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EMPLOYEE BENEFITSGUIDE2023 - 2024

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsAs an employee of White Oak Pediatrics, enjoying your work and making valuable contributions to business are equally vital. The health, satisfaction and security of you and your family are important, not only to your well-being, but ultimately, in terms of achieving the goals of our organization.For the 2023-2024 plan year, White Oak Pediatrics has worked hard to offer a competitive total rewards package that includes valuable and competitive benefit plans. These programs reflect our commitment to keeping our staff healthy and secure. We understand that your situation is unique, and White Oak Pediatrics is offering an overall benefits package that can be shaped and molded by you to fit your needs.This benefits booklet is a summary description of your White Oak Pediatrics benefit plans. If there is a discrepancy between these summaries and the written legal plan documents, the plan documents shall prevail. This booklet and plan summaries do not constitute a contract of employment.We hope this benefits booklet, along with our additional communication and decision-making tools, will help you make the best health care choices for you and your family.INTRODUCTIONEligibility & EnrollmentAs a full-time employee working 30+ hours/week you are eligible for benefits. You can enroll or make changes during our annual enrollment period or within 30 days if you experience a qualifying life event during the year. A Qualifying Life Event includes changes in marital status, employment status, birth or adoption of a child, death of a dependent, entitlement to Medicaid or Medicare, loss of other coverage or eligibility of dependents.Benefits Begin Next day following 30 daysBenefits End Last day of employmentDependents Your legal spouse, dependent children up to age 26

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsBlue Options Silver 3500Effective December 1, 2023 In-NetworkBenefit Period Plan Year: 12/1 – 11/30Deductibles (Individual / Family) $3,500/$7,000Preventive Care Covered in fullPrimary Care Visit $55 Copay*Specialist Visit $ 110 CopayTelehealth via Teladoc $10 CopayUrgent Care $110 CopayEmergency Room $1,500 CopayOutpatient Procedure 30% after deductibleInpatient Visit 30% after deductiblePharmacy / RX (30 Day Supply)Essential QHP Formulary – 6 Tiers$15/$40/$80/$120/25%*/50%***min $120, max $200;**min$200, max $300Out-of-Pocket Max (Individual / Family)$8,700/$17,400MEDICALThe chart below is an overview of the In-Network benefits. Out-of-Network benefits are available; please review your Blue Cross Blue Shield of NC (BCBSNC) plan documents for additional details.*Log in to Blue Connect to select your primary care provider (PCP). Your copay is waived for your first 3 visits to your selected PCP.Cost is age-banded and based on employee’s age. For summary of rate sheet, see Employee Navigator.

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsWellness and Health ManagementUnderstanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by White Oak Pediatrics, all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived.Which Preventive Care Services Are Covered?The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e., Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year:• Routine physical exam• Well baby and childcare• Well women visits• Immunizations• Routine bone density test• Routine breast exam• Routine gynecological exam• Screening for Gestational diabetes• Obesity screening and counseling• Routine digital rectal exam• Routine colonoscopy• Routine colorectal cancer screening• Routine prostate test• Routine lab procedures• Routine mammograms• Routine pap smear• Smoking cessation• Health education/counseling services• Health counseling for STDs and HIV • Testing for HPV and HIV• Screening/counseling for domestic violencePREVENTIVE CARE

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsEmployees and dependents enrolled in our medical have access to telemedicine through Teladoc. Telehealth provides acute and behavioral care 24 hours a day via phone or video by board-certified doctors and behavioral health specialist. Telehealth is a good option for minor health problems when you can’t see your regular doctor. It is also a convenient choice when you want to speak to a counselor or therapist. Some providers will also offer telehealth appointments. Check with your provider on the availability and cost.How Does Telehealth Work?Your virtual visit will take place via phone, video call on a laptop, tablet or cellphone; or through an app. The provider will ask you the same questions you'd be asked at an in-person visit and may recommend treatment based on their findings.What Can’t Telehealth Be Used For?• Life-threatening or emergency situations • Situations in which diagnostic care (e.g., blood work, imaging or lab tests) are required• Situations of severe illness or complex conditionsHow Do I Access Telehealth?There are 3 ways to access Teladoc:• Download the Teladoc mobile app• Go to Teladoc.com and click “Log in/Register”• Call 1-800-835-2362Refer to your plan documentation for more information.TELEHEALTHWhat Can Telemedicine Be Used For?General, non-life-threatening doctor's visits or consultations for acute care, such as:• Allergies• Cough, cold and flu• Diarrhea, nausea and vomiting• Ear problems• Insect bites• Sinus problems• Urinary problems• And moreBehavioral health issues such as:• Addictions• Anxiety• Depression• Grief and loss• Relationship issues• And more

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsSummary of CoverageCoverage Provided by BCBSNC In-NetworkAnnual Deductibles(Individual / Family)$100 Lifetime DeductiblePreventive Care 0% after DeductibleBasic Procedures (fillings, X-ray, etc.)20% after DeductibleMajor Procedures(crowns, dentures, etc.)50% after DeductibleOrthodontics (Child Only – to age 19)50% up to $1,000 Lifetime MaximumBenefit Period Maximum Benefit $1,000DENTALBelow is a high-level summary of our dental benefits. While Out-of-Network coverage is available, using an In-Network provider will result in less out of pocket expenses. In-Network dentist cannot balance bill you for the amount over the allowable charges. Please review your plan documents for additional details.Per Pay Period DeductionEmployee $17.16Employee + Spouse $34.32Employee + Child(ren) $41.16Employee + Family $62.10Your Cost

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsSummary of CoverageCoverage provided by BCBSNC In-NetworkVision Exam (Once per 12 months) $10 CopayLenses (once per 12 months) $25 CopayFrames (Once every 24 months) $130 AllowanceStandard Contact Lenses (in lieu of lenses & frames) $130 AllowanceMedically Necessary Contact Lenses $0 CopayVISIONOur vision coverage is provided by BCBSNC. Please review your plan documents for additional details.Pricing Per Pay PeriodEmployee $3.62Employee + Spouse $6.88Employee + Children $7.25Employee + Family $10.89Your Cost

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsDisabilityDisability insurance from Colonial Life helps protect your income, so you can have help paying the bills while you recover from a covered accidents, sickness, and maternity.AccidentPays a lump sum benefit if you or a covered family member experience an accident. • A set amount is payable based on the injury you suffer and the treatment you receive.• You do not need to answer medical questions or have a physical exam to get basic coverage.• Unlike workers’ compensation, which only covers on-the-job injuries, accident insurance covers injuries that happen on the job or off the job.• Coverage is available for you, your spouse, and eligible dependent children. Medical Bridge (Hospital Indemnity)Hospital indemnity insurance from Colonial Life can help you pay for medical expenses that your health insurance may not cover for the following medical services: • Hospital confinement• Outpatient surgical procedures• Diagnostic procedures• Wellness screenings• Medical treatment packageCancer InsuranceIf you were diagnosed with cancer, you could have expenses that medical insurance doesn’t cover. In addition to your regular, ongoing bills, you could have to pay for out-of-network treatment, childcare, home health care services, and other indirect treatment and recovery costs.• Coverage options are available for you and your eligible dependents.• Benefits are payable regardless of any other insurance you may have with other companies.• You can use benefits to help pay for travel to and from treatment centers, lodging and meals, deductibles – or any other way you choose.• You may have the option of purchasing additional riders for even more financial protection against cancer. Worksite BenefitsVoluntary Benefits are offered to assist employee's personal insurance needs. These programs are designed to fill the gaps in coverage such as your deductibles and co-insurance under your major medical.

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024 White Oak PediatricsWorksite Benefits (continued)Critical IllnessCritical illness insurance from Colonial Life helps supplement your major medical coverage by providing a lump-sum benefit you can use to pay the direct and indirect costs related to a covered critical illness.With this coverage:• Benefits are payable directly to you unless you specify otherwise.• You may receive additional benefits if you’re diagnosed with more than one critical illness.• Coverage options are available for you, your spouse, and eligible dependent children.Term Life InsuranceTerm life insurance from Colonial Life provides protection for a specified period of time, typically offering the greatest amount of coverage for the lowest initial premium. With this coverage:• A beneficiary can receive a benefit that is typically free from income tax.• The policy’s accelerated death benefit can pay a percentage of the death benefit if the covered person is diagnosed with a terminal illness. Accelerated benefit payments will reduce the amount the policy pays upon the recipient’s death.• You can convert it to a Colonial Life cash value insurance plan, with no proof of good health, to age 75.Whole Life InsuranceWhole life insurance provides features – cash value accumulation, premium rates, and a death benefit (minus any loans and loan interest) – that help ensure those benefits will be there to help protect your family’s way of life. With this coverage:• Life insurance benefits for the beneficiary are typically free from income tax.• You have three opportunities to purchase additional coverage with no proof of good health required if you are 55 or younger when you initially purchase coverage.• The policy’s accelerated death benefit can pay a percentage of the death benefit if the covered individual is diagnosed with a terminal illness. Accelerated benefit payments will reduce the amount the policy pays upon the recipient’s death.• A $3,000 immediate claim payment can be paid to the designated beneficiary as an advance of the death benefit.

EMPLOYEE BENEFITS GUIDEPrepared By Sentinel Benefits Consulting | sentinelra.com2023 - 2024White Oak Pediatrics