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FHR 2027 Driscoll Benefits Booklet

Page 1

Your Driscoll

Benefits

A guide to your 2027 employee benefits program


2 Driscoll 2027

Important Contacts PROGRAM

VENDOR

PHONE NUMBER

WEBSITE/EMAIL

Blue Cross Blue Shield of Texas

800-521-2227

www.bcbstx.com

Teladoc

800-835-2362

www.teladoc.com

Employee Health Clinic

Driscoll Way Care Center

361-724-3220

https://healthbydesign.com/

Mail Order Pharmacy

Express Scripts

833-715-0942

www.myprime.com

Dental

Blue Cross Blue Shield of Texas

877-442-4207 800-521-2227

www.bcbstx.com/ancillary

Vision

Blue Cross Blue Shield of Texas

855-556-8796

www.member.eyemedvisioncare.com/bcbstx

Basic Life and AD&D / Voluntary Life / Dependent Life

The Hartford

361-694-6406

N/A

Universal Life

Assurity Transamerica

800-869-0355 888-763-7474

www.transamericaemployeebenefits.com

Leave Management / Short Term Disability / Long Term Disability

The Hartford

888-683-2813

www.abilityadvantage.thehartford.com

Supplemental Insurance

Aflac

800-992-3522

www.aflac.com

Flexible Spending Accounts Health Savings Account

TASC

800-422-4661

www.tasconline.com/ubaaccess

Retirement Savings Program

John Hancock

800-294-3575

www.johnhancock.com/myplan

Employee Assistance Program

ComPsych

844-213-8968

www.guidanceresources.com

Tuition Assistance Program

Tuition.io

361-694-4154

https://driscoll.tuition.io

MetLife Hyatt Legal Plan

800-821-6400

www.legalplans.com

Adoption Assistance Program

Driscoll

361-694-6406

Human Resources Benefits Team

Employee Wellness Programs

GO Wellbeing

844-717-8854

https://gowellbeing.sharecare.com

Benefits Consultant

Higginbotham

800-756-0918 Murray Bass, 361-693-1779

mbass@higginbotham.net

COBRA Administrator

HealthEquity

888-678-4881

N/A

Julia Olivo

361-694-4983

julia.olivo@dchstx.org

Benefits Analyst

Yolanda Reyes

361-694-6414

yolanda.reyes@dchstx.org

Benefits Specialist

Teresa Behrens

361-694-4154

teresa.behrens@dchstx.org

Benefits Specialist

Isabel Lopez

361-694-6423

isabel.lopez@dchstx.org

Benefits Specialist

Sophia Flores

361-694-6315

sophia.flores@dchstx.org

Human Resources Clerk

Yvette Perez

361-694-6406

yvette.perez@dchstx.org

Medical Telemedicine

Legal Services

Driscoll Human Resources Talent Acquisition & Benefits Manager

Driscoll Children’s Hospital Rio Grande Valley Human Resources Human Resources Manager

Alfredo Galan

956-632-8368

alfredo.galan@dchstx.org

Human Resources Business Partner

April Liscano

956-632-8373

april.liscano@dchstx.org

Human Resources Business Partner

Betty Salinas

956-632-8389

betty.salinas@dchstx.org

Front Office Assistant

Karla Trevino

956-632-8378

karla.trevino@dchstx.org


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Welcome It takes a unique type of individual to work in a pediatric medical facility such as Driscoll. The hours can be long and intense. The work is physically and mentally demanding, and working with sick children can be particularly emotionally draining. Just as we all want our patients to lead happy and healthy lives, we also want our employees to lead healthy, well-balanced lives. So, it is with pleasure that we offer this booklet that outlines your 2027 Driscoll Employee Benefits Program.

Table of Contents

The Driscoll Employee Benefits Program provides valuable benefits that comprise an important part of your total compensation. These pages contain a wide range of benefit options that will assist you in making sound health and financial benefits decisions for you and your family.

Health Care Options.....................................................................10

We have attempted to provide clear and accurate information. Main features of the plan are highlighted but the booklet does not include all plan rules, details, limitations, and exclusions. Benefits plan terms are governed by legal documents. Should there be an inconsistency between this brochure and the legal plan documents, the plan documents are the final authority. The Driscoll Employee Benefits Program reflects our institution’s values and our commitment to you. As you continue with your mission of providing care to others, it is our hope that these benefits will help you lead a life that is happy, healthy and financially secure.

Availability of Summary Health Information Your benefits program offers four medical plan coverage options. To help you make an informed choice and compare your options, a Summary of Benefits and Coverage (SBC) for each plan is available at www.bcbstx.com and on the Driscoll intranet. A paper copy is also available, free of charge, by calling Human Resources.

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 Required Notices for more details.

Important Contacts........................................................................2 Benefits Overview..........................................................................4 Enrollment......................................................................................5 Medical Benefits............................................................................6

Livongo Health Management Program........................................11 BCBSTX Resources........................................................................12 Wellness Programs.......................................................................13 Dental Benefits.............................................................................14 Vision Benefits.............................................................................15 Flexible Spending Accounts.........................................................16 Health Savings Account................................................................17 Life and AD&D Insurance.............................................................18 Disability Insurance......................................................................19 Supplemental Insurance..............................................................20 Retirement Savings Programs......................................................21 Work-life Balance.........................................................................22 BCBSTX In-Network Provider Directory.......................................26 Required Notices..........................................................................28


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Benefits Overview Highlights Driscoll partners with high quality insurance carriers who provide excellent benefit options and service to our employees.

Medical, Dental, and Vision Insurance– Blue Cross Blue Shield of Texas (BCBSTX) is our provider for these benefits.

Life, Disability and Supplemental Insurance – These programs will continue with dependable insurance carriers with whom we have worked for many years.

Medical Plan Option – The Choice HDHP medical plan option is a qualified High Deductible Health Plan (HDHP). An HDHP allows for lower premiums and to pay for health care when you need it versus if you need it. Company HSA Contribution – If you enroll in the Choice HDHP medical plan option, Driscoll will make an annual Health Savings Account (HSA) contribution of $500 for employee only or $1,000 for family.

Pharmacy – Driscoll utilizes the Prime Therapeutics Traditional Network for prescription coverage.

Flexible Spending Accounts – Health Care Reform requires us to cap the maximum contribution for the Health Care Reimbursement Flexible Spending Account (FSA) at $3,400 for 2027. You may still contribute up to $7,500 in your Dependent Care FSA. You must actively enroll in the FSA program each year. If you are enrolled in the Blue Choice HDHP medical plan and have an HSA, you may enroll in a Limited Purpose FSA only.

Employee Care Center – The Driscoll Way Care Center is available free of charge to employees, spouses, and adult dependents (18 years old and above) enrolled in Driscoll’s health insurance plan. HDHP medical plan participants are subject to marginal fees until their deductible is met.

Teladoc – Driscoll continues to offer this telemedicine program. This telemedicine program gives you 24/7/365 access to quality health care anytime, anywhere. Teladoc provides access to a national network of board-certified doctors and pediatricians that can diagnose, recommend treatment, and prescribe medication over the phone.

Livongo – Livongo health management program is available at no cost to you. Livongo offers digital solution programs to help you manage chronic diabetes and prediabetes.

Who Pays for Your Benefits? BENEFIT

WHO PAYS?

Medical

Driscoll and You

Dental

You

Vision

You

Basic Life and AD&D

Driscoll

Voluntary, Dependent, and Permanent Life

You

Short Term Disability

You

Long Term Disability (40%)

Driscoll

Supplemental LTD

You

Supplemental Insurance

You

Eligibility Employees You are eligible to participate if you are a full-time or part-time (benefit-eligible) employee working 20 or more hours per week. You must be actively at work for any coverage to take effect. Dependents Your eligible dependents include:

Your legally-married spouse

Your dependent children to 26 years of age

Your children of any age who are mentally or physically disabled and who are dependent on you for support (medical documentation is required)

Dependent coverage takes effect on the same date your coverage begins. You may be asked to provide evidence that your dependents meet the eligibility requirements such as birth certificates, adoption or guardianship papers, or a marriage license.

Teladoc provides services for general medical, behavioral health, dermatology, and smoking cessation (prescriptions covered per plan).


Driscoll 2027 5

Enrollment When you enroll, review your options carefully because the options you choose will remain in effect throughout the plan year (January 1 through December 31, 2027) and may not be changed unless you have a Qualifying Life Event (QLE), as explained below. If you choose to opt out of coverage offered by Driscoll, you can visit www.healthcare.gov to evaluate options for you and your family at the Health Insurance Marketplace. The Marketplace offers comparisons of private health insurance options in your area.

Making Changes You may make changes to your benefit elections during the plan year only if you experience a QLE, which includes:

Marriage, divorce, legal separation, or annulment

Birth, adoption, or placement for adoption of an eligible child

Death of your spouse or child

Change in employment status that affects benefits eligibility (e.g., starting a new job, leaving a job, changing from parttime to full-time, starting or returning from an unpaid leave of absence)

Change in your child’s eligibility for benefits (e.g., reaching the age limit of 26)

Change in residence that affects your eligibility for coverage (e.g., moving out of a medical plan’s network area)

Significant change in benefit plan coverage or cost for you, your spouse, or your child

FMLA event, COBRA event, court judgment, or decree

Becoming eligible for Medicare, Medicaid, or TRICARE

Receiving a Qualified Medical Child Support Order

You have 31 days from the date of a change in status event to submit a change request to Human Resources. Changes will be effective on the day of the event. If you do not make your changes during the 31-day change in status period, your changes cannot be made until the next Open Enrollment (OE) period.

Tax Savings The cost of Medical, Dental, and Vision coverage; eligible Aflac products; and contributions to Health Care FSA, Limited Purpose Health Care FSA, Dependent Care FSA, and HSAs will be deducted from your paycheck on a pretax basis (Section 125 Tax-Deferred Insurance Premiums). This can save you money since the amount you contribute to your plans is not subject to federal income tax or FICA (Social Security tax).


6 Driscoll 2027

Medical Benefits The medical plan options through BCBSTX protect you and your family from major financial hardship in the event of illness or injury. You have a choice of four plans:

Prime PPO Plan

Select PPO Plan

Essential PPO Plan

Choice HDHP Plan

Preferred Provider Organization

Driscoll Way Care Center The Driscoll Way Care Center on-site facility is available free of charge to employees, spouses, and adult dependents (18 years and older) who are enrolled in Driscoll’s health insurance plan. The care center focuses on delivering high-quality health care with less wait times and more time spent with providers. When you visit the care center for preventive care, acute care, disease management, health coaching services, or on-site lab work, your cost will be $0 (note: HDHP members will have marginal fees as required by the HDHP plan).

A Preferred Provider Organization (PPO) plan allows you to see any provider when you need care. When you see in-network providers for care, you will pay less and get the highest level of benefits. You will pay more for care if you use non-network providers. When you see in-network providers, your office visits, urgent care, and prescription drugs are covered with a copay and most other network services are covered at the deductible and coinsurance level.

Services at the Driscoll Way Care Center include:

High Deductible Health Plan

Location Driscoll Way Care Center Driscoll Children’s Hospital Health Center Building, 2nd Floor 3533 S. Alameda St., Suite 200 Corpus Christi, TX 78411 361-724-3220 Driscoll Way Care Center RGV is opening in Fall 2026. More details to come.

A High Definition Health Plan (HDHP) also allows you to see any provider when you need care, but you will pay less for care when you go to in-network providers. In exchange for a lower perpaycheck cost for medical benefits, you must satisfy a higher plan deductible that applies to almost all health care expenses, including prescription drugs. If you enroll in the HDHP, you may be eligible to open an HSA (see page 17).

Find an In-Network Provider

www.bcbstx.com

800-521-2227

Preventive Care – Annual whole health evaluation, immunizations, screenings, well woman exams, and family planning services Chronic Disease Management – Management of diseases such as diabetes, hypertension, and depression Acute Care – Coughs/colds, wound care, sprains and strains, rashes, urinary tract infections, back pain, and more Bonus Support Services – Health coaching, on-site labs, specialty care coordination, and advocacy

Business Hours Monday, Wednesday, Friday 7:00 a.m. to 5:00 p.m., Tuesday, Thursday 8:00 a.m. to 6:00 p.m.

Driscoll Health Pharmacy Driscoll Health Pharmacy is a specialty pharmacy in the BCBSTX network. Our friendly and knowledgeable team will work closely with you and your doctor to provide the highest quality of care. Location The Pavilion at Driscoll Children’s Hospital 3533 South Alameda St., 1st Floor Corpus Christi, TX 78411 Contact Business Hours – Monday through Friday from 8:00 a.m. to 7:00 p.m., Saturday 9:00 a.m. to 1:00 p.m.

Direct Phone – 361-694-4200

Toll Free – 833-55-PHARM (833-557-4276)

Fax – 361-808-2792

Email – driscollhealthpharmacy@dchstx.org


Driscoll 2027 7

Medical Benefits Teladoc Driscoll partners with Teladoc to provide you and your eligible dependents access to doctors by phone or online video. Through Teladoc, you can speak with an in-network physician, regarding:

General medical

Behavioral health

Internal medicine

Dermatology

Pediatrics

Smoking cessation

Teladoc provides 24/7/365 access to U.S. board-certified doctors through the convenience of a phone call or an online video consultation. Teladoc is an alternative to urgent care and emergency room visits. While it does not replace your primary care physician, Teladoc is a convenient and cost-effective option when you need care and:

Have a non-emergency issue and are considering an urgent care clinic or emergency room for treatment

Are on a business trip, vacation, or away from home

Need a short-term prescription refill

Your primary care physician is unavailable

Get the Care You Need Teladoc doctors can treat many medical conditions, including:

Cold and flu symptoms

Respiratory infections

Allergies

Sinus problems

Bronchitis

Dermatology issues

Urinary tract infections

Mental health concerns

With your consent, Teladoc will provide information about your Teladoc consult to your primary care physician.

Get Started with Teladoc

Download the App – Members can access Teladoc via their phone or tablet with the Teladoc app 24/7/365.

Send a Text – If you want to set up an account online to text message, text Get Started to 469-844-5637.

Visit – www.teladoc.com and click on Set Up Account or call 800-TELADOC (835-2362).

Teladoc is offered by Driscoll and not through the BCBSTX medical plan. Teladoc is available at no cost to you.

Glossary of Terms Deductible – An annual amount you pay for covered expenses before benefit payments begin. Your covered expenses during the calendar year apply toward the deductible. Copay – What you pay each time you receive certain medical services. Copays do not count toward your deductible or outof-pocket maximum, and continue after these amounts are met. Coinsurance – The percentage of covered expenses you must pay after you meet the deductible, up to the out-of-pocket maximum. After you reach your out-of-pocket maximum, the plan pays benefits at 100% of reasonable and customary charges. Reasonable and Customary (R&C) Charges – R&C charges are fees charged by a health care provider that are within the range typically charged for the same service by similar providers in the same geographic area, as determined by the insurance company. When you use out-of-network providers, you will be responsible for any fees above R&C charges, in addition to deductibles and coinsurance.


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Medical Benefits Medical Benefits Summary PRIME PPO

SELECT PPO

Calendar Year Deductible Individual Family

$400 $800

$500 $1,000

Out-of-Pocket Maximum Includes Deductible and Copays Individual Family

$3,000 $9,000

$4,000 $12,000

N/A

N/A

In-Network1 You Pay

In-Network1 You Pay

Wellness/Preventive Care Routine exams, immunizations, lab, X-ray, or other preventive tests

$0

$0

Telemedicine/Teladoc

$0

$0

$20 copay $35 copay

$25 copay $35 copay

$20 copay

$25 copay

$200 copay $300 copay

$200 copay $300 copay

Inpatient/Outpatient Care Driscoll3 In-Network

$0 10% after deductible

$0 20% after deductible

Laboratory and Radiology Services Driscoll4 In-Network

$0 10% after deductible

$0 20% after deductible

Therapy Services PT/OT (60 visits combined maximum) Speech/cognitive (30 visits combined maximum)

10% after deductible 10% after deductible

20% after deductible 20% after deductible

In-Network1 You Pay

In-Network1 You Pay

Calendar Year Deductible Individual Family

$50 $100

$50 $100

Pharmacy – Retail Up to 30-day supply Generic Preferred brand Non-preferred brand Specialty

$5 copay $25 copay $50 copay 25% ($150 maximum per prescription)

$5 copay $25 copay $50 copay 25% ($150 maximum per prescription)

Employee Only

$153.00

$55.00

Employee + Spouse

$597.00

$272.00

Employee + Child(ren)

$529.00

$253.50

Employee + Family

$776.50

$326.25

HSA Employer Contributions Individual Family Medical

Office Visit Physician Specialist Urgent Care Emergency Room True emergency Non-emergency 2

Prescription Drugs

Semimonthly Cost

Out-of-Network (OON) services are subject to higher OON deductibles, based on plan. Emergency room visits are subject to deductible, copay, and coinsurance, based on plan. 3 Children (birth to 15 years of age) who seek inpatient/outpatient hospital services outside of Driscoll Children’s Hospital (DCH) to include both the Corpus Christi and the Rio Grande Valley locations (except employees who reside 70+ miles from either DCH location) are subject to the out-of-network deductible and benefits are paid at 50%. Children ages 16-21 are covered at 100% at DCH but may receive inpatient/outpatient services at other network facilities paid at coinsurance, based on the elected Plan. 4 Employees covered under the Driscoll Employee Benefits Plan can receive Lab and Radiology Services (if offered) at 100% without being subject to deductible and/or coinsurance. Choice HDHP members are required to satisfy Plan deductible prior to 100% coverage. Note: Send out labs and radiology reading fees are excluded and subject to deductible and coinsurance. 1 2

Prescription mail order is available through BCBSTX/Express Scripts at www.express-scripts.com/rx.


Driscoll 2027 9

Medical Benefits ESSENTIAL PPO

CHOICE HDHP

Calendar Year Deductible Individual Family

$1,500 $3,000

$3,500 $7,000

Out-of-Pocket Maximum Includes Deductible and Copays Individual Family

$5,000 $15,000

$7,000 $16,600

N/A

$500 $1,000

In-Network1 You Pay

In-Network1 You Pay

Wellness/Preventive Care Routine exams, immunizations, lab, X-ray or other preventive tests

$0

$0

Telemedicine/Teladoc

$0

$0

$30 copay $50 copay

20% after deductible 20% after deductible

$30 copay

20% after deductible

$200 copay $300 copay

20% after deductible 20% after deductible

Inpatient/Outpatient Care Driscoll3 In-Network

$0 30% after deductible

$0 after deductible 20% after deductible

Laboratory and Radiology Services Driscoll4 In-Network

$0 30% after deductible

$0 after deductible 20% after deductible

Therapy Services PT/OT (60 visits combined maximum) Speech/cognitive (30 visits combined maximum)

30% after deductible 30% after deductible

20% after deductible 20% after deductible

In-Network1 You Pay

In-Network1 You Pay

Calendar Year Deductible Individual Family

$50 $100

Included with medical deductible

Pharmacy – Retail Up to 30-day supply Generic Preferred brand Non-preferred brand Specialty

$5 copay $40 copay $70 copay 25% ($150 maximum per prescription)

20% after deductible 20% after deductible 20% after deductible 20% after deductible

Employee Only

$18.00

$0.00

Employee + Spouse

$141.00

$107.00

Employee + Child(ren)

$134.00

$101.00

Employee + Family

$194.00

$148.50

HSA Employer Contributions Individual Family Medical

Office Visit Physician Specialist Urgent Care Emergency Room True emergency Non-emergency 2

Prescription Drugs

Semimonthly Cost

Out-of-Network (OON) services are subject to higher OON deductibles, based on plan. Emergency room visits are subject to deductible, copay, and coinsurance, based on plan. 3 Children (birth to 15 years of age) who seek inpatient/outpatient hospital services outside of Driscoll Children’s Hospital (DCH) to include both the Corpus Christi and the Rio Grande Valley locations (except employees who reside 70+ miles from either DCH location) are subject to the out-of-network deductible and benefits are paid at 50%. Children ages 16-21 are covered at 100% at DCH but may receive inpatient/outpatient services at other network facilities paid at coinsurance, based on the elected Plan. 4 Employees covered under the Driscoll Employee Benefits Plan can receive Lab and Radiology Services (if offered) at 100% without being subject to deductible and/or coinsurance. Choice HDHP members are required to satisfy Plan deductible prior to 100% coverage. Note: Send out labs and radiology reading fees are excluded and subject to deductible and coinsurance. 1 2


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Health Care Options As a BCBSTX plan member, you have options where you may seek treatment. HEALTH CARE PROVIDER

SYMPTOMS

AVERAGE COST

AVERAGE WAIT

Allergies Cough/cold/flu Rash Stomachache

$

2-5 minutes

Allergies Cough/cold/flu Infections Vaccinations

$*

2-5 minutes

Infections Sore and strep throat Vaccinations Minor injuries/sprains/strains

$

15-20 minutes

Common infections Minor injuries Pregnancy tests Vaccinations

$

15 minutes

Sprains and strains Minor broken bones Small cuts that may require stitches Minor burns and infections

$$

15-30 minutes

$$$$

4+ hours

$$$$$$

Minimal

NON-EMERGENCY CARE Access to care via phone, online video, or mobile app whether you are home, work or traveling; medications can be prescribed

TELEMEDICINE

24 hours a day, 7 days a week

Access to preventive care, acute care, disease management, health coaching and on-site lab work

DRISCOLL WAY CARE CENTER

Office hours vary

Generally, the best place for routine preventive care; established relationship; able to treat based on medical history

DOCTOR’S OFFICE

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 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

Services do not include trauma care; can look similar to an urgent care center, but medical bills may be 10 times higher 24 hours a day, 7 days a week

Chest pain Difficulty breathing Severe bleeding Blurred or sudden loss of vision Major broken bones

Most major injuries except trauma Severe pain

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. * HDHP medical plan participants are subject to marginal fees until their deductible is met.


Driscoll 2027 11

Livongo Health Management Program Included with your BCBSTX health plan is access to Livongo health management programs. Available at no cost to you, Livongo offers digital solution programs to help you manage chronic diabetes and hypertension. This program is available to you and your adult family members covered under one of Driscoll’s medical plans.

Diabetes Management Program Livongo can help you manage Type 1 and Type 2 diabetes by using:

Livongo’s advanced blood glucose meter – Manage your blood glucose readings safely and securely. Receive immediate feedback once your blood sugar is processed, especially if your blood sugar is out of range. An additional feature enables you to alert loved ones in real time (using a cellular connection) when your blood glucose is too high or too low.

Unlimited strips and lancets at NO COST – When your supply runs out, Livongo will ship more supplies to your home or office.

Real-time tips and support from Certified Diabetes Educators (CDEs) – The Livongo meter can help you connect with CDEs should you have an out of range glucose reading or if you just need some quick tips on diabetes management. CDEs are available 24/7.

Livongo offers personal support by monitoring your blood pressure using:

A wireless, connected blood pressure cuff

Support and coaching with licensed professionals 24/7

Notifications and reminders for high blood pressure readings

Blood pressure reading reports

Participation is Easy! Getting started with Livongo is quick and easy online, by phone, or via the mobile app.

Online – https://get.livongo.com/txhealth/register

Phone – 800-945-4355

App – text GO TXHEALTH to 85240


12 Driscoll 2027

BCBSTX Resources Blue Access for Members

Blue365

Blue Access for Members (BAM) is the secure BCBSTX member website where you can:

Check claim status or history

Confirm dependent eligibility

Blue365 can help you save money on health and wellness products and services not covered by insurance. There are no claims to file and you do not need a referral or preauthorization. Sign up for Blue365 at www.blue365deals.com/bcbstx to receive weekly Featured Deals by email. Discounts include:

Print Explanation of Benefits (EOB) forms

Davis Vision | LasikPlus – eyewear and LASIK

Locate in-network providers

TruHearing | Beltone – hearing aids and tests

Print or request an ID card

Philips Sonicare – oral care products

To get started, log on to www.bcbstx.com and use the information on your BCBSTX ID card to complete the registration process.

Dental Solutions – dental discount card

KIND | Sunbasket – weight loss and nutrition

Mobile App

HEYDUDE | SKECHERS – comfort and work footwear

The BCBSTX mobile app can help you stay organized and in control of your health anytime, anywhere. Log in from your mobile device to access your BAM account, including:

EyeMed Vision Discount Program

Track account balances and deductibles

Access ID card information

Find doctors, dentists, and pharmacies

Text BCBSTXAPP to 33633 or search your mobile device’s app store to download.

Nurseline Call 800-581-0368 for immediate access to registered nurses who can answer general health questions, make appointments with your doctor, and help determine where to go for immediate or emergency health care services. You can also access an audio library of more than 1,000 health-related topics in both English and Spanish.

FlexAccess FlexAccess is a cost-assistance program that helps lower your out-of-pocket costs for certain high-cost medications. As part of your BCBSTX health plan, the FlexAccess team will review your prescriptions and may reduce what you pay - sometimes to as little as $0. Even if you currently use a manufacturer’s coupon, FlexAccess ensures you’re getting the lowest cost. Participation is optional, but if you opt out, you may pay the full price for your medications. Call FlexAccess at 888-302-3618 (Monday through Friday from 7:00 a.m. to 7:00 p.m. CT) Email member.services@flexaccessrx.com

Blue365 provides a vision discount program through EyeMed Vision Care. No referral is needed; simply visit any EyeMed provider and show your BCBSTX medical ID card.

Save on eyeglasses, contact lenses, eye exams, accessories, and laser vision correction

Major national and regional retail locations include Lenscrafters, Pearle Vision, Target Optical, and independent ophthalmologists and optometrists

Visit www.eyemedvisioncare.com/bcbstxvis or call 855-556-8796 for more information.


Driscoll 2027 13

Wellness Programs If you are enrolled in a BCBSTX medical plan, you have access to these wellness programs.

GO Wellbeing

Fitness Program

Starting January 1, 2027, GO Wellbeing is being introduced as an easy-to-use digital wellness program that helps you manage your health and well-being – at no extra cost.

The Fitness Program provides unlimited, affordable access to a nationwide network of more than 10,000 fitness locations. Visit a gym near your home, work, or while traveling. Program perks include:

Earn GO Points through an enhanced rewards program with a “choose your own adventure” approach, with more activities eligible for rewards.

Earn incentives for completing eligible health and wellness activities.

No Long-Term Contracts – Membership is month-to-month with a choice of flexible plans from $19 to $239 per month. Studio classes are also available.

Access tools, tips, and resources to support your physical, mental, and overall well-being.

Convenient Payment – Pay monthly fees via automatic credit card or bank withdrawals.

Take the RealAge® Test to receive personalized recommendations based on your daily habits.

Online Resources – Search online for convenient locations and track your visits.

Complementary and Alternative Medicine – Find discounts through the Whole Health Living Choices Program, a network of 40,000 health and well-being providers such as acupuncturists, massage therapists, and personal trainers. Register online at www.whlchoices.com.

Participate in fun workplace wellness challenges to stay motivated and engaged with your coworkers.

Connect with a health coach for personalized, one-on-one support.

Take advantage of specialized programs focused on mindfulness, intuitive eating, and tobacco cessation.

Explore the Community Wellbeing Index to discover local health insights, outdoor activities, and resources.

Get started today

Log in to Blue Access for Members at bcbstx.com or download the GO Wellbeing app.

Take the RealAge® Test

Follow your personalized recommendations or explore activities that interest you.

Learn More

Visit www.bcbstx.com and register for BAM then click the My Health tab

Call 844-717-8854

Download the GO Wellbeing app to your mobile device

If you have a health factor that makes it unreasonably difficult or medically inadvisable for you to achieve the requirements of this program to qualify for the incentives, please contact Human Resources and we will work with you and/or your physician to develop an alternative. The purpose of this program is to promote health and prevent disease by alerting employees to potential health risks. This program is confidential and HIPAA compliant. Protected Health Information will only be collected in aggregate form in order to design programs for the purpose of addressing the company’s overall risk(s). Any information shared will not be disclosed, except in accordance with HIPAA laws.

Join the Fitness Program by calling 888-762 BLUE (2583) Monday through Friday between 7:00 a.m. and 7:00 p.m. CT.


14 Driscoll 2027

Dental Benefits The dental plan encourages preventive care and helps pay the cost of covered services if you or a covered family member need basic, major or orthodontic care. The BCBSTX dental plan gives you the freedom to go to any dentist you choose. You are responsible for meeting a calendar year deductible (except for diagnostic, preventive, and orthodontic services) and then the plan pays a percentage of covered costs. Benefits are paid at the same percentages whether you go to an in-network or out-of-network provider. However, in-network benefits are based on a negotiated contracted fee schedule. Out-of-network benefits are based on local usual reasonable and customary charges. If you see an out-of-network provider, you will be responsible for charges in excess of eligible expenses.

Find an In-Network Provider

www.bcbstx.com

800-521-2227 BCBSTX DENTAL In-Network or Out-of-Network1

Calendar Year Deductible Individual Family

$50 $100

Calendar Year Maximum Benefit Per individual

$2,500

Lifetime Maximum Orthodontic Benefit Per covered person

$2,500 You Pay

Type A – Preventive Care Prophylaxis (cleanings), topical fluoride applications

$0

Type B – Basic Restorative Amalgams, resin-based composite restorations

20% after deductible

Type C – Major Restorative Single crown, inlay/onlay, and labial veneer restorations, crowns placed over implants

50% after deductible

Type D – Orthodontia Adult and children up to age 26

50%

Semimonthly Cost Employee Only

$19.25

Employee + 1

$25.25

Employee + Family

$44.25

Payment for covered services received from an out-of-network dentist is based on the 90th percentile of UCR. By going out-of-network, you might be responsible for balance billed services in excess of the 90th percentile of UCR.

1


Driscoll 2027 15

Vision Benefits Our vision plan offers quality care to help preserve your health and eyesight. Regular exams can detect certain medical issues such as diabetes and high cholesterol, in addition to vision and eye problems. You may seek care from any vision provider, but the plan will pay the highest level of benefits when you see a network provider. Coverage is provided through BCBSTX using the EyeMed vision care network. VISION PLAN

Exams Lenses Single vision Bifocal Trifocal Lenticular Standard progressive Premium progressive Tier 1 Tier 2 Tier 3 Tier 4 Frames Contacts In lieu of frames/lenses Fitting and evaluation Conventional Disposable Medically necessary

In-Network You Pay

Out-of-Network Reimbursement

$10 copay

Up to $40

$25 copay $25 copay $25 copay $25 copay $40 copay

Up to $40 Up to $60 Up to $80 Up to $100 Up to $40

$110 copay $120 copay $135 copay $90 copay/80% of charge less $120 allowance

N/A N/A N/A N/A

$0 copay, $130 allowance, 20% off balance over $130

Find an In-Network Provider

https://member.eyemedvisioncare.com/bcbstx

855-556-8796

Additional Discounts

40% 20% off

Up to $160

off

Up to $40 for standard; 10% off retail price for premium $0 copay, $150 allowance, 15% off balance over $150 $0 copay, $150 allowance, plus balance over $150 $0

Up to $65

20%

Up to $150

off

Up to $150

Complete pair of prescription eyeglasses Non-prescription sunglasses

Remaining balance beyond coverage plan

Discounts are not insured benefits and are for in-network providers only.

Up to $210

Diabetic Vision Care Services for Type 1 or Type 2 Diabetes with Diabetic Retinopathy Medical follow-up Eye Examination

$0 copay

Up to $77

Fundus Photography Examination

$0 copay

Up to $50

Extended Ophthalmoscopy Initial and subsequent

$0 copay

Up to $15

40% off exams

Gonioscopy

$0 copay

Up to $15

Scanning Laser

$0 copay

Up to $33

Benefit Frequency Exam

Once every 12 months

Lenses

Once every 12 months

Frames

Once every 24 months

Contacts

Once every 12 months

Diabetic Care Services

Once every 6 months

Semimonthly Cost Employee Only

$3.00

Employee + Spouse

$6.00

Employee + Child(ren)

$5.75

Employee + Family

$9.00

Your vision plan offers a hearing discount through Amplifon. Their contact number is 877-203-0675. With Amplifon, members receive:

Savings - Up to 64% off retail for hearing aids

Follow-up care - Ensures a smooth transition to your new hearing aids

Custom hearing solutions - A wide choice of products from the industry’s leading brand

Battery support - Battery supply or charging station to keep you powered

Risk-free trial - Find your right fit by trying your hearing aids for 60 days.

Warranty - Three-year coverage for loss, repairs, or damage Financing - no interest for those who qualify


16 Driscoll 2027

Flexible Spending Accounts FSAs provide you with an important tax advantage that can help you pay health care and dependent care expenses on a pretax basis. By anticipating your family’s health care and dependent care costs, you can actually lower your taxable income. This program is administered by TASC.

Health Care FSA

Important FSA Rules

The Health Care FSA lets you pay for certain IRS-approved medical care expenses not covered by your insurance plan with pretax dollars. Examples include:

The maximum per plan year you can contribute to a Health Care or Limited Purpose FSA is $3,400. The maximum per plan year you can contribute to a Dependent Care FSA is $7,500 when filing jointly or head of household and $3,750 when married filing separately.

You can continue to file claims incurred during the plan year for another 90 days (up until March 31, 2028).

You cannot change your election during the year unless you experience a QLE.

Your Health Care or Limited Purpose FSA debit card can be used for health care expenses only. It cannot be used to pay for dependent care expenses.

The IRS has amended the “use it or lose it” rule to allow you to carry over up to $680 in your Health Care FSA into the next plan year. The carryover rule does not apply to your Dependent Care FSA.

Medical, dental, and vision deductibles, copays, and coinsurance

Chiropractic services

Acupuncture

The annual maximum amount you may contribute to your Health Care FSA is $3,400. A debit card is available for your use. It is important to be conservative in making elections because any unused funds over $680 left in your FSA account at the close of the plan year will not be refundable to you. You must actively enroll in the FSA program each year.

Limited Purpose Health Care FSA A Limited Purpose Health Care FSA is available if you are enrolled in the Choice HDHP medical plan and have an HSA. You can use a Limited Purpose Health Care FSA to pay for eligible out-of-pocket dental and vision expenses only, such as:

Dental and orthodontia care (e.g., fillings, X-rays, and braces)

Vision care (e.g., eyeglasses, contact lenses, and LASIK surgery)

The annual maximum amount you may contribute to your Limited Purpose Health Care FSA is $3,400. It is important to be conservative in making elections because any unused funds over $680 left in your FSA account at the close of the plan year will not be refundable to you.

Dependent Care FSA The Dependent Care FSA lets you use pretax dollars toward qualified dependent care, such as caring for children under age 13 or dependent elders. Examples include:

The cost of child or adult dependent care

The cost for an individual to provide care either in or out of your house

Nursery schools and preschools (excluding kindergarten)

The annual maximum amount you may contribute to your Dependent Care FSA is $7,500 (or $3,750, if married and filing separately) per calendar year.


Driscoll 2027 17

Health Savings Account If you enroll in the Choice HDHP medical plan, you may be eligible to open an HSA. An HSA is a personal savings account you can use to pay qualified out-of-pocket medical expenses with pretax dollars. You own and control the money in your HSA. The money in your HSA (including interest and investment earnings) grows tax-free and if the funds are used to pay for qualified medical expenses, it is spent tax-free. There is no “use it or lose it” rule — you do not lose your money if you do not spend it in the calendar year — and there are no vesting requirements or forfeiture provisions. The account automatically rolls over year after year and, since it is an individual account, the balance is yours to keep even if you change health plans or jobs. Our HSAs are managed by TASC.

HSA Eligibility

Opening an HSA

You are eligible to open and contribute to an HSA if you are:

If you meet the eligibility requirements, you may open an HSA administered by TASC. You will receive a debit card to manage your HSA account reimbursements. Keep in mind, available funds are limited to the balance in your HSA. Visit www.tasconline.com/ ubaaccess to manage your HSA.

Enrolled in an HSA-eligible HDHP

Not covered by another plan that is not a qualified HDHP, such as your spouse’s health plan

Not enrolled in a Health Care FSA

Not eligible to be claimed as a dependent on someone else’s tax return

Not enrolled in Medicare, Medicaid, or TRICARE

Not receiving Veterans Administration benefits

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 are not covered by the HDHP.

Always ask your health care provider to file your claims with BCBSTX so network discounts can be applied. Then you can pay the provider with your HSA debit card based on the balance due after discount. You, not your employer, are responsible for maintaining ALL records and receipts for HSA reimbursements in the event of an IRS audit. You may open an HSA at any financial institution of your choice, but only accounts opened through TASC are eligible for automatic payroll deduction and company contributions.

Maximum Contributions Your contributions to your HSA, when combined with Driscoll’s contributions, may not exceed the annual maximum amount established by the IRS. The annual contribution maximum for 2027 is based on the coverage option you elect: HSA MAXIMUM CONTRIBUTIONS You

Driscoll

IRS Maximum

Individual

$4,000

$500

$4,500

Family

$8,000

$1,000

$9,000

You decide whether to use the money in your account to pay for qualified expenses or let it grow for future expenses. If you are age 55 or older, you may make a yearly catch-up contribution of up to $1,000 to your HSA. If you turn 55 at anytime during the plan year, you are eligible to make the catch-up contribution for the entire plan year.

Note If you enroll in an HSA, you may also open a Limited Purpose Health Care FSA to help pay for qualified dental and vision expenses.


18 Driscoll 2027

Life and AD&D Insurance Life and Accidental Death & Dismemberment (AD&D) insurance provides peace of mind knowing you can help meet your family’s financial needs even if you are not there to provide for them.

Basic Life and AD&D Insurance Driscoll pays the full cost of Basic Life and AD&D coverage for all full-time and part-time employees. Coverage is provided through The Hartford. BASIC LIFE AND AD&D

Voluntary Life and AD&D Insurance For an added layer of protection, you may add to your Basic Life and AD&D insurance by purchasing Voluntary Life insurance coverage for yourself and/or your spouse. Coverage is provided through The Hartford. As you grow older, your Life and AD&D coverage amount reduces by 35% at age 65, and 50% at age 70. VOLUNTARY LIFE AND AD&D Employee

Employee Life

One times base annual earnings rounded to the next higher multiple of $1,000 (maximum of $600,000)

Benefit

Initial eligibility date enrollment guarantees employee $300,000 (pending age reductions)

Employee AD&D

One times base annual earnings rounded to the next higher multiple of $1,000 (maximum of $600,000)

Maximum Benefit

$600,000 or up to six times your annual earnings, whichever is less

Guarantee Issue

$300,000 or up to three times your annual earnings

Upon death, your Basic Life insurance is paid to your beneficiary. If your death is the result of an accident, your beneficiary receives both your AD&D and Basic Life insurance benefit. If you are seriously injured in an accident —and depending on the nature of the injury— you may be able to receive your AD&D benefit. Contact Human Resources to name or update your beneficiaries.

Spouse Benefit

Up to 50% of employee’s voluntary life amount from $5,000 to $150,000 (in $5,000 increments)

Guarantee Issue

$50,000 (if spouse is able to perform the normal activities of a person the same age and gender – a disabled spouse is not eligible)

Child(ren) Guarantee Issue

Universal Life Insurance Owning a Universal Life insurance policy can help you provide protection for your family’s lifestyle. Driscoll’s current Universal Life insurance provider is Transamerica. Policies with Transamerica are portable. Visit www.transamericaemployeebenefits.com or call 888-763-7474 to learn more about a Universal Life policy.

Birth to six months – $1,000 Six months to age 19 – $12,500

VOLUNTARY LIFE AND AD&D MONTHLY COST Per $1,000 each for Employee and Spouse Coverage

Age

Life

AD&D

<30

$0.06

$0.02

30-34

$0.08

$0.02

35-39

$0.09

$0.02

40-44

$0.15

$0.02

45-49

$0.22

$0.02

50-54

$0.36

$0.02

55-59

$0.56

$0.02

60-64

$0.86

$0.02

65-69

$1.34

$0.02

70+

$2.41

$0.02

Voluntary Dependent Life Insurance You may purchase $12,500 in Voluntary Dependent Life insurance through The Hartford for your eligible dependents. The monthly cost is $1.02.


Driscoll 2027 19

Disability Insurance Disability insurance provides partial income replacement if you can no longer work due to a non-work-related injury or illness while insured. Driscoll pays the full cost of Long Term Disability (LTD) at 40% of your salary. LTD BENEFITS Coverage Begins

After 90 days of disability

Payable Until

SSNRA1

Percent of Income Replaced Maximum Benefit 1

40% of base monthly earnings $15,000/month

Social Security Normal Retirement Age

Supplemental Disability Insurance You can purchase Supplemental Short Term and Long Term Disability insurance through The Hartford. Short Term Disability (STD) premiums are based on the weekly option you select. LTD premiums are based on your base salary. SUPPLEMENTAL DISABILITY STD Benefits Coverage Begins

After 14 days of disability

Payable Until

Maximum 11 weeks

Percent of Income Replaced

60% of base weekly earnings

SUPPLEMENTAL STD PER PAY PERIOD RATES

A leave of absence is a period of time during which your absence from work is approved and your job may be protected depending upon the type of leave or its length. All leaves are to be requested through The Hartford at 888-683-2813. If you are approved for any type of leave of absence, you must use your accumulated paid time off (PTO) and Extended Illness Bank (EIB) hours, if appropriate, before going on an unpaid leave status. If you are on military leave, you are eligible, but not required, to use your accrued PTO benefits.

Weekly Benefit

Cost

$100

$3.88

What is Family Medical Leave of Absence (FMLA) FMLA is 12 weeks of unpaid, job-protected leave. This time is calculated using a “rolling” calendar year. You may request a Family Medical Leave for yourself, a parent, a spouse, or a child under the age of 18.

FMLA Eligibility You are eligible for FMLA if you have worked for Driscoll for 12 months and have worked 1,250 hours.

Resources Driscoll Intranet, your Supervisor/Director, Human Resources department, Employee Handbook.

Maximum Benefit

$700 per week

LTD Benefits Coverage Begins

After 90 days of disability

Payable Until

SSNRA1

Percent of Income Replaced Maximum Benefit 1

Leave of Absence

50-66⅔% of base monthly earnings $15,000 per month

Social Security Normal Retirement Age

$200

$7.75

$300

$11.63

$400

$15.50

$500

$19.38

$600

$23.25

$700

$27.13


20 Driscoll 2027

Supplemental Insurance As a complement to our core benefits programs, Driscoll offers you the opportunity to enroll in additional coverage in case of serious accidents or illnesses. Supplemental insurance helps cover what your health insurance does not so you can focus on recovery. These programs are provided by Aflac.

Cancer Insurance

Hospital Indemnity Insurance

Cancer insurance pays benefits directly to you. It includes a cancer wellness screening benefit. You may cover yourself and your eligible dependents. Several levels of coverage are available.

Hospital Indemnity insurance pays for required hospital confinement of 14 or more hours for a covered sickness or injury. You may cover yourself and your eligible dependents.

Accident Insurance

Critical Care and Recovery Insurance

Accident insurance pays benefits directly to you. It includes a $60 wellness benefit that becomes effective 12 months after employment. You may cover yourself and your eligible dependents.

Critical Care and Recovery insurance pays a first occurrence benefit, as well as hospital confinement and continuing care for a heart attack, stroke, end-stage renal failure, etc. You may cover yourself and your eligible dependents. Several levels of coverage are available.

Learn More Contact Deborah Whittington or Nathan Walston at Aflac for more information about these supplemental benefits.

Deborah Whittington: 361-739-3564 – dawhittington@sbcglobal.net

Nathan Walston: 361-537-2126 – nathan.walston@us.aflac.com

Aflac: 800-992-3522 – www.aflac.com

Scan the QR code to schedule time with an agent, view product information, watch product videos, and access helpful materials.


Driscoll 2027 21

Retirement Savings Programs Planning for a financially secure retirement is one of the most important decisions you make. To help you reach your retirement goals, Driscoll is pleased to offer you the following programs through John Hancock (you must be 18 years of age to participate). You have the opportunity to set up and manage your account during your first 30 days. If no action has been taken after 30 days, you will automatically be enrolled in the 403(b) plan at a 3% contribution rate. If you choose to opt out of the Retirement Savings Program, you must log in to your John Hancock Profile at www.myplan.johnhancock.com or call 800-294-3575 in order to discontinue the 3% contribution.

403(b) Plan

Driscoll Retirement Plan

Salary reduction contributions to the 403(b) Plan are made through the convenience of automatic payroll deductions. You may contribute from 1% to 50% of your pay as salary reduction contributions. Contributions to the Plan can be made pretax. This allows you to reduce the amount of current income taxes you pay each year, or you may select the ROTH after-tax contribution which will tax your contribution at your current tax status. Contributions are invested biweekly. The Plan offers a range of investment options so you can put your money to work in a number of ways. You may change the amount you are contributing to the Plan any time.

You are eligible to be enrolled in the Driscoll Retirement Plan on the January 1 or July 1 coincident with or next following the later of the completion of one year of service and attainment of age 18. Driscoll makes all of the contributions to the Plan. You are neither required nor permitted to make any contributions of your own. At the end of each Plan Year, Driscoll may make a contribution to the Plan. You will be eligible for employer contributions made for a Plan Year if you complete at least 1,000 hours of service during the Plan Year and are employed by Driscoll on the last day of the Plan Year (December 31). Under the Plan, you can elect early retirement any time after you have attained age 55 and have completed five years of vesting service. You can elect normal retirement any time after turning age 65.

Employer-Matching Retirement Plan You must contribute to the 403(b) Plan in order to become eligible for the Employer-Matching Plan. If you are 18 or older and have completed 90 days of service, you are eligible to enroll in the Plan. Enrollment occurs on January 1 or July 1, based on your 90 days of service. A variable match percentage will be based on your contribution amount to the 403(b) Plan (up to 5% of compensation) and your years of participation in the 403(b) Plan based on the following schedule: YEAR(S) OF ELIGIBILITY

MATCHING PERCENTAGE

0-5

50%

5-10

75%

10+

100%

By saving on a before-tax basis, you reduce the taxes you pay today and delay paying taxes on the money you save, as well as your account earnings, until you withdraw money from the plan. In addition to your contributions, Driscoll helps you by matching the money you saved based on your years of service. You vest, or gain ownership, in the matching contributions from Driscoll based on the following: YEARS OF SERVICE

TOTAL AMOUNT VESTED

0-1

0%

2

20%

3

40%

4

60%

5

100%

Vesting means ownership. It is the extent to which you are vested in any employer contributions allocated to your account. Contributions made and allocated to your account, as adjusted for investment gains and losses, depend on your years of vesting. Vesting schedule is the same as Employer-Matching and Retirement vesting schedule.


22 Driscoll 2027

Work-Life Balance Personal Time Off

When will I begin earning PTO hours?

Driscoll recognizes the need for all employees to be away from work for specific personal and family purposes. In this regard, Driscoll provides a PTO program that can be used for vacation, sickness, holiday, and leaves of absence. Employees must work 20 hours or more per week on a regular scheduled basis to be eligible for this program. Only regular full-time or regular part-time employees are eligible to accrue PTO benefits.

New employees begin earning PTO hours from their first day of employment. The use of PTO time is subject to Supervisory approval. Accumulated PTO hours must be used during an approved leave of absence. If I terminate my employment, will I be paid my unused PTO?

PTO Frequently Asked Questions

Yes, you will be paid the balance of all accumulated, unused PTO hours at your base hourly rate up to a maximum of one year of accumulated PTO time.

How much PTO is accumulated each pay period?

Can I cash out PTO hours if not used?

The number of PTO hours that can be earned and accumulated on a pay period basis is defined according to the following official employee years of service at the hospital. Your accrual rate is determined by your current hire date.

PTO hours above 40 accumulated hours may be cashed in once a year at a dollar-per-dollar rate at your base hourly rate, at a time designated by Driscoll, which is normally in the month of November. PTO Cash Out hours must be pre-elected by December 31 of each year for the upcoming year’s pay-out.

PTO ACCRUAL RATE BY YEARS OF SERVICE

Extended Illness Bank

Hours per Pay Period (HR/PP)

Days per Year (Based on 8 hours per day)

7.384 HR/PP

24

Driscoll provides six extended illness bank days per year for employee illnesses away from work. All full-time and part-time employees (excluding physician and residents) are eligible for EIB.

Under 6 years

7.692 HR/PP

25

Under 7 years

8.000 HR/PP

26

Full-time employees accrue six, eight-hour days (48 hours per year)

Under 8 years

8.307 HR/PP

27

Under 9 years

8.615 HR/PP

28

Regular part-time employees accrue six, four-hour days (24 hours per year)

EIB days can only be used after three continuous days of absence (scheduled work days) due to employee illness EIB days can be accumulated to a maximum of 90, eight-hour days (720 hours)

Years of Service Benefit Eligible Employees Under 5 years

Under 15 years

8.923 HR/PP

29

Under 20 years

9.538 HR/PP

31

Over 20 years

10.461 HR/PP

34

EIB days are not eligible for an annual buy-back or cash payment upon leaving employment within Driscoll.

Director and Above Under 5 years

8.923 HR/PP

29

Under 6 years

9.231 HR/PP

30

Under 7 years

9.538 HR/PP

31

Under 8 years

9.846 HR/PP

32

Under 9 years

10.153 HR/PP

33

Under 15 years

10.461 HR/PP

34

Under 20 years

11.076 HR/PP

36

Over 20 years

12.000 HR/PP

39

You may only accumulate a maximum of two years of PTO time accrual.


Driscoll 2027 23

Work-Life Balance Employee Assistance Program The ComPsych Guidance Resources Employee Assistance Program (EAP) from BCBSTX helps you and family members cope with a variety of personal or work-related issues. This program provides confidential counseling and support services at little or no cost to you. Connect with a therapist for confidential emotional support to help you through concerns like:

Sadness, worry, and stress

Alcohol or drug use

Grief, loss, and personal struggles

Conflicts with people in your life

The EAP also includes three free therapy sessions per issue, per year. Check off Your To-Dos Specialists can save you time by searching for local services such as:

Childcare, eldercare, or pet care

Movers or home repair services

Have Your Legal Questions Answered Talk to a lawyer for help with legal questions, including:

Divorce, adoption, and family law

Wills and trusts

Landlord/tenant issues

Access Online Tools 24/7 GuidanceResources Online is your link to information and support whenever you need it

Visit www.guidanceresources.com Web ID – TXEAP

Call 844-213-8968

Download the GuidanceNow app


24 Driscoll 2027

Work-Life Balance Tuition Assistance Program

Legal Services

Driscoll encourages you to further your personal and professional development and effectiveness on the job. To accomplish this, Driscoll offers you the opportunity to improve your knowledge and skills through the Tuition Assistance Program. For more information regarding the Tuition Assistance Program and to submit your application, log on to https://driscoll.tuition.io.

MetLaw provides you, your spouse, and dependents with fully covered legal services from experienced attorneys at a low monthly group rate which is paid through the convenience of automatic payroll deductions. MetLaw provides telephone and office consultations for an unlimited number of matters with the attorney of your choice. During the consultation, the attorney will review the law, discuss your rights and responsibilities, explore your options, and recommend a course of action. Services include, but are not limited to:

Employee Eligibility Requirements You are eligible for tuition assistance if you are a regular full-time or part-time employee who has been employed for at least six months (prior to the start of the semester) and are actively working during the semester and at the time of reimbursement. You must not be, or have been, on a “Final Warning” status in the progressive disciplinary process for at least one year preceding the start or during the semester. Course Eligibility Requirements

Degree Programs – The degree program must (a) prepare you for employment opportunities available at Driscoll in present or future positions and (b) be determined to be beneficial to Driscoll. Eligibility for education assistance will be determined by the Human Resources department. Certification Program – As of January 1, 2027, select accredited certification programs will be eligible for tuition reimbursement. To qualify, certification programs must be offered through an accredited university, college, school, or other accredited educational institution. Your department will determine if the course meets the job-related criteria.

The degree program and/or courses must be college-level courses from an accredited college or university for which credit hours are given and courses must be completed with a grade of C (or 70) or above. Tuition Reimbursement All mandatory tuition fees are eligible for reimbursement, not to exceed the maximum amount of $5,250 per calendar year. Expenses for required textbooks are also eligible for reimbursement. A receipt must be provided and the syllabus showing the required text from the courses must be attached and marked. Regular full-time employees are eligible for 100% of eligible reimbursement and regular part-time employees are eligible for 50% of eligible reimbursement. (If you receive other financial assistance, you will not be eligible for tuition reimbursement unless your tuition and fees exceed the financial assistance received, in which case the difference will be eligible for reimbursement.)

Estate Planning Documents – simple and complex wills

Financial Matters – negotiations with creditors, identity theft and personal bankruptcy

Real Estate Matters – sale or purchase of a home

Defense of Civil Lawsuits – administrative hearings

Family Law – adoption, guardianship, and premarital agreement

Traffic Offenses – traffic ticket defense

Document Preparation – affidavits, deeds, and mortgages

Immigration Assistance – review of immigration documents

Juvenile Matters – juvenile court defense

Consumer Protection – disputes over consumer goods and services

Document Review – any personal legal document LEGAL SERVICES

Per Pay Period Deduction $8.25

Adoption Assistance Program Driscoll is pleased to continue to offer the Adoption Assistance Program. As part of the plan, Driscoll will reimburse up to $3,000 for eligible adoption expenses. Please contact Human Resources for more information.


Driscoll 2027 25

Work-Life Balance Stay Fit Wellness You may join the athletic clubs listed below by visiting the club of your choice and presenting your Driscoll Identification Badge as proof of employment. If you wish to cancel your membership, you must contact the health club to determine when you are eligible to cancel. HEALTH FACILITY Corpus Christi Athletic Club1

Crunch Fitness1,3

LOCATION

PHONE

2101 Airline Rd. Corpus Christi, TX 78414

361-992-7100

Employee Only: $77 monthly Couple: $116 monthly Family: $137 monthly

361-271-3099

$30.00 Monthly Personal Training Twice weekly programs: 3 months $210.00 biweekly 6 months $198.00 biweekly

4108 S. Staples Street Corpus Christi, TX 78411 6643 S. Staples Street Corpus Christi, TX 78413

MEMBERSHIP INFORMATION

Gold’s Gym2,4

Edinburg, Harlingen, Laredo, McAllen, Mission and Weslaco

956-381-4653

$39.99 Monthly

Tru Fit Athletic Clubs2,3

Brownsville, Edinburg, Harlingen, Laredo, McAllen, Mission, and Weslaco

940-312-8389

Essential: $18.75 Monthly Results: $26.25 Monthly

This benefit can be payroll-deducted. Various locations in Brownsville, Edinburg, Harlingen, Laredo, McAllen, Mission, and Weslaco. 3 Personal training programs 4108 S. Staples Street location only. This is not payroll deducted. 4 This is not payroll deducted. 1 2


26 Driscoll 2027

BCBSTX In-Network Provider Directory Urgent Care and Retail Clinics Following is a partial list of in-network urgent care and retail clinic providers within 50 miles of ZIP codes 78411 and 78526. Nextcare Urgent Care 3308 E Main St Alice, TX 78332 361-998-9970

Bay Area Quick Care 9929 S Padre Island Dr, Ste 109 Corpus Christi, TX 78418 361-937-2121

Promptu Urgent Care 5638 Saratoga Blvd, Ste 114 Corpus Christi, TX 78414 361-444-5280

Multi Specialty at Renaissance 1421 N Col Rowe Blvd, Ste A McAllen, TX 78501 956-362-5030

Nextcare Urgent Care 1402 E Houston St Beeville, TX 78102 361-362-9711

Concentra Urgent Care 4025 S Padre Island Dr Corpus Christi, TX 78411 361-852-8255

TLC Medical Center 14317 Northwest Blvd Corpus Christi, TX 78410 361-933-5150

Code 3 Urgent Care At Rockport 400 Enterprise Blvd Ste A120 Rockport TX 78382 361-727-8178

Advanced Urgent Care of Brownsville 1460 N Expressway, Ste A Brownsville, TX 78521 956-405-3770

Driscoll Children’s Urgent Care 5945 Saratoga Blvd Corpus Christi, TX 78414 361-694-1500

RGV Urgent Care 3502 W Alberta Rd Edinburg, TX 78539 956-803-0120

Carenow Urgent Care 920 W Interstate 2, Ste E San Juan, TX 78589 956-904-4660

Lonestar Urgent Care 1702 Rodd Field Rd, Ste105 Corpus Christi, TX 78412 361-900-5782

Access Urgent Care Kingsville 401 E King Ave Kingsville, TX 78363 361-221-2943

Brownsville Urgent Care of Pediatrics 2050 N Expressway, Suite C Brownsville, TX 78521 956-621-2883

Pedicare Childrens Urgent Care 6326 Yorktown Blvd, Ste 1A & 1B Corpus Christi, TX 78414 361-334-0613

Driscoll Children’s Quick Care Clinic 1120 E Ridge Rd McAllen, TX 78503 956-688-1350

Access Total Care 14254 S Padre Island Dr, Ste 207 Corpus Christi, TX 78418 361-589-4068

Promptu Urgent Care 4938 S Staples St, Ste E8 Corpus Christi, TX 78411 361-452-9620

Boys & Girls Urgent Care 5005 IBC Circle Brownsville, TX 78526 956-350-2273

McAllen Family Urgent Care 110 E Savannah Ave, Bldg A204 McAllen, TX 78503 956-686-4040

For a Complete In-Network Provider Directory

Visit – www.bcbstx.com

Call – 800-521-2227


Driscoll 2027 27

BCBSTX In-Network Provider Directory Hospitals Following is a partial list of in-network hospitals within 50 miles of ZIP codes 78411 and 78526. Corpus Christi Medical Center Bay Area 7101 S. Padre Island Drive Corpus Christi, TX 78412 361-761-1000

Doctor’s Hospital Renaissance Health 5501 S McColl Rd Edinburgh, TX 78539 956-362-8677

South Texas Health System Heart 301 Expressway 83 McAllen, TX 78503 956-632-4000

Corpus Christi Rehab Hospital 5726 Esplanade Dr Corpus Christi, TX 78414 361-906-3700

South Texas Health System 1102 W Trenton Rd Edinburg, TX 78539 956-388-6000

Driscoll Children’s Hospital 3533 S Alameda St Corpus Christi, TX 78411 361-694-5000

Harlingen Medical Center 5501 US-77 Harlingen, TX 78550 956-365-1000

Refugio County Memorial Hospital 107 Swift St Refugio, TX 78377 361-526-2321

Naval Hospital Corpus Christi 10651 E St Corpus Christi, TX 78419 361-961-6000

Valley Baptist Medical Center 2101 Pease St Harlingen, TX 78550 956-389-1100

Oceans Behavioral Hospital of Corpus Christi Christus Spohn Hospital Corpus 600 Elizabeth St. Building B, 4th Floor Christi South Corpus Christi, TX 78404 5950 Saratoga Blvd 361-371-8933 Corpus Christi, TX 78414 361-985-5000

Christus Spohn Hospital Kleberg 1311 E General Cavazos Blvd, Kingsville, TX 78363 361-595-1661

Christus Spohn Hospital Alice 2500 E Main St Alice, TX 78332 361-661-8000 Doctor’s Hospital at Renaissance 4750 N. Expressway Brownsville, TX 78526 956-362-1100 Valley Baptist Medical Center Brownsville 1040 W Jefferson St Brownsville, TX 78520 956-698-5400 Christus Spohn Hospital Corpus Christi Shoreline 600 Elizabeth St Corpus Christi, TX 78404 361-881-3000

Corpus Christi Medical Center Doctors Regional 3315 S Alameda St Corpus Christi, TX 78411 361-761-1000

Rio Grande Regional Hospital 101 E Ridge Rd McAllen, TX 78503 956-632-6000

Knapp Medical Center 1401 E 8th St Weslaco, TX 78596 956-968-8567 Valley Baptist Micro Hospital Weslaco 1021 W. I-2 Weslaco, TX 78596 956-969-7300


28 Driscoll 2027

Required Notices Women’s Health and Cancer Rights Act of 1998

Special Enrollment Rights

This notice is being provided to ensure that you understand your right to apply for group health In October 1998, Congress enacted the Women’s insurance coverage. You should read this notice Health and Cancer Rights Act of 1998. This notice even if you plan to waive coverage at this time. explains some important provisions of the Act. Loss of Other Coverage or Becoming Eligible for Please review this information carefully. Medicaid or a state Children’s Health Insurance As specified in the Women’s Health and Cancer Program (CHIP) Rights Act, a plan participant or beneficiary who If you are declining coverage for yourself or your elects breast reconstruction in connection with dependents because of other health insurance a mastectomy is also entitled to the following or group health plan coverage, you may be able benefits: to later enroll yourself and your dependents in All stages of reconstruction of the breast on this plan if you or your dependents lose eligibility which the mastectomy was performed; for that other coverage (or if the employer stops Surgery and reconstruction of the other breast contributing toward your or your dependents’ to produce a symmetrical appearance; and other coverage). However, you must enroll within 31 days after your or your dependents’ Prostheses and treatment of physical other coverage ends (or after the employer complications of the mastectomy, including that sponsors that coverage stops contributing lymphedema. toward the other coverage). Health plans must determine the manner of If you or your dependents lose eligibility under coverage in consultation with the attending a Medicaid plan or CHIP, or if you or your physician and the patient. Coverage for breast dependents become eligible for a subsidy under reconstruction and related services may be subject to deductibles and coinsurance amounts Medicaid or CHIP, you may be able to enroll that are consistent with those that apply to other yourself and your dependents in this plan. You must provide notification within 60 days after benefits under the plan. you or your dependent is terminated from, or determined to be eligible for, such assistance.

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 Driscoll 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.

Driscoll has determined that the prescription drug coverage offered by the Driscoll 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 considered Creditable Coverage.

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: Driscoll Human Resources 3533 S. Alameda Street Corpus Christi, TX 78411 361-694-6406

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.


Driscoll 2027 29

Required Notices 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 Driscoll 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 Driscoll 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 361-694-6406.

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. For more information about your options under Medicare prescription drug coverage:

Notice of HIPAA Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

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:

Effective Date of Notice: September 23, 2013

1.

the Plan’s uses and disclosures of Protected Health Information (PHI);

Visit www.medicare.gov.

2.

your privacy rights with respect to your PHI;

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.

3.

the Plan’s duties with respect to your PHI;

4.

your right to file a complaint with the Plan and to the Secretary of the U.S. Department of Health and Human Services; and

5.

the person or office to contact for further information about the Plan’s privacy practices.

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). January 1, 2027 Driscoll Human Resources 3533 S. Alameda Street Corpus Christi, TX 78411 361-694-6406

Driscoll’s Plan is required by law to take reasonable steps to ensure the privacy of your personally identifiable health information and to inform you about:

The term “Protected Health Information” (PHI) includes all individually identifiable health information transmitted or maintained by the Plan, regardless of form (oral, written, electronic). Section 1 – Notice of PHI Uses and Disclosures Required PHI Uses and Disclosures Upon your request, the Plan is required to give you access to your PHI in order to inspect and copy it. Use and disclosure of your PHI may be required by the Secretary of the Department of Health and Human Services to investigate or determine the Plan’s compliance with the privacy regulations.


30 Driscoll 2027

Required Notices Uses and disclosures to carry out treatment, payment and health care operations. The Plan and its business associates will use PHI without your authorization to carry out treatment, payment and health care operations. The Plan and its business associates (and any health insurers providing benefits to Plan participants) may also disclose the following to the Plan’s Board of Trustees: (1) PHI for purposes related to Plan administration (payment and health care operations); (2) summary health information for purposes of health or stop loss insurance underwriting or for purposes of modifying the Plan; and (3) enrollment information (whether an individual is eligible for benefits under the Plan). The Trustees have amended the Plan to protect your PHI as required by federal law. Treatment is the provision, coordination or management of health care and related services. It also includes but is not limited to consultations and referrals between one or more of your providers. For example, the Plan may disclose to a treating physician the name of your treating radiologist so that the physician may ask for your X-rays from the treating radiologist. Payment includes but is not limited to actions to make coverage determinations and payment (including billing, claims processing, subrogation, reviews for medical necessity and appropriateness of care, utilization review and preauthorizations). For example, the Plan may tell a treating doctor whether you are eligible for coverage or what percentage of the bill will be paid by the Plan. Health care operations include but are not limited to quality assessment and improvement, reviewing competence or qualifications of health care professionals, underwriting, premium rating and other insurance activities relating to creating or renewing insurance contracts. It also includes case management, conducting or arranging for medical review, legal services and auditing functions including fraud and abuse compliance programs, business planning and development, business management and general administrative activities. However, no genetic information can be used or disclosed for underwriting purposes.

For example, the Plan may use information to project future benefit costs or audit the accuracy of its claims processing functions.

6.

When required by law to report information about abuse, neglect or domestic violence to public authorities if there exists a reasonable belief that you may be a victim of abuse, neglect or domestic violence. In which case, the Plan will promptly inform you that such a disclosure has been or will be made unless that notice would cause a risk of serious harm. For the purpose of reporting child abuse or neglect, it is not necessary to inform the minor that such a disclosure has been or will be made. Disclosure may generally be made to the minor’s parents or other representatives although there may be circumstances under federal or state law when the parents or other representatives may not be given access to the minor’s PHI.

7.

The Plan may disclose your PHI to a public health oversight agency for oversight activities required by law. This includes uses or disclosures in civil, administrative or criminal investigations; inspections; licensure or disciplinary actions (for example, to investigate complaints against providers); and other activities necessary for appropriate oversight of government benefit programs (for example, to investigate Medicare or Medicaid fraud).

8.

The Plan may disclose your PHI when required for judicial or administrative proceedings. For example, your PHI may be disclosed in response to a subpoena or discovery request.

9.

When required for law enforcement purposes, including for the purpose of identifying or locating a suspect, fugitive, material witness or missing person. Also, when disclosing information about an individual who is or is suspected to be a victim of a crime but only if the individual agrees to the disclosure or the Plan is unable to obtain the individual’s agreement because of emergency circumstances. Furthermore, the law enforcement official must represent that the information is not intended to be used against the individual, the immediate law enforcement activity would be materially and adversely affected by waiting to obtain the individual’s agreement and disclosure is in the best interest of the individual as determined by the exercise of the Plan’s best judgment.

Uses and disclosures that require that you be given an opportunity to agree or disagree prior to the use or release. Unless you object, the Plan may provide relevant portions of your protected health information to a family member, friend or other person you indicate is involved in your health care or in helping you receive payment for your health care. Also, if you are not capable of agreeing or objecting to these disclosures because of, for instance, an emergency situation, the Plan will disclose protected health information (as the Plan determines) in your best interest. After the emergency, the Plan will give you the opportunity to object to future disclosures to family and friends. Uses and disclosures for which your consent, authorization or opportunity to object is not required. The Plan is allowed to use and disclose your PHI without your authorization under the following circumstances: 1.

For treatment, payment and health care operations.

2.

Enrollment information can be provided to the Trustees.

3.

Summary health information can be provided to the Trustees for the purposes designated above.

4.

When required by law.

5.

When permitted for purposes of public health activities, including when necessary to report product defects and to permit product recalls. PHI may also be disclosed if you have been exposed to a communicable disease or are at risk of spreading a disease or condition, if required by law.


Driscoll 2027 31

Required Notices 10. When required to be given to a coroner or medical examiner for the purpose of identifying a deceased person, determining a cause of death or other duties as authorized by law. Also, disclosure is permitted to funeral directors, consistent with applicable law, as necessary to carry out their duties with respect to the decedent. 11. When consistent with applicable law and standards of ethical conduct if the Plan, in good faith, believes the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public and the disclosure is to a person reasonably able to prevent or lessen the threat, including the target of the threat. 12. When authorized by and to the extent necessary to comply with workers’ compensation or other similar programs established by law. Except as otherwise indicated in this notice, uses and disclosures will be made only with your written authorization subject to your right to revoke such authorization. Uses and disclosures that require your written authorization. Other uses or disclosures of your protected health information not described above will only be made with your written authorization. For example, in general and subject to specific conditions, the Plan will not use or disclose your psychiatric notes; the Plan will not use or disclose your protected health information for marketing; and the Plan will not sell your protected health information, unless you provide a written authorization to do so. You may revoke written authorizations at any time, so long as the revocation is in writing. Once the Plan receives 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.

Section 2 – Rights of Individuals

Designated Record Set

Right to Request Restrictions on Uses and Disclosures of PHI

Includes the medical records and billing records about individuals maintained by or for a covered health care provider; enrollment, payment, billing, claims adjudication and case or medical management record systems maintained by or for the Plan; or other information used in whole or in part by or for the Plan to make decisions about individuals. Information used for quality control or peer review analyses and not used to make decisions about individuals is not in the designated record set.

You may request the Plan to restrict the uses and disclosures of your PHI. However, the Plan is not required to agree to your request (except that the Plan must comply with your request to restrict a disclosure of your confidential information for payment or health care operations if you paid for the services to which the information relates in full, out of pocket). You or your personal representative will be required to submit a written request to exercise this right. Such requests should be made to the Plan’s Privacy Official. Right to Request Confidential Communications The Plan will accommodate reasonable requests to receive communications of PHI by alternative means or at alternative locations if necessary to prevent a disclosure that could endanger you. You or your personal representative will be required to submit a written request to exercise this right. Such requests should be made to the Plan’s Privacy Official. Right to Inspect and Copy PHI You have a right to inspect and obtain a copy of your PHI contained in a “designated record set,” for as long as the Plan maintains the PHI. If the information you request is in an electronic designated record set, you may request that these records be transmitted electronically to yourself or a designated individual. Protected Health Information (PHI) Includes all individually identifiable health information transmitted or maintained by the Plan, regardless of form.

The requested information will be provided within 30 days if the information is maintained on site or within 60 days if the information is maintained off site. A single 30-day extension is allowed if the Plan is unable to comply with the deadline. You or your personal representative will be required to submit a written request to request access to the PHI in your designated record set. Such requests should be made to the Plan’s Privacy Official. If access is denied, you or your personal representative will be provided with a written denial, setting forth the basis for the denial, a description of how you may appeal the Plan’s decision and a description of how you may complain to the Secretary of the U.S. Department of Health and Human Services. The Plan may charge a reasonable, cost-based fee for copying records at your request. Right to Amend PHI You have the right to request the Plan to amend your PHI or a record about you in your designated record set for as long as the PHI is maintained in the designated record set. The Plan has 60 days after the request is made to act on the request. A single 30-day extension is allowed if the Plan is unable to comply with the deadline. If the request is denied in whole or part, the Plan must provide you with a written denial that explains the basis for the denial. You or your personal representative may then submit a written statement disagreeing with the denial and have that statement included with any future disclosures of your PHI.


32 Driscoll 2027

Required Notices Such requests should be made to the Plan’s Privacy Official.

1.

You or your personal representative will be required to submit a written request to request amendment of the PHI in your designated record set.

2.

a court order of appointment of the person as the conservator or guardian of the individual; or

3.

an individual who is the parent of an unemancipated minor child may generally act as the child’s personal representative (subject to state law).

Right to Receive an Accounting of PHI Disclosures At your request, the Plan will also provide you an accounting of disclosures by the Plan of your PHI during the six years prior to the date of your request. However, such accounting will not include PHI disclosures made: (1) to carry out treatment, payment or health care operations; (2) to individuals about their own PHI; (3) pursuant to your authorization; (4) prior to April 14, 2003; and (5) where otherwise permissible under the law and the Plan’s privacy practices. In addition, the Plan need not account for certain incidental disclosures. If the accounting cannot be provided within 60 days, an additional 30 days is allowed if the individual is given a written statement of the reasons for the delay and the date by which the accounting will be provided. If you request more than one accounting within a 12-month period, the Plan will charge a reasonable, cost-based fee for each subsequent accounting. Such requests should be made to the Plan’s Privacy Official. Right to Receive a Paper Copy of This Notice Upon Request You have the right to obtain a paper copy of this Notice. Such requests should be made to the Plan’s Privacy Official. A Note About Personal Representatives You may exercise your rights through a personal representative. Your personal representative will be required to produce evidence of his/ her authority to act on your behalf before that person will be given access to your PHI or allowed to take any action for you. Proof of such authority may take one of the following forms:

a power of attorney for health care purposes;

The Plan retains discretion to deny access to your PHI by a personal representative to provide protection to those vulnerable people who depend on others to exercise their rights under these rules and who may be subject to abuse or neglect. Section 3 – The Plan’s Duties

Minimum Necessary Standard When using or disclosing PHI or when requesting PHI from another covered entity, the Plan will make reasonable efforts not to use, disclose or request more than the minimum amount of PHI necessary to accomplish the intended purpose of the use, disclosure or request, taking into consideration practical and technological limitations. When required by law, the Plan will restrict disclosures to the limited data set, or otherwise as necessary, to the minimum necessary information to accomplish the intended purpose. However, the minimum necessary standard will not apply in the following situations: 1.

The Plan is required by law to maintain the 2. privacy of PHI and to provide individuals (participants and beneficiaries) with notice of the 3. Plan’s legal duties and privacy practices. This Notice is effective September 23, 2013, and the Plan is required to comply with the terms of this Notice. However, the Plan reserves the right to change its privacy practices and to apply the changes to any PHI received or maintained by the Plan prior to that date. If a privacy practice is changed, a revised version of this Notice will be provided to all participants for whom the Plan still maintains PHI. The revised Notice will be distributed in the same manner as the initial Notice was provided or in any other permissible manner. If the revised version of this Notice is posted, you will also receive a copy of the Notice or information about any material change and how to receive a copy of the Notice in the Plan’s next annual mailing. Otherwise, the revised version of this Notice will be distributed within 60 days of the effective date of any material change to the Plan’s policies regarding the uses or disclosures of PHI, the individual’s privacy rights, the duties of the Plan or other privacy practices stated in this Notice.

disclosures to or requests by a health care provider for treatment; uses or disclosures made to the individual; disclosures made to the Secretary of the U.S. Department of Health and Human Services;

4.

uses or disclosures that are required by law; and

5.

uses or disclosures that are required for the Plan’s compliance with legal regulations.

De-Identified Information This notice does not apply to information that has been de-identified. De-identified information is information that does not identify an individual and with respect to which there is no reasonable basis to believe that the information can be used to identify an individual. Summary Health Information The Plan may disclose “summary health information” to the Trustees for obtaining insurance premium bids or modifying, amending or terminating the Plan. “Summary health information” summarizes the claims history, claims expenses or type of claims experienced by participants and excludes identifying information in accordance with HIPAA.


Driscoll 2027 33

Required Notices Notification of Breach The Plan is required by law to maintain the privacy of participants’ PHI and to provide individuals with notice of its legal duties and privacy practices. In the event of a breach of unsecured PHI, the Plan will notify affected individuals of the breach. Section 4 – Your Right to File a Complaint With the Plan or the HHS Secretary If you believe that your privacy rights have been violated, you may complain to the Plan. Such complaints should be made to the Plan’s Privacy Official. You may file a complaint with the Secretary of the U.S. Department of Health and Human Services, Hubert H. Humphrey Building, 200 Independence Avenue SW, Washington, D.C. 20201. The Plan will not retaliate against you for filing a complaint. Section 5 – Whom to Contact at the Plan for More Information If you have any questions regarding this notice or the subjects addressed in it, you may contact the Plan’s Privacy Official. Such questions should be directed to the Plan’s Privacy Official at:

Conclusion

Driscoll Human Resources 3533 S. Alameda Street Corpus Christi, TX 78411 361-694-6406

PHI use and disclosure by the Plan is regulated by a federal law known as HIPAA (the Health Insurance Portability and Accountability Act). You may find these rules at 45 Code of Federal Regulations Parts 160 and 164. The Plan intends to comply with these regulations. This Notice attempts to summarize the regulations. The regulations will supersede any discrepancy between the information in this Notice and the regulations.

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 1-866444-EBSA (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 July 31, 2025. Contact your State for more information on eligibility.

TEXAS – MEDICAID Website: https://www.hhs.texas.gov/services/ financial/health-insurance-premium-payment-hippprogram Phone: 1-800-440-0493

To see if any other States have added a premium assistance program since July 31, 2025, or for more information on special enrollment rights, you 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 Under the Federal Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), if you are covered under the Driscoll group health plan you and your eligible dependents may be entitled to continue your group health benefits coverage under the Driscoll 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 Driscoll Human Resources 3533 S. Alameda Street Corpus Christi, TX 78411 361-694-6406


34 Driscoll 2027

Required Notices 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 in-network 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 in-network facility but are unexpectedly treated by an out-of-network provider. You are protected from balance billing for: 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 post-stabilization services.

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 cost-sharing 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.

Notice Regarding Wellness Program

The employee wellness program is a voluntary program administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability and Accountability Act, as applicable, among others. If you choose to participate in the wellness program you If you get other services at these in-network may be asked to complete a voluntary health facilities, out-of-network providers cannot risk assessment or “HRA” that asks a series of balance bill you, unless you give written consent questions about your health-related activities and give up your protections. and behaviors and whether you have or You are never required to give up your protections had certain medical conditions (e.g., cancer, diabetes, or heart disease). You may also be from balance billing. You also are not required asked to complete a biometric screening, which to get care out-of-network. You can choose a could include a blood test for certain medical provider or facility in your plan’s network. conditions such as diabetes, heart disease, etc. When balance billing is not allowed, you also You are not required to complete the HRA or to have the following protections: participate in the blood test or other medical You are only responsible for paying your share examinations. of the cost (like the copayments, coinsurance, However, employees who choose to participate and deductibles that you would pay if the in the wellness program may qualify for an provider or facility was in-network). Your health incentive. Although you are not required plan will pay out-of-network providers and to complete a HRA or biometric screening, facilities directly. the wellness program may specify that only employees who do so will qualify for the incentive. Additional incentives may be available Cover emergency services without for employees who participate in certain healthrequiring you to get approval for related activities or achieve certain health services in advance (prior authorization). outcomes. Cover emergency services by out-ofnetwork providers.

Your health plan generally must: •

• •

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.

•

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.


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Required Notices If you are unable to participate in any of the health-related activities or achieve any of the health outcomes required to earn an incentive, you may be entitled to a reasonable accommodation or an alternative standard. You may request a reasonable accommodation or an alternative standard by contacting Human Resources. If you choose to participate in a HRA and/or biometric screening, information from your HRA and results from your biometric screening will be used to provide you with information to help you understand your current health and potential risks and may also be used to offer you services through the wellness program. You also are encouraged to share your results or concerns with your own doctor. Protections from Disclosure of Medical Information We are required by law to maintain the privacy and security of your personally identifiable health information. Although the wellness program may use aggregate information it collects to design a program based on identified health risks in the workplace, the wellness program will never disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for a reasonable accommodation needed to participate in the wellness program, or as expressly permitted by law. Medical information that personally identifies you that is provided in connection with the wellness program will not be provided to your supervisors or managers and may never be used to make decisions regarding your employment.

Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted by law to carry out specific activities related to the wellness program, and you will not be asked or required to waive the confidentiality of your health information as a condition of participating in the wellness program or receiving an incentive. Anyone who receives your information for purposes of providing you services as part of the wellness program will abide by the same confidentiality requirements. In addition, all medical information obtained through the wellness program will be maintained separate from your personnel records, information stored electronically will be encrypted, and no information you provide as part of the wellness program will be used in making any employment decision. Appropriate precautions will be taken to avoid any data breach, and in the event a data breach occurs involving information you provide in connection with the wellness program, we will notify you immediately. You may not be discriminated against in employment because of the medical information you provide as part of participating in the wellness program, nor may you be subjected to retaliation if you choose not to participate. If you have questions or concerns regarding this notice, or about protections against discrimination and retaliation, please contact Human Resources.


This brochure highlights the main features of the Driscoll 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. Driscoll reserves the right to change or discontinue its employee benefits plans at anytime.


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