mbraun benefits summary-Updated 8-19

202 4 -202 5 Benefits Plan Booklet

ENROLL IN YOUR BENEFITS: One step at a time

Step 1: Log In Go to www.employeenavigator.com and click Login • Returning users: Log in with the username and password you selected. Click Reset a forgotten password . • First time users : Click on your Registration Link in the email sent to you by your admin or Register as a new user. Create an account, and create your own username and password. • Company Identifier is M braun

Step 2: Welcome! After you login click Let’s Begin to complete your required tasks.

Step 3: Onboarding (For first time users, if applicable) Complete any assigned onboarding tasks before enrolling in your benefits. Once you’ve completed your tasks click Start Enrollment to begin your enrollments. if you hit “ Dismiss, complete later” you’ll be taken to your Home Page. You’ll still be able to start enrollments again by clicking “Start Enrollments” T I P

Step 4: Start Enrollments After clicking Start Enrollment , you’ll need to complete some personal & dependent information before moving to your benefit elections.

Have dependent details handy. To enroll a dependent in coverage you will need their date of birth and Social Security number. T I P

Step 5: Benefit Elections To enroll dependents in a benefit, click the checkbox next to the dependent’s name under Who am I enrolling? Below your dependents you can view your available plans and the cost per pay. To elect a benefit, click Select Plan underneath the plan cost.

Step 6: Forms If you have elected benefits that require a beneficiary designation, Primary Care Physician, or completion of an Evidence of Insurability form, you will be prompted to add in those details. Click Save & Continue at the bottom of each screen to save your elections. If you do not want a benefit, click Don’t want this benefit? at the bottom of the screen and select a reason from the drop-down menu. Step 7: Review & Confirm Elections Review the benefits you selected on the enrollment summary page to make sure they are correct then click Sign & Agree to complete your enrollment. You can either print a summary of your elections for your records or login at any point during the year to view your summary online. If you miss a step you’ll see Enrollment Not Complete in the progress bar with the incomplete steps highlighted. Click on any incomplete steps to complete them. T I P

Step 8: HR Tasks (if applicable) To complete any required HR tasks, click Start Tasks . If your HR department has not assigned any tasks, you’re finished!

You can login to review your benefits 24/7

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Your Individual Benefits Plan

Welcome to M. Braun, the official sponsor of your benefits program! As an employee, you are eligible to participate in a competitive benefits program. Employees working 30 hours or more per week are eligible to participate in the benefits program upon 30 days of continuous employment. All contributions ar e payroll deducted bi-weekly. Contributions may be pre-tax under the Section 125 plan. Once you make benefit elections they will be in effect for the Plan Year. The only time you may chang e your benefits during the Plan Year is in the event of a qualified life change. A qualified life change i s defined as the birth or adoption of a dependent, death of a dependent, marriage, divorce or loss of othe r coverage. In order to make a change, you must notify the Human Resources Department within 30 day s of the qualifying event. The M. Braun open enrollment period for the medical , dental and vision benefit is September 11 th through September 22n d for an October 1st effective date. Anyone who wants to chang e their medical benefit elections can make changes at that time. Our Open Enrollment period for the Flexibl e Spending Account (FSA) is from November 1 st through November 30 th for a January 1 st effective date. M.Braun will continue to use an on-line platform, Employee Navigator for employees to make their benefi t elections in for the upcoming plan year. (Instructions on how to log in are in the following pages) Cign a will remain our medical carrie r as well as Principal for Dental, Life, Voluntary Life insurance, Short Term Disability, Long Term Disability and Vision insurance. Dental and Vision will now coincide with our medical renewal month of October 1st. M. Braun will continue to offer a FSA, (Flexible Spending Account). This plan will continue to b e administered through CGI Business Solutions.

This booklet will provide you with a complete overview of the employee benefits that are being offered to all eligible employees of M. Braun. Do not hesitate to ask questions as we want all employees to b e comfortable with the coverages they chose and have an understanding of how the benefits work.

Thank you for your loyalty, we appreciate having you as part of M. Braun Team!

Medical Insurance

Who is Eligible and When: Employees that work 30 hours per week or more are eligible for health insurance. Coverage begins after 30 days of continuous employment

*Rates for this plan are on page 3 *

HRA OAPIN

HRA OAP Plan $3,000

Network

New England $3,000/$9,000

Deductible (single/ family)

None

Member Coinsurance after deductible

$6,500/$13,000 (Includes all member costs)

Your Max out of pocket (single/family)

No max

Lifetime Maximum

Office Visits

Preventive Care

Covered in full (100%)

PCP Primary Care / Specialist

$25 PCP / $ 25 SPC

$50/ visit

Urgent Care Facility Emergency Room Chiropractic Care

$250 copay /visit

$25/visit * 12 visits Per CY

Diagnostic X-Rays and Lab Tests Lab Tests

Covered In Full

X-rays

Subject to deductible Subject to deductible

MRI, CAT, PET Scans

$ 25 /Visit*

Short Term Therapy (PT, OT, ST)

Limitations

*60 visits combined per CY

Subject to deductible

Inpatient Hospital Care

Outpatient Surgery

Hospital/Surgical Day Care

$100 copay per visit

Mental Health/Substance Abuse Inpatient Care

Subject to deductible

Out-Patient Care

$25/Visit

$5/$15/$35 $10/$30/$70

Prescription Drug Copays – Retail

Prescription Drug Copays- Mail In

$25/Visit

Chiropractic Care 12 Visits/CY

Medical Insurance Cost

M. Braun contributes towards the cost of the medical insurance. Below are the bi-weekly premiums for the cost of the HRA OAPIN .

HRA OAPIN Bi-weekly employee contribution

Single

Employee + 1

Family $323.53

$103.76

$207.52

Health Reimbursement Arrangement

M.Braun is excited to continue to offer a Health Reimbursement Arrangement (HRA) as part of your benefits package. The HRA is an employer benefit plan where the employer reimburses a portion of your plan’s annual deductible. HRA OAPIN REIMBURSEMENT : *Contract Deductible: You have only one deductible to meet based on your enrollment. If you select individual coverage, you have a $3,000 deductible. First, the employee will pay $1,250 of qualifying medical expenses (Last, the HRA will pay $1,750 of qualifying expenses.) If you select employee plus one dependent coverage under this plan, employee must first pay $2,750 of qualifying expenses, (Last, the HRA will pay $3,250). The family deductible can be satisfied by a combination of family members. First, the employee will pay $4,250 of qualifying expenses, (Last, the HRA will pay $4,750 of qualifying expenses) How do I file for reimbursements? Complete the Health Reimbursement Arrangement (HRA) Claim Form, remembering to indicate the company you work for, requested information and sign the bottom of the form. Before sending the claim to the address below, be sure to attach an Explanation of Benefits (EOB) to verify deductible medical expenses. Claims can be mailed, e-mailed or faxed to the number below:

CGI Business Solutions Claims Processing Department 5 Dartmouth Dr Auburn, NH 03032 Phone: 888-383-0088 Fax: 603-232-9363 Email: claims@cgibusinesssolutions.com

Upon receipt of any manual claims, the Plan Administrator will verify that all submitted claims are eligible. If there is any question of eligibility, a CGI representative will contact you. Claims are processed in the order they are received.

PREVENTIVE HEALTH CARE

Understanding what’s covered

What is preventive care? Preventive care is a specific group of services recommended when you don’t have any symptoms and haven’t been diagnosed with a related health issue. It includes your periodic wellness exam (check-up) and specific tests, certain health screenings, and most immunizations. Most of these services typically can take place during the same visit. You and your health care provider will decide what preventive services are right for you, based on your: › Age › Gender › Personal health history › Current health Why do I need preventive care? Preventive care can help you detect problems at early stages, when they may be easier to treat. It can also help you prevent certain illnesses and health conditions from happening. Even though you may feel fine, getting your preventive care at the right time can help you take control of your health. Make a plan for preventive care. Use this space to write down the details for your next periodic wellness exam.

What’s not considered preventive care? Once you have a symptom or your health care provider diagnoses a health issue, additional tests are not considered preventive care. Also, you may receive other medically appropriate services during a periodic wellness exam that are not considered preventive. These services may be covered under your plan’s medical benefits, not your preventive care benefits. This means you may be responsible for paying a share or all of the cost. This may include your plan’s deductible, copay or coinsurance amounts, depending on your plan. Which preventive services are covered? Many plans cover preventive care at no additional cost to you when you use a health care provider in your plan’s network. Use the provider directory on myCigna.com for a list of in-network health care providers and facilities. See the charts on the following pages for the services and supplies that are considered preventive care under most health plans. For more details, please check your plan materials.

Questions? Talk with your health care provider or call the number on the back of your Cigna ID card.

Date: Time: Questions for my provider:

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates. 855050 h 01/19

Wellness exams

SERVICE

GROUP AGE, FREQUENCY

Well-baby/well-child/well-person exams, including annual well-woman exam (includes height, weight, head circumference, BMI, blood pressure, history, anticipatory guidance, education regarding risk reduction, psychosocial/behavioral assessment)

• Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months • Additional visit at 2–4 days for infants discharged less than 48 hours after delivery • Ages 3 to 21, once a year • Ages 22 and older, periodic visits as doctor advises

Routine immunizations covered under preventive care

SERVICE

Diphtheria, Tetanus Toxoids and Acellular Pertussis (DTaP, Tdap, Td)

Meningococcal (meningitis) Pneumococcal (pneumonia)

Haemophilus influenzae type b conjugate (Hib)

Hepatitis A (Hep A) Hepatitis B (Hep B)

Poliovirus (IPV) Rotavirus (RV)

Varicella (chickenpox)

Human papillomavirus (HPV) (age criteria may apply for some vaccine brands)

Influenza vaccine

Zoster (shingles)

Measles, mumps and rubella (MMR)

You may view the immunization schedules on the CDC website: cdc.gov/vaccines/schedules/ .

Health screenings and interventions

SERVICE

GROUP AGE, FREQUENCY

Abnormal blood glucose and type 2 diabetes screening/counseling

Adults ages 40–70 who are overweight or obese; women with a history of gestational diabetes mellitus

Alcohol misuse/substance abuse screening

All adults; adolescents age 11–21

Aspirin to prevent cardiovascular disease and colorectal cancer, or to reduce risk for preeclampsia 1

Adults ages 50–59 with risk factors; Pregnant women at risk for preeclampsia

Autism screening

18, 24 months

Bacteriuria screening

Pregnant women

Bilirubin screening (effective on or after 1/1/18 as plans renew)

Newborns before discharge from hospital

Breast cancer screening (mammogram)

Women ages 40 and older, every 1–2 years

Breast-feeding support/counseling, supplies 2

During pregnancy and after birth

Cervical cancer screening (Pap test) HPV DNA test alone or with Pap test

Women ages 21–65, every 3 years Women ages 30–65, every 5 years

Chlamydia screening

Sexually active women ages 24 and under and older women at risk

Cholesterol/lipid disorders screening 1

• Screening of children and adolescents ages 9–11 years and 17–21 years; children and adolescents with risk factors, ages 2–8 and 12–16 years • All adults ages 40–75 The following tests will be covered for a colorectal cancer screening, ages 50 and older: • Fecal occult blood test (FOBT) or fecal immunochemical test (FIT) annually • Flexible sigmoidoscopy every 5 years • Double-contrast barium enema (DCBE) every 5 years • Colonoscopy every 10 years • Computed tomographic colonography (CTC)/virtual colonoscopy every 5 years - Requires prior authorization • Stool-based deoxyribonucleic acid (DNA) test (i.e., Cologuard) every 3 years

Colon cancer screening 1

Congenital hypothyroidism screening

Newborns

Critical congenital heart disease screening

Newborns before discharge from hospital

= Men

= Women

= Children/adolescents

Health screenings and interventions (continued)

SERVICE

GROUP AGE, FREQUENCY

Contraception counseling/education (including fertility awareness-based methods); contraceptive products and services 1,3, 4

Women with reproductive capacity

Depression screening/Maternal depression screening

Ages 12–21; all adults, including pregnant and postpartum women

Developmental screening

9, 18, 30 months

Developmental surveillance

Newborn, 1, 2, 4, 6, 12, 15, 24 months. At each visit ages 3 to 21

Discussion about potential benefits/risk of breast cancer preventive medication 1

Women at risk

Dental caries prevention Evaluate water source for sufficient fluoride; if deficient prescribe oral fluoride 1 Application of fluoride varnish to primary teeth at time of eruption (in primary care setting)

Children older than 6 months Children to age 6 years

Domestic and interpersonal violence screening

All women (adolescent/adult)

Fall prevention in older adults (physical therapy)

Community-dwelling adults ages 65 and older with risk factors

Folic acid supplementation 1

Women planning or capable of pregnancy

Genetic counseling/evaluation and BRCA1/BRCA2 testing

Women at risk • Genetic counseling must be provided by an independent board-certified genetic specialist prior to BRCA1/BRCA2 genetic testing • BRCA1/BRCA2 testing requires precertification

Gestational diabetes screening

Pregnant women

Gonorrhea screening

Sexually active women age 24 years and younger and older women at risk

Hearing screening (not complete hearing examination)

All newborns by 2 months. Ages 4, 5, 6, 8, 10. Adolescents once between ages 11–14, 15–17 and 18–21 Ages 6 and older - to promote improvement in weight status; Overweight or obese adults with risk factors for cardiovascular disease

Healthy diet and physical activity counseling

Hemoglobin or hematocrit

12 months

Hepatitis B screening

Pregnant women; adolescents and adults at risk

Hepatitis C screening

Adults at risk; one-time screening for adults born between 1945 and 1965

High blood pressure screening (outside clinical setting) 2

Adults ages 18 and older without known high blood pressure

HIV screening and counseling

Pregnant women; adolescents and adults 15 to 65 years; younger adolescents and older adults at risk; sexually active women (adolescent/adult), annually

Iron supplementation 1

6–12 months for children at risk

Lead screening

12, 24 months

Lung cancer screening (low-dose computed tomography)

Adults ages 55 to 80 with 30 pack/year smoking history, and currently smoke, or have quit within the past 15 years. Computed tomography requires precertification.

Metabolic/hemoglobinopathies (according to state law)

Newborns

Obesity screening/counseling

Ages 6 and older, all adults

Oral health evaluation/assess for dental referral

6, 9 months. Ages 12 months, 18 months-6 years for children at risk

Osteoporosis screening

Age 65 or older (or under age 65 for women with fracture risk as determined by a Clinical Risk Assessment Tool). Computed tomographic bone density study requires precertification

PKU screening

Newborns

Ocular (eye) medication to prevent blindness

Newborns

= Men

= Women

= Children/adolescents

Health screenings and interventions (continued)

SERVICE

GROUP AGE, FREQUENCY

Prostate cancer screening (PSA)

Men ages 50 and older or age 40 with risk factors

Preeclampsia screening (blood pressure measurement)

Pregnant women

Rh incompatibility test

Pregnant women

Sexually transmitted infections (STI) counseling

Sexually active women, annually; sexually active adolescents; and men at increased risk

Sexually transmitted infections (STI) screening

Adolescents ages 11–21

Sickle cell disease screening

Newborns

Skin cancer prevention counseling to minimize exposure to ultraviolet radiation

Ages 6 months–24 years

Syphilis screening

Individuals at risk; pregnant women

Tobacco use cessation: counseling/interventions 1

All adults 1 ; pregnant women

Tobacco use prevention (counseling to prevent initiation)

School-age children and adolescents

Tuberculosis screening

Children, adolescents and adults at risk

Ultrasound aortic abdominal aneurysm screening

Men ages 65–75 who have ever smoked

Urinary incontinence screening

Women

Vision screening (not complete eye examination)

Ages 3, 4, 5, 6, 8, 10, 12, and 15 or as doctor advises

= Men

= Women

= Children/adolescents

1. Subject to the terms of your plan’s pharmacy coverage, certain drugs and products may be covered at 100%. Your doctor is required to give you a prescription, including for those that are available over the counter, for them to be covered under your Pharmacy benefit. Cost sharing may be applied for brand-name products where generic alternatives are available. Please refer to Cigna’s“No Cost Preventive Medications by Drug Category”Guide for information on drugs and products with no out-of-pocket cost. 2. Subject to the terms of your plan’s medical coverage, home blood pressure monitoring supplies, breast-feeding equipment rental and supplies may be covered at the preventive level. Your doctor is required to provide a prescription, and the equipment and supplies must be ordered through CareCentrix, Cigna’s national durable medical equipment vendor. Precertification is required for some types of breast pump equipment. To obtain home blood pressure monitoring equipment, breast pump and breast pump supplies, contact CareCentrix at 844.457.9810 . 3. Examples include oral contraceptives; diaphragms; hormonal injections and contraceptive supplies (spermicide, female condoms); emergency contraception. 4. Subject to the terms of your plan’s medical coverage, contraceptive products and services such as some types of IUDs, implants and sterilization procedures may be covered at the preventive level. Check your plan materials for details about your specific medical plan. These preventive health services are based on recommendations from the U.S. Preventive Services Task Force (A and B recommendations), the Advisory Committee on Immunization Practices (ACIP) for immunizations, the American Academy of Pediatrics’Periodicity Schedule of the Bright Futures Recommendations for Pediatric Preventive Health Care, the Uniform Panel of the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children and, with respect to women, evidence-informed preventive care and screening guidelines supported by the Health Resources and Services Administration. For additional information on immunizations, visit the immunization schedule section of www.cdc.gov . This document is a general guide. Always discuss your particular preventive care needs with your doctor. Some plans choose to supplement the preventive care services listed above with a few additional services, such as other common laboratory panel tests. When delivered during a preventive care visit, these services also may be covered at the preventive level. Exclusions This document provides highlights of preventive care coverage generally. Some preventive services may not be covered under your plan. For example, immunizations for travel are generally not covered. Other non-covered services/supplies may include any service or device that is not medically necessary or services/supplies that are unproven (experimental or investigational). For the specific coverage terms of your plan, refer to your plan documents. If there are any differences between the information displayed here and the official plan documents, the terms of the plan documents will control. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCare of Texas, Inc. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC); GSA-COVER, et al. (CHC-TN). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 855050 h 01/19 © 2019 Cigna. Some content provided under license. 9

PREVENTIVE GENERICS AND PREFERRED BRANDS DRUG LIST

Starting January 1, 2021

Preventive medications are used to prevent certain conditions from developing, or to prevent a condition from coming back. These conditions include, but are not limited to, asthma, depression, diabetes, heart attack, high blood pressure, high cholesterol, osteoporosis, prenatal nutrient

deficiency and stroke. About this drug list.

About your cost-share for preventive medications.

This document shows the most commonly prescribed preventive generic and preferred brand medications covered as of January 1, 2021. 1,2 All of these medications are approved by the U.S. Food and Drug Administration (FDA). The Preventive Generics and Preferred Brands Drug List is updated often so it’s important to know that this is not a complete list of the medications your plan covers. Not all plans consider all of the conditions and medications listed in this document to be part of the preventive program. Log in to the myCigna App, or check your plan materials, to see which medications your plan covers as preventive. Here’s some helpful information about this drug list: › Medications are listed alphabetically by the condition they prevent. › Brand name medications are capitalized and generic medications are lowercase. › Some brand name preventive medications have a

Not all plans offer the same cost-share for their preventive program. For example, some plans may: › Require you to pay a copay, coinsurance (the percentage you pay after you meet your deductible) and/or deductible (the amount you pay before your plan starts to pay) for a preventive generic medication. › Cover preventive generic medications at 100%, or no additional cost ($0) to you. Log into the myCigna App or website, or check your plan materials, to learn more about the medications included in your plan’s preventive program. You can also click on “Price a Medication” to see how much your medication may cost you at the different pharmacies in your plan’s network. 3

Go generic and save. Ask your doctor if a preventive generic medication may be right for you. Generics have the same strength and active ingredients as brand name medications, but often cost much less – in some cases, up to 85% less. 4

generic equivalent. For these medications, the generic will be listed in parenthesis next to the brand name.

“Preventive medications”don’t include medications covered at 100%, or no cost ($0) to you, under the Patient Protection and Affordable Care Act (PPACA)’s preventive services coverage requirement.

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates. 936807 b Gen&PB for Value/Adv 09/20

Preventive Generics and Preferred Brands Drug List

Anxiety/Depression/ Bipolar Disorder citalopram escitalopram fluoxetine fluoxetine DR fluvoxamine fluvoxamine ER paroxetine paroxetine CR paroxetine ER sertraline Asthma Related albuterol albuterol HFA Anoro Ellipta Atrovent HFA budesonide suspension caffeine citrate oral solution cromolyn nebulizer solution Dulera Flovent Diskus Flovent HFA fluticasone-salmeterol Incruse Ellipta ipratropium solution ipratropium-albuterol levalbuterol levalbuterol concentrate

methazolamide methyldopa methyldopa-HCTZ metolazone metoprolol tablet metoprolol ER metoprolol-HCTZ minoxidil tablet moexipril nadolol nicardipine capsule nifedipine nifedipine ER

amiloride amiloride-HCTZ amlodipine

amlodipine-benazepril amlodipine-olmesartan amlodipine-valsartan amlodipine-valsartan-HCTZ atenolol atenolol-chlorthalidone benazepril

benazepril-HCTZ betaxolol tablet bisoprolol bisoprolol-HCTZ bumetanide tablet candesartan candesartan-HCTZ captopril captopril-HCTZ

nimodipine nisoldipine olmesartan olmesartan-amlodipine-HCTZ olmesartan-HCTZ perindopril phenoxybenzamine pindolol prazosin propranolol tablet, solution propranolol ER propranolol-HCTZ quinapril quinapril-HCTZ ramipril Sorine sotalol tablet sotalol AF spironolactone spironolactone-HCTZ Taztia XT telmisartan telmisartan-amlodipine telmisartan-HCTZ terazosin Tiadylt ER timolol tablet torsemide trandolapril trandolapril-verapamil ER triamterene-HCTZ valsartan valsartan-HCTZ Vecamyl verapamil capsule, tablet verapamil ER verapamil ER PM verapamil SR

Cartia XT carvedilol

carvedilol ER chlorthalidone clonidine patch, tablet

diltiazem tablet diltiazem 12hr ER diltiazem 24hr ER

diltiazem 24hr ER (CD) diltiazem 24hr ER (LA) diltiazem 24hr ER (XR) Dilt-XR doxazosin enalapril enalapril-HCTZ eplerenone felodipine ER fosinopril fosinopril-HCTZ furosemide solution, tablet guanfacine hydralazine tablet hydrochlorothiazide indapamide irbesartan irbesartan-HCTZ isradipine labetalol tablet lisinopril lisinopril-HCTZ losartan losartan-HCTZ Matzim LA

levalbuterol HFA metaproterenol montelukast

QVAR RediHaler Serevent Diskus Symbicort terbutaline tablet theophylline theophylline anhydrous Wixela Inhub Xolair

zafirlukast zileuton ER Blood Pressure Related acebutolol acetazolamide tablet acetazolamide ER aliskiren

Brand name medications are capitalized and generic medications are lowercase. Not all plans consider all of the conditions and medications listed in this document to be part of preventive coverage . Log in to the myCigna App, or check your plan materials, to see which medications your plan covers as preventive. 11

Blood Thinner Related aspirin-dipyridamole ER Brilinta cilostazol clopidogrel dipyridamole tablet Eliquis

Diabetes Related Log in to the mycigna app or website, or check your plan

pioglitazone pioglitazone-glimepiride pioglitazone-metformin repaglinide Rybelsus Segluromet Soliqua Steglatro SymlinPen Synjardy Synjardy XR Tresiba Tresiba FlexTouch Trijardy XR Trulicity Victoza Xigduo XR Xultophy Osteoporosis Related alendronate calcitonin-salmon Forteo ibandronate tablet raloxifene risedronate risedronate DR Tymlos Prenatal Vitamins

materials, to learn more about how your plan covers diabetes-related preventive medications. acarbose Basaglar Bydureon Byetta Diabetic Supplies (i.e. lancets, syringes, urine test, alcohol pads) Farxiga glimepiride glipizide

Jantoven prasugrel warfarin Xarelto

Cholesterol Related amlodipine-atorvastatin atorvastatin cholestyramine cholestyramine light colesevelam colestipol ezetimibe ezetimibe-simvastatin fenofibrate fenofibric acid fluvastatin fluvastatin ER gemfibrozil lovastatin niacin 500mg tablet niacin ER tablet Niacor omega-3 acid ethyl esters pravastatin Prevalite

glipizide ER glipizide XL glipizide-metformin glyburide glyburide micronized glyburide-metformin

Glyxambi Humalog Humulin Insulin Lispro Janumet Janumet XR Januvia Jardiance Levemir metformin metformin ER 500mg, 750mg tablet miglitol nateglinide Ozempic

Your plan considers all prescription strength prenatal vitamins to be “preventive.” Log in to the myCigna App or website to see which tier your plan covers prenatal vitamins on.

rosuvastatin simvastatin Vascepa

* Healthy Rewards is a discount program. Some Healthy Rewards programs are not available in all states and programs may be discontinued at any time. If your health plan includes coverage for any of these services, this program is in addition to, not instead of, your plan benefits. Healthy Rewards programs are separate from your your plan benefi ts. A discount program is NOT insurance, and you must pay the entire discounted charge. All goods, services and discounts offered through Healthy Rewards are provided by third parties who are solely responsible for their products, services and discounts. ** Fitness Membership and Devices along with Yoga Products and Virtual Workouts can only be accessed by login into myCigna.com and navigating to Healthy Rewards Discount Program. › Yoga Products and Virtual Workouts** Real brands. Real discounts. Real easy. Log into myCigna.com and navigate to Healthy Rewards Discount Program or call 800.870.3470 . HEALTHY CHOICES DESERVE HEALTHY DISCOUNTS Start saving today with Cigna Healthy Rewards ® * Just use your Cigna ID wallet card when you pay and let the savings begin. Get discounts on the health products and programs you use every day for: › Nutritional Meal Delivery Service › Fitness Memberships and Devices** › Vision Care, Lasik Surgery, Hearing Aids › Alternative medicine

For Cigna customers who don’t have access to myCigna.com and want an Active&Fit Direct™ gym membership: › Call 800.870.3470 ; and › Press 3 to be transferred to a customer service agent.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and Cigna Health Management, Inc. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All models are used for illustrative purposes only. 939232 a 05/20 © 2020 Cigna. Some content provided under license. Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates. 13

WHEN LEAVING THE HOUSE IS EASIER SAID THAN DONE.

Get care whenever and wherever with minor medical virtual care.

Life is demanding. It’s hard to find time to take care of yourself and your family members as it is, never mind when one of you isn’t feeling well. That’s why your health plan through Cigna includes access to minor medical virtual care. Whether it’s late at night and your doctor isn’t available or you just don’t have the time or energy to leave the house, you can: › Get care via video or phone, 24/7/365 – even on weekends and holidays. › Connect with quality board-certified doctors and pediatricians. › Have a prescription sent directly to your local pharmacy, if appropriate.

Convenient? Yes. Costly? No.

Virtual care for minor medical conditions costs less than ER or urgent care visits, and maybe even less than an in-office primary care provider visit.

Offered by Cigna Health and Life Insurance Company or its affiliates. 14

937208 b 08/20

Board-certified doctors and pediatricians can diagnose, treat and prescribe most medications for minor medical conditions, such as: › Acne

› Insect bites › Joint aches

› Allergies › Asthma › Bronchitis › Cold and flu › Constipation › Diarrhea › Earaches › Fever › Headaches › Infections

› Nausea › Pink eye › Rashes › Respiratory infections › Shingles › Sinus infections › Skin infections › Sore throats › Urinary tract infections

MDLIVE providers can also conduct virtual wellness screenings.

Connect with virtual care your way. › Contact your in-network provider › Talk to an MDLIVE medical provider on demand on myCigna.com › Schedule an appointment with an MDLIVE provider on myCigna.com › Call MDLIVE 24/7 at 888.726.3171

Contact your Cigna in-network provider for a virtual visit, or visit myCigna.com, locate the “Talk to a doctor or nurse 24/7” callout and click “Connect Now.”

*Availability may vary by location and plan type and is subject to change. See vendor sites for details. Cigna provides access to virtual care through national telehealth providers as part of your plan. Providers are solely responsible for any treatment provided to their patients. Video chat may not be available in all areas or with all providers. This service is separate from your health plan’s network and may not be available in all areas or under all plan types. A primary care provider referral is not required for this service. In general, to be covered by your plan, services must be medically necessary and used for the diagnosis or treatment of a covered condition. Not all prescription drugs are covered. Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. See your plan materials for costs and details of coverage, including other telehealth/telemedicine benefits that may be available under your specific health plan. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCare of Texas, Inc. Policy forms: OK–HP-APP-1 et al. (CHLIC); OR–HP-POL38 02-13 (CHLIC); TN–HP-POL43/HC-CER1V1 et al. (CHLIC), GSA-COVER, et al. (CHC-TN). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. 937208 b 08/20 © 2020 Cigna. Some content provided under license. 15

EASY TO REGISTER. EASY TO USE.

myCigna

It’s easy to set up. Download the myCigna App or visit myCigna.com .

It’s easy to find what you need.

› Find in-network doctors and medical services › Manage and track claims › See cost estimates for medical procedures › Compare quality of care for doctors and hospitals › Access a variety of health and wellness tools and resources

1. Launch the myCigna App or go to myCigna.com and select “Register Now” 2. Enter your personal information 3. Confirm your identity 4. Create your security information and provide your primary email address for enhanced security protection and notifications 5. Review , then select “Submit” Why do we ask you to provide your primary email address as part of the registration process? Email allows us to better protect the security of your information. We will send automatic alerts when your email or password is updated, and it can also be utilized for the Forgot User ID and Forgot Password functionality.

myCigna App users log in with just one touch. Download the myCigna App and securely access your account with just a fingerprint on any compatible device.*

*Please refer to your phone’s manufacturer for your phone’s specific capabilities. The downloading and use of the myCigna App is subject to the terms and conditions of the App and the online stores from which it is downloaded. Standard mobile phone carrier and data usage charges apply.

It’s a whole new world of online service.

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and complete details of coverage, see your plan materials. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company (CGLIC), Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCare of Texas, Inc. Policy forms: OK – HP-APP-1 et al. (CHLIC), GM6000 C1 et al. (CGLIC); TN – HP-POL43/HC-CER1V1 et al. (CHLIC), GSA- COVER, et al. (CHC-TN). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. 832643d 11/16 © 2016 Cigna. Some content provided under license. 16

Dental Insurance

The HRA Reimbursements will only be made if the member

incurs a deductible related medical

expensthroughGI Business Solutions (CGI) and is available with the medical plans. (M-F, 8:30a Who is Eligible and When: Employees that work 35 hours per week or more are eligible for dental insurance. Coverage begins after 30 days of continuous employment.

Dental Plan

UNIT 1: Preventative Services

UNIT 2: Basic Services

UNIT 3: Major Services

Covered at 100%

Covered at 80%

Covered at 50%

Routine Exams: Two per calendar year. Routine Cleaning (prophylaxis): Two per calendar year. (Expectant mothers, diabetics and those with heart disease receive one additional routine or periodontal cleaning within a calendar year). Emergency Exams: Subject to routine exam frequency limit. Fluoride: One treatment per calendar year (under age 1 9 ) Space Maintainers: Under age 1 9 only. Repairs not covered. Sealants: one treatment per tooth every 3 years to age 14 ) X-rays: Bitewing 2 per calendar year X-rays: Full mouth survey (one every 3 Calendar years ), extraoral

Periodontal Prophylaxis:

Periodontal Surgical Procedures:

•

Fillings and stainless steel crowns

Repairs to Partial Denture, Bridge, Crown, Relines, Rebasing, Tissue Conditioning and Adjustment to Bridge/Denture, within policy limitations

•

General Anesthesia: Covered only for specific procedures

•

IV Sedation

•

Crowns:.

Simple Oral Surgery

•

Inlays, Onlays, Cast Post and Core, Core

Complex Oral Surgical Procedures

•

Bridges:

•

• •

Dentures:

Simple endodontics: Root canal therapy for anterior teeth Complex Endodontics: Root canal therapy for molar teeth.

•

• •

•

Calendar Year Deductible: No Deductible Calendar Year Maximum: $1,250 per person

Maximum Accumulation: This allows for a portion of your unused maximum benefit to carry over to next year’s maximum benefit amount. To qualify, you must have had a dental service performed within the calendar year and used less than the maximum threshold.

M. Braun contributes towards the cost of the dental insurance. Below are the bi-weekly premiums for the cost of the Dental coverage: *No waiting period*

Employee Bi-Weekly Contribution

Dental Plan

Employee Employee + One Employee + Family

$8.73 $26.07 $49.76

HEALTHY MOUTH. HEALTHY BODY. HAPPY FACE.

Get to know the Cigna Dental PPO (DPPO) plan.

The power of preventive dental care

When you enroll in the Cigna Dental PPO (DPPO) plan, certain preventive dental care services like cleanings, oral exams and routine x-rays are covered at no additional cost when you use a network dentist. 1 And those visits are about more than brightening your smile — they’re important for maintaining your overall health, too.

People who do not get preventive care are 1.5 times more likely to develop gum disease, which can cause complications, especially for people with underlying medical conditions. 2

People who get regular preventive care are 22 percent less likely to need care at an emergency room or urgent care center. 2

1.5x

22%

Your plan includes other features and benefits to help make getting dental care simple and affordable, including: Enhanced flexibility The Cigna DPPO plan allows you to choose any licensed dentist for care. However, you’ll save more by using a dentist in the Total DPPO network. The Total DPPO network offers convenient access to highly rated dentists all across the country and savings on covered dental services. 3 Savings and convenience Network dentists have agreed to reduce their fees for Cigna customers. They will also file claims for you and they cannot “balance bill” you for the difference between their regular fees and the reduced fees they have agreed to accept from Cigna.

Preventive care at no additional cost Your plan covers certain preventive care services like cleanings, oral exams and routine x-rays at no additional cost when you use a network dentist. 1

What is balance billing? Balance billing happens when a dentist who isn’t in your plan’s network charges more than your plan pays. Balance billing is a risk when you get services from an out-of-network dentist, so it helps to understand the difference between in-network and out-of-network dentists.

Find dentists in the Total DPPO network.

You can search for network dentists before your benefits become active by visiting Cigna.com. • Select “Find a Doctor, Dentist or Facility” • Follow prompts to search by type of dentist or by dentist name. • When prompted to select a plan, choose “DPPO/EPO > Total Cigna DPPO”

Once your benefits become active, you can use your myCigna.com account to access enhanced search tools including verified patient reviews, and Brighter Scores.

No ID card needed! You don’t need an ID card to receive care from network dentists. Simply make your appointment and provide identification to the office staff. They can verify your coverage with Cigna. You can also access a digital ID card after your benefits are effective and you have activated your myCigna.com account.

Questions?

Dental coverage that keeps you smiling and helps you stay healthy.

We’re here to help 24/7, with live customer support in over 150 languages. Call 1.866.494.2111.

Together, all the way. ®

1. Not all preventive services are covered, including athletic mouth guards. Refer to the policy for a complete list of covered and non-covered preventive services. Frequency limitations apply. 2. “Preventive Dental Treatment Associated with Lower Medical Utilization and Costs.” National study of Cigna customers with dental and medical coverage, updated December 2020. The dentists who participate in the Cigna network are independent contractors solely responsible for the treatment provided to their patients. They are not agents of Cigna. In Texas, the insured dental plan is known as Cigna Dental Choice, and this plan uses the national Cigna DPPO network. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 960798 07/21 © 2021 Cigna.

MAKE THE MOST OF YOUR CIGNA DENTAL PLAN

Programs and services that can help

Nothing is more important than your health. That’s why there’s myCigna.com – your online home for assessment tools, plan management, dental health information and much more. Once you’ve enrolled in a Cigna dental plan, you can use myCigna.com to:

Assess your risks The Periodontal (gum) Disease and Cavity Risk Assessment Tools are designed to help you and your dentist identify factors that might increase your risks for gum disease and cavities. The quizzes are quick and easy. The Periodontal Disease Risk Assessment is just 20 questions. The Cavity Risk Assessment is just 12 questions for adults and 16 questions for children under age 12. And when you complete the quizzes, you’ll get detailed score sheets that tell you whether you are low risk, low to moderate, moderate risk or high risk for gum disease or tooth decay, depending on which quiz you’ve taken. Take the quizzes today and share the results with your dentist at your next dental checkup.

› Choose dentists and create, download and print a personal directory. › Verify plan details such as coverage, coinsurance/ copays and deductibles (the amount you pay before your plan starts to pay). › Print a dental ID card. › Get the forms you need. › Access dental health information through WebMD® Dental Health Resource Center. Get to know your oral health Are you at risk for gum disease? Knowing the answer to this question could help your overall health. That’s because research shows an association between gum disease and other health conditions like diabetes, heart disease and stroke. Pregnant women with untreated gum disease may be at an increased risk for delivering preterm and/or low birth weight babies. Think cavities are just for kids? Think again. Many adults have untreated cavities (25% of those 20–44 years, 21% of those 45–64 years and 20% of those 65 years and older). 1 And tooth decay (cavities) is the single most common chronic childhood disease – four times more common than asthma. 2

Please note that these tools serve as a guideline to assess your risks for cavities and gum disease. It’s important to visit your dentist on a regular basis to discuss your oral health.

874564 a 10/15 Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates.

Prevention is key Regular dental visits may do more than brighten your smile. Research shows receiving regular dental care often catches minor problems before they become major and expensive to treat. Practice prevention and take advantage of your plan’s preventive care services – certain services may be covered at low cost or no cost to you when you visit a network dentist. Covered services* may include, but are not limited to: › Oral exams › Cleanings › Fluoride treatments › X-rays › Oral cancer screenings * The following is not an exhaustive list of exclusions and limitations. See your plan documents for additional details. Exams, cleanings and fluoride treatments are limited to two per calendar year. Routine X-rays are limited to: Bitewings: Two per calendar year, non-routine X-rays are limited to: Full mouth: One every three calendar years; Panorex: One every three calendar years. The frequency limitations of certain other covered services are set forth on your plan benefit schedule.

We’re here when you need us We know that sometimes you need us at odd hours – late at night, on the weekend or during a national holiday. Sometimes your questions just can’t wait for “normal business hours.” › “My son is away at college. Can you help me find a network dentist close to his school?” › “My dentist told me I need a root canal. Does my dental plan cover this?” › “My husband has a painful toothache, but he’s in Phoenix on a business trip. Can you help me find a dentist?” That’s why our customer service hours include weekdays, Saturdays, Sundays and holidays. Call us at 1.866.494.2111 any time you need us – we’ll be there. We’re on the clock for you 24 hours a day, 7 days a week, 365 days a year. Health and wellness discounts Save money when you purchase health and wellness products and services through the Cigna Healthy

Rewards® program. 3 Programs include: › Weight and nutrition management › Fitness › Tobacco cessation › Vision and hearing care › Vitamins, health and wellness products

› Alternative medicine › Anticavity products › Healthy lifestyle products

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Cigna Dental Traditional (indemnity) plans are insured or administered by Cigna Health and Life Insurance Company (CHLIC) or Connecticut General Life Insurance Company (CGLIC). Cigna Dental PPO & EPO plans are insured or administered by CHLIC or CGLIC, with network management services provided by Cigna Dental Health, Inc. (CDHI) and certain of its subsidiaries. In Texas, the insured dental network product is referred to as the Cigna Dental Choice Plan, and this plan uses the national Cigna Dental PPO network. Cigna Dental Care (DHMO) plans are insured by Cigna Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado, Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health of Florida, Inc., a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NB), Cigna Dental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna Dental Health of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc., Cigna Dental Health of Texas, Inc., and Cigna Dental Health of Virginia, Inc. In other states, Cigna Dental Care plans are insured by CHLIC, CGLIC, or Cigna HealthCare of Connecticut, Inc., and administered by CDHI. OK form numbers: Indemnity/ DPPO: HP-POL99 (CHLIC) & GM6000 ELI288 et al (CGLIC); DHMO: HP-POL115 (CHLIC), GM6000 DEN201V1 & GM6000 DEN200V1 (CGLIC). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 874564 a 10/15 © 2015 Cigna. Some content provided under license. 3. Healthy Rewards is a discount program. If your plan includes coverage for any of these services, this program is in addition to, not instead of, your plan benefits. Healthy Rewards programs are separate from your benefits. A discount program is NOT insurance, and you must pay the entire discounted charge . Some Healthy Rewards programs are not available in all states and programs may be discontinued at any time. 1. www.cdc.gov/oralhealth/factsheets/dental_caries American Dental Association; May 31, 2012, CDC report: Selected Oral Health Indicators in the United States, 2005-2008. 2. Surgeon General’s Report on Oral Health in America, Centers for Disease Control and Prevention, July, 10 2013, Preventing Dental Caries With Community Programs.

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