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OPEN ENROLLMENTYOUR BENEFITS FOR 2025US EMPLOYEES (NON-WISCONSIN)FOCUSING ON WHAT MATTERSDIVERSIFIED BENEFIT SERVICESFLEXIBLE SPENDING ACCOUNTHEALTHBENEFITSVISIONWELLNESSEMPLOYEE EXPERIENCEEYEMEDDENTAL DELTA DENTAL 401KPRINCIPALEMPLOYEE ASSISTANCE PROGRAM COMPSYCH CENTIVO EVERSIDEMEDICALVIRTUAL CARELIFE INSURANCEDISABILITYSYMETRAON-SITE HWC- PREVEAPHYSICAL THERAPY AND DIETICIAN MEDICAL CONSULT2ND MDPRESCRIPTIONSHEALTHSAVINGSACCOUNTWEXEXPRESS SCRIPTS
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 22025 Bemis Benefits Open EnrollmentAt Bemis, we connue to evaluate and update our benets programs to oer health care opons to meet the diverse needs of our employees. The annual Benets Open Enrollment period is your me to:• Review with your benet opons• Learn about what’s new and changes being made• Choose the plans that best meet the needs of you and your familyThe guide will include ps, checklists and informaon about the benet opons and choices available to you. Our goal is to make it easy for you to understand, evaluate, and enroll in your benets.LINDA BLOOMER / Director Benets & PayrollWELCOME! VIEW ONLINE
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 32025 OPEN ENROLLMENTOpen Enrollment is your annual opportunity to review the benet opons available to you, think about any changes in your personal situaon, and make informed decisions that are right for you and your family. This guide will help you understand the changes being made to our plans for the coming year. An Enrollment Checklist is provided to help you through the decision-making process. If you sll have quesons, aend an open enrollment meeng. Watch for posted noces (or email) for dates and mes. The choices you make during benets Open Enrollment stay in eect all year, through December 31, 2025—unless you experience a qualied life event. If you experience a qualied life event, any changes must be requested by you within 31 days of the event. See page 26 for details.See page 25 WHAT HAPPENS IF YOU DON’T ENROLL BY You will not be enrolled in the:• Health Care FSA.• Dependent Care FSA.• Health Savings Account (you must be enrolled in the HDHP medical plan to contribute to this account). Elecons to the HSA are also permied during the year.You will automacally be re-enrolled in the following for 2025:• Your current medical, dental, and vision elecons will connue.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 42025 BENEFIT HIGHLIGHTSMedical PlansThere are two medical plans for you to choose from, the Preferred Provider Organizaon (PPO) plan and the High Deducble Health Plan (HDHP). Refer to the Medical Plan secon on pages 6-15 for the details and what is changing for 2025.• Deducbles and out-of-pocket maximums are not changing for the PPO plan.• Premiums are changing for the PPO Plan.• Deducbles, out-of-pocket maximums, and premiums are not changing for the High Deducble Health Plan. • Roune vaccinaons available through Rx pharmacy.Wellness ProgramIf you met the September 30, 2024 deadline for the 2025 Wellness Program incenve you will be eligible for the lower medical monthly premium rate. Refer to the Wellness secon (page 18) to learn about the requirements and deadline to be eligible for the 2026 Wellness Program incenve. Spending Accounts (FSAs)Do you typically have medical, prescripon, dental and vision expenses, or child care expenses that you pay out-of-pocket? FSAs enable you to pay for certain eligible expenses with pre-tax dollars.You decide how much money you want to contribute throughout the year. The money comes out of your pay before federal income tax and Social Security tax are taken out – and, in most cases, before state and local taxes are taken out too. This reduces your taxable pay and, as a result, your taxes.Dental Plan• There are no changes to the dental plan.• Premiums are not changing for 2025.• See page 21 for details.Vision Plan• There are no changes to the vision plan.• Premiums are not changing for 2025.• See page 22-23 for details.Enrolled in the High Deducble Health Plan? Take advantage of contribung to an HSA to save on your out-of-pocket costs or to save money for rerement.• To parcipate, make an elecon during open enrollment or at any me during the year. Contribuons to an HSA roll over year over year, which means no forfeitures.See pages 16-17 for details on the Health Savings Account.Reminder that changes were made to the HRA starng in 2024. Refer to the HRA secon for more informaon regarding when the plan is closing and the minimum balance requirement to maintain an acve account prior to 12/31/2026.See pages 18-19 for details on this change. Bemis oers a 401(k) plan to assist you in meeng your rerement goals. • New employee Catch-up contribuon maximum available to employees age 60-63.• Refer to the Rerement Plan secon of this guide, page 24, for more details. Make sure your account is secure!NEED TO KNOWAre you enrolling your spouse in 2025? If so, be sure you understand the medical plan spousal provisions. Medical claims will not be paid for an enrolled spouse who does not meet the spousal criteria. See page 20 for details on Spousal Secondary Coverage and the denion of a Dependent.See page 19 for details on Flexible Spending Accounts.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 5YOUR OPEN ENROLLMENT CHECKLIST• Are you making a change to the dependents you cover under your plans? Gather complete names and Social Security Numbers.• If you plan to cover a spouse, review the spousal provisions (page 20) of the medical plan to be sure your spouse meets the eligibility requirements. If you are adding a spouse to your medical coverage, you must complete a Spousal Medical Insurance Coverage Statement form. Contact HR to obtain a form. • Review the denion of a dependent (page 20) to be sure they are eligible under the medical, dental, and vision plans.• Review and compare both opons. Make elecon changes, if necessary. • Check to make sure your providers are in-network at (select the PPO Plan) or by calling .• Check to make sure you are enrolled in the correct coverage levels or do you want to waive coverage.• If necessary, add or cancel coverage for your spouse or dependents.• You must enroll each year to parcipate.• Take advantage of triple tax savings.• Be sure your beneciaries are up-to-date. Did you have a change in your marital status or a change in dependents? These events may be reasons to evaluate your beneciary designaons.• Consider increasing your contribuon percentage. Changes can be made at any me during the year. Use the tools on the Principal website to plan for and understand your rerement readiness.• Be sure to designate a beneciary for your account on the Principal website or by calling Principal Customer Service at .• Make sure you have secured your rerement plan account. See page 24.• Watch for posted noces (or email) for dates and mes.Be Sure To Complete Your Enrollments By The
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 6There are two medical plan opons available. Both plans are considered comprehensive. When making your 2025 medical plan elecons, you can choose from:• The Cenvo High Deducble Health Plan (HDHP)• The Cenvo Preferred Provider Organizaon (PPO)Both plans ulize the Cigna PPO Plan provider network. Each Cenvo medical plan gives you access to coverage for the same comprehensive range of services, including medical, hospital, behavioral health, and prescripon drugs (provided through Express Scripts).With both medical plans it’s important that you have a Primary Care Physician (PCP) for you and each of your dependents covered under the plan. Your PCP will guide your care and help you get quality care.The PPO Plan provides a higher level of coverage and therefore, the monthly premiums are higher.The HDHP provides the same type of benets as the PPO plan but may have higher out-of-pocket costs and therefore the monthly premiums are lower. To determine which plan is best for you, review and compare monthly premiums, deducbles, out-of-pocket maximums, and the Medical Plan Comparison Charts, your family’s medical plan usage, the Summary of Benets and Coverage documents, and your interest in being able to contribute to a Health Savings Account (HSA) that provides signicant tax advantages. Refer to to choose the medical plan that is right for you and your family.. Copies of the SBCs are also included in your open enrollment packet.For addional details on how the HDHP and HSA works including claim examples, refer to the QR code or contact HR corporate benets for a paper copy.MEDICAL PLAN
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 7Cenvo is the medical plan administrator and will process your claims. You will contact Cenvo with any quesons you have regarding your medical plan. Under the Cenvo plan, you will ulize the Cigna PPO Plan network for both of the Cenvo Plans; PPO and HDHP. Refer to Searching for a Provider for informaon on how to look up providers who are in the Cigna PPO network. It is a good idea to check to see if your current provider is considered in-network for the highest level of benets. Cenvo will send your medical ID card (this card will also be your prescripon drug ID Card) later in December if you are newly enrolling in the medical plan. To Create Your Account There are three easy ways to create an account and acvate.• On the member portal at • On the Cenvo app.• By calling Cenvo Member Care at .Once you have your medical ID card and dates of birth for all covered dependents, you can create your account.Follow these instrucons to create a Cenvo account. You’ll need the informaon included in your Welcome kit or on your ID card.• Go to .• Click “First me? Click here”.• Enter Name, Date of Birth, ID number, and Zip Code.• Enter email address and choose communicaon preference.• Create username and password.• Click Create Account, Verify Account, Login.If you are enrolled in a Bemis medical plan, you can view the Cigna provider network for both the PPO and HDHP plans online by logging in to . If you are newly enrolling in a medical plan, you can search providers at . When asked to login/register, choose “Connue as guest” and when asked to select a plan, choose “PPO”. You will use the PPO network for both the Cenvo PPO and HDHP plans. Once you receive your ID card later in December, you should create your account with Cenvo and then you can access this informaon in the Cenvo app, at , or by calling Cenvo Member Care.Cenvo members have access to the Cenvo mobile app, a powerful tool to put all of your health plan informaon at your ngerps. Here’s how to download the app.• Download the app by texng DOWNLOAD to 65021, by vising your app store, or by going to .• Here are just some of the things you can do on the app: + Access a digital ID card.+ Search for in-network providers.+ View details about your plan coverage.+ View your care history and Explanaon of Benets statements (EOBs).+ Send a message to Cenvo Member Care.MEDICAL PLANCenvo Member Care Monday–Friday: 7am to 8pm CT
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 8CHANGES TO THE MEDICAL PLANS• Premiums are changing for 2025.• There are no changes to the deductibles and out-of-pocket maximums. • No changes to premiums for 2025.• There are no changes to the deducbles and out-of-pocket maximums.• Non-preventave virtual care visits will be subject to the deducble and coinsurance requirements unless the regulaons are extended to connue with 100% coverage for telehealth visits.Roune vaccinaons are now available through Express Scripts prescripons drug benet to help you stay healthy. You can now receive roune vaccinaons covered by your Express Scripts prescripon drug plan at a parcipang in-network retail pharmacy. Cost associated with the vaccinaons are based on the plan that you are enrolled in PPO or HDHP. As a reminder prevenve benets are covered at 100% under both plans.• Check with your in-network pharmacy to make sure they can administer the recommended vaccinaons• Present your member ID card at the pharmacy (your member ID card is the same as your medical ID card)• Examples of vaccines include: COVID-19, Flu, Pneumonia, Shingles/zosterChange for 2025, virtual care visits under the HDHP plan will again be subject to the deducble and coinsurance. Subject to an extension by the government to connue to allow the $0 copay under HDHP plans.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 9MEDICAL PLAN PREMIUMSBemis oers a compeve and comprehensive benets package. When evaluang your total rewards, consider key factors like plan designs (deducbles, copays, coinsurance, and out-of-pocket maximums), access to an on-site clinic, and Bemis’ contribuons to your rerement plan.As medical costs and prescripon drug prices rise annually, Bemis works hard to migate both for the employee and the company. Bemis also contributes signicantly towards medical plan premiums. How members use our plans has an impact as well. When you do things like develop a relaonship with a primary care physician and stay on top of geng appropriate preventave screens, it helps control costs.For 2025, the HPP plan premiums will increase 3%, while HDHP plan rates will remain unchanged.To receive the lowest premiums under your elected plan, you must have met the Wellness Program requirements by the deadline (refer to the Wellness Program Incenve secon for details). When reviewing the premiums below, your monthly premium will be based on the plan you enroll in (PPO or HDHP), if you are an hourly or salaried employee, and whether or not you met the Wellness Program incenve requirements. Make sure you are looking at the chart based on your Wellness Program eligibility.COMPLETED HDHP Plan PPO PlanEmployee Only $78 $129Employee + Spouse $170 $282Employee + Child(ren) $139 $232Family — Employee + Spouse + Child(ren) $231 $384NOT COMPLETED HDHP Plan PPO PlanEmployee Only $120 $171Employee + Spouse $254 $366Employee + Child(ren) $181 $274Family — Employee + Spouse + Child(ren) $315 $468Monthly Annual Employee Only $51 $612Employee + Spouse $112 $1,344Employee + Child(ren) $93 $1,116Family — Employee + Spouse + Child(ren) $153 $1,836HOURLY EMPLOYEESCOMPLETED HDHP Plan PPO PlanEmployee Only $113 $167Employee + Spouse $247 $364Employee + Child(ren) $203 $300Family — Employee + Spouse + Child(ren) $336 $497NOT COMPLETED HDHP Plan PPO PlanEmployee Only $155 $208Employee + Spouse $331 $448Employee + Child(ren) $245 $342Family — Employee + Spouse + Child(ren) $420 $581SALARIED EMPLOYEESHOURLY EMPLOYEESMonthly Annual Employee Only $54 $648Employee + Spouse $117 $1,404Employee + Child(ren) $97 $1,164Family — Employee + Spouse + Child(ren) $161 $1,932SALARIED EMPLOYEES
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 10All full-me employees and dependents covered on a Bemis medical plan are eligible to join Marathon Health. Full-me employees not covered on a Bemis medical plan are also eligible to join. EnrollmentIf you would like to use the services at the HWC, you simply enroll with Everside Health. There is no cost to enroll! Enrolling before you need care will save you me when you need to see the provider. Enrollment can be done online at or by calling Everside at . Virtual CareYou have expanded access to care!The clinic has an on-site medical provider two days a week. When a provider is not available, you have virtual care access. Having the ability to speak with a provider through a virtual visit may save you money versus going to an urgent care center or emergency room. Sign up with Everside so you are ready if you need to use care. The sta is happy to assist you with this process. Tuesday: 8AM–5PM Thursday: 7AM–4PM Monday thru Friday: 8AM–5PMNC siteNew name same great care. Everside and Marathon Health have come together to beer serve their paents. Going forward Everside is known as Marathon Health. Rebranding from Everside to Marathon Health will occur in the coming months. You will receive the same care with Marathon Health as you currently receive with Everside. The services at Everside Health and Wellness Center have no out-of-pocket costs if you are enrolled in the PPO Plan. If you are enrolled in the HDHP or not covered under a Bemis medical plan, prevenve services are available with no out-of-pocket costs. Non-prevenve services are subject to your medical plan deducble. Once you have met the deducble, HWC services are covered at 100%. The following table outlines your out-of-pocket costs by medical plan.(Bemis High Deducble Health Plan members and full-me employees without Bemis Health Plan Coverage)Medical Plan HDHP • Everside Health • $30Not enrolled in a Bemis medical plan • Everside Health • $30* Preventive Services are covered at 100%. Everside Health(HWC Clinic) (Everside Health Member Services) Virtual CareNEED TO KNOWBemis provides the convenience of near-site primary care at no or low cost to you.Flu shots are available without cost in the fall of every year to all employees.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 11There will be a new virtual vendor as of January 1, 2025. Unl then, please connue to use Walmart Virtual Care. Informaon on the new provider will be provided when it becomes available.TELEHEALTH VIRTUAL CARE PROVIDER WALMART HEALTH VIRTUAL CARENEWYou have an exclusive membership to 2nd.MD from Accolade; a virtual expert medical consultaon and navigaon service. The service is condenal, fast, and . 2nd.MD from Accolade specializes in medical certainty by providing access to elite specialists for quesons about:• Diseases, cancer, or chronic condions• Surgeries or procedures• Medicaons and treatment plans How it Works Acvate your account and request a consult. Visit , download the 2nd.MD app via App Store or Google Play, or call SECOND OPINION PROGRAMSpeak with a nurse. Explain your medical issues and an experienced nurse will collect medical records and connect you with a leading specialist who is an expert in your condion.Get informaon about your diagnosis, treatment plan, and next steps in care from a naonally recognized specialist. Consult via video or phone at a me that works best for you, including evenings and weekends!You will receive a wrien summary of your consultaon so you’re prepared to speak with your doctor or, 2nd.MD can refer you to another in-network doctor.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 12MEDICAL PLAN COVERAGE OVERVIEWThese charts compare the basic provisions of the Cenvo Medical Plan opons. The amounts shown in the tables reect your out-of-pocket cost for services unless otherwise indicated. * In-Network and Out-of-Network deducble and Out-of-Pocket maximums accumulate separately.** Retail pharmacy 90-day supply available at 3x the 30-day supply cost.All covered benets are subject to medical necessity as determined by the claims administrator. Annual Deducble* (Family coverage is any coverage level other than Employee Only). No Individual cap appliesIndividual: $2,000Family: $4,000Individual: $4,000Family: $8,000Annual Out-of-Pocket Maximum* (Family coverage is any coverage other than Employee Only). Individual cap appliesIndividual: $4,300Family: $8,600Individual: $8,600Family: $17,200Coinsurance 25% 45%Prevenve Care (per ACA guidelines) Covered at 100%; deducble does not apply Deducble; then 45% coinsurancePCP Oce Visit (includes mental health oce visits and virtual or telephonic visits)Deducble; then 25% coinsurance Deducble; then 45% coinsuranceCenvo Virtual Primary Care Visits (see page 8) Deducble; then 25% coinsurance N/ASpecialist Oce Visit Deducble; then 25% coinsurance Deducble; then 45% coinsuranceLab and X-rays Deducble; then 25% coinsurance Deducble; then 45% coinsuranceOutpaent Surgery Deducble; then 25% coinsurance Deducble; then 45% coinsuranceInpaent Hospitalizaon (including Mental Health & Chemical Dependency)Deducble; then 25% coinsurance Deducble; then 45% coinsuranceUrgent Care Deducble; then 25% coinsuranceDeducble; then 45% coinsurance In-network benets apply if out of area.Emergency Room (copay waived if admied)Deducble; then 25% coinsurance + $200 copayIn-network deducble; then 25% coinsurance + $200 copayAmbulance Deducble; then 25% coinsuranceIn-network Deducble; then 25% coinsuranceChiropractor (limited to 20 visits per calendar year) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceDurable Medical Equipment Deducble; then 25% coinsurance Deducble; then 45% coinsuranceHome Health Care (maximum 40 visits per calendar year) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceMental Health and Chemical Dependency: Outpaent Deducble; then 25% coinsurance Deducble; then 45% coinsuranceTherapy (occupaonal, physical, speech, respiraon) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceTherapy (chemotherapy and radiaon) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceVision Exam Deducble; then 25% coinsurance Deducble; then 45% coinsurancePrescripon Drugs (In-Network medical deducble and out-of-pocket maximum applies)Retail Pharmacy (Up to a 30-day supply)** Mail Order (31 to 90-day supply)Generic Deducble; then $10 copay Deducble; then $15 copayPreferred Brand 25% aer deducble 25% aer deducbleNon-Preferred Brand 40% aer deducble 40% aer deducblePrevenve Prescripon Drugs covered under the Aordable Care Act (ACA) are covered at 100%. Covered prescripon drugs that are listed on the Express Scripts CDH Prevenve Medicaons—Standard Plus list are covered without deducble. Only the applicable copayment or coinsurance will apply.Required 90-day ll at CVS pharmacy or home delivery of maintenance medicaons for lower cost of coverage. If requirements not met, member is responsible for 100% of the cost. The 100% does not count towards sasfying the deducble or out-of-pocket maximums.The SaveOnSP program is not available.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 13 * In-Network and Out-of-Network deducbles and Out-of-Pocket maximums accumulate separately** Retail pharmacy, 90-day supply available at 3x the 30-day supply cost.All covered benets are subject to medical necessity as determined by the claims administrator. Annual Deducble* (Family coverage is any coverage level other than Employee Only) Individual cap appliesIndividual: $850Family: $2,550Individual: $1,700Family: $5,100Annual Out-of-Pocket Maximum* (Family coverage is any coverage other than Employee Only) Individual cap appliesIndividual: $4,300Family: $8,600Individual: $8,600Family: $17,200Coinsurance 25% 45%Prevenve Care (per ACA guidelines) Covered at 100% Deducble; then 45% coinsurancePCP Oce Visit (includes mental health oce visits and virtual or telephonic visits)$10 copay per visit Deducble; then 45% coinsuranceCenvo Virtual Primary Care Visits $0; deducble does not apply N/ASpecialist Oce Visit Deducble; then 25% coinsurance Deducble; then 45% coinsuranceLab and X-rays Deducble; then 25% coinsurance Deducble; then 45% coinsuranceOutpaent Surgery Deducble; then 25% coinsurance Deducble; then 45% coinsuranceInpaent Hospitalizaon (including Mental Health & Chemical Dependency)Deducble; then 25% coinsurance Deducble; then 45% coinsuranceUrgent Care Deducble; then 25% coinsuranceDeducble; then 45% coinsurance In-network benets apply if out of areaEmergency Room (copay waived if admied)Deducble; then 25% coinsurance + $200 copayIn network deducble; then 25% coinsurance + $200 copayAmbulance Deducble; then 25% coinsurance Deducble; then 45% coinsuranceChiropractor (limited to 20 visits per calendar year) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceDurable Medical Equipment Deducble; then 25% coinsurance Deducble; then 45% coinsuranceHome Health Care (maximum 40 visits per calendar year) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceMental Health and Chemical Dependency: Outpaent Deducble; then 25% coinsurance Deducble; then 45% coinsuranceTherapy (occupaonal, physical, speech, respiraon) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceTherapy (chemotherapy and radiaon) Deducble; then 25% coinsurance Deducble; then 45% coinsuranceVision Exam Deducble; then 25% coinsurance Deducble; then 45% coinsurancePrescripon Drugs (In-Network medical deducble and out-of-pocket maximum applies); excludes SaveOnSP drugsRetail Pharmacy (Up to a 30-day supply**) Mail Order (31 to 90-day supply)Generic $10 copay (no deducble) $15 copay (no deducble)Preferred Brand 25% aer deducble 25% aer deducbleNon-Preferred Brand 40% aer deducble 40% aer deducblePrevenve Prescripon Drugs covered under the Aordable Care Act (ACA) are covered at 100%. Required 90-day ll at CVS pharmacy or home delivery of maintenance medicaons for lower cost of coverage. If requirements not met, member is responsible for 100% of the cost. The 100% does not count towards sasfying the deducble or out-of-pocket maximums.SaveOnSP Specialty Pharmacy Copay Assistance Program. Applies to specialty drugs on the SaveOnSP list. 30% coinsurance does not apply towards sasfying deducbleEnrolled in SaveOnSP $0 SaveOnSP monitors for no costNot enrolled in SaveOnSP 30% coinsurance (does not count towards sasfying your deducble or OOPM)MEDICAL PLAN COVERAGE OVERVIEW
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 14Under both medical plans it’s important to choose a Primary Care Physician (PCP) for you and each of your dependents covered under the plan. Your PCP will guide your care and help you to get to quality, in-network specialists when needed. Your PCP will monitor your care with all healthcare providers. Choosing your medical plan is an important decision; take the me to read all of the informaon in this open enrollment guide, read the addional informaon regarding the HDHP and HSA available through the QR code (refer to page 6), requesng a copy from HR-Corporate Benets or accessing on the Bemis Intranet, and aending an open enrollment meeng so you can make an informed decision. Bemis oers two medical plans—the High Deducble Health Plan (HDHP) and the Preferred Provider Organizaon Plan (PPO). Both plans are administered by Cenvo and use the Cigna PPO Plan network. See page 7 in this guide for details on providers in the Cigna network. If you see an out-of-network provider, your out-of-pocket costs will be higher. Refer to the Medical Plan Coverage Overview charts and the Summary of Benets Coverage documents included in your open enrollment packet, and also available on the Bemis Intranet or via the QR codes at the back of this guide for informaon on how benets are covered.CHOOSING YOUR MEDICAL PLAN
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 15Plan Feature HDHP PPO Plan ConsiderationsMonthly PremiumsLower than the PPO PlanHigher than the HDHPThe HDHP has lower monthly premiums than the PPO Plan. This is one consideraon when deciding which plan is best for you and your family. If you choose the HDHP, it is recommended that you contribute the dierence in premiums to your Health Savings Account for future out-of-pocket expenses or saved for health care expenses in rerement.Health Savings Account (HSA)Make pre-tax contribuons to the HSA through payroll deduconsNot availableAn HSA allows for triple-tax savings. Contribuons are pre-tax, earnings grow tax-free, and funds can be used for eligible expenses or saved as part of your rerement health strategy. The funds are yours to keep.Deductible/Out-of-Pocket Maximum (OOPM)Deductibles are higher than the PPO. The OOPMs are the same in both plans.Deductibles are lower than the HDHP. The OOPMs are the same in both plans.The deducble is lower in the PPO Plan but the out-of-pocket maximum is the same in both plans. Based on your ancipated claims, are you comfortable with the higher deducble if enrolling in the HDHP?Consider the lower HDHP premiums and the ability to take advantage of a Health Savings Account.Family caps on Deductible and Out-of-Pocket MaximumIndividual cap only applies to the OOPMIndividual caps apply to the deductible and OOPMPlan CoverageBoth plans cover the same health care services (office visits, prescriptions, hospitalizations, etc.), just at different benefit payment levels such as deductibles and coinsurance.Things to Consider When Choosing Your Medical PlanConsider the following when you are deciding between the HDHP and the PPO plans:Factor in more than your monthly premium when thinking about cost. Consider copays, coinsurance, and deducbles. Consider how, and how oen, you use health care services.Look ahead to the coming year. Thinking of having a baby? Any planned surgeries in the coming year? What medicaons do you take on a regular basis?Your ability or comfort level to pay for health care expenses up to the plan out-of-pocket limit—should that situaon occur.Triple tax-advantaged savings oered by the Health Savings Account (HSA)—available with the HDHP giving you a way to save for health care costs now and in the future.Be sure to read through this guide and review the Medical Plan Coverage Overview charts, and the Summary of Benets and Coverage (SBC) documents (SBCs are included in your open enrollment packet, are available on the Bemis Intranet and via QR codes at the back of this guide), and review the HDHP and HSA document on how these plans work, to understand the dierences in how benets are paid.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 16In order to contribute to an HSA account through pre-tax payroll deducon, you must:• Parcipate in the Bemis HDHP medical plan.• Not be covered under another medical plan that is not a qualied High Deducble Health Plan.• Not be parcipang in a tradional Health Care Flexible Spending Account (FSA) or general-purpose Health Reimbursement Account (HRA).+ Includes FSA and HRA plans oered by your spouse’s employer.+ You are able to contribute to a Limited Purpose FSA or HRA which allows for reimbursement for dental and vision expenses only.• Not be claimed as a dependent on another person’s tax return (spouses are not considered dependents).• Not be enrolled in Medicare Parts A and/or Part B or D. The IRS does not allow contribuons to an HSA once you enroll in Medicare. If you are or will be turning age 65, contact your tax advisor to discuss your ability to contribute to your HSA. It’s important to understand your Medicare eecve date, if you are planning to rere and contribung to an HSA.Your HSA can be a part of your rerement health care planningbecause you can save the funds to use on health care expenses in rerement.NEED TO KNOWIt is your responsibility to make sure you are eligible to contribute to an HSA. Eligibility is measured on the rst day of every month on or aer the HDHP coverage takes eect.There are tax consequences for contribung if you are not eligible. Check with your tax advisor.2024 Limits 2025 LimitsEmployee Only $4,150 $4,300Family $8,300 $8,550If you are age 55 or older by the end of the calendar year that you are contribung to, you can make an addional catch-up contribuon of $1,000.Each year the IRS issues Health Savings Account (HSA) contribuon limits. When you incur a qualied health care expense during the year, you decide to use the HSA funds now or save them for later. You contribute through pre-tax payroll deducons, up to the limit set by the IRS.NEED TO KNOWSave your receipts. The IRS may require proof that your HSA funds were spent on qualied medical expenses. For a full list of qualied expenses, see IRS publicaon 502.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 17NEED TO KNOWBemis partners with WEX Health to administer your Health Savings Account (HSA). Your pre-tax payroll contribuon will be deposited into an account that WEX Health opens for you.If you newly enroll in the HDHP medical plan and elect to contribute to a Health Savings Account (HSA) through pre-tax contribuons, you can expect the following and will want to make sure you do your part to make sure your account is set up to accept your contribuons. • Your account will be opened eecve January 1, 2025. • Contribuons to your account will occur with your rst paycheck in January if all of the account requirements are met.• You will receive an email from WEX Health with informaon to log in to your account online.• WEX Health must adhere to the USA Patriot Act and do a vericaon process before opening your account. They will contact you if they require more informaon.Once your account is open, you can manage your account online at .IMPORTANT Be sure to accept the terms and condions of opening an account. Provide an email address on your 2025 Benets Open Enrollment form under the HSA Elecon to receive important informaon about your account. If you don’t provide an email, you’ll have to contact WEX Health directly for your account login informaon.WEX HealthMonday–Friday: 8am to 9pm CTWEX, Inc. App
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 18 The requirement for receiving the medical premium incenve eecve January 1, 2026 is listed below. Please review the following informaon to make sure you are eligible for the premium incenve in 2026. Acon is required by the employee and any covered spouse (includes a spouse covered on the Bemis medical plan with primary or secondary coverage) by the deadline.To be eligible for the premium incenve in 2026, full-me employees enrolled in a Bemis medical plan (HDHP or PPO), and any covered spouse (primary or secondary coverage) must complete:• An annual physical with their Primary Care Physician (PCP) . Reference for the 2025 Wellness . To be eligible for the premium incenve in 2025, full-me employees enrolled in the Bemis medical plan (HDHP or PPO), and any covered spouse (primary or secondary coverage) must have completed the following by the September 30, 2024 deadline:• An annual physical with their Primary Care Physician (PCP)Employees hired aer 6/30/2024 are eligible to receive the Premium Incenve for 2025. You will be required to meet the Wellness Program requirements to be eligible for any future Wellness Program Incenves. Please note: Individual results are strictly condenal under the Health Insurance Portability and Accountability Act of 2006 (HIPAA). Your individual results will not be shared with Bemis. Bemis will receive a summary of results to include health risk of the overall populaon.WELLNESS PROGRAM INCENTIVE Important Reminders Regarding the HRA PlanEecve as of December 31, 2023, a $50 account balance minimum was implemented. This new minimum balance requirement will be imposed at the end of each calendar year (December 31, 2023, December 31, 2024, and December 31, 2025). If on the last day of the year your HRA account balance is less than $50, the remainder of your HRA account will be forfeited and you will be unable to obtain reimbursements in the future. The HRA plan will be terminated eecve when all HRA funds are depleted or at the end of 2026, whichever occurs rst.To avoid forfeiture of funds, you should make a mely claim reimbursement for any balance in your HRA account. Timely ling of incurred claims will connue to apply for claims submied up unl the terminaon of the plan. Upon terminaon of the plan, you will have 90 days to submit any claims incurred for the year prior to terminaon. For example, based on a Plan terminaon date of 12/31/2026, you will have 90 days to submit claims incurred in 2026. Addionally, you may want to review your HRA account balance prior to the end of each calendar year to determine if your account has less than the new $50 minimum balance. If your account balance is less than $50, you may want to le a claim for reimbursement prior to the end of that calendar year. More informaon on claim deadlines are included on the following page. SPENDING ACCOUNTSIf you are enrolling in the High Deducble Health Plan, and have funds remaining in your HRA, or carry-over funds from an FSA, your account will be considered a Limited Purpose account.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 19NEED TO KNOWYou can roll over up to $640 in 2025 from your 2024 Health Care FSA balance. IRS regulaons apply a “use it or lose it” rule to FSAs above the rollover amount. It’s important to esmate your expenses carefully. Amounts over $640 are forfeited.Bemis oers employees the opportunity to pay less in taxes by taking advantage of a Flexible Spending Account for health care and dependent care expenses. You can save money when you pay for these expenses on a pre-tax basis. You can choose to enroll in both a Health Care and Dependent Care FSA; they are separate elecons. Diversied Benet Services, our spending account partner, will assist you with geng reimbursement for your eligible expenses.sAccount Type and Eligible Expenses*General Purpose Health Care FSA $3,200 per yearLimited Purpose Health Care FSA $3,200 per yearDependent Care FSA$5,000 per year$2,500 per year if married and filing separate tax returns* For a complete list of eligible FSA expenses, visit s > Publication 969.** IRS limits are subject to change.If you have funds remaining in your Health Care Flexible Spending Account as of December 31, 2024, up to $640, they can be rolled over to 2025. The $640 carry-over does not apply to the Dependent Care FSA. Except for the Health Care FSA carry-over, the IRS imposes a “use-it or lose-it” rule on FSAs; take this into consideraon when making your annual elecons.If you are newly enrolling in the HDHP for 2025, any funds remaining in your general-purpose Health Care FSA as of December 31, 2024, will be considered “Limited” as of January 1, 2025. Medical claims incurred in 2024 can be used against your 2024 balance and must be submied for reimbursement before the April 30, 2025, claim ling deadline.How to Use Your FSA Prior Year BalancesHealth Care or Dependent Care FSAIf you have 2024 funds in your Health Care or Dependent Care Flexible Spending Accounts (FSAs),or need to submit 2024 claims against your Health Reimbursement Arrangement (HRA) aer December 31, 2024, it’s important to follow the procedures below.Don’t use your Benet Card for any claims that you want applied to your Health Care FSA 2024 balance. To apply 2024 claims to your 2024 Health Care or Dependent Care FSA balances, you must complete a manual claim form. You can also go online or use the mobile app. The Benet Card cannot be used for the Dependent Care FSA.The deadline for subming claims to Diversied Benet Services, against your 2024 Health Care and Dependent Care FSA account balances is April 30, 2025. Any funds remaining in your 2024 Health Care FSA, up to $640, are eligible for carryover in 2025. however, keep in mind if your account balance is less than $50 on December 31st of any calendar year (2024 or 2025), those funds will be forfeited and not eligible for reimbursement. Make sure to submit claims prior to 12/31/2024 if your balance is below $50 at the end of 2024 to avoid forfeiture of your account balance.Diversied Benet Services (DBS) Employer PIN: Bemismfg
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 20If you will be adding a spouse on your medical coverage, or if there is a change in your spouse’s eligibility for coverage at any me during the year, you must complete a new Spousal Medical Insurance Coverage Statement form. If your spouse is not accurately enrolled on the plan, any claims they incur may not be covered.• An employee’s full-me spouse with “aordable” medical coverage (as dened by the Aordable Care Act or ACA) available through their employer is only eligible to enroll in coverage on the Bemis medical plan on a secondary basis.• If your spouse has other coverage available, but their employer will not allow them to change coverage at this me, it will be necessary for you to make the change during the year when they are eligible to do so. Be sure to nofy Bemis Corporate Benets within 31 days of your spouse becoming eligible on their plan by compleng the required change form.• A spouse that has other employer coverage available as outlined above is not eligible for primary coverage on the Bemis medical plan.The medical, dental, and vision plans are comprehensive plans that allow you to cover dependents if they meet the denion of a dependent under the plan. Eligible dependents include:• Your legal spouse, who is recognized as your spouse for purposes of federal tax laws and from whom you are not legally separated or divorced.• Your child under the age of 26, including your biological child; your adopted child or child placed with you for adopon; your stepchild; a child for whom you are required to provide insurance by a Qualied Medical Child Support Order or other court administrave order; or a child for whom you are the legal guardian. • Coverage may be extended to an unmarried child, regardless of age, who is mentally or physically incapable of sustaining his or her own living. Such child must have been mentally or physically incapable of earning his or her own living prior to aaining age 26. Wrien proof of such incapacity and dependency sasfactory to the Plan must be furnished to the Plan within 31 days of the date the child aains age 26, and/or within 31 days following the eligibility date for a new or reenrolling employee.If you cover any individual who no longer meets the dependent eligibility denion above, you should remove them from the plan(s). They can be removed from coverage by compleng the 2025 Benets Open Enrollment form and compleng the Medical/Dental/Vision Insurance Enrollment Change form on the back. Following open enrollment, you should nofy HR-Corporate Benets within 31 days of the event.SPOUSAL SECONDARY COVERAGEDEPENDENT DEFINITION
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 21Delta Dental Delta Dental PPO orPremier NetworkOpen the camera on your smartphone and scan the QR code to learn how EBICP can help each condion, or visit .DENTAL PLAN OVERVIEWPlan Provision PPO PremierDeductible AppliesContributes to Annual MaximumAnnual Deductible (Per person) $50Annual Maximum (Per person) $1,250Diagnostic and Preventive Care: Includes: exams, cleanings, fluoride treatments, sealants and x-rays100% 100% No YesBasic Services: Includes fillings, extractions, minor oral surgery, periodontics, and endodontics75% 75% Ye s Ye sMajor Services: Includes crowns, bridges and full and partial dentures50% 50% Ye s Ye sOrthodontia (Children up to Age 19) 50% ($1,000 Lifetime Maximum) No No2025 Dental Premiums Dental Plan premiums are listed below and are not changing in 2025.Coverage Level Hourly Rate Salaried RateEmployee Only $12.50 $15.50Employee + Spouse $25.00 $31.00Employee + Child(ren) $24.00 $30.00Family (Employee + Spouse + Child(ren) $38.00 $47.50No changes are being made to the dental plan in 2025.Don’t forget about the Evidence-Based Integrated Care Plan (EBICP) that provides extra benets for parcipants with certain medical condions that have oral health implicaons. The program provides addional cleanings and/or uoride treatments and can play an important role in the management of the following condions;• Periodontal Disease • Diabetes • Pregnancy • High risk cardiac condions • Suppressed Immune System condions • Kidney Failure or Dialysis • Cancer treatment
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 22VISION PLANThe vision plan is a comprehensive plan that can be used for roune vision exams, coverage for hardware (contacts and eye glasses), and oers addional discounts on Laser correcon, hearing care, and amounts over covered benets.NEED TO KNOWBemis oers you the opportunity to enroll in a vision plan separate from the medical plan allowing more exibility in your elecon choices.The EyeMed Vision Plan is a comprehensive plan and provides an easy and seamless process for obtaining your benet.VISION BENEFIT OVERVIEWVision Care Services Exam $0 copay Up to $75Retinal ImagingUp to $39 Not coveredFit and Follow-up Standard Up to $40; contact lens t and two follow-up visits Not coveredFit and Follow-up Premium10% off retail price Not coveredFrameFrame $0 copay; 20% o balance over $200 allowance Up to $130Standard Plastic LensesSingle Vision $25 copay Up to $25Bifocal$25 copay Up to $40Trifocal$25 copay Up to $50Lenticular$25 copay Up to $70Progressive-Standard$80 copay Up to $50Progressive–Premium Tier 1-4$110–$200 copay Up to $502025 Monthly Vision Premiums are not changing for 2025.Coverage LevelHourly and Salaried RateEmployee Only $5.00Employee + Spouse $10.00Employee + Child(ren) $10.00Family (Employee + Spouse + Child(ren) $15.00No changes are being made to the vision plan in 2025.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 23NEED TO KNOWBemis oers you the opportunity to enroll in a vision plan separate from the medical plan allowing more exibility in your elecon choices.The EyeMed Vision Plan is a comprehensive plan and provides an easy and seamless process for obtaining your benet.Vision Care Services Lens OptionsAnti Reflective Coating—Standard $45 Up to $5Anti Reflective Coating—Premium Tier 1-3$57-85 copay Up to $5Photochromic—Non-glassPolycarbonate—StandardPolycarbonate—Standard < 19 years of age$75$40$40Not coveredScratch Coating—Standard Plastic $15Not coveredTint—Solid and GradientUV TreatmentHigh IndexAll Other Lens Options$15$15Choose20% off retail priceNot coveredContact LensesContacts—Conventional $0 copay; 15% o balance over $300 allowance Up to $200Contacts—Disposable$0 copay; 100% o balance over $300 allowance Up to $200Contacts—Medically Necessary $0 copay; paid in fullUp to $210OtherHearing Care from Amplifon Network Up to 64% o hearing aids; call Not coveredLASIK or PRK from U.S. Laser Network 15% off retail or 5% off promo price; call Not coveredFrequency Allowed Frequency Adults Allowed Frequency KidsExamOnce every calendar year Once every calendar yearFramesLensesContact Lenses Plan allows member to receive either contacts and frame, or frames and lens services.VISION PLANDuring the open enrollment period, you can search for in-network providers by using the instrucons below. If you choose to enroll in the plan, the best way to use your benets is to register beginning on January 1, 2025, on the EyeMed website (). 1. Go to and select “Find an Eye Doctor” located at the top right of the page.2. You can elect to search by locaon or doctor. 3. Under Network, choose the Insight Network.4. Enter the required informaon based on the method of search you chose (locaon or doctor).5. The in-network providers will be listed. Insight Network
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 24Principal administers the Bemis employees’ Savings Plan (BES 401(k) Plan). They oer many rerement tools to assist you in your rerement planning needs. If you have not had the opportunity to use the online tools available to you, Open Enrollment is a great me to take advantage of their resources. Preparing early will help you meet your rerement goals. at RETIREMENT PLANSPrincipal Monday–Friday, 7am to 9pm (CST) Take steps to protect your savings. Secure access to your account by doing the following:1. Create an account at .2. Keep your contact informaon up to date (especially your phone number and email address).With those two steps, your account becomes automacally covered by the Customer Protecon Guarantee - which means Principal will reimburse your account if there’s any unauthorized acvity.Parcipaon in the Bemis Manufacturing Company Employees’ Savings Plan (BES) 401(k) Plan is available to eligible full-me and part-me employees. As an eligible employee, you can contribute between 1-100% of your eligible compensaon up to the IRS limit; $23,000 for 2024. Beginning in the year in which you turn age 50, you are also eligible to make a 401(k) Catch-up contribuon up to the IRS limit. For 2024 the limit is $7,500.NEW: Eecve January 1, 2025, employees turning age 60-63 in a calendar year are eligible to make addional 401(k) Catch-up contribuons to their account. The total amount that can be contributed as Catch-up contribuons in 2025 is currently set at $11,250.This amount is subject to change based on IRS 2025 limits to be communicated later this year.This new provision is available due to the Secure 2.0 Act.Employees turning 50-59 and 64 and over in a calendar year can contribute Catch-up contribuons but, are not eligible for the higher deferral limit. The current 2024 limit is $7,500 and is subject to change based on IRS 2025 limits to be communicated later this year.There is no change in the way you make your Catch-up contribuon deferral elecons. This is done through Principal either online at or by calling 800-547-7754.Take the me to review your rerement plan strategy and check to see how the BES 401(k) Plan ts in. The Principal online tools may be helpful in your review.Plan StatementsAs a reminder, your 4th Quarter Annual Statement for the Bemis Manufacturing Company BES 401(k) Plan is distributed in January based on your elected distribuon method (e-mail nocaon or paper copy mailed to the address on le). Quarterly statements for the 401(k) plan are available online or by calling Principal for a paper copy.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 25YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 25Once you have read about the changes to your benet plans for 2025, it’s me to determine what elecons or changes you would like to make to your 2025 benet enrollments. The deadline to complete your form and The changes that you make during open enrollment will become eecve January 1, 2025. When making your decisions, be sure you understand your opons, the changes being made to the plans, the choices available to you, and the needs of you and your family.• Change your medical plan opon—HDHP Plan or PPO Plan. Check the appropriate medical plan and coverage level on your 2025 Benets Open Enrollment form. Complete the Medical/Dental Insurance Enrollment Change form on the back if applicable for changes.• Enroll or Waive your coverage in the medical, dental, or vision plan. Check the appropriate coverage level box on your 2025 Benets Open Enrollment form and complete the Medical/Dental/Vision Insurance Enrollment Change form on the back if applicable for changes.• Change your medical, dental, and/or vision coverage level (i.e. employee, employee + spouse, etc.). Check the appropriate coverage level box on your 2025 Benets Open Enrollment form and complete the Medical/Dental/Vision Insurance Enrollment Change form on the back if applicable for changes.• If you will be covering a spouse as primary on your medical coverage, make sure you understand the Spousal Provisions. Refer to the Spousal Secondary Coverage Requirement on page 20 for details. A new form is required if you are adding your spouse on your This form should be returned by the November 8th deadline.• Add or cancel coverage for your spouse or dependents on the medical and/or dental plan. Check the appropriate coverage level box on your 2025 Benets Open Enrollment form and complete the Medical/Dental/Vision Insurance Enrollment Change form on the back, if applicable. • Enroll in a Health Care or Dependent Care Flexible Spending Account (FSA)—you must make a new annual elecon if you want to parcipate in either of these plans in 2025. Complete the appropriate FSA elecon (Health Care, Dependent Care, or both) in the designated secon on the 2025 Benets Open Enrollment form. Make sure to designate if your Health Care FSA elecon is Limited or General Purpose.• Enroll in the Health Savings Account (HSA)—available only if you are enrolling in the HDHP medical plan. Complete the appropriate HSA secon on the 2025 Benets Open Enrollment form. You can also enroll or change your elecon for this account during the year.• Change your deferral contribuons on the 401(k) Plan. You can also make these changes at any me during the year. Changes must be made through Principal. Refer to the Rerement Plan secon for contact informaon. • Your current medical, dental, and vision elecons will connue in 2025.• You will not be enrolled in either the Health Care or Dependent Care FSA.• You will not have any pre-tax deducons taken for HSA contribuons if enrolled in the HDHP unless you make a separate elecon during the year.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 26Your open enrollment elecons for medical, dental, vision, Health Care, and Dependent Care FSA will become eecve on January 1, 2025, and will remain in place through December 31, 2025, unless you experience a qualifying event and request a change within 31 days of the event.A qualied event that would allow you to make a mid-year elecon change to your medical, dental, vision, or Flexible Spending Accounts include:• Change in marital status (marriage or divorce)• Birth, adopon/placement for adopon• Changes in job status that aect your benets• Change in your dependent’s eligibility for benets• Death• Medicare entlementIf you elect to enroll in the Health Savings Account, your enrollment will be eecve January 1, 2025, however, you can change your elecon during the year up to once per month.As part of The Aordable Care Act (ACA) Bemis is required to provide informaon to the IRS indicang whether or not you have medical coverage under the Bemis plan. It’s important that we have the SSN for each dependent enrolled in the medical plan to be able to include it in the reporng to the IRS. We will also provide you with a 1095-C form which you should keep. Human Resources—Corporate Benets will reach out to anyone who is missing an SSN for a covered dependent.NEED TO KNOWIf you have a qualied status change, you must nofy Human Resources – Corporate Benets and make new elecons by compleng the applicable forms within 31 days of the qualifying event. If you miss the 31-day deadline, you will have to wait unl the next annual enrollment or a new qualied event to change your benet coverages. All change requests must be consistent with the qualied event.
YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 27PAGE 27Scan the below QR Codes to download apps and more!PPO SUMMARY OF BENEFITS AND COVERAGEHDHP SUMMARY OF BENEFITS AND COVERAGEINFORMATIONEAPComPsych Guidance Resources Company ID: Com589VISIONEyeMed Insight Networkk)Principal Monday–Friday: 7am – 9pm (CST)DENTALDelta DentalDelta Dental PPO orPremier NetworkHRA AND FSADiversied Benet Services (DBS) Employer PIN: BemismfgHSAWEX HealthMonday–Friday: 8am to 9pm CTWEX, Inc. AppMEDICAL CONSULT2nd.MDVIRTUAL CARE & TALK THERAPY Walmart Health Virtual CareUrgent care available 24/7/365Access through Cenvo app orMEDICALCenvo Member Care Monday–Friday: 7am to 8pm CTOr send a message at YOUR 2025 BEMIS BENEFITS GUIDE / US EMPLOYEES (NON-WISCONSIN)PAGE 27
This summary describes the benet updates for US Employees (Non-Wisconsin) for 2025. It is not intended to describe all the details about the plans oered by Bemis. If there are any dierences between this summary and the plan document, the plan document governs. Parcipaon in the Bemis benet program is not a guarantee of employment.