2016

EMPLOYEE BENEFITS

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Your Health and Wellbeing At Aspen Valley Hospital, we believe in the health and wellbeing of our employees and their families. This is one of the reasons why we provide a comprehensive benefits package, including full health and dental benefits, a robust employee wellness program (Evolve), flexible spending plans, a life insurance and disability program, and a generous time off bank. Our goal with these programs is to help our employees and their families better understand the health and wellness issues that can impact their lives, and to promote a healthy lifestyle throughout all stages of life. This is not only good for you and your family, but also important for the organization to maintain a healthy workforce. Aspen Valley Hospital strives to provide its employees with a variety of options despite the rising cost of health care and employee benefits. We encourage you to evaluate and elect the benefits that best fit your personal needs.

2016 Changes and Reminders Open enrollment dates: November 30, 2015—December 24, 2015

Medical, dental and health care FSA moving to Allegiance using the Cigna network

Increase in health plan premium

Evolve is now a bi-annual program—you’ll need to accrue at a level of 5,000 points earned every 6 months

Enhancement to health care FSA—$500 rollover

Enhancement to Chiropractic and Acupuncture—Employee pays 30% coinsurance for the first 20 visits (combined). Deductible and coinsurance applies for any visits beyond 20

Web Benefits: Your Benefits Self-Service Portal! The Web Benefits Portal through Paylocity will be open for all open enrollment changes and additions.

Access Web Benefits through your Paylocity Employee Portal. Once you are there, on the menu bar above the AVH logo, click on “Applications”, then click on “Enterprise Web Benefits”. A new window will open. You will be able to make any applicable changes or additions during open enrollment (November 30—December 24). After open enrollment, you will be able to log in and view your benefit elections at any time. If you have a qualifying event you will need to contact HR to open a Special Enrollment window.

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Eligibility Eligible employees include full-time employees regularly scheduled to work 32 or more hours per week, half-time employees regularly scheduled to work 24 to 31 hours per week, and all other qualified employees determine by Human Resources. Aspen Valley Hospital will be tracking your hours to determine whether you are eligible for coverage. You will be notified by Human Resources if your health plan eligibility changes.

Eligible Dependents Many of the benefit plans also offer coverage for eligible dependents. Eligible dependents include the following:

Your legal spouse, common-law spouse, civil union partner, or same-sex or opposite sex domestic partner. A marriage certificate, license, or completed affidavit is required to add a dependent to the benefit plans.

Your children to age 26 (including stepchildren, children of domestic partners, legally-adopted children, and children placed with you for adoption), regardless of marital, student, or tax-dependent status (medical, dental, vision, and health care FSA coverage only). This varies for other benefits—please see Human Resources for more information.

Your dependent children over age 26 who are physically or mentally unable to care for themselves.

Qualifying Event You will not be able to enroll or make changes during the year unless you experience a qualifying life event. A qualifying life event can include, but is not limited to:

Marriage, legal separation, or divorce

Birth or adoption of a child

Change in employment status for you or your spouse

Change in a dependent’s benefits eligibility status (e.g., a dependent child exceeding the maximum age for coverage)

A significant change in the cost or coverage of your spouse’s benefits

Change in place of residence causing a loss of eligibility (i.e., moving outside of the service area)

Loss of a dependent (death)

To change your benefits, notify the Human Resources Department within 31 days of the qualifying event. You will need to provide proof of the change, such as a marriage certificate or record of birth.

Individual Mandate Reminder You and your family members are required to have health insurance or pay a penalty to the government. If you don’t have coverage in 2016, you’ll have to pay a penalty of $695 per adult and $347.50 per child, or 2.5% of your income (whichever is higher). The fee increases every year. Some people may qualify for an exemption to this fee. The medical plans offered by Aspen Valley Hospital meet all of the health reform law requirements to satisfy the individual mandate. Additionally, Aspen Valley Hospital pays a substantial amount toward the cost of coverage.

Benefit Eligibility

Medical

Prescription drug

Dental

Vision

All full-time, half-time, and other qualified employees

Coverage is effective on the first day of the month following date of hire or change of status

FSA (health care & dependent care)

Life/AD&D

Supplemental life/AD&D

Survivor life

STD

LTD

All full-time and half-time active employees

Coverage is effective on the first day of the month following six months of active service or change of status

Retirement plans

457(b) deferrals: Full-time, half-time, and PRN only

401(a) matching: All full-time and half-time active employees after one year of service

Cash balance: All full-time and half-time active employees

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Aspen Valley Hospital Health Plan Aspen Valley Hospital offers you and your eligible dependents two comprehensive medical plans from which you can choose. The plans are administered by Allegiance. You receive the maximum benefit under the plans, and pay a smaller amount out of your pocket, when you seek medical treatment from a network provider. The table below summarizes the key feature of the medical plans. The coinsurance amounts listed reflect the amount you pay. Please refer to the official plan documents for additional information on coverage and exclusions.

Please note: Valley View Hospital is considered an out-of-network provider under our plans if services are available at Aspen Valley Hospital.

Employee Discount on Hospital Services: Employees may be eligible to receive a 50% discount on services provided by Aspen Valley Hospital and associated clinics—Basalt After-Hours Care, Snowmass Clinic, and AVH Physical Therapy locations in Aspen & Snowmass. Please see policy for complete details.

*Mandatory Generic Prescription Drug Program: A penalty will apply if a member requests a brand medication when there is a generic equivalent available. The penalty will be the Brand Name copayment plus the difference between the actual cost of the brand and generic medication. There will be no penalty if the doctor specifically recommends the brand choice when a generic equivalent is available. In these situations, the prescribing doctor will need to write “dispense as written” or “DAW” on the prescription.

Benefit Summary AVH 500 AVH 1000

In-Network Out-of-Network In-Network Out-of-Network Calendar Year Deductible– Medical Only Covered person Family unit

$500

$1,000

$1,000 $2,000

$1,000 $2,000

$2,000 $4,000

Calendar Year Out-of-Pocket Maximum– Medical Only

Includes deductible and coinsurance only Includes deductible and coinsurance only

Covered person Family unit

$3,500 $7,000

$7,500 $15,000

$5,000 $10,000

$10,000 $20,000

Physician Services Office visit Specialist visit X-ray labs and office surgery Preventive care

$25 copay $25 copay Ded., 30% $25 copay

Ded., 50% Ded., 50% Ded., 50%

Not covered

$30 copay $30 copay Ded., 30% $30 copay

Ded., 50% Ded., 50% Ded., 50%

Not covered

Hospital Services Inpatient Outpatient Emergency room Urgent care

Ded., 30% Ded., 30% Ded., 30% Ded., 30%

Ded., 50% Ded., 50% Ded., 30% Ded., 30%

Ded., 30% Ded., 30% Ded., 30% Ded., 30%

Ded., 50% Ded., 50% Ded., 30% Ded., 30%

Diagnostic Lab & X-ray Ded., 30% Ded., 50% Ded., 30% Ded., 50%

Physical Therapy

AVH (incl. hospital-owned clinics): 30%, (no ded.)

Cigna Providers: Ded., 30%

Ded., 50%

AVH (incl. hospital-owned clinics): 30%, no ded.

Cigna Providers: Ded., 30%

Ded., 50%

Occupational & Speech Therapy Ded., 30% Ded., 50% Ded., 30% Ded., 50%

Chiropractic & Acupuncture (combined, per calendar year)

Less than 20 visits– 30% coinsurance More than 20 visits– Ded., 30%

Less than 20 visits– 30% coinsurance More than 20 visits– Ded., 30%

Prescribed Massage Therapy ($600 calendar year maximum)

Ded., 30% Ded., 50% Ded., 30% Ded., 50% Massage therapy will only be covered if prescribed by a physician and/or chiropractor for a specific

condition.

Retail Prescriptions (30-day supply) Generic Formulary Brand* Non-Formulary Brand* Mail Order (90-day supply) Generic Formulary Brand* Non-Formulary Brand*

$1,000 calendar year Pharmacy Plan out-of-pocket maximum (Per Individual) $15 copay

30%, $100 per script maximum 50%; $200 per script maximum

$15 copay

30%; $100 per script maximum 50%; $200 per script maximum

Vision Dependents Under 19 Members Age 19 & Older

*Does not go toward deductible or out-of-pocket maximums

100%; 1 exam and lenses per year, frames every 2 years 100%; $100 calendar year maximum (includes exam, glasses, and contacts)

Hearing Exam Ded., 30% Not covered Ded., 30% Not covered

Annual & Lifetime Maximum Benefit Unlimited

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Aspen Valley Hospital Dental Plan The Aspen Valley Hospital dental plan is administered by Allegiance. Under this plan, you have the flexibility to see any dentist of your choice as there is no “network” of dentists to choose from. You will be reimbursed 90% of the expense that Allegiance sets as reasonable and customary for the procedure. If the provider charges more than the amount Allegiance sets as reasonable and customary, you will be responsible for that amount.

AVH Dental Plan

Annual Deductible Individual/Family

$50/$150

Preventive Care 100%

Basic Services 20% after deductible

Major Services 50% after deductible

Annual Maximum Benefit $2,000 per covered person

Orthodontia (child to age 19 only) Lifetime Maximum

50% $1,000

Medical Contributions Monthly contributions effective January 1, 2016, will be as follows: Full-Time Employee Contributions

All Other Qualified** Employee Contributions

Dental Contributions Monthly contributions effective January 1, 2016, will be as follows:

*Must participate in the Evolve Wellness Program to receive preferred rates. This program is explained in further detail on the next page of this guide. You can also see Human Resources for further details. **Qualified employees include those in regular half-time status or those identified through internal audits as being eligible for coverage.

Coverage level Preferred (engaged in wellness program)* Non-Preferred (not engaged in wellness program)*

AVH 500 AVH 1000 AVH 500 AVH 1000

Single only $165.37 $32.01 $225.37 $92.01

Two party $538.51 $215.70 $618.51 $295.70

Family $729.20 $357.33 $829.20 $457.33

Coverage Level Preferred (engaged in wellness program)* Non-Preferred (not engaged in wellness program)*

AVH 500 AVH 1000 AVH 500 AVH 1000

Single only $290.98 $152.48 $350.98 $212.48

Two party $870.01 $539.17 $950.01 $619.17

Family $1,065.35 $763.30 $1,165.35 $863.30

Coverage Level

Full-Time All Other Qualified**

Preferred (engaged in wellness

program)*

Non-Preferred (not engaged in wellness

program)*

Preferred (engaged in wellness

program)*

Non-Preferred (not engaged in wellness

program)*

Single only $11.72 $16.72 $19.85 $24.85

Two party/family $54.00 $64.00 $60.56 $70.56

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Evolve Wellness Program Overview The new points challenge is now bi-annual! To be eligible for the 2016 AVH health plan preferred premiums, you must reach a level of 5,000 points every six months. The completion of the required bi-annual points requirement will grant you eligibility for the premium discount for the next six month period. To track your points and qualify for preferred premiums in 2016, you must:

Register online for the Evolve Wellness Program at www.simplywell.com and complete the online Health Questionnaire no later than December 20, 2015.

Although not required in order to recieve preferred premium, spouses are invited to participate in the Employee Health Screening and Health Questionnaire. Employees who become eligible for benefits after January 1, 2016, should meet with the Employee Wellness Coordinator to discuss options for participation in the program for the remainder of the 2016 plan year. POINT CATEGORIES POSSIBLE POINTS • Annual PWP Health Questionnaire 1,250 points • Annual Health Screening 1,250 points • Simply/Well Health Score • >85 1,000 points • 84-80 750 points • <80 500 points • Annual Primary Care Physical 1,500 points • In-House Wellness Coaching 750 points • Annual Appointments (dentist, flu shot, eye exam etc.) Up to 700 points • Education Modules (online learning) Up to 500 points • Health Trackers (exercise, BP, weight, water intake, etc.) Up to 1,000 points • Wellness Events (all of our other health activities & more) Up to 3,000 points

Points awarded for attending seminars, completing a challenge program, being tobacco free, participating in special events, a good health score, and more!

Important Notes

The Evolve Wellness Program is in full compliance with all federal and state privacy laws, including HIPAA. Data is stored on one of the nation’s secure data storage sites. All personal health information (PHI) is stored in individual tables to

ensure records are secure and the data is only synthesized when username and password are input. No data is stored on the internet.

What’s Offered by Evolve This inspiring and fun approach to creating healthy habits offers the following at no cost to full-time and half-time employees and their dependents on the health plan:

Online sign-up and registration system

Online health questionnaire with comprehensive report

Onsite health screening including lab work (Chem 13, CBC, and lipid panel), height, weight, body mass index, hip-to-waist ratio, and blood pressure

Personalized online dashboard that prioritizes your health risks

Robust healthy living resources, health trackers, and other tools

Online health and disease management guides

Extensive library of educational health modules

Online tracking of points and the opportunity to earn rewards

Access to Valley Health Alliance resources, including health coaches (www.ourvha.org)

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Flexible Spending Accounts Health Care FSA The health care FSA allows you to set aside money from your paycheck before income taxes are withheld to pay for eligible expenses such as deductibles, copayments, and other health-related expenses that are not reimbursed by insurance. Allegiance, the FSA administrator, will issue you a debit card, which you can use at the point of service. Additionally, you can submit claims for reimbursement by completing a claim form and submitting it along with an explanation of benefits (EOB) or an itemized receipt from the provider. Remember, over-the-counter (OTC) medications are not eligible for reimbursement without a prescription. The health care FSA maximum contribution is $2,550 for the 2016 plan year. Health Care FSA Rollover For health care FSA, at the end of the plan year you can now roll over $500 to use during the next calendar year. Any account balance in excess of $500, or any amount not used within the next year, will be forfeited. Dependent Care FSA The dependent care FSA allows you to set aside money from your paycheck on a pre-tax basis for day care expenses to allow you and your spouse to work or attend school full time. Eligible dependents are children under 13, a spouse, elderly parent, or a child over 13 residing in your home who is physically or mentally unable to care for himself or herself. There is no rollover for the dependent care FSA. Below are examples of eligible expenses:

Day care facility fees

Before- and after-school care

In-home babysitting fees (income must be reported by your care provider) You may contribute up to $5,000 to the dependent care FSA for 2016 if you are married and file a joint return, or if you file a single or head of household return. If you are married and file separate returns, you can each elect $2,500 for the 2016 plan year. You and your spouse must be employed, or your spouse must be a full-time student to be eligible to participate in the dependent care FSA.

How to submit claims: Submit your claim online at www.askallegiance.com/avh by clicking on Benefits, then Flexible Spending Account.

Important: You must re-enroll in the FSA each year if you wish to participate!

An Example of Pre-Tax Savings

With FSA account Without FSA

account

Annual Salary $25,000 $25,000

Health Care FSA Contribution $2,000 $0

Dependent Care FSA Contribution

$5,000 $0

Taxable Salary $18,000 $25,000

Federal Taxes (15%) $2,700 $3,750

State Taxes (5%) $900 $1,250

FICA Taxes (7.65%) $1,377 $1,913

Salary After Taxes $13,023 $18,087

Plan Reimbursement $7,000 $0

Net Take Home Pay $20,023 $18,087

Tax Savings $ 1,936 $0

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Retirement Savings Plans Aspen Valley Hospital offers a defined contribution plan and a defined benefit cash balance pension plan. Defined Contribution Retirement Plan 457(b)—Funded by Employee Contributions – Account Number 614442

Upon hire, eligible employees will be automatically enrolled at a 5% contribution rate on a pre-tax basis to the 457(b) plan. Employees may elect to “opt-out” of deferred contributions or increase or decrease their contributions at any time during the year by contacting Human Resources or Principal Financial Group. Employees also have the option to contribute on a post-tax (Roth) basis, if desired. While Aspen Valley Hospital automatically begins deferrals at 5%, employees under age 50 may elect to contribute (on a pre-tax and/or Roth basis) any percentage of pay up to the lesser of 100% of pay or $18,000 in 2016; employees age 50+ may elect to have an additional $6,000 withheld due to catch-up provisions in the law. Funds in the 457(b) plan are vested at 100% from date of deposit.

401(a)—Funded by Employer Matching Contributions – Account Number 454539

After one year of service and 1,000 hours worked during the plan year, Aspen Valley Hospital will match 50% of employee contributions up to a maximum of 2.5% of earnings on a per-pay-period basis. Employees hired prior to 12/31/13 are 100% vested in all contributions from date of deposit. The vesting schedule for employees hired after 1/1/16 is 100% after three years from date of hire.

Defined Benefit Retirement Plan Cash Balance Plan (your plan in lieu of social security) – Account Number 804672

Aspen Valley Hospital contributes 7.5% of salary to full-time and half-time employees who have worked 1,000 hours during the plan year (January 1 through December 31). The vesting schedule is 100% after three years of vesting service.

Social Security Deduction FICA is not deducted from full-time and half-time employees who work 1,000 or more hours per year. Aspen Valley Hospital contributes to the cash balance retirement plan in lieu of social security. Retirement Plan Administrator/Contact Information Plan administrator name: Principal Financial Group Customer service number: (800) 547-7754 Hours: 7:00 a.m. to 9:00 p.m. CST, Monday-Friday Website address: www.principal.com How to Enroll Once you create your user ID and password, you can manage your account regarding contributions, investments, plan information statements, rollover options, and much more. You can also enjoy free monthly financial tips, obtain additional financial information, access other retirement tools, and access your balances on your mobile device. Benefits of the Retirement Plans Aspen Valley Hospital is committed to offering educational tools such as one-on-one meetings, workshops, and financial sessions hosted by Principal Financial Group representatives and Moreton Retirement Partners. Please contact Human Resources for additional information or questions.

Vesting Service (Whole Years) Vesting Percentage

Less than three years 0%

Three or more years 100%

Vesting Service (Whole Years) Vesting Percentage

Less than three years 0%

Three or more years 100%

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Time Off Paid Time Off (PTO) Full-time, half-time, and part-time employees accrue PTO hours based on hours worked. PTO hours may be used after three months of employment for holidays, vacation, and the initial period of personal disability.

PTO Cash Out Eligible employees may elect to cash out up to 80 hours annually for the year-end PTO cash out period. Per the IRS, an election form must be completed and turned in to Human Resources for the 2016 cash out period no later than December 31, 2015. To be eligible, a full-time employee must have used 120 hours during the year and must maintain a balance of 120 hours; half-time employees must have used 60 hours and maintain a balance of 60 hours. Human Resources will verify eligibility at the time of the cash-out.

Disability Insurance Aspen Valley Hospital provides short- and long-term disability coverage to eligible employees at no cost to you. Coverage automatically begins after six months of employment. Short Term Disability–Aspen Valley Hospital: This policy may pay up to 100% of your average earnings for a personal injury or illness for up to six weeks of lost time. The policy may continue to pay up to 60% of average earnings from weeks seven through twelve. Disability must meet the same definition as an FMLA certified leave, and requires the employee to use PTO for the first 24 work hours missed. Long Term Disability–Cigna: This policy may pay up to 60% of your average earnings after 90 days of total disability up to age 65 (limitations apply if your disability begins after the age of 60).

Basic Life and Accidental Death and Dismemberment Insurance Basic Life and Accidental Death and Dismemberment (AD&D)—Cigna Eligible full-time and half-time employees will receive life and AD&D insurance coverage in the amount of two times their annual compensation at no additional cost. Survivor Life Benefits—Cigna Aspen Valley Hospital provides survivor life insurance benefits. Upon death of an employee, survivor life pays 30% of the employee’s monthly pay to the surviving spouse and to eligible child(ren) with an overall family limit of $6,667 per month. Please see policy for duration limits.

Supplemental Plans Supplemental Life—Cigna Employee: You may elect coverage in increments of $10,000 up to a maximum of $500,000 for yourself Spouse: You may elect coverage in increments of $5,000 up to a maximum of $500,000 for your spouse Dependent: You may elect coverage in increments of $2,000 up to a maximum of $10,000 for your child(ren)—children 14

days to 6 months old are eligible for $500 Guarantee Issue Amounts Supplemental coverage elected for yourself up to $100,000, or your spouse up to $30,000, will be available without requiring any evidence of insurability if you enroll within 31 days of becoming eligible. If you did not elect coverage for you or your spouse when first eligible and you wish to elect coverage now or want to increase in coverage, evidence of insurability (EOI) will be required. Coverage will not take effect until approved by Cigna. Important: In order to elect coverage for your spouse or dependent child(ren), you must purchase at least the minimum amount ($10,000) of supplemental coverage for yourself.

Staff Level of Service Accrual Rate Max/Pay Period Max Hours/Year Max Days/Year Max Accrual Hours in Bank

90 days–end of year 1 0.07692 6.15 160 20 312

2 years–end of year 4 0.09231 7.38 192 24 312

5 years–end of year 10 0.10000 8.00 208 26 312

Year 11 forward 0.11154 8.92 232 29 312

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Supplemental Plans (continued) Supplemental AD&D—Cigna You may elect supplemental AD&D insurance for yourself and your family members in increments of $25,000, to a maximum of $500,000 for yourself, $250,000 for your spouse, and $10,000 for your child(ren). EOI is not required for AD&D insurance. Aflac Supplemental Policies These policies pay cash to the insured. All policies pay benefits regardless of any other plans you may have (i.e. medical insurance). Contact Ronnie Montano at (720) 556-2681 for more details or to enroll.

Cigna-Provided Benefits Cigna Identity Theft This program provides identity theft resolution services, which include access to personal case managers who work with you to resolve identity theft issues. Support is available 24/7 and includes all types of identity theft. Cigna Will Prep This program provides access to a self-service website to assist with creating a lasting will and testament, living will, and power of attorney. Cigna Healthy Rewards

®

This program offers up to 60% off of certain health products and services. The program is available to eligible employees and family members. The program includes weight management and nutrition, dental care, vision and hearing care, alternative medicine, mind and body care, fitness, vitamins, and health and wellness products. Cigna Secure Travel This service is available to employees (and family members if enrolled in the supplemental AD&D family coverage) when travelling domestically or internationally more than 100 miles from home. Services include: assistance with lost or stolen items, medical referrals, prescription refills, translation and interpretation, emergency travel, transportation of remains, and emergency medical evacuation. Cigna Life Assistance This service is available to help you and your household members lead a healthier, happier life by offering support and information regarding issues faced in daily life. It is available to those eligible for long-term disability coverage (paid for by AVH) through Cigna at no additional charge. Master’s-level staff can provide a confidential, comprehensive assessment of your concerns and can recommend related services. This program includes 24 hour phone and crisis intervention access. In addition, it includes referrals for up to three free, face-to-face counseling visits for behavioral issues. For more information on Cigna-provided benefits, please refer to the Cigna program brochures located on the Human Resources Intranet page or contact Human Resources. Cigna contact information for these benefits is also located on the back page of this guide.

Cancer protection plan

Personal accident indemnity plan

Supplemental life insurance

Vision plus insurance

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Employee Perks Recreational Pass Payroll Advance Employees may elect a payroll advance for the following:

Aspen Mountains Ski Pass (SkiCo)

Aspen Municipal Golf Course Alternative Transportation Incentives

Aspen Valley Hospital subsidizes 75% of the cost of RFTA bus passes for employees to commute to work. There are two different options offered through Human Resources:

$40 Swipe Pass

Seasonal zone pass—Employee portion of a seasonal pass can be paid for over ten pay periods through payroll deduction. Pass price varies by zone selected. Available for full-time employees only.

Carpool stipend for employees who commute with another AVH employee

WeCycle discounted seasonal membership

Car to Go discounted membership

AVH Bike Share program Wellness Discounts

Free access to onsite workout facilities (Cardiac Rehab)

Discounted membership to local fitness centers Tuition Assistance Program (TAP) The tuition assistance program provides financial aid to employees for engaging in formal education opportunities that result in a degree related to job improvement, job advancement, or a career change at AVH. An employee can apply for TAP benefits after one year of employment. In return for tuition assistance, the employee agrees to a minimum of one year of service with AVH after completion of the program. Scholars Choice—529 College Savings Plan Scholars Choice can help your family save for college, graduate school, or vocational school. Investing with Scholars Choice provides a number of advantages including:

Professional money management

Favorable tax treatment

Significant flexibility Employee Assistance Program (EAP) An EAP is a resource to help employees work through both personal and work issues. Please contact Human Resources if you have questions. The benefit, available to full-time, half-time, and part-time employees, provides the following:

Three confidential counseling sessions to assist with various life issues such as relationship problems, coping with change, grief, anger management, alcohol or drug dependencies, depression, and work stress

A legal assist consultation and an in-person referred attorney discount

A financial assist information line: Simple questions are answered immediately by qualified financial counselors

A telephone consultation with a specialist to learn how to prevent and/or recover identity theft For more information, go to www.triadeap.com. The username is AVH and the password is AVH. Discount Programs Aspen Valley Hospital offers employees access to the following discount programs. Please visit Human Resources or the Human Resources Intranet page for information on how to directly access these discounts:

Premiere Connect—Exclusive discounts for employees through Aspen Valley Hospital’s Premiere Membership

Pet care insurance—10% off on pet insurance plans

AT&T Discount—Plan discount for new or current AT&T customers

Verizon Discount—Plan discounts for new or current Verizon customers

Dell computer—Aspen Valley Hospital preferred customer discounts offered to Aspen Valley Hospital employees

COSTCO membership—Discounts on new membership offered during open enrollment

Connect Your Home—Discounts offered through Dish Network, Direct TV, ADT, and Hughs Net

Rental Car—Discounts offered through Hertz and Budget

This benefit guide is published for employees of Aspen Valley Hospital, and is only a highlight of our benefits. Official plan and

insurance documents govern your rights and benefits under each plan. If any discrepancy exists between this benefit guide and any of the official documents, the official documents will prevail.

Images in this document © 2015 Thinkstock

Important Contact Information Benefit Provider Websites and Toll-Free Numbers Each carrier website contains valuable information regarding the benefit plan and an up-to-date list of participating providers. Listed below is a toll-free number for each carrier in case you have specific questions regarding your benefit coverage.

Provider Plan Phone Number Website

Allegiance Health, Dental, and Flexible Spending Accounts

(855) 999-1055 www.askallegiance.com/avh

Cigna

Life/AD&D and LTD insurance

(800) 732-1603 www.mycigna.com

Secure Travel

U.S. & Canada: (888) 226-4567

Call collect from other locations: (202) 331-7635

E-mail: cigna@worldwideassistance.com*

(policy #OK961374; group #57)

Life Assistance Program

(800) 538-3543 www.cigna.behavioral.com/cgi

Identity Theft Program

U.S. & Canada: (888) 226-4567

Call collect from other locations: (202) 331-7636

www.cigna.com/idtheft E-mail: cigna@europassistance.com**

(policy # OK 961374; group # 57)

Cigna Will Prep — www.cignawillcenter.com

Healthy Rewards (800) 258-3312 www.cigna.com/rewards

(password: savings)

WellDyneRx Pharmacy (888) 479-2000 www.myWDRx.com

Paylocity Employee Benefits Self-Service Portal

Contact HR www.paylocity.com

Evolve Wellness Program

Healthy Rewards Wellness Portal

(877) 991-9355 www.simplywell.com

Aflac Supplemental Policies (720) 556-2681 www.aflac.com

Principal Financial Group

Retirement Plans (800) 547-7754 www.principal.com

Scholars Choice—Devlin Financial Services (Contact: Mark Devlin)

529 Savings Plan (970) 925-9090 Email: mark@devlinfinancial.net

www.devlinfinancial.net

Additionally, if you have questions regarding benefits, a member of your Human Resources team is available to assist you. You may reach Karra Sabol in Human Resources by calling (970) 544-1278 or sending an e-mail to ksabol@aspenhospital.org.

*Please indicate you are a member of Cigna Secure Travel **Please indicate you are a member of the Cigna Identity Theft Program