Moving with focus. A retirement plan as focused as you. Hackensack Meridian Health 401(k) Savings Plan

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Moving with focus A retirement plan as focused as you. Hackensack Meridian Health 401(k) Savings Plan

Table of contents A new chapter is about to start... 1 What you need to know about your new Hackensack Meridian Health 401(k) Savings Plan at TIAA... 2-3 Key dates... 4 Information you ll need to help simplify enrollmen nt... 5 Take action... 5 Your new investment lineup... 6 Vanguard Institutional Target Retirement Funds... 7 Understanding retirement plan fees... 8-9 Explore your new online tools and resources... 9 About TIAA... Back cover

A new chapter is about to start Highlights of the new Hackensack Meridian Health 401(k) Savings Plan and active enrollment instructions for Hospital/Network/Physician Services Your new Hackensack Meridian Health 401(k) Savings Plan is a valuable benefit of working at Hackensack Meridian Health (HMH). A defined contribution plan, it provides an opportunity to save more for retirement while you are working because your contributions can be taken from your paycheck before taxes are calculated, lowering your taxable income. Also, you do not pay any taxes on contributions HMH makes on your behalf while you are working. And, any investment earnings also grow tax deferred. As previously communicated, TIAA has been selected to be the sole recordkeeper of the HMH retirement savings plan. Having one recordkeeper in TIAA is intended to lower your investment fund fees and plan administration fees, while enhancing your retirement education and planning experience. EFFECTIVE JANUARY 1, 2019 You will be eligible to participate in the Hackensack Meridian Health 401(k) Savings Plan through TIAA. The following pages provide information about the new 401(k) plan and how you can enroll online beginning Tuesday, December 18, 2018. At that time, you will be able to select your salary deferral for 2019 plan contributions, choose your investments, and name your beneficiary(ies). The new retirement plan is designed to help you reach your retirement goals faster by encouraging you to take advantage of the full contribution offered by HMH. This is another example of our new culture of shared responsibility: the more proactive you are, the greater your savings potential. Questions? Call 866-999-3844 1

What you need to know about your new Hackensack Meridian Health 401(k) Savings Plan at TIAA Enroll online to make a new salary deferral to ensure your contributions will begin with the first pay period in 2019. Starting Tuesday, December 18, 2018, you can go online at TIAA.org/HMH. There, you will complete a new salary deferral agreement and select investment options for your 2019 401(k) plan contributions. You will also be able to designate your beneficiary(ies) at this time. Active enrollment in the new 401(k) plan is required because your previous elections will not be provided to TIAA. HMH CONTRIBUTIONS TO THE PLAN HMH will provide an automatic annual non-elective contribution equal to 1.5% of your eligible compensation. You must be employed on the last day of the calendar year to receive this contribution. The contribution will be made by March 31 of the following year. So, the 2019 contribution will be made in March of 2020. HMH will provide a matching contribution to the plan, up to 3.5% of pay, if you contribute 5% of your eligible compensation on a set formula: 100% match of the first 2% of your eligible compensation that you contribute 50% match of the next 3% of your eligible compensation that you contribute, up to a maximum of 1.5% Please note: for team members who are currently accruing a benefit in the Meridian Cash Balance Pension Plan and are at least age 50 with at least 10 years of service as of December 31, 2018: HMH will provide 3% of your eligible compensation as a transition credit. This transition credit will be earned for each calendar year as long as at least 1,000 hours are accrued and the team member is employed on the last day of the calendar year. The credit amount will be directed to the team member s new 401(k) plan account by March 31 of the following year. The first annual credit contribution will be made by March 31, 2020, for the 2019 calendar year. The transition credit feature will be in place through 2028. It will expire on January 1, 2029. 2 Questions? Call 866-999-3844

AUTOMATIC ENROLLMENT Eligible team members who do not proactively enroll in the new 401(k) plan in December will be automatically enrolled. Effective Tuesday, January 1, 2019, we will start you off by deferring 3% of your eligible compensation automatically in an account at TIAA. Your contributions will be directed to an age-based target-date fund. (See page 7.) You will have a 30-day window to make changes to the 3% contribution amount to either increase your contribution to get the most out of the matching contribution from HMH or to opt out of the plan. Team members auto-enrolled on Tuesday, January 1, 2019, will have their contributions directed to their TIAA accounts in February, as soon as administratively possible (at the end of the 30-day opt-out window). AUTOMATIC INCREASE Your contribution amount will be automatically increased by 1% each calendar year until you reach a maximum of 6% of your eligible compensation. The first automatic increase will occur on January 1, 2020. VESTING The HMH contributions made on your behalf to the plan will be 100% vested once you complete three years of service. Any previous year in which you worked at least 1,000 hours and were employed on the last day of the calendar year will count towards service in the new plan. If you have at least three years of service with HMH, you will be fully vested in the new plan. If you have less than three years of vesting service with HMH, your current service will carry over as of Tuesday, January 1, 2019. You are always 100% immediately vested on your voluntary contributions to the plan. YOUR EXISTING RETIREMENT PLAN BALANCE Your existing defined contribution retirement plan account assets will move from your current retirement provider to TIAA in January 2019. Early in January, in preparation for the transfer to TIAA, there will be a short period when you will be unable to access or modify your plan account. We will notify you in late November 2018 of the exact timing of that period. We expect the transition to be complete in late January, when you will have full access to your transferred plan account balance at TIAA. We ll mail a guide to you in late November 2018, with detailed charts showing how your current investments will transfer from your current retirement provider to investments at TIAA, as well as information on how you can change your investment allocations if you choose to, once the transition is complete. LOANS Beginning Tuesday, January 1, 2019, the loan policy will be updated: The maximum number of loans permitted at one time will be two (2). This maximum includes existing loans issued prior to 2019 and any defaulted loans that have not been offset. All loan payments will be made through ACH from a bank account. Loan payments made by payroll deduction will no longer be possible. Questions? Call 866-999-3844 3

Key dates NOVEMBER Team Member Workshops Attend a group meeting with a TIAA financial consultant to learn more about the new plan. Visit TeamHMH.com for a schedule of sessions. DECEMBER Dates Beginning Tuesday, December 18 Late December Su nday, De cember, 23 11:59 p.m. (ET) Events Complete a new salary deferral agreement for your 2019 plan contributions, select your investments, and name your beneficiary(ies). Contributions to your prior plan will stop with your last paycheck for 2018. Last day to complete a new salary deferral agreement and enroll at TIAA to ensure your contributions are in effect for the first pay period/paycheck of 2019. 1 This date is dependent upon HMH payroll files being received on time and in good order. If this does not occur, funding of 401(k) plan contributions to team member plan accounts may be delayed. JANUARY Date Tuesday, January 8 1 Event First contribution to TIAA for first pay period/paycheck of 2019. (Contributions will be visible in your TIAA plan account a few days following the Friday, January 4 pay date.) 4 Questions? Call 866-999-3844

Before you enroll, consider: How much you want to contribute to the plan. Refer to your most recent paycheck to confirm your current contribution amount. Whether you want to make pretax contributions or after-tax Roth contributions or both. Which investment options you want to include in your portfolio. Who your beneficiary(ies) 1 will be. You will need to provide their name, date of birth, Social Security number, and relationship to you for each beneficiary. You have flexibility to decide how much to contribute to your 401(k) plan, up to the limits set by the federal tax code. For 2019, the maximum contribution amounts will be: $19,000 if you are under age 50 $25,000 if you are age 50+ by December 31 Take some time to review the investment lineup on the following page. You can also view details about your new investment options online at TIAA.org. Refer to your most recent quarterly statement from your current retirement provider to review the options you are investing in today. Take action Enroll online beginning Tuesday, December 18, 2018, for 2019 401(k) plan contributions. Visit TIAA.org/HMH. IS THE ROTH CONTRIBUTION OPTION RIGHT FOR YOU? While it s difficult to predict what your future tax situation may be, you ll want to estimate as best as you can and consider the best choice for your current tax circumstances and how they may change over time. If you expect your tax rate during retirement will be: Higher than your current rate The after-tax Roth contribution option may be a good choice. Since you already paid taxes on your contributions, withdrawals will be tax free. Lower than your current rate The pretax contribution option may be better. While this money is taxable, you expect to benefit by being in a lower tax bracket during retirement. The TIAA group of companies does not provide legal or tax advice. Please consult your legal or tax advisor. STEP 1 If you are a first-time user: Click Register with TIAA to create your user ID and password. STEP STEP 2 3 If you are a returning user: Enter your TIAA user ID and click Log in. You will see the plans for which you are eligible to participate. Click Get Started under the plan name to begin. Follow the on-screen directions to complete your enrollment. Be sure to click Finish Enrollment after reviewing your selections to confirm your enrollment. 1 For married participants: Under the Hackensack Meridian Health 401(k) Savings Plan, spouses are entitled to receive 100% of the participant s retirement plan death benefits. If you would like to direct less than 100% to your spouse, you and your spouse will need to complete a spousal waiver form for each affected contract. If such a spousal consent is not executed, your spouse will be entitled to receive 100% of your preretirement survivor benefits regardless of your beneficiary designation. Questions? Call 866-999-3844 5

Your new investment lineup Below are your new options, which include the following asset classes: Target Retirement, Guaranteed, Fixed Income (Bonds), Multi-Asset, and Equities (Stocks). To learn more about the new investment options, go to TIAA.org and enter the ticker symbol in the site s search feature. 1 TIAA Stable Value is a guaranteed insurance contract and is not an investment for federal securities law purposes. Any guarantees under annuities issued by Teachers Insurance and Annuity Association of America (TIAA) are subject to its claims-paying ability. Interest credited includes a guaranteed rate, plus additional amounts as may be established by the TIAA Board of Trustees. Such additional amounts, when declared, remain in effect for the declaration year, which begins each March 1 for accumulating annuities and January 1 for payout annuities. Additional amounts are not guaranteed for periods other than the period for which they were declared. Target Retirement Vanguard Institutional Target Retirement Income Fund Vanguard Institutional Target Retirement 2015 Fund Vanguard Institutional Target Retirement 2020 Fund Vanguard Institutional Target Retirement 2025 Fund Vanguard Institutional Target Retirement 2030 Fund Vanguard Institutional Target Retirement 2035 Fund Vanguard Institutional Target Retirement 2040 Fund Vanguard Institutional Target Retirement 2045 Fund Vanguard Institutional Target Retirement 2050 Fund Vanguard Institutional Target Retirement 2055 Fund Vanguard Institutional Target Retirement 2060 Fund Vanguard Institutional Target Retirement 2065 Fund Guaranteed 1 TIAA Stable Value 1 Fixed Income (Bonds) Harbor High-Yield Bond Fund Retirement Class Metropolitan West Total Return Bond Plan Class Shares Vanguard Total Bond Market Index Fund Multi-Asset Principal Diversified Real Asset Fund Class R6 Equities (Stocks) Columbia Contrarian Core Fund Institutional 3 Class Pacific Funds Small/Mid-Cap Fund Advisor Class Shares Parametric Emerging Markets Fund Class R6 The Hartford International Opportunities Fund Class R6 Vanguard Extended Market Index Fund Vanguard FTSE Social Index Fund Investor Shares Vanguard Institutional Index Fund Institutional Plus Shares Vanguard Total International Stock Index Fund Ticker VITRX VITVX VITWX VRIVX VTTWX VITFX VIRSX VITLX VTRLX VIVLX VILVX VSXFX Ticker N/A Ticker HNHYX MWTSX VBTIX Ticker PDARX Ticker COFYX PFMDX EREMX IHOVX VIEIX VFTSX VIIIX VTSNX 6 Questions? Call 866-999-3844

Vanguard Institutional Target Retirement Funds If you do not proactively enroll in the plan, you will be auto-enrolled at 3% of your base salary. An account at TIAA will be automatically established for you and your contributions will be directed to an age-based target-date fund based on your date of birth as shown in the table below. You can change how your contributions are invested at any time after your account at TIAA is established. Birth Year Target Retirement Ticker 1900-1947 1948-1952 1953-1957 1958-1962 1963-1967 1968-1972 1973-1977 1978-1982 1983-1987 1988-1992 1993-1997 1998-Present Vanguard Institutional Target Retirement Income Fund Vanguard Institutional Target Retirement 2015 Fund Vanguard Institutional Target Retirement 2020 Fund Vanguard Institutional Target Retirement 2025 Fund Vanguard Institutional Target Retirement 2030 Fund Vanguard Institutional Target Retirement 2035 Fund Vanguard Institutional Target Retirement 2040 Fund Vanguard Institutional Target Retirement 2045 Fund Vanguard Institutional Target Retirement 2050 Fund Vanguard Institutional Target Retirement 2055 Fund Vanguard Institutional Target Retirement 2060 Fund Vanguard Institutional Target Retirement 2065 Fund VITRX VITVX VITWX VRIVX VTTWX VITFX VIRSX VITLX VTRLX VIVLX VILVX VSXFX Each Vanguard Institutional Target Retirement Fund provides a diversified mix of investments in a single fund. As with all mutual funds, the principal value of a target-date fund isn t guaranteed at any time and will fluctuate with market changes. The target date approximates when investors may plan to start making withdrawals. However, you are not required to withdraw the funds at that target date. After the target date has been reached, some of your money may be merged into a fund with a more stable asset allocation. 1 1 Target-date funds share the risks associated with the types of securities held by each of the underlying funds in which they invest. In addition to the fees and expenses associated with the fund, there is exposure to the fees and expenses associated with the underlying mutual funds. Questions? Call 866-999-3844 7

Understanding retirement plan fees A new fee arrangement for the new Hackensack Meridian Health 401(k) Savings Plan at TIAA will take effect on Tuesday, January 1, 2019. Please know that there have always been costs to participate in the HMH defined contribution retirement plans regardless of the provider. Under the new arrangement, your fees will be transparent and itemized on your quarterly statements. GENERAL ADMINISTRATIVE SERVICES Regardless of how many HMH plans you have with TIAA, you will be assessed a single $45 annual fee, which will be divided into quarterly payments of $11.25. The fee will be deducted proportionally from each investment in your accounts on the last business day of each quarter and identified as TIAA Plan Servicing Fee on your quarterly statements. Your first fee will be shown on your March 31, 2019, quarterly statement. INVESTMENT-SPECIFIC SERVICES Except for TIAA Stable Value, each of the plan s investment options has an identifiable fee for investment management and associated services. Plan participants generally pay for these costs through what is called an expense ratio. Expense ratios are displayed as a percentage of assets. For example, an expense ratio of 0.50% means a plan participant would pay $5 annually for every $1,000 in assets. Taking the expense ratio into consideration helps you to compare investment fees so you can make informed investment decisions. In some cases, investment providers share in the cost of plan administration. This practice is called revenue sharing. An investment company may pay a portion of an investment option s expense ratio to TIAA, the recordkeeper, to help offset the cost of plan administration. The only revenue-sharing option in the new lineup is Pacific Funds Small/ Mid-Cap Fund Advisor Class Shares (PFMDX), with an annual revenue share amount of 0.10%. This means for every $1,000 invested in PFMDX, a $1 credit would be generated. If you invest in Pacific Funds Small/Mid-Cap Fund Advisor Class Shares (PFMDX) you will see a credit on your quarterly statement, as well as the $11.25 quarterly fee. The hypothetical example on page 9 illustrates how a plan service credit and a plan service fee may be applied to an account. 8 Questions? Call 866-999-3844

Example: $50,000 invested in Pacific Funds Small/Mid-Cap Fund Advisor Class Shares (PFMDX) Revenue-sharing: $50,000 x 0.10% = $50 ($50 4 quarterly payments = $12.50) Plan Servicing Credit of $12.50 for PFMDX assets Annual TIAA Plan Servicing Fee: $45 ($45 4 quarterly payments = $11.25) Plan Servicing Fee of $11.25 prorated across all your investments You can find the expense ratios, as well as investment-specific purchase, withdrawal, and redemption fees and expenses at TIAA.org or in the prospectus at TIAA.org/performance. LOAN ISSUANCE FEE Effective Tuesday, January 1, 2019, a one-time fee will be deducted directly from your account at the time a loan is issued. The loan issuance fee is $75 per loan for a general purpose loan, and $125 per loan for a residential purpose loan. Explore your new online tools and resources Visit TIAA.org/tools for calculators and other online financial and retirement planning resources. For instance, there are tools to help you understand your unique investment risk tolerance. Other tools are available to help you learn more about IRAs, taxes, and budgeting in addition to retirement planning, saving, and investing. ASSET ALLOCATION EVALUATOR In only a few minutes, this tool will provide examples of how you may want to invest your retirement savings across different asset categories. COMPARE INVESTMENTS Research your investment choices by comparing historical performance, risk, holdings, and ratings for up to five mutual funds and retirement plan annuities. Questions? Call 866-999-3844 9

NOT SURE WHERE TO BEGIN? YOU CAN MEET WITH US TO HELP YOU TAKE THE NEXT STEP! As a participant in the plan, you have access to personalized retirement plan advice on the plan s investment options from a TIAA financial consultant. This service is available as part of your retirement program at no additional cost to you. TIAA s advice is designed to help you answer important questions, including: Am I on track to reach my retirement savings goals? Which combination of retirement plan investments 1 is right for me? How can I meet my income needs in retirement? Mark your calendar to schedule a one-on-one advice session as soon as the blackout period has ended (expected to be the week of January 28, 2019). Call TIAA at 800-732-8353, weekdays, 8 a.m. to 8 p.m. (ET) or visit TIAA.org/schedulenow. There is no additional cost to you for this service. ABOUT TIAA Our focus: helping you move forward to retirement, no matter where you are today TIAA s purpose has remained constant for all of our 100 years: We re here to help you save for and generate income during retirement. As an organization with deep roots among nonprofits serving hospital/ medical, research, and higher education institutions TIAA is committed to your future financial well-being. Investment products may be subject to market and other risk factors. See the applicable product literature or visit TIAA.org for details. Hackensack Meridian Health (HMH) is required by law to deal with the unions that represent HMH unionized team members, and will continue to do so. As HMH is currently negotiating several union contracts, retirement plan participation will be arranged, as necessary, for all unionized team members whose contracts are currently being negotiated. This material is for informational or educational purposes only and does not constitute investment advice under ERISA. This material does not take into account any specific objectives or circumstances of any particular investor, or suggest any specific course of action. Investment decisions should be made based on the investor s own objectives and circumstances. Distributions from tax-deferred plans before age 59½, severance from employment, death or disability may be prohibited, limited and/or subject to substantial tax penalties. Different restrictions may apply to other types of plans. Investment, insurance, and annuity products are not FDIC insured, are not bank guaranteed, are not bank deposits, are not insured by any federal government agency, are not a condition to any banking service or activity, and may lose value. You should consider the investment objectives, risks, charges, and expenses carefully before investing. Please call 877-518-9161 or go to TIAA.org for current product and fund prospectuses that contain this and other information. Please read the prospectuses carefully before investing. TIAA-CREF Individual & Institutional Services, LLC, Teachers Personal Investors Services, Inc., and Nuveen Securities, LLC, Members FINRA and SIPC, distribute securities products. Annuity contracts and certificates are issued by Teachers Insurance and Annuity Association of America (TIAA) and College Retirement Equities Fund (CREF), New York, NY. Each is solely responsible for its own financial condition and contractual obligations. 2018 Teachers Insurance and Annuity Association of America-College Retirement Equities Fund, 730 Third Avenue, New York, NY 10017 407661 1051200-1264100 (12/18)