Horizons Diagnostics 2022 Benefit Guide

Introduction

Dear Employee HorizonsDiagnostics offers a comprehensive suite of benefits to promote health and financial security for you and your family. This guide provides you with a summary of your benefits.

Please review it carefully so you can choose the coverage that’s right for you.

TABLE OF CONTENTS

About Deductions Premiums for Medical, Dental, and Vision coverage will be deducted on a pre - tax basis because it is covered under your Cafeteria Plan under Section 125 of the Internal Revenue Service Code. Once you elect to enroll in this plan, you will not be allowed to drop or change your election until the Company’s next Annual Enrollment unless you have a Qualifying Event.

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . 2 How to Enroll . . . . . . . . . . . . . . . . . . . . . . . . . 4 Member Advocate . . . . . . . . . . . . . . . . . . . . . 6 Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Basic Life AD&D . . . . . . . . . . . . . . . . . . . . . 10 Disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 FAQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Legal Notices . . . . . . . . . . . . . . . . . . . . . . . . 13 Medicare Part D . . . . . . . . . . . . . . . . . . . . . . 16 COBRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Exchange Notices . . . . . . . . . . . . . . . . . . . . 18 Contact Information . . . . . . . . . . . . . . . . . . 21

2 Horizons Diagnostics, LLC. 2022 Enrollment Guide

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