EMPLOYEE BENEFITS 2026-2027
A guide to understanding your Geospace Technologies employee benefits program
2 GEOSPACE TECHNOLOGIES
Important Contacts BENEFIT
CONTACT
PHONE NUMBER
WEBSITE/EMAIL
UnitedHealthcare Policy #: 911053
Nexus ACO: 888-331-3408 Choice EPO: 866-844-4864 Choice Plus POS: 866-844-4864 HDHP: 866-734-7670
www.myuhc.com
Health Savings Account
Health Equity
844-341-6998
www.healthequity.com
Dental
Guardian Life Policy #: 498834
800-541-7846
www.guardiananytime.com
Vision
Guardian Life Policy #: 498834
877-814-8970
www.guardiananytime.com
Flexible Spending Accounts
Health Equity
877-924-3967
www.healthequity.com
Life and AD&D
Guardian Life Policy #: 525982
800-459-9401
www.guardiananytime.com
Disability
Guardian Life Policy #: 525982
LTD: 800-538-4583 STD: 888-262-5670
www.guardiananytime.com
Accident
Guardian Life
800-541-7846
www.guardiananytime.com
Critical Illness
Guardian Life
800-268-2525
www.guardiananytime.com
Hospital Indemnity
Guardian Life
800-541-7846
www.guardiananytime.com
ComPsych
855-239-0743
www.guidanceresources.com
Fidelity Investments Account No. 32213
866-697-1036
www.netbenefits.com
Benefits Assistance
Higginbotham Employee Response Center
866-419-3518
helpline@higginbotham.net
Your Benefits Team
Beverly Hubert Annette Seiber
713-986-4454 713-986-4480
benefits@geospace.com bhubert@geospace.com aseiber@geospace.com
Workers’ Compensation
Kaylee Campbell
713-986-8755
kcampbell@geospace.com
Medical and Prescription Drug Coverage
Employee Assistance Program
Wills, legal, and psychological referrals
401(k)
If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Please see page 35 for more details.
3 2026–2027 EMPLOYEE BENEFITS GUIDE
Welcome At Geospace Technologies, we strive to provide our employees with the type of work environment and benefits that offer an incentive to remain an integral part of our team. Just like our commitment to our customers, our benefits program reflects Geospace Technologies’ commitment to providing high-quality benefits that are competitive in our industry. The benefits program is designed to recognize your various needs by giving you the opportunity to select benefits that meet your lifestyle, such as:
Table of Contents Important Contacts...............................2 Welcome.................................................3 Mission Statement.................................4
z
Medical
z
Short Term Disability
Eligibility.................................................5
z
Dental
z
Long Term Disability
Enrolling for Benefits.............................6
z
Vision
z
Flexible Spending Accounts
z
Life and AD&D Insurance
Other benefits — such as the Employee Assistance Program (EAP), paid time off, and holidays — add substantial value to the overall benefits program. This booklet highlights key features of the employee benefits program that can answer many of your questions. Please review this booklet carefully and discuss the various plans with your family so you can make responsible enrollment elections. If you have any questions, contact Human Resources at 713-986-4454. As you make your benefit choices, give careful thought to what your future benefit needs will be. Your records of past medical expenses may help you choose the benefits that are best for you. This is your ONLY opportunity to enroll or re-enroll in benefits unless you experience a Qualifying Life Event (QLE). QLEs include the loss of your spouse’s coverage, marriage or divorce, birth or adoption of a child, or death of a dependent. Changes can be made in Paycom Self Service by using your Paycom user ID and password. Contact Human Resources for assistance.
Availability of Summary Health Information Your benefits program offers four medical coverage plan options. To help you compare your plan options and make an informed decision, a Summary of Benefits and Coverage (SBC) for each plan is available in the Paycom self service portal. A paper copy is also available by contacting Human Resources.
Medical Coverage...................................8 Four Health Plans...................................9 Prescription Drugs...............................11 Choosing a Doctor...............................12 Telemedicine........................................14 Medical Plan Rate Comparison...........15 Advocate4Me........................................16 One Pass Select.................................... 17 Health Care Options............................18 Health Savings Account.......................19 HDHP and HSA FAQ..............................20 Voluntary Dental Coverage.................22 Voluntary Vision Coverage..................23 Flexible Spending Accounts................24 FSA and HSA Comparison....................27 Life and AD&D Insurance.....................28 Disability Programs.............................30 Supplemental Insurance.....................31 Additional Benefits..............................33 Employee Contributions.....................34 Required Notices..................................35
4 GEOSPACE TECHNOLOGIES
Mission Statement
Defined by our employees, Geospace Technologies maintains an operating environment of trust and ethical integrity. We hold ourselves well above industry and legal standards, ensuring that our customers, shareholders, and suppliers can always believe our words and trust our actions.
Our Core Values We’re building an EPIC future together.
EXCELLENCE
We’re committed to delivering high-quality solutions consistently. We set and maintain high standards, foster continuous improvement, and seek to exceed expectations because our success is based on meeting our customers’ needs.
PEOPLE
We treat our employees and partners with dignity and respect. We create an environment that promotes open communication, diverse ideas, and approachable people. We prioritize the health, safety, and well-being of our entire team.
INTEGRITY
We conduct business with honesty, transparency, and ethical principles. We foster trust among employees, customers, partners, and stakeholders by ensuring fairness, reliability, and respect in our interactions. We uphold a strong sense of social and environmental responsibility.
CREATIVITY
As a technology company, we constantly strive to find new and innovative solutions. We promote a culture where employees feel empowered to experiment, take calculated risks, and approach challenges with fresh perspectives, ultimately leading to unique solutions, breakthrough products, and differentiation in the marketplace.
5 2026–2027 EMPLOYEE BENEFITS GUIDE
Eligibility
You are eligible for benefits if you are a regular, full-time employee working an average of 30 hours per week. If you are an exempt employee, you are eligible to participate on the date of hire. If you are a non-exempt employee, you are eligible to participate on the first of the month following 60 days of active employment. You may also enroll eligible dependents for benefits coverage. The cost to you for dependent coverage will vary depending on the number of dependents you enroll and the particular plans you choose. When covering dependents, you must select the same plans for your dependents as you select for yourself. You may elect coverage for yourself only, or you can include your eligible dependent(s) for coverage:
Making Changes During the Year Your benefit elections remain in effect for the entire plan year until the following Open Enrollment. You may only change coverage during the plan year if you have a QLE such as marriage, divorce, birth or adoption,
z
Employee Only
z
Employee + Spouse
notify Human Resources benefits in a
z
Employee + Child(ren)
timely manner if any of these events
z
Employee + Family
loss of other coverage, etc. You must
occur. Contact Human Resources for a full list of QLEs and the notification
Eligible Dependents Include:
timeframes required for requested
z
Your legal or common law spouse
z
Your dependent biological, step, or adopted child(ren) under age 26
z
Any child under age 26 for whom you have been granted legal custody or are required to
1
cover as a part of a Qualified Medical Child Support Order z
Any dependent or unmarried disabled child
If you enroll a dependent spouse or child, you must complete the Dependent Certification of Eligibility document available in the Paycom self-service portal. The following documents are accepted as proof of dependency: z
Dependent Child Documentation – birth certificate, court ordered custody, page one of your most recent IRS 1040 filing, or proof of disability if older than age 25
z
Spouse – marriage certificate with court stamp, informal marriage certificate or signed affidavit from County Clerk’s office for common law spouse, or page one of your most recent IRS 1040 filing
Failure to complete the Dependent Certification of Eligibility form or provide documentation will result in loss of dependent coverage effective April 30, 2026. If your spouse has coverage available through their own employer, they are not eligible to enroll in the Geospace Medical and Dental Plans. They need to enroll in their own employer’s plans, provided the plans are ACA compliant. 1
changes.
6 GEOSPACE TECHNOLOGIES
Enrolling for Benefits Paying for Your Benefits Your share of the cost for health care premiums is deducted from your paycheck on a pretax basis. Pretax dollars are subtracted from your pay
You have 30 days in which to make your benefit elections. If you fail to enroll or choose not to participate in the benefit programs when you are first eligible, you must wait until the next open enrollment to enroll for coverage, unless you experience a QLE.
How to Enroll
before income and Social Security
Go online to www.paycomonline.net.
taxes are withheld. In other words, you
z
Select Employee.
z
Enter your username, password, and the last four digits of your Social Security number.
pay for your share of benefits with taxfree money. This lowers your taxable income, which means you will pay less in taxes.
When Coverage Ends
Then select Login. z
Select the Notification tab and click Benefits Enrollment.
z
Select Start Enrollment.
z
Update your personal information and add dependents. Proof of dependency
In general, coverage under the
documentation is required when you enroll your spouse or child dependents in the medical
benefit programs ends the last day
and dental plans:
of the month in which you terminate
y
Complete the Dependent Certification of Eligibility Form.
y
Select the Benefits box and scroll down to Benefits Forms and Links.
y
Click on Dependent Certification of Eligibility.
y
Fill out the requested information and click Submit.
your employment or lose eligibility, whichever comes first.
z
Make your benefit election(s) and click Enroll or Decline.
z
The Benefit Plan Selection Review screen will appear. Please review your benefit elections. Once you are satisfied with your choices, check Complete Enrollment then confirm by clicking OK.
z
When you are ready to complete your enrollment, click Sign and Submit.
7 2026–2027 EMPLOYEE BENEFITS GUIDE
We all have questions. The Higginbotham Employee Response Center is available to help you! enrollment
eligibility
EMPLOYEE RESPONSE CENTER
benefits information
claims and billing questions
866-419-3518
Call or text with a bilingual representative Monday through Friday from 7:00 a.m. to 6:00 p.m. CT. If you leave a message after 3:00 p.m. CT, your call or text will be returned the next business day. Email questions or requests to helpline@higginbotham.net.
8 GEOSPACE TECHNOLOGIES
Medical Coverage Maximize Your Benefits When you visit an in-network provider, you receive the highest level of benefits and save on out-of-pocket costs. In-network providers charge reduced, contracted fees. Out-of-
Our medical coverage is provided through UnitedHealthcare (UHC). You have a choice of four plans: the Nexus ACO, Choice EPO, Choice Plus PPO, and the HDHP. Two of our medical plans provide access to both in-network and out-of-network providers: Choice Plus PPO and HDHP. You will get better discounts and pay less money by remaining in-network for health care services. All out-of-network services are subjected to Reasonable and Customary (R&C) limitations. This means you are responsible for all charges over this allowance.
network providers set their own
UHC can help limit your out-of-pocket expenses through reimbursement arrangements with the
rates, so you may be responsible for
providers in your network that result in significant cost savings.
the difference if a provider’s fees are above the R&C limits.
Nexus ACO Plan z
Houston, TX – Memorial Hermann Network Only
z
Austin, TX – Seton Health Alliance Network Only
z
Orlando, FL – Florida Hospital Network Only
The Nexus ACO option requires you to seek medical services with a Memorial Hermann network physician or facility if you reside in Houston, a Seton Health Alliance network physician or facility if you reside in Austin, or a Florida Hospital network physician or facility if you reside in Orlando. You can reduce your office visit copay as well as reduce your calendar year deductible if you choose this medical option and ONLY utilize contracted network physicians and facilities. If you elect this plan and do not reside in Houston, Austin, or Orlando, you must seek medical services with a UHC Premium Tier 1 provider or facility to receive the Premium Tier 1 benefits, or a provider or facility in the Choice EPO network to receive non-premium Tier 1 benefits.
Choice EPO Plan z
UHC Choice Network
This option is an Exclusive Provider Organization (EPO) plan and provides a larger network of UHC providers and facilities through the UHC Choice network. If you seek services outside of this network, you will be responsible for all billed charges.
Choice Plus POS Plan z
UHC Choice Plus Network
The Point of Service (POS) plan is similar to a Preferred Provider Organization (PPO) plan and allows you the choice of in-network or out-of-network providers. If you choose in-network providers, the benefit will allow for lower deductible, coinsurance, and out-of-pocket limits than that of out-of-network providers and facilities. However, if you have an out-of-network provider that you prefer to use, benefits will be paid on a portion of these services.
HDHP Plan z
UHC Choice Plus Network
The High Deductible Health Plan (HDHP) is also similar to the PPO in that you have the option to choose any provider when you need care. However, in exchange for a lower per-paycheck cost, you must satisfy a higher deductible that applies to almost all health care expenses, including those for prescription drugs. Once your deductible has been met, you will continue to pay a prescription copay until your out-of-pocket maximum is met, then the plan pays 100%.
9 2026–2027 EMPLOYEE BENEFITS GUIDE
Four Health Plans Medical Benefits Summary NEXUS ACO
CHOICE EPO
Memorial Hermann (Houston only) Seton Health Alliance (Austin only) Florida Hospital (Orlando only)
Choice
In-Network Only
In-Network Only
Coinsurance
100%
100%
Annual Deductible y Individual y Family
$500 $1,000
$1,000 $2,000
Out-of-Pocket Maximum y Individual y Family y Lifetime
$6,3501 $12,7001 Unlimited
$6,3501 $12,7001 Unlimited
Plan Pays
Plan Pays
Virtual Visit
100% after $30 copay
100% after $20 copay
Office Visit y Premium Tier 1 PCP and Specialist y Non-Premium Tier 1 PCP and Specialist
100% after $30 copay 100% after $60 copay
100% after $40 copay 100% after $60 copay
Preventive Care
100%, deductible waived
100%, deductible waived
Lab, X-ray, Diagnostic Testing
100%, deductible waived
100%, deductible waived
Complex Imaging CT, PET, MRI, nuclear medicine
100%2
100%2
Outpatient Surgery
100%2
100%2
Hospitalization
100%2
100%2
Emergency Room
100% after $200 copay
100% after $250 copay
$10 copay $45 copay $70 copay $100 copay
$10 copay $45 copay $70 copay $100 copay
Network
Prescription Drugs – Retail Up to a 30-day supply y Tier 1 y Tier 2 y Tier 3 y Tier 4
Out-of-Pocket maximums for UHC Nexus ACO and Choice EPO plans are illustrative. Total plan copays cannot exceed this amount. For more detailed plan information, consult your plan document. 1
2
After deductible.
NOTE: Precertification is required in advance of a scheduled service such as hospitalization or surgical procedures. If you are in-network, your provider is responsible for this precertification. If you are out-of-network, you are responsible for your own precertification. In addition, mental health or substance abuse treatment, as well as certain outpatient procedures, also require this precertification. Failure to precertify while using an out-of-network provider will result in a reduction in benefits.
10 GEOSPACE TECHNOLOGIES
Medical Benefits Summary CHOICE PLUS POS
HDHP
Choice Plus
Choice Plus
Network In-Network
Out-of-Network
In-Network
Out-of-Network
Coinsurance
80%
70%
80%
60%
Annual Deductible y Individual y Family
$1,000 $ 2,000
$1,250 $2,500
$3,400 $6,800
$6,800 $13,600
Out-of-Pocket Maximum y Individual y Family y Lifetime
$3,500 $7,000 Unlimited
$4,250 $8,500 Unlimited
$4,000 $8,000 Unlimited
$7,600 $15,200 Unlimited
Virtual Visit Office Visit y Premium Tier 1 PCP and Specialist y Non-Premium Tier 1 PCP and Specialist
Plan Pays
Plan Pays
100% after $20 copay
80%2
100% after $40 copay 100% after $60 copay
70%2 70%2
80%2 80%2
60%2 60%2
Preventive Care
100%, deductible waived
70%2
100%, deductible waived
60%2
Lab, X-ray, Diagnostic Testing
100%, deductible waived
70%2
80%2
60%2
Complex Imaging CT, PET, MRI, nuclear medicine
80%2
70%2
80%2
60%2
Outpatient Surgery
80%2
70%2
80%2
60%2
Hospitalization
80%2
70%2
80%2
60%2
Emergency Room
100% after $250 copay
100% after $250 copay
80%2
60%2
Prescription Drugs – Retail Up to a 30-day supply y Tier 1 y Tier 2 y Tier 3 y Tier 4
$10 copay $45 copay $70 copay $100 copay
$10 copay2 $45 copay2 $70 copay2 $100 copay2
Out-of-Pocket maximums for UHC Nexus ACO and Choice EPO plans are illustrative. Total plan copays cannot exceed this amount. For more detailed plan information, consult your plan document. 1
2
After deductible.
NOTE: Precertification is required in advance of a scheduled service such as hospitalization or surgical procedures. If you are in-network, your provider is responsible for this precertification. If you are out-of-network, you are responsible for your own precertification. In addition, mental health or substance abuse treatment, as well as certain outpatient procedures, also require this precertification. Failure to precertify while using an out-of-network provider will result in a reduction in benefits.
11 2026–2027 EMPLOYEE BENEFITS GUIDE
Prescription Drugs Your prescription drug coverage is provided through UHC and helps manage your prescription drug costs with discounts on certain brand name drugs. The UHC Rx Clinical Management Program may have requirements for certain medications. Please check the UHC Advantage Prescription Drug List for your specific medications to confirm coverage. You generally will pay the lowest copayment when using generics. If a generic is not available, ask your doctor to consider prescribing a brand-name medicine from your formulary list. These brand-name medicines are available at a lower copayment and may provide cost savings to you. Choosing brand-name medicines not on your formulary list may result in a higher copayment. What is the difference between generic, formulary, non-formulary, and specialty drugs? z
Generic Drugs (Tier 1) are cost-effective alternatives to brand-name medicines.
z
Formulary Brand-Name Drugs (Tier 2) are prescription medications selected by a committee of physicians and pharmacists. The committee chooses the Preferred (Formulary) products using strict criteria such as safety and efficacy (usually does not have a generic alternative).
z
Non-formulary Brand-Name Drugs (Tier 3) are all other brand-name drugs not included on the Tier 2 list.
z
Specialty Brand Drugs (Tier 4) are prescription medications that are used to treat complex or rare conditions.
For a complete list of the formulary (preferred brand- name) drugs, go to www.myuhc.com.
Home Delivery For maintenance medications, you can use the UHC Rx home delivery service and receive a 90day supply for a two-month copayment. Employees who are taking maintenance medications — like cholesterol and diabetes medications — benefit by using this plan feature. For more information, please call UHC at the phone number on the back of your ID card. PRESCRIPTIONS Tier 1 Generic
Tier 2 Formulary Brand Name
Tier 3 Non-Formulary Brand Name
Tier 4 Specialty Brand
Retail Network Pharmacy Up to a 30-day supply
$10 copay
$45 copay
$70 copay
$100 copay
Mail Order Network Pharmacy Up to a 90-day supply
$20 copay
$90 copay
$140 copay
N/A
NOTE: For the HDHP plan, employees must first meet the medical deductible before the copayment benefit level is effective.
12 GEOSPACE TECHNOLOGIES
Choosing a Doctor How to Locate an In-Network Provider Log in to www.myuhc.com to search and filter by name, facility, specialty, location,
Register for myuhc.com
and other options like qualifications. You can get additional information about doctors,
myuhc.com is a personalized
understand your coverage, and learn which services may require approval.
website that helps you access and
z
Take advantage of network care. Network doctors, mental health professionals, hospitals, clinics, and laboratories charge discounted rates, which typically save you money. Even if your plan allows you to receive care outside of your network, be
z
manage your health plan and health information. Set up your account and get 24/7 online access to your health
aware that it could cost you more.
plan. Use it to:
Choose with confidence. The UnitedHealth Premium program evaluates doctors
z
facilities
in 17 premium specialties which represent 48 sub-specialties using quality and cost efficiency standards. It was created to help you make more informed and personally
z
appropriate choices for your medical care. Find a UnitedHealth Premium provider at www.myuhc.com. With some plans, your out-of-pocket costs may be less when
Check your coverage and claims status
z
Review preventive care services
for details.
z
Print a temporary ID card
Need hospital care? Talk to your doctor first to determine which hospital can meet
z
Receive two award-winning
you use UnitedHealth Premium Care Physicians. Check your health plan documents z
Find network doctors and
monthly enewsletters: Healthy
your medical or surgical needs. You or your doctor may be required to notify UHC
Mind Healthy Body and Benefit
before you are admitted.
Awareness News
Set Up Your Account z
Go to www.myuhc.com.
z
Click on Register Now. You will need your ID card or your Social Security number and date of birth.
z
Follow the step-by-step instructions.
13 2026–2027 EMPLOYEE BENEFITS GUIDE
UnitedHealth Premium Designation Program UHC has long recognized the direct relationship between quality of care and successful outcomes. Doctors who receive the Premium care designation meet specific quality and cost efficiency criteria, which help lower costs and provide you with a higher quality of care. As a Geospace Technologies employee, you have access to this additional level of benefit. UHC’s Tier 1 symbol can help you quickly and easily identify doctors who have been recognized for providing value. UnitedHealth Premium specialties for 2026 are: z
Allergy
z
Neurosurgery – Spine
z
Cardiology
z
OB/GYN
z
Endocrinology
z
Ophthalmology
z
Family Practice
z
Orthopedics
z
General Surgery
z
Pediatrics
z
Internal Medicine
z
Pulmonology
z
Nephrology
z
Rheumatology
z
Neurology
z
Urology
If you choose to see a UnitedHealth Premium designated specialist, you will pay the same copay as you would for a Primary Care Physician office visit.
UnitedHealth Premium symbols look like this: Premium Care Physician. The physician meets the criteria for providing quality and cost-efficient care.
Quality Care Physician. The physician meets the criteria for providing quality care.
Here's how it looks on m Quality Not Evaluated. The physician does not have enough claims data to be evaluated for quality, so the physician is not eligible for the cost-efficient care designation.
UnitedHealth Premium symbols look like this: Premium Care Physician. The physician meets the criteria for providing quality and cost-efficient care.
Quality Care Physician. The physician meets the criteria for providing quality care. Here's how it looks on myuhc.com. Quality Not Evaluated. The physician does not have enough claims data to be evaluated for quality, so the physician is not eligible for the cost-efficient care designation.
14 GEOSPACE TECHNOLOGIES
Telemedicine As part of your UHC medical plan benefits, you have access to quality national telemedicine services through AmWell, Doctor On Demand, and Teladoc. Connect with a board certified doctor 24/7/365 via video chat or phone, without leaving your home or office. These services can be cost-effective alternatives to visiting a convenient care clinic, urgent care center, or emergency room. Telemedicine should only be used for minor conditions such as:
Pat’s Virtual Visit One morning, I awoke with a headache, sore throat, fever, nausea, and congestion. I was too sick to drive, so I decided to call for a virtual visit.
z
Sore throat
z
Allergies
After registering online and paying my
z
Headache
z
Fever
copay, I waited about five minutes for
z
Stomachache
z
Urinary tract infections
z
Cold or flu
Register for these telemedicine services so you are ready when and where you need it: z
AmWell – Visit https://patients.amwell.com
z
Doctor on Demand – Visit www.doctorondemand.com/uhc and click on Join Now.
z
Teladoc – Visit https://uhc.teladoc.com
Follow the prompts on each site to register.
the doctor to appear over live video. The doctor was very professional and listened to all of my health concerns and symptoms. She discussed my treatment options and sent prescriptions to my local pharmacy. This is a great benefit because I was able to see a doctor without ever leaving my home!
2ND.MD Service UHC offers free second opinions via 2ND.MD to help with a new diagnosis, chronic condition, change in treatment, mental health care, or possible surgery. You can speak to elite specialists by video or phone to get more certainty and ask questions about your medical situation. Appointments
Orthopedic Health Support If you suffer from back, neck, or other joint pain, UHC offers a pain management program at no cost to you. Get answers from a registered nurse on questions like treatment options, pain management, costs, additional resources, and more. If you are considering undergoing a procedure, contact your orthopedic nurse advocate to discuss having your procedure done at an approved Centers of Excellence facility.
are usually made within three to five days of contact. You will receive a written summary of your discussion within 24 hours and referrals for local consultations, as needed.
Taking these steps may reduce your out-of-pocket costs and may give you a better
Call 866-269-3534 or visit
chance at a successful outcome. Call the member number on your health plan ID card
www.2nd.md/activate for more
and ask for Orthopedic Health Support or visit www.myuhc.phs.com/orthopedic.
details or to schedule a consultation.
15 2026–2027 EMPLOYEE BENEFITS GUIDE
Medical Plan Rate Comparison Premiums will be deducted from the first and second paychecks each month (no deductions taken from third paychecks). NEXUS ACO
CHOICE EPO
CHOICE PLUS POS
HDHP
Employee Only
$44.31
$54.87
$83.69
$29.05
Employee + Spouse
$141.86
$169.90
$232.96
$70.06
Semimonthly Rates
Employee + Child(ren)
$139.96
$167.80
$221.51
$79.49
Employee + Family
$224.95
$262.23
$318.80
$105.08
Employee Only
$39.38
$28.82
$0
$54.64
Employee + Spouse
$91.10
$63.06
$0
$162.91
Employee + Child(ren)
$81.55
$53.71
$0
$142.03
Employee + Family
$93.85
$56.57
$0
$213.71
Employee
$500
$1,000
$1,000
$3,400
Family
$1,000
$2,000
$2,000
$6,800
No
No
No
Yes
No Yes
No Yes
No Yes
Yes No
In-Network
Yes
Yes
Yes
Yes
Out-of-Network
No
No
Yes
Yes
Per Paycheck Savings Comparison1
In-Network Deductible
Health Savings Account Maximum Contributions y $4,400 (individual) y $8,750 (family, filing jointly) y $1,000 (age 55+ catch-up contribution) Flexible Spending Accounts Maximum Contributions y Limited Purpose – $3,400 y Health Care – $3,400 Benefits Network Coverage
1
Savings per paycheck compared to most expensive plan.
16 GEOSPACE TECHNOLOGIES
Advocate4Me When you have questions about your health care, get answers quickly and reliably from UHC’s Advocate4Me. The Advocate4Me program connects you with a personal Advocate who helps you navigate the health care system to get the information and support you need. Your Advocate consults with a team of experts who specialize in such areas as clinical medicine, behavioral health, wellness, pharmaceuticals, and cost management. Your Advocate can also help you understand your overall health benefits plan so you can make informed health care decisions for you and your family. Your Advocate will focus on your immediate issue and then consult with other Advocates who can help with related health care questions.
UnitedHealthcare Mobile App For quick and easy access to your health care information, download the UnitedHealthcare mobile app. Using the app, you can: z
Demand. z
common medical visits. z
ADVOCATE4ME Advocate
Access user-friendly explanations of medical insurance terms such as
Helps With
Nurse Advocate A clinically licensed expert (LPN or RN) who can provide health education
y Complex or recurring conditions y Treatment options/decision support y Long-term care y Pharmaceutical information
Health Advocate A claims and wellness expert
y Program enrollment y Benefits and claims support y Preventive care and basic health education y High-cost system use (e.g., out-of-network or denied claims)
Benefit Advocate A customer service expert
y Member tools questions and answers y Procedure costs y Understanding your benefits y Physician verification and appointment scheduling
copayment and coinsurance. z
Save your favorite providers and access them through the Dashboard.
z
Receive generic health care recommendations based on your age and gender through the Health Checklist.
z
View and share your medical ID card.
z
View claims information and updated deductible and
Contact Advocate4Me
coinsurance amounts.
Call the phone number listed on your health plan ID card or email advocate4me@uhc.com.
Kaia Want to decrease pain and live a healthier lifestyle? There’s an app for that! As part of your health care plan, you get access to: z
On-demand pain relief care
z
Strength and relaxation exercises
z
Personalized workouts
z
Pain education and more!
z
Certified health coach professionals
Combat aches and pains, take advantage of one-on-one coaching with certified professionals, and get personalized workouts with Kaia’s free health app. Visit www.startkaia.com/uhc or download the Kaia app to get started right away.
View your copay and coinsurance information for
Health resources and tools are accessible online and Advocate4Me Advocates are available 24/7 by phone or email.
Access resources like Doctor on
17 2026–2027 EMPLOYEE BENEFITS GUIDE
One Pass Select One Pass Select offers a low-cost nationwide gym membership – including digital fitness. Get access to gyms, studios, online workouts, and even grocery delivery with one monthly membership. z
There are no long-term contracts or annual gym registration fees.
z
You can change your subscription or add family members (ages 18+) anytime.
Membership Options DIGITAL
CLASSIC
STANDARD
PREMIUM
ELITE
Monthly Fee
$10
$29
$64
$99
$144
One-time Enrollment Fee
$10
$29
$29
$29
$29
4
4 4
4 4
4 4
Multi-location Access Premium Network
Find a Gym Near You z
Go to www.onepassselect.com to find a gym near you.
z
Gym partners include Anytime Fitness, Crunch, LA Fitness, Life Time, Orangetheory, and CrossFit.
How to Enroll 1.
Scan QR code above or visit: www.member.uhc.com/coverage/additional
2.
Sign in or register
3.
Select the One Pass Select tile
18 GEOSPACE TECHNOLOGIES
Health Care Options
Becoming familiar with your options for medical care can save you time and money. HEALTH CARE PROVIDER
SYMPTOMS
AVERAGE COST
AVERAGE WAIT
y Allergies y Cough/cold/flu y Rash y Stomachache
$
2-5 minutes
y Infections y Sore and strep throat y Vaccinations y Minor injuries/sprains/strains
$
15-20 minutes
y Common infections y Minor injuries y Pregnancy tests y Vaccinations
$
15 minutes
y Sprains and strains y Minor broken bones y Small cuts that may require stitches y Minor burns and infections
$$
15-30 minutes
$$$$
4+ hours
$$$$$$
Minimal
Non-Emergency Care
VIRTUAL VISITS/ TELEMEDICINE
DOCTOR’S OFFICE
Access to care via phone, online video, or mobile app whether you are home, work, or traveling; medications can be prescribed 24 hours a day, 7 days a week
Generally, the best place for routine preventive care; established relationship; able to treat based on medical history Office hours vary
Usually lower out-of-pocket cost than urgent care; when you can’t see your doctor; located in stores and pharmacies
RETAIL CLINIC
Hours vary based on store hours
When you need immediate attention; walk-in basis is usually accepted
URGENT CARE
Generally includes evening, weekend, and holiday hours
Emergency Care
24 hours a day, 7 days a week
y Chest pain y Difficulty breathing y Severe bleeding y Blurred or sudden loss of vision y Major broken bones
Services do not include trauma care; can look similar to an urgent care center, but medical bills may be 10 times higher
y Most major injuries except trauma y Severe pain
Life-threatening or critical conditions; trauma treatment; multiple bills for doctor and facility
HOSPITAL ER
FREESTANDING ER
24 hours a day, 7 days a week
Note: Examples of symptoms are not inclusive of all health issues. Wait times described are only estimates. This information is not intended as medical advice. If you have questions, please call the phone number on the back of your medical ID card.
19 2026–2027 EMPLOYEE BENEFITS GUIDE
Health Savings Account
Enrolling in the HDHP medical plan provides eligibility to open a Health Savings Account (HSA). An HSA is a personal savings account you can use to pay qualified out-of-pocket medical expenses with pretax dollars. You — not Geospace Technologies — own and control the money in your HSA. The money you deposit is not taxed, and you can invest it in stocks, bonds, and mutual funds. The money in this account (including interest and investment earnings) grows tax-free, and as long as the funds are used to pay for qualified medical expenses, they are spent
Geospace Technologies HSA Contributions Geospace Technologies will DOUBLE your contribution to the HSA account, up to $500 for individuals and $750 for family
tax-free. Geospace Technologies’ HSA program is managed by Health Equity.
enrollment.
Unlike a Flexible Spending Account, there is no “use it or lose it” rule — you do not lose your
Example A: Joe is enrolled in the HDHP
money if you do not spend it in the calendar year — and there are no vesting requirements
with Employee Only elections and
or forfeiture provisions. The account will automatically roll over year after year. Since it is an
contributes $250 annually into his HSA.
individual account, if you change health plans or jobs, the balance is yours to keep.
z
Joe’s annual contribution pledge: $250
HSA Eligibility
z
You are eligible to open and contribute to an HSA if you:
Geospace Technologies’ annual match pledge: $500
z
Are enrolled in an HSA-eligible HDHP
z
Are not covered by another non-HDHP plan such as your spouse’s health plan or a Health
z
Total contributed in Joe’s HSA for the 2026-2027 plan year: $750
Care Flexible Spending Account (FSA)
Example B: Jane is enrolled in the HDHP
z
Are not eligible to be claimed as a dependent on someone else’s tax return
with Family elections and contributes
z
Are not enrolled in Medicare, Medicaid, or TRICARE
z
Have not received Veterans Administration benefits
$1,000 annually into her HSA. z
Jane’s annual contribution pledge: $1,000
You can use the money in your HSA to pay for qualified medical expenses now or in the future. Your HSA can be used for your expenses and those of your spouse and dependents even if they
z
match pledge: $750
are not covered by the HDHP. z
Maximum Contributions
Geospace Technologies’ annual Total contributed in Jane’s HSA for the 2026-2027 plan year: $1,750
Your HSA contributions, when combined with Geospace Technologies’ contributions, may not exceed the annual maximum amount established by the IRS. The annual contribution maximum is based on the coverage option you elect. Employees age 55 and older are allowed to make an additional annual catch-up contribution of up to $1,000. MAXIMUM HSA CONTRIBUTIONS Employee Contribution
Geospace Technologies Contribution
Total Maximum Contribution
Individual
$3,900
$500
$4,400
Family (filing jointly)
$8,000
$750
$8,750
If you open and contribute to the HSA through Health Equity, an account with Wells Fargo will be opened for you. A QuickStart Guide will be emailed to you, and a Health Equity debit card will be mailed to your address on record. Review both items for important information on how the HSA works. Note: All HSA participants must comply with the Customer Identification Program (CIP), a required regulation through Section 326 of the USA Patriot Act. The CIP regulation requires institutions, such as Wells Fargo, to verify the identity of all HSA customers including Social Security number, name, date of birth, and physical address (cannot be a P.O. Box). If Wells Fargo is unable to verify the identifying information provided, Wells Fargo will send a letter to the account holder address on file requesting additional documentation to satisfy CIP. The account cannot be opened until CIP is verified.
20 GEOSPACE TECHNOLOGIES
HDHP and HSA FAQ
Q What is the HDHP medical plan Geospace Technologies offers? A It is an IRS-qualified High Deductible Health Plan allowing you the benefit of a Health
Savings Account. Both employees and employers can make contributions to this account.
Q What is an HSA? A An HSA is a savings account that allows you to save and pay for qualified health expenses for you and your dependents on a tax-free basis. Geospace Technologies will withhold
elected contributions from your payroll and deposit the pretax money into your HSA. For 2026-2027, Geospace Technologies will double your contribution up to $500 annually for Employee Only coverage and up to $750 annually for Family coverage into the HSA.
Q How do I open an HSA bank account? A If you elect to contribute to the HSA when completing your online enrollment through
Paycom, a request will be sent to Wells Fargo on your behalf for an account to be opened. You will be required to complete an online application before any contributions will be deposited into your account. You will be notified via mail on the steps to take to complete your application online.
Q Who is eligible for an HSA? A You must be enrolled in an IRS-qualified HDHP. You must not be covered by another
medical plan unless the other medical plan is also a qualified HDHP. You must not be enrolled in Medicare coverage.
Q Does my HSA earn interest? A Yes, once your account reaches a certain threshold, your HSA may earn interest and the interest is non-taxable.
Q How do I pay for claims through my HSA? A You will receive a debit card from Health Equity. You can use this card for HSA eligible
expenses at certain qualified locations. There are additional ways to utilize your money with Health Equity. Contact Human Resources for additional information.
Q Is there a penalty for paying non-
qualified health expenses from my HSA?
A Yes, you will be subject to your regular income tax rate and a 20% penalty.
Q Do I have to prove my expenses are qualified health expenses?
A You are responsible for saving receipts in the event the IRS audits your tax return.
Q If I do not spend all of the money in my HSA, do I lose it?
A No, you own your HSA. Any unused
funds are yours and remain in your HSA. You can use this money for qualified health-related expenses throughout your life.
Q If I leave Geospace Technologies, do I lose the money in my HSA?
A No, you own your HSA and the money is yours to keep, including the money
Geospace Technologies has deposited on your behalf. You can use this money for qualified health-related expenses throughout your life.
21 2026–2027 EMPLOYEE BENEFITS GUIDE
Jessica Asks: How do an HSA and HDHP work together? z
Jessica is single. Her HDHP covers preventive care at 100% and has a deductible of $2,800.
z
The cost of her routine physical exam and other preventive care is covered 100% by her
Jessica’s HSA z
deductions and direct deposit, available from her employer, to
health plan. z
save $2,850 in her HSA — in part,
Jessica takes prescription medication on a regular basis. She is responsible for paying for
money saved from her lower
her prescriptions and other qualified medical care until she has paid $2,800 — the amount of her deductible. z
After that, she is responsible for paying 20% of the cost — or coinsurance — until she
premiums. z
contributions.
EXPENSE
CHARGE
WHAT THE PLAN PAYS
WHAT JESSICA PAYS
Annual Physical Exam
$500
$3501
$0
Medication
$3,000
$320
$2,800 + $100 (deductible + coinsurance)2
TOTALS
$3,500
$670
$2,900
1
Plan covers preventive care 100%. Plan’s negotiated rates with Jessica’s physician apply.
2
Plan calls for 20% coinsurance once the deductible is met, up to a maximum out-of-pocket expense of $3,500.
Mark Asks: How does funding an HSA save on taxes? z
Mark has family coverage with an HDHP.
z
His total pretax contribution for the year is $6,850.
z
Every pay period, he puts $259.61 into his HSA.
z
Mark’s federal tax bracket is 28%.1 Mark lives in Illinois, where HSA contributions are not taxed.2 His total federal income tax savings on contributions this year are ($6,850 × 0.28) + ($6,850 × 0.03) = $2,123.50.
1
Please see www.irs.gov to determine your tax bracket.
Hypothetical example assumes a state tax rate of 3% in Illinois. While HSAs were created by the federal government, states can choose to follow the federal tax treatment guidelines or establish their own. Some states have chosen to tax HSA contributions. Talk to your financial advisor or consult your state Department of Revenue for more information. 2
Jessica receives $500 from Geospace Technologies in HSA
reaches her plan’s out-of-pocket limit of $3,500.
z
She uses pretax payroll
z
Her federal tax savings with her HSA are approximately $1,093.*
z
At year-end, she has $450 left in her HSA as a basis for future savings or to help pay for medical expenses the following year.
HSA Deposits
$3,350
Total Out-of-Pocket Cost Deductible + Coinsurance
$2,900
Account Carries Forward
$450
* Assumes Jessica is in the 25% federal tax bracket and lives in a state where HSAs are not taxed. She also saves 7.65% in Social Security and Medicare (FICA) taxes.
22 GEOSPACE TECHNOLOGIES
Voluntary Dental Coverage Our dental plans through Guardian Life help you maintain good dental health through affordable options for preventive care, including regular checkups and other dental work. Premium contributions for dental will be deducted from your paycheck on a pretax basis. You have the choice between a Dental Health Management Organization (DHMO) and a passive Dental Preferred Provider Organization (DPPO) plan.
DPPO Plan The DPPO plan allows you to use ANY dentist. If you receive care from an in-network dentist, you will save money through negotiated network discounts. Using an in-network dentist reduces your share of dental costs, and your dentist agrees not to bill you for covered services over usual and customary limits. Remember, the use of an in-network dentist is OPTIONAL.
DHMO Plan
DPPO
The DHMO plan requires that you select a dentist or dental group for all of your family members when you enroll. This dentist or dental group must provide ALL dental services; otherwise, there will be no benefit. When you go to your selected network dentist, the Schedule of Benefits and subscriber copayments determine your payment. If the dentist requires a procedure that is not listed on the schedule, it will not be covered on this plan.
DentalGuard Preferred Network Plan Year Deductible y Individual y Family
$50 $150
Plan Year Maximum Benefit Per covered person
$1,500
Diagnostic and Preventive Exams and cleanings (every six months), X-rays (once per year)
DHMO
You Pay
$0 – deductible waived
Managed DentalGuard – Texas Network
You Pay
Diagnostic and Preventive y Office Visit y Periodic Exam – General dentist, full mouth X-rays, prophylaxis (one per 12 months)
Basic Services Fillings, simple extractions
20% of usual and customary charges*
$5 No charge
Major Services Root canals, bridges, acrylic and porcelain crowns, dentures
50% of usual and customary charges*
Restorative y Amalgam, one surface y Amalgam, two surfaces y Amalgam, three surfaces
$8 $12 $14
Endodontics y Anterior y Bicuspid y Molar
$95 $160 $170
Periodontics y Gingivectomy (per quadrant) y Gingivectomy (one to three teeth) y Perio scaling and root planing (per quadrant)
$80 $45 $30
Crown and Bridge y Porcelain with metal crown y Cast metal crown
$270 $250
Orthodontia Services y Braces (dependent children only) y Lifetime Maximum Treatment (per covered person)
50% of usual and customary charges $1,000
* After deductible
Oral Health Rewards Program If you are a Guardian dental plan member, you will automatically be enrolled in the Maximum Rollover Oral Program. When you have regular dental checkups, and your claims for the year are below the $700 threshold, Guardian will roll over a portion of your unused annual maximum into your personal Maximum Rollover Account (MRA).
Prosthodontics y Complete denture (upper or lower) y Partial denture y Denture reline (chair side) y Denture reline (laboratory)
$345 $310 $65 $120
Oral Surgery Extract single tooth, nonsurgical
$10
Extract Impacted Tooth y Soft tissue y Partial bony y Full bony
$50 $70 $80
claim activity.
Orthodontia y Child y Adult
$2,500 $2,800
Visit www.guardiananytime.com or call 800-541-7846.
Your MRA can be used in future years, if you reach the plan’s annual maximum. If you have at least $700 in your current year annual maximum benefit, Guardian will roll over $350 into your MRA. Leftover award balances carry over to the next benefit period. Once your account reaches $1,250, no additional funds will be placed in your MRA. You and your insured dependents maintain separate MRAs based on your own
How to Find an In-Network Dental Provider
23 2026–2027 EMPLOYEE BENEFITS GUIDE
Voluntary Vision Coverage Our vision plan through Guardian Life using the VSP Network is designed to provide basic eyewear needs and to preserve your health and eyesight. In addition to identifying vision and eye problems, regular exams can detect certain medical issues such as diabetes or high cholesterol. You may seek care from any licensed optometrist, ophthalmologist, or optician, but plan benefits are better if you use an in-network provider.
Vision Benefits Summary VSP In-Network You Pay
Out-of-Network Reimbursement Up To
Exam
$20 copay
$39
Lenses y Single vision y Bifocals y Trifocals y Lenticular
$20 copay $20 copay $20 copay $20 copay
$23 $27 $49 $64
$130 allowance + 20% off balance
$46
Up to $60 copay Up to $130 allowance $20 copay
Up to $60 copay Up to $130 allowance $20 copay
Frames Contacts In lieu of frames and lenses y Fitting and evaluation y Elective y Medically necessary Benefit Frequency Exams
Once every calendar year
Lenses
Once every calendar year
Frames
Once every two calendar years
Contacts
Once every calendar year
How to Find an In-Network Vision Provider Visit www.guardiananytime.com or call 877-814-8970.
24 GEOSPACE TECHNOLOGIES
How FSAs Work z
Estimate the amount you will need for eligible out-of-pocket
A great way to plan ahead and save money over the course of a year is to participate in our FSA
health care and/or dependent
programs administered by Health Equity. An FSA allows you to put a portion of your salary,
care expenses for the plan year
on a pretax basis, into reimbursement accounts. Pretax means the dollars you use for eligible
(2026-2027) or portion thereof,
expenses are not subject to Social Security, federal income, and in most cases, state and local
depending upon your effective
income taxes. The money you would have paid in taxes can then be used to pay qualified
date of coverage. Estimate
expenses. When you enroll, you must decide how much to set aside for each account. Estimate
carefully and contribute only as
your expenses conservatively as the IRS requires that you use the money in your account during
much as you think you will need,
the plan year and the applicable grace period (the “use it or lose it” rule).
subject to the plan limit. z
Flexible Spending Accounts
Divide your total estimated
You must enroll to contribute to an FSA. If you currently contribute to an FSA, you must re-enroll during open enrollment. Your account will not automatically carry over.
expenses by the number of paychecks you receive yearly, or portion thereof depending on your effective date of coverage. This is the amount that will be deducted from each paycheck and deposited into your noninterest bearing account(s). For faster service, visit
Health Care FSA A Health Care FSA enables you to take control of your out-of-pocket health care spending by contributing pretax money to your account to pay for everyday eligible expenses. The result can be substantial savings on products and services not covered by your medical, dental, or vision plan such as copayments, coinsurance deductibles, prescription expenses, lab exams, tests, contact lenses, eyeglasses, and more. A complete list of qualified expenses can be found in publication 502 on the IRS website. When you incur the expense, you will be reimbursed the full amount at that time. You can contribute up to $3,400 annually in your Health Care FSA.
www.healthequity.com to submit your claim and documentation online. You may also file a claim via fax, email, or mail using the following information: y Fax – 877-353-9236 y U.S. Mail – Claims
z
z
Limited Purpose FSA The Limited Purpose FSA is for employees enrolled in the HDHP with HSA medical plan option. The Limited Purpose FSA works the same way as the standard Health Care FSA does: pretax, “use it or lose it” elections, and expenses must occur within the plan year. However, with the Limited Purpose FSA, you can only submit claims for eligible vision and dental expenses. You can contribute up to $3,400 annually to a Limited Purpose FSA.
Administrator, P. O. Box 14053,
Dependent Care FSA
Lexington, KY 40512
A Dependent Care FSA helps pay for dependent care expenses associated with caring for elder
You have until June 15, 2027, to
or child dependents in order for you or your spouse to work or attend school full-time. The
incur services and until October
dependent child must be under age 13 and claimed as a dependent on your federal income tax
8, 2027, to submit claims.
return or a disabled dependent of any age incapable of caring for himself or herself, and who
Any funds remaining in your FSAs will be forfeited.
IMPORTANT: If you elect both the Health Care FSA and the HDHP medical plan during the same year, you will be unable to use your FSA debit card for medical expenses; only dental, vision, and other eligible expenses will be allowed.
spends at least eight hours a day in your home. Unlike the Health Care FSA, reimbursement from your Dependent Care FSA is limited to the total amount that is deposited in your account at that time. In order to be reimbursed, you must provide the tax identification or Social Security number of the party providing care, and that provider cannot be anyone considered your dependent for income tax purposes. You can contribute up to $7,500 annually if married filing jointly, and $3,750 if married filing separately, to a Dependent Care FSA.
25 2026–2027 EMPLOYEE BENEFITS GUIDE
Important
FLEXIBLE SPENDING ACCOUNTS Eligible Expenses
Annual Contribution Limits
Benefit
If you elect the HDHP medical plan
Health Care FSA
and open an HSA, you are eligible
Most medical, dental, and vision care expenses that are not covered by your health plan (such as copayments, coinsurance, deductibles, eyeglasses, and doctorprescribed over-the-counter medications).
for a Limited Purpose FSA only. The account can be used for dental and Saves on eligible expenses not covered by insurance; reduces your taxable income.
Maximum contribution is $3,400 per year.
contribution limit for the Limited Purpose FSA is $3,400. Maximum contribution is $7,500 per year ($3,750 if married and filing separate tax returns).
Reduces your taxable income.
Maximum contribution is $3,400 per year.
You (or your spouse) can make contributions to both the Limited Purpose FSA and the HSA. This allows you to maximize your savings and tax benefits.
Limited Purpose FSA Funds can only be used to pay for qualified dental, vision, and orthodontia expenses.
the same annual contribution limits as the Health Care FSA. The annual
Dependent Care FSA Dependent care expenses (such as daycare, after-school, or eldercare programs) in order for you and your spouse to work or attend school full-time.
vision expenses only and is subject to
How to Use the Debit Card The FSA debit card allows you to pay for eligible health care expenses at the point of service and deducts funds directly from your Health Care or Limited Purpose FSA. This allows you to avoid waiting for reimbursement. The debit card is automatically sent to new participants. If you are already a participant, keep your current card. You may use your FSA debit card at locations such as doctor and dentist offices, pharmacies, and vision service providers. The card cannot be used at locations that do not offer services under the plan, unless the provider has also complied with IRS regulations. Should you attempt to use the card at an ineligible location, the swipe transaction will be denied. Should you need to submit a receipt for substantiation, you will receive an email or Receipt Notification. Always retain receipts for your records.
FSAs Help You Save on Your Taxes Here is an example of how much you can save when you use your FSAs to pay for your predictable health care and dependent care expenses. WITH FSA
WITHOUT FSA
Your Taxable Income
$50,000
$50,000
Pretax FSA Contributions
$2,000
$0
Federal and Social Security Taxes
$11,701
$12,355
$0
$2,000
Spendable Income After Expenses and Taxes
$36,299
$35,645
Your Tax Savings
$654
N/A
Eligible Expenses Using Aftertax Dollars
26 GEOSPACE TECHNOLOGIES
FSA Eligible Expenses Your Health Care FSA dollars can be used for a variety of out-of-pocket health care expenses. The following is based on a list of eligible and ineligible expenses created by the IRS. It is not an all-inclusive list, but provides many examples of eligible expenses. Some eligible expenses require a Note of Medical Necessity from your health care provider to qualify for reimbursement.
Dental
Medical Equipment/Supplies
Obstetrics
z
Dental X-rays
z
Air purification equipment
z
Lamaze class
z
Dentures and bridges
z
Arches and orthotic inserts
z
OB/GYN exams
z
Exams and teeth cleaning
z
Contraceptive devices
z
OB/GYN maternity fees
z
Extractions and fillings
z
Crutches, walkers, wheelchairs
z
Prenatal and postnatal care
z
Oral surgery
z
Exercise equipment
z
Orthodontia
z
Hospital beds
Practitioners z
Allergist
z
Periodontal services
z
Mattresses
z
Chiropractor
z
Medic alert bracelet or necklace
z
Christian Science practitioner
Eye exams
z
Nebulizers
z
Dermatologist
Eyeglasses and contact lenses
z
Orthopedic shoes
z
Homeopath
Laser eye surgeries
z
Oxygen
z
Naturopath
Prescription sunglasses
z
Post-mastectomy clothing
z
Optometrist
Radial keratotomy
z
Prosthetics
z
Osteopath
z
Syringes
z
Physician
z
Psychiatrist or psychologist
Eyes z z z z z
Hearing z
Hearing aids and batteries
z
Hearing exams
Lab Exams/Tests
Medical Procedures/Services z
Acupuncture
z
Alcohol and drug/substance abuse treatment
z
Blood and metabolism tests
z
Ambulance
z
Body scans
z
Fertility enhancement and treatment
z
Cardiograms
z
Hair loss treatment
z
Laboratory fees
z
Hospital services
z
X-rays
z
Immunization
Medications
z
In vitro fertilization
z
Insulin
z
Physical examination
z
Prescription drugs
z
Service animals
z
Sterilization/sterilization reversal
z
Transplants (to include donor)
z
Transportation
Therapy z
Alcohol and drug addiction
z
Counseling
z
Exercise programs
z
Hypnosis
z
Massage (medically necessary)
z
Occupational
z
Physical
z
Smoking cessation programs
z
Speech
z
Weight loss programs
27 2026–2027 EMPLOYEE BENEFITS GUIDE
FSA and HSA Comparison FSA
HSA
Stands for
Flexible Spending Account
Health Savings Account
Who is eligible?
Determined by employer
Employees enrolled in a High Deductible Health Plan (HDHP) who do not have any other non-HDHP health plan, including coverage under Medicare, a spouse’s health plan, or FSA.
Contribution limits
$3,400
Single coverage – $4,400 Family coverage – $8,750
Who owns the account?
Employer
An HSA account is owned by the member.
Are contributions subject to income tax?
No
No
Does interest accrue?
No
Yes
Contributions
Money is deducted (pretax) from the employee’s salary every pay period. Additional individual contributions are NOT allowed.
Money is deducted (pretax) from the employee’s salary every pay period. Additional individual contributions ARE allowed.
Disbursement of funds
Most employers make the entire annual contribution amount available from the beginning of the year, even if the account is not fully funded yet.
Only funds paid in by the employee are available for health care expenses.
Catch-up contribution for older workers
No
Yes, employees aged 55 and older may contribute up to $1,000 more to their account per year. This contribution is an above the line income tax deduction.
Money can be accessed before it is paid in.
Only funds paid in can be accessed.
Not portable. Employee loses any unspent money in an FSA when employment is terminated.
Yes, funds are portable. HSA balance is not forfeited when the employee changes employers or health plans.
Any amount left in the account is forfeited.
Never expires or is lost.
No, this is a “use it or lose it” account.
Yes, unused funds are carried over to the following year.
Changes to contributions
Only for qualified events, such as a marriage, divorce, birth, or during Open Enrollment.
On a monthly basis.
Eligible medical expenses
Qualified medical expenses are those specified in the plan that would generally qualify for the medical and dental expenses deduction (e.g., copays, coinsurance, deductible, prescription drugs, braces, dental, and eye care expenses).
Qualified medical expenses defined under IRC 213(d), except for amounts distributed to pay health insurance premiums. HSAs can be used to pay premiums for Temporary Continuation of Coverage, Long Term Care, and health insurance for retirees.
Non-health expenses
FSA funds cannot be used for non-medical expenses.
HSA funds can be used for non-health care distributions but are included in gross income and subject to a 20% penalty if under age 65.
Is proof of expenses required?
Yes
No. However, the employee should be prepared to substantiate to the IRS the expense has been incurred, the amount of the expense, and its eligibility.
Access
Portability and forfeiture
Expiration Balance carryover (or rollover)
28 GEOSPACE TECHNOLOGIES
Life and AD&D Insurance Conversion or Portability Options Upon termination of employment, you will have the option of taking your Basic Life and AD&D benefits with you. z
Portability – You may elect to continue all or part of your employee Basic Group Term Life insurance by choosing a portable certificate of coverage, subject to certain terms and conditions.
z
Life and Accidental Death and Dismemberment (AD&D) insurance are important parts of your financial security, especially if others depend on you for support. With Life insurance, your beneficiary(ies) can use the coverage to pay off your debts such as credit cards, mortgages, and other final expenses. AD&D coverage provides specified benefits for a covered accidental bodily injury that causes dismemberment (e.g., the loss of a hand, foot, or eye). In the event that death occurs from an accident, 100% of the AD&D benefit would be payable to your beneficiary(ies). Your Basic and Voluntary Life and AD&D coverage amounts reduce by 50% at age 70.
Basic Life and AD&D Coverage Basic Life and AD&D insurance through Guardian Life are provided at no cost to you. Your benefit is equal to one times your annual base salary (not including commissions, overtime, or bonuses) up to a maximum of $100,000. For this reason, all employees are required to provide a
Conversion – You may also have
beneficiary designation form to the benefits department. You can update your beneficiary online
the option of converting your
in your Paycom account.
Basic Group Term Life insurance to an individual policy.
Dependent Life Insurance
Requests for portability or conversion
If you insure your dependents on a Geospace Technologies medical plan through UHC, you will
must be submitted to Guardian Life
automatically be enrolled in Dependent Life insurance at no cost to you through Guardian Life.
within 31 days of benefits ending under this plan. NOTE: Your plan currently has an age reduction provision that reduces your Life and AD&D benefits at age 70.
Your benefit will be: z
Spouse Life – $2,000
z
Child Life – $2,000 (ages 14 days to 26 years)
Please see the Guardian Life Summary
Designating a Beneficiary
Plan Description for specifics on this
Designating a beneficiary ensures how your Life and AD&D insurance benefits are paid in case of
age reduction schedule.
your death. You can name more than one beneficiary and you can change beneficiaries at any time. If you name more than one beneficiary, identify the share for each. Be sure all names are correct when you designate your beneficiaries.
29 2026–2027 EMPLOYEE BENEFITS GUIDE
Voluntary Life and AD&D Coverage You may purchase additional Life and AD&D insurance for you and your eligible dependents. If you decline voluntary coverage when first eligible, or if you elect coverage and wish to increase your benefit amount at a later date, Evidence of Insurability (EOI) — proof of good health — will be required before coverage is approved. You must elect Voluntary Life and AD&D coverage for yourself in order to elect coverage for your spouse or children. Coverage is provided through Guardian Life. If you leave Geospace Technologies, you may be able to take the insurance with you. Benefits reduce by 50% at age 70.
Calculate Your Voluntary Life and AD&D Costs Employee Calculation Take the amount of coverage you would like to purchase, divide by $1,000, and multiply by the semimonthly rate based on your age group. To calculate on an annual
VOLUNTARY LIFE AND AD&D
basis, multiply the semimonthly
Employee
y Increments of $10,000 up to $150,000 y Guaranteed Issue based on age: <65 – $150,000 65-70 – $50,000 70> - $10,000
coverage:
Spouse1
y Increments of $5,000 up to $50,000, not to exceed 100% of employee coverage y Guaranteed Issue based on age: <65 – $50,000 65-70 – $10,000 y $10,000 for children to age 26 y Guaranteed Issue: $10,000
z
Dependent Child(ren)
premium by 24. Example: You are 32 years old and would like to purchase $10,000 of z
$10,000 ÷ $1,000 × $0.065 = $0.65 semimonthly premium $0.65 × 24 = $15.60 annual premium
Semimonthly Rates per $1,000 Age
Employee
Spouse2
Spouse Calculation
<30
$0.063
$0.063
Take the amount of coverage you
30-34
$0.065
$0.065
would like to purchase, divide
35-39
$0.079
$0.079
40-44
$0.105
$0.105
45-49
$0.156
$0.156
50-54
$0.243
$0.243
55-59
$0.374
$0.374
60-64
$0.548
$0.548
65-69
$0.998
$0.998
70+
$1.921
$1.921
Child(ren) To age 26 1
Spouse benefit terminates at age 70.
2
Rates are based on the employee’s age.
by $1,000, and multiply by the semimonthly rate based on the employee’s age group. To calculate on an annual basis, multiply the semimonthly premium by 24. Example: The employee is 32 years old and would like to purchase $5,000 of spouse coverage: z
$5,000 ÷ $1,000 × $0.065 = $0.32 semimonthly premium
$0.106
z
$0.32 × 24 = $7.80 annual premium
30 GEOSPACE TECHNOLOGIES
Disability Programs If you suddenly become ill or are involved in an accident and are unable to work, it is easy to fall behind on your rent or mortgage, car payment, and other expenses. That is why a salary replacement plan is an important benefit for you and your family. Geospace Technologies provides full-time employees with Short Term Disability (STD) and Long Term Disability (LTD) income benefits, and pays the full cost of this coverage. In the event you become disabled from a non-work-related injury or sickness, disability income benefits are provided as a source of income. Disability coverage is provided through Guardian Life.
STD Insurance STD coverage pays a percentage of your salary if you are temporarily disabled and unable to work due to an illness, non-work-related injury, or pregnancy. STD benefits are NOT payable if the disability is due to a job-related injury or illness. If you have an STD claim, call Guardian Life at 888-262-5670 to initiate the process. Claims must be submitted and verified by Guardian Life for you to be paid STD. Claims can take 5-7 days to process. Geospace Technologies provides the following pay continuation as required: STD BENEFITS Exempt Employees Up to 1 year of service
100% of salary for one month, then 75% for up to five months
1 through 4 years of service
100% of salary for two months, then 75% for up to four months
5 through 9 years of service
100% of salary for three months, then 75% for up to three months
Over 10 years of service
100% of salary for four months, then 75% for up to two months
Non-exempt Employees Benefits Eligibility Begin Date
First of the month after 60 days of employment
Benefit Duration
Up to 90 days
Percentage of Income Replaced Elimination Period
70% of base weekly earnings After seven calendar days of disability
LTD Insurance In the event you remain disabled from an injury or illness, LTD benefits are provided as a source of income. LTD benefits will be offset with any other source of income or benefits. The chart below details the benefits available to you in the event of a disability. LTD BENEFITS Benefits Begin
After 90 days of disability
Benefit Duration
Social Security Normal Retirement Age
Percentage of Income Replaced Maximum Benefit
60% of average monthly earnings (not including commissions, overtime, or bonuses) $6,000 per month
31 2026–2027 EMPLOYEE BENEFITS GUIDE
Supplemental Insurance Accident Insurance
Critical Illness Insurance
Accident insurance through Guardian Life pays a fixed benefit directly
Critical Illness insurance through Guardian Life helps pay the cost of
to you in the event of an accident, regardless of any other coverage you
nonmedical expenses related to a covered critical illness or cancer.
may have. Benefits are paid according to a fixed schedule for accident-
The plan provides you a lump-sum benefit payment upon first and
related expenses including hospitalizations, fractures, dislocations,
second diagnosis of any covered critical illness or cancer to help cover
emergency room visits, major diagnostic exams, and physical therapy.
expenses such as lost income, out-of-town treatments, special diets,
Please refer to the Summary of Benefits for benefit details.
daily living, and household upkeep costs. Please refer to the Summary of Benefits for benefit details.
ACCIDENT INSURANCE Service
Benefit
CRITICAL ILLNESS
Emergency Treatment
$150
Lump-sum Benefit Amounts
Ambulance y Ground y Air
$300 $1,000
Hospitalization Admission
$1,000
Hospital Confinement
Employee
$10,000 to $20,000 in $5,000 increments
Spouse
$5,000 to $10,000 in increments of $2,500, not to exceed 50% of employee benefit
Child(ren)
Up to 25% of employee benefit
$250 per day up to one year
Intensive Care Unit Admission
$2,000
Intensive Care Unit Confinement
$500 per day up to 15 days
Specific Sum Injuries Dislocations, ruptured discs, eye injuries, fractures, lacerations, concussions, etc.
Based on schedule $75-$5,500
Invasive cancer/heart attack/ stroke/heart, kidney or organ failure
100% of benefit amount
$50
Carcinoma in situ/coronary arteriosclerosis
30% of benefit amount
Wellness Benefit Accidental Death & Dismemberment* y Employee y Spouse y Child
$25,000 $12,500 $5,000
Semimonthly Rates
Condition
First Occurrence Benefit
Semimonthly Rates per Benefit Amount Employee Age
$10,000
$15,000
$20,000
<30
$2.75
$4.13
$5.50
Employee Only
$6.33
30-39
$4.60
$6.90
$9.20
Employee + Spouse
$10.02
40-49
Employee + Child(ren)
$9.00
$13.50
$18.00
$10.53
Employee + Family
$14.21
50-59
$16.90
$25.35
$33.80
60-69
$25.30
$37.95
$50.60
70+
$43.20
$64.80
$86.40
*Percentage of benefit paid is dependent on type of loss.
Spouse* Age
$5,000
$7,500
$10,000
<30
$1.38
$2.07
$2.75
30-39
$2.30
$3.45
$4.60
40-49
$4.50
$6.75
$9.00
50-59
$8.45
$12.68
$16.90
60-69
$12.65
$18.98
$25.30
70+
$21.60
$32.40
$43.20
* Spouse rate is based on the employee’s age.
32 GEOSPACE TECHNOLOGIES
Hospital Indemnity Insurance Hospital Indemnity insurance through Guardian Life helps you with the high cost of medical care by paying you a cash benefit when you have an inpatient hospital stay. Unlike traditional insurance, which pays a benefit to the hospital or doctor, this plan pays you directly. It is up to you how you want to use the cash benefit. These costs may include meals, travel, childcare or eldercare, deductibles, coinsurance, medication, or time away from work. The chart below shows only some of the benefits available. See the plan document for full details. HOSPITAL INDEMNITY INSURANCE Service
Benefit
Hospital Admission
$1,000
Hospital Confinement
$100 per day up to 15 days
Intensive Care Unit Admission
$2,000
Intensive Care Unit Confinement
$200 per day up to 15 days
Semimonthly Rates Employee Only
$10.33
Employee + Spouse
$20.70
Employee + Child(ren)
$15.14
Employee + Family
$25.52
33 2026–2027 EMPLOYEE BENEFITS GUIDE
Additional Benefits Employee Assistance Program
Caregiving Service
Guardian’s EAP helps you and your family members cope with life, from everyday stresses to
The caregiving support offered through
unexpected losses. The EAP is a confidential counseling service that is available 24/7 to help
Guardian and Wellthy can tailor a plan
address any work or life matter. Services include consultations with experienced professionals,
for your caregiving needs. With these
and access to resources and discounts. Get 3 face-to-face or virtual sessions per person, per
caregiving support services, you can
issue, per year. Get help with:
plan for future care duties, get guidance
z
Relationships
z
Job pressures
z
Empty-nesting
z
Problems with your children
z
Marital conflicts
z
z
Grief and loss
Money and balance commitments
z
Substance abuse and addictions
z
Will preparation
z
And more!
z
Stress, anxiety, or depression
Access the GuidanceResources Program for support anytime.
for your current needs, or connect with others who are navigating care for similar situations. Visit www.guardianwell.com to register for an account and access selfserve tools, resources, and dedicated support. Look for the Guardian + Wellthy page for more details.
Visit www.guidanceresources.com (App: GuidanceNow, Web ID: Guardian) or 24/7 Live Assistance: Call: (855) 239.0743, TRS: Dial 711
Emergency Travel Aid
Identity Theft Protection
Geospace Technologies offers travel
Identity theft is a serious crime. Each year, millions of Americans have their personal financial
Guardian Life, contracted with
information stolen and must spend a significant amount of time and money to restore their
Integrated Behavioral Health (IBH).
assistance for employees through
records. If you ever become a victim of identity theft, you do not have to face it alone. You have the support of a powerful identity theft protection program through Integrated IBH’s Identity Protection. It provides:
The Travel Aid program is available when traveling 100 miles or more from your primary home for 90 days
z
24/7 telephone support and step-by-step guidance from anti-fraud experts
or less. It provides a variety of services
z
An expert case worker assigned to help notify credit bureaus and file paperwork to correct
24/7 through friendly, multilingual
your credit reports
professionals who can advise you in a medical emergency. Services include:
z
Help to cancel stolen cards and reissue new cards
z
Help to notify police, financial institutions, and government agencies
z
hospitals, pharmacies, and dentists
If you are a victim of financial or medical identity fraud, call 800-386-7055.
Medical consultation, evaluation, and referral
WillPrep Services offers support and guidance to help you prepare the documents necessary to preserve your family’s financial security. Services include online planning documents, a resource library, and access to professional help with issues related to the following: z
Advanced health care directive
z
Financial power of attorney
z
Health care power of attorney
z
Estate taxes
z
z
Trusts
z
Executors and probate
Guardianship and conservatorship
z
Wills and living wills
For more information, go to www.ibhwillprep.com (username WillPrep; password GLIC09), or call 877-433-6789.
anywhere in the world z
Will Preparation
Qualified, English-speaking doctors,
z
Hospital admission guarantee
z
Emergency medical evacuation
z
Lost prescription assistance
z
Legal and interpreter services
Call 800-537-2029 if you or your family member has a medical emergency and are more than 100 miles from home.
34 GEOSPACE TECHNOLOGIES
Employee Contributions Rates shown are semimonthly and cover 24 pay periods. MEDICAL PLANS Nexus ACO
Choice EPO
Choice Plus POS
HDHP
Employee Only
$44.31
$54.87
$83.69
$29.05
Employee + Spouse
$141.86
$169.90
$232.96
$70.06
Employee + Child(ren)
$139.96
$167.80
$221.51
$79.49
Employee + Family
$224.95
$262.23
$318.80
$105.08
VOLUNTARY DENTAL PLANS DHMO
DPPO
Employee Only
$0.00
$16.26
Employee + Spouse
$0.00
$36.29
Employee + Child(ren)
$0.00
$47.76
Employee + Family
$0.00
$66.97
VOLUNTARY VISION PLAN Employee Only
$3.97
Employee + Spouse
$6.68
Employee + Child(ren)
$6.81
Employee + Family
$10.77
HEALTH SAVINGS ACCOUNT CONTRIBUTIONS (HDHP ENROLLEES ONLY) Individual
$158.33 maximum per paycheck contribution
Family
$325.00 maximum per paycheck contribution
FLEXIBLE SPENDING ACCOUNT CONTRIBUTIONS Health Care FSA
$137.50 maximum per paycheck contribution
Dependent Care FSA
$208.33 maximum per paycheck contribution
Limited Purpose FSA
$137.50 maximum per paycheck contribution
LIFE AND AD&D INSURANCE Basic Life and AD&D
Company Paid
Dependent Life
Company Paid
Voluntary Life and AD&D
See page 29 for rates
DISABILITY INSURANCE Short Term Disability
Company Paid
Long Term Disability
Company Paid
VOLUNTARY ACCIDENT INSURANCE See page 31 for rates
VOLUNTARY CRITICAL ILLNESS INSURANCE See page 31 for rates
VOLUNTARY HOSPITAL INDEMNITY INSURANCE See page 32 for rates
35 2026–2027 EMPLOYEE BENEFITS GUIDE
Required Notices Women’s Health and Cancer Rights Act of 1998 In October 1998, Congress enacted the Women’s Health and Cancer Rights Act of 1998. This notice explains some important provisions of the Act. Please review this information carefully. As specified in the Women’s Health and Cancer Rights Act, a plan participant or beneficiary who elects breast reconstruction in connection with a mastectomy is also entitled to the following benefits: z
All stages of reconstruction of the breast on which the mastectomy was performed;
z
Surgery and reconstruction of the other breast to produce a symmetrical appearance; and
z
Prostheses and treatment of physical complications of the mastectomy, including lymphedema.
Health plans must determine the manner of coverage in consultation with the attending physician and the patient. Coverage for breast reconstruction and related services may be subject to deductibles and coinsurance amounts that are consistent with those that apply to other benefits under the plan.
Special Enrollment Rights This notice is being provided to ensure that you understand your right to apply for group health insurance coverage. You should read this notice even if you plan to waive coverage at this time.
Loss of Other Coverage or Becoming Eligible for Medicaid or a state Children’s Health Insurance Program (CHIP) If you are declining coverage for yourself or your dependents because of other health insurance or group health plan coverage, you may be able to later enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing toward your or your dependents’ other coverage). However, you must enroll within 31 days after your or your dependents’ other coverage ends (or after the employer that sponsors that coverage stops contributing toward the other coverage). If you or your dependents lose eligibility under a Medicaid plan or CHIP, or if you or your dependents become eligible for a subsidy under Medicaid or CHIP, you may be able to enroll yourself and your dependents in this plan. You must provide notification within 60 days after you or your dependent is terminated from, or determined to be eligible for, such assistance.
Marriage, Birth or Adoption If you have a new dependent as a result of a marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents. However, you must enroll within 31 days after the marriage, birth, or placement for adoption.
For More Information or Assistance To request special enrollment or obtain more information, contact: Geospace Technologies Human Resources 7007 Pinemont Houston, TX 77292 713-986-4454
Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. This notice has information about your current prescription drug coverage with Geospace Technologies and about your options under Medicare’s prescription drug coverage. This information can help you decide whether or not you want to enroll in a Medicare drug plan. Information about where you can get help to make decisions about your prescription drug coverage is at the end of this notice. If neither you nor any of your covered dependents are eligible for or have Medicare, this notice does not apply to you or the dependents, as the case may be. However, you should still keep a copy of this notice in the event you or a dependent should qualify for coverage under Medicare in the future. Please note, however, that later notices might supersede this notice. 1.
Medicare prescription drug coverage became available in 2006 to everyone with Medicare. You can get this coverage through a Medicare Prescription Drug Plan or a Medicare Advantage Plan that offers prescription drug coverage. All Medicare prescription drug plans provide at least a standard level of coverage set by Medicare. Some plans may also offer more coverage for a higher monthly premium.
2.
Geospace Technologies has determined that the prescription drug coverage offered by the Geospace Technologies medical plan is, on average for all plan participants, expected to pay out as much as the standard Medicare prescription drug coverage pays and is considered Creditable Coverage. The HSA plan is not considered Creditable Coverage.
Because your existing coverage is, on average, at least as good as standard Medicare prescription drug coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to enroll in a Medicare prescription drug plan, as long as you later enroll within specific time periods. You can enroll in a Medicare prescription drug plan when you first become eligible for Medicare. If you decide to wait to enroll in a Medicare prescription drug plan, you may enroll later, during Medicare Part D’s annual enrollment period, which runs each year from October 15 through December 7 but as a general rule, if you delay your enrollment in Medicare Part D after first becoming eligible to enroll, you may have to pay a higher premium (a penalty). You should compare your current coverage, including which drugs are covered at what cost, with the coverage and cost of the plans offering Medicare prescription drug coverage in your area. See the Plan’s summary plan description for a summary of the Plan’s prescription drug coverage. If you don’t have a copy, you can get one by contacting Geospace Technologies at the phone number or address listed at the end of this section. If you choose to enroll in a Medicare prescription drug plan and cancel your current Geospace Technologies prescription drug coverage, be aware that you and your dependents may not be able to get this coverage back. To regain coverage, you would have to re-enroll in the Plan, pursuant to the Plan’s eligibility and enrollment rules. You should review the Plan’s summary plan description to determine if and when you are allowed to add coverage. If you cancel or lose your current coverage and do not have prescription drug coverage for 63 days or longer prior to enrolling in the Medicare prescription drug coverage, your monthly premium will be at least 1% per month greater for every month that you did not have coverage for as long as you have Medicare prescription drug coverage. For example, if nineteen months lapse without coverage, your premium will always be at least 19% higher than it would have been without the lapse in coverage.
For more information about this notice or your current prescription drug coverage: Contact the Human Resources Department at 713-986-4454. NOTE: You will receive this notice annually and at other times in the future, such as before the next period you can enroll in Medicare prescription drug coverage and if this coverage changes. You may also request a copy.
36 GEOSPACE TECHNOLOGIES
For more information about your options under Medicare prescription drug coverage: More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare & You” handbook. You will get a copy of the handbook in the mail every year from Medicare. You may also be contacted directly by Medicare prescription drug plans. For more information about Medicare prescription drug coverage: z
Visit www.medicare.gov.
z
Call your State Health Insurance Assistance Program (see the inside back cover of your copy of the “Medicare & You” handbook for their telephone number) for personalized help.
z
Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 877-486-2048.
If you have limited income and resources, extra help paying for Medicare prescription drug coverage is available. Information about this extra help is available from the Social Security Administration (SSA) online at www. socialsecurity.gov, or you can call them at 800772-1213. TTY users should call 800-325-0778. Remember: Keep this Creditable Coverage notice. If you enroll in one of the new plans approved by Medicare which offer prescription drug coverage, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and whether or not you are required to pay a higher premium (a penalty). April 1, 2026 Geospace Technologies Human Resources 7007 Pinemont Houston, TX 77292 713-986-4454
Notice of HIPAA Privacy Practices THIS NOTICE OF PRIVACY PRACTICES DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Notice of Privacy Practices (the “Notice”) describes the legal obligations of Geospace Technologies’s Group Health Plan (the “Plan”) and your legal rights regarding your protected health information held by the Plan under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH Act). Among other things, this Notice
describes how your protected health information may be used or disclosed to carry out treatment, payment, or health care operations, or for any other purposes that are permitted or required by law. We are required to provide this Notice of Privacy Practices to you pursuant to HIPAA. The HIPAA Privacy Rule protects only certain medical information known as “protected health information.” Generally, protected health information (PHI) is health information, including demographic information, collected from you or created or received by a health care provider, a health care clearinghouse, a health plan, or your employer on behalf of a group health plan, from which it is possible to individually identify you and that relates to: 1.
Your past, present, or future physical or mental health or condition;
2.
The provision of health care to you; or
3.
The past, present, or future payment for the provision of health care to you.
I. Contact Information If you have any questions about this Notice or about our privacy practices, and for any correspondence or requests related to the contents of this Notice, please contact: Geospace Technologies Human Resources 7007 Pinemont Houston, TX 77292 713-986-4454
II. Effective Date This Notice is effective February 15, 2026.
III. Our Responsibilities We are required by law to: 1.
maintain the privacy of your PHI;
2.
provide you with certain rights with respect to your PHI;
3.
provide you with a copy of this Notice of our legal duties and privacy practices with respect to your PHI; and
4.
follow the terms of the Notice that is currently in effect.
We reserve the right to change the terms of this Notice and to make new provisions regarding your PHI that we maintain, as allowed or required by law. If we make any material change to this Notice, we will provide you with a copy of our revised Notice of Privacy Practices.
IV. How We May Use and Disclose Your PHI Under the law, we may use or disclose your PHI under certain circumstances without your permission. The following categories describe the different ways that we may use and disclose your PHI. For each category of uses or disclosures we will explain what we mean and present some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories. Note that we will use and disclose PHI as described below unless otherwise prohibited or restricted by applicable state or other law, and that information can lose its protected status as PHI once re-disclosed by a recipient. For Treatment. When and as appropriate, we may use or disclose medical information about you to facilitate medical treatment or services by health care providers. We may disclose medical information about you to providers, including doctors, nurses, technicians, medical students, or other hospital personnel who are involved in taking care of you. For example, we might disclose information about you with physicians who are treating you. For Payment. We may use or disclose your protected health information to determine your eligibility for Plan benefits, to facilitate payment for the treatment and services you receive from health care providers, to determine benefit responsibility under the Plan, or to coordinate Plan coverage. For example, we may tell your health care provider about your medical history to determine whether a particular treatment is experimental, investigational, or medically necessary, or to determine whether the Plan will cover the treatment. We may also share your protected health information with a utilization review or pre-certification service provider. Likewise, we may share your protected health information with another entity to assist with the adjudication or subrogation of health claims or to another health plan to coordinate benefit payments. For Health Care Operations. We may use and disclose your protected health information for other Plan operations. These uses and disclosures are necessary to run the Plan. For example, we may use medical information in connection with conducting quality assessment and improvement activities; underwriting, premium rating, and other activities relating to Plan coverage; submitting claims for stop-loss (or excess-loss) coverage; conducting or arranging for medical review, legal services, audit services, and fraud and abuse detection programs; business planning
37 2026–2027 EMPLOYEE BENEFITS GUIDE
and development such as cost management; and business management and general Plan administrative activities. However, we will not use your genetic information for underwriting purposes. Substance Use Disorder (SUD) Treatment Information. Some of your health information may be part of a SUD patient record and subject to additional protections under federal law (42 CFR Part 2) governing confidentiality of SUD patient records. If we receive or maintain any information about you from a SUD treatment program that is covered by 42 CFR Part 2 (a “Part 2 Program”) through a general consent you provide to the Part 2 Program to use and disclose the SUD patient record for purposes of treatment, payment or health care operations, we may use and disclose your SUD patient record for treatment, payment and health care operations purposes as described in this Notice. If we receive or maintain your SUD patient record through specific consent you provide to us or another third party, we will use and disclose your SUD patient record only as expressly permitted by you in your consent as provided to us. In no event will we use or disclose your SUD patient record, or testimony that describes the information contained in your SUD patient record, in any civil, criminal, administrative, or legislative proceedings by any Federal, State, or local authority, against you, unless authorized by your consent or the order of a court after it provides you notice of the court order. To Business Associates. We may contract with individuals or entities known as Business Associates to perform various functions on our behalf or to provide certain types of services. In order to perform these functions or to provide these services, Business Associates will receive, create, maintain, transmit, use, and/or disclose your PHI, but only after they agree in writing with us to implement appropriate safeguards regarding your PHI. For example, we may disclose your PHI to a Business Associate to process your claims for Plan benefits or to provide support services, such as utilization management, pharmacy benefit management, or subrogation, but only after the Business Associate enters into a Business Associate contract with us. Treatment Alternatives or Health-Related Benefits and Services. We may use and disclose your protected health information to send you information about treatment alternatives or other health-related benefits and services that might be of interest to you. As Required by Law. We will disclose your PHI when required to do so by federal, state, or local
law. For example, we may disclose your PHI when required by national security laws or public health disclosure laws. To Avert a Serious Threat to Health or Safety. We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety, or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat. For example, we may disclose your PHI in a proceeding regarding the licensure of a physician. To Plan Sponsors. For the purpose of administering the plan, we may disclose PHI to certain employees of the Employer. However, those employees will only use or disclose that information as necessary to perform plan administration functions or as otherwise required by HIPAA, unless you have authorized further disclosures. Your PHI cannot be used for employment purposes without your specific authorization.
V. Special Situations In addition to the above, the following categories describe other possible ways that we may use and disclose your PHI without your specific authorization. For each category of uses or disclosures, we will explain what we mean and present some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories. Organ and Tissue Donation. If you are an organ donor, we may release your PHI after your death to organizations that handle organ procurement or organ, eye, or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation. Military. If you are a member of the armed forces, we may release your PHI as required by military command authorities. We may also release PHI about foreign military personnel to the appropriate foreign military authority. Workers’ Compensation. We may release your PHI for workers’ compensation or similar programs, but only as authorized by, and to the extent necessary to comply with, laws relating to workers’ compensation and similar programs that provide benefits for work-related injuries or illness. Public Health Risks. We may disclose your PHI for public health activities. These activities generally include the following: 1.
to prevent or control disease, injury, or disability;
2.
to report births and deaths;
3.
to report child abuse or neglect;
4.
to report reactions to medications or problems with products;
5.
to notify people of recalls of products they may be using;
6.
to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
7.
to notify the appropriate government authority if we believe that a patient has been the victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree, or when required or authorized by law.
Health Oversight Activities. We may disclose your PHI to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws. Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose your PHI in response to a subpoena, discovery request, or other lawful process by someone involved in a legal dispute, but only if efforts have been made to tell you about the request or to obtain a court or administrative order protecting the information requested. Law Enforcement. We may disclose your PHI if asked to do so by a law-enforcement official. 1.
in response to a court order, subpoena, warrant, summons, or similar process;
2.
to identify or locate a suspect, fugitive, material witness, or missing person;
3.
about the victim of a crime if, under certain limited circumstances, we are unable to obtain the victim’s agreement;
4.
about a death that we believe may be the result of criminal conduct; and
5.
about criminal conduct.
Coroners, Medical Examiners, and Funeral Directors. We may release PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients to funeral directors, as necessary to carry out their duties.
38 GEOSPACE TECHNOLOGIES
National Security and Intelligence Activities. We may release your PHI to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law. Inmates. If you are an inmate of a correctional institution or are in the custody of a lawenforcement official, we may disclose your PHI to the correctional institution or law-enforcement official if necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution. Research. We may disclose your PHI to researchers when: 1.
The individual identifiers have been removed; or
2.
When an institutional review board or privacy board has reviewed the research proposal and established protocols to ensure the privacy of the requested information and approves the research.
VI. Required Disclosures The following is a description of disclosures of your PHI we are required to make. Government Audits. We are required to disclose your PHI to the Secretary of the United States Department of Health and Human Services when the Secretary is investigating or determining our compliance with the HIPAA privacy rule. Disclosures to You. When you request, we are required to disclose to you the portion of your PHI that contains medical records, billing records, and any other records used to make decisions regarding your health care benefits. We are also required, when requested, to provide you with an accounting of most disclosures of your PHI if the disclosure was for reasons other than for payment, treatment, or health care operations, and if the PHI was not disclosed pursuant to your individual authorization.
VII. Other Disclosures Personal Representatives. We will disclose your PHI to individuals authorized by you, or to an individual designated as your personal representative, attorney-in-fact, etc., so long as you provide us with a written notice/authorization and any supporting documents (i.e., power of attorney). Note: Under the HIPAA privacy rule, we do not have to disclose information to a personal representative if we have a reasonable belief that: 1.
You have been, or may be, subject to domestic violence, abuse, or neglect by such person; or
2.
Treating such person as your personal representative could endanger you; and
3.
In the exercise of professional judgment, it is not in your best interest to treat the person as your personal representative.
Spouses and Other Family Members. With only limited exceptions, we will send all mail to the employee. This includes mail relating to the employee’s spouse and other family members who are covered under the Plan and includes mail with information on the use of Plan benefits by the employee’s spouse and other family members and information on the denial of any Plan benefits to the employee’s spouse and other family members. If a person covered under the Plan has requested Restrictions or Confidential Communications (see below under “Your Rights”), and if we have agreed to the request, we will send mail as provided by the request for Restrictions or Confidential Communications. Authorizations. Other uses or disclosures of your PHI not described above will only be made with your written authorization. For example, in general and subject to specific conditions, we will not use or disclose your psychiatric notes; we will not use or disclose your PHI for marketing; and we will not sell your PHI, unless you give us a written authorization. You may revoke written authorizations at any time, so long as the revocation is in writing. Once we receive your written revocation, it will only be effective for future uses and disclosures. It will not be effective for any information that may have been used or disclosed in reliance upon the written authorization and prior to receiving your written revocation.
VIII. Your Rights You have the following rights with respect to your PHI: Right to Inspect and Copy. You have the right to inspect and copy certain PHI that may be used to make decisions about your Plan benefits. If the information you request is maintained electronically, and you request an electronic copy, we will provide a copy in the electronic form and format you request, if the information can be readily produced in that form and format; if the information cannot be readily produced in that form and format, we will work with you to come to an agreement on form and format. If we cannot agree on an electronic form and format, we will provide you with a paper copy. To inspect and copy your PHI, you must submit your request in writing. If you request a copy of the information, we may charge a reasonable fee for the costs of copying, mailing, or other supplies associated with your request.
We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to your medical information, you may request that the denial be reviewed by submitting a written request. Right to Amend. If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the Plan. To request an amendment, your request must be made in writing. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that: 1.
is not part of the medical information kept by or for the Plan;
2.
was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
3.
is not part of the information that you would be permitted to inspect and copy; or
4.
is already accurate and complete.
If we deny your request, you have the right to file a statement of disagreement with us and any future disclosures of the disputed information will include your statement. Right to an Accounting of Disclosures. You have the right to request an “accounting” of certain disclosures of your PHI. The accounting will not include (1) disclosures for purposes of treatment, payment, or health care operations; (2) disclosures made to you; (3) disclosures made pursuant to your authorization; (4) disclosures made to friends or family in your presence or because of an emergency; (5) disclosures for national security purposes; and (6) disclosures incidental to otherwise permissible disclosures. To request this list or accounting of disclosures, you must submit your request in writing. Your request must state the time period you want the accounting to cover, which may not be longer than six years before the date of the request. Your request should indicate in what form you want the list (for example, paper or electronic). The first list you request within a 12-month period will be provided free of charge. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
39 2026–2027 EMPLOYEE BENEFITS GUIDE
Right to Request Restrictions. You have the right to request a restriction or limitation on your PHI that we use or disclose for treatment, payment, or health care operations. You also have the right to request a limit on your PHI that we disclose to someone who is involved in your care or the payment for your care, such as a family member or friend. For example, you could ask that we not use or disclose information about a surgery that you had. Except as provided in the next paragraph, we are not required to agree to your request. However, if we do agree to the request, we will honor the restriction until you revoke it or we notify you. We will comply with any restriction request if (1) except as otherwise required by law, the disclosure is to a health plan for purposes of carrying out payment or health care operations (and is not for purposes of carrying out treatment); and (2) the PHI pertains solely to a health care item or service for which the health care provider involved has been paid in full by you or another person. To request restrictions, you must make your request in writing. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure, or both; and (3) to whom you want the limits to apply-for example, disclosures to your spouse. Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing. We will not ask you the reason for your request. Your request must specify how or where you wish to be contacted. We will accommodate all reasonable requests. Right to Be Notified of a Breach. You have the right to be notified in the event that we (or a Business Associate) discover a breach of unsecured PHI. Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.
IX. Complaints If you believe that your privacy rights have been violated, you may file a complaint with the Plan or with the Office for Civil Rights of the United States Department of Health and Human Services. To file a complaint with the Plan, contact the person listed in the Contact Information section of this Notice. All complaints must be submitted in writing. You will not be penalized, or in any other way retaliated against, for filing a complaint with the Office for Civil Rights or with us..
Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov. If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444EBSA (3272).
If you live in one of the following States, you may be eligible for assistance paying your employer health plan premiums. The following list of States is current as of January 31, 2026. Contact your State for more information on eligibility.
Alabama – Medicaid Website: http://www.myalhipp.com/ Phone: 1-855-692-5447
Alaska – Medicaid The AK Health Insurance Premium Payment Program Website: http://myakhipp.com/ Phone: 1-866-251-4861 Email: CustomerService@MyAKHIPP.com Medicaid Eligibility: https://health.alaska.gov/ dpa/Pages/default.aspx
Arkansas – Medicaid Website: http://myarhipp.com/ Phone: 1-855-MyARHIPP (855-692-7447)
California– Medicaid Health Insurance Premium Payment (HIPP) Program Website: http://dhcs.ca.gov/hipp Phone: 916-445-8322 Fax: 916-440-5676 Email: hipp@dhcs.ca.gov
Colorado – Health First Colorado (Colorado’s Medicaid Program) and Child Health Plan Plus (CHP+) Health First Colorado website: https://www. healthfirstcolorado.com/ Health First Colorado Member Contact Center: 1-800-221-3943/State Relay 711 CHP+: https://hcpf.colorado.gov/child-healthplan-plus CHP+ Customer Service: 1-800-359-1991/State Relay 711 Health Insurance Buy-In Program (HIBI): https://www.mycohibi.com/ HIBI Customer Service: 1-855-692-6442
Florida – Medicaid Website: https://www.flmedicaidtplrecovery. com/flmedicaidtplrecovery.com/hipp/index. html Phone: 1-877-357-3268
Georgia – Medicaid GA HIPP Website: https://medicaid.georgia. gov/health-insurance-premium-paymentprogram-hipp Phone: 678-564-1162, Press 1 GA CHIPRA Website: https://medicaid.georgia. gov/programs/third-party-liability/childrenshealth-insurance-program-reauthorizationact-2009-chipra Phone: 678-564-1162, Press 2
40 GEOSPACE TECHNOLOGIES
Indiana – Medicaid
Maine – Medicaid
New Jersey – Medicaid and CHIP
Health Insurance Premium Payment Program All other Medicaid Website: https://www.in.gov/medicaid/ http://www.in.gov/fssa/dfr/ Family and Social Services Administration Phone: 1-800-403-0864 Member Services Phone: 1-800-457-4584
Enrollment Website: https://www. mymaineconnection.gov/benefits/ s/?language=en_US Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium Webpage: https://www.maine.gov/dhhs/ofi/applicationsforms Phone: 1-800-977-6740 TTY: Maine Relay 711
Medicaid Website: http://www.state.nj.us/ humanservices/dmahs/clients/medicaid/ Phone: 1-800-356-1561 CHIP Premium Assistance Phone: 609-6312392 CHIP Website: http://www.njfamilycare.org/ index.html CHIP Phone: 1-800-701-0710 (TTY: 711)
Iowa – Medicaid and CHIP (Hawki) Medicaid Website: https://hhs.iowa.gov/ programs/welcome-iowa-medicaid Medicaid Phone: 1-800-338-8366 Hawki Website: https://hhs.iowa.gov/ programs/welcome-iowa-medicaid/iowahealth-link/hawki Hawki Phone: 1-800-257-8563 HIPP Website: https://hhs.iowa.gov/programs/ welcome-iowa-medicaid/fee-service/hipp HIPP Phone: 1-888-346-9562
Kansas – Medicaid Website: https://www.kancare.ks.gov/ Phone: 1-800-792-4884 HIPP Phone: 1-800-967-4660
Kentucky – Medicaid Kentucky Integrated Health Insurance Premium Payment Program (KI-HIPP) Website: https://chfs.ky.gov/agencies/dms/member/ Pages/kihipp.aspx Phone: 1-855-459-6328 Email: KIHIPP.PROGRAM@ky.gov KCHIP Website: https://kynect.ky.gov Phone: 1-877-524-4718 Kentucky Medicaid Website: https://chfs. ky.gov/agencies/dms
Louisiana – Medicaid Louisiana Medicaid Website: https://www.ldh. la.gov/healthy-louisiana Medicaid Customer Service Line: 1-888-3426207 Louisiana Medicaid email: healthy@la.gov Louisiana Health Insurance Premium Program (LaHIPP) Website: https://www.ldh.la.gov/ lahipp LaHIPP phone: 1-877-697-6703 LaHIPP email: La.HIPP@la.gov LaHIPP fax: 1-888-716-9787 LaHIPP mailing address: 100 Crescent Centre Parkway, Suite 1000 Tucker, GA 30084
Massachusetts – Medicaid and CHIP Website: https://www.mass.gov/masshealth/ pa Phone: 1-800-862-4840 TTY: 711 Email: masspremassistance@accenture.com
Minnesota – Medicaid Website: https://mn.gov/dhs/health-carecoverage/ Phone: 1-800-657-3672
Missouri – Medicaid Website: http://www.dss.mo.gov/mhd/ participants/pages/hipp.htm Phone: 573-751-2005
Montana – Medicaid Website: https://dphhs.mt.gov/ MontanaHealthcarePrograms/HIPP Phone: 1-800-694-3084 Email: HHSHIPPProgram@mt.gov
Nebraska – Medicaid Website: http://www.ACCESSNebraska.ne.gov Phone: 1-855-632-7633 Lincoln: 402-473-7000 Omaha: 402-595-1178
Nevada – Medicaid Medicaid Website: http://dhcfp.nv.gov Medicaid Phone: 1-800-992-0900
New Hampshire – Medicaid Website: https://www.dhhs.nh.gov/programsservices/medicaid/health-insurance-premiumprogram Phone: 603-271-5218 Toll free number for the HIPP program: 1-800852-3345, ext. 15218 Email: DHHS.ThirdPartyLiabi@dhhs.nh.gov
New York – Medicaid Website: https://www.health.ny.gov/health_ care/medicaid/ Phone: 1-800-541-2831
North Carolina – Medicaid Website: https://medicaid.ncdhhs.gov Phone: 919-855-4100
North Dakota – Medicaid Website: https://www.hhs.nd.gov/healthcare Phone: 1-844-854-4825
Oklahoma – Medicaid and CHIP Website: http://www.insureoklahoma.org Phone: 1-888-365-3742
Oregon – Medicaid Website: https://healthcare.oregon.gov/ Pages/index.aspx Phone: 1-800-699-9075
Pennsylvania – Medicaid and CHIP Website: https://www.pa.gov/en/services/ dhs/apply-for-medicaid-health-insurancepremium-payment-program-hipp.html Phone: 1-800-692-7462 CHIP Website: https://www.dhs.pa.gov/chip/ pages/chip.aspx CHIP Phone: 1-800-986-KIDS (5437)
Rhode Island – Medicaid and CHIP Website: http://www.eohhs.ri.gov/ Phone: 1-855-697-4347 or 401-462-0311 (Direct RIte Share Line)
South Carolina – Medicaid Website: https://www.scdhhs.gov Phone: 1-888-549-0820
South Dakota - Medicaid Website: https://dss.sd.gov Phone: 1-888-828-0059
Texas – Medicaid Website: https://www.hhs.texas.gov/services/ financial/health-insurance-premium-paymenthipp-program Phone: 1-800-440-0493
41 2026–2027 EMPLOYEE BENEFITS GUIDE
Utah – Medicaid and CHIP Utah’s Premium Partnership for Health Insurance (UPP) Website: https://medicaid. utah.gov/upp/ Email: upp@utah.gov Phone: 1-888-222-2542 Adult Expansion Website: https://medicaid. utah.gov/expansion/ Utah Medicaid Buyout Program Website: https://medicaid.utah.gov/buyout-program/ CHIP Website: https://chip.utah.gov/
Vermont– Medicaid Website: https://dvha.vermont.gov/members/ medicaid/hipp-program Phone: 1-800-250-8427
Virginia – Medicaid and CHIP Website: https://coverva.dmas.virginia.gov/ learn/premium-assistance/famis-select https://coverva.dmas.virginia.gov/learn/ premium-assistance/health-insurancepremium-payment-hipp-programs Medicaid/CHIP Phone: 1-800-432-5924
Washington – Medicaid Website: https://www.hca.wa.gov/ Phone: 1-800-562-3022
West Virginia – Medicaid and CHIP Website: https://dhhr.wv.gov/bms/ http://mywvhipp.com/ Medicaid Phone: 304-558-1700 CHIP Toll-free phone: 1-855-MyWVHIPP (1855-699- 8447)
Wisconsin – Medicaid and CHIP Website: https://www.dhs.wisconsin.gov/ badgercareplus/p-10095.htm Phone: 1-800-362-3002
Wyoming – Medicaid Website: https://health.wyo.gov/ healthcarefin/medicaid/programs-andeligibility/ Phone: 1-800-251-1269 To see if any other States have added a premium assistance program since January 31, 2026, or for more information on special enrollment rights, can contact either: U.S. Department of Labor Employee Benefits Security Administration www.dol.gov/agencies/ebsa 1-866-444-EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov 1-877-267-2323, Menu Option 4, Ext. 61565
Continuation of Coverage Rights Under COBRA
You are protected from balance billing for: z
Emergency services – If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You cannot be balance billed for these emergency services. This includes services you may get after you are in stable condition, unless you give written consent and give up your protections not to be balanced billed for these poststabilization services.
z
Certain services at an in-network hospital or ambulatory surgical center – When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network costsharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers cannot balance bill you and may not ask you to give up your protections not to be balance billed.
Under the Federal Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), if you are covered under the Geospace Technologies group health plan you and your eligible dependents may be entitled to continue your group health benefits coverage under the Geospace Technologies plan after you have left employment with the company. If you wish to elect COBRA coverage, contact your Human Resources Department for the applicable deadlines to elect coverage and pay the initial premium.
Plan Contact Information Geospace Technologies Human Resources 7007 Pinemont Houston, TX 77292 713-986-4454
Your Rights and Protections Against Surprise Medical Bills When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that have not signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than innetwork costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an innetwork facility but are unexpectedly treated by an out-of-network provider.
If you get other services at these in-network facilities, out-of-network providers cannot balance bill you, unless you give written consent and give up your protections. You are never required to give up your protections from balance billing. You also are not required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing is not allowed, you also have the following protections: z
You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-ofnetwork providers and facilities directly.
z
Your health plan generally must: y
Cover emergency services without requiring you to get approval for services in advance (prior authorization).
42 GEOSPACE TECHNOLOGIES
y
Cover emergency services by out-ofnetwork providers.
y
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
y
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you have been wrongly billed, you may contact your insurance provider. Visit www. cms.gov/nosurprises for more information about your rights under federal law.
New Health Insurance Marketplace Coverage Options and Your Health Coverage PART A: General Information
Even if you are offered health coverage through your employment, you may have other coverage options through the Health Insurance Marketplace (“Marketplace”). To assist you as you evaluate options for you and your family, this notice provides some basic information about the Health Insurance Marketplace.
What is the Health Insurance Marketplace? The Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace offers “one-stop shopping” to find and compare private health insurance options in your geographic area.
Can I Save Money on my Health Insurance Premiums in the Marketplace? You may qualify to save money and lower your monthly premium and other out-of-pocket costs, but only if your employer does not offer coverage, or offers coverage that is not considered affordable for you and doesn’t meet certain minimum value standards (discussed below). The savings on your premium that you’re eligible for depends on your household income. You may also be eligible for a tax credit that lowers your costs.
Does Employment-Based Health Coverage Affect Eligibility for Premium Savings through the Marketplace? Yes. If you have an offer of health coverage from your employer that is considered affordable for you and meets certain minimum value standards, you will not be eligible for a tax credit,
or advance payment of the tax credit, for your Marketplace coverage and may wish to enroll in your employment-based health plan. However, you may be eligible for a tax credit, and advance payments of the credit that lowers your monthly premium, or a reduction in certain cost-sharing, if your employer does not offer coverage to you at all or does not offer coverage that is considered affordable for you or meet minimum value standards. If your share of the premium cost of all plans offered to you through your employment is more than 9.12%1 of your annual household income, or if the coverage through your employment does not meet the “minimum value” standard set by the Affordable Care Act, you may be eligible for a tax credit, and advance payment of the credit, if you do not enroll in the employment-based health coverage. For family members of the employee, coverage is considered affordable if the employee’s cost of premiums for the lowest-cost plan that would cover all family members does not exceed 9.12% of the employee’s household income.1, 2 Note: If you purchase a health plan through the Marketplace instead of accepting health coverage offered through your employment, then you may lose access to whatever the employer contributes to the employment-based coverage. Also, this employer contribution -as well as your employee contribution to employment-based coverage- is generally excluded from income for federal and state income tax purposes. Your payments for coverage through the Marketplace are made on an after-tax basis. In addition, note that if the health coverage offered through your employment does not meet the affordability or minimum value standards, but you accept that coverage anyway, you will not be eligible for a tax credit. You should consider all of these factors in determining whether to purchase a health plan through the Marketplace.
When Can I Enroll in Health Insurance Coverage through the Marketplace? You can enroll in a Marketplace health insurance plan during the annual Marketplace Open Enrollment Period. Open Enrollment varies by state but generally starts November 1 and continues through at least December 15. Outside the annual Open Enrollment Period, you can sign up for health insurance if you qualify for a Special Enrollment Period. In general, you qualify for a Special Enrollment Period if you’ve had certain qualifying life events, such as getting married, having a baby, adopting a child, or losing eligibility for other health coverage. Depending on your Special Enrollment Period type, you
may have 60 days before or 60 days following the qualifying life event to enroll in a Marketplace plan. There is also a Marketplace Special Enrollment Period for individuals and their families who lose eligibility for Medicaid or Children’s Health Insurance Program (CHIP) coverage on or after March 31, 2023, through July 31, 2024. Since the onset of the nationwide COVID-19 public health emergency, state Medicaid and CHIP agencies generally have not terminated the enrollment of any Medicaid or CHIP beneficiary who was enrolled on or after March 18, 2020, through March 31, 2023. As state Medicaid and CHIP agencies resume regular eligibility and enrollment practices, many individuals may no longer be eligible for Medicaid or CHIP coverage starting as early as March 31, 2023. The U.S. Department of Health and Human Services is offering a temporary Marketplace Special Enrollment period to allow these individuals to enroll in Marketplace coverage. Marketplace-eligible individuals who live in states served by HealthCare.gov and either- submit a new application or update an existing application on HealthCare.gov between March 31, 2023 and July 31, 2024, and attest to a termination date of Medicaid or CHIP coverage within the same time period, are eligible for a 60-day Special Enrollment Period. That means that if you lose Medicaid or CHIP coverage between March 31, 2023, and July 31, 2024, you may be able to enroll in Marketplace coverage within 60 days of when you lost Medicaid or CHIP coverage. In addition, if you or your family members are enrolled in Medicaid or CHIP coverage, it is important to make sure that your contact information is up to date to make sure you get any information about changes to your eligibility. To learn more, visit www.HealthCare.gov or call the Marketplace Call Center at 1-800-318-2596. TTY users can call 1-855-889-4325.
What about Alternatives to Marketplace Health Insurance Coverage? If you or your family are eligible for coverage in an employment-based health plan (such as an employer-sponsored health plan), you or your family may also be eligible for a Special Enrollment Period to enroll in that health plan in certain circumstances, including if you or your dependents were enrolled in Medicaid or CHIP coverage and lost that coverage. Generally, you have 60 days after the loss of Medicaid or CHIP coverage to enroll in an employmentbased health plan, but if you and your family lost eligibility for Medicaid or CHIP coverage between March 31, 2023 and July 10, 2023, you
43 2026–2027 EMPLOYEE BENEFITS GUIDE
can request this special enrollment in the employment-based health plan through September 8, 2023. Confirm the deadline with your employer or your employment-based health plan.
3. Employer Name: xxxxx
4. Employer Identification Number (EIN): xx-xxxxxx
Alternatively, you can enroll in Medicaid or CHIP coverage at any time by filling out an application through the Marketplace or applying directly through your state Medicaid agency. Visit https://www.healthcare.gov/ medicaid-chip/getting-medicaid-chip/ for more details.
5. Employer Address: xxxxx
6. Employer Phone Number: xxx-xxx-xxxx
7. City: xxxxx
8. State: xx
How Can I Get More Information? The Marketplace can help you evaluate your coverage options, including your eligibility for coverage through the Marketplace and its cost. Please visit www.HealthCare.gov for more information, including an online application for health insurance coverage and contact information for a Health Insurance Marketplace in your area.
PART B: Information About Health Coverage Offered by Your Employer This section contains information about any health coverage offered by your employer. If you decide to complete an application for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the Marketplace application. 3. Employer Name: xxxxx 4. Employer Identification Number (EIN): xx-xxxxxx 5. Employer Address: xxxxx 6. Employer Phone Number: xxx-xxx-xxxx 7. City: xxxxx 8. State: xx
9. ZIP Code: xxxxx
10. Who can we contact at this job?: xxxxx 11. Phone Number (if different from above): xxxxx 12. E-Mail Address: xxxxx@xxxxxxx.xxx
9. ZIP Code: xxxxx
10. Who can we contact at this job?: xxxxx 11. Phone Number (if different from above): xxxxx
12. E-Mail Address: xxxxx@xxxxxxx.xxx
You are not eligible for health insurance coverage through this employer. You and your family may be able to obtain health coverage through the Marketplace, with a new kind of tax credit that lowers your monthly premiums and with assistance for out-of-pocket costs. 1
Indexed annually; see https://www.irs.gov/pub/irs-drop/rp-22-34.pdf for 2023.
An employer-sponsored or other employment-based health plan meets the “minimum value standard” if the plan’s share of the total allowed benefit costs covered by the plan is no less than 60 percent of such costs. For purposes of eligibility for the premium tax credit, to meet the “minimum value standard,” the health plan must also provide substantial coverage of both inpatient hospital services and physician services. 2
This brochure highlights the main features of the Geospace Technologies employee benefits program. It does not include all plan rules, details, limitations, and exclusions. The terms of your benefit plans are governed by legal documents, including insurance contracts. Should there be an inconsistency between this brochure and the legal plan documents, the plan documents are the final authority. Participation in the program does not constitute an employment contract. Geospace Technologies reserves the right to change or discontinue its employee benefits plans anytime.