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Message 2025-2026Benefit Guide

Interland / Interfield is committed to a comprehensive employee benefit program that helps our employees stay healthy, feel secure and maintain a work/life balance.The benefits program was designed to provide you with a competitive level of standard coverage while allowing you the flexibility to choose benefits that reflect your needs and personal circumstances. In addition to receiving health coverage, you have the opportunity to choose additional coverage that best meets your needs.

DEDUCTIBLEThe amount you must pay before your insurance company starts to pay for covered services each year.CO-PAYMENTSA fixed amount you pay for coveredservices such as doctor visit or diagnostic test.COVERED SERVICESMedical services included in your insurance plan, such as doctor visits, hospital stays and diagnostic tests.OUT-OF-NETWORKA doctor or medical facility that is not contracted with your insurance company. Using out-of- network providers can result in you paying a higher portion of the medical bills or possibly the entire bill.COINSURANCEThe percentage of a medical expense you are responsible for paying. This usually kicks in after you have met your deductible.OUT-OF-POCKET MAXIMUMThe most you have to pay for covered services in a plan year.IN-NETWORKThe doctors, hospitals and other medical facilities and suppliers that contract with your insurance company to provide medical services.PROVIDERThe person or facility providing services to you, including doctors, hospitals and pharmacies.TERMS YOUSHOULD KNOW8www.elitebenefitsgroup.comTERMS YOU

PLANSUnited HealthcareChoice NetworkIN - NETWORK OUT - NETWORK IN - NETWORK OUT - NETWORK IN - NETWORK OUT - NETWORK Plan Participant CALENDAR YEAR DEDUCTIBLE Individual$6,000 Family MAXIMUM OUT OF POCKET Individual Family OFFICE VISITPrimary Care Visit Specialist Visit Urgent Care Visit Preventive Care HOSPITAL In-Patient Services Out-Patient Services Emergency RoomPRESCRIPTIONTier 1 / 2 / 3 / 4 EMPLOYEE CONTRIBUTION (BI-WEEKLY) Employee only $89.25 Employee and Spouse $317.92 Employee and Child (ren) $254.78 Employee and Family $485.15United Healthcare is our medical carrier. Below is a brief summary of the medical plan. Using In- Network facilities and physicians will result in significant cost savings to the member. MEDICALmyuhc.com 877-797-8812Plan 1 - E6000i80LX21BPlan 2 - E3000i80LX22BPlan 3- E2000i100LX21B80%20%$12,000$8,150$16,300$25 Copay$75 Copay$50 CopayNo Charge20% Coinsurance20% Coinsurance20% Coinsurance$10 / $35 / $75 / $250N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A$3,00080%20%$6,000$6,500$13,000$25 Copay$75 Copay$50 CopayNo Charge20% Coinsurance20% Coinsurance20% CoinsuranceN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A$10 / $35 / $75 / $250N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A$2,000100%0%$4,000$4,000$8,000$25 Copay$75 Copay$50 CopayNo Charge0% Coinsurance0% Coinsurance0% Coinsurance$10 / $35 / $75 / $250N/A$100.56$362.89$290.46$554.74$114.90$419.92$335.70$643.01

Humana Dental Traditional Plus1 Only covered in conjunction with covered oral surgical procedures. Other restrictions may apply. Services In-network dentist Out-of-network dentistINFSDeductible(excludes orthodontia services) Individual:$50Family:$150Individual:$50Family:$150Deductible applies to all services excluding preventive services.Annual maximum(excludes orthodontia services)UnlimitedPreventive servicesRoutine oral examinations (3 per year) Bitewing x-rays (2 films under age 10, up to 4 films ages 10 and older)Panoramic x-rays (1 per 5 years combined, Panorex and Full Mouth X-rays share the same frequency; ages 6+)Routine cleanings (3 per year) Periodontal cleanings (4 per year) Fluoride treatment (1 per year, through age 16)Sealants (permanent molars, through age 16)Space maintainers (primary teeth, through age 15)Oral Cancer Screening (1 per year, ages 40 and older)100% no deductible 100% no deductibleBasic servicesEmergency care for pain reliefAmalgam fillings (1 per tooth every 2 years, composite for anterior/front teeth)Oral surgery (including extractions of impacted teeth)General anesthesia1Stainless steel crownsHarmful habit appliances for children (1 per lifetime, through age 14)80% after deductible 80% after deductible

Services In-network dentist Out-of-network dentistINFS50% after deductible 50% after deductibleMajor servicesCrowns (1 per tooth every 5 years) Inlays/onlays (1 per tooth every 5 years) Bridges (1 every 5 years)Dentures (1 every 5 years)Denture relines/rebases (1 every 3 years, following 6 months of denture use)Denture repair and adjustments (following 6 months of denture use)Periodontics (scaling/root planing and surgery 1 per quadrant every 3 years)Endodontics (root canals 1 per tooth per lifetime and 1 re-treatment)xOrthodontia servicesMembers may receive a discount on non-covered services of up to 20%. Members may contact their participating provider to determine if any discounts are available on non-covered services.If a member uses services rendered by providers with whom we have agreements, the fee or maximum allowable charge that we have negotiated with that provider will apply; if a member uses services rendered by a provider with whom we do not have agreements, coinsurance will apply to the maximum allowable charge. Out of network dentists may bill members for charges above the amount covered by the dental plan.Humana Dental Traditional PlusEMPLOYEE CONTRIBUTIONS (BI-WEEKLY)EmployeeEmployer and SpouseEmployee and Child(ren)Employee and Family$0.00$13.63$21.13$34.77

Humana Vision 150* This service is not a covered benefit under your insurance policy. However, this service may be available to members from participating providers at the discounted rate shown. Members should confirm pricing with their provider.Services In-network provider (Member cost)Out-of-network provider (Reimbursement)Exam with dilation as necessaryRetinal imaging*1$10Up to $39Up to $30Not coveredContact lens exam2Standard contact lens fit and follow-up*Premium contact lens fit and follow-up*Up to $4010% off retailNot coveredNot coveredFrames3$150 allowance,20% off balance over $150$80 allowanceStandard plastic lensesSingle visionBifocalTrifocalLenticular$10$10$10$10Up to $25Up to $40Up to $60Up to $100Lens options4UV coating*Tint (solid and gradient)*Standard scratch-resistance* Standard polycarbonate - Adults* Standard polycarbonate - Children <19* Standard anti-reflective coating Premium anti-reflective coating• Tier 1• Tier 2• Tier 3Standard progressive (add-on to bifocal)Premium progressive• Tier 1• Tier 2• Tier 3• Tier 4Photochromatic / Plastic transitions*Polarized*$15$15$15$40$40$25$37$4880% of charge less $20 allowance$10$75$85$100$55 copay, 80% of charge less $120allowance$7520% off retailNot coveredNot coveredNot coveredNot coveredNot coveredUp to $25Up to $25Up to $25Up to $25Up to $40Up to $40Up to $40Up to $40Up to $40Not coveredNot covered

Services In-network provider(Member cost)Out-of-network provider(Reimbursement)Contact lenses5(applies to materials only) ConventionalDisposableMedically necessary$150 allowance,15% off balance over $150$150 allowance$0$128 allowance$128 allowance$210 allowanceFrequencyExaminationLenses or contact lenses FrameOnce every 12 monthsOnce every 12 monthsOnce every 24 monthsOnce every 12 monthsOnce every 12 monthsOnce every 24 monthsDiabetic eye care: Care and testing for diabetic membersExamination • Up to (2) services per yearRetinal imaging• Up to (2) services per yearExtended Ophthalmoscopy• Up to (2) services per yearGonioscopy• Up to (2) services per yearScanning laser• Up to (2) services per year$0$0$0$0$0Up to $77Up to $50Up to $15Up to $15Up to $331Member costs may exceed $39 with certain providers. Members may contact their participating provider to determine what costs or discounts are available.2Standard contact lens exam fit and follow up costs and premium contact lens exam discounts up to 10% may vary by participating provider. Members may contact their participating provider to determine what costs or discounts are available.3Discounts may be available on all frames except when prohibited by the manufacturer.4Lens option costs may vary by provider. Members may contact their participating provider to determine if listed costs are available.5Plan covers contact lenses or lenses for frames, but not both.Humana Vision 150EMPLOYEE CONTRIBUTIONS (BI-WEEKLY)EmployeeEmployer and SpouseEmployee and Child(ren)Employee and Family$0.00$3.82$3.43$7.58

Voluntary Benefits 101What are voluntary benefits?Sometimes called “supplemental insurance,”voluntary benefits arepolicies you buy to add to the healthand lifeinsuranceyour employer may already provide. These benefits can help you pay for things your other insurance won’t, such as lost wages, out-of-pocket expenses and household bills.Advantages*FlexibilityUseclaim paymentshoweveryoulike–paydeductibles, co-payments and other expenses not covered by your healthor lifeinsurancePortabilityTakecoveragewithyouifyouleaveyourjobor retireStabilityMaintaincoveragewhetheror notyou’reemployedConveniencePaypremiumsusingyourchoice of payrolldeduction, bankdraftordirectbillingColonialLife.comProducts have exclusions and limitations that may affect benefits payable.Productsvaryby state and may not beavailablein all states.PoliciesAccidentinsuranceHelpscoverout-of-pocketexpensesin the eventofa coveredaccidentCancer and critical illness insurance Helpswith thehighcost of canceror critical illness diagnosis and treatmentDentalinsuranceHelpspayfordentalprocedures,likeroutine cleanings, crownsand rootcanalsDisability insuranceHelps replace part of your regular income if youare unable to work because of a covered injuryor illnessHospitalconfinementindemnityinsuranceHelps pay for covered hospital-related expenses, suchas outpatientsurgeryand diagnosticproceduresLifeinsuranceProtects the people who depend on you byhelpingcover finalexpensesand loss of income*Advantagesmaynotapply toall products.SeeyourColonialLifebenefitscounselorforcompletedetails.Underwritten by Colonial Life &AccidentInsuranceCompany, Columbia, SC©2017 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a registered trademark and marketing brand of Colonial Life &AccidentInsurance Company.Interfield/Interland is providing each employee with a benefit bank to use towards Voluntary Benefits of their choosing.

www.elitebenefitsgroup.comBENEFITS & ELIGIBILITYAs an employee of Interland/Interfield you have access to the following benefits for the Plan Year May 1, 2025 – April 30, 2026.Core Plan Benefits Offered:Legal Spouse. Children up to age 26, regardless of student status or marital status, including natural children, stepchildren, and legally adopted children (including children living with you before the adoption is final) who are your dependents or for whom you are required to provide health care coverage under a Qualified Medical Child Support Order. WHO IS ELIGIBILE AND WHENAll active full-time Employees, who work at least 30 hours per week. Employee benefits are effective immediately following 90 days of active employment.ELIGIBLE DEPENDENTSYou may enroll your eligible dependents in coverage. They include:If you need to change your coverage throughout theyear, you may only do so if you experience an eligiblechange in status/life event, such as:Birth/AdoptionChange in Insurance Coverage, Address,Employment StatusDeath in the FamilyDependent Child Reaches Limiting AgeDivorce/AnnulmentFMLA-Related LeaveLegal Separation/MarriageSpouse Loss of Other CoverageEnrollment in MarketplaceCHANGING YOUR COVERAGEDURING THE YEARYou must make changes to your benefit coverage within 30 days of an eligible change in status/life event.WHAT HAPPENS IF I DON’T ENROLL? If you do not enroll in the benefits program, you will automatically receive “default” coverage, which is:No Coverage.If later on you decide to enroll in benefits, you may be subject to benefit waiting periods, require evidence of insurability, and/or be required to wait until the next Annual Enrollment.United Heatlhcare- ChoiceVision/Dental Plan Supplemental Benefits through Colonial Life

CONTACT INFORMATIONHEALTHDENTAL / VISIONHUMAN RESOURCESELITE BENEFITS GROUP713-575-3722Onboarding- Sara Levy Fojtsara@elitebenefitsgroup.comThe information in this Enrollment Guide is intended for illustrative purposes and informational purposes only. Theinformation contained herein was taken from various summary plan descriptions, certificates of coverage and benefitinformation. Every effort was taken to accurately report your benefits however discrepancies and errors are alwayspossible. It is not intended to alter or expand rights or liabilities set forth in the official plan documents or contracts. Itis not an offer to contract nor are there any express or implied guarantees. In case of a discrepancy between thisinformation and the actual plan documents, the actual plan documents will prevail. If you have any questions aboutthis summary, please contact Human Resources or Elite Benefits GroupUnited Healthcare- Choice www.myuhc.com Dean Krienitz713-780-0909dkrienitz@interfield.netCOLONIAL LIFEHumana.com 866-427-7478www.ColonialLife.com800-325-4368