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

Effective January 1, 2019, in order to correctly communicate the past and present intent and administration of the Plan, the Plan shall be modified as follows:

In the DEFINITIONS section of the Plan document, the term PLAN YEAR will be revised to read as follows, and all other uses of the term throughout the Plan document will be revised accordingly:

PLAN YEAR

For purposes of Form 5500 reporting (if required), and compliance with the Patient Protection and Affordable Care Act (PPACA), as amended, the term “Plan Year” initially means January 1, 2019 through June 30, 2019, and thereafter will mean the 12-month period that begins on July 1 and ends on the following June 30.

For all other purposes including Deductibles, out-of-pocket limits, other annual benefit-based accumulators, and compliance with other laws issued subsequent to PPACA, the term “Plan Year” means the 12-month period that begins on January 1 and ends on the following December 31.

Effective January 1, 2020, the Plan shall be modified as follows:

The Plan considers Telemedicine e-visits to be eligible for coverage on generally the same basis as any other office visit; however, In-Network Telemedicine e-visits will now be covered under both the Black Plan and Orange Plan options at I 00% with the Deductible waived (no co-payment will apply). The term “Telemedicine” means medical care provided through electronic or telephonic communications. Telemedicine care is typically rendered as an alternative to a traditional office visit and provides “on demand” medical care as well as remote evaluations/monitoring by phone, computer, or mobile device.

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 the dates stated herein.

Signatures on file in Human Resources.