3.7-00S8-City_of_Wheat_Ridge-January_2026_Renewal.pdf

January 1st, 2026 RENEWAL

City of Wheat Ridge

BRANCH 00S8

CEBT

JANUARY 2026 RATE RENEWAL

Medical Renewal

Projected for 12/31/2025 Claims Contributions Loss Ratio L/R

Eleven months ended --> 5/31/2025 289,099,661 281,292,770

Self-funded Claims >$750k (1,882,218)

Less: Rx Rebates (22,000,000)

Self-Funded Plan Subtotal 265,217,443 281,292,770 94.3%

Plus: Kaiser Plans 17,564,759 21,025,175 83.5% 93.5%

Kaiser Claims >$750k - 93.5%

Remove termed groups (3,223,640) (2,303,419) 140.0% 93.2%

Plus: IBNR for newer groups 2,346,063 94.0%

Plus: Cost of CEBT Health Centers 4,147,634 95.3%

Adjusted Loss ratio for active groups 286,052,259 300,014,526 95.3%

Projected change through 12/31/2025 0.00%

12/31/2025 Projected Adjusted Loss Ratio 95.3%

Assumed Medical/Rx Trend 8.00% X 1.080

Plan Administration Expense 6.60% Stop Loss Premium 1.90% Add for PSR and IBNR deficiency 1.25% Total admin, SL and reserve load 9.75% / 0.9025

114.10% Overall rate increase for CEBT 14.10%

5/1/2024-3/31/2025

Adjustments to the rate increase

Other Revenue Sources Investment income of $2,000,000 0.0

Benefit changes (none) 0%

14.1%

Overall CEBT Rate Renewal 14.1%

*Adjusted Loss Ratio includes contributions and claims from CEBT Kaiser Plans, Health

Center operating costs, stop loss claim credit and large claim credit, if any apply.

HRP – Adjust HRP rates by the same percentage for each group as their other medical plans.

Dental and Vision Renewal

Renewal Brackets for January 2026

Loss ratio Dental Vision

1 77.99% or lower 0.0% 0.0% 2 78% to 87.99% 3.0% 0.0% 3 88% to 92.99% 5.0% 0.0% 4 93% to102.99% 10.0% 0.0% 5 103% + 15.0% 10.0%

Life Insurance Renewal

Group Term Life and AD&D - No rate change

Medical Renewal Brackets

*Adjusted Loss Ratio

January 2026 Rate Adjustments

1 77.99% or lower 5.50% 2 78% to 82.99% 8.00% 3 83% to 87.99% 11.00% 4 88% to 92.99% 13.50% 5 93% to 97.99% 17.00% 6 98% to102.99% 20.00% 7 103% + 24.00%

Group Name: City Of Wheat Ridge Group Number: S8

Contributions Loss Ratio

CEBT Self-Funded Plans 781,569$ 130.1%

2,200,940$ 77.6%

Health Center Operating Costs

2,982,509$ 91.4%

Claims over $750k

Initial Loss Ratio for Renewal 2,982,509$ 91.4% 4

Claims over $100k to $750k

Net Loss Ratio for Renewal* 2,982,509$ 88.0% 3

*Groups can only drop up to two categories from the Initial Loss Ratio category

Rate Increase 1 5.50% 2 8.00% 3 11.00% 4 13.50% 5 17.00% 6 20.00% 7 24.00%

91.4% Kaiser Plans 1,707,850$

(100,540)$

CEBT Utilization and Loss Ratio Summary Data from July 2024 through June 2025 For the January 2026 Rate Renewal

Claims

1,016,772$

Gross Costs and Loss Ratio 2,724,622$

2,724,622$

103.00% -- 0.00%

2,624,082$

January 2026 Rate Increase by Loss Ratio Category

Rate Category 0.00% -- 77.99%

78.00% -- 82.99% 83.00% -- 87.99% 88.00% -- 92.99% 93.00% -- 97.99%

98.00% -- 102.99%

BRANCH

00S8

Current Plans: PPO4; HDHP2; KP-DHMO 0750; KP-HDHP 1600; Dental A; Vision C; Dep Supp Life; Life A; EE Supp Life; Dep Life A; Spouse Supp Life; EAP Active

Current Network: United Choice Plus;Kaiser

Life Coverage: 1.5*salary, $150k max

EE EE EE EE EE Percent

Only +Spouse + Child +Children +Family change

Medical (PPO4) current $677 $1,420 $1,252 $1,252 $1,894

($1,500 deductible) renewal $751 $1,576 $1,390 $1,390 $2,102 11.00%

Medical (PPO5) current

($2,500 deductible) renewal $713 $1,497 $1,321 $1,321 $1,997

Medical (PPO6) current

($3,000 deductible) renewal $677 $1,422 $1,255 $1,255 $1,897

Medical (PPO7) current

($4,000 deductible) renewal $643 $1,351 $1,192 $1,192 $1,802

Medical (PPO8) current

($5,000 deductible) renewal $611 $1,283 $1,132 $1,132 $1,712

Medical (PPO9) current

($6,000 deductible) renewal $587 $1,232 $1,087 $1,087 $1,644

Medical (HDHP2) current $623 $1,307 $1,152 $1,152 $1,743

($2,000 deductible) renewal $692 $1,451 $1,279 $1,279 $1,935 11.00%

Medical (HDHP25) current

($2,500 deductible) renewal $676 $1,418 $1,250 $1,250 $1,890

Medical (HD2800) current

($2,800 deductible) renewal $666 $1,397 $1,231 $1,231 $1,862

Medical (HDHP3) current

($3,000 deductible) renewal $660 $1,385 $1,220 $1,220 $1,846

Medical (HD3500) current

($3,500 deductible) renewal $623 $1,307 $1,152 $1,152 $1,743

Medical (HDHP4) current

($4,000 deductible) renewal $604 $1,268 $1,117 $1,117 $1,691

Medical (HDHP5) current

($5,000 deductible) renewal $571 $1,198 $1,056 $1,056 $1,598

Medical (HDHP6) current

($6,000 deductible) renewal $552 $1,158 $1,021 $1,021 $1,545

Medical (KP-DHMO 750) current $707 $1,487 $1,310 $1,310 $1,983

($750 deductible) renewal $785 $1,651 $1,454 $1,454 $2,201 11.00%

City of Wheat Ridge Renewal and Optional Monthly Rates Effective January 01, 2026

*New plan effective January 1, 2026

Medical (KP-DHMO 1000) current

($1,000 deductible) renewal $746 $1,568 $1,381 $1,381 $2,091

Medical (KP-DHMO 1500) current

($1,500 deductible) renewal $709 $1,490 $1,312 $1,312 $1,986

Medical (KP-DHMO 2500) current

($2,500 deductible) renewal $674 $1,416 $1,246 $1,246 $1,887

*Medical (KP-DHMO 3000) current

($3,000 deductible) renewal $647 $1,359 $1,196 $1,196 $1,812

*Medical (KP-DHMO 4000) current

($4,000 deductible) renewal $621 $1,305 $1,148 $1,148 $1,740

Medical (KP-HDHP 1600) current $607 $1,273 $1,122 $1,122 $1,698

($1,650 deductible) renewal $674 $1,413 $1,245 $1,245 $1,885 11.00%

Medical (KP-HDHP 2500) current

($2,500 deductible) renewal $620 $1,300 $1,145 $1,145 $1,734

Medical (KP-HDHP 3500) current

($3,500 deductible) renewal $589 $1,235 $1,088 $1,088 $1,647

Medical (KP-HDHP 4000) current

($4,000 deductible) renewal $571 $1,198 $1,055 $1,055 $1,598

Dental Plan A (w/ortho) current $38 $78 $97 $97 $131

($2,000 Annual Max) renewal $42 $86 $107 $107 $144 10.00%

Vision Plan C (VSP) current $10 $14 $13 $13 $23

(12/12/12) renewal $10 $14 $13 $13 $23 0.00%

Employee Life Rate: 0.14

(Per $1,000 in Coverage)

Dependent Life Rate: 0.95

($5,000/Spouse & $2,000/Child)

00S8

CEBT PLAN SUMMARY

City of Wheat Ridge

Current Plans Offered: PPO4; HDHP2; KP-DHMO 0750; KP-HDHP 1600; Dental A; Vision C; Dep Supp Life; Life A; EE Supp Life; Dep Life A; Spouse Supp Life; EAP Active Group Life Coverage: 1.5*salary, $150k max

Please renew by October 10th, 2025. This should be done in the CEBT Community Portal under the Renewal tab.

To begin your renewal, please select the "Ready to Renew" button and follow the steps outlined below:

• Accept the attestation which states that you have reviewed and accept the terms of the renewal as presented in the Renewal Packet.

• On the following page, you will see all available plans with your current plans checked. Please use the list of available plans outlined below as a reference when choosing your renewal plan selections.

• If you do not want to make changes to your plan offerings for the next renewal year, please select "No Plan Changes."

• If you do want to make plan changes, please ensure that all plans you wish to offer are checked. To do this you will uncheck any plans you intend to drop and check, or select, any plans you want to keep and/or add.

• You will then proceed to the signature section. Select the appropriate signer's name from the drop-down list. If you are signing on behalf of an approved signer, please select that person's name and then submit.

• Once submitted the renewal is complete and will be returned to WTW for processing.

OPEN ENROLLMENT

• Dates are determined by the employer group and should be held sometime between October and mid-November.

• To ensure ID cards are received on or before January 1st, 2026, enrollment changes should be returned to WTW no later than November 14th, 2025.

• Once your renewal has been submitted, open enrollment supplies will be updated online in the Resource Center of the CEBT Community portal.

• Printed Supplies will be sent on a request-only basis and can be done by clicking on the "Request Supplies" link in the Renewals tab or the Resource Center tab.

In accordance with your participation agreement, written notice of termination must be received by November 1st, 2025, or run-out claims will not be paid by CEBT.

* For upcoming plan changes, please refer to the CEBT Benefit & Administrative Changes Document

MEDICAL

PLAN

OFFICE VISIT

(primary/specialist)

IN-PATIENT

HOSPITAL

DEDUCTIBLE

(single/family)

MAXIMUM OOP

(single/family)

PPO Medical Plans (UMR) \checkbox1 {“size”:”small”}\

PPO2

$30/$30 Deductible 80/20 $500/$1,000 $2,000/$4,000

\checkbox1 {“size”:”small”}\

PPO3

$35/$35 Deductible 80/20 $1,000/$2,000 $3,000/$6,000

\checkbox1 {“size”:”small”}\

PPO4

$40/$40 Deductible 80/20 $1,500/$3,000 $4,000/$8,000

\checkbox1 {“size”:”small”}\

PPO5

$45/$45 Deductible 80/20 $2,500/$5,000 $4,500/$9,000

\checkbox1 {“size”:”small”}\

PPO6

$50/$50 Deductible 80/20 $3,000/$6,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

PPO7

$55/$55 Deductible 80/20 $4,000/$8,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

PPO8

$55/$55 Deductible 100% $5,000/$10,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

PPO9

$65/$65 Deductible 100% $6,000/$12,000 $6,000/$12,000

EPO Medical Plans (UMR) \checkbox1 {“size”:”small”}\

EPO3

$40/$55 $1,000 $0 $5,000/$10,000

\checkbox1 {“size”:”small”}\

EPO4

$45/$60 $1,500 $0 $5,500/$11,000

\checkbox1 {“size”:”small”}\

EPO5

$50/$65 $2,500 $0 $6,000/$12,000

\checkbox1 {“size”:”small”}\

EPO6

$55/$70 $3,000 $0 $6,500/$13,000

\checkbox1 {“size”:”small”}\

EPO7

$65/$80 $3,500 $0 $7,000/$14,000

High Deductible Health Plans (UMR) \checkbox1 {“size”:”small”}\

HDHP2

Deductible 80/20 Deductible 80/20 $2,000/$4,000 (Non-

Embedded) $4,000/$8,000

\checkbox1 {“size”:”small”}\

HDHP25

Deductible 80/20 Deductible 80/20 $2,500/$5,000 (Non-

Embedded) $4,500/$9,000

\checkbox1 {“size”:”small”}\

HD2800

Deductible 80/20 Deductible 80/20 $2,800/$5,600 (Non-

Embedded) $5,000/$10,000

\checkbox1 {“size”:”small”}\

HDHP3

Deductible 80/20 Deductible 80/20 $3,000/$6,000 (Non-

Embedded) $5,000/$10,000

\checkbox1 {“size”:”small”}\

HD3500

Deductible 80/20 Deductible 80/20 $3,500/$7,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

HDHP4

Deductible 80/20 Deductible 80/20 $4,000/$8,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

HDHP5

Deductible 100% Deductible 100% $5,000/$10,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

HDHP6

Deductible 100% Deductible 100% $6,000/$12,000 $6,000/$12,000

Surest Medical Plans (UHC) {\checkbox1 {“size”:”small”}\

Surest 5 $15 - $100/$15 - $100 $200 - $3,000 $0 $5,000/$10,000

{\checkbox1 {“size”:”small”}\ Surest 7

$45 - $155/$45 - $155 $400 - $5,500 $0 $7,000/$14,000

{\checkbox1 {“size”:”small”}\ Surest 9

$45 - $155/$45 - $155 $400 - $5,500 $0 $9,000/$18,000

Kaiser Medical Plans \checkbox1 {“size”:”small”}\

KP-DHMO 0500

$25/$35 Deductible 80/20 $500/$1,000 $3,000/$6,000

\checkbox1 {“size”:”small”}\

KP-DHMO 0750

$30/$40 Deductible 80/20 $750/$1,500 $3,300/$6,600

\checkbox1 {“size”:”small”}\

KP-DHMO 1000

$35/$45 Deductible 80/20 $1,000/$2,000 $3,500/$7,000

\checkbox1 {“size”:”small”}\

KP-DHMO 1500

$40/$40 Deductible 80/20 $1,500/$3,000 $4,000/$8,000

\checkbox1 {“size”:”small”}\

KP-DHMO 2500

$40/$40 Deductible 80/20 $2,500/$5,000 $4,500/$9,000

\checkbox1 {“size”:”small”}\

KP-DHMO 3000

$50/$60 Deductible 80/20 $3,000/$6,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

KP-DHMO 4000

$55/$65 Deductible 80/20 $4,000/$8,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

KP-HDHP 1600

Deductible 80/20 Deductible 80/20 $1,650/$3,300 (Non-

Embedded) $3,000/$6,000

\checkbox1 {“size”:”small”}\

KP-HDHP 2500

Deductible 80/20 Deductible 80/20 $2,500/$5,000 (Non-

Embedded) $3,000/$6,000

\checkbox1 {“size”:”small”}\

KP-HDHP 3500

Deductible 80/20 Deductible 80/20 $3,500/$7,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

KP-HDHP 4000

Deductible 80/20 Deductible 80/20 $4,000/$8,000 $5,000/$10,000

\checkbox1 {“size”:”small”}\

KP-HMO 05

$5/$10 $250 $0 $1,000/$2,000

\checkbox1 {“size”:”small”}\

KP-HMO 10

$10/$20 $500 $0 $1,500/$3,000

\checkbox1 {“size”:”small”}\

KP-HMO 15

$15/$30 $750 $0 $2,000/$4,000

\checkbox1 {“size”:”small”}\

KP-HMO 20

$20/$40 $750 $0 $3,000/$6,000

\checkbox1 {“size”:”small”}\

KP-HMO 30

$30/$45 $750 $0 $4,000/$8,000

\checkbox1 {“size”:”small”}\

KP-HMO 40

$40/$50 $1,000 $0 $4,500/$9,000

\checkbox1 {“size”:”small”}\

KP-HMO 45

$45/$60 $1,500 $0 $5,000/$10,000

\checkbox1 {“size”:”small”}\

KP-HMO 50

$50/$65 $2,000 $0 $5,500/$11,000

\checkbox1 {“size”:”small”}\

KP-HMO 55

$55/$70 $2,500 $0 $6,000/$12,000

\checkbox1 {“size”:”small”}\

KP-HMO 65

$65/$80 $3,000 $0 $6,500/$13,000

Dental Plans (Delta Dental of Colorado)

Plan A | $2,000 annual benefit maximum, $2,000 Ortho lifetime maximum (includes adult ortho)

Plan B | $1,500 annual benefit maximum, $1,500 Ortho lifetime maximum (child only)

Plan C | $1,500 annual benefit maximum, No Ortho

Vision Plans (UMR & VSP)

Plan A | (UMR) 12/24/24 $150 frames, no network

Plan B | (VSP) 12/12/24, $160 frames, $15 copay at VSP providers

Plan C | (VSP) 12/12/12, $175 frames, $10 copay at VSP providers

Life Insurance Plans (The Standard Insurance Company)

Basic Group Life (Life A) | Volume $20k min to $450k max (Employer Paid)

Dependent Group Life (Dep Life A) | Volume $5k Spouse, $2k Child (Employer Paid)

Voluntary Life (Supp Life) | Volume $500k max Employee, $250k max Spouse, $20k max Child

CEBT BENEFIT & ADMINISTRATIVE CHANGES

(Effective January 1, 2026)

CEBT Plans

The following CEBT plans will be new plan options available, effective January 1, 2026:

Plan Name PCP / Specialist

Copay Deductible

(Individual / Family) Out-Of-Pocket Max (Individual / Family)

EPO Select 2

PCP $0 (T1) / $100 (T2)

Spec $100 (T1) / $200 (T2) N/A

Ind $5,000 Fam $10,000 (T1) Ind $10,000 Fam $20,000 (T2)

EPO Select 3

PCP $0 (T1) / $125 (T2)

Spec $150 (T1) / $250 (T2) N/A

Ind $6,000 Fam $12,000 (T1) Ind $10,000 Fam $20,000 (T2)

CEBT-Kaiser Plans

The following Kaiser plans will be new plan options available, effective January 1, 2026:

Plan Name PCP / Specialist

Copay Deductible

(Individual / Family) Out-Of-Pocket Max (Individual / Family)

KP-DHMO 3000 $50 / $60 $3,000 / $6,000 $5,000 / $10,000

KP-DHMO 4000 $55 / $65 $4,000 / $8,000 $5,000 / $10,000

KP-HMO 55 $55 / $70 N/A $6,000 / $12,000

KP-HMO 65 $65 / $80 N/A $6,500 / $13,000

July 1, 2025, Plan Change Reminders

UPDATED | Telemedicine (CEBT HDHP Plans Only)—The HDHP telehealth safe harbor was permanently extended as part of the Budget Reconciliation Act on July 4. This resulted in services through Teladoc and the CEBT Health & Wellness Centers waiving cost share for members on CEBT high-deductible health plans (HDHP).

Lantern Infusion Care—A site-of-care management program for infusion therapy through Lantern will be available for those enrolled in the CEBT PPO, EPO, HD, and Surest plans. This program allows for lower negotiated rates on infusions either in-home or at ambulatory infusion centers, providing members access to the most appropriate site of care with no member cost share on the PPO, EPO, and Surest plans and after deductible on HDHP plans. Being treated outside of a hospital setting, members will have access to personalized support from a clinical care team to educate and guide them during their infusion therapy journey.

PrudentRx Specialty Drug Cost Savings Program—PrudentRx is a copay assistance program designed to help with the out-of-pocket costs of specialty medications under Caremark’s prescription drug benefits on the CEBT PPO and EPO plans Through this program, members will have access to manufacturer copay assistance programs, reducing the out-of-pocket costs to $0 for certain eligible specialty drugs.

The following CEBT & Kaiser plans are new plan options available, effective July 1, 2025:

Plan Name PCP / Specialist

Copay Deductible

(Individual / Family) Out-Of-Pocket Max (Individual / Family)

PPO9 $65 / $65 $6,000 / $12,000 $6,000 / $12,000

EPO7 $65 / $80 $0 $7,000 / $14,000

HDHP6 Deductible 80/20 $6,000 / $12,000 $6,000 / $12,000

Surest 9 $45 to $155 $0 $9,000 / $18,000

KP-DHMO 500 $25 / $35 $500 / $1,000 $3,000 / $6,000

KP-HMO 30 $30 / $45 $0 $4,000 / $8,000

KP-HDHP 3500 Deductible 80/20 $3,500 / $7,000 $5,000 / $10,000

KP-HDHP 4000 Deductible 80/20 $4,000 / $8,000 $5,000 / $10,000

CEBT-Kaiser DHMO & HMO

KP-DHMO 750—ER Copay will increase from $40 to $45

KP-DHMO 1000—OV Specialist Visit copay will increase from $35 to $45, and the Urgent Care copay will increase from $35 to $50

Newborn Cost Share—Newborns will incur a separate cost share from the mother if/when they require definitive treatment outside of routine care. The cost share will apply regardless of whether they are discharged at the same time or separately from the mother.

CEBT-Kaiser (All Plans)

Dependent Out-of-Area Benefit—For dependents up to age 26 who are outside of the service area, the benefit limits will increase on the following:

• Office visits (at the office visit cost share) per visit will increase from 5 to 10

• Physical, occupational, and speech therapy visits will be added to allow up to 10 visits combined

• Diagnostic x-rays will increase from 5 to 10

• Diabetic supply fills will be added, allowing up to 12 fills

• Prescription drug fill will increase from 5 to 12 fills

Abortions—HMO and DHMO plans will cover elective and therapeutic abortions at 100% with no cost share; HDHP plans will cover at 100% no cost-share after the deductible is met.

Sterilization—HMO and DHMO plans will cover sterilization at 100% with no cost share; HDHP plans will cover sterilization at 100% with no cost share after the deductible is met. This change applies to men’s sterilization, as the benefit for women’s sterilization is currently covered as stated.

Sexually Transmitted Infections (STI)—Benefits for the treatment of STI will be covered at 100%, with no cost-share.

Perinatal Health Outcomes—Doula services will be covered to the same extent and with the same provider qualifications requirements as required under Medicaid.

Utilization - Additional Benefits City Of Wheat Ridge 00S8 Data Included in Report:

January 2023 - December 2023 January 2024 - December 2024 January 2025 - June 2025

Calls Cases Consults Procedures Avoided Procedures

Savings

2023 1 1 0 0 0 $0 2024 6 5 5 4 0 $53,388 Jan-Jun25 1 0 0 0 0 $0

Cases: Member called Lantern and a Care Advocate started a case for them Consults: Member went through a consult with a surgeon Procedures: Member completed procedure Avoided Procedures: Non-surgical care was recommended/utilized Savings: Based on completed procedures; industry average procedure costs vs. Lantern

Phone Consults

Video Consults

Total Consults

Registered Lives

Registered % Utilization %

2023 5 0 5 9 10.6% 6.7% 2024 8 10 18 17 13.9% 17.6% Jan-Jun25 5 2 7 22 17.7% 11.4%

Target Utilization Percentage: 15% (based on average members)

Activity Reward Count Reward Amount

2023 6 0 $0 2024 6 8 $540 Jan-Jun25 14 3 $1,200

Activity: Employee searched for a procedure on the website or mobile app Reward: Employee searched then visited a green provider

Prevention Diabetes Hypertension Diabetes and Hypertension

Musculoskeletal Consultations (Physical Therapy)

2023 <5 0 0 0 0 2024 <5 0 0 <5 0 Jan-Jun25 0 0 0 0 0

Enrolled data: Number of new members enrolled in each program <5: A result of less than 5 is used in order to avoid HIPAA issues

Counseling Cases

Legal Cases

Financial Cases

Life Coaching

Total Cases

Utilization %

2023 21 2 0 N/A 23 8.8% 2024 21 2 0 0 23 4.1% Jan-Jun25 6 0 0 0 6 2.9%

CEBT overall utilization: 8.0% National average utilization: 4.0%

Registered Employees

Registered % Engaged Employees

Engaged % Employees in 1:1 Care

2024 34 7% 19 4% <3 Jan-Jun25 33 7% 9 4% 6

CEBT overall engagement: 6.0% <3: A result of less than 3 is used in order to avoid HIPAA issues

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

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Your decision to purchase insurance coverages, products, and/or services through a WTW company is subject to the following terms and conditions (the “Brokerage Terms”).

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The final decisions with respect to all matters relating to your insurance coverages, risk management, and loss control needs and activities are yours. We will procure the insurance coverage chosen by you, including the limits you choose, prepare or forward insurance binders, if applicable, and review and transmit policies to you.

We will review all binders, policies and endorsements to confirm their accuracy and conformity to negotiated specifications and your instructions and advise you of any errors in, or recommended changes to, such documents. You agree that you will also review all such documents and promptly advise us of any questions you have or of any document or provision which you believe may not be in accordance with your instructions as soon as possible, and in no event longer than two weeks, after you receive them. Your coverage is defined by the terms and conditions detailed in your insurance policies and endorsements. Your review of these documents, and any review you may seek from outside legal counsel or insurance consultants, is expected and essential.

You must timely and properly report all claims in accordance with your insurance policies. You agree that we are not responsible for reporting claims on your behalf. Failure to timely and properly report a claim may jeopardize coverage for the claim. In addition, you should retain copies of all insurance policies and coverage documents as well as claims-reporting instructions after termination of the policies because in some cases you may need to report claims after termination of a policy.

Our compensation may be revised if you request a change in the coverages and/or services we provide under the SOW or these Brokerage Terms and we enter into a written agreement documenting any change in coverages, services and compensation. If we are compensated by commissions paid by insurers, we will be entitled to retain the commissions for new coverages, revised coverages, or other material change in coverages.

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

Unless otherwise agreed in writing, in the event of termination, we will be entitled to receive and retain any commissions payable under the terms of our commission agreements with the insurers in relation to policies placed by us, whether or not the commissions have been received by us.

Our obligation to render services to you ceases on: (a) the effective date of termination of the SOW, or (b) if you have not entered into a SOW, the earlier of: (i) 60 days prior written notice by either party terminating the services, or (ii) with respect to any coverage subject to these Brokerage Terms, the effective date of a change in your broker of record for that coverage (the “Termination Date”). Nevertheless, we will take reasonable steps to assist in the orderly transition of matters to you or to a new insurance broker. Claims and premium or other adjustments may arise after the Termination Date, and we have no responsibility to handle these things after our relationship ends. Such items are normally handled by the insurance broker serving you at the time the claim or adjustment arises. However, we will consider providing such services after the Termination Date for mutually agreed additional compensation. Nevertheless, we will process all remaining deposit premium installments on the policy(ies) in effect on the Termination Date.

The insurance market is complex, and there could be other relationships which are not described in this document which might create conflicts of interest. If a conflict arises for which there is no practicable way of complying with this commitment, we will promptly inform you and withdraw from the engagement, unless you wish us to continue to provide the services and provide your written consent. Please let us know in writing if you have concerns or we will assume that you understand and consent to our providing our services pursuant to these Brokerage Terms.

If we are assisting you with stop loss coverage, you understand and agree that we are acting as an independent consultant/broker in assisting you with the placement of stop loss coverage. You further agree that our role is limited to assistance in resolution of broad issues or systemic disputes between you and your selected carrier relative to dissatisfaction with a carrier’s products or services, including processing of claims, delayed payment of claims, missing/incorrect data feeds, and gaps or omissions between any final proposal document and implemented coverage. We are not able to provide an opinion on whether any particular complete or partial claim denial, is appropriate. Our role relative to any specific claim disputes would be limited to facilitation of a discussion between the stop loss carrier, medical/prescription drug administrator, and you to outline the issues and identify next steps and responsible parties. For avoidance of doubt, facilitation of specific claim disputes among the parties is not included in our services, unless specifically outlined in a separate statement of work and scope of services. If you would like us to perform that function, please let us know and we will work with you to determine the scope and fees for such work.

Brokerage Disclosures

If a WTW affiliate or office located outside of the United States or Canada serves as an intermediary in the placement of your coverages, it will also earn and retain compensation for providing those services which compensation may not be included in the fee.

To the extent WTW is compensated by commissions paid to us by insurers, they will be earned for the entire policy period at the time we place policies for you. We will be paid the commission percentage stated for the placement of your insurance as indicated and will receive the same commission percentage for all subsequent renewals of this policy unless a different commission percentage is disclosed to you, or unless the insurer changes its commission rates, in which case the new commission rate will be disclosed to you before placement of the policy.

The compensation that will be paid to WTW will vary based on the insurance contract it sells. Depending on the insurer and insurance contract you select, compensation may be paid by the insurer selling the insurance contract or by another third party. Such compensation may be contingent and may vary depending on a number of factors, including the insurance contract and insurer you select. In some cases, other factors such as the volume of business WTW provides to the insurer or the profitability of insurance contracts WTW provides to the insurer also may affect compensation. WTW may accept this compensation in locations where it is legally permissible and meets standards and controls to address conflicts of interest.

Whether or how much insurers may pay in contingent compensation does not play any role in WTW’s placement recommendations on behalf of its clients. WTW will decline to accept contingent compensation from an insurer if such compensation cannot be attributed or allocated by the insurer to a particular client.

If you prefer that we not accept contingent compensation related to your policy, please notify us in writing and we will request that your insurer(s) exclude your business from their contingent payment calculations.

Upon request, WTW will provide you with additional information about the compensation WTW expects to receive based in whole or in part on your purchase of insurance, and (if applicable) the compensation expected to be received based in whole or in part on any alternative quotes presented to you.

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

WTW may place your insurance or other business with members of a panel of insurers or other vendors.

WTW develops panels of insurers and vendors in certain market segments. Participating insurers and vendors are reviewed on a variety of factors. Commission or fee rates on panel placements may be higher than rates paid on business placed outside of the panel process. WTW discloses its commission rates to clients on quotes obtained through the panel process prior to binding the coverage. In some instances, insurers or vendors pay an administration or management fee to participate in the panel process or for additional reporting. In some instances, WTW may earn a referral fee for referring your business to certain vendors.

In some cases, the use of a wholesale broker may be beneficial to you. We will not directly or indirectly place or renew your insurance business through a wholesale broker unless we first disclose to you in writing any compensation we or our corporate parents, subsidiaries or affiliates will receive as a result. If wholesalers, underwriting managers or managing general agents have a role in providing insurance products and services to you, they will also earn and retain compensation for their role in providing those products and services. If any such parties are corporate parents, subsidiaries or affiliates of ours, any compensation we or our corporate parents, subsidiaries or affiliates will receive will be included in the total compensation we disclose to you. If such parties are not affiliated with us, and if you desire more information regarding the compensation those parties will receive, please contact us and we will assist you in obtaining this information.

Commission schedules and other compensation arrangements related to our services on your behalf may change over time and may not always be congruent with your specific policy period. WTW will provide you with accurate information to the best of our knowledge when information is presented to you, but it is possible that compensation arrangements may change over time. We will update you on any changes to our compensation prior to your renewal and will do so at any time upon your request.

As an insurance intermediary, we normally act for you. However, we or our corporate parents, subsidiaries or affiliates may also provide services to insurers for which we may earn compensation. These services may include, for example, acting as a managing general agent, program manager or in other similar capacities which give us binding authority enabling us to accept business on their behalf and immediately provide coverage for a risk or providing third party administration and other services to insurers. Contracts with these insurers may grant us certain rights or create certain obligations regarding the marketing of insurance by the insurers. When we place your insurance business in such a situation as we will receive compensation related to these services from an insurer, we will inform you and disclose that we may receive compensation. In addition, these services may include providing services to insurers as a client. For example, we or they may provide consulting, brokerage, outsourced administration or reinsurance services to insurer clients. In such cases we or they will be compensated, separately for the services provided to those insurer clients. Some of these insurer clients may happen to be insurers with whom we place your insurance coverages. The services provided to you and the services provided to our insurer clients are separate and any compensation earned for the services provided to insurer clients are separate from and in addition to the compensation we earn for the services we provide you under these Brokerage Terms.

We are members of a major international group of companies. In addition to the commissions received by us from insurers for placement of your insurance coverages, other parties, such as excess and surplus lines brokers, wholesale brokers, reinsurance intermediaries, underwriting managers and similar parties (some of which may be owned in whole or in part by our corporate parents or affiliates), may earn and retain usual and customary commissions for their role in providing insurance products or services to you under their separate contracts with insurers or reinsurers.

To comply with applicable anti-money laundering regulations there are times when we may ask clients to confirm (or reconfirm) their identity. We may need to do this at the time you become a client or have been one for some time or for example, when checking details on proposal forms and transferring claims payments. This information may be shared with other subsidiaries of WTW PLC and where we deem necessary with regulatory or law enforcement bodies. Please note that we are prohibited from disclosing to you any report we may make based on knowledge or suspicion of money laundering, including the fact that such a report has been made.

We have systems that protect our clients and ourselves against fraud and other crime and we may utilize the services of third parties in order to identify and verify clients. Client information can be used to prevent crime and trace those responsible. We may check your details against financial crime databanks. If false or inaccurate information is provided, we may be obliged to pass such details to relevant regulatory agencies that may use this information.

Disclosures only applicable in the United States.

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

The Consolidated Appropriations Act, 2021 (CAA) amends ERISA by requiring brokers and consultants to disclose both direct and indirect compensation received in relation to services provided to the group health plan. In general, direct compensation received by us is any fee you pay to us using plan assets and indirect compensation is generally any other compensation we receive in connection with our services to the plan as your broker or consultant. The description of our services and our compensation (direct, indirect, or other compensation) we receive in connection with the services we provide to you can be found in one or all of the following documents, as applicable to our arrangement: Master Services Agreement/Terms and Conditions, Statement(s) of Work, Brokerage Terms, Conditions and Disclosures Document, Additional Insurance Terms & Disclosure Document and/or a stand-alone Compensation Disclosure Document. For additional information regarding the above disclosure requirements, please see ERISA Section 408(b)(2)(B).

WTW and its employees may receive indirect compensation from plan vendors and service providers (such as insurers or third party administrators) that is not in connection with any particular client. This incidental compensation includes items such as promotional and holiday gifts, meals, tickets to a sporting or entertainment event, or expense reimbursement in connection with educational meetings, client workshops or events, or marketing or advertising initiatives, including services for identifying prospective clients. Plan vendors and service providers may also pay or reimburse WTW for the costs associated with education or training events that may be attended by WTW employees and WTW-sponsored conferences and events.

Based upon historical data and on a per client basis, WTW estimates the value of the above compensation is less than $100 per client annually.

If and to the extent that any portion of WTW's compensation is to be paid by or on behalf of any employee health or other welfare benefit plan ("Plan"), including commissions derived from Plan assets, then you will secure the approval of the applicable Plan fiduciaries for such portion of our compensation. You, and if applicable, the Plan fiduciaries, and not WTW, will determine whether any payment utilizing, or deriving from, Plan assets is appropriate. Based on historical market data, we estimate that our commissions may range from 0% to 20% of premium depending on lines of coverages selected, the insurer selected, and geographical location. Based on historical market data, we estimate that directed fees we may receive from insurers/third party administrators in connection with your self-funded plans may range between $0 and $10 per employee per month or between 0% and 5% of monthly fees. Refined estimates of the amounts we might earn as described in this paragraph will be discussed with you and disclosed to you prior to placement.

WTW will provide details concerning its charges to enable you, and if applicable, the Plan fiduciaries to make such determinations, but any information that WTW provides to you with its invoices or otherwise should not be construed as advice regarding the appropriate use of Plan assets. You, and if applicable, the Plan fiduciaries are encouraged to consult with legal counsel regarding such matters. Unless you tell us otherwise, in providing our services we will assume that the employee welfare benefits you provide to your employees and with respect to which we provide services have been wrapped into a single Plan. To the extent that you or your Plan enter into an administrative services only contract with a third party administrator pursuant to which WTW receives a directed fee, you represent that all administrative fees are paid by you out of your general assets and will not be charged to the Plan.

As further explained in section 3.3, we may receive contingent compensation in relation to our brokerage services we provide to you. Based on historical market data, we estimate that our contingent compensation may range from 0% to 5% of the total premium placed for all lines of coverage.

We may also receive additional compensation from certain carriers depending on the line of business that we place for you. This additional compensation is distinct from contingent compensation and is additional compensation we receive in addition to the standard commission rate offered by carriers based upon pre-negotiated commission rates with carriers at a corporate level or in connection with the services we provide to you in section 3.5. Based upon historical market data, our additional compensation may be between 0% and 6% of the premium placed on particular lines of coverage and the carrier you choose. The amount of this compensation, if applicable, will be discussed with you and disclosed to you prior to placement.

WTW is not being engaged as a fiduciary or to provide investment advice and does not and will not perform or assume any fiduciary or trust responsibilities or liability in connection with the performance of the services.

You agree that the services to be performed by WTW under an applicable Statement of Work are ministerial and not fiduciary in nature, that WTW has no discretionary authority or control with respect to the management or administration of your employee benefit plan(s) or any Plan assets, that WTW is not providing any advice with respect to products that may have an investment component, and that WTW's compensation has not been set at levels intended to compensate it for assuming fiduciary liability. You retain full responsibility for decisions to purchase or not purchase insurance policies, all claims for benefits against the Plan and any other discretionary decisions by the Plan or any fiduciary, trustee, Plan administrator, or Plan committee.

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

You agree that any enrollment or census data provided to WTW will be provided by you in your role as an employer. You agree that you are responsible for your own access to and use of employee data, and that all persons whom you direct or request WTW to share employee data with are authorized to receive the employee data.

In the event that you and/or any of the employee benefit plans sponsored by you need to enter into business associate agreements with WTW to satisfy the requirements of the Health Insurance Portability and Accountability Act, the regulations implementing that Act (the “Standards for Privacy of Individually Identifiable Health Information,” codified at 45 C.F.R. parts 160 and 164), or any other similar law, the parties will execute an agreement in compliance with these requirements.

If any of our affiliates or subcontractors receive compensation related to these services on a transaction basis as that term is defined in ERISA Section 408(b)(2)(B), we will identify the affiliate and/or subcontractor receiving such compensation. This Agreement or your agreement with that affiliate or subcontractor will detail the services those entities are providing to you and their compensation.

The Texas Department of Insurance maintains a toll-free telephone number (1-800-252-3439) which you may call if you have complaints regarding fees charged by any insurance producer. You also may contact the Texas Department of Insurance at ConsumerProtection@tdi.state.tx.us. The Texas Department of Insurance’s website is www.tdi.state.tx.us and its mailing address is P.O. Box 149104, Austin, TX 78714- 9104.

General Terms and Conditions

Taxes. Any fees or rates quoted or estimated shall be exclusive of income tax or of any sales, ad valorem, value added tax or any similar tax unless such tax is required to be included pursuant to a statutory requirement. If required, WTW will add the relevant tax to the invoice, separately stated, and remit such tax to the appropriate authority.

Our Responsibilities. We shall provide the Services in a professional manner with reasonable skill and care and in accordance with all laws and regulations applicable to us. We will assign to the project team, members of our staff with adequate education, training and experience to perform the tasks assigned to them. We will use reasonable endeavors to meet any agreed timetable.

The work product we produce in the course of providing the services (the “Work Product”) will not infringe any intellectual property right of any third party. Unless otherwise expressly agreed in writing, we do not accept any fiduciary or trust responsibilities or related liability in connection with the performance of the Services. We do not provide legal, accounting or tax advice.

Your Responsibilities. You will provide us, in a timely manner, with all documentation, information, access to your personnel, access to your premises (if applicable) and cooperation reasonably required to provide the services. Any delay or failure to provide such documentation, information, access to your personnel or cooperation may result in: (a) a revision to any agreed timetable; and (b) if we are required to perform any additional work as a result, additional fees being charged. We will rely on the documentation and information provided by you or your representatives and we do not take responsibility for verifying the accuracy or completeness of it. You may rely only upon our final Work Product and not on any drafts or oral statements made by us in the course of performing the Services.

You represent that you are in compliance, and will continue to comply, with all laws, rules, regulations or government authority guidance applicable to you. If WTW determines that the services WTW performs for you relate to operations or activities prohibited by or inconsistent with any applicable law, rule, regulation or government authority guidance, it reserves the right to immediately terminate these Brokerage Terms in its entirety and/or decline to provide certain services.

Intellectual Property Rights and Work Product. You shall retain ownership of all original data and materials provided to us by you or your representatives, and the intellectual property rights in that data and materials. You will have the right to use, reproduce and adapt the copies of the Work Product for internal purposes within your organization. We shall retain the intellectual property rights in the Work Product, and the skills, know-how and methodologies used or acquired by us during the course of providing any of the services.

The services, including the Work Product, are provided solely for the intended purpose, and may not be referenced or distributed to any other party without our prior written consent. You may distribute the Work Product to your affiliates, provided that you ensure that each such affiliate complies with the terms and conditions of these Brokerage Terms and any applicable Statement of Work, as if it were a party to them, and you remain responsible for such compliance.

mailto:ConsumerProtection@tdi.state.tx.us http://www.tdi.state.tx.us/

2022-11-30 Health & Benefits Brokerage Terms, Conditions & Disclosures (US & Canada) (Commission Only)

You shall not refer to us or include any of the Work Product in any shareholder communication or in any offering materials (or fairness opinion provided by your professional advisers) prepared in connection with the public offering or private placement of any security, unless otherwise agreed in writing.

Confidentiality and Data Privacy. Each Party (the “Recipient”) shall protect all confidential information which the other Party (the “Discloser”) provides to it (whether orally, in writing or in any other form) (“Confidential Information”) using the same standards as the Recipient applies to its own comparable confidential information, but in no event less than reasonable measures. Confidential Information shall not include information that is: (a) already known to the Recipient at the time of disclosure; (b) in the public domain or publicly available; (c) provided to it by a third party who is under no such obligation of confidentiality; (d) independently developed by it; or (e) is required to be disclosed by court order, regulatory authority or other legal process, provided that prior to disclosing any Confidential Information, the Recipient shall, if permitted by law, notify, and cooperate with the Discloser, at Discloser’s expense, to lawfully limit and/or obtain appropriate protective orders with respect to such portion(s) of the Confidential Information which is the subject of any such required disclosure. Each Party may disclose Confidential Information to its legal advisers to protect its own legitimate interests or to comply with any legal or regulatory requirements.

In the course of providing the services, the Parties acknowledge that you may provide us with information about an identifiable individual or information which relates to a natural person and allows that person to be identified, including your customer or employee information (“Personal Data”). It is further acknowledged that we are a global business and that we may transmit your information, including Personal Data within our global network of offices to our affiliates and providers of IT outsourcing who will be subject to appropriate data protection standards. You represent that Willis Towers Watson is authorized to receive and process any such Personal Data and that you have obtained any necessary consents from third parties, including the individual to whom such Personal Data relates, that may be required for us to use the Personal Data for the purpose of providing the Services. Irrespective of where we receive or hold Personal Data on your behalf, we will take appropriate technical, physical and organizational/administrative measures to protect it against accidental or unlawful destruction or accidental loss or unauthorized alteration, disclosure or access. Each Party shall comply with the provisions and obligations imposed on it by applicable data privacy legislation and regulations.

You agree that we may maintain, process and transfer your Confidential Information and Personal Data to perform the services, and for other reasonable ancillary purposes, unless you instruct otherwise. We may retain such information and data as may be required by applicable law, regulation, or our record retention and business continuity policies and procedures.

In addition, you hereby grant us permission to use data we receive from you or your representatives in the course of the services for use in…