Your retirement plan is taking a bold new path

Your retirement plan is taking a bold new path Your account is moving to Empower Retirement effective December 13, 2018 Empower named Retirement This change to your Elliot Health System 403(b) Plan's recordkeeping services account is Leader of the Year.* designed to expand your investment options, give you more ways to access and manage your Empower helps more than account, improve your overall retirement planning experience, and empower you to make the 8.5 million people save journey to retirement as rewarding as every day after. for retirement. Features include: Roth after-tax contributions to give you more savings options. Commitment to high levels of transaction accuracy and cybersecurity. Access to Empower Retirement Advisory Services, including Online Advice and My Total Retirement, a professionally managed investment strategy created just for you and the future you imagine. There is no guarantee provided by any party that participation in any of the Advisory Services will result in a profit. Cutting-edge technology and innovative tools to help you maximize your retirement benefit. A new toll-free phone number so you can access service representatives who are ready to assist you. See important blackout notice information in this booklet. * 23rd annual Mutual Fund Industry Awards, 2016. As of June 30, 2018. Information refers to all retirement businesses of Great-West Life & Annuity Insurance Company and its subsidiaries and affiliates, including Great-West Life & Annuity Insurance Company of New York, marketed under the Empower Retirement brand. Online Advice and My Total RetirementTM are part of the Empower Retirement Advisory Services suite of services offered by Advised Assets Group, LLC, a registered investment adviser.

Important notice concerning your rights in the Elliot Health System 403(b) Plan November 2, 2018 This notice is to inform you that your Elliot Health System 403(b) Plan's recordkeeping services will transfer to Empower Retirement effective December 13, 2018. In addition, the existing investment fund options for the investment of your plan account will be eliminated and new investment fund options will be implemented as described below. As a result of these changes, you temporarily will be unable to check your account balance and transfer or diversify your investments in your Elliot Health System 403(b) Plan account, or obtain a loan, withdrawal or distribution. This period during which you will be unable to exercise these rights otherwise available under the plan is called a blackout period. Whether or not you are planning retirement in the near future, we encourage you to carefully consider how this period may affect your retirement planning as well as your overall financial plan. The temporary blackout period begins at 4 p.m. Eastern time on December 4, 2018, and is expected to end no later than December 31, 2018. During this time, you will have limited or no access to your account. You will be unable to check your account balance; transfer or diversify your investments; or obtain a loan, withdrawal or distribution from your Elliot Health System 403(b) Plan account. Before the blackout period begins, it is very important that you review and consider the appropriateness of your current investments because you will be unable to transfer or diversify those investments during the blackout period. For your long-term retirement security, you should give careful consideration to the importance of a well-balanced and diversified investment portfolio, taking into account all your assets, income and investments. To review your plan account and request any changes to the account s investment allocation before the blackout period begins, contact Principal at 800-547-7754 or access your account online at principal.com by December 4, 2018. If you have questions concerning this notice, please contact Empower at 833-6-ELLIOT (833-635-5468). Once the blackout period ends, Empower will notify you, and you will have full access to your plan account. If you would like to confirm the status of the blackout period, contact Empower at 833-6-ELLIOT (833-635-5468) or myelliotretirement.com.

What you need to know Transition Your account will automatically transfer effective December 13, 2018. No action is required from you for the transfer of your: Contribution elections. Investment elections. Loan or distribution arrangements, if applicable. Beneficiary elections if available for transfer. Contributions to your account will continue, uninterrupted. When the blackout period ends, you will have full access to your plan account. Other important news For a list of all the investment options that will be available in your plan, as well as access to fund fact sheets, investment returns and prospectuses, go to empowermyretirement.com, select Fund Information in the top right corner and enter your plan number 95897-01. Blackout period You will have limited access to your account beginning December 4, 2018, and ending no later than December 31, 2018. This blackout period will allow for the transfer of the plan s administrative records to Empower. During the blackout period, your funds will remain invested in accordance with the information included in this notice and will continue to gain and/or lose value depending on market conditions. Please evaluate your financial circumstances and the appropriateness of your current investments in light of this temporary restriction. A special note to employees not actively employed by Elliot Health System You are receiving this announcement because you have a balance in the Elliot Health System 403(b) Plan. Even though you are not actively contributing to the plan, you can still take advantage of other benefits the plan offers. Get more information about the transition online at myelliotretirement.com Important dates and contact information December 4, 2018, at 4 p.m. Eastern time Deadline for account changes This is your last day to contact Principal to request account transactions, including contribution changes, investment election changes, loans (if applicable) or withdrawals. December 5, 2018 Transition period begins You will have limited access to your account. Payroll deductions and matching contributions will continue during the blackout period, and such contributions will be invested in the particular American Funds Target Date Retirement Fund that corresponds to your birth date (see the funds chart in the How your account will transfer section for further information). Loan payments will continue during the blackout period and will be invested in the Great-West Select Guaranteed Fund Institutional. 2 Deferral rate changes can be made from December 5, 2018, through December 27, 2018, by contacting the Human Resources Department at 603-663-4470. No later than December 31, 2018 Transition period ends Enjoy full access to your retirement account online and by phone. Gain the ability to make requests and changes. Contact Empower at: 833-6-ELLIOT (833-635-5468) myelliotretirement.com Dates and times are subject to change. Please see your plan representative for more information.

How your account will transfer As part of your move to Empower, your account balances will be invested in an American Funds Target Date Retirement Fund in the plan based on your age according to the plan s records. During the transfer, balances will be liquidated and initially invested in the American Funds American Balanced R6 Fund. Once the participant records are received from the prior recordkeeper and the balances are reconciled, Empower Retirement will reallocate those balances and future investment elections into the age-appropriate American Funds Target Date Retirement Fund as outlined in the chart below. Once the plan is live at Empower, you may transfer your account balance to any of the plan s investment options. This transfer may result in an increase or decrease of your investment risk exposure and may or may not be consistent with your target strategy or investment style. You are urged to review your account after the blackout period and make adjustments to your asset allocation if necessary. IF YOU WERE BORN: YOUR TARGET DATE FUND WILL BE: 12/31/1947 or earlier American Funds 2010 Target Date Retirement R6 (RFTTX) 1/1/1948-12/31/1952 American Funds 2015 Target Date Retirement R6 (RFJTX) 1/1/1953-12/31/1957 American Funds 2020 Target Date Retirement R6 (RRCTX) 1/1/1958-12/31/1962 American Funds 2025 Target Date Retirement R6 (RFDTX) 1/1/1963-12/31/1967 American Funds 2030 Target Date Retirement R6 (RFETX) 1/1/1968-12/31/1972 American Funds 2035 Target Date Retirement R6 (RFFTX) 1/1/1973-12/31/1977 American Funds 2040 Target Date Retirement R6 (RFGTX) 1/1/1978-12/31/1982 American Funds 2045 Target Date Retirement R6 (RFHTX) 1/1/1983-12/31/1987 American Funds 2050 Target Date Retirement R6 (RFITX) 1/1/1988-12/31/1992 American Funds 2055 Target Date Retirement R6 (RFKTX) 1/1/1993 or later American Funds 2060 Target Date Retirement R6 (RFUTX) Generally, the asset allocation of each target date fund will change on an annual basis with the asset allocation becoming more conservative as the fund nears the target retirement date. The target date is the approximate date when investors plan to start withdrawing their money. The principal value of the fund(s) in a plan s lineup is not guaranteed at any time, including at the time of target date and/or withdrawal. Asset allocation and balanced investment options and models are subject to the risks of the underlying funds, which can be a mix of stocks/stock funds and bonds/bond funds.

New funds available to you once the blackout is over Elliot Health System is offering new and different funds to give you more options to diversify your account. You will have access to these new funds no later than December 31, 2018. During the blackout period, to review a list of all the available investment options that will be offered in your plan and access fund fact sheets, investment returns and prospectuses, go to empowermyretirement.com, select Fund Information in the top right corner and enter your plan number 95897-01. ASSET CLASS NAME TICKER Stable Value Great-West SGF Institutional N/A Intermediate-Term Bond Principal Core Plus Bond Inst PMSIX Multisector Bond PIMCO Income Instl PIMIX Balanced American Funds American Balanced R6 RLBGX Large-Cap Value Dodge & Cox Stock DODGX Large-Cap Blend American Funds Fundamental Invs R6 RFNGX Large-Cap Blend Vanguard 500 Index Admiral VFIAX Large-Cap Growth Principal LargeCap Growth I Inst PLGIX Mid-Cap Value American Century Mid Cap Value R6 AMDVX Mid-Cap Blend Vanguard Mid Cap Index Admiral VIMAX Mid-Cap Growth Hartford MidCap Y HMDYX Small Value American Beacon Small Cap Value Inst AVFIX Small Blend Vanguard Small Cap Index Adm VSMAX Small Growth PNC Multi Factor Small Cap Gr I PLTIX World Large Stock American Funds New Perspective R6 RNPGX Foreign Large Blend DFA International Core Equity I DFIEX Diversified Emerging Markets Oppenheimer Developing Markets I ODVIX Real Estate Cohen & Steers Instl Realty Shares CSRIX Target Date Funds American Funds 2010 Target Date Retirement R6 RFTTX Target Date Funds American Funds 2015 Target Date Retirement R6 RFJTX Target Date Funds American Funds 2020 Target Date Retirement R6 RRCTX Target Date Funds American Funds 2025 Target Date Retirement R6 RFDTX Target Date Funds American Funds 2030 Target Date Retirement R6 RFETX Target Date Funds American Funds 2035 Target Date Retirement R6 RFFTX Target Date Funds American Funds 2040 Target Date Retirement R6 RFGTX Target Date Funds American Funds 2045 Target Date Retirement R6 RFHTX Target Date Funds American Funds 2050 Target Date Retirement R6 RFITX Target Date Funds American Funds 2055 Target Date Retirement R6 RFKTX Target Date Funds American Funds 2060 Target Date Retirement R6 RFUTX A bond fund's yield, share price and total return change daily and are based on changes in interest rates, market conditions, economic and political news, and the quality and maturity of its investments. In general, bond prices fall when interest rates rise and vice versa. Equity securities of small and mid-size companies may be more volatile than securities of larger, more established companies. Foreign investments involve special risks, including currency fluctuations, taxation differences and political developments. Equity securities of companies located in emerging markets involve greater risks than investments in more established markets, including currency fluctuations, political developments and share illiquidity. Real estate securities and trusts involve greater risks than other on-diversified investments, including but not limited to: declining property values, varying economic conditions, changes in zoning laws or losses from casualty. Real estate securities that invest in foreign real estate involve additional risk, including currency fluctuations and political developments.

Important information about the Principal Fixed Income Option ( Fund ) If you currently invest in the Principal Fixed Income Option you should be aware that this Fund is subject to additional contractual provisions that restrict Elliot Health from liquidating and transferring the Fund to Empower until July 3, 2019, (the holding period). Please review the information and if you have questions, contact Empower at 833-6-ELLIOT (833-635-5468). Retirement representatives are available from 8 a.m. to 10 p.m. Eastern time Monday through Friday and 9 a.m. to 5:30 p.m. Eastern time on Saturdays. If you are invested in the Fund on December 4, 2018, your balance in that Fund will not transfer to Empower on December 13, 2018, and will remain in the Fund at Principal during the holding period. As a result, you will be unable transfer or diversify your balance in the Fund to another investment option until the Fund assets transfer to Empower in July 2019. Any amounts remaining in the Fund in July 2019, will transfer into the Great-West Select Guaranteed Fund Institutional. Log on to your account at principal.com to review your current investment elections to confirm whether the Principal Fixed Income Option is part of your investment lineup. If you want to make changes to your holdings in the Fund prior to the blackout and transition to Empower, you must do so in your account at Principal before 4 p.m. Eastern time on December 4, 2018. Any future contributions you have allocated to the Fund will be invested in an age-appropriate American Funds Target Date Retirement Fund after the transition. See the discussion of these funds at "How your account will transfer" above. After the blackout period is complete, you will have access to the new investment lineup if you want to make changes to your future investment elections. Participants who are currently receiving payments from Principal and have their account balance in the Principal Fixed Income Option will continue to receive payments from Principal during this holding period. Age 59 ½ withdrawals and distributions from the Principal Fixed Income Option will also continue to be allowed during the holding period. To request these type of withdrawals please call the Principal at 800-547-7754 to request the necessary paperwork. Loans and hardship withdrawals will continue to be allowed from the Principal Fixed Income Option during the holding period. For further information about taking a loan or requesting a hardship withdrawal please contact Empower at 833-6-ELLIOT (833-635-5468).

Attend an upcoming education meeting Look for more information soon about Elliot Health System s Financial Wellness Fair on January 7-8, 2019. A representative from Empower Retirement will be available to help answer questions about your retirement plan and the enhanced experience. Representatives will also be available in January and early February for group education sessions and one-one-one consultations. Below are the dates for events at Elliot Health System. To see more locations and times and to sign up for a session access the scheduler at tinyurl.com/elliotretirementmeetings. DATE MEETING TYPE FROM TO LOCATION ROOM 1/7/19 Group session -intro 4 p.m. 5 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR A 1/8/19 Group session -intro Noon 1 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 1/8/19 One-on-one 8 a.m. 11:30 a.m. Elliot at Bedford: 25 Leavy Drive, Bedford, NH 03110 Bedford Family Practice Conf. Rm 1/9/19 One-on-one 7:30 a.m. 4 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 Triangle Credit Union 1/11/19 One-on-one 9:30 a.m. 6 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR B 1/15/19 One-on-one 7 a.m. 4:30 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR A 1/16/19 One-on-one 7:30 a.m. 4 p.m. Elliot at River's Edge: 185 Queen City Avenue, Manchester, NH 03103 1/18/19 One-on-one 7 a.m. 4 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 1/22/19 One-on-one 7:30 a.m. 4 p.m. Medical Center at Londonderry: 40 Buttrick Road, Londonderry, NH 03053 CR 2&3 2nd Floor Conf. Rm 1/23/19 One-on-one 7:30 a.m. 4 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 1/24/19 One-on-one 7:30 a.m. 11 a.m. Elliot at Hooksett: 20 Chambers Dr #1200, Hooksett, NH 03106 1/24/19 Group session -intro Noon 1 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR CDEF 1/25/19 One-on-one 8:30 a.m. 5 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR B Hooksett Conf. Rm 1/29/18 One-on-one 8 a.m. 2:15 p.m. Elliot Doctors Park: 275 Mammoth Road 275 Mammoth Road Conf. Rm 1/29/18 One-on-one 2:30 p.m. 5 p.m. Elliot Doctors Park: 275 Mammoth Road 275 Mammoth Road Conf. Rm 1/30/18 One-on-one 7:30 a.m. 5:30 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 Triangle Credit Union 2/4/19 One-on-one 7:30 a.m. 4:30 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 2/5/19 One-on-one 8:30 a.m. 3 p.m. Medical Center at Londonderry: 40 Buttrick Road, Londonderry, NH 03053 2/5/19 Group session/roth 4:30 p.m. 5:30 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR CDEF 2/6/19 One-on-one 7:30 a.m. 1 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR B 2/6/19 One-on-one 1 p.m. 4:30 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR A 2nd Floor Conf. Rm 2/12/19 One-on-one 7:30 a.m. 4:30 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 2/14/19 One-on-one Midnight 6 a.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 Outside Cafeteria 2/19/19 Group session/roth 11:30 a.m. 1 p.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 2/19/19 One-on-one 8 a.m. 11 a.m. Elliot: 1070 Holt Avenue, Manchester, NH 03109 2nd Floor Shared Conf. Rm 2/21/19 One-on-one 8 a.m. Noon Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR B 2/21/19 One-on-one Noon 4:30 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR A 2/22/19 One-on-one 9 a.m. 6 p.m. Elliot Hospital: 1 Elliot Way, Manchester, NH 03103 CR B 2/27/19 One-on-one 7:30 a.m. 4:30 p.m. Elliot at River's Edge: 185 Queen City Avenue, Manchester, NH 03103 CR 2&3

What happens next The move to Empower is designed to be as smooth and easy as possible. You do not need to do anything at this time unless you want to make changes to your account. Once the transfer is complete, you will receive a notice from Empower. Carefully consider the investment objectives, risks, fees and expenses of the annuity and/or the investment options. Contact us for a prospectus, a summary prospectus and disclosure document, as available, containing this information. Read them carefully before investing. Securities offered or distributed through GWFS Equities, Inc., Member FINRA/SIPC and a subsidiary of Great-West Life & Annuity Insurance Company. Great-West Financial, Empower Retirement and Great-West Investments TM are the marketing names of Great-West Life & Annuity Insurance Company, Corporate Headquarters: Greenwood Village, CO; Great-West Life & Annuity Insurance Company of New York, Home Office: New York, NY, and their subsidiaries and affiliates, including registered investment advisers Advised Assets Group, LLC and Great-West Capital Management, LLC. This material has been prepared for informational and educational purposes only and is not intended to provide investment, legal or tax advice. GWFS Equities, Inc., or one or more of its affiliates, may receive a fee from the investment option provider for providing certain recordkeeping, distribution and administrative services. Core investment options offered through a variable annuity, a group fixed and variable deferred annuity issued by GWL&A or, in New York, by GWL&A of NY, mutual funds, separately managed accounts, and/or collective trust funds. The Select Guaranteed Fund (the Fund) is a general account group annuity contract or funding agreement issued by GWL&A or, in New York, by GWL&A of NY. The Fund guarantees principal and credited interest for eligible participant-initiated withdrawals and transfers. Any guarantees are subject to the terms and conditions of the contract and the claims-paying ability of the insurer. Depending on the terms of the contract, there may also be investment risks associated with certain plan sponsor actions, including, but not limited to, a termination of the contract that could result in a negative market value adjustment to the proceeds paid to the plan sponsor or an extended payment period. Diversification does not ensure a profit and does not protect against loss in declining markets. IMPORTANT: The projections, or other information generated on the website by the investment analysis tool regarding the likelihood of various investment outcomes, are hypothetical in nature. They do not reflect actual investment results and are not guarantees of future results. The results may vary with each use and over time. Healthcare costs and projections, if applicable, are provided by HealthView Services. HealthView Services is not affiliated with GWFS Equities, Inc. Empower Retirement does not provide healthcare advice. A top peer is defined as an individual who is at the 90th percentile of the selected age band, salary range and gender. Principal is not affiliated with GWFS Equities, Inc. or its parent company or affiliates. Unless otherwise noted: Not a Deposit Not FDIC Insured Not Bank Guaranteed Funds May Lose Value Not Insured by Any Federal Government Agency 95897-01-CNV-20198-1811 AM633270-1018 2018 Great-West Life & Annuity Insurance Company. All rights reserved.