#8 – Amendment to Health Benefit Plan

IT IS UNDERSTOOD AND AGREED THAT THE FOLLOWING MODIFICATIONS SHALL
BE MADE:

  1. In the ELIGIBILITY AND PARTICIPATION section of the Plan document, the EMPLOYER-PROVIDED EXTENSIONS OF PARTICIPATION subsection will be
    revised to read as follows:
    EMPLOYER-PROVIDED EXTENSIONS OF PARTICIPATION
    NOTE: An Employer-provided extension of participation (including a Family and Medical Leave Act of 1993 [FMLA] extension of participation) will be in addition to the length of a Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), as amended, extension of participation. Also when permitted by the Plan Administrator, the Medical Leave Extension of Participation, Other Approved Leave of Absence Extension of Participation, and/or the Long-Term Disability Extension of Participation may be offered in addition to any other Employer-Provided Extension(s) of Participation.

    Medical Leave Extension of Participation ………………………………………………….Six months
    Other Approved Leave of Absence Extension of Participation ………………………Six months
    Long-Term Disability Extension of Participation ……………………………………….. 18 months
    Layoff Extension of Participation …………………………………………….Through the end of the month in which the layoff occurred
    Extension of Dependent Participation Following Participant’s Death ……Through the end of the month in which the death occurred
    Additional information regarding Extensions of Participation is provided in the original plan document.
  2. The following new provision will be added to the EXTENSIONS OF PARTICIPATION – EMPLOYER-PROVIDED EXTENSIONS OF PARTICIPATION section of the Plan document:

    Long-Term Disability Extension
    Participation for a Participant and any eligible Dependents continues if the Participant suffers from Illness or Injury, begins to receive wage-replacement benefits under the Employer’s separately administered long-term disability policy, and has been granted a long-term disability leave by the Employer under policies determined on a uniform, nondiscriminatory basis that precludes individual selection. This extension of participation begins on the date on which the Participant begins to receive wage-replacement benefits under the Employer’s separately administered long-term disability policy and the Employer approves his or her approved long-term disability leave to begin. However, if the Participant’s long-term disability leave of absence constitutes an FMLA leave, the extension of participation shall run concurrently with and will be offset against the length of an FMLA extension. This extension terminates upon the expiration of the 18-month
    time period stated in the Schedule for Eligibility and Participation, on the date on which the Participant is no longer eligible to receive wage-replacement benefits under the Employer’s separately administered long-term disability policy, or upon the expiration of the approved long-term disability leave, whichever occurs first.

    All other provisions of the Plan shall remain in effect and unchanged.

    IN WITNESS WHEREOF, the undersigned has caused this amendment to be duly adopted and effective as of January 1, 2021.

Signatures on file in Human Resources.