New Hire Benefits Checklist

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Abraham Johnson
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1 New Hire Benefits Checklist Please complete each of the attached forms listed below and return your completed forms to your local Human Resources Representative. Benefits Orientation Confirmation (Complete after watching Benefits Presentation) After watching the presentation, you understand: o You have 45 calendar days from your date of hire to enroll in your Health & Group Benefits o Your coverage effective date is the 1st of the month following or coincident with your hire date. If no elections are made, no default health benefits coverage is provided. o You will be auto-enrolled in the 401(k) Plan (approx. 45 calendar days following your hire date) o You are responsible for contacting Fidelity at , if you choose not to participate in the 401(k) Publicis Prior Employment Questionnaire 401(k) Plan Prior Participation Questionnaire Publicis 401(k) Incoming Rollover Contribution Application & Instructions This form is for incoming eligible rollovers from your previous plan to the PBC 401(k) plan with Fidelity Publicis Connections Website (single hub for access to the latest Benefits and Payroll information) Publicis Connections is the central hub for access to benefits and payroll websites for Publicis Groupe agency employees. You may also choose to visit the Benefits and payroll sites directly at : Publicis Benefits Connection (PBC) Website: Publicis Payroll Connection (PPC) Website: On the PBC website you will find benefits related materials such as: PBC Plan documents, such as the Benefits Guide & Summary Plan Descriptions (SPD) Helpful benefit carrier flyers that highlight tools and resources Downloadable Forms (including benefit claim forms) Frequently Asked Questions (FAQs) Important Announcements, such as important deadlines and updates to your benefits Questions? Please contact the Publicis Benefits Connection (PBC) Service Center, if you have any questions. Benefits Associates are available Monday - Friday 9:00 am 5:00 pm ET. Phone: Benefits.SharedServices@lionresources.com

2 Benefits Orientation Confirmation I, acknowledge that I have attended the Benefits Orientation (Print Employee s Full Name) and received my orientation packet. I am aware that I have 45 calendar days from my date of hire to enroll in my Health & Welfare benefits. If I do not make benefit elections, the Company does not provide any default health benefits coverage. I understand that my coverage effective date is the first of the month following or coincident with my hire date. For example: If the hire date is 10/1, the coverage eligibility effective date would be 10/1. If the hire date is 10/12, the coverage eligibility effective date would be 11/1. I acknowledge that I have been informed and understand that I will be auto-enrolled in the 401(k) plan approximately 45 calendar days from my hire date. I am responsible for contacting Fidelity at if I choose not to participate in the 401(k) Plan or if I would like to participate prior to my auto- enrollment in the 401(k) Plan. Phone: (W ork ) (W ork Phone) Signed: Date: (Date Orientation Viewed Online) Please return this form to your local Human Resources Representative

3 Publicis Prior Employment Questionnaire You must complete this form whether or not you have ever worked for another Publicis company/brand. This information is required to ensure proper calculation of your past service with a Publicis Owned company. Not providing this information may cause a reduced vesting and/or service date calculation. This information is used to verify and accurately calculate 401(k) vesting and/or company service dates. Today s Date Publicis Company/Brand you currently work for Employee Name Employee SS# Work Phone# ( ) - Work Have you ever worked for a Publicis Company/Brand prior to your current employment? YES I have worked for a Publicis Company/Brand Prior to my current employment Please complete the following information: Publicis Company/Brand you worked for previously: Dates you worked for the Publicis Company/Brand: NO - - I have never worked for another Publicis Company/Brand. Return the completed form to: Publicis Benefits Connection Queens Plaza North, 3 rd. Floor Long Island City, NY If you have any questions regarding this form, please contact the Publicis Benefits Connection Service Center by at benefits.sharedservices@lionresources.com or via phone at , Monday-Friday, 9AM-5PM ET.

4 Publicis Benefits Connection 401(k) Plan Participation Questionnaire This form is not to enroll in the 401(k) plan with Fidelity. We require this information to ensure that you do not exceed the $18,500 IRS maximum contribution limit for 2018, as well as to make sure your 2018 W-2 correctly reflects your 401(k) contributions. DID YOU PARTICIPATE IN ANY 401(k) PLAN IN 2018? No If the answer is no, you do not need to complete this form. Yes If the answer is yes, you must complete the Prior Participation in 401(k) Plan in 2018 section of this form and return it within 45 calendar days of your hire date to your local Payroll Department: If you are not sure which Payroll Department to return the form, please contact the Publicis Benefits Connection (PBC) Service Center at , weekdays 9am-5pm ET or your local HR Department. Re:Sources Payroll Department: Queens Plaza North, 3rd Floor, Long Island City, New York Sapient Payroll Department: 131 Dartmouth Street, 3rd Floor, Boston, MA Prior Participation in 401(k) Plan in 2018 Yes, I participated in another 401(k) plan in 2018 (or 403(b), 408(k) (6) SARSEP Plan, Governmental 457(b) or Conduit IRA) Employee Name Employee SS# Brand (Publicis Company) you currently work for Work Phone# Prior 2018 employee 401(k) contribution Please note we only need to know the employee Pre-Tax Contributions, not Post-Tax Contributions. (This information can be found on your final 2018 pay stub from your prior employer(s) or you may have to call your prior employer(s) payroll department) Prior employee Catch-up contribution (Maximum for 2018 is $6,000) If you have any questions regarding this form please contact the Publicis Benefits Connection (PBC) Service Center by at benefits.sharedservices@lionresources.com or by phone at , Monday- Friday, 9AM-5PM ET.

5 Enrollment Processing Timeline Coverage effective date for New Hires/Newly Eligible employees You have 45 days from your date of hire to enroll in your benefits. Your coverage effective date is based on your hire date or when you your employment status changes to benefits eligible. Example: If you are hired or become eligible for benefits on the first of a month, your coverage will be effective on the first of that month. If you are hired or become eligible for benefits after the first month, your coverage will be effective the first of the following month. If you were hired as a benefits eligible employee or your employment status changes to benefits eligible on October 1, your benefits effective date would be October 1. If you were hired as a benefits eligible employee or you become a benefits eligible on October 2, your benefits effective date would be November 1. Within 45 Days of your Hire Date Submit your benefit elections via the View, Enroll, or Change Your Benefits Quick Link at The bswift site navigation video provides a quick overview of how to navigate the enrollment site and make your benefit selections. The Ask Emma Video demonstrates the features of the Ask Emma Decision Support Tool to enable you to make informed decisions regarding your benefits. Approximately 1-2 weeks from the time you submitted your benefits elections Your elections will be active with the Insurance carrier(s) for you and any eligible dependent(s) you have elected to cover. Medical: To obtain your Member ID Number, call and provide your name and group number. Register online at with the Member ID Number to print out a temporary ID card. Prescription: Register online to print out a temporary ID card Dental: Register online at to print out a temporary ID card. Vision: VSP does not issue ID cards. Once enrolled, you can contact VSP directly at to locate an in-network provider or verify coverage. Tell your eye care provider that you have VSP and they will handle the rest. Approximately 2-3 weeks from the time you submitted your benefits elections You will receive ID cards in the mail from the applicable insurance carrier(s) Note on using your insurance before your enrollment is active (but on or after your coverage effective date): You may pay out of pocket and submit a paper claim to the insurance carrier or you may present the enrollment confirmation page and ask the provider s office to hold off on sending claims to the insurance carrier until you can confirm you are actively enrolled in the applicable insurance carrier s system.

Paying for specialty drugs out-of-pocket Certain specialty medications cannot be filled through a retail pharmacy under your prescription drug coverage.

6 Paying for specialty drugs out-of-pocket Certain specialty medications cannot be filled through a retail pharmacy under your prescription drug coverage. Click here for the list of CVS Caremark Specialty medications or download a copy from the Publicis Benefits Connection website at under Health >> Prescription page. If you pay out-of-pocket for a specialty drug, it will be denied when you submit a claim for reimbursement. These specialty medications must be filled through CVS/specialty. For more information, contact CVS Specialty at

7 2018 Benefit Group Numbers MEDICAL Plan Website Links Location Group Number Member Services # BC/BSIllinois PPO(Premier) Prefix: PGI BC/BSIllinois PPO(Standard) NATIONAL Prefix: PGI BC/BS Illinois PPO (HSA) Prefix: PGI Teladoc NATIONAL none CVS/Caremark NATIONAL GMCServices International(GMC) International none DENTAL Plan Website Links Location Group Number Member Services # Delta Dental PPO ALL OTHERBENEFITS Plan Website Links Location Group Number Member Services # Basic & Supplemental Life Securian Life Insurance ALL Voluntary AD&D EOIApplication Status WageWorks ALL none Hartford Disability ALL STD LTD Fidelity (401K Plan Administrator) ALL MetLaw Plan ALL International SOS ALL 15A MMS Marsh Voluntary benefits ALL none Health Advocate ALL none Vision Services Plan ALL Bright Horizons Care Advantage Program username: Publicis password: backup4u ALL none Workplace Solutions (EAP) Access code: publicis ALL none PBC Healthy Living powered by WebMD ALL none Benefit Wallet ALL none Publicis Benefits Connection Service Center Publicis Benefits Connection(PBC)Contact Information benefits.sharedservices@lionresources.com Phone , Mon-Fri 9am-5pm EST

8 Important Information Regarding This Marketplace Notice Individuals now have access to health coverage through a health insurance market (known as an Exchange or Marketplace ) in their state of residence. Open enrollment for the Marketplace ends December 15, 2017 for coverage to begin as early as January 1, If you have 2017 Marketplace health insurance, you can renew, change, or update your plan for 2018 until January 31, The Affordable Care Act (ACA) requires employers to provide employees with a notice of their coverage options available through the Marketplace ( Exchange or Marketplace Notice.) Please be sure to read Part A: General Information carefully. This section explains what Marketplace coverage is, how it works and how your eligibility for benefits with your employer may affect your eligibility for Marketplace coverage. Please note the following on the Marketplace notice: Question 13 Eligibility rules are available on the Publicis Benefits Connection (PBC) website: Question 15 Health coverage premiums can be obtained from your Human Resources Department. Question 16 There will be no material plan changes for the new plan year. NOTE: Publicis Benefits Connection medical plan options meet the minimum standard value and the cost of the coverage to you is intended to be affordable, based upon employee wages. To be considered "affordable, a plan must meet the following requirements: Single coverage must cost no more than 9.5% of an employee's household income Plan must pay at least 60% of the total cost for allowed benefits. For more information regarding ACA and the health insurance Marketplace visit: If you have any questions regarding this notice, please contact the Publicis Benefits Service Center at Monday- Friday, 9am-5pm EST or via at benefits.sharedservices@lionresources.com. Updated: 11/14/2017

9 New Health Insurance Marketplace Coverage Options and Your Health Coverage PART A: GENERAL INFORMATION When key parts of the health care law took effect in 2014, there became a new way to buy health insurance: the Health Insurance Marketplace. To assist you as you evaluate options for you and your family, this notice provides some basic information about the new Marketplace and employment based health coverage offered by your employer. What is the Health Insurance Marketplace? The Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace offers one-stop shopping to find and compare private health insurance options. You may also be eligible for a new kind of tax credit that lowers your monthly premium right away. Open enrollment for health insurance coverage through the Marketplace begins in November of every year for coverage starting as early as the following January. Can I Save Money on my Health Insurance Premiums in the Marketplace? You may qualify to save money and lower your monthly premium, but only if your employer does not offer coverage, or offers coverage that doesn t meet certain standards. The savings on your premium that you re eligible for depends on your household income. Does Employer Health Coverage Affect Eligibility for Premium Savings through the Marketplace? Yes. If you have an offer of health coverage from your employer that meets certain standards, you will not be eligible for a tax credit through the Marketplace and may wish to enroll in your employer s health plan. However, you may be eligible for a tax credit that lowers your monthly premium or a reduction in certain cost-sharing if your employer does not offer coverage to you at all or does not offer coverage that meets certain standards. If the cost of a plan from your employer that would cover you (and not any other members of your family) is more than 9.5% of your household income for the year, or if the coverage your employer provides does not meet the minimum value standard set by the Affordable Care Act, you may be eligible for a tax credit. 1 Note: If you purchase a health plan through the Marketplace instead of accepting health coverage offered by your employer, then you may lose the employer contribution (if any) to the employer-offered coverage. Also, this employer contribution as well as your employee contribution to employer-offered coverage- is often excluded from income for Federal and State income tax purposes. Your payments for coverage through the Marketplace are made on an after-tax basis. How Can I Get More Information? For more information about your coverage offered by your employer, please check your summary plan description or contact [Publicis Benefits Connection Service Center at Monday-Friday, 9AM-5PM ET or via at benefits.sharedservices@lionresources.com]. The Marketplace can help you evaluate your coverage options, including your eligibility for coverage through the Marketplace and its cost. Please visit HealthCare.gov for more information, including an online application for health insurance coverage and contact information for a Health Insurance Marketplace in your area. 1 An employer-sponsored health plan meets the minimum value standard if the plan s share of the total allowed benefit costs covered by the plan is no less than 60 percent of such costs.

10 PART B: INFORMATION ABOUT HEALTH COVERAGE OFFERED BY YOUR EMPLOYER This section contains information about any health coverage offered by your employer. If you decide to complete an application for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the Marketplace application. 3. Employer name Publicis Groupe 4. Employer Identification Number (EIN) Employer address 35 W.Wacker Drive, 12 th Floor 6. Employer phone number City Chicago 8. State IL 9. ZIP code Who can we contact about employee health coverage at this job? Publicis Benefits Connection Service Center 11. Phone number (if different from above) address Here is some basic information about health coverage offered by this employer: As your employer, we offer a health plan to: All employees. Eligible employees are: Some employees. Eligible employees are: All U.S. full time and part-time employees working a minimum regular schedule of 21 hours per week are eligible, unless previously excluded from a predecessor plan With respect to dependents: We do offer coverage. Eligible dependents are: Spouse (unless legally divorced from the employee) a domestic/civil union partner (but not the child(ren) of a domestic partner, unless adopted by the employee); biological or adopted dependent children up to age 26 regardless of marital or student status. We do not offer coverage. If checked, this coverage meets the minimum value standard, and the cost of this coverage to you is intended to be affordable, based on employee wages. Even if your employer intends your coverage to be affordable, you may still be eligible for a premium discount through the Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee or you work on a commission basis), if you are newly employed mid-year, or if you have other income losses, you may still qualify for a premium discount. If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here s the employer information you ll enter when you visit HealthCare.gov to find out if you can get a tax credit to lower your monthly premiums.

Publicis Benefits Connection Benefits Program Administrative Information Summary Plan Description January 1, 2016

Publicis Benefits Connection Benefits Program Information Summary Description January 1, 2016 Information The Publicis Benefits Connection Health and Group Benefits Program (the Program) is governed by