Helping You Prepare For Your Health Care June

Helping You Prepare For Your Health Care June 10, 2021 © 2019 Willis Towers Watson. All rights reserved. willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Insert company logo 0

A Bit of Context § TCU changed the way it provides medical benefits to Medicare-primary retirees and their Medicare-primary dependents. § Retiree’s medical benefits are managed through a Health Reimbursement Arrangement account (HRA). willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 1

Why this Approach Provides Medicare-eligible retirees with: § Greater flexibility in how to use health care dollars § A broader range of plan options Enables TCU to continue supporting retirees during a time of uncertainty surrounding the rising cost of medical insurance and services Enables TCU to predict and budget for health care costs more accurately willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 2

Transitioning from group health care benefits to individual health care benefits Via Benefits was chosen after an extensive evaluation of choices Via Benefits will help you with total care in your transition over to moreeffective individual Medicare health insurance The private exchange offers greater choice and flexibility; many affordable choices exist and in many cases provide more value at a lower cost than an employer group plan Ongoing support – at no cost to you Access to retiree health benefits for Medicare-eligible retirees and their Medicare-eligible dependents is provided through Via Benefits willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 3

How This Affects Medicare-eligible Retirees What you pay Medical premiums and out-of-pocket costs will vary depending on the coverage you choose. How to enroll You will work with Via Benefits to enroll in a plan that meets your medical and Rx needs. TCU will establish your Health Reimbursement Account. This account will be administered by Via Benefits. Your support Via Benefits Advisors will help you understand the costs associated with your coverage – premiums, co-payments, deductibles and all other costs. willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 4

Helping You Prepare For Your Upcoming Medicare Enrollment June 10, 2021 willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 5

Planning for Your Future Health Benefits Health care is one of the biggest concerns seniors have when planning for retirement Listen to this presentation to learn more about: § Via Benefits who we are § Original Medicare basics § Medicare supplemental plan options § Via Benefits how we can help § Local Examples § HRA § Next Steps willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 6

Via Benefits Who we are willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 7 7

Experience That Counts for The People Who Need it Most #1 The first and largest private Medicare company 9 10 120+ 1. 8 M out of Insurance providers retirees from hundreds of employers willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. Retirees reported they would work with Via Benefits again 14 th Year of service 8

Our Service Centers Salt Lake City Phoenix Dallas Operating hours: Monday – Friday, 7: 00 am – 8: 00 pm CT willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 9

How We Can Help Consultative Process Ongoing Advocacy Simplified Selection Effortless Enrollment willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 10

Important Reminders 3 -4 2 -3 1 -2 months prior to turning age 65 or retiring, if over the age of 65 Enroll in Part B Schedule an appointment New coverage effective date Enroll in coverage Note: If you are still actively employed and considering retirement, discuss the retirement process with your employer. Make sure you are aware of the process you need to follow and any retirement benefits that might be available to you. willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 11

Medicare The basics willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 1 12

CMS – Center for Medicare & Medicaid Services HHS agency governs everything Medicare 1 -800 -MEDICARE willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 13

What is Medicare? i Original Medicare is a health care program run by the federal government, providing your Part A and/or Part B coverage. § A health insurance program for individuals age 65 years and older § Some pre-65 individuals with disabilities § And those with ESRD (End-Stage Renal Disease) and ALS (Lou Gehrig’s Disease) § Administered by Centers for Medicare & Medicaid Services (CMS) § Enrollment handled by the Social Security Administration or Railroad Retiree Board § Allows you to see any doctor or hospital that accepts Medicare willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 14

Part A and B Enrollment Some people are automatically enrolled Those receiving: § Social Security benefits § Railroad retirement board benefits Others must enroll themselves Initial Enrollment Period package mailed 3 months before: § § Age 65 25 th month of disability benefits willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 15

Aging Into Medicare – Turning 65 All Medicare beneficiaries receive a Medicare card when they become eligible. This will contain their full name, Medicare Claim number and the dates your Medicare Part A and B became effective. Beneficiaries may use this card with any medical provider in the country that accepts Medicare. A beneficiary is automatically enrolled in Part B when enrolled in Medicare Part A. If you do not want Part B, you must opt out of that coverage. This card is generally sent three months before turning age 65. Must Have Original Medicare A & B to be Able to Consider Any Supplemental Medicare Medical Insurance [either Advantage or Gap] willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 16

If Not Automatically Enrolled Your 7 -month Initial Enrollment Period (IEP) If you enroll in Part B 3 2 1 months prior month prior No delay or break in coverage 1 2 3 months month after you turn 65 after or retire if Delayed start and over the age possible break in of 65 coverage willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 17

Paying for Medicare Part A If you (or your spouse) paid FICA taxes at least 10 years (40 quarters) Original Medicare Part A premium-free If you paid FICA less than 10 years: § § Check with Social Security to determine your (pro-rated) premium for Part A May incur a penalty, if you do not enroll when first eligible willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 18

Paying for Part B Services § Monthly Part B premium In Original Medicare you pay: § § of $135. 50 (for most people) in 2019 May incur penalty if you do not enroll when first eligible Can defer if still working or have group coverage elsewhere Premium will usually be deducted from your Social Security check, or billed quarterly willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 19

Paying The Part B Premium Deducted monthly from — If not deducted Billed every 3 months Social Security benefit payments Railroad retirement benefit payments Federal retirement benefit payments Medicare Easy Pay to deduct from bank account willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. Contact SSA, RRB or OPM about premiums 20

Part B Late Enrollment Penalty for not signing up when first eligible: Sign up during a Special Enrollment Period: 10% more for each full 12 -month period Usually no penalty May have penalty as long as you have Part B willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 21

Medicare Eligibility & Active Employment For employers with 20 or more employees, group coverage is primary for Medicare beneficiaries who are still active, and Medicare is secondary. Active beneficiaries don’t have to enroll in Part B and will not be penalized when they decide to retire. When they decide to retire, beneficiaries should enroll in Part B three months prior. This will insure that they can enroll in a Medicare Supplement plan and have it effective as soon as their group coverage ends. If active and covered under the group health plan, employee does not enroll in Medicare Part B or select a Medicare supplemental plan(s) until they retire or lose coverage. willistowerswatson. com 22 © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 22

Medicare Key Terms: • Original Medicare Part A = Hospital Coverage – administered by CMS • Original Medicare Part B = Medical Coverage – administered by CMS • Medicare Part C = Medicare Advantage Plans – private plans • Medicare Part D = Prescription Drug Coverage – private plans • Medicare Supplement (Medigap) – private plans willistowerswatson. com 23 © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 23

Original Medicare: Part A (Hospital) Premiums: Most people do not pay a monthly Part A premium because they or a spouse have 40 or more quarters of Medicare-covered employment. § $227. 00 for 30 -39 quarters of Medicare-covered employment. § $413. 00 for people who have less than 30 quarters of Medicare employment. Medicare Part A covers: § Hospital Stays § Skilled Nursing Facility (SNF) § Home Health Care § Hospice Care § In most cases pints of blood received at a hospital or skilled nursing facility during a covered stay willistowerswatson. com 24 © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 24

Original Medicare: Part B (Medical) Coverage: § § Doctors’ services (physician office and some hospital settings) Limited Chiropractic Services Outpatient Services: Diagnostic tests- clinical Lab § (x-ray, MRI, CAT, EKT, nutritional therapy, etc…) Other medical services § Durable medical equipment (DME)- prosthetic, wheelchair etc. § Diabetic Supplies § Ambulance service willistowerswatson. com 25 © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 25

Medicare Supplemental Options willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 2 26

Plans and insurers PLANS Medicare Advantage (Part C) Medicare Supplement (Medigap) Prescription Drug (Part D) INSURERS willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 27

Your Future Coverage How Medicare coverage works Original Medicare Parts A & B + Additional Coverage MAPD Medicare Advantage with Prescription Drug coverage (Part C) Medigap OR + Prescription Drug Plans (Part D) willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 28

Your Future Supplemental Coverage Options MAPD plans MAPD Medicare Advantage with Prescription Drug coverage HMO PPO Health Maintenance Organization Preferred Provider Organization willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 29

Your Future Supplemental Coverage Options Medigap plans Medigap + Prescription Drug Plans (Part D) willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 30

Medicare Supplement Insurance (Medigap) Lettered policies Medicare Supplement Insurance (Medigap) Policies Benefits A B D G Medicare First-Eligible Before 2020 ONLY K L M N C F Medicare Part A coinsurance and hospital costs 100% 100% 100% Medicare Part B coinsurance or copayment 100% 50% 75% 100% Blood (first 3 pints) 100% 50% 75% 100% Part A hospice care coinsurance or copayment 100% 100% 50% 75% 100% 100% 100% 50% 75% 50% 100% 100% Skilled nursing facility care coinsurance Part A deductible Part B deductible Foreign travel emergency (up to plan limits) Source: CMS 100% Part B excess charges 80% 80% 80% Out-of-Pocket limit in 2019 $5, 560 willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. $2, 780 31

Prescription Drugs — 5 Tiers of Co-Pays Tier 1 – Preferred generic Tier 2 – Non-preferred generic Tier 3 – Preferred brand Tier 4 – Non-preferred brand Tier 5 – Specialty drugs or injectables willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 32

Medicare Prescription Drug Coverage 2019 Beneficiary Pays Full retail until deductible is met Copays for your plan coverage ~25% of retail costs Deductible $0 -415 Initial Coverage $3820 25% for Brand Name 37% for Generics Coverage Gap (only 25% will reach) $5100 $3. 40 for Generics $8. 50 for Brand Name 5% whichever is greater Catastrophic Coverage (only 4% will reach) willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 33

Via Benefits — For Your Benefit willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 34

Education Getting Started Guide Prepare for your enrollment Call Toll Free to make an appointment to enroll 1 -888 -429 -8490 Medicare. myviabenefits. com/TCU willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 35

Education Enrollment Guide Understand your options Call Toll Free to enroll 1 -888 -429 -8490 Medicare. myviabenefits. com/TCU willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 36

Benefit Advisors Licensed/Certified/Appointed Average 43 Objective and unbiased (noncommissioned) 100% domestic workforce Benefit Advisor availability: Monday – Friday, 7: 00 am – 8: 00 pm CT willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved 37

Online Support Tools Prescription Profiler My. Via. Benefits. com/TCU Load in your prescriptions — shorten your time on the phone with us! willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 38

Online Support Tools Help Me Choose comparison tool My. Via. Benefits. com/TCU 24/7 access to your information willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 39

Enrollment Process 1 Licensed Benefit Advisors § Licensed Benefit Advisors will discuss coverage options with anyone 2 Application Data Processor § Telephonic enrollment 100% of calls are recorded willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 40

Personal Guidance Your ongoing advocate Navigation Enrollment Prescription changes Affordability concerns Late enrollment Annual plan review Your plans will automatically renew from year to year. No need to re-enroll unless you want to make a change. willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 41

Enrollment Process Selection Confirmation Letter § Review the plan(s) that you selected § The Selection Confirmation Letter will be sent shortly after you enroll § This letter confirms that your applications have been submitted This form cannot be used as proof of payment willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. © 2019 Willis Towers Watson. All rights reserved. 42

Local Examples for Tarrant County, 76129 willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 43

Plans for Tarrant County Plan Type Number of Plans Offered (87) Medicare Advantage Medicare Supplement (Medigap) Part D 26 41 20 2019 Monthly Premium $0 - $116 $66 - $365 $10 - $140 willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Insurers [subject to change] Humana, AARP/UHC, Aetna, Scott & White, UHC, Amerigroup, Cigna, All. Well, BCBS of TX, Well. Care AARP, Humana, MOO, Amerigroup, First Health, BCBS of TX Loyal American by CIGNA, Humana Connect AARP, Humana, Express Scripts, Aetna, Silver. Script, Well. Care, Coventry, BCBS of TX 44

Medicare Advantage for Tarrant County Benefit 2019 Cost Premium $0 Network HMO Deductible $0 Doctor Copay $0 Specialist Copay $30 Hospital Days 1 – 7 Emergency Room $90 Rx – Deductible Retail Co-Pay Tiers $0 Mail Order Co-Pay Tiers $0 / $42 / $141 / $300 / 33% $250 per day $0 / $14 / $47 / $100 / 33% willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. (30 days) (90 days) 45

Medigap Plan F + Prescription Drug Plan for Tarrant County Based on a 75 year old male Benefit 2019 Cost Premium $246 ($194 Medical + $52 PDP) Network Not Applicable Deductible $0 Doctor Copay $0 Specialist Copay $0 Hospital $0 Emergency Room $0 Rx – Deductible (Preferred) Retail Co-Pay Tiers $0 $1 / $5 / $35 / 40% / 33% (Preferred) Mail Order Co-Pay Tiers $0 / $87. 50 / 40% / 33% willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. (30 days) (90 days) 46

Health Reimbursement Arrangement (HRA) willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 47

Health Reimbursement Arrangement § Tax-free account used to reimburse you for eligible health care expenses — you pay first and then get reimbursed § If you are eligible, TCU will make a annual contribution to a Health Reimbursement Account (HRA) Your HRA funding will be available and prorated from the effective date of your coverage. January 1 st of every year you will receive your annual allotment Unused funds DO roll over § You may use HRA funding to reimburse yourself for eligible medical expenses including premiums that you pay for coverage for certain out of pocket expenses (Including Medicare Part B) willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 48

Qualify for your Health Reimbursement Arrangement § Enroll in a medical plan through Via Benefits before your enrollment period ends to have access to your HRA § You must remain enrolled through Via Benefits each year to continue to have access to your HRA or forever forfeit rights to your HRA willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 49

Health Reimbursement Arrangement You may be reimbursed up to the amount available in your HRA! willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 50

Health Reimbursement Arrangement Options for Reimbursement Automatic Reimbursement Manual Reimbursement (including recurring premiums) $ Via Benefits $ Participant Insurance Carrier Via Benefits Participant Insurance Carrier Up to the amount available in your HRA willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 51

Next Steps willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 52

What You Need to Do When Retiring or Turning Age 65 Schedule your enrollment call § Enroll in Medicare § Schedule your enrollment appointment § You will need your: Medicare card (not required to schedule an appointment, but required for enrollment) Prescription list Doctors’ information Hospital information Contact Via Benefits at 1 -888 -429 -8490 willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 53

Q A willistowerswatson. com © 2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 54