2018 Employee Benefits Program (U.S.) Qualified Status Changes

Transcription

1 2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes SUMMARY PLAN DESCRIPTION (SPD)

2 2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes TABLE OF CONTENTS WHAT HAPPENS TO YOUR BENEFITS... 3 IF YOU TAKE A LEAVE OF ABSENCE... 4 IF YOU DIE WHILE EMPLOYED IF YOU RETIRE* IF YOUR EMPLOYMENT TERMINATES IF YOU ARE REHIRED AFTER A TERMINATION OF EMPLOYMENT IF YOUR EMPLOYMENT STATUS CHANGES (BUT REMAIN BENEFIT ELIGIBLE) IF YOUR EMPLOYMENT STATUS CHANGES (AND BENEFIT ELIGIBILITY CHANGES) IF YOU MAKE AN INTERCOMPANY TRANSFER TO A NEW U.S. CITY IF YOU MAKE AN INTERCOMPANY TRANSFER FROM A U.S. OFFICE TO AN OFFICE IN ANOTHER COUNTRY IF YOU MAKE AN INTERCOMPANY TRANSFER FROM AN OFFICE IN ANOTHER COUNTRY BACK TO A U.S. OFFICE IF YOU BECOME AN OFFSITE OFFICE WORKER, OR RETURN FROM AN OFFSITE OFFICE TO A COMPANY OFFICE IF YOU MARRY* IF YOU ENTER INTO A DOMESTIC PARTNERSHIP* IF YOU DIVORCE, LEGALLY SEPARATE OR FILE A TERMINATION OF DOMESTIC PARTNERSHIP IF YOU GIVE BIRTH, ADOPT A CHILD, OR GAIN ELIGIBLE FAMILY MEMBERS* IF YOUR COVERED FAMILY MEMBER DIES IF YOUR COVERED FAMILY MEMBER IS NO LONGER ELIGIBLE FOR TRAVELERS COVERAGE CHANGE IN FAMILY MEMBER S EMPLOYMENT STATUS* CHANGE OR LOSS OF COVERAGE UNDER A PLAN MAINTAINED BY YOUR FAMILY MEMBER S EMPLOYER* CHANGE IN ELIGIBLE DEPENDENT CARE EXPENSES CHANGE IN LONG-TERM DISABILITY OR LIFE INSURANCE COVERAGE IF YOU WANT TO ENROLL IN EXCHANGE COVERAGE ENROLLMENT IN MEDICARE OR MEDICAID LOSS OF OTHER HEALTH INSURANCE COVERAGE Travelers Qualified Status Changes (Rev 1-18) 2

3 WHAT HAPPENS TO YOUR BENEFITS What happens t yur benefits if yu becme disabled, die, take a leave f absence, leave the cmpany r have anther Qualified Status Change? Yu can find answers t these questins in the pages that fllw. Fr mre detailed infrmatin abut the plans, see the apprpriate summary fr each plan and/r cntact the Emplyee Services Unit (ESU) via AskESU, 4-ESU@travelers.cm r In general, yu must request changes fr yur cverage within 31 days after the event. Changes are generally effective the day f the event. Changes can be apprved nly if the change in benefit cverage is cnsistent with the Qualified Status Change and if the request is received by the ESU within 31 days f the event. In general, a change in cverage will be cnsidered cnsistent nly if the Qualified Status Change results in the gain r lss f eligibility fr benefit cverage under a plan maintained by Travelers r under a plan maintained by yur family member s emplyer. Certain exceptins may apply. Fr example, if yu elect t make pre-tax cntributins t yur Health Savings Accunt (HSA) with Fidelity, yu can change that electin at any time n a prspective basis because such electins are nt subject t any Qualified Status Change rules. See the fllwing pages f this summary fr mre detail n the Qualified Status Change rules. Qualified Status Changes Different Qualified Status Change rules apply t different plans. Please review the relevant sectin f this summary fr the details f hw a specific Qualified Status Change event may impact yur benefits under a particular plan. In general, examples f Qualified Status Changes include the fllwing: Change in legal marital status, such as: marriage, divrce, legal separatin, annulment r death f yur spuse; Change in dmestic partnership status, such as: filing a Dmestic Partner Affidavit and Agreement r filing a Terminatin f Dmestic Partnership; Lss r gain f children, such as: birth, adptin, placement fr adptin r death f a child; Change in emplyment status, such as: terminatin r cmmencement f emplyment by yu, yur spuse r dmestic partner r yur child; Change in wrk schedule, such as: change in hurs f emplyment, cmmencement r return frm an unpaid leave f absence r a strike r lckut which causes yu r yur family member t gain r lse eligibility fr benefits r t pay mre fr benefits; Change in eligibility status f a child, such as: change in a child s eligibility under a plan due t attainment f age, student status, disabled status r change in custdial parent; Change in the eligibility f yu r yur family member fr Medicare, Medicaid r yur state s Children s Health Insurance Prgram (see the Medical summary fr mre details); Change in cverage under a plan maintained by yur family member s emplyer; Change in dependent care expenses fr Dependent Care Spending Accunts (see the Flexible Spending Accunts summary fr mre detail); Change in residence r wrksite, such as: change in yur r yur family member s lcatin f residence r wrksite ut f a health plan s cverage area; and Issuance f a Qualified Medical Child Supprt Order. Yu must cntact the ESU t request a change t yur benefits and cmplete the nline enrllment within 31 days after the Qualified Status Change. Yu must als cmplete the Benefits Affidavit. If yu fail t return the Benefits Affidavit, yur benefit changes may be reversed t yur previus electins. Yu may als be required t prvide additinal dcumentatin supprting yur Qualified Status Change, upn request. Failure t ntify ESU within 60 days f lss f eligibility status will result in yur r yur cvered family member s lss f cntinuatin cverage rights. Travelers will cnsider a failure t ntify Travelers when yu r a family member becmes ineligible as an intentinal misrepresentatin. This may result in a retractive lss f cverage fr yu r yur family member that is nt a rescissin. Travelers Qualified Status Changes (Rev 1-18) 3

4 IF YOU TAKE A LEAVE OF ABSENCE (Including Disability Leave) This sectin f the Qualified Status Changes summary describes what happens t yur benefits and yur respnsibility fr paying premiums, when yu start a leave, while yu are n a leave f absence and when yur leave ends. Generally, leaves f absence fall int five (5) types: Paid FMLA/STD leave this may be either paid Family and Medical Leave Act (FMLA) leave that is cvered by yur paid time ff (PTO), r shrt-term disability leave (and wuld include any paid parental leave yu may be eligible fr). Unpaid FMLA leave this may be either unpaid FMLA leave that starts after yu have exhausted yur PTO, r state paid family leave. Extended disability leave this starts after shrt-term disability leave ends. In general, any leave f absence due t disability is limited t nine (9) cntinuus mnths, starting n the date that yu transitin t LTD leave r unpaid leave (if nt enrlled and determined t be disabled fr purpses f the Travelers disability leave plicy). Even if yur leave extends beynd nine (9) mnths, any cverage that was available during the maximum apprved leave perid will end. Yur extended disability absence cverage may end earlier if yu recver, return t wrk r yur emplyment is terminated during the leave perid. Unpaid persnal leave in certain limited circumstances, Travelers may apprve a persnal (nn-fmla, nndisability) unpaid leave f absence. An appeal leave (during which yu can appeal a determinatin by MetLife under the shrt-term disability r lng-term disability cmpnent f the Disability plan) is cnsidered an unpaid persnal leave fr benefits purpses. Military leave - military leaves f absence generally fall int tw (2) types: Paid military leave this is military leave fr which yu are receiving military differential pay. Unpaid military leave this is military leave that is unpaid because yu are nt receiving military differential pay. Review the Travelers Military Leave plicy fr additinal infrmatin regarding military leave, such as which unifrmed services are cnsidered military service, what happens if yu d nt intend t return t wrk, the maximum length f service, the time perid t return t wrk with reemplyment rights and the effect f dishnrable discharge. Nte: Benefit treatment fr administrative paid leaves are handled the same as Paid FMLA/STD leaves. Benefits treatment fr administrative unpaid leaves are handled the same as Unpaid FMLA leave. Change in leave status: If yur leave changes frm unpaid t paid leave, yu can add r change cverage if cnsistent with the change, but this rule des nt apply t yur spending accunts. IMPORTANT: Yur request fr a change in benefit cverage will be apprved nly if it is cnsistent with the Qualified Status Change and received by the ESU within 31 days f the event. IMPORTANT NOTE ABOUT PREMIUMS: If yu are required t pay any premiums while n a leave and yu fail t d s within 60 days f the date yu are billed fr the premium, cverage will end at the end f the last perid fr which yu paid the last required premiums. Yu will receive peridic invices fr these premiums. A terminatin f cverage fr failure t pay premiums is nt a rescissin. Travelers Qualified Status Changes (Rev 1-18) 4

5 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Medical, Dental And Visin When Yu Start Leave Paid FMLA/STD leave: Yur cverage will cntinue - yu cannt elect t change r discntinue cverage. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, military leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin t stp cverage within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). Nte: During military leave, yu may want t cnsider discntinuing cverage because gvernment cverage may be available. During Yur Leave Paid FMLA/STD leave, paid military leave (if cverage cntinues): Yu must cntinue t pay premiums. Generally, yu pay premiums n a befre-tax basis by yur paycheck. Hwever, if yu d nt have a sufficient amunt in yur paycheck t cver the premium, yu will be required t pay the premiums n an after-tax basis by persnal check. If the Wrking Spuse Subsidy Reductin applies t yu, it will cntinue, but yu may nw qualify fr the smaller Wrking Spuse Subsidy Reductin due t a decrease in yur incme, if yu ntify Travelers f such decrease within 31 days f the start f yur leave. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, unpaid military leave: If yur cverage cntinues, yu must cntinue t pay premiums n an after-tax basis by persnal check. If yu are n unpaid persnal leave nly, the Wrking Spuse Subsidy Reductin will n lnger apply. Fr all ther unpaid leaves, if the Wrking Spuse Subsidy Reductin applies t yu, it will cntinue, but yu may nw qualify fr the smaller Wrking Spuse Subsidy Reductin due t the decrease in yur incme, if yu ntify Travelers f such decrease within 31 days f the start f yur leave. Fr all leaves: If yu fail t make a premium payment, cverage will end at the end f the perid fr which yu paid the last required premium. In this case, yu are nt eligible t enrll during the annual enrllment perid. If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp, add r change cverage (except if yu fail t make a premium payment during yur leave). Yu cannt add r change cverage ther than under thse circumstances. When Yur Leave Ends Paid FMLA/STD leave, unpaid FMLA leave, extended disability leave, unpaid persnal leave, military leave (if cverage cntinued): Yur cverage will cntinue withut interruptin, and yu may nt make a new electin upn yur return. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, military leave (if cverage ended): If yur cverage ended at the start f r during yur leave, yur pre-leave cverage will nt be reinstated upn yur return. Travelers Qualified Status Changes (Rev 1-18) 5

6 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Yu may make a new electin within 31 days f yur return t wrk. If n new electin is made during this 31- day special electin perid, yu cannt elect cverage fr the rest f that plan year unless a Qualified Status Change ccurs. Fr all leaves: If yur emplyment ends during r at the end f yur leave, yur cverage will end, at the latest, n the last day f the mnth in which yur emplyment ends. If yur Wrking Spuse Subsidy Reductin was discntinued r decreased due t yur leave, it will resume and will increase t the reductin in effect prir t yur leave, unless yur incme cntinues t qualify yu fr the smaller Wrking Spuse Subsidy Reductin. Life/AD&D Insurance When Yu Start Leave Paid FMLA/STD leave: Yur cverage will cntinue yu cannt elect t discntinue cverage. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, military leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin t stp cverage within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). During Yur Leave Paid FMLA/STD leave, paid military leave (if cverage cntinues): Yu must cntinue t pay premiums. Generally, yu pay premiums n an after-tax basis by yur paycheck. Hwever, if yu d nt have a sufficient amunt in yur paycheck t cver the premium, yu will be required t pay the premiums n an after-tax basis by persnal check. If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp r add cverage (except if yu fail t make a premium payment during yur leave), subject t all applicable rules, including evidence f insurability and a requirement that yu be actively at wrk fr an increase in cverage t becme effective. Yu cannt add r drp cverage ther than under thse circumstances. Unpaid FMLA leave, unpaid military leave (if cverage cntinues): Yu must cntinue t pay premiums n an after-tax basis by persnal check. If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp r add cverage (except if yu fail t make a premium payment during yur leave), subject t all applicable rules, including evidence f insurability and a requirement that yu be actively at wrk fr an increase in cverage t becme effective. Yu cannt add r drp cverage ther than under thse circumstances. Extended disability leave, unpaid persnal leave: Yu must cntinue t pay premiums n an after-tax basis by persnal check. If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu may drp cverage r decrease yur Optinal Life/AD&D r Dependent Life/Spuse AD&D cverage. Travelers Qualified Status Changes (Rev 1-18) 6

7 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Fr all leaves: If yu fail t make a premium payment, cverage will end at the end f the perid fr which yu paid the last required premium. In this case, yu are nt eligible t enrll during the annual enrllment perid. When Yur Leave Ends Fr all leaves: Yur cverage will cntinue withut interruptin. Yu may nt make a new electin upn yur return. Yu cannt elect cverage until the next annual enrllment perid (r the ccurrence f a Qualified Status Change). If yur emplyment ends during r at the end f yur leave, yur cverage will end, at the latest, n the last day f the mnth in which yur emplyment ends. Disability Cverage under the STD cmpnent f the plan cntinues thrughut yur paid FMLA/STD leave, unpaid FMLA r military leave until yur emplyment ends (if applicable), but therwise ends when yu start an extended disability leave r unpaid persnal leave. Accrdingly, the fllwing relates nly t the LTD cmpnent f the plan. When Yu Start Leave Paid FMLA/STD leave, extended disability leave: Yur cverage will cntinue yu cannt elect t discntinue cverage. Unpaid FMLA leave, unpaid persnal leave, military leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin t stp cverage within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). During Yur Leave Paid FMLA/STD leave; paid military leave (if cverage cntinues): Yu must cntinue t pay premiums if yu were required t pay premiums befre yur leave started (that is, if yur base salary is mre than $50,000). Generally, yu pay premiums n an after-tax basis by yur paycheck. Hwever, if yu d nt have a sufficient amunt in yur paycheck t cver the premium, yu will be required t pay the premiums n an after-tax basis by persnal check. Unpaid FMLA leave, unpaid military leave: If yur cverage cntinues, yu must cntinue t pay premiums if yu were required t pay premiums befre yur leave started (that is, if yur base salary is mre than $50,000). Yu will be required t pay the premiums n an after-tax basis by persnal check. Extended disability leave: Yur cverage will cntinue yu d nt pay premiums fr the perid yu are n leave. Unpaid persnal leave: If yur cverage cntinues, yu must cntinue t pay premiums, even if yur base salary is $50,000 r less. Yu will be required t pay the premiums n an after-tax basis by persnal check. Travelers Qualified Status Changes (Rev 1-18) 7

8 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Paid FMLA/STD leave, unpaid FMLA, military leave, unpaid persnal leave: If yu fail t make a premium payment, cverage will end at the end f the perid fr which yu paid the last required premium. In this case, yu are nt eligible t enrll during the annual enrllment perid. If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp r add cverage (except if yu fail t make a premium payment during yur leave). If yur base salary is ver $50,000, yu may add cverage subject t all applicable rules, including evidence f insurability and a requirement that yu be actively at wrk fr added cverage t take effect. Yu cannt add r drp cverage ther than under thse circumstances. When Yur Leave Ends Paid FMLA/STD leave; paid military leave (if cverage cntinued), extended disability leave: Yur cverage will cntinue withut interruptin. Unpaid FMLA leave, unpaid persnal leave, military leave (if cverage ended): If yur salary is $50,000 r less and yur cverage ended at the start f r during yur leave, yur pre-leave cverage is autmatically reinstated withut evidence f insurability. If yur salary is ver $50,000 and yu did nt have cverage befre yur leave r yur cverage did nt change during leave, yu cannt change cverage when yu return t wrk (yur cverage may have changed while yu were n leave if yu made a new electin during an intervening annual enrllment perid r as a result f a Qualified Status Change). If yur salary is ver $50,000, and yur cverage ended at the start f r during yur leave, yur pre-leave cverage will nt be reinstated upn yur return. Hwever, yu may elect cverage within 31 days f yur return t wrk. Yu will be required t submit evidence f insurability in this case, unless yu were n unpaid FMLA leave and yu return t wrk within the time required by law. Cverage will start n the later f the day yu return t wrk r the first f the mnth fllwing the date yur applicatin is apprved (apprval nly applies if yu were required t submit evidence f insurability). If yu d nt elect cverage within 31 days f yur return t wrk, yur cverage is waived (unless yu made a new electin during an intervening annual enrllment perid r as a result f a Qualified Status Change, and that electin becmes effective when yu return). Yu cannt elect cverage fr the rest f that plan year unless a Qualified Status Change ccurs. Fr all leaves: If yur cverage ended during yur leave because yu failed t pay a premium, yu cannt elect cverage until the next annual enrllment perid (r the ccurrence f a Qualified Status Change). If yur emplyment ends during r at the end f yur leave, yur cverage will end, n the day yur emplyment ends. Regular Paid Time Off (PTO) Effect f a Leave n Yur Awarded but Unused PTO Paid FMLA/STD leave: Yu may have used PTO t cver the eliminatin perid (the first week f absence due t disability) under the STD cmpnent f the plan. Military leave (paid r unpaid): It is yur chice whether t use yur awarded PTO. Travelers Qualified Status Changes (Rev 1-18) 8

9 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Unpaid FMLA leave, unpaid persnal leave: Yu are required t use all f yur awarded PTO prir t taking unpaid leave. If yur unpaid leave cnsists f state paid family leave nly, depending n yur wrk state yu may nt be required t use PTO prir t paid family leave benefits beginning. Extended disability leave: Yur awarded but unused PTO will be paid t yu after fur (4) weeks f leave. If yur leave is less than fur (4) weeks, yur awarded but unused PTO will remain intact. Circumstances When Additinal PTO Will Be Awarded During Leave Or Upn Return t Wrk Paid FMLA/STD leave: PTO is nt awarded unless yu wrk under the STD Return t Wrk Prgram. In this case, PTO hurs are awarded t reflect the hurs yu wrk. These PTO hurs, which are prrated based n the number f hurs yu wrk under the Return t Wrk Prgram, will be available fr use during yur paid leave. When yu transitin frm paid FMLA/STD leave t extended disability leave r when yu return t wrk frm paid FMLA/STD leave (as applicable), yu will be awarded PTO hurs (less any hurs awarded due t wrk under the Return t Wrk Prgram) as if yu had been wrking during yur leave. Military leave (paid r unpaid): PTO cntinues t be awarded as if yu were wrking during yur leave. PTO carryver caps that nrmally apply d nt apply while yu are n military leave. Awarded PTO is paid upn yur return t wrk. Extended disability leave: PTO is nt awarded unless yu wrk under the LTD Return t Wrk Prgram. In this case, PTO hurs are awarded t reflect the hurs yu wrk. These PTO hurs, which are prrated based n the number f hurs yu wrk under the Return t Wrk Prgram, will be available fr yur use during the perid yu wrk under the prgram. Any unused hurs will be paid t yu after yu cmplete the prgram if yu remain disabled. If yu return t wrk fllwing cmpletin f the prgram, awarded PTO will be available fr yur use at that time. Unpaid FMLA leave: PTO is nt awarded during this leave. When yu return t wrk frm leave, yu will be awarded PTO hurs as if yu had been wrking during yur leave. Unpaid persnal leave: PTO is nt awarded during this leave. This is a general discussin f hw PTO interacts with leaves, but it is nt all-inclusive. Fr example, it is des nt discuss intermittent leaves. Travelers will cmply with the FMLA and all ther applicable laws. Purchased PTO When Yu Start Leave Paid FMLA/STD leave: Yur deductins will cntinue -- yu cannt elect t discntinue deductins at any time during this type f paid leave. Travelers Qualified Status Changes (Rev 1-18) 9

10 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Paid military leave: Yu have the chice t cntinue r discntinue yur deductins. T stp deductins, yu must file a written electin t stp yur deductins within 31 days after yur leave starts. Yur electin will be effective retractive t the date the leave starts. If yu stp deductins, yur calendar year-t-date deductins (less any time used) will be refunded. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, unpaid military leave: Yur deductins stp. During Yur Leave Paid FMLA/STD leave: If yu are n leave during an annual enrllment perid yu can make an electin as lng as yu remain n a paid leave. Unpaid military leave, unpaid FMLA leave, unpaid persnal leave, extended disability leave: After fur (4) weeks f leave yur calendar year-t-date deductins (less any time used) will be refunded and yur pre-leave deductins will nt be reinstated. Military leave, unpaid FMLA leave, unpaid persnal leave, extended disability leave: If yu are n a leave during an annual enrllment perid, yu cannt make a purchased PTO electin fr the fllwing year. If yu are n a leave at the end f the calendar year, yur unused purchased PTO frm the current year will be refunded regardless f the length f yur leave. Furthermre, any electin fr purchased PTO time yu made during the annual enrllment perid fr the fllwing plan year will autmatically be cancelled. When Yur Leave Ends Paid FMLA/STD leave: Yur return t wrk des nt affect yur purchased PTO. Paid military leave: If yur deductins cntinued, yur return t wrk des nt affect yur purchased PTO if yu return in the same calendar year. Otherwise, yur electin will be waived in the next calendar year. If yu discntinued yur deductins and yu return t wrk within fur (4) weeks frm the start f yur leave and in the same calendar year, yur pre-leave deductins will autmatically resume. Any deductins yu missed during yur leave will be made up frm yur remaining paychecks in the same calendar year. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, unpaid military leave: If yu return t wrk within fur (4) weeks frm the start f yur leave and during the same calendar year, yur pre-leave deductins will autmatically resume. Any deductins yu missed during yur leave will be made up frm yur remaining paychecks in the same calendar year. Fr all leaves: If yu return t wrk after the annual enrllment perid but befre December 31, yu may make a new purchased PTO electin fr the fllwing plan year nly if yu request t be enrlled by December 31 f the current calendar year. Travelers Qualified Status Changes (Rev 1-18) 10

11 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Hlidays Paid FMLA/STD leave: Hlidays are paid during paid leave. A hliday will be cnsidered a disability day and cunted twards the 13- week maximum STD duratin (if applicable). Yu will nt be required t use PTO fr any hlidays that ccur during the eliminatin perid. If yu are scheduled t wrk n a hliday, but are n a paid FMLA/STD leave, thse hliday hurs are nt available upn yur return t wrk. If a hliday falls during a perid f paid parental leave, yu will be paid the hliday and yur paid parental leave will nt be decreased fr that day. Paid military leave: Hlidays are paid during paid military leave. If yu are scheduled t wrk n a hliday, but are n a paid military leave, thse hliday hurs are nt available upn yur return t wrk. Unpaid FMLA leave, extended disability leave, unpaid military leave: Hlidays are nt paid during unpaid leave, and thse missed hlidays are nt available upn yur return t wrk. Hwever, if yu are released t wrk n a hliday and yu wrk the day after the hliday, yu will be paid fr the hliday. Unpaid persnal leave: Hlidays are nt paid during unpaid leave, and thse missed hlidays are nt available upn yur return t wrk. Spending Accunts Health Care Spending Accunt When Yu Start Leave Paid FMLA/STD leave: Yur cverage cntinues. Yu cannt elect t discntinue cverage at any time during yur leave. Unpaid FMLA leave, military leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). Extended disability leave, unpaid persnal leave: Yur cverage ends when yur leave starts. Nte: During military leave, yu may be eligible t take a qualified reservist distributin frm yur health care spending accunt if yu prvide prf f being rdered t active duty fr at least 180 days. See the Qualified Reservist Distributins sectin f the Flexible Spending Accunts summary fr mre infrmatin. During Yur Leave Paid FMLA/STD leave: Yu must cntinue t make cntributins. Generally, yu make cntributins n a befre-tax basis by yur paycheck. As lng as yur cverage cntinues, even if yu d nt make cntributins (because yur paycheck wuld nt cver the cntributin amunt), yu can cntinue t be reimbursed fr eligible expenses incurred during yur leave. Travelers Qualified Status Changes (Rev 1-18) 11

12 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Unpaid FMLA leave, military leave: If yu elect t cntinue cverage while yu are n a leave, yu must cntinue t make cntributins. Generally, yu make cntributins n a befre-tax basis by yur paycheck. As lng as yur cverage cntinues, even if yu d nt make cntributins (because yur leave is unpaid r yur paycheck wuld nt cver the cntributin amunt), yu can cntinue t be reimbursed fr eligible expenses incurred during yur leave. Extended disability leave, unpaid persnal leave: Because yur cverage des nt cntinue while yu are n these types f leave, yu cannt cntinue t be reimbursed fr any expenses incurred during yur leave. Fr all leaves: If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp, add r change cverage. Yu cannt add r change cverage ther than under thse circumstances (fr example, yu cannt increase cntributins merely because yur leave changes frm unpaid t paid). When Yur Leave Ends Paid FMLA/STD leave: If yu return t wrk directly frm paid FMLA/STD leave, yur cverage will cntinue withut interruptin. Yu may nt make a new electin upn yur return. Unpaid FMLA leave, military leave: If yur cverage cntinued during yur leave but yur cntributins stpped, and yu return t wrk during the same calendar year, any missed cntributins will be made up frm yur remaining paychecks during the same calendar year. If yur cverage ended at the start f r during yur leave, yur pre-leave cverage will nt be reinstated upn yur return. Yu may make a new electin within 31 days f yur return t wrk. If yu elect an amunt greater than yur prir electin (Yur prir electin and new electin tgether cannt exceed the annual plan maximum), nly claims incurred after yur new electin are eligible fr reimbursement up t the new electin amunt. Claims incurred befre yur new electin are subject t the cverage electin amunt in effect prir t yur new electin and must have been incurred while yu were cntributing t the plan. If yu elect t decrease yur cntributins, yu may nt decrease yur annual cntributin t an amunt less than: The amunt f cntributins yu have already made t the plan. The ttal expenses that have already been reimbursed by the plan. The plan minimum. If n new electin is made during this 31-day special electin perid, yu cannt elect cverage fr the rest f the plan year unless a Qualified Status Change ccurs. Travelers Qualified Status Changes (Rev 1-18) 12

13 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Extended disability leave, unpaid persnal leave: Yur pre-leave cverage will nt be reinstated upn yur return. Yu may make a new electin within 31 days f yur return t wrk. If yu elect an amunt greater than yur prir electin (Yur prir electin and new electin tgether cannt exceed the annual plan maximum), nly claims incurred after yur new electin are eligible fr reimbursement up t the new electin amunt. Claims incurred befre yur new electin are subject t the cverage electin amunt in effect prir t yur new electin and must have been incurred while yu were cntributing t the plan. If yu elect t decrease yur cntributins, yu may nt decrease yur annual cntributin t an amunt less than: The amunt f cntributins yu have already made t the plan. The ttal expenses that have already been reimbursed by the plan. The plan minimum. Fr all leaves: If yur participatin in the plan ended during yur leave, yur cverage ends when yur cntributins stpped. Only claims incurred while yu were cntributing t the plan will be eligible fr cnsideratin. Unless yu elect COBRA cntinuatin yur deadline fr submitting claims is December 31 st f the plan year in which yur leave began. If yur emplyment ends during r at the end f yur leave, yur cverage will end, at the latest, n the day yur emplyment ends. Unless yu elect COBRA cntinuatin yur deadline fr submitting claims is December 31 st f the plan year in which yur emplyment ends. Dependent Care Spending Accunt When Yu Start Leave Paid FMLA/STD leave, unpaid FMLA leave, military leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin t stp cverage within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). Extended disability leave, unpaid persnal leave: Yur cverage will end when yur leave starts. Nte: Reimbursements fr dependent care are limited t eligible expenses incurred while yu and yur spuse (if yu are married) are actively wrking, seeking emplyment r attending schl n a full-time basis. Actively wrking includes military service. Dependent care claims incurred during the perid yu r yur spuse (if yu are married) are n disability r ther leave may nt be eligible fr reimbursement. See the Flexible Spending Accunts summary fr mre infrmatin. During Yur Leave Paid FMLA/STD leave, paid military leave: If cverage cntinues while yu are n a leave, yu must cntinue t pay cntributins. Generally, yu pay cntributins n a befre-tax basis by yur paycheck. Hwever, if yu d nt have a sufficient amunt in yur paycheck t cver the cntributins, yu will be required t pay the cntributins if yu return t wrk during Travelers Qualified Status Changes (Rev 1-18) 13

14 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) the same calendar year. As lng as yur cverage cntinues, even if yu d nt pay cntributins, yu can cntinue t be reimbursed fr eligible expenses incurred during yur leave, but nt fr an amunt that exceeds the cntributins made. Unpaid FMLA leave, unpaid military leave: If cverage cntinues while yu are n a leave, yu will be required t pay missed cntributins if yu return t wrk during the same calendar year. As lng as yur cverage cntinues, even if yu d nt pay cntributins, yu can cntinue t be reimbursed fr eligible expenses incurred during yur leave, but nt fr an amunt that exceeds the cntributins made. Fr all leaves: If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp, add r change cverage. Yu cannt add r change cverage ther than under thse circumstances. When Yur Leave Ends Paid FMLA/STD, unpaid FMLA leave, military leave: If yur cverage cntinued during yur leave, but yur cntributins stpped and yu return t wrk during the same calendar year, any missed cntributins will be made up frm yur remaining paychecks during the same calendar year. Fr all leaves: If yur cverage ended at the start f r during yur leave, yur pre-leave cverage will nt be reinstated upn yur return. Yu may make a new electin within 31 days f yur return t wrk. If yu elect an amunt greater than yur prir electin (Yur prir electin and new electin tgether cannt exceed the annual plan maximum), nly claims incurred after yur new electin are eligible fr reimbursement up t the new electin amunt. Claims incurred befre yur new electin are subject t the cverage electin amunt in effect prir t yur new electin and must have been incurred while yu were cntributing t the plan. If yu elect t decrease yur cntributins, yu may nt decrease yur annual cntributin t an amunt less than: The amunt f cntributins yu have already made t the plan. The ttal expenses that have already been reimbursed by the plan. The plan minimum. If n new electin is made during this 31-day special electin perid, yu cannt elect cverage fr the rest f the plan year unless a Qualified Status Change ccurs. If yu are newly eligible fr cverage upn yur return frm leave, yu may elect cverage within 31 days f yur return t wrk. If yur participatin in the plan ends during yur leave, yur cverage will end when yur cntributins stp. The deadline t incur and submit claims is December 31 st f the plan year in which yur leave began. Travelers Qualified Status Changes (Rev 1-18) 14

15 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) If yur emplyment ends during r at the end f yur leave, yur cverage will end, at the latest, n the day yur emplyment ends. Yur deadline fr submitting claims is December 31 st f the plan year in which yur emplyment ends. Health Savings Accunt (HSA) When Yu Start Leave Paid FMLA/STD leave: Yur HSA plan ptin remains active at Travelers and the HSA custdian. Therefre, yur HSA payrll cntributins will cntinue unchanged. Unpaid FMLA leave, military leave: Yur HSA plan ptin remains active as lng as yur medical plan ptin is nt terminated due t nnpayment r any ther reasn. Yur HSA payrll cntributins will suspend during yur unpaid leave. Upn returning t wrk, yur HSA payrll cntributins will resume but the per pay perid cntributin will be recalculated based n yur remaining gal balance divided by the remaining pay perids in the calendar year. If yu wish t cntinue cntributing t yur HSA during yur unpaid leave cntact the HSA custdian regarding cntributin methds. Extended disability leave, unpaid persnal leave: Yur HSA plan ptin ends when yur leave starts. This des nt terminate yur HSA with the HSA custdian. If yu maintain HSA eligibility during yur leave, yu may cntinue t make cntributins int yur accunt. Cntact the HSA custdian regarding cntributin methds. Upn return t wrk, yu will be able t re-elect yur benefit plan ptins. If the HSA is re-elected, yu must be certain the amunt elected des nt cause ttal HSA cntributins fr the calendar year t exceed the IRS annual maximum. During Yur Leave Paid FMLA/STD leave: Yu may cntinue t make cntributins. An HSA payrll cntributin change frm is available. Cntributins cannt be increased t exceed the IRS annual maximum. If yu elect t decrease yur cntributins, the new annual amunt cannt be less than the ttal f the cntributins already made. Any change in electin is effective the 1 st f the mnth after the frm is received. Unpaid FMLA leave, military leave: Yur HSA plan ptin remains active, assuming yur medical plan ptin has nt ended due t nn-payment r any ther reasn. Yur HSA payrll cntributins will suspend during yur unpaid leave. Upn returning t wrk, yur HSA payrll cntributins will resume but the per pay perid cntributin will be recalculated based n yur remaining gal balance divided by the remaining pay perids in the calendar year. If yu wish t cntinue cntributing t yur HSA during yur unpaid leave, cntact the HSA custdian regarding cntributin methds. Extended disability leave, unpaid persnal leave: Yur HSA plan ptin ends when yur leave starts. This des nt terminate yur HSA with the HSA custdian. If yu maintain HSA eligibility during yur leave, yu may cntinue t make cntributins int yur accunt. Cntact the HSA custdian regarding cntributin methds. If yur HSA eligibility is nt maintained during yur leave, yu will nt be able t cntinue t make cntributins. But, yu can cntinue t reimburse yurself fr any expenses incurred during yur leave frm yur HSA, if yu desire. Travelers Qualified Status Changes (Rev 1-18) 15

16 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Fr all leaves: If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp, add r change cverage. Yu cannt add r change cverage ther than under thse circumstances. When Yur Leave Ends Paid FMLA/STD leave: If yu return t wrk directly frm paid FMLA/STD leave, yur HSA plan ptin and payrll cntributins will cntinue withut interruptin. Unpaid FMLA leave, military leave: If yur HSA plan ptin remained active during yur unpaid leave, upn returning t wrk, yur HSA payrll cntributins will resume but the per pay perid cntributin will be recalculated based n yur remaining gal balance divided by the remaining pay perids in the calendar year. If yur HSA plan ptin ended due t nn-payment f yur medical plan, upn return t wrk, yu will be able t re-elect yur benefit plan ptins. If the HSA is re-elected, yu must be certain the amunt elected des nt cause ttal HSA cntributins fr the calendar year t exceed the IRS annual maximum. Extended disability leave, unpaid persnal leave: Yur pre-leave HSA plan ptin will nt be autmatically reinstated upn yur return. Hwever, yu may make a new electin within 31 days f yur return t wrk. Any change in electin is effective the 1 st f the mnth after the electin is prcessed. If the HSA is re-elected, yu must be certain the amunt elected des nt cause ttal HSA cntributins fr the calendar year t exceed the IRS annual maximum. Fr all leaves: If yur emplyment ends during r at the end f yur leave, yur cverage under the HSA plan ptin and yur HSA payrll cntributins will end, at the latest, n the day yur emplyment ends. Hwever, this des nt terminate yur HSA with the HSA custdian. Travelers 401(k) Savings Plan When Yu Start Leave Paid FMLA/STD leave: The deferral percentage yu have in effect is applied against the cmpensatin yu receive, unless yu elect t discntinue cntributins by cntacting Fidelity. Yur deferral percentage is applied t yur shrt-term disability pay. Fr this purpse nly, yur shrt-term disability pay is the grss pay, determined by the cmpany, befre any reductin fr pay received directly by yu frm a state fund. Paid military leave: During paid military leave, yur deferral percentage is applied against yur military differential pay. Fr this purpse nly, we will treat yu as having earnings at the pay rate yu had in effect when yu went n military leave, adjusted fr any scheduled pay raises during the leave. Unpaid FMLA leave, extended disability leave, unpaid persnal leave, unpaid military leave: 401(k) cntributins end with yur last paycheck. Travelers Qualified Status Changes (Rev 1-18) 16

17 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) During Yur Leave Military leave: If yu have been called t active military service fr a perid f mre than 30 days, yu can request a withdrawal f yur entire vested plan balance. If yu take a military withdrawal, yu will nt be able t make 401(k) cntributins fr military differential r any ther pay fr a six (6)-mnth perid fllwing the withdrawal. After the six (6)-mnth suspensin perid, yur pre-tax 401(k) and/r after-tax Rth(k) cntributins t the plan will be autmatically reinstated at the same level as was in effect befre yur suspensin. During military leave, the interest rate n any lan frm the plan will nt exceed 6%. The term f yur lan will be extended by the length f military leave. If yu are n an unpaid military leave that began n r after April 1, 2014, yur bligatin t make payments will be suspended. Yu may elect t cntinue mnthly lan payments by direct debit frm yur bank accunt r by certified r cashier s check. Cntact Fidelity at and review the lan prgram dcument fr mre infrmatin. If yu are n paid military leave at a rate f pay that is higher than yur mnthly lan installment, yu must cntinue t make lan payments frm yur paycheck. If yu die while n military leave, yu will be treated as if yu had returned t wrk n the day befre yur death, meaning that yu will be 100% vested. Nn-military unpaid leave: Fr lans made n r after April 1, 2014, yur bligatin t make payments will be suspended during yur unpaid leave fr up t ne (1) year. Yu may elect t cntinue mnthly lan payments by direct debit frm yur bank accunt r by certified r cashier s check. Cntact Fidelity at and review the lan prgram dcument fr mre infrmatin. Fr general purpse lans made after April 1, 2014 (nt hme lans), the term f yur lan will be extended by the length f yur unpaid leave; hwever, yur ttal lan term cannt exceed five (5) years. Nn-military paid leave: If yu have an utstanding lan, yu must cntinue t make lan payments frm yur paycheck during paid leave. Fr all leaves: Yu will receive the cmpany match if yu are n an apprved leave f absence n the last business day f the calendar year. The cmpany match will be calculated based n yur cntributins frm yur eligible pay in accrdance with plan rules. Yu may initiate a new lan if ne is available t yu. When Yur Leave Ends Military leave: If yu return t wrk frm a military leave and have nt made the maximum 401(k) cntributins permitted under tax law, yu have the pprtunity t make up the missed cntributins. Yu may make up cntributins within five (5) years f yur return t wrk (r three (3) times yur perid f military leave if shrter). Yu will als receive the cmpany match with respect t any make up cntributins in accrdance with plan rules. Yu will nt receive any earnings r lsses n the make-up cntributins r matching cntributins. Travelers Qualified Status Changes (Rev 1-18) 17

18 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) If yu are unable t return t wrk because yu die r becme disabled while in active military service, yu will be entitled t several additinal benefits. Fr this purpse, disability means that yu wuld have been apprved fr benefits under the lng-term disability plan, withut regard t the exceptin under that plan fr disabilities caused r cntributed t by a war r an act f war, insurrectin, rebellin r terrrist act. If yu are unable t return t wrk due t death, yu will becme 100% vested in all f yur accunts. If yu are unable t return t wrk either due t death r disability, yu will nt be able t make up missed cntributins as described abve because yu will nt have any pay frm which t deduct cntributins. In this case, yu will be eligible t receive the cmpany match based n imputed cntributins, which are calculated by reference t the average rate at which yu made cntributins ver the 12-mnth perid immediately befre yur leave (r ver the full perid during which yu made cntributins, if that perid is shrter than 12 mnths). If yu previusly received the cmpany match based n cntributins yu made during yur leave, yu will receive an additinal match based n imputed cntributins nly if yur imputed cntributins wuld have resulted in a larger cmpany matching cntributin. Extended disability leave: If yur emplyment ends after yur extended disability leave, yu will becme 100% vested. Fr all leaves: If yur cntributins ended at the start f r during yur leave, and yu return t wrk, including as part f an apprved STD r LTD Return t Wrk Prgram, yur cntributins will be autmatically reinstated at yur preleave deferral rate (pre-tax 401(k) and/r after-tax Rth(k)) (unless yu made a new electin since yur cntributins ended). If yur emplyment ends during r at the end f yur leave, yu will be entitled t a distributin after yur emplyment ends. Travelers Pensin Plan During Yur Leave Paid FMLA/STD leave: Yu cntinue t earn cash balance pay credits. Yur shrt-term disability pay is cunted fr purpses f cash balance pay credits. Fr this purpse nly, yur shrt-term disability pay is the grss pay, determined by the cmpany, befre any reductin fr pay received directly by yu frm a state fund. Extended disability leave: Yur LTD pay (r any ther pay yu receive frm a third party, including disability pay mandated under a state prgram) is nt cunted fr pay credit purpses. Military leave: Yu cntinue t earn cash balance pay credits. Pay credits are generally based n yur average rate f pay in effect during the 12 mnths immediately befre the start f yur leave (even if yu are receiving military differential pay), adjusted fr any scheduled pay raises during the leave. Yu cntinue t earn credited service during the perid f yur military leave. The maximum perid f military leave is determined by reference t the Travelers military leave plicy. Yur pay under a final average pay frmula is generally based n yur average rate f pay in effect during the 12 mnths immediately befre the start f yur military leave, adjusted fr any scheduled pay raises during the leave. If yu die while n military leave, yu will be treated as if yu had returned t wrk n the day befre yur death, meaning that yu will be 100% vested, and which means that yur survivr may be entitled t additinal benefits based n yur in-service death. Travelers Qualified Status Changes (Rev 1-18) 18

19 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) Fr all leaves: Yur vesting service cntinues while yu remain an emplyee. Yur cash balance accunt cntinues t earn interest credits as lng as yu remain a participant in the plan. When Yur Leave Ends Fr all leaves: If yur emplyment ends during r at the end f yur leave, yu will be entitled t a distributin f yur vested benefit after yur emplyment ends. Emplyee Assistance Prgram (EAP) Fr all leaves: Yu are eligible t use the EAP fr the maximum apprved leave perid, but nt beynd that. Legal Services Plan When Yu Start Leave Paid FMLA/STD leave: Yur cverage will cntinue yu cannt elect t discntinue cverage. Unpaid FMLA leave, extended disability leave, unpaid persnal leave: Yu have the chice t cntinue r discntinue cverage. T stp cverage, yu must file a written electin t stp cverage within 31 days after yur leave starts. Yur electin t stp cverage generally will be effective n the date yu file it (r when yur leave starts, if later). If yu discntinue cverage, any legal matters in prgress will be cmpleted. N new matters may be pened under the plan. Paid and Unpaid Military leave: Yur cverage will cntinue yu cannt elect t discntinue cverage at the start f yur leave. During Yur Leave Paid FMLA/STD leave: If yur cverage cntinues, yu must cntinue t pay premiums fr yur cverage. Generally, yu pay premiums n an after-tax basis thrugh payrll deductins. Unpaid FMLA leave, extended disability leave, unpaid persnal leave: If yur cverage cntinues, yu must cntinue t pay premiums fr yur cverage n an after-tax basis by persnal check. Paid and Unpaid Military leave: The premium is waived while n active duty. Fr all leaves (except military leave): If yu fail t make a premium payment, cverage will end at the perid fr which yu paid the last required premium. Travelers Qualified Status Changes (Rev 1-18) 19

20 If Yu Take A Leave Of Absence (Including Disability Leave) (cntinued) If yu are n a leave during the annual enrllment perid r at the time f a Qualified Status Change, yu have the same rights as an active emplyee t drp r add cverage. Yu cannt drp r add cverage ther than under thse circumstances. When Yur Leave Ends Fr all leaves: When yu return t wrk yu may nt enrll in this plan until the next annual enrllment perid r as a result f a Qualified Status Change. If yur emplyment ends during r at the end f yur leave, yur cverage will end n the day in which yur emplyment ends. Any legal matters in prgress will be cmpleted. N new matters may be pened under the plan. Cntact ARAG directly at fr individual cntinuatin ptins r see the Legal Services Plan summary. Educatinal Assistance Fr all leaves (except military leave): Yu are nt eligible t be reimbursed fr any curse yu begin while yu are n leave. Hwever, yu may be eligible t receive reimbursement fr a curse yu cmpleted r an apprved curse yu began befre the start f the leave. Military leave: If yu are n a military leave and unable t cmplete an apprved curse, yu are eligible t be reimbursed fr any such curse. Excess Liability When Yu Start Leave Paid leaves: Yur cverage will cntinue yu cannt elect t discntinue cverage at the start f the leave. Unpaid leaves: Yur cverage will cntinue, but if yu are unable t return t wrk within fur (4) weeks f beginning yur unpaid leave f absence, yur cverage in the prgram will end at the end f the perid fr which yu paid the last required premium, unless yu cntact the Signature B&B Cmpanies directly t cntinue payments. Cntact Kathryn Riffle at KRiffle@sbbinsure.cm r fr individual cntinuatin ptins. During Yur Leave Paid leaves: Yu must cntinue t pay premiums fr yur cverage. Generally, yu pay premiums n an after-tax basis thrugh payrll deductins. If yu fail t make a premium payment, cverage will end at the end f the perid fr which yu paid the last required premium. Unpaid leaves: If yu are unable t return t wrk within fur (4) weeks f beginning yur unpaid leave f absence, yur cverage in the prgram will end at end f the perid fr which yu paid the last required premium, unless yu cntact the Signature B&B Cmpanies directly t cntinue payments. Cntact Kathryn Riffle at KRiffle@sbbinsure.cm r fr individual cntinuatin ptins. Travelers Qualified Status Changes (Rev 1-18) 20