Route 66 Motorsports Employee Benefits Guide 2024-2025 by Educational Services, Inc.

A healthier you starts here! Employee Benefits Guide 2024 - 2025

INTRODUCTION

Whether you are a new employee enrolling into your benefits for the first time or considering your benefits during open enrollment, this guide is designed to help you through the process.

Route 66 Motorsports is proud to offer you a broad range of benefit options. You can choose from a number of plans including medical, dental, vision, life insurance and voluntary supplement programs. In addition, we provide health care and dependent care reimbursement accounts to assist employees in managing their out-ofpocket expenses with before-tax dollars.

Please take the time to read this information and ask questions so you can make the best benefits decisions for both you and your family.

If you should have any questions:

1. Contact the carrier directly. Phone number and website information is on page 16

2. Contact Human Resources at your location.

This booklet highlights important features of Route 66 Motorsports’ benefits for its benefit eligible employees. While efforts have been made to ensure the accuracy of the information

in the event of any discrepancies your

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the contracts that govern these plans.

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Enrollment Information 3 Qualifying Life Event 3 COBRA 4 Online Tools 4 Employee Navigator 4 Medical Plans 5 Health Savings Account (HSA) .............................................................. 6 Dental Plan ..........................................................................................................7 Vision Plan .......................................................................................................... 8 Employer-Paid Basic Life and AD&D 9 Voluntary Life and AD&D 10 Voluntary Short-Term Disability 11 Voluntary Long-Term Disability 12 Employee Rate Worksheet 13 Employee Assistance Program (EAP) 14 401(k) 15 Medicare Support ......................................................................................... 15 Important Phone Numbers ................................................................... 16

Enrollment Information

OPEN ENROLLMENT

Open Enrollment must be completed via Employee Navigator between June 4th - June 13th. This is your one time per year to make changes.

BENEFIT ELIGIBILITY

Active, full-time employees are eligible for benefits the first of the month following 60 days from full time employment. If you do not enroll within 30 days of your eligibility date, you will not be able to enroll until the next annual open enrollment period.

Open Enrollment is your annual opportunity to enroll. Unless you have an IRS qualified Life Event during the plan year, you cannot make changes to your benefit elections until next open enrollment.

Qualifying Life Event

The elections you make during Open Enrollment or at your initial benefits eligibility will remain in effect for the plan year (July 1, 2024 – June 30, 2025). During that time, if your life or family status changes according to the recognized events listed below, you are permitted to revise your benefits coverage to accommodate your new status. You may make benefits changes by contacting Human Resources and providing the proper documentation.

IRS regulations govern under what circumstances you may make changes to your benefits, which benefits you can change and what kinds of changes are permitted.

■ All changes must be consistent with the qualifying life event.

■ In some cases, you can change your benefit plan and modify the level of coverage (such as add or delete dependent).

Any changes in benefit levels must be completed within 31 days of the qualifying life event.

HEALTHCARE REFORM REMINDERS

■ Your medical plans are in compliance with the Healthcare Reform legislation.

■ Pre-existing conditions will not disqualify employees from coverage.

■ Preventive services are covered 100% under your medical plans, including men & women’s health benefits, annual physical, immunizations, etc.

■ There is no longer a lifetime limit per covered individual.

QUALIFYING LIFE EVENTS LIST

Marital Status Changes Covered Dependent Changes

■ Marriage

■ Death of spouse

■ Divorce

■ Spouse gains or loses coverage from another source

■ Spouse employer’s Open Enrollment

■ Birth or adoption of a child

■ Death of dependent child

■ Dependent becomes ineligible for coverage

COBRA

In most cases, if your employment ends, benefits will terminate on the last day of the month in which you worked. Benefits will end on the day of termination in cases of employee fraud.

Through federal legislation known as the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), you may choose to continue coverage by paying the full monthly premium cost plus an administrative charge of 2% (if applicable).

Each individual who is covered by a Route 66 Motorsports

Online Tools

benefit plan immediately preceding the employee’s COBRA event has the right to continue his or her medical, dental, vision, or Flexible Spending Accounts (FSA) plan.

The right to continuation of coverage ends at the earliest of the date:

■ you, your spouse or dependents become covered under another group health plan; or,

■ you become entitled to Medicare; or,

■ you fail to pay the cost of coverage; or

■ your COBRA Continuation Period expires

If you ever misplace your ID card, you can visit the carrier website listed below or download their mobile app.

Medical

Members may register at mycigna.com. Once you register, members may print or request ID cards through the myCigna employee portal. Additionally, you will have access to copies of your EOB’s and educational information. (Cigna will not mail a physical ID card to your home for medical)

To download the mobile app, search myCigna on your smartphone App Store.

Employee Navigator

Employee Navigator is your 24/7 Online Benefits Site. This portal will allow constant access to anything and everything benefits related. You can find your enrollment summary as well as copies of your Summary of Benefits and Coverage (SBC’s).

You will receive an Open Enrollment email from Employee Navigator which will allow you to register for the portal (if you haven’t already) and login to confirm your benefits. If you do not receive this email, please check your junk mail. It is not required that you register via the link in the email, you can also go directly to employeenavigator.com,

Dental & Vision Only

Members may register at MetLife.com. Once you register, members may print an ID card. (MetLife will not mail a physical ID card to your home for dental and vision)

To download the mobile app, search MetLife US App on your smartphone App Store.

click ‘Login’ and then select ‘Register as a new user’. From there, you will be required to enter personal identifying data as well as the following company identifier: R6M

The Open Enrollment window opens at 12am PST on Tuesday, June 4th and closes at 11:59pm PST on Thursday, June 13th. Open Enrollment is passive and you are only required to login and confirm your elections if you are a new hire or want to make changes to your plans/enrollment tier.

employeenavigator.com

Medical Plans

Route 66 will now offer your Medical Coverage through CIGNA utilizing the nationwide Open Access Plus network. You and the company share the cost of these healthcare benefits. Your contribution depends upon the plan you choose and the number of covered dependents, if any. Group # 650465

HSA 5000 HSA 3000 OAP 5000 OAP 1500 Benefits In Network In Network In Network In Network Provider Network Open Access Plus Open Access Plus Open Access Plus Open Access Plus Deductible Individual $5,000 $3,000 $5,000 $1,500 Family $10,000 $6,000 $10,000 $3,000 Coinsurance 30% 20% 0% 20% Out-of-Pocket Maximum Individual $6,900 $5,500 $6,000 $5,500 Family $13,800 $11,000 $12,000 $11,000 Ded. applies to OOP Max? yes yes yes yes Professional Services Primary Care 30% after deductible 20% after deductible $25 Copay $25 Copay Specialist 30% after deductible 20% after deductible $75 Copay $50 Copay Preventive Care 100% 100% 100% 100% Laboratory & X-Ray (Outpatient) 30% after deductible 20% after deductible No Charge No Charge Complex Diagnostic Testing 30% after deductible 20% after deductible 0% after deductible 20% after deductible Hospital Services Inpatient Hospital 30% after deductible 20% after deductible 0% after deductible 20% after deductible Outpatient Hospital 30% after deductible 20% after deductible 0% after deductible 20% after deductible Emergency Services Urgent Care 30% after deductible 20% after deductible $75 Copay $60 Copay Emergency Room 30% after deductible 20% after deductible $450 Copay $350 Copay Prescription Drugs Generic Deductible then $10 Deductible then $10 $5 Copay $5 Copay Preferred Brand Deductible then $50 Deductible then $50 $45 Copay $45 Copay Non-Preferred Brand Deductible then $100 Deductible then $100 $100 Copay $100 Copay Mail-Order 2.5x Retail 2.5x Retail 2.5x Retail 2.5x Retail

Health Savings Account (HSA)

If you choose to enroll in the High Deductible Health Plan (HDHP), you will have the option of opening an HSA provided by HealthEquity. An HSA is a tax advantaged savings and spending account that can be used to pay for qualified health care expenses.

THERE ARE TWO COMPONENTS TO AN HSA-BASED COVERAGE PLAN:

1. A qualified health plan is the insurance component that provides medical coverage for you and your family. This health plan includes a deductible of $1,600 for individuals and $3,200 for family coverage

HOW AN HSA WORKS:

1. Enroll in an HSA Compatible HDHP health plan

2. Contribute to your HSA by payroll deductions on a pre-tax basis:

■ Up to $4,150 for single coverage

■ Up to $8,300 if you enroll a dependent

■ An additional $1,000 if you are age 55 or older

2. An HSA bank account with HealthEquity which can be funded by pre-tax payroll contributions from you.

The money contributed to the account is yours to keep and will roll over year after year –no ‘use it or lose it’ rule!

3. With your HSA debit card, use your HSA funds to pay for qualified expenses such as:

■ copays

■ deductibles

■ chiropractor

■ dental treatment

HSA ELIGIBILITY

To make tax-free contributions to an HSA, the IRS requires that:

■ You are covered by an HSA qualified plan (such as the HDHP plan)

■ hearing aids

■ glasses/ contacts

■ prescriptions

■ over the counter drugs and medications

■ You are not enrolled in any other plan that is not considered a High Deductible Health Plan.

■ You are not enrolled in Medicare, Medicaid, medical FSA, or have other military health benefits.

Dental Plan

Route 66 offers a Voluntary Dental plan through Metlife. You can choose any Dentist, however you will pay less out of pocket if you use a Metlife PPO Network contracted dentist. Group # 5396295

METLIFE PPO

Implants (Limits Apply)

NOTE: Dental enrollees will not receive physical ID cards. Providers can verify coverage by looking up the Employee SSN.

In Network Out of Network Calendar Year Deductible Individual $50 $50 Family $150 $150 Calendar Year Maximum $1,750 $1,250 Preventive Services 100% 100% Basic Services 80% 80% Major Services 50% 50% Orthodontic Services 50% 50% Lifetime Maximum $1,000 (Children) $1,000 (Children) Perio/Endo Services Basic Services Basic Services

Replacement 7 Year Standard 7

Standard

All

Crown

Year

Composite Fillings

Teeth

Major Services Major Services Out of Network UCR Maximum Allowable Charge Maximum Allowable Charge Waiting Periods None None The dental plan includes preventive services and office visits.

Vision Plan

Route 66 offers a Voluntary Vision plan through MetLife utilizing the Superior Vision Network which includes Costco Optical, LensCrafters and Visionworks retail clinics. If you choose an out-of-network provider, benefits are reimbursed based on the service and materials. Group # 5396295 METLIFE

VIA THE SUPERIOR VISION NETWORK

In Network Out of Network Vision Exam $10 Copay Up to $45 Frequency Every 12 Months Every 12 Months Lenses $10 copay N/A Single Covered 100% after copay Up to $30 Bifocal Covered 100% after copay Up to $50 Trifocal Covered 100% after copay Up to $65 Frames $150 Allowance, then 20% Off Up to $70 Frequency Every 24

Every 24 Months Contact Lenses $150

Up to $105

Every 12

Laser Vision Correction Discounts apply Discounts apply Standard, bifocal and trifocal lenses with a $10 copay. NOTE: Vision enrollees will not receive physical ID cards. Providers can verify coverage by looking up the Employee SSN.

Months

Allowance

Frequency

Months

Employer-Paid Basic Life and AD&D

BASIC LIFE AND AD&D

Route 66 provides employees with Basic Life & AD&D through MetLife. These benefits come at no charge to all full-time benefit eligible employees. Group # 5396295

$25,000 IN LIFE AND AD&D

Benefits reduce to 65% at age 65 and to 50% at age 70.

POLICY FEATURES

■ Living Care/Accelerated Death Benefit: 80% of the amount of the life insurance benefit is available to you if you become terminally (12 months or less to live).

■ Waiver of Premium: If disabled, your life insurance benefits will continue without payment of premium. (disabled prior to 60, waiting period 9 months coverage continues to 65)

■ Conversion/Portability: If your employment ends, you may apply for an individual life insurance policy. Must apply within 30 days of coverage termination.

REQUIRED!

Are Your Beneficiaries Up to Date?

■ Beneficiaries are individuals or entities that you select to receive the benefits from your policy.

■ You can change your beneficiary designation at any time.

■ You may designate a sole beneficiary or multiple beneficiaries to receive payment in the percent you indicate.

■ To select or change your beneficiary, please make changes through Employee Navigator.

Voluntary Life and AD&D

Eligible employees have the option to purchase additional Term Life and AD&D coverage with MetLife. Coverage is available for employees as well as their dependents.

Group # 5396295

VOLUNTARY LIFE AND AD&D BENEFITS

■ Employee: $10,000 increments up to 5x earnings or $500,000 benefit maximum. (Guaranteed Issue

$100,000)

■ Spouse: $5,000 increments up to $100,000 not to exceed 50% of employee benefit. (Guaranteed Issue

$25,000)

■ Child(ren): $10,000

*No reduction in benefits due to age

Please note:

■ In order to enroll dependents, you must also enroll yourself in Voluntary coverage.

■ Guaranteed Issue is a predetermined dollar amount that the policy allows you to elect for Voluntary Life Insurance without the completion of an Evidence of Insurability (EOI) form. GI is only available when you are a new hire or first become eligible for Life Insurance.

■ If you elect more than the Guaranteed Issue amount, you will need to complete an Evidence of Insurability (EOI) form for additional coverage to be approved.

■ If you previously waived Voluntary Life and AD&D coverage when you were initially eligible, you will be required to complete a Statement of Health form.

■ If you are currently enrolled in Voluntary Life and AD&D and would like to increase your coverage, you will be allowed to increase your coverage by 1 increment ($10,000) at Open Enrollment without the completion of an EOI up to the Guaranteed Issue amount.

Voluntary Short-Term Disability

Route 66 provides employees with the option to purchase Voluntary Short-Term Disability insurance through MetLife. A disability can happen to anyone—a back injury, pregnancy, or serious illness can lead to months without a regular paycheck. If you’re unable to work for a short period of time due to a non-work related condition, illness or injury, Short-Term Disability Insurance offers financial protection by paying you a portion of your earnings.

Group # 5396295

SHORT-TERM DISABILITY BENEFITS

Benefit Amount: Up to 60% of weekly salary (base + commissions) with a maximum benefit of $500 per week

Elimination Period: 0 Day Injury / 7 Day Illness

Benefit Duration: 13 Weeks

FREQUENTLY ASKED QUESTIONS

Who Is Eligible?

You are eligible if you are an active, full-time employee who works at least 30 hours per week on a regularly scheduled basis.

Am I Guaranteed Coverage?

You are guaranteed coverage when you are a new hire or initially eligible. If you waive and then opt to elect later, an EOI must be submitted and approved.

When Does This Insurance Begin?

This insurance will become effective on the date you become eligible. You must be actively at work with your employer on the day your coverage takes effect.

* If you are approaching 62 1/2 and applying for Social Security or already collecting Social Security Retirement, Disability or a Government Pension, please be aware that your benefit will be offset.

Is there a Pre-existing Condition Limitation?

Yes, there is a 3 month look back, 12 months after effective date.

Evidence of Insurability (EOI)?

Employees electing coverage outside the initial offering , will be required to submit an EOI

When Does This Insurance End?

This insurance will end when you no longer satisfy the applicable eligibility conditions, premium is unpaid, you leave your employer, or the coverage no longer is offered.

Voluntary Long-Term Disability

Route 66 provides employees with the option to purchase Voluntary Long-Term Disability insurance through MetLife. Long-Term Disability insurance helps protect your paycheck if you’re unable to work for a long period of time after a serious condition, injury or sickness.

Group # 5396295