiple sclerosis, hepatitis C and rheumatoid arthritis are provided through Optum Specialty Pharmacy

 Prescription are typically delivered directly to your home

Where to Seek Care

Out-of-Pocket Costs

Telemedicine services

Real-time virtual visit with Doctor On Demand providers via smartphone, tablet or computer

Convenience care/retail clinic Walk-in, convenience care or retail clinic (e.g., MinuteClinic inside of CVS pharmacy)

Urgent care clinic

Walk-in clinic for urgent care

$

You’ll pay your PCPlevel copay ($25) for telemedicine services

Common Symptoms

• Coughs, colds

• Sore/Strep throat

• Flu

• Pediatric issues

• Sinus and allergies

• Nausea/diarrhea

$ $

You’ll typically pay a copay ($20) for going to a participating clinic

$ $ $

You’ll typically pay a copay ($35) for urgent care (higher than an office visit or convenience care clinic visit)

• Bronchitis

• Ear infections

• Eye infections

• Rashes and skin issues

• Women’s health: UTIs, yeast infections

• Sport injuries

• Eye issues

• Skin conditions like poison-ivy and ringworm

• Strep throat

Emergency room (ER)

Part of a local hospital

If you think you’re having a medical emergency, call 911 or go to the nearest ER.

$ $ $ $

You’ll typically pay a higher copay ($250) for emergencies room services

• Burns, rashes, bites, cuts and bruises

• Infections

• Cold and flu

• Minor injuries

• Respiratory infections

• Sprains and strains

• Choking

• Convulsions

• Heart attack

• Loss of consciousness

• Major blood loss

• Seizures

• Severe head trauma

• Shock

• Stroke

Health Reimbursement Arrangement

To help offset the majority of the plan deductibles, Cannistraro funds the first $3,000 per member / $6,000 per family of the deductibles (as detailed below) to fund a Health Reimbursement Arrangement (HRA) for employees enrolled in the medical plans.

The HRA is administered by London Health Administrators. London Health will automatically pay the provider directly, up to the eligible HRA amounts below.

When you arrive at the doctor’s office or hospital, present your Harvard Pilgrim Health Care member ID card.

• The provider will bill Harvard Pilgrim Health Care who will then adjudicate the claim and send your claim information to the provider and London Health outlining your deductible responsibility.

• London Health will process the claim accordingly and pay your provider directly.

• The provider will receive the payment along with an explanation showing what was paid, and for what date of service.

Money contributed to your HRA does not roll over from year-to-year. If you leave Cannistraro, you cannot take this money with you.

Health Reimbursement Arrangements

(HRAs) are employer-funded group health plans from which eligible medical expenses are paid up to a fixed dollar amount per year.

The employer funds and owns the account. HRAs are also commonly called Health Reimbursement Accounts.

Health Reimbursement Arrangement

The Crown family has the HMO plan that covers Mr. and Mrs. Crown and their two children. Each family member has a $4,000 individual deductible, and together they have a $8,000 family deductible.

Mr. Crown meets his $4,000 deductible after going to the emergency room in February. $3,000 of the deductible is paid by Cannistraro through the HRA with London Health Administrators and $1,000 is paid out-of-pocket directly by Mr. Crown.

Mrs. Crown has an outpatient surgery and meets her $4,000 individual deductible in March. $3,000 of the deductible is paid by Cannistraro through the HRA with London Health Administrators and $1,000 is paid out-of-pocket directly by Mrs. Crown.

The Cannistraro HRA Contribution of $6,000 has been met and total family out-ofpocket responsibility of $2,000 has been met. This means that the total family deductible of $8,000 has now been met by Mr. and Mrs. Crown.

Any further medical care for anyone in the family will be covered by the insurance company according to the plan benefits.

Flexible Spending Accounts (FSAs)

Flexible Spending Accounts (FSA) allow you to set money aside for certain eligible expenses and draw from it throughout the year to pay for those expenses The money is set aside pre-tax, reducing your taxable income The two types of FSAs offered by Cannistraro are:

• Health Care FSA (funds are available immediately)

• Dependent Care FSA (funds are available as they are deducted from paycheck)

Money cannot be transferred between the accounts (i e , you cannot use money from your Health Care FSA to pay for Dependent Care FSA expenses and vice versa) You also must enroll in the FSAs each year; your elections will not roll over to the next plan year

Health Care FSA

This FSA allows you to pay for eligible medical, dental and vision expenses You can deposit up to $3,200 to the Health Care FSA for the 2024 - 2025 plan year

Health Care FSA Roll Over

If you enroll in the Health Care FSA, you have the option to carry forward up to $640 to the 2024 - 2025 plan year These funds will not count against your future FSA election plan contribution limit Any unused balances in excess of $640 at the end of the 2024 - 2025 plan year will be forfeited per IRS regulations

Dependent Care FSA

Dependent Care FSA is used to pay for the costs of dependent care that enables you to work. This care may be for a child under age 13 and for older dependents, including children, spouses and parents who are physically or mentally unable to care for themselves and who live with you for more than half the year Eligible expenses include daycare, beforeschool and after-school care, babysitters and elder daycare For the 2024 - 2025 plan year, you can deposit up to $5,000 to the Dependent Care FSA ($2,500 if you are married and filing separately) Unused funds do not carry over to the following plan year and will be forfeited per IRS regulations

How the FSAs Work

As a new hire (and again during Open Enrollment), you select the amount of money you wish to deposit into the Health Care and/or Dependent Care account for the entire plan year

The plan year for the FSA benefit is May 1 to April 30 The total amount is then equally divided by the number of pay periods remaining in that year and that amount is deducted from each paycheck. The money is set aside in your FSA account(s).

Employees who enroll in the Health Care FSA will receive a debit card to pay for qualified purchases, eliminating the need to submit a paper claim and wait for reimbursement

The FSA plans are administered by London Health Administrators. To register and access your member account, go to LondonHealthUSA.com and select Member Login at the upper right-hand corner the landing page.

Dental

Having healthy teeth and gums is important to your overall well-being. Cannistraro offers you a choice of two dental plans through Delta Dental of Massachusetts: a High Plan and a Low Plan . Both plans cover preventive, basic, and major services. The High Plan offers a higher benefit maximum and orthodontia coverage.

Finding In - Network Dental Providers

Visiting a participating provider will give you the most value and savings, and it’s easy to do. There are over 140,000 participating dentists in the Delta Dental PPO Plus Premier network. Simply follow these steps to find one near you.

1. Visit www.deltadentalma.com

2. Click “Find a Dentist”.

3. Choose your plan, location, and click “Search for a Dentist”.

Voluntary Vision

Routine eye exams are important for maintaining good vision and can also provide early warning of other health conditions. The EyeMed Insight network provides coverage for exams, glasses and contact lenses, as shown below.

In-network coverage is provided when you use EyeMed providers. To search for providers, log onto www.eyemedvisioncare.com and click on “Find an Eye Doctor”, then search by location, or call customer service at call 866.299.1358.

Value Added Services

• Mobile app - easy way to view your ID card, see benefit details, and find a provider near you.

• Glasses.com - 3D virtual “Try On” app. Members receive free at-home frame try on; fully integrated with your plan benefits; order today, receive tomorrow.

• ContactsDirect.com - use your benefits to order contacts. Frequency

Life and AD&D Insurance

Basic Life/AD&D

Having appropriate life insurance coverage is a critical part of planning for your family’s current and future financial needs Proceeds from life insurance can help with salary replacement, mortgage protection, cost of childcare, debt repayment and children’s education expenses

Cannistraro provides Basic Life insurance coverage of one times your base annual salary, up to $150,000 Mirroring the basic life amount benefit, this coverage includes an Accidental Death and Dismemberment (AD&D) provision that pays in the event of accidental death and certain other conditions Basic Life and AD&D insurance is administered by MetLife and is paid for by Cannistraro You are automatically enrolled in these benefits

(According to federal law, only the first $50,000 of employer-paid life insurance is not taxable Premium paid by Cannistraro for coverage levels over $50 000 will be taxable to you and will be included on your year-end W-2 statement )

Voluntary Life

As a new hire, you can purchase Voluntary Life insurance for you, your legal spouse and dependent children without providing medical information up to certain guarantee issue (GI) amounts (see chart) If you leave the company, this coverage can be taken with you

Employee and spouse amounts applied for over the GI as a new hire will require you to provide Evidence of Insurability (EOI) for review and approval by MetLife

Benefit amounts reduce at age 65 Please refer to the benefit summary for details

If you elect not to enroll within 30 days of your date of hire, you will still be able to purchase coverage in the future subject to EOI requirements provision

Voluntary AD&D

Employees can also elect to purchase Employee, Spouse and Dependent Child(ren) Voluntary AD&D coverage in increments and maximums equal to the Voluntary Life benefits

Employees pay the full cost of Voluntary Life and Voluntary AD&D insurance on an after-tax basis

Voluntary Life/AD&D Amounts Available

Employee

Spouse

Child(ren) (to age 26)

Increments of $10,000 to lesser of 5 times your base salary or $500,000

Guarantee Issue*: $150,000

Increments of $5,000 to $250,000 (not to exceed 100% of employee life)

Guarantee Issue*: $50,000

Under 6 months -$1,000; 6 months to age 19 or to age 26 if a fulltime student - $2,000 increments up to $10,000; all guaranteed issue

To enroll in Voluntary Spouse and/or Child Life, you must be enrolled in Voluntary Employee Life

*Guarantee issue is the amount of coverage you or your dependents can elect up to without EOI Guarantee issue is only available to newly benefit eligible employees

Disability Insurance

Disability insurance provides benefits that replace a portion of your income if you were unable to work due to injury or illness Short-Term Disability (STD) provides a weekly benefit, while Long-Term Disability (LTD) pays a monthly benefit after STD has been exhausted

Cannistraro offers STD and LTD insurance at no cost to you Administered by MetLife, you are automatically enrolled in these benefits The benefit will be taxable when eligible for disability income payments and will be reduced by any other sources of deductible income that you may be receiving

Short - Term Disability (STD)

STD benefits become payable when you are unable to work due to an injury or illness unrelated to work If you remain disabled and meet the plan’s disability requirements, you will continue to receive a percentage of your weekly earnings until the benefit duration has ended

STD benefits integrate with state mandated disability plans

Benefit Begins 8th day of accident or illness

Benefit Amount 66.67% of your weekly salary up to $1,200 per week

Benefit Duration Up to 12 weeks

Long - Term Disability (LTD)

LTD insurance offers a monthly benefit to help replace lost income if you experience a disability lasting longer than 90 days. The benefit amount is reduced by any other sources of deductible income that you may be receiving.

Benefit Begins After 90 days of qualified disability

Benefit Amount 60% of basic monthly earnings up to $13,000 per month

Benefit

Duration Social Security Normal Retirement Age (SSNRA)

Optional Protection Benefits

Cannistraro offers additional voluntary benefit plans through MetLife. These plans are not medical insurance and do not replace your medical coverage, but rather pay cash directly to you in addition to any benefits you receive from your health plan.

Insurance policies available for purchase (through after-tax payroll deductions) include Critical Illness and Accident Insurance . These benefits may help fill the gap until you meet your medical plan deductible.

MetLife also provides an annual cash benefit of $50 for eligible health screenings and prevention measures. Since these screenings are often paid at 100% under the medical plan, you could walk away with cash in your pocket for practicing good preventive care.

All MetLife benefit plans are portable, which means you can take these benefits with you if you leave the Company.

Rates are based on age and policy elected.

Critical Illness Insurance

This insurance pays a lump - sum cash benefit directly to the insured following the diagnosis of a covered critical illness or event, including (but not limited to) Alzheimer’s disease, invasive cancer, heart attack, kidney failure, stroke and major organ transplants.

Coverage for employees is available in the flat amounts of $15,000 or $30,000; coverage for your spouse and your child(ren) is equal to 50% of your coverage amount. Please refer to the MetLife benefit plan summaries for details and rates.

Accident Insurance

Accident insurance pays a cash benefit when you or your covered family members suffer injuries sustained in an accident. Covered injuries include fractures, burns, concussions, tears, lacerations, broken teeth and eye injuries. Additional benefits may be paid, including ambulance, emergency care, testing and therapy.

Please refer to the MetLife benefit plan summaries for details and rates.

Additional Benefits

Employee Assistance Program (EAP)

We understand how challenging it can be to balance your work and personal life, and we are committed to helping you do just that.

Offered through AllOne Health, the EAP can provide you and your household members with information and assistance on a wide range of topics and issues including work stress, debt problems, family issues, relationship worries, parenting challenges, anxiety, grief and much more.

Provided at no cost to you , counselors are available for support by phone 24 hours a day, seven days a week at 800.451.1834.

To help get you started, the program includes up to three free in-person counseling sessions for you and your household members. Behavioral counselors can help navigate any additional longterm counseling needs.

Pet Insurance

Offered through Pets Best, the voluntary pet insurance program provides you with the peace of mind to choose the best medical care for your pet while alleviating the financial burden.

• Use any licensed veterinarian in the US or Canada - including specialty and emergency clinics

• Optional coverage for routine care

• Around the clock support from the 24/7 pet helpline

• Easy claims submission

• Self-service through our mobile app

To begin, enroll at www.petsbest.com/CANNISTRARO or call 888.984.8700 and reference the referral/discount code: CANNISTRARO

Additional Benefits

401(k) Retirement Plan

The 401(k) Plan is an employer-sponsored plan that helps you save for retirement. You can save for retirement using federal tax-deferral or Roth after tax deferral. In addition to your savings, Cannistraro provides an employer match of $0.50 for every dollar you save up to the first 6% of your pay.

You are eligible to enter the plan on the first of the month if you are 18 years old and have worked for 30 days. You can save up to a maximum of 75% of your gross wages not to exceed the annual IRS limits of $23,000 in 2024. In addition, if you have attained age 50, or will attain age 50 during the plan year, you may defer an additional $7,500 in compensation, for a total of $30,500.

Contributions to the plan can be changed or stopped at any time. Investment changes are made through Empower Financial and can also be made any time through the automated toll-free telephone service 800.338.4015 or over the Internet (www.empower-retirement.com/participant). The client number for access is 372778-01.

Cost of Coverage Effective May 1, 2024

Contributions made from each paycheck toward your medical, dental and vision benefit elections, as well as contributions to your FSA, will automatically be deducted from your gross pay before Federal Income taxes and Social Security taxes are calculated Since these contributions are deducted before your pay is taxed, your taxes will be based on a lower gross pay, and you will end up paying lower taxes on the same salary

Voluntary Life/AD&D costs are taken from your paycheck after taxes, and the benefits paid are not taxable