empower yourself - myhalliburtonrewards.com · empower yourself in 2017 by taking control of your...

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Empower Yourself: YOU HAVE THE POWER TO LIVE WELL —

WE HAVE THE TOOLS TO HELP.

2017 BENEFITS GUIDE (U.S. EMPLOYEES)

Current Employees: Enroll October 4 – 21, 2016

New Hires: Enroll within 30 days of hire date

Your wellness is our first priority. That’s why we work hard to provide you with the power to achieve and maintain a healthy lifestyle — but we can’t do it alone. Empower yourself in 2017 by taking control of your health, and taking advantage of the health and well-being programs we provide. By working together, you and Halliburton can pave the way to your happier, healthier future.

Take control of your health by engaging in the five elements of personal well-being:

Through Halliburton, you can start improving your health today. We will provide you with the resources you need to succeed — it is up to you to take advantage of them. The partnership between you and Halliburton means that you can start working to improve your health today. We’re handing you the power to succeed — it’s up to you to use it.

WHEN TO ENROLL:CURRENT EMPLOYEES must enroll in 2017 benefits during Annual Enrollment, October 4 – 21, 2016.

NEW HIRES must enroll in 2017 benefits within 30 days of their date of hire.

2 Halliburton U.S. Domestic Benefits Guide

NUTRITIONPHYSICAL HEALTH

FINANCIAL WELLNESS

COMMUNITY INVOLVEMENT

EMOTIONAL HEALTH

Table of Contents

WHAT’S NEW FOR 2017 05

What’s Changing and How 06

BENEFITS FOR 2017 09

Medical 09

Teladoc 11

How the CCP Works 12

Health Savings Account (HSA) 13

Flexible Spending Accounts (FSAs) 14

Tobacco Free Benefit 15

Dental 16

Vision 17

Life Insurance 18

Accidental Death and Dismemberment (AD&D) 18

Flex Days 18

Long-Term Disability (LTD) 19

Employee Assistance Program (EAP) 19

ENROLLMENT AND ELIGIBILITY 20

When to Enroll 20

How to Enroll in Your Benefits 20

Total Rewards Website 21

Qualified Change-in-Status Events 25

THE HALLIBURTON RETIREMENT AND SAVINGS PLAN 26

Naming or Updating Your Beneficiaries 26

COMPLIANCE AND LEGAL NOTICES 27

The Women’s Health and Cancer Rights Act of 1998 27

IRS Form 1095c 28

Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) 28

Halliburton U.S. Domestic Benefits Guide > Table of Contents 3

What’s New for 2017

Each year, we assess our benefit offerings and revise them. This helps us make sure we’re offering you the best value for your benefits. It also ensures that we can keep our benefits sustainable, so we can continue to support you and your dependents with benefits to maintain and improve your health. Here’s how things are changing in 2017.

5Halliburton U.S. Domestic Benefits Guide > What’s New for 2017

What’s Changing … And How

Changes to Your Enrollment

New and Improved Enrollment Tool

The Halliburton Total Rewards website is a powerful resource to help you understand and enroll in your benefits. This year, we’ve updated the health and benefits enrollment experience so that it now provides: » Easier Access: Log on to review and manage your health and welfare benefits, anytime, anywhere, from any device.

» Extra Assistance: See reminders and personalized alerts any time you log in.

» A Personalized Experience: Adjust your profile to include the links and information most useful to you.

» Intuitive Features: Taking action on your benefits is easier than ever.

Visit www.halliburton.com/totalrewards and click on Health and Benefits to access the tool.

Paperless Health and Welfare Benefits Communications Option

Halliburton is now offering all-digital benefits communications. Help us go green by logging on to www.halliburton.com/totalrewards. To change your preference for paper or digital, click on the Health & Benefits icon, where you can elect to receive all of your benefit communications electronically. Please note that if you elect to go paperless, you will not receive an enrollment confirmation statement in the mail. You must confirm your final benefit elections online. After the enrollment period has ended, you will have 10 business days to call the Halliburton Benefits Center to make corrections; otherwise, effective January 1, 2017, you will be enrolled per your online elections unless you have a qualifying life event and you report it within 30 days.

Changes to Your Medical Plans

Medical Plan Contributions

To sustain our health and welfare benefit plans, premiums (your cost for coverage) will increase.

Review Your BenefitsREVIEW YOUR BENEFITS

It’s always smart to review your benefit choices each year. If you decide not to make any changes, your current benefit elections will automatically roll over to next year. You will receive the same coverage levels you have today. The only exception to this rule is the Health Savings Account (HSA) — you must re-enroll in this benefit each year.



Deductibles and Out-of-Pocket Maximums

You have the same choice of medical plans this year. However, the 2017 deductibles and out-of-pocket maximums for all plans have changed.

Basic PPO and Basic Deductible Medical Plan (DMP): » 2017 deductible: $800 individual/$1,600 family » 2017 out-of-pocket maximum: $4,250 individual/ $8,500 family

Standard PPO and Standard Deductible Medical Plan (DMP): » 2017 deductible: $1,500 individual/$3,000 family » 2017 out-of-pocket maximum: $4,250 individual/ $8,500 family

Consumer Choice Plan (CCP) and CCP Out-of-Area: » 2017 deductible: $2,700 individual/$5,400 family » 2017 out-of-pocket maximum: $4,750 individual/ $9,500 family

Review the details of each medical plan on pages 9 and 10 before making your 2017 benefits decisions. Note that Deductible Medical Plans (DMPs) are applicable to out-of-area participants only and eligibility is based on your home ZIP code on file with Halliburton.

Prescription Drug Deductible

A new prescription drug deductible of $25 has been added to the Basic and Standard PPO and DMP plans. You must reach the $25 deductible before the plan will begin paying a portion of the cost of your prescription drugs.

Spousal Surcharge

The spousal medical surcharge will increase to $200 per month beginning January 1, 2017. The medical surcharge will be applied to your medical premium if your spouse is eligible for medical insurance through an employer (other than Halliburton) and enrolls in a Halliburton medical plan. The surcharge is not applicable to employees who enroll in the CCP or CCP Out-of-Area plans or if your spouse is also a Halliburton employee.

Health Assessment Credits

Halliburton is discontinuing the Health Assessment premium credit. Halliburton provides other wellness resources to help you accomplish your personal health goals; we encourage all employees and their dependents to maintain a healthy lifestyle.

Retail Refills on Maintenance Drugs

Beginning January 1, 2017, the medical plans will cover two retail pharmacy refills for maintenance medications. If you order additional retail maintenance refills, you will be responsible for paying the full cost of the medication. Instead of using a retail pharmacy, to order your maintenance medications (90-day supply), participate in the Exclusive Home Delivery Program and save money.

Halliburton U.S. Domestic Benefits Guide > Review Your Benefits 7

Review Your Benefits (continued)


Changes to Your Dental Plans

Dental Plan Contributions Dental premiums (your cost for dental coverage) will increase.

Out-of-Network Co-insurance

You will now be responsible for a slightly larger portion of your Out-of-Network costs. Remember to use in-network providers for the greatest level of coverage.

Changes to Your Vision Plan

Retail Frame AllowanceThe allowance for the purchase of frames for prescription glasses will increase from $150 to $170 in 2017.

Changes to Your Spending and Savings Accounts

New Flexible Spending Accounts (FSAs) and Adoption Assistance Program Provider

ConnectYourCare (CYC) will begin managing all Halliburton Flexible Spending Accounts (FSAs) and the Adoption Assistance program effective January 1, 2017. If you enroll for an FSA, you will receive information from ConnectYourCare, including a new debit card to pay for eligible Health Care FSA expenses. Beginning January 1, 2017, claims for adoption assistance reimbursement will be submitted on the CYC website.

Health Savings Account (HSA) Fees

Beginning January 1, 2017, if you have a balance in your HSA with ConnectYourCare, but are no longer enrolled in the Consumer Choice Plan, you will be required to pay the monthly account administration fee of $5.50. This fee will be deducted from the balance remaining in your HSA.

Debit Cards for FSAs and HSA

CYC will mail FSA debit cards by December 21, 2016. Employees who elect the Health Care FSA should receive their new debit card prior to January 1, 2017. Effective January 1, 2017, HSA account holders who also have a Limited Purpose Flexible Spending Account (LPFSA) will now have one card for both accounts. The card will automatically use LPFSA funds first (when applicable expenses are incurred). If you are a current HSA account holder and you already have a CYC debit card, you will not be issued a new card. However, you will be able to use your current card for both accounts if applicable. Effective January 1, 2017, please discard your PayFlex/Health Hub FSA debit card and begin using your CYC FSA debit card.

Halliburton U.S. Domestic Benefits Guide8

MEDICAL

Halliburton offers a choice of medical plans. Eligibility for all plans depends on your home ZIP code on file with the Halliburton Benefits Center.

» Basic Preferred Provider Organization (Basic PPO) » Standard Preferred Provider Organization (Standard PPO) » Consumer Choice Plan (CCP) » Basic Deductible Medical Plan (Basic DMP) » Standard Deductible Medical Plan (Standard DMP) » Consumer Choice Out-of-Area Plan (OOA)

The comparison charts below show the differences between each plan. Always remember that you can save money by using in-network providers. Log on to www.halliburton.com/totalrewards for more information on your medical plan options.

Basic PPO, Standard PPO, and Consumer Choice Plan (CCP)

Basic PPO Standard PPO CCP

In- Network

Out-of- Network

In- Network

Out-of- Network

In- Network

Out-of- Network

Individual Deductible $800 $800 $1,500 $1,500 $2,700 $2,700

Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400 $5,400

Individual Out-of-Pocket Maximum

$4,250 $8,500 $4,250 $8,500 $4,750 $9,500

Family Out-of-Pocket Maximum

$8,500 $17,000 $8,500 $17,000 $9,500 $19,000

Co-insurance 70%50% of allowed amount

80%50% of allowed amount


Routine Office Visit (Primary Care/Specialist)

70%50% after deductible


80% after deductible


Annual Physical Exam/Preventive Care



100% 50%

Review Your Benefits (continued) Benefits for 2017

9Halliburton U.S. Domestic Benefits Guide > Benefits for 2017

Basic DMP, Standard DMP, and Consumer Choice Out-of-Area Plan

Basic DMP Standard DMP CCP Out-of-Area

In- Network

Out-of- Network

In- Network

Out-of- Network

Out-of-Area

Individual Deductible $800 $800 $1,500 $1,500 $2,700

Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400

Individual Out-of-Pocket Maximum

$4,250 $4,250 $4,250 $4,250 $4,750

Family Out-of-Pocket Maximum

$8,500 $8,500 $8,500 $8,500 $9,500

Co-insurance 70%70% of allowed amount


80% of allowed amount

Routine Office Visit (Primary Care Physician/Specialist)




Annual Physical Exam/Preventive Care

100% 70% 100% 80% 100%

Prescription Drug Coverage — All Plans*

Basic and Standard PPO/DMP

CCP OOA CCP

In-Network Out-of-Network**

Prescription Drug Deductible

$25Medical deductible

applies Medical deductible

applies

RETAIL PHARMACY: Prescription Drug Coverage – You Pay***

Generic 30-Day Supply $15 20% after deductible 50% after deductible

Preferred Brand 30-Day Supply

25% Minimum: $25/ Maximum: $100

20% after deductible 50% after deductible

Nonpreferred Brand 30-Day Supply



MAIL PHARMACY: Prescription Drug Coverage – You Pay

Generic 90-Day Supply $30 20% after deductible 50% after deductible

Preferred Brand 90-Day Supply



Nonpreferred Brand 90-Day Supply

45% Minimum: $115/Maximum: $250


Specialty Pharmacy****



* Refer to the Summary Plan Description (SPD) for information on prescription drug coverage out-of-pocket maximums.** Out-of-Network subject to allowed amount limits.*** Maximum of two fills of a maintenance medication at a retail pharmacy; for additional fills, you pay the full cost.****Minimum and maximum co-pay amounts depend on number of days supplied.


TELADOC

As part of our initiative to empower you, we offer a convenient and affordable health care alternative. Teladoc is our telemedicine program — it offers a way for you to consult a physician about a health issue without visiting the doctor’s office.

This service is not an alternative to your medical plan, but it is an excellent way to access acute, non-emergency care at any time. A co-pay will apply for each use of Teladoc based on your medical plan and will apply to your out-of-pocket maximum:

PPO or DMP: $10 co-pay

CCP: $40 fee for service

11Halliburton U.S. Domestic Benefits Guide > Benefits for 2017 11

HOW THE CCP WORKS

Phase 1: Deductible

Phase 2: Co-insurance

Phase 3: Out-of-Pocket Maximum

Preventive care is covered at 100% in-network. Certain maintenance medications are also covered at 100%, but you pay the full cost of the remainder of your medical care until you reach your deductible. This is offset by the contribution Halliburton makes to your HSA and the tax savings you gain by participating in the account when you contribute your own funds. You may use your Limited Purpose Health Care FSA for vision and dental expenses even before you meet your deductible.

Once you meet the annual deductible, you share the cost of services by paying a percentage (called co-insurance) for covered health care expenses and prescription drugs. You can use the funds in your HSA to cover these co-insurance costs or you may use your Limited Purpose Health Care FSA for expenses incurred after the deductible has been met.

You pay co-insurance until you reach the annual out-of-pocket maximum. Then, the plan pays 100% of covered costs for the remainder of the year. If you go out-of-network for care, you may incur additional costs that are not included in the out-of-pocket maximum. Like other medical expenses, these costs can be paid using the balance in your HSA.

The Consumer Choice Plan (CCP)

The Consumer Choice Plan (CCP) provides medical coverage for you and your family, as well as up to $1,200 per year funded by Halliburton and deposited into your Health Savings Account. The plan has lower premiums, a slightly higher deductible, and allows you full control over the management of your health care spending.


HEALTH SAVINGS ACCOUNT (HSA)

The HSA is a special savings account used to pay for qualifying health care expenses. Anyone enrolled in the Halliburton CCP may take advantage of the HSA and receive company contributions deposited on a prorated basis throughout the year.

If you are age 55 or older, you can contribute an additional $1,000 to your HSA. You must elect a new contribution amount each year.

Any earnings on your account balance are tax-free as long as they are spent on eligible health care expenses. There is no limit on how much money you can accumulate and roll over from year to year.

HSA By the Numbers

Halliburton’s Contributions if You Open an HSA with ConnectYourCare

Your Maximum Allowed Contributions

Total Maximum Contributions for 2017

2017 Individual ContributionAmounts

$2000

$3000

$4000

$5000

$6000

$2,800 $5,500

$600

$1,200

$3,400

$6,750

2017 Employee + Dependent(s)Contribution Amounts

Halliburton U.S. Domestic Benefits Guide > Benefits for 2017 13

FLEXIBLE SPENDING ACCOUNTS (FSAs)

FSAs help you save money on your taxes by allowing you to use pre-tax dollars to pay for eligible medical and dependent day care expenses.

Health Care FSA:

Limited Purpose Health Care Spending Account

Dependent Day Care FSA

Eligibility: Participants in a DMP or PPO Plan or anyone not enrolled in coverage

2017 Contribution Limits:$120 – $2,550

Availability of Funds: Full balance available January 1, 2017 Eligible Expenses: » Medical insurance deductibles and co-insurance » Dental deductibles » Non-cosmetic dental treatments » Laser eye surgery » Vision care

Eligibility: Participants in the CCP (see page 12)

2017 Contribution Limits:$120–$2,550

Availability of Funds: Full balance available January 1, 2017 Eligible Expenses: » Medical expenses after you meet your CCP deductible

» Dental deductible and non-cosmetic dental treatments

» Vision expenses

Eligibility: All benefits-eligible employees

2017 Contribution Limits:$120–$5,000

Availability of Funds: Funds only available as they are deposited into your accountEligible Expenses: » Day care centers » Elder/dependent care facility » Babysitters » Nursery school or preschool » Day camp

USE IT OR LOSE IT

Any FSA funds not used by December 31, 2017, will be forfeited.

USE YOUR DEBIT CARD … SAVE YOUR RECEIPTS

ConnectYourCare will provide you with a debit card to use for eligible expenses. You may be required to confirm that you used your card to pay for an eligible expense. Generally, a copy of your Explanation of Benefits for medical or dental can be submitted as appropriate documentation. If you cannot or do not provide documentation supporting the eligible expense, your card will be suspended and the unsubstantiated expense could be subject to taxation. You will receive an Explanation of Benefits from your medical or dental provider.

Another method of confirming eligible expenses is to save your receipts – a valid receipt must show the date of purchase or service, amount of purchase or service, description of item or service, name of merchant or service provider, and name of patient. Documentation can be provided through ConnectYourCare’s website,www.connectyourcare.com, or through the ConnectYourCare mobile app.


TOBACCO-FREE BENEFIT

Tobacco-free employees show a commitment to leading a healthier lifestyle. If you are tobacco-free, you will receive a 50% medical premium discount, as long as you avoid using tobacco products. To qualify for this benefit, you must certify that you and your spouse, if applicable, have not used tobacco products since December 31, 2015. You must also certify that you will continue to avoid tobacco products as long as you receive this discount. This certification is subject to the Halliburton Code of Business Conduct.

If you can’t certify that you and your spouse are tobacco-free, you may qualify for an opportunity to earn the same premium discount by identifying yourself and/or your spouse as a tobacco user during Annual Enrollment and by choosing “Yes” to the election commitment to enroll in and complete the LiveWell Tobacco Cessation Program, then enrolling by November 18, 2016. Your receipt of the non–tobacco user incentive is subject to verification of your enrollment by November 18, 2016, and completion of the program. Failure to meet any of these requirements will result in the loss of the non-tobacco user incentive, and your medical and any optional life insurance payroll contributions will be updated to the tobacco rate.

If you currently use tobacco products, Halliburton can help you quit. Call the Halliburton Benefits Center at 866-321-0964 (international — use your country’s AT&T access number) or 857-362-5980, Monday through Friday, from 7:30 a.m. to 7:30 p.m. Central Time. We will work with you (and, if you wish, with your doctor) to develop another way to get the discount.


DENTAL

You have two dental coverage options: the Dental Preferred Provider Organization (DPPO) and the Dental Health Maintenance Organization (DHMO). To enroll in the DHMO, you must live in an eligible DHMO area.

The DPPO allows you to choose any dentist, whether in or out-of-network. However, out-of-network services may cost more.

With the DHMO, you will only receive benefits when you visit in-network providers. You must choose a primary care dentist — if you do not choose one, the DHMO will appoint one for you; however, you can contact Cigna at a later date to choose a primary care dentist.

Dental Plans

Benefit Provisions DPPO DHMO

In-Network Out-of-Network

Individual Deductible $50 $50 None

Preventive Services 100% Covered 90% Covered 100% Covered

Basic Services 80% after deductible 70% after deductible Co-pay structure

Major Services 50% after deductible 50% after deductible Co-pay structure

Orthodontia/Lifetime Maximum

50%/$1,500 50%/$1,500Co-pay structure/24-month treatment

Annual Maximum $1,500 $1,500 None


VISION

Vision coverage helps you manage the cost of routine eye care expenses like exams, contact lenses, and eyeglasses for you and your eligible dependents.

Vision Plan

In-Network Out-of-Network

Eye Exam (one per calendar year)

100% after $10 co-pay Up to $50 after $10 co-pay

Prescription Glasses* Lenses– Single Vision– Lined Bifocal– Lined Trifocal

100% after $20 co-pay100% after $20 co-pay100% after $20 co-pay

Up to $50 after $20 co-payUp to $75 after $20 co-payUp to $100 after $20 co-pay

Frames (one per calendar year)

Up to $170 allowance after $20 co-pay; 20% discount off amount over allowance

Up to $70 after $20 co-pay

Contact Lenses instead of prescription glasses (not medically necessary)*

Up to $150 allowance for contacts; up to $60 co-pay on contact lens fitting exam**

Up to $105 allowance

Medically Necessary Contact Lenses***

100% after $20 co-pay when specific criteria are met

Up to $210 after $20 co-pay when specific criteria are met

Diabetic Eyecare Program

Medical eyecare services related to Type 1 and 2 diabetes; $20 co-pay for medical eyecare exam

Not covered

* One pair of prescription glasses or contacts every plan year, beginning in January, but not both in the same year.**Fitting and evaluation to ensure the proper fit of contact lens materials.*** These conditions include aphakia, anisometropia, high ametropia, nystagmus, keratoconus and correction of

extreme visual acuity problems that are not correctable with glasses, and following cataract surgery.


LIFE INSURANCE

The life insurance plan provides financial protection for you and your family in the event of your death or the death of one of your covered dependents. Basic coverage is company-paid and is equal to your annual benefit base pay, up to $50,000. You may choose to purchase extra coverage for yourself and your family.

Life Insurance

Coverage Optional Life Insurance

Employee*Increments of 1 to 6 times annual benefit base pay, up to $3 million including basic coverage.

Spouse*$10,000, or from ½ to 3 ½ times employee’s annual benefit base pay; coverage may not exceed employee coverage or $250,000, whichever is less.

Child(ren) under age 25 $10,000 per child

*May require evidence of insurability (EOI).

ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D)

Halliburton provides basic AD&D coverage at no cost to you, equal to your annual base pay, up to $200,000. You may choose to purchase extra coverage for yourself and your family.

AD&D

Coverage Optional AD&D

Employee*Increments of $50,000, up to $1 million or 10 times your annual benefit base pay — whichever is less.

Spouse*Increments of $50,000, up to $1 million or 10 times your annual benefit base pay — whichever is less. May not exceed employee coverage amount.

Child(ren) under age 25 $50,000 per child

*May require evidence of insurability (EOI).

FLEX DAYS

You may have the opportunity to purchase extra days off. However, it is important to discuss any vacation plans with your manager before electing flex days. If you do not actively change your election, your 2016 flex day election will automatically carry over into the next year. Any unused flex days will be forfeited at the end of the year, even if you had a change to your work schedule.


LONG-TERM DISABILITY (LTD)

Halliburton provides employees with basic LTD to assist you with a portion of your income if you become too ill or injured to work. After your application for benefits has been approved, the LTD program begins paying monthly benefits when you have been continuously disabled for 26 weeks. Your basic LTD is provided at no cost to you, and guarantees 40% of your income. You may purchase coverage for an additional 10% or 20% of your monthly income, subject to Evidence of Insurability (EOI) requirements. The maximum LTD benefit is $25,000 per month.

EMPLOYEE ASSISTANCE PROGRAM (EAP)

Halliburton strongly encourages all employees to take advantage of the EAP, which can help employees and their eligible dependents work through a variety of personal difficulties. Through our confidential process, the EAP can provide a free assessment of your concerns and discuss strategies for addressing them. Some of the issues the EAP can help with are listed below.

You can contact the EAP by telephone or in person. You can speak with a trained professional who will make a preliminary assessment of your needs. EAP counselors will either help you directly or refer you to the appropriate resources. Call the EAP at 281-575-3200 or 866-761-4540, or access the EAP resources online at www.achievesolutions.net/halliburton.

BENEFITS CONTACT INFO ON THE GO

Visit www.halliburton.mybenefitswalletcard.com

on any device with an internet connection to access Halliburton benefit contact information anywhere, anytime. Note that, effective January 1, 2017, ConnectYourCare will begin administering your Flexible Spending Accounts. However, 2016 expenses claimed during the 90-day grace period, January through March of 2017, must still be submitted to PayFlex.

Depression Stress and anxiety Worry and guilt Communication issues

Parent/child relations Marriage and family issues Alcohol and drug problems

Personal tragedy Separation and divorce Grief and bereavement


WHEN TO ENROLL

If you would like to make changes to your benefits, or make HSA contributions for 2017, you must make an election during the enrollment window below. If you are a new hire, you have 30 days to enroll.

Current Employees: Enroll October 4–21, 2016.

New Hires: Enroll within 30 days of your hire date.

If you take no action, your 2016 elections will carry forward to 2017, with the exception of the HSA.

If you are a new hire and you do not enroll within 30 days of your hire date, unless you experience a qualified change in status which you report within 30 days, you will only be provided:

» Basic Life Insurance of one times your annual benefits base pay, up to $50,000.

» Basic Accidental Death and Dismemberment insurance of one times your annual benefits base pay, up to $200,000.

» Long-Term Disability insurance of 40% of your annual benefits base pay.

» LiveWell wellness program.

HOW TO ENROLL IN YOUR BENEFITS

First, review your benefit options before making changes for 2017. When you’re

ready to enroll, follow the steps below:

» 1. Visit www.halliburton.com/totalrewards, then log in with your user name and password, or from the HalWorld homepage, click on the Employee Benefits link in the Human Resources Toolkit located at the bottom of the page. Next, from the Benefits homepage, in the text box, click “here” to single sign on and go directly to the Total Rewards website.

Enrollment and Eligibility


» 2. Click Health and Benefits to complete your annual enrollment elections.

21Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility

Enrollment and Eligibility

» 3. In the Annual Enrollment sidebar or the upper left corner, select “Get Started.”

» 4. Click “Start Your Enrollment.”


» 5. Enroll in your benefits.

23Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility

Total Rewards Website

We’re always striving to empower you to use and understand your benefits. That’s why we provide the Total Rewards website, and that’s why we’ve improved it this year. The new site is a streamlined source for all of your benefit needs, available from any device, anytime, anywhere. Enroll, change, and keep track of your benefits all in one convenient location, at www.halliburton.com/totalrewards.

Note: Halliburton Total Rewards is available for your use both during Annual Enrollment and throughout 2017. Take advantage of the convenience of managing your benefits.

See the Forms & Documents page where you can also access the Annual Enrollment Guide, Summary of Benefits Coverage, and Summary Plan Description. Change

Select “Change Your Benefits” to change your elections after a Qualified Change-in-Status Event.

Enroll Choose “Get Started” when it’s time for you to select your benefits, for a streamlined and intuitive enrollment experience.

Access

Use your dashboard to: » Visit provider websites. » View your current benefits.

Connect

Select Secure Chat to: » Chat privately with a customer service representative.

» Find answers to your questions.

Learn Click on the Knowledge Center tab to find: » Health education articles. » Interactive learning tools. » Instructional videos.


QUALIFIED CHANGE-IN-STATUS EVENTS

Under normal circumstances, your only opportunity to make changes to your 2017 benefits is Annual Enrollment or within 30 days of your date of hire. However, the IRS allows you to change some benefit elections during the year if you experience a qualified change-in-status. Adding dependents to your health plan is a two-step process. The Plan does not automatically enroll your dependents in coverage. You must call or go online to add your dependents to the benefits you want to have them covered for, and then you must verify their eligibility by providing the appropriate documentation within 30 days. If you do not report the life event to add your dependent or verify your dependent’s eligibility, they will not be covered, and your next opportunity to add them will be during the next Annual Enrollment period.

When you experience a qualified change-in-status or other special event, be sure to call the Halliburton Benefits Center or log on to Halliburton Total Rewards and make any necessary changes within 30 days. You will be informed of any changes in your cost for benefits. If you do not make changes within 30 days of the event, you will not be able to change your coverage until the next Annual Enrollment period.

Marriage Loss of coverage Adoption

Birth Death Divorce

Learn Click on the Knowledge Center tab to find: » Health education articles. » Interactive learning tools. » Instructional videos.

25Halliburton U.S. Domestic Benefits Guide > Total Rewards Website

The Halliburton Retirement and Savings Plan

OWN YOUR FUTURE FINANCIAL HEALTH: INVEST IN YOUR HALLIBURTON RETIREMENT & SAVINGS PLAN

Haven’t started saving for retirement yet? The Halliburton Retirement & Savings Plan is a program to help you build your savings for retirement. By not contributing at least 6% of your earnings into your Halliburton Retirement & Savings Plan, you’re losing out on money the Company is offering toward your retirement. The Company matches dollar for dollar on the first 4% you contribute and 50 cents on the next 2% — for a total match of 5%. You can enroll in the Halliburton Retirement & Savings Plan by logging on to the Halliburton Total Rewards website.

The Halliburton Retirement & Savings Plan offers two types of investment options:

Target Date PortfoliosTarget Date Portfolios can help take the guesswork out of choosing different investment options. They can help balance out your investment risks by rebalancing them as you move throughout your career and get closer to reaching your retirement age.

Single Focus StrategiesYou may choose from 10 Single Focus Strategies if you prefer to build and manage your own portfolio.

Please note, as with any of the investments offered by the Halliburton Retirement & Savings Plan, the asset value is not guaranteed at any time, including the target date. You can always find investment and plan information at www.halliburton.com/totalrewards, where you can view your account and investment choices anytime.

Naming or Updating Your BeneficiariesWhat would happen to all your retirement savings if something happened to you? If you haven’t reviewed who your beneficiaries are in a while, or if you need to add them, now is a good time to review and make updates. You may update your beneficiaries by logging on to the Halliburton Total Rewards website.


Compliance and Legal Notices

This communication provides a brief overview of the benefit choices that will be offered to eligible Halliburton U.S. employees for 2017. It is not a complete description of the choices or a complete description of the plans. Detailed information is available in your Summary Plan Descriptions.

For questions about your benefits, please contact the Halliburton Benefits Center, Monday through Friday, at 866-321-0964 (if dialing internationally, use your country’s AT&T access number), or 857-362-5980, from 7:30 a.m. to 7:30 p.m. Central Time. You can also log on to www.halliburton.com/totalrewards for information or to initiate a chat session.

Every effort has been made to provide clear and accurate information about Halliburton’s benefit plans. However, in the event of a discrepancy between these materials, the Plan’s Summary Plan Description, and the other official Plan documents, the other official Plan documents will govern. There are no guarantees that participation under the benefit plans described in this material will remain unchanged in future years.

Halliburton reserves the right to change, suspend, amend, or terminate the plans described in this material at any time, in whole or in part. This means that the plans may be:

» Discontinued in their entirety, » Changed to provide different levels of benefits, » Changed to provide for different cost sharing between the Company and participants, or

» Changed in any other way.

Any such change or termination shall be solely at the discretion of the Company. You will be notified if any such change or termination occurs.

THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998

Under Halliburton’s Medical Program, coverage will be provided to an employee or covered dependent who is receiving benefits for a medically necessary mastectomy and who elects breast reconstruction after the mastectomy for:

» Reconstruction of the breast on which a mastectomy has been performed, » Surgery and reconstruction of the other breast to produce a symmetrical appearance, » Prostheses, or » Treatment of physical complications of all states of mastectomy,

including lymphedemas.

27Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices

THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998 (CONTINUED)

This coverage will provide benefits in consultation with the attending physician and the patient, and will be subject to the same deductibles and co-insurance provided for the mastectomy.

IRS FORM 1095c

If you are enrolled in the Halliburton medical plan, a 1095c tax form will be issued to you and, if applicable, your covered dependents. Additional information will be forthcoming.

PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)

If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.

If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available.

If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS-NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan.

If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).


If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of July 31, 2016. Contact your state for more information on eligibility.

ALABAMA – Medicaid ALASKA – Medicaid

Website: http://myalhipp.com/Phone: 1-855-692-5447

The AK Health Insurance Premium Payment ProgramWebsite: http://myakhipp.com/Phone: 1-866-251-4861Email: [email protected] Medicaid Eligibility: http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx

ARKANSAS – Medicaid COLORADO – Medicaid

Website: http://myarhipp.com/Phone: 1-855-MyARHIPP (855-692-7447)

Medicaid Website: http://www.colorado.gov/hcpfMedicaid Customer Contact Center: 1-800-221-3943

FLORIDA – Medicaid GEORGIA – Medicaid

Website: http://flmedicaidtplrecovery.com/ hipp/Phone: 1-877-357-3268

Website: http://dch.georgia.gov/medicaid- Click on Health Insurance Premium Payment (HIPP)Phone: 404-656-4507

INDIANA – Medicaid IOWA – Medicaid

Healthy Indiana Plan for low-income adults 19-64Website: http://www.hip.in.govPhone: 1-877-438-4479All other MedicaidWebsite: http://www.indianamedicaid.comPhone 1-800-403-0864

Website: http://www.dhs.state.ia.us/hipp/Phone: 1-888-346-9562

KANSAS – Medicaid KENTUCKY – Medicaid

Website: http://www.kdheks.gov/hcf/Phone: 1-785-296-3512

Website: http://chfs.ky.gov/dms/default.htmPhone: 1-800-635-2570

LOUISIANA – Medicaid MAINE – Medicaid

Website: http://dhh.louisiana.gov/index.cfm/ subhome/1/n/331Phone: 1-888-695-2447

Website: http://www.maine.gov/dhhs/ofi/ public-assistance/index.htmlPhone: 1-800-442-6003TTY: Maine relay 711

MASSACHUSETTS – Medicaid and CHIP MINNESOTA – Medicaid

Website: http://www.mass.gov/MassHealthPhone: 1-800-462-1120

Website: http://mn.gov/dhs/ma/Phone: 1-800-657-3739

MISSOURI – Medicaid MONTANA – Medicaid

Website: http://www.dss.mo.gov/mhd/ participants/pages/hipp.htmPhone: 573-751-2005

Website: http://dphhs.mt.gov/ MontanaHealthcarePrograms/HIPPPhone: 1-800-694-3084

NEBRASKA – Medicaid NEVADA – Medicaid

Website: http://dhhs.ne.gov/Children_ Family_Services/AccessNebraska/Pages/ accessnebraska_index.aspx Phone: 1-855-632-7633

Medicaid Website: http://dwss.nv.gov/Medicaid Phone: 1-800-992-0900


NEW HAMPSHIRE – Medicaid NEW JERSEY – Medicaid and CHIP

Website: http://www.dhhs.nh.gov/oii/ documents/hippapp.pdfPhone: 603-271-5218

Medicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/Medicaid Phone: 609-631-2392CHIP Website: http://www.njfamilycare.org/index.htmlCHIP Phone: 1-800-701-0710

NEW YORK – Medicaid NORTH CAROLINA – Medicaid

Website: http://www.dhhs.nh.gov/oii/ documents/hippapp.pdfPhone: 603-271-5218

Website: http://www.ncdhhs.gov/dmaPhone: 919-855-4100

NORTH DAKOTA – Medicaid OKLAHOMA – Medicaid and CHIP

Website: http://www.nd.gov/dhs/services/ medicalserv/medicaid/Phone: 1-844-854-4825

Website: http://www.insureoklahoma.orgPhone: 1-888-365-3742

OREGON – Medicaid PENNSYLVANIA – Medicaid

Website: http://www.oregonhealthykids.govhttp://www.hijossaludablesoregon.govPhone: 1-800-699-9075

Website: http://www.dhs.pa.gov/hippPhone: 1-800-692-7462

RHODE ISLAND – Medicaid SOUTH CAROLINA – Medicaid

Website: http://www.eohhs.ri.gov/Phone: 401-462-5300

Website: http://www.scdhhs.govPhone: 1-888-549-0820

SOUTH DAKOTA – Medicaid TEXAS – Medicaid

Website: http://dss.sd.govPhone: 1-888-828-0059

Website: http://gethipptexas.com/Phone: 1-800-440-0493

UTAH – Medicaid and CHIP VERMONT– Medicaid

Website: Medicaid: http://health.utah.gov/medicaidCHIP: http://health.utah.gov/chipPhone: 1-877-543-7669

Website: http://www.greenmountaincare.org/Phone: 1-800-250-8427

VIRGINIA – Medicaid and CHIP WASHINGTON – Medicaid

Medicaid Website: http://www.coverva.org/programs_premium_assistance.cfmMedicaid Phone: 1-800-432-5924CHIP Website: http://www.coverva.org/ programs_premium_assistance.cfmCHIP Phone: 1-855-242-8282

Website: http://www.hca.wa.gov/medicaid/ premiumpymt/pages/index.aspxPhone: 1-800-562-3022 ext. 15473

WEST VIRGINIA – Medicaid WISCONSIN – Medicaid and CHIP

Website: http://www.dhhr.wv.gov/bms/ Medicaid%20Expansion/Pages/default.aspxPhone: 1-877-598-5820, HMS Third Party Liability

Website: https://www.dhs.wisconsin.gov/ publications/p1/p10095.pdfPhone: 1-800-362-3002

WYOMING – Medicaid

Website: https://wyequalitycare.acs-inc.com/Phone: 307-777-7531


To see if any other states have added a premium assistance program since July 31, 2016, or for more information on special enrollment rights, contact either:

U.S. Department of LaborU.S. Department of Health and Human Services

Employee Benefits Security Administrationwww.dol.gov/ebsa1-866-444-EBSA (3272)

Centers for Medicare & Medicaid Serviceswww.cms.hhs.gov1-877-267-2323, Menu Option 4, Ext. 61565

OMB Control Number 1210-0137 (expires 10/31/2016)
