Biweekly 10-Month Employee. Employee Percentage. Level. Biweekly 10-Month Employee

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1 Active Cost - Calendar Year 2018 Non-Tobacco-User; Completed Neither Health Risk Assessment nor Biometric Health Screening Base Cost Share* Your rates may vary based on your participation in the Wellness Initiatives program. Visit the Benefits web page to see all of the rate combinations. CareFirst BlueChoice Adv POS Individual 17% Party 17% Family 17% CareFirst BlueChoice HMO Individual 12% Party 12% Family 12% Kaiser Permanente HMO Individual 12% Party 12% Family 12% Caremark Prescription Individual 17% Party 17% Family 17% Kaiser Permanente Prescription Individual 17% Party 17% Family 17% CareFirst Dental Preferred Provider Organization Individual 17% Party 17% Family 17% Aetna Dental Maintenance Organization Individual 17% Party 17% Family 17% Davis Vision Individual 17% Party 17% Family 17% Life Insurance 100% rate = $.081 per thousand of insurance per month

2 Active Cost - Calendar Year 2018 Non-Tobacco-User; Completed Both Health Risk Assessment and Biometric Health Screening 2% Reduction in Cost Share CareFirst BlueChoice Adv POS Individual 15% Party 15% Family 15% CareFirst BlueChoice HMO Individual 10% Party 10% Family 10% Kaiser Permanente HMO Individual 10% Party 10% Family 10% Caremark Prescription Individual 15% Party 15% Family 15% Kaiser Permanente Prescription Individual 15% Party 15% Family 15% CareFirst Dental Preferred Provider Organization Individual 15% Party 15% Family 15% Aetna Dental Maintenance Organization Individual 15% Party 15% Family 15% Davis Vision Individual 15% Party 15% Family 15% Life Insurance 100% rate = $.081 per thousand of insurance per month

3 Active Cost - Calendar Year 2018 Non-Tobacco-User; Completed Either Health Risk Assessment or Biometric Health Screening 1% Reduction in Cost Share CareFirst BlueChoice Adv POS Individual 16% Party 16% Family 16% CareFirst BlueChoice HMO Individual 11% Party 11% Family 11% Kaiser Permanente HMO Individual 11% Party 11% Family 11% Caremark Prescription Individual 16% Party 16% Family 16% Kaiser Permanente Prescription Individual 16% Party 16% Family 16% CareFirst Dental Preferred Provider Organization Individual 16% Party 16% Family 16% Aetna Dental Maintenance Organization Individual 16% Party 16% Family 16% Davis Vision Individual 16% Party 16% Family 16% Life Insurance 100% rate = $.081 per thousand of insurance per month

4 Active Cost - Calendar Year 2018 Tobacco-User; Completed Both Health Risk Assessment and Biometric Health Screening 23% Added to Cost Share CareFirst BlueChoice Adv POS Individual 40% Party 40% Family 40% CareFirst BlueChoice HMO Individual 35% Party 35% Family 35% Kaiser Permanente HMO Individual 35% Party 35% Family 35% Caremark Prescription Individual 40% Party 40% Family 40% Kaiser Permanente Prescription Individual 40% Party 40% Family 40% CareFirst Dental Preferred Provider Organization Individual 40% Party 40% Family 40% Aetna Dental Maintenance Organization Individual 40% Party 40% Family 40% Davis Vision Individual 40% Party 40% Family 40% Life Insurance 100% rate = $.081 per thousand of insurance per month

5 Active Cost - Calendar Year 2018 Tobacco-User; Completed Either Health Risk Assessment or Biometric Health Screening 24% Added to Cost Share CareFirst BlueChoice Adv POS Individual 41% Party 41% Family 41% CareFirst BlueChoice HMO Individual 36% Party 36% Family 36% Kaiser Permanente HMO Individual 36% Party 36% Family 36% Caremark Prescription Individual 41% Party 41% Family 41% Kaiser Permanente Prescription Individual 41% Party 41% Family 41% CareFirst Dental Preferred Provider Organization Individual 41% Party 41% Family 41% Aetna Dental Maintenance Organization Individual 41% Party 41% Family 41% Davis Vision Individual 41% Party 41% Family 41% Life Insurance 100% rate = $.081 per thousand of insurance per month

6 Active Cost - Calendar Year 2018 Tobacco-User; Completed Neither Health Risk Assessment nor Biometric Health Screening 25% Added to Cost Share CareFirst BlueChoice Adv POS Individual 42% Party 42% Family 42% CareFirst BlueChoice HMO Individual 37% Party 37% Family 37% Kaiser Permanente HMO Individual 37% Party 37% Family 37% Caremark Prescription Individual 42% Party 42% Family 42% Kaiser Permanente Prescription Individual 42% Party 42% Family 42% CareFirst Dental Preferred Provider Organization Individual 42% Party 42% Family 42% Aetna Dental Maintenance Organization Individual 42% Party 42% Family 42% Davis Vision Individual 42% Party 42% Family 42% Life Insurance 100% rate = $.081 per thousand of insurance per month