2022 BENEFITS EGUIDE - Vmdcommunity

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2022 BENEFITS eGUIDEFor VillageMD StaffThis eGuide contains important information about your benefits programs.Please read thoroughly and discuss with your family.5/2022GET STARTED

TABLE OF CONTENTSBenefits for Your Total Well-Being.3Commuter Benefits. 18Eligibility. 4Basic Life and Accidental Death & Dismemberment (AD&D) Insurance. 19Enrollment Checklist.5Employee-Paid Supplemental Life and AD&D. 20Medical. 6Disability. 21Prescription Drugs. 10Employee Assistance Program (EAP). 22Monthly Medical Plan Costs.12Work Life Solutions. 23Cigna Wellness Programs.13401(k) Retirement Savings Plan. 25Dental.14Paid Time Off Programs. 26Vision.15Learning & Development.27Tax-Advantaged Accounts.16Benefits Contact Information. 28The information contained in this document is intended to summarize the benefits provided to you by Village Practice Management Company, LLC.Every effort has been made to ensure the information in this document is accurate. Information in this document is intended to provide only abrief summary of your benefits and should not be relied upon as a definitive description of coverage. The formal legal plan documents and yoursummary plan descriptions contain additional details. If any of this information conflicts with the legal plan documents, the legal plan documents’provisions will prevail. Nothing in this document constitutes a contract for, or guarantee of, any level of compensation or benefits or continued orfuture employment with Village Practice Management Company, LLC. Village Practice Management Company, LLC reserves the right to amendand/or terminate any of its plans at any time in its sole discretion.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com2

BENEFITS FOR YOUR TOTAL WELL-BEINGWe appreciate your commitment to high-quality, value-based care — a commitment shared by your colleagues throughout the VillageMD family.To help you be your best at home and at work, we’re pleased to invest in benefit programs that support your total well-being.We encourage you to explore the comprehensive benefits VillageMD offers to meet your diverse needs.Physical Medical & Prescription Virtual Care Dental VisionFinancialMental & Emotional 401(k) with Match Employee AssistanceProgram (EAP) HSA, FSAs, Commuter Accounts Life, AD&D and Disability Financial & Legal ConsultationsTHEWHOLEYOU Talkspace Bereavement SupportPersonal Paid Time Off Paid Holidays Volunteer Time OffCareer Learning & Development Parental LeaveTABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com3

ELIGIBILITYEligible Team Members Team members must work 30 hours or more per week to meet the benefits eligibilityrequirement.Eligible Dependents Your legal spouse, civil union partner or domestic partner, regardless of sex or gender. Your child(ren) under age 26, or those age 26 and older who are permanently and totallydisabled.For purposes of plan eligibility, your child(ren) means: Your birth child; Your legally adopted child or a child placed with you for adoption; A child for whom a court has appointed you legal guardian; Your stepchild; Your foster child; or Your domestic/civil union partner’s birth child or legally adopted child.To be eligible for coverage, all dependents other than newborns must have a valid SocialSecurity number.ARE YOU ELIGIBLE FOR MEDICARE?If you and/or your covered dependentsbecome eligible for Medicare nowor during the coming year, pleasealert the VillageMD Benefits Centerimmediately by email at benefits@villagemd.com. Group health plansmust follow Federal Medicarecoordination of benefits (COB) rules.VillageMD medical and prescriptiondrug plans pay first (primary), andMedicare pays next (secondary).Eligible dependent children who are disabled must have been disabled and covered by theplan before reaching age 26. You must submit an application to the VillageMD Benefits Centerbefore the dependent turns age 26 to determine if they meet the criteria under the plan. If yourdependent reaches age 26 before your application is approved, any claims will be denied untila determination is made.If a dependent’s eligibility status changes and they no longer meet the definition of an eligibledependent, they must be removed from coverage. You must notify the VillageMD BenefitsCenter within 30 days by email at benefits@villagemd.com, so that COBRA (if applicable) and/or State Continuation coverage can be extended to the eligible dependent. Otherwise, yourdependent may lose their right to COBRA (if applicable) and/or State Continuation coverage.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com4

ENROLLMENT CHECKLISTMAKING CHANGESYou must take action to either elect or waive the VillageMD coverage options in the first30 days after your hire date.You are eligible for VillageMD benefits if you work 30 hours per week. Your benefits effectivedate differs slightly depending on how you joined VillageMD.If you were hired directly, benefit coverage beginson the first day of the month after your hire date, withone exception: you become eligible for the 401(k)Retirement Savings Plan 90 days after your hiredate. You will be auto-enrolled on the first day of themonth after the 90 days, at a 3% contribution level.If you joined through anacquisition, benefit coveragebegins on your first day as aVillageMD team member, with nowaiting period to participate in the401(k) Retirement Savings Plan.Enrollment ChecklistGo to workforcenow.adp.com within the first 30 days after your hire or acquisition date tomake your benefit elections for: MedicalDentalVisionEmployee-Paid SupplementalLife and AD&D Long-Term Disability (LTD)* Health Savings Account (HSA)Health Care Flexible Spending Account (HCFSA)Limited Purpose Flexible Spending Account (LPFSA)Dependent Care Flexible Spending Account (DCFSA)Commuter Benefits AccountsYou do not need to enroll for these benefits, which are provided automatically at no costto you: Company-Paid Basic Life and AD&D Insurance, Short-Term Disability, Long-TermDisability (director level and above only), and the Employee Assistance Program (EAP).If you decide to opt out of VillageMD’s medical, dental, vision or LTD* coverage, you arerequired to waive coverage.Designate your beneficiary for your HSA, your Life & AD&D coverage and your 401(k)Retirement Savings Plan account.Upon completing your benefit elections, it’s important you validate your elections andclick “SUBMIT ENROLLMENT” to complete the process.Check the email confirmation of your benefit elections. If you find an error, you mustcontact the VillageMD Benefits Team at benefits@villagemd.com within 30 days after thedate of the email confirmation.Once you enroll for 2022, you maymake changes to your elections duringthe plan year only if you experience aqualified life event, such as: BirthAdoptionMarriageDivorceYour spouse/partner losescoverage through their employerYou must make any benefit changeswithin 30 days of the event bycontacting the VillageMD Benefits Teamby email at benefits@villagemd.com.The change must align with thequalifying event (e.g., adding adependent to the plan after the birthof a child). The change will take effectas of the event date.IMPORTANT BENEFITS INFORMATION You can find the Summary ofBenefits and Coverage andimportant legal notices onVMDcommunity.com. After you enroll, you can viewyour elections anytime atworkforcenow.adp.com. To access your 401(k) RetirementSavings Plan when eligible, go tomykplan.adp.com.* LTD is an enrollment decision only for team members below director level.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com5

MEDICALChoose Between Two Medical PlansVillageMDValue-Based PlanHSA Medical PlanCIGNA ONE GUIDE: YOURHEALTH BENEFITS RESOURCEBOTH PLANS:If you enroll in the VillageMDmedical or dental plan, you cantake advantage of Cigna OneGuide, a concierge service offeringpersonalized assistance to help you: Offer comprehensive coverage and cover the same services Resolve health care issues Allow you to see VillageMD Primary Care & Affiliate Providers as well as any Cignacontracted in-network provider you like — but you’ll pay less when you use VillageMDPrimary Care and Affiliate providers Get the most out of your plan Cover preventive care at 100% (including annual check-ups, vaccinations and wellness visits) Cover prescription drugs and behavioral and mental health care Find in-network hospitals andproviders Provide the opportunity to contribute to tax-advantaged health account(s) Get cost estimates Cover virtual visits, also known as telehealth Understand your bills orExplanation of Benefits Care management andcoordination supportCall 1-800-244-6224. Or log intomy.cigna.com or the myCignamobile app.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com6

MEDICAL (Continued)VillageMD Value-Based Plan: Confidential, Quality Care from VillageMDPrimary Care and Affiliate ProvidersVillageMD understands the importance of the physician-patient relationship. We believe everypatient should feel comfortable and confident that they are receiving access to affordable andquality care.The VillageMD Value-Based Medical Plan offers no-cost or low-cost care when delivered by aVillageMD Primary Care and Affiliate provider. We understand some team members will nothave access to VillageMD providers, so the plan gives you access and flexibility to choose froma broad network of Cigna-contracted providers.Your Virtual Care OptionsVirtual care is a convenient and cost-effective option for times when you need non-emergencycare but can’t — or prefer not to — go to a health care facility.Virtual care connects you or a family member with a physician or other provider who can assessyour symptoms over web video or phone, provide a prescription if appropriate, and guide youon any follow-up care.Your virtual care options include: MDLIVE for non-urgent conditions, behavioral health and primary care. To access MDLIVE,call 1-888-726-3171 or log in to my.cigna.com or the myCigna app and select Find Care. Village Medical primary care providers. Contact your provider to ask about virtual visits. Village available in certain markets.TABLE OF CONTENTSGOOD TO KNOW Medical plans may require “priorauthorization” or “pre-certification”for certain medical services. If youor your provider do not get priorauthorization or pre-certificationwhen required, benefits may bereduced or services not covered. Out-of-network benefits are paidbased on Cigna’s Schedule ofMaximum Allowances (SMA) orwhat can be referred to as a“Usual and Customary” level.Out-of-network providers are notobligated to accept the SMA orUsual and Customary Level and may“balance bill” you for their actualcharge above and beyond the SMAor Usual and Customary amount.These excess charges are notcredited toward your deductibleor out-of-pocket maximum.2022 Benefits eGuide — VillageMD StaffVMDcommunity.com7

MEDICAL (Continued)VillageMD Value-Based PlanThe VillageMD Value-Based Plan offers no-cost or low-cost care from VillageMD Primary Care and Affiliate providers.You can be confident you’ll receive confidential, professional care.We understand some team members will not have access to VillageMD providers, so the plan gives you accessand flexibility to choose from a broad network of Cigna-contracted providers. You will pay a bit more for care fromTier 2 (Cigna) and Tier 3 (out-of-network) providers, but your medical plan will cover the same services as it does forVillageMD Primary Care and Affiliate providers.Tier 1Tier 2Tier 3VillageMD Primary Care &Affiliate Providers(Varies by Market)Cigna-Contracted Providers(In-Network)Out-of-NetworkPlan ProvisionWhat You PayDeductible 0Wellness / Preventive CarePrimary Care Office VisitSpecialty Care Hospital Services(inpatient /outpatient) Rehabilitative Services Diagnostic Lab, X-RayOut-of-Pocket MaximumPrescription Drug Copays(30-day retail supply/90-day retail ormail-order supply)TABLE OF CONTENTS 750 individual/ 1,500 family 1,500 individual/ 3,000 family 0 (plan covers 100%) 0 (plan covers 100%)40% after deductible 0(includes telehealthvirtual care) 15 copay(includes telehealthvirtual care)40% after deductible(telehealth virtual carenot covered) 25 copay 40 copay40% after deductible10% coinsurance20% after deductible40% after deductible 3,000 individual/ 6,000 family 3,000 individual/ 6,000 family 6,000 individual/ 12,000 family Generic: 10/ 20Preferred Brand: 30/ 60Non-Preferred Brand: 60/ 120Specialty Brand: 100/ 20090-day supply available through Walgreens retail locations orExpress Scripts mail-order service.ABOUT THE FAMILYDEDUCTIBLEWith the VillageMDValue-Based Plan,each member is onlyresponsible for theirindividual deductible— then coinsurancebegins for that person.To find an in-networkprovider, registeron my.cigna.com toaccess the providersearch tool. Enter yoursearch details, andresults will list the Tier-1VillageMD Primary Careand Affiliate Providersat the top. Somemarkets may havelimited access to Tier-1providers.No coverage for prescriptionsfilled at out-of-networkpharmacies2022 Benefits eGuide — VillageMD StaffVMDcommunity.com8

MEDICAL (Continued)HSA Medical PlanThe HSA Medical Plan’s higher deductible makes you eligible to contribute to a Health Savings Account (HSA), per IRSregulations. An HSA will automatically be opened in your name if you enroll in this plan. Whether or not you contribute,VillageMD will make a contribution to your HSA in 2022.VillageMD Primary Care andAffiliate Providers Cigna-ContractedProvider NetworkAll Other Providers(In-Network)(Out-of-Network)Plan ProvisionDeductible (combined deductible formedical and prescription drugs)VillageMD’s HSA Contribution(pro-rated each pay period)Wellness / Preventive Care Primary Care Telehealth Virtual Care*Specialty CareHospital Services (inpatient/outpatient)Rehabilitative ServicesDiagnostic Lab, X-RayOut-of-Pocket MaximumPrescription Drug(30-day retail supply/90-day retailor mail-order supply)90-day supply available throughWalgreens retail locations orExpress Scripts mail-order service.What You Pay 1,500 individual / 3,000 family 3,000 individual/ 6,000 familyABOUT THE FAMILYDEDUCTIBLEWith the HSAMedical Plan, if youare covering familymembers in additionto yourself, the familydeductible amountmust be met beforecoinsurance begins forany family member. 500 individual / 1,000 family 0 (plan covers 100%) 0 (plan covers 100%)20% after deductible40% after deductible 3,000 individual / 6,000 family 6,000 individual/ 12,000 family Preventative Maintenance Generic:many are covered at 100%(no deductible) Generic: 10% after deductible Preferred Brand: 20% after deductible Non-Preferred Brand: 30% afterdeductible Specialty Brand: 30% after deductibleNo coverage for prescriptions filledat out-of-network pharmaciesTo find an in-networkprovider, registeron my.cigna.com toaccess the providersearch tool. Enter yoursearch details, andresults will list the Tier-1VillageMD Primary Careand Affiliate Providersat the top. Somemarkets may havelimited access to Tier-1providers.* For telehealth virtual care through MDLIVE, charges are 45 per medical visit, 65 per dermatology visit. Behavioral health service charges will vary.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com9

PRESCRIPTION DRUGSIncluded with Your Medical PlanWhen you enroll in VillageMD medical coverage, you are automatically enrolled in prescription drug coverage through Express Scripts,with Walgreens as our preferred retail pharmacy.The Express Scripts drug formulary includes a comprehensive list of common brand name and specialty drugs. Check with your primary carephysician or Express Scripts to see if your medication will be covered by the Express Scripts formulary.You typically pay the least for a generic drug filled at an in-network retail pharmacy, so it’s always smart to check with your primary care physicianto see if a generic alternative is available.VillageMD Value-Based PlanTier 1Tier 2Out-of-NetworkWhat You PayCopays per 30-day/90-day supply:Generic: 10/ 20Preferred Brand: 30/ 60Non-Preferred Brand: 60/ 120Specialty Brand: 100/ 200No coverage for prescriptions filled atout-of-network retail pharmaciesHSA Medical PlanIn-NetworkOut-of-NetworkWhat You PayMost Preventive Maintenance Generic: many covered at 100% (no deductible)Generic: 10% after deductiblePreferred Brand: 20% after deductibleNon-Preferred Brand: 30% after deductibleSpecialty Brand: 30% after deductibleNo coverage for prescriptions filled atout-of-network retail pharmaciesYou must meet combined medical and prescription plan deductible before coinsurance applies.NOTE: CVS Pharmacy is excluded as a service option. You may fill your prescriptions at Express Scripts’ broad network of retail pharmacies.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com10

PRESCRIPTION DRUGS (Continued)Partnering with Walgreens and Express Scripts for SavingsWalgreens Smart90or Express Scriptsmail-order? It’s up to you!For maintenance medications (those you take on a regularbasis), your VillageMD medical plan gives you two convenientways to save time and money: Walgreens Smart90: Pick up a 90-day supply at aWalgreens retail pharmacy. Express Scripts mail-order: Have a 90-day supply deliveredright to your door.You are free to choose whichever option works best for you.Prior Authorization/Step Therapy ProgramBefore you can receive benefits for certain medications, yourphysician will need to get approval through Express Scripts,and you must meet certain criteria. Under the Step Therapyprogram, you may be required to first try a proven, costeffective medication before progressing to a more costlytreatment if necessary.Accredo Specialty PharmacyMandatory ProgramFor complex medical conditions, you must use the AccredoSpecialty Pharmacy to receive in-network benefit levels.REGISTER WITH EXPRESS SCRIPTSRegister here, or download theExpress Scripts mobile app.You can reach Express Scriptsat 1-877-620-6729.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com11

MONTHLY MEDICAL PLAN COSTSVillageMD pays the larger share of your total health care premiums. To ensure affordability and fair distribution of costs, the amount you pay formedical coverage is based on your annual base salary as of October 1 for current team members, or your employment start date for new hires, aswell as the coverage tier you select.The 2022 monthly costs for benefits eligible team members are as follows:Coverage TierVillageMD Value-Based PlanHSA Medical PlanUnder 49,999Employee Only 71.82 80.59Employee Spouse / Domestic Partner 166.62 185.31Employee Child 155.51 172.10Employee Family 258.35 285.63 50,000– 74,999Employee Only 89.77 99.19Employee Spouse / Domestic Partner 208.28 226.50Employee Child 194.39 211.82Employee Family 322.94 351.54 75,000– 124,999Employee Only 101.74 111.58Employee Spouse /Domestic Partner 236.05 253.94Employee Child 220.30 238.29Employee Family 365.99 395.48More than 125,000Employee Only 149.62 161.17Employee Spouse /Domestic Partner 347.13 377.49Employee Child 323.98 350.82Employee Family 398.29 477.87VillageMD Value-Based PlanHSA Medical Plan 637.77 617.41Employee Spouse /Domestic Partner 1,479.71 1,432.47Employee Child 1,381.03 1,336.92Employee Family 2,294.30 2,221.04COBRA CostsEmployee OnlyTABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com12

CIGNA WELLNESS PROGRAMSCigna Healthy RewardsIf you enroll in VillageMD medical coverage, you can take advantage of the Cigna Healthy Rewards program. Healthy Rewards offers discounts for the following health and well-being programs: Active & Fit Direct gym membership discounts Tobacco cessation Weight management Stress management Healthy lifestyle productsThe program is separate from your medical, dental and vision benefits coverage, so the servicesdon’t apply to your plan’s copays or coinsurance. No doctor’s referral is required — and no claimforms, either. Set the appointments yourself, show your ID card when you pay for services and enjoythe savings.Cigna Healthy Pregnancies, Healthy Babies VillageMD medical coverage includes Healthy Babies , a maternity program offering informationand support from prenatal care to post-delivery. Maternity specialists are available over the phone 24/7 to help you with everything from morningsickness to maternity benefits. Call the number on the back of your Cigna ID card. Download the Cigna Healthy Pregnancy app. This valuable resource offers you an easy way totrack and learn about your pregnancy. It also provides support for baby’s first two years. You’ll also get support from a case manager if you’re hospitalized during pregnancy or your babyrequires intensive care (NICU).TABLE OF CONTENTSFOR MORE INFORMATIONTo learn more about theseprograms, contact CignaOne Guide at 1-800-244-6224or log in to my.cigna.com.2022 Benefits eGuide — VillageMD StaffVMDcommunity.com13

DENTALThe Dental PPO plan allows you to see any provider you choose. To minimize your out-of-pocket costs,use Cigna in-network providers.In-Network and Out-of-Network*DeductibleIndividualFamilyWaived for:Preventive ServicesCleanings, ExamsBasic ServicesFillings, Endodontics, PeriodonticsMajor ServicesCrowns, Bridges, ImplantsOrthodontia ServicesAdults and ChildrenAnnual Dental MaximumAdults and ChildrenOrthodontia Lifetime MaximumAdults and ChildrenCosts (Monthly)Employee OnlyEmployee Spouse /Domestic PartnerEmployee Child(ren)Employee Family 50 150Preventive and Orthodontia100%80%50%50% 2,000 2,000 9.66 18.46 22.98 31.78COBRA Costs (Monthly)Employee OnlyEmployee Spouse /Domestic PartnerEmployee Child(ren)Employee FamilyPROVIDER SEARCHGo to my.cigna.com or call Cigna OneGuide at 1-800-244-6224. 37.09 71.24 96.24 141.33* Out-of-network benefits are limited to the Usual, Customary & Reasonable (UCR) charge amount. If your out-of-networkprovider charges more than the UCR amount, you may be responsible for paying the excess amount in addition to thepercentage you would normally pay in-network.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com14

VISIONVSP helps you see well and be well with the coverage and quality care you deserve. If youobtain services from a provider not affiliated with VSP, you may be eligible for a small allowanceor reimbursement. To minimize your out-of-pocket expenses, use a VSP provider.VSP ChoiceIn-NetworkOut-of-NetworkExamCONNECT WITH VSP TO MAKE THEMOST OF YOUR VISION BENEFITSRegister on villagemd.vspforme.comso you can:Vision 10 copay 45 allowanceContacts 60 copay 45 allowance Access your plan ID cardSingle 25 copay 30 allowance See personalized benefit information,including previous doctor visitsLined Bi-focal 25 copay 50 allowance Find in-network providersLined Tri-focal 25 copay 65 allowance Find additional savingsLensesFrames 130 allowance( 20% off balance) 70 allowanceShop online at eyeconic.com ,the VSP preferred online retailerfor contacts, glasses or sunglasses.FrequencyExamEvery 12 monthsLensesEvery 12 monthsFramesEvery 24 monthsCosts (Monthly)Employee Only 2.32Employee Spouse/Domestic Partner 3.73Employee Child(ren) 3.80Employee FamilyFOR MORE INFORMATIONEmployee Only 5.09Employee Spouse/Domestic Partner 8.14Employee Child(ren) 8.31TABLE OF CONTENTSShop online at eyeconic.com ,the VSP preferred online retailerfor contacts, glasses or sunglasses. 6.11COBRA Costs (Monthly)Employee FamilySHOP ONLINE FOR EYEWEAR 13.40To learn more about thiscoverage, contact Vision ServicePlan (VSP) at 1-800-877-7195 orvillagemd.vspforme.com.2022 Benefits eGuide — VillageMD StaffVMDcommunity.com15

TAX-ADVANTAGED ACCOUNTSYou may contribute to a tax-advantaged health account to help you pay for eligible out-of-pocket expenses. The chart below will help youunderstand what options are available based on the VillageMD medical plan you elect — as well as what expenses you can pay for with your FSAaccounts.* Here’s how the different accounts work, including the amount you can contribute annually.Compatibility withVillageMD Medical PlansEligible ExpensesHSALimited Purpose FSAHealth Care FSADependent Care FSAEnroll in the HSA Medical PlanEnroll in theHSA Medical PlanEnroll in theVillageMD Value-Based PlanEnroll in theVillageMD Value-Based Planor HSA Medical PlanQualifying health care expenses,including medical, prescription drug,dental, orthodontia and vision careQualifying dental(including orthodontia)and vision careQualifying health careexpenses, including medical,prescription drug, dental,orthodontia and vision careQualifying dependentday care for an eligiblechild or adult 2,750 2,750 2,500 or 5,000,depending ontax filing statusYes, up to 550Yes, up to 550No 3,650 individual / 7,300 family2022 IRS MaximumAnnual ContributionRollover OptionPortabilityAbility to ChangeContributionsDuring the YearWhen Funds AreAvailable to SpendAge 55 may contribute anadditional 1,000IRS limits apply to team member andVillageMD contributions combinedYesYes. If you leave or retire fromVillageMD, the entire balance inyour HSA belongs to you.No. You may only be reimbursed for costs incurred while you are employed by VillageMD.Exception: Team members can elect the Health Care FSA under COBRA after terminating employment.Yes. You can start, changeor stop contributions anytimethroughout the year.No. The contribution amount you elect during enrollment cannot bechanged unless you experience a qualified life event.Contributions are available upondeposit to your account, per IRS rules.Interest EarningYes. Once your account balanceexceeds 1,000, you may chooseto invest those dollars and anyinterest earned is tax-free.Who the Funds CanBe Used forYou, your spouse and anyoneyou can claim as a dependent onyour federal tax return.The annual amount you elect to contributeis available as soon as administratively possibleafter your start date.Contributions areavailable upon depositto your account.NoYou, your spouse and anyone you can claimas a dependent on your federal tax return.Qualifying dependent daycare expenses for a child upto age 13, elderly parent ordisabled spouse who is notphysically or mentally able tocare for himself or herself.* For important IRS guidelines on Health Savings Accounts and Flexible Spending Accounts, please visit: irs.gov/publications/p969/. Note that tax regulations are subject to change.Consult a qualified tax/financial advisor to determine the best approach for your situation.TABLE OF CONTENTS2022 Benefits eGuide — VillageMD StaffVMDcommunity.com16

TAX-ADVANTAGED ACCOUNTS (continued)Health Savings Account Offers Triple Tax AdvantagesIf you enroll in the HSA Medical Plan, you can benefit from the triple tax advantages of aHealth Savings Account: Tax-free savings: Contribute each pay period pre-tax. Tax-free growth: Earn interest tax-free, invest at 1,000. Tax-free payments: Pay for eligible health care expenses tax-free.2022 IRS CONTRIBUTION LIMITSIRS Annual Contributions LimitVillageMD ContributionContribution Changes 3,650 individual/ 7,300 family 1,000 age 55 500 individual/ 1,000 familyAllowed anytimeABOUT YOUR HSA CONTRIBUTIONS You must remain HSA-eligible for all 12 months of the tax year to make the full annual HSAcontribution. If you become ineligible for an HSA later in the year, you must prorate yourmaximum contribution. You are generally not eligible to open an HSA if any of the following apply:– You or your spouse are participating in an FSA (other than a Limited Purpose FSA) in thesame tax year, or have a “rollover amount” or grace period from the prior year– You are entitled to enroll in Medicare (Part A, B, C or D or Medigap)– You are enrolled in another health plan (i.e. spouse’s plan) that is not a qualifiedhigh-deductible health plan– You can be claimed as a dependent on someone else’s taxes– You are eligible for a Health Reimbursement Arrangement (HRA) or a Medical ExpenseReimbursement Plan (MERP), which provides benefits prior to reaching the IRS requiredminimum qualified high-deduc

Security number. Eligible dependent children who are disabled must have been disabled and covered by the . Go to workforcenow.adp.com within the first 30 days after your hire or acquisition date to make your benefit elections for: . mobile app. TABLE OF CONTENTS 2022 Benet eGuide VieMD St VMDcommunity.com 6. GOOD TO KNOW Medical plans .