Behavior Frontiers Benefits Guide 2023-2024

2023-2024 | BENEFITS GUIDE

DECEMBER 1, 2023 - NOVEMBER 30, 2024

TABLE OF CONTENTS

CONTACT INFORMATION

MEMBER SERVICE NUMBERS

Anthem Blue Cross

Benefit Highlights and Eligibility pg. 3

(800) 888-8288

Medical Member Services

Medical pg. 4-6

(877) 567-1804 (866) 723-0515

Dental Member Services

Health Savings Account pg. 7

Vision Member Services

Dental pg. 8

Mutual of Omaha

Vision pg. 8

(800) 775-8805

Life and AD&D Member Services

(800) 316-2796

Employee Assistance Program

Life and AD&D pg. 9

BanePlus Package pg. 10

Cost of Coverage pg. 11

HELPFUL WEBSITES/EMAIL ADDRESSES Anthem Blue Cross www.anthem.com/ca/ Mutual of Omaha www.mutualofomaha.com Mutual of Omaha EAP www.mutualofomaha.com/eap Travel Assistance www.mutualofomaha.com BENEFITS SERVICE CENTER Toll Free (855) 367-4114 Email benefitservices@behaviorfrontiers.com Website http://behaviorfrontiers.myboltonbenefits.com

Plan Costs pg. 12

Sydney Mobile App pg. 13

Employee Assistance Program pg. 13

Travel Assistance Program pg. 13

Anthem Additional Resources pg. 14

How to Find a Provider pg. 15

How to Enroll Using One Point pg. 16-19

Annual Notices and Disclosures pg. 20-27

Or Scan this QR Code to accesthe Behavior Frontiers Benefit Website:

If you have Medicare or will become eligible for Medicare in the next 12 months, a Federal law gives you more choices about your prescription drug coverage. Please see page 21 for more details.

2 | Behavior Frontiers Benefits Guide

OPEN ENROLLMENT Open Enrollment occurs one time each year. During this time, you may add or remove dependents from your coverage, enroll for the first time, change your coverage level, or change your benefit elections, without experiencing a qualifying event. All benefit enrollments and elections made during this time will be effective December 1, 2023, and will remain in effect throughout the plan year, until November 30, 2024.

Benefits Highlights An overview of the benefit plan offerings for the 2023-24 plan year are as follows:

Changing Benefits Mid-Year During the year, you can change your benefit elections only if you experience a qualifying event. You must notify HR within 30 days from the qualifying event to make any changes to your benefits.

• Medical • Dental • Vision • Basic Life/AD&D • Employee Assistance Program (EAP) • BenePlus • Travel Assistance Program

Examples include changes in:

• Marital status (marriage, divorce, legal separation) • Number of dependent children (birth, adoption) • Employment status (part-time to full-time, or vice versa)

• Eligibility status (change in hours, job loss)

Eligibility Medical, Dental, and Vision: Employees who work a minimum of 30 hours per week are eligible to enroll. Basic Life and AD&D: Employees who work a minimum of 30 hours per week are automatically enrolled. EAP and Travel Assistance Program: Accessible to all employees, regardless of hours worked.

When Can You Enroll? Medical, Dental, Vision, Basic Life and AD&D: Employees and dependents, if applicable, are eligible for coverage on the employee's date of hire. EAP and Travel Assistance Program: All employees are automatically enrolled.

BENEFITS WEBSITE Visit our employee benefits website, an online destination for you to find benefits information, carrier forms, educational resources and enrollment information. This site will allow you to quickly access the information you need to make an informed decision about choosing your benefit plans.

http://behaviorfrontiers.myboltonbenefits.com/

Behavior Frontiers Benefits Guide | 3

Behavior Frontiers offers five choices of medical insurance plans, two HMO plans, two PPO plans, and one High Deductible Health Plan (HDHP). Each of our medical insurance plans offer different levels of deductibles, copayments, and out-of-pocket maximums. MEDICAL

Anthem HMO Plan If you elect coverage in either of the HMO plans you are required to choose a Primary Care Physician (PCP) who is part of the Anthem network as your personal doctor. Each family member covered through your plan can choose his or her own PCP and can change them at any time. All care must be provided or authorized by the PCP. To search the provider list online, visit

www.anthem.com/ca .

Value HMO Plan (CA Only)

Classic HMO Plan (CA Only)

California Care HMO Network

Select HMO Network

Calendar Year Deductible

None

$3,500 single $7,000 family

$2,500 single $5,000 family

Calendar Year Out-of-Pocket Maximum

Physician Office Visit

$35 copay

$30 copay

Specialist Office Visit

$55 copay

$50 copay

LiveHealth Online

No charge

Preventive Care

No charge

Urgent Care

$35 copay

$30 copay

Diagnostic X-Ray/Lab

No charge

Outpatient Surgery

$375 copay

$250 per visit

Inpatient Hospital

$750 per day, up to 3 days

$500 per admit

Emergency Room (Waived if Admitted) Pharmacy Deductible Generic (Tier 1a/1b) Preferred (Tier 2) Non-Preferred (Tier 3) Specialty (Tier 4)

$150 copay

$125 copay

$150 individual / $450 family $5/$20

None $5/$15

$40 (after deductible) $60 (after deductible) 30% up to $250 max (after deductible)

$30 $50 30% up to $250 max

Copays and coinsurance percentages shown in the above plan descriptions represent the amount paid by the member. 1. Members are responsible for all charges above Anthem’s allowable amounts when using non -network providers. 2.Additional $500 copay required if you do not receive preauthorization from Anthem for non-emergency visit

4 | Behavior Frontiers Benefits Guide

Anthem PPO Plans When you enroll in either of the Anthem PPO plans, you are free to seek medical care from both in and out-of-network providers. There is no requirement that you select a PCP or receive PCP-authorized referrals to specialists. To receive the highest level of coverage under the plan, simply obtain care from an in-network provider.

Classic PPO Plan

Solution PPO Plan

Out-of-Network 1

In-Network

$500 single $1,500 family

$1,500 single $3,000 family

$4,500 single $9,000 family

$1,500 single $4,500 family $12,000 single $24,000 family

Calendar Year Deductible

$4,000 single $8,000 family

$5,000 single $10,000 family

$15,000 single $30,000 family

Calendar Year Out-of-Pocket Maximum

40% after deduct ible

Physician Office Visit

$30 copay

40% after deductible

$20 copay

40% after deduct ible

Specialist Office Visit

$50 copay

40% after deductible

$40 copay

40% after deduct ible

LiveHealth Online

No charge

Preventive Care

No charge

40% after deductible

No charge

40% after deduct ible

Urgent Care

$30 copay

40% after deductible

$20 copay

40% after deduct ible

Diagnostic X-Ray/Lab

20% after deductible

40% after deductible

20% after deductible

40% after deductible, benefit limited to $350 max per visit 40% after deductible, ben- efit limited to $1,000 max per day 2

40% after deduct ible

Outpatient Surgery

20% after deductible

40% after deduct ible

Inpatient Hospital

20% after deductible

Emergency Room (Waived if Admitted) Retail Prescriptions Generic (Tier 1a/1b) Preferred (Tier 2) Non- Non-Preferred (Tier 3) Specialty (Tier 4)

$150 copay, then 20% after deductible

30-day supply $5/$15

30-day supply $5/$20

30-day supply All tiers: 50% up to $250

30-day supply All tiers: 50% up to $250 max

$30 $50 30% up to $250 max

$40 $60 30% up to $250 max

Behavior Frontiers Benefits Guide | 5

Anthem HDHP Plan A High Deductible Health Plan (H.D.H.P.) is a PPO which allow the same freedom as the other PPOs. You do not need to elect a PCP or obtain PCP-authorized referrals to specialists. You can seek medical care from both in and out-of-network providers. The difference is your overall annual contributions will be lower on the High Deductible Health Plan (HDHP) plan, you must meet the deductible before the copays and co-insurance start kicking in, which means you should expect to pay out of pocket for your prescriptions and doctor visits at the beginning of the year. The exception to this is your preventative services, which the plan will cover at 100% as long as you go to an in-network provider. The High Deductible Health Plan (H.D.H.P.) is a medical plan which allows you to open a Health Savings account

Solution HDHP (H.S.A.) Plan

Out-of-Network 1

In-Network

$3,000 single $6,000 family

$9,000 single $18,000 family $15,000 single $30,000 family

Calendar Year Deductible

$5,000 single $10,000 family

Calendar Year Out-of-Pocket Maximum

Physician Office Visit

0% after deductible

30% after deductible

Specialist Office Visit

0% after deductible

30% after deductible

LiveHealth Online

No charge

30% after deductible

Preventive Care

No Charge

30% after deductible

Urgent Care

0% after deductible

30% after deductible

Diagnostic X-Ray/Lab

0% after deductible

30% after deductible

Outpatient Surgery

0% after deductible

30% after deductible $1,000 copay if no preauthorization

Inpatient Hospital

0% after deductible

Emergency Room (Waived if Admitted)

0% after deductible

Prescription Deductible

Combined with Medical Deductible $5/$15

Combined with Medical Deductible All tiers: 30% up to $250

Generic (Tier 1a/1b) Preferred (Tier 2) Non-Preferred (Tier 3) Specialty (Tier 4)

$40 $60 30% up to $250 max

Behavior Frontiers Benefits Guide | 6

. HEALTH SAVINGS ACCOUNT (H.S.A.)

Health Savings Account (HSA)

A Health Savings Account (HSA) is a special savings account that is paired with a high-deductible health plan (HDHP), also referred to as a “consumer - driven health plan”. This type of plan encourages participants to be wise healthcare consumers and utilize lower cost options wherever possible. HDHPs are designed to help you save money and pay for qualified medical expenses. This type of a plan is meant to have a cumulative effect on cost savings.

• Deposit money into your HSA via pre-tax payroll contributions

• Save on taxes by lowering your federal taxable income

• Use your HSA to pay for qualified medical expenses such as deductibles, copays and coinsurance

•

Invest your savings in mutual funds

How much can you contribute to your HSA in 2023

Annual catch-up contribution $1,000 if age 55 or older

Individual only $3,850

Individual + spouse, children, $7,750 or family

Reminders:

• Yearly contributions should be made by your tax filing deadline.

• Distributions from your HSA and contributions made for or during the previous year need to be

reported on IRS form 8889. This is important because it needs to match what is reported on the

1099-SA form.

• For catch-up, eligible spouses over 55 can only make catch-up contributions to his/her account

Behavior Frontiers Benefits Guide | 7

Behavior Frontiers offers a Dental PPO plan through Anthem Blue Cross which gives you the ability to obtain dental care services from the dentist of your choice. In order to receive the highest level of coverage under the plan, simply obtain care from an in-network provider. DENTAL

Dental PPO Plan

Out-of-Network 1

In-Network

$50 single

Calendar Year Deductible

$150 family

Waived for Preventive Care?

Yes

Calendar Year Maximum Benefit

$1,500 per person

Diagnostic/Preventive - Oral Exams, Routine Cleanings/Most X-Rays, Sealants Basic Services - Fillings, Root Canals, Scaling and Root Planing, Extractions, Periodontal Surgery

30 %

No charge

10% after deductible

50% after deductible

Major Services - Crowns, Dentures

40% after deductible

50% after deductible

Orthodontia - Child Only (through age 18)

50% after deductible

Orthodontia - Lifetime Maximum

$1,000 per person

Coinsurance percentages shown in the above plan descriptions represent the amount paid by the member. 1. Members are responsible for all charges above Anthem’s allowable amounts when using non -

Behavior Frontiers offers a Vision plan through Anthem Blue Cross. You will get the best value from your vision care plan when you visit an Anthem Blue Cross network provider. VISION

Blue View Vision Plan

Frequency Limits

Every 12 months Every 24 months Every 12 months Every 12 months

Exam Frames Lenses Contacts

In-Network

Out-of-Network Reimbursement

Exam

$10 copay

Up to $49

Frames

$130 allowance then 20% off any remaining balance

Up to $50

Single Vision Lenses

No charge

Up to $35

Bifocal Lenses

No charge

Up to $49

Trifocal Lenses

No charge

Up to $74

Elective Contact Lenses (Non- Disposable)

$130 allowance then 15% off any remaining balance

Up to $92

Medically Necessary Contact Lenses

No charge

Up to $250

8 | Behavior Frontiers Benefits Guide

BASIC LIFE AND AD&D

Although we don’t like to think about it, should death occur, the survivors left behind could face serious financial hardships. Your family might need an alternative source of income to pay off your bills and meet their ongoing financial responsibilities. That is the purpose of life insurance - to provide funds for those left behind. It is also possible that an accident could cause serious injury – the loss of limbs or eyesight, for example. There is special insurance coverage which pays benefits if an accident causes loss of life, limb or sight – it is called accidental death and dismemberment (AD&D) insurance. AD&D pays an additional benefit in the event of your accidental death or dismemberment. It also provides benefits for certain accidental injuries. As an eligible employee of Behavior Frontiers, you are provided with $25,000 of life and AD&D insurance through Mutual of Omaha, at no cost to you.

Note: In order for your beneficiary to receive a benefit in the event of a death claim, an employee must have worked a minimum of 30 hours or more per week.

NAMING YOUR BENEFICIARY

You may name anyone you wish as the beneficiary who will receive your life and AD&D insurance benefits in case of your death*. You can designate your beneficiary(ies) when you initially enroll or by contacting the Behavior Frontiers Benefits Service Center. Once you have selected your beneficiary, your designation will remain unchanged until you update it. You may change your beneficiary as often as you wish.

*Subject to state regulations and other limitations; you may wish to consult an attorney for details.

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BenePlus Package

BenePlus is available for all employees. This is an employer paid benefit, but you must opt in. You will have the opportunity to enroll outside open enrollment; please check with HR for details. Teladoc ($0 visit fee) Feel better now! 24/7 access to a doctor is only a call or click away — anytime, anywhere with a $0 visit fee for general medical issues. With Teladoc, you can talk to a doctor by phone or online video to get a diagnosis, treatment options and prescription, if medically necessary. Save time and money by avoiding crowded waiting rooms in the doctor’s office, urgent care clinic or ER. Just use your phone, computer, smartphone or tablet to get a quick diagnosis by a U.S.-licensed physician . Teladoc Mental Health ($0 visit fee) Teladoc Mental Health provides confidential therapy on your terms with virtual access to licensed therapists for only $0 per visit. You and your family members 13 and older can establish an ongoing relationship with a licensed therapist through video or phone sessions, and get support for anxiety, depression, stress, grief, PTSD, family or marriage issues, and more. Telephonic EAP Professional counseling and work/life support to help you cope with the ups and downs of life.

NBFitness Stay active for just $28 per month! NBFitness provides you with extreme flexibility in membership choices, direct access to a national network of nearly 12,000 participating gym partners, and 9,000+ workout videos. You can switch gyms anytime, and you’ll pay the monthly charges directly on the Active&Fit Direct website. New Benefits Rx Teladoc Mental Health provides confidential therapy on your terms with virtual access to licensed therapists for only $0 per visit. You and your family members 13 and older can establish an ongoing relationship with a licensed therapist through video or phone sessions, and get support for anxiety, depression, stress, grief, PTSD, family or marriage issues, and more. Lab Testing Know your numbers! Help monitor your health with 10% to 80% off typical costs of routine lab work. Lab benefit not available in NJ, NY, and RI.

NBDeals NBDeals is your one-stop shop for exclusive discounts from 500+ merchants, with new deals added weekly.

ACCESS YOUR BENEFITS ON THE GO! With the My Benefits Work mobile app & portal

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Behavior Frontiers Benefits Guide | 10

COST OF COVERAGE

How You Pay for Health Care Costs

PREMIUM: A premium is the total cost for your medical insurance. You and Behavior Frontiers share this cost. You pay your portion through pre-tax payroll deductions.

Your Total Cost of Care

Remember, your total health care cost for the year is the combination of your out-of-pocket expenses when you access medical care and the premium contributions you make for coverage.

COPAY: A copay is a set payment you make for a specific service.

Premiums + Out-of-Pocket Costs

COINSURANCE: When you are paying coinsurance, you are sharing a percentage of the cost of services with the medical plan. For example, in the Classic PPO plan, after you satisfy your deductible, you will pay 20% coinsurance for most medical care that you receive from preferred providers. DEDUCTIBLE: A deductible is the amount you must pay before the medical plan begins sharing the cost of services. You pay this full amount, if required by your plan, before the plan pays benefits. For example, if you are enrolled in the Solution PPO plan, you must pay as much as $1,500 per person for covered care over the course of the calendar year before the plan pays any benefits. OUT-OF-POCKET MAXIMUM: The annual out-of-pocket maximum protects you from major medical expenses. This is the most you would pay, including your deductible, for eligible expenses during a year. Once you reach the out-of-pocket maximum, the plan pays 100% of the allowable charges for covered services. For example, if you are enrolled in the Classic PPO plan, your calendar year out-of-pocket maximum for in-network care is $4,000 per

= Total Cost of Health Care

Depending on your personal situation, the plan with the lowest deductible may not be the best plan for you. Be sure to take a good look at the total cost of your expected care before making your plan decisions for the year.

person to a maximum of $8,000 per family.

11 | Behavior Frontiers Benefits Guide

PLAN COSTS

The following chart shows the amounts you will pay for coverage under each plan this year.

Benefit

You Pay Per Month

You Pay Per Pay Period

Value HMO (CA Care Network) Employee

$158.68

$73.24

$793.40

$366.18

Employee + Spouse

$581.85

$268.54

Employee + Child(ren)

$1,269.46

$585.90

Employee + Family

Classic HMO (Select HMO Network) Employee

$155.21

$71.63

$776.05

$358.18

Employee + Spouse

$569.13

$262.67

Employee + Child(ren)

$1,241.71

$573.10

Employee + Family

Classic PPO Employee

$314.41

$145.11

$1,392.42

$642.65

Employee + Spouse

$1,033.09 $2,200.77

$476.81

Employee + Child(ren)

$1,015.74

Employee + Family

Solution PPO Employee

$246.21

$113.64

$1,231.10

$568.20

Employee + Spouse

$902.81

$416.68

Employee + Child(ren)

$1,969.62

$909.06

Employee + Family

Solution HDHP (HSA) Employee

$191.45

$88.36

$957.29

$441.83

Employee + Spouse

$702.02

$324.01

Employee + Child(ren)

$1,531.56

$706.88

Employee + Family

Dental PPO Employee

$9.62

$4.44

$41.71

$19.25

Employee + Spouse

$44.70 $80.04

$20.63 $36.94

Employee + Child(ren)

Employee + Family

Blue View Vision Employee

$7.25

$3.35

$14.50

$6.69

Employee + Spouse

$14.86

$6.86

Employee + Child(ren)

$22.12

$10.21

Employee + Family

Behavior Frontiers Benefits Guide | 12

MEET SYDNEY, ANTHEM’S MOBILE APP

With Sydney, you can find everything you need to know about your Anthem benefits -- personalized and all in one place. Sydney makes it easier to get things done, so you can spend more time focused on your health. Sydney is:

Simple – Ready for you to use quickly, easily and seamlessly, with one-click access to benefits info, Member Services, wellness resources and more. Smart – Sydney acts like a personal health guide, answering your questions and connecting you to the right resources at the right time. Plus, you can use the chatbot to get answers quickly. Personal – Get alerts, reminders and tips directly from Sydney. Get doctor suggestions based on your needs. The more you use it, the more Sydney can help you stay healthy and save money.

Finding a Provider The best way to find a provider is using the Sydney App. The app will have your specific plan information saved and will help you find a provider that is in-network and close by. Simply click the “Find Care” button at the bottom of the app to begin your search for a doctor, dentist or any other provider or facility that you need.

EMPLOYEE RESOURCES

Employee Assistance Program (EAP) You and your family members — spouse or partner, dependent children, parents and in-laws — will receive confidential support and services specifically designed to help with issues that may arise personally or professionally. The Mutual of Omaha EAP provides direct, hands-on help to address many types of problems such as marriage and family counseling, substance abuse, stress management, grief and loss, financial consultation and much more. An EAP counselor is available around the clock for emergency and crisis situations. Simply call (800) 316-2796 to speak with an advisor. You may be eligible for 3 face-to-face sessions per issue, free of charge. You can also visit www.mutualofomaha.com/eap.

Travel Assistance Program As an eligible employee, you, your spouse or partner, and your dependent children will have automatic access to Travel Assistance This service provides certain types of medical, legal and financial assistance 24 hours a day, 365 days a year, when more than 100 miles away from home. Travel and financial services include:

• Hospital admission assistance • Emergency medical evacuation • Prescription replacement assistance

• Transportation for a friend or family member to join … a hospitalized patient • Care and transport of unattended minor children • Referrals to Western-trained, English-speaking medical … providers • Passport replacement assistance • And more

13 | Behavior Frontiers Benefits Guide

ANTHEM ADDITIONAL RESOURCES

Anthem Blue Cross Special Offers With Special Offers through Anthem, you can get discounts on products and services that help promote better health and well-being. Here are just some of the vendors offering discounts to Anthem members:

LiveHealth Online Have you ever been at work and didn’t feel well? Maybe you had a fever or a sore throat but you didn’t have time to leave and see your doctor or go to urgent care. Now, with LiveHealth Online, you can see a board-certified doctor in minutes. Just use your smartphone, tablet or computer with a webcam. It’s so convenient, almost 90% of people who’ve used it feel they saved two hours or more and would use it again in the future. To start using LiveHealth Online, all you need to do is sign up at livehealthonline.com or download the app.

Vision and hearing

• Glasses.comTMand 1-800-CONTACTS® • Premier LASIK • Nations Hearing Fitness and health

• Active&Fit DirectTM • Jenny Craig® • SelfHelpWorks Family and Home • 23andMe • Safe Beginnings® • ASPCA Pet Insurance Medicine and treatment

1. 24/7 access to doctors. They can assess your condition, provide treatment options and even send a prescription to the pharmacy of your choice, if needed.2 It’s a great way to get care when your doctor isn’t available. 2. Medical care when you need it. For things like the flu, a cold, sinus infection, pink eye, rashes, fever and more. 3. Convenience. Since there are no appointments or long waits. In fact, most people are connected to a doctor in about 10 minutes or less. Doctors using LiveHealth Online typically charge $49 or less per visit, depending on your health plan. ConditionCare ConditionCare is a program that gives you resources and tools to help you take care of certain health conditions. When you enroll in ConditionCare, you get: • 24/7 toll-free access to a nurse coach who can answer questions about your condition. • A health screening and follow-up calls to help you reach personal health goals. • Educational guides, newsletters, tips and tools on how to take care of your health.

• Puritan’s Pride • Allergy Control products • National Allergy® supply To learn more, log in to anthem.com/ca and select “Discounts”. Future Moms Ever wish you had a go-to source for all of your questions about pregnancy? Now, you do. Future Moms is a program that can answer your questions, help you make good choices and follow your health care provider’s plan of care. And it can help you have a safe delivery and a healthy child. Sign up as soon as you know you’re pregnant. Just call toll free at (800) 828-5891. 24/7 NurseLine Whether it’s 3 a.m. or a lazy Sunday afternoon with the family, health issues can crop up at the most inconvenient times and places. What if you had a nurse in your back pocket — someone knowledgeable you could talk to any time of the day or night, 365 days a year? That’s why Anthem Blue Cross offers 24/7 NurseLine, a resource you call when life throws you a curve ball. The registered nurses can help you with your baby’s fever, give you allergy relief tips and advise you where to go for care.

The program aims to help members with:

• Asthma

• Chronic Obstructive Pulmonary Disease (COPD)

• Diabetes

• Heart Disease or Heart Failure

To join, call toll-free at (866) 962-0957

To access the 24/7 NurseLine, call (800) 337-4770.

Behavior Frontiers Benefits Guide | 14

HOW TO FIND A PROVIDER

To find an in-network provider,

follow the steps listed below:

MEDICAL

6. Under, “Select a plan /network”, choose the network of the plan you are searching for:

1. Go to www.anthem.com/ca and select “Find Care”

- For the Anthem Value HMO Plan (California Care Network): .. Blue Cross HMO (CACare) - Large Group

2. Select a plan for basic search

3. Under, “Select the type of plan or network”, choose Medical Plan or Network 4. Under, “Select the state where the plan or network is offered” select the state you live in 5. Under, “Select how you get health insurance” choose Medical (Employer-Sponsored) Dental 1. Go to www.anthem.com/ca and select “Find Care” 2. Select a plan for basic search 3. Under “Select the type of plan or network”, choose Dental Plan or Network 4. Under “Select the state where the plan or network is offered”, select the state you live in 5. Under “Select how you get health insurance”, choose Dental 6. Under “Select a plan or network”, choose Dental Complete

- For the Anthem Classic HMO Plan (Select HMO Network): Select HMO

- For the Anthem Classic, Solution, and HDHP PPO Plans:

-If you are in California select: Blue Cross PPO (Prudent Buyer)-Large Group

-If you are not located in California select: National PPO (BlueCard PPO) ..(Employer-Sponsored)

Vision 1. Go to www.anthem.com/ca and select “Find Care”

2. Select a plan for basic search

3. Under “Select the type of plan or network”, choose Vision Plan or …. Network 4. Under “Select the state where the plan or network is offered”, select the …. state you live in

5. Under “Select how you get health insurance”, choose Vision

6. Under “Select a plan or network”, choose Blue View Vision

BENEFITS SERVICE CENTER Employees of Behavior Frontiers can call a convenient, toll-free number to reach experienced benefits administrators and licensed insurance professionals for information on benefits, eligibility, claims assistance and how to enroll in the online enrollment system. Employees of Behavior Frontiers have access to the Benefits Service Center from 9:00 am to 5:00 pm Pacific Time, Monday through Friday (excluding holidays). Spanish speaking representatives are available. Toll Free: (855) 367-4114 Email: benefitservices@behaviorfrontiers.com

15 | Behavior Frontiers Benefits Guide

With our benefits website and our online enrollment system (powered by OnePoint), you can view our benefit offerings, learn about the plans, their costs, and select what is best for you and your family. You will have instant access to all of your benefits and personal information and can visit the site at any time during the year to view your plan selections. Follow the easy steps outlined on the next pages to complete your enrollment. HOW TO ENROLL USING ONEPOINT

Start at Our Benefits Website To view our plan options, learn more about what each plan has to offer and review costs, start at our benefits website. Go to:

http://behaviorfrontiers.myboltonbenefits.com/

Once you have accessed the benefits website review your plan options, eligibility and more.

When you are ready to enroll, select “Enrollment Instructions” from the “Enrollment” drop down menu at the top right of the screen. Click on the “Enroll Now” button to log into the OnePoint enrollment system where you will complete your enrollment.

You can also log on tosecure.onehcm.com/ta/bfllc.login to log in directly.

Behavior Frontiers Benefits Guide | 16

Access Benefit Selection

You can also access the benefits selection process

You can access the benefit enrollment process on

from the Hamburger Menu on the top-left corner, by

your dashboard in the My Benefits widget.

selecting My Benefits > Enrollment.

Depending on your employee status the link may

say “Start New Employee Enrollment” or “Start

open Enrollment”.

17 | Behavior Frontiers Benefits Guide

Selecting Benefits Once you have initiated the applicable enrollment process, navigate through each tab to select/waive benefits By

clicking the blue “Continue” button in the top right.

Benefit Plan Tabs: Each of the benefit tabs will provide a detail of the benefit plans offered by your employer and will allow you to select/waive appropriate coverages. Waive Benefits: If you would like to waive coverage, simply click the check box in the top left next to “Waive all Medical”. Selecting Coverage: Before you can select a plan to enroll in, you must select the coverage option you would like to select from the dropdown box (Employee Only, Employee + Spouse, Employee + Child(ren) or Employee + Family). Once you have selected your desired coverage level, you can check the box to the left of the plan name to select the benefit plan. Add Account Dependent: If you selected a coverage option with a spouse/dependent, you will be prompted to Select your Spouse/Children after you have selected the benefit plan.

Behavior Frontiers Benefits Guide | 18

If your Spouse/Children information is not yet in the

system, click “Add Contact” to enter their required

information.

The Confirm & Submit page will display a summary of

your waived/selected plans. Carefully review your

benefit selections. If your selections are accurate, click

“Submit” in the top right.

You can also download and print a copy of your benefit

selections by clicking “Download PDF” .

As you go through the enrollment process and successfully select coverage options on each tab, a green check mark will appear for each tab.

Once you click “Submit, you will be prompted to enter

your password. Your password will serve as your

electronic signature. Once you have entered your

password. Click “Accept”.

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For more information, contact: Claudia Lopez Director of HR 100 N. Pacific Coast Highway, Suite 1400 El Segundo, CA 90245 310.856.0800 clopez7@behaviorfrontiers.com

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While every effort has been made to be as accurate as possible in developing the enclosed information, the official plan documents prevail in all cases. This is not a legal document. It is a brief summary of benefits and is not considered “Evidence of Coverage.” P lease refer to the policy/plan documents for a complete description of the controlling terms, coverages, exclusions, limitations and conditions of coverage. In case of any discrepancy between this information and the policy/plan documents, the policy/plan documents will prevail. Behavior Frontiers reserves the right to terminate, suspend, withdraw, or modify the benefits described in the policy/plan documents in whole or in part, at any time. No statement in this or any other document, and no oral representation should be construed as a waiver of this right. This summary is the confidential property of Behavior Frontiers.

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