Appendix I: Cash Balance. Summary Plan Description

Appendix I: Cash Balance Summary Plan Description

PART II CASH BALANCE PLAN TABLE OF CONTENTS SECTION I ELIGIBILITY & PARTICIPATION... 5 A. Eligible Employees... 5 B. Participation Date... 5 C. Service... 6 D. Enrollment/Beneficiary Designation... 7 E. Re-employment... 7 SECTION II BENEFITS... 7 A. Contributions... 7 B. Your Account... 8 SECTION III RETIREMENT... 9 A. Retirement Dates... 9 B. Disability Retirement Benefit... 10 C. Pre-Retirement Death Benefit... 10 D. If You Leave Work Before Retirement... 11 SECTION IV DISTRIBUTION FORMS... 11 A. Normal Forms of Payment... 12 B. Optional Forms of Payment... 12 C. Cash-Out Distributions of $5,000 or Less... 14 D. Direct Trustee-to-Trustee Rollover... 14 APPENDIX Special Provisions Affecting Former Participants of The North Shore University Hospital Pension Plan... 16 Retirement Program 4 Cash Balance Plan

A. Eligible Employees PART II CASH BALANCE PLAN SECTION I ELIGIBILITY & PARTICIPATION If you are a non-union employee of a Northwell Health participating not-for-profit entity (see page 52 for a list of participating not-for-profit entities), you are an Eligible Employee for purposes of participating in the Cash Balance Plan as described herein, unless you are: a member of the house staff (Fellow, Resident, or Intern); a leased employee; an employee of Southside Hospital, Staten Island University Hospital, Huntington Hospital Association, Lenox Hill Hospital or Physicians of University Hospital, PC; or directly or indirectly providing services pursuant to a contractual or other arrangement, written or otherwise, either with Northwell Health or a third party, other than one specifically providing for an employment relationship with the Northwell Health. B. Participation Date 1. If you are an Eligible Employee who was hired prior to January 1, 1999 by either the North Shore Health System or the Long Island Jewish Medical Center, you became a participant in the Cash Balance Plan on January 1, 1999 if you: were a participant in the North Shore University Hospital Pension Plan, the predecessor to the Cash Balance Plan, as of December 31, 1998; or were a participant in the Long Island Jewish Medical Center Tax Deferred Retirement Plan eligible to receive employer contributions as of December 31, 1998; or were hired prior to 1998, were regularly scheduled to work at least 18.75 Hours of Service per week as of January 1, 1999, and had completed a Year of Eligibility Service by January 1, 1999. Retirement Program 5 Cash Balance Plan

2. If you did not begin participating in the Cash Balance Plan on January 1, 1999, but you are an Eligible Employee, you become a Cash Balance Plan participant: C. Service on the anniversary of your date of hire if you complete a Year of Eligibility Service during that 12-month period; or on the January 1 following your completion of a Year of Eligibility Service in any calendar year beginning after your date of hire if you did not complete a Year of Eligibility Service during your initial 12-month period of employment. If you met the Cash Balance Plan s eligibility requirements, but you are on an unpaid leave of absence under the provisions of the Family and Medical Leave Act of 1993 on the date you would have become a participant, you will become a participant in the Cash Balance Plan on the date of your return from that leave. 1. Year of Eligibility Service You complete a Year of Eligibility Service after working at least 975 Hours of Service (1,000 Hours of Service for years beginning before 1999) with Northwell Health in: the 12-month period following your date of hire (or rehire, if applicable); or any calendar year following your date of hire (or rehire). If you are regularly scheduled to work at least 18.75 Hours of Service per week as of the end of the applicable 12-month period, you will be considered to have completed a Year of Eligibility Service in that 12-month period regardless of the number of Hours of Service you actually worked in that period. 2. Hour of Service An Hour of Service is any hour for which you are paid or entitled to payment for the performance of duties for Northwell Health, as well as for periods in which no duties were performed for reasons such as vacation or sickness or disability. You also will be credited with an Hour of Service for each hour for which you are awarded back pay. Note, if you are a home health care worker, special rules apply in determining your total number of Hours of Service. You will be credited with 1.5 Hours of Service for each home health care visit, or if greater, with the actual Hours of Service credited to you as determined above. Retirement Program 6 Cash Balance Plan

3. Service with an Affiliate or Sponsored Hospital In addition to receiving service credit for Hours of Service you work with Northwell Health, you receive eligibility and vesting service credit for Hours of Service you work for: (i) an affiliate of Northwell Health as defined under the Internal Revenue Code; and (ii) a sponsored hospital of Northwell Health if you begin working for Northwell Health within five (5) years of your former employment with the sponsored hospital. D. Enrollment/Beneficiary Designation There are no forms to fill out in order to enroll in the Cash Balance Plan. If you have met the eligibility requirements, your participation is automatic and cannot be waived. You will, however, be asked to complete a beneficiary designation form. Your beneficiary is the person who will receive your benefit if you die. If you are married, you must designate your spouse as your beneficiary of at least 50% of your benefits under the Cash Balance Plan, unless your spouse provides his or her written, notarized consent to your designation of another beneficiary or beneficiaries. Please be aware that, if you are married and had obtained your spouse s consent prior to your attaining age 35 to name someone else as your beneficiary for 50% or more of the pre-retirement death benefit (described on page 10), you must obtain your spouse s consent again after you reach age 35. If you do not, 50% of the pre-retirement death benefit must be paid to your spouse. If you fail to designate a beneficiary (or none of your designated beneficiaries survive you), your beneficiary will be your surviving spouse, if any. If you die before terminating employment and you have no surviving spouse, your beneficiary will be your estate if you failed to designate a beneficiary. E. Re-employment If you terminate employment after having become a participant in the Cash Balance Plan, and you are re-employed by Northwell Health as an Eligible Employee, you will become a participant immediately upon your reemployment. A. Contributions SECTION II BENEFITS Northwell Health is responsible for funding the Cash Balance Plan. No contributions to the Cash Balance Plan are required or permitted on your part. Retirement Program 7 Cash Balance Plan

B. Your Account When you are enrolled in the Cash Balance Plan, an account is established for you. As you continue to work for Northwell Health as an Eligible Employee, this account is credited with Pay Based Credits and Interest Credits. The amount of your retirement benefit, as calculated in the form of a life annuity, will be equal to the actuarial equivalent of the balance of your account. You will receive a statement of your account on a quarterly basis. If you were a participant of the former North Shore University Hospital Pension Plan as of December 31, 1998, you were also credited with an Opening Account Balance as of January 1, 1999 based on the value of your benefits under that plan and assuming you retire at age 65. Furthermore, certain former North Shore University Hospital Pension Plan participants are eligible to receive Transition Credits. If you are a former North Shore University Hospital Pension Plan participant, please see the Appendix for a discussion on how your Opening Account Balance and, if applicable your Transition Credits, were calculated. 1. Pay Based Credits Your account is credited with Pay Based Credits equal to three percent (3%) of Compensation beginning with the quarter following or coincident with your participation date in the Cash Balance Plan. If you are regularly scheduled to work at least 18.75 Hours of Service per week as of certain Snap Shot Dates, Pay Based Credits will be allocable to your account equal to three percent (3%) of your Compensation for the period since the previous Snap Shot Date. The Snap Shot Dates are the end of the first payroll periods of March, June and September and the end of the last payroll periods of November and December. If you are not regularly scheduled to work at least 18.75 Hours of Service per week as of a Snap Shot Date, but you complete 975 Hours of Service for the year, Pay Based Credits will be allocable to your account as of December 31 equal to three percent (3%) of your Compensation for the year (reduced by any Pay Based Credits allocated to your account on a Snap Shot Date during the year). Your Compensation for purposes of the Cash Balance Plan means your base cash pay (including, but not limited to, shift differential, fringe base, augmentation and payments prior to your termination of employment for accrued but unused paid time off, sick leave and vacation time), and any amounts that you contribute on an elective basis to any 403(b) plan, 401(k) plan, 457(b) plan, 125 flex (cafeteria) plan (or deemed to be included under Section 125) or 132(f) qualified transportation fringe benefit plan maintained by Northwell Health. If you are a home health care worker, your Compensation includes fees you receive for home Retirement Program 8 Cash Balance Plan

2. Interest Credits A. Retirement Dates health care visits. Compensation excludes any pay you receive while you are covered by a collective bargaining agreement which does not provide for your Cash Balance Plan participation pursuant to the cash balance formula. Compensation in excess of the Internal Revenue Service ( IRS ) limit is not taken into account (the limit is $265,000 for 2015, and subject to cost of living adjustments in future years). On a quarterly basis (beginning with the quarter following or coincident with your participation date in the Cash Balance Plan), Interest Credits are credited to your account based on your account balance as of the end of the previous quarter. (Pay Based Credits, and if applicable Transition Credits, that are credited to your account during the current quarter are not credited with interest until the following quarter.) The interest credited to your account is at a rate equal to the average of the yields on 30-year Treasury bonds during the months of September, October, and November of the prior year. SECTION III RETIREMENT Under the Cash Balance Plan, you can choose your retirement date. 1. Normal Retirement Date Your Normal Retirement Date is the first day of the month coincident with or next following your 65th birthday, or if later, after three (3) Years of Service with Northwell Health. You will be credited with one (1) Year of Service for each calendar year in which you complete 975 Hours of Service (1,000 Hours of Service for calendar years prior to 1999). Alternatively, if you are regularly scheduled to work at least 18.75 Hours of Service per week as of a Snap Shot Date (other than the Snap Shot Date ending on the last payroll period of December), you will be given credit for one quarter of a Year of Service for the calendar quarter during which such Snap Shot Date occurs. 2. Early Retirement Date You may retire at any time after age 55, if you have completed at least five (5) Years of Service, or if earlier, at any time after age 62, if you have completed at least three (3) Years of Service. Your Early Retirement Date is the first day Retirement Program 9 Cash Balance Plan

of the month coincident with or next following your early retirement. If you defer your distribution beyond your Early Retirement Date, Interest Credits will continue to be credited to your account until it is payable. Bear in mind that if you elect to begin to receive your distribution before your Normal Retirement Date, your monthly payments will be less to reflect the longer period of expected payments. 3. Deferred Retirement Date If you continue working past your Normal Retirement Date, your Deferred Retirement Date is the first day of the month coincident with or next following your actual retirement. However, you may elect to begin to receive your monthly benefit by the April 1 following the year you turn age 70½, even if you are still working. B. Disability Retirement Benefit If you become Disabled, you will be eligible for a disability retirement benefit and your account will become 100% Vested (as defined on the next page), if not already vested. You will be considered Disabled if you qualify for disability benefits from the Social Security Administration. C. Pre-Retirement Death Benefit In the event of your death while an employee, your beneficiary will be eligible to receive a death benefit and your account will become 100% Vested (see the next page), if not already vested. Your beneficiary may elect that the value of your account be payable to him or her in the form of a lump sum or a life annuity commencing as soon as administratively feasible following your death. Note, such death benefit will be reduced by the actuarial equivalent value of any pre-retirement survivor annuity payable as described below. If at the time of your death you are married, a death benefit in the form of a preretirement survivor annuity is also payable to your spouse as of the month you would have attained the earliest retirement age under the Plan, unless waived by your spouse, equal to the amount that would have been payable to your spouse under a qualified joint and one-half survivor annuity if you had lived and retired. If at the time of your death you were eligible for early retirement, your spouse may elect to defer commencement of the pre-retirement survivor annuity up until your Normal Retirement Date if you had lived. If your spouse elects, payment of the value of the pre-retirement survivor annuity may be made in the form of a lump sum instead of a pre-retirement survivor annuity. Retirement Program 10 Cash Balance Plan

Notwithstanding the above, if the present value of the death benefit is $5,000 or less, payment will automatically be made to your beneficiary in the form of a lump sum as soon as administratively feasible following your death. D. If You Leave Work Before Retirement If you are Vested that means you have a right to receive benefits from the Cash Balance Plan which cannot be taken away. 1. If you were hired by the Long Island Jewish Medical Center prior to January 1, 1999, you are 100% Vested in your Cash Balance Plan account. 2. If you were hired by Northwell Health prior to January 1, 1999 or are hired by Northwell Health on or after January 1, 1999, the following rules apply in determining whether you are Vested in your Cash Balance Plan account. Less Than Three (3) Years of Service If you stop working for Northwell Health before completing three (3) Years of Service (see page 9), you will not be Vested and you will not be entitled to receive any benefits from the Cash Balance Plan. Three (3) or More Years of Service If you leave work before retirement but after you completed three (3) Years of Service (see page 9), you will have a non-forfeitable right to your accrued benefit. In other words, you are 100% Vested in your account. Your Vested benefit is payable when you reach age 65 or, if you have at least five (5) Years of Service when you leave, as early as age 55. Interest Credits will continue to be credited to your account until it is payable. However, if the present value of your Vested accrued benefit is $5,000 or less, your benefit will be automatically payable as soon as administratively feasible following your termination of employment. SECTION IV DISTRIBUTION FORMS Under the Cash Balance Plan, your benefits are expressed as an account balance on your quarterly benefit statements. When you retire, your benefit is payable monthly in the form of an annuity (life annuity if you are unmarried, and a qualified joint and one-half survivor annuity with your spouse as beneficiary if you are married). Alternatively, you may elect to receive your benefit under one of the other monthly annuity forms described below, provided that if you are married, you obtain your spouse s consent if you desire to elect a benefit form other than a joint and survivor annuity with your spouse as your beneficiary. Retirement Program 11 Cash Balance Plan

Your monthly annuity payments are determined by converting the value of your account balance to an equivalent life annuity based on the interest rate in effect at the time you begin to receive your benefits (which is based on the prior year s 30-year Treasury rates) and the life expectancy tables specified by the IRS. If you elect a form of payment that has a survivor benefit payable to your beneficiary, the value of your benefit will also be adjusted to reflect the value of this survivor benefit. Instead of receiving your benefit in the form of an annuity, you may elect a lump sum payment of your benefit if you meet certain age and service conditions described below (and obtained the required spousal consent, if applicable). A. Normal Forms of Payment If you are unmarried when your benefits begin, the normal form of payment is a life annuity. This means that you will receive monthly retirement benefit payments for the rest of your life and, after your death, no payments will continue to anyone. If you are married when your benefits begin, the normal form of payment is a qualified joint and one-half survivor annuity with your spouse as beneficiary. This form provides you with a life annuity, and upon your death, your spouse with continued monthly benefits for his or her life equal to one-half of the amount of your monthly retirement benefit, should he or she survive you. But if your spouse predeceases you, payments will cease upon your death. Because the qualified joint and one-half survivor annuity can result in benefits being paid over a longer period of time than the life annuity (that is, over two lifetimes, rather than just one) your monthly retirement benefit payment will be reduced. The amount of the reduction will depend on your age and your spouse s age when payments commence. B. Optional Forms of Payment Instead of the normal forms of payment described above, you may, depending on your circumstances, choose one of the following optional forms of payment. However, if you are married and wish to elect a form of payment other than a joint and survivor annuity, or if you wish to name someone other than your spouse as your beneficiary, you must obtain your spouse s written consent, witnessed by a notary public. If you wish to elect an optional form of payment, you may do so by submitting a written election to the Human Resources Retirement Benefits department within 180 days of the time benefit payments begin. You may change your election at any time before benefits begin. However, no changes are permitted after benefit payments begin. The optional forms of payment are: Life annuity option. This option provides monthly payments for your life only. (Note: this is the normal form of payment if you are unmarried, but an optional form of payment if you are married.) Retirement Program 12 Cash Balance Plan

50%, 66⅔%, 75% or 100% joint and survivor annuity option. These options provide a reduced monthly benefit for your lifetime, with payments continuing to your beneficiary after your death. Your beneficiary can receive 50%, 66⅔%, 75% or 100% of your monthly benefit, depending on the option you elect. If your beneficiary dies before you do, but after benefit payments begin, you will continue to receive your reduced benefit for the remainder of your life. 5, 10, 15 or 20 period certain and life option. You may choose to receive a reduced benefit for your lifetime, with the guarantee that payments will be made for the period that you specify. If you should die before all guaranteed payments have been made, your monthly retirement benefit will be paid to your beneficiary until the end of the specified period. You may specify a guaranteed payment period of 5, 10, 15 or 20 years. If you survive this guaranteed period, your monthly benefit will continue to be paid to you for as long as you live. In this case, no further payments will be made after your death, even if your beneficiary survives you. Lump sum option. You may elect to receive your retirement benefit in the form of a lump sum only under the following circumstances: º You terminate employment on or after your Normal Retirement Date; or º You terminate employment and are Vested (i.e., you have at least three (3) Years of Service) and: as of your termination date, you are at least age 62; or you defer your distribution to at least age 62; or º You terminate employment and the present value of your Vested accrued benefit is greater than $5,000 but less than $10,000. Central General Hospital Retirement Income Plan participants. If you were a participant in the Central General Hospital Retirement Income Plan and then became a participant in the North Shore University Hospital Pension Plan, the following additional optional form of payment is available with respect to the portion of your vested accrued benefit attributable to your Central General Hospital Retirement Income Plan participation. º Social Security option. This option provides you with an increased monthly pension up until the time you generally are expected to begin receiving Social Security benefits, and a reduced monthly pension thereafter. Under this option as a result, your combined pension and Social Security benefits will generally be a level amount throughout your retirement. However, your pension benefit will not change even if your Social Security benefit changes. Retirement Program 13 Cash Balance Plan

C. Cash-Out Distributions of $5,000 or Less If the present value of your Vested accrued benefit is $1,000 or less, payment to you will automatically be made as a lump sum rather than in periodic payments. If the present value of your Vested accrued benefit exceeds $1,000 but is not more than $5,000, such value will automatically be transferred to an IRA to be established in your name, unless you affirmatively elect to receive a lump sum distribution or elect to directly rollover the distribution to another IRA or another employer s eligible retirement plan. D. Direct Trustee-to-Trustee Rollover If you are to receive a lump sum distribution, you may elect that the distribution be directly rolled over into the 403(b) Plan, an IRA or another employer s eligible retirement plan if such plan accepts rollovers. You will be required to provide adequate information in a timely manner regarding any IRA or eligible retirement plan to which the rollover is to be made. The tax law requires the Cash Balance Plan to withhold 20 percent of a lump sum distribution unless the distribution is directly rolled over to an IRA or to another eligible retirement plan. Additionally, there is a 10% excise tax on certain distributions received prior to your death, disability, attainment of age 59½ or separation from service before attainment of age 55 that are not transferred to an IRA or to another eligible retirement plan. Accordingly, we recommend that you consult your tax advisor prior to electing to receive any distribution. Retirement Program 14 Cash Balance Plan