Retirement Healthcare Savings Plan 2020 Retiree Health Insurance

Retirement Healthcare Savings Plan 2020 Retiree Health Insurance TIAA PUBLIC

Aetna Medicare Advantage plans Medicare Advantage PPO Premium Plan Medicare Advantage PPO Plus Plan Medicare Advantage PPO Standard Plan Deductible $0* $0* Medicare Deductible $0 $0 $0 Primary Care $15 copay * 15% coinsurance (in-network) 25% coinsurance (out-of-network) $15 copay (in-network) 30% coinsurance (out-of-network) Specialist $15 copay* 15% coinsurance (in-network) 25% coinsurance (out-of-network) $40 copay (in-network) 30% coinsurance (out-of-network) Hospital Covered 100% $500 per admission. No day limit. (in -network) 25% per admission. No day limit. (out-of-network) $200 per day (1 -7). No day limit. (in-network) 30% per admission. No day limit. (out-of-network) Preventive Care Covered 100% Out-of-Pocket Limit $2, 000* $2, 750 (in-network) $5, 500 (out-of-network) $6, 700 (in-network) $10, 000 (out-of-network) *In- and out-of-network. TIAA PUBLIC 2

Aetna prescription drug plans Benefit Features Rx Premium Plan Rx Plus Plan Rx Standard Plan Formulary Open 2 Plus Formulary GRP B 2 Formulary Annual deductible $100 $200 $435 Initial Coverage Limit: $4, 020. (Applies to retail, up to a 30 - and 90 -day supply, and mail-order supply) Tier 1 – Generic Tier 2 – Preferred Brand Tier 3 – Non-preferred Brand 15% 25% 40% 15% 25% 50% 15% 25% Tier 1 – Generic Tier 2 – Preferred Brand Tier 3 – Non-preferred Brand 15% 25% 25% Catastrophic Coverage benefits start once $6, 350 in true out-of-pocket costs is incurred You pay $0 Greater of 5% of the cost of the drug - or $3. 60 for a generic drug or a drug that is treated like a generic and $8. 95 for all other drugs Coverage Gap Phase begins after you reach Initial Coverage Limit and until you reach $6, 350 in drug expenses (Applies to retail, up to a 30 - and 90 -day supply, and mail-order supply) Catastrophic Coverage Phase TIAA PUBLIC 3

Aetna dental plan* Preventive Service 100% coverage Annual Deductible (basic and major services) You pay $100 Basic Services Coverage (fillings, standard crowns, extractions) You pay 50% Major Services Coverage (root canal therapy, surgical removals, dentures) You pay 50% Annual Benefit Maximum $1, 500 *KEY NOTES: • Twelve month waiting period applies for major services, but may be waived with evidence of continuing coverage. • One-time only opt-in opportunity. • Dental is only available when you enroll in a combination Medical/Rx coverage, or elect the stand-alone Rx Standard Plan • Please note: in the states of CA, OR, WA, the stand-alone Dental plan may be elected if the participant is enrolled in a Kaiser Permanente MAPD Plan, and with evidence of existing coverage. • Dental not available in MD. TIAA PUBLIC 4

2020 Aetna Post-65 Plan Options for Zip Code 49006 TIAA PUBLIC 5

2020 Aetna Dental and Pre-65 Plan Options for Zip Code 49006 TIAA PUBLIC 6

Today’s speakers Christina Fendley Manager, Client Relationships TIAA Health Solutions I Emeriti RHSP TIAA PUBLIC Meredith Smith Senior Account Director, Aetna Retiree Markets 7

Aetna retiree health insurance in 2020 What stays the same What is changing Plan enhancements/updates Key dates Next steps you can take Questions and answers TIAA PUBLIC 8

What stays the same? TIAA PUBLIC

CVS Health and Aetna are now a combined company • • • Pharmacy expertise Innovative solutions Immediate care access at Minute. Clinic Health Hubs across the nation Comprehensive TIAA PUBLIC Personal • • Holistic member health solutions • Focus on healthcare resources at the local, community level Comprehensive programs to help you achieve your best health Local 10

Same coverage ü Same plans ü Same plan designs ü Same networks 4 Stars Medicare Advantage rating* *Medicare TIAA evaluates PUBLIC plans based on a 5 -star rating system. Star Ratings are calculated each year and may change from one year to the next. Our overall Part C and Part D rating is 4. 0. 11

Same coverage Wide range of benefit coverage National coverage No network* restrictions Over 65, 000 pharmacies Emergency & urgent care outside U. S. You are always welcome to use any in-network pharmacy. You are not restricted to using a CVS Pharmacy®. *Provider must be eligible to receive Medicare payment and willing to accept your plan. TIAA PUBLIC 12

Same Aetna ID cards SAME ID CARD One ID card for Medicare Advantage and prescription drug plans One ID card for dental plan TIAA PUBLIC 13

What is changing? TIAA PUBLIC

2020 insurance premium rates Three Medicare Advantage plans Premium increase, on average, 18% Three prescription drug plans Premiums decrease, on average, 9% Three pre-65 medical/Rx plans for dependents Premium increase, on average, 9% One optional dental plan Premium increase, on average, 2% Monthly premium rates vary by plan and zip code. TIAA PUBLIC 15

Have you heard? Increased allowance for hearing aid reimbursement Be reimbursed $1, 000 every 36 months Download the Aetna reimbursement form at Emeriti. Health. org TIAA PUBLIC 16

Stand-alone Rx Standard plan (no medical coverage) NEW ID CARD Enrolled only in the stand-alone Rx Standard Plan? Your prescription drug plan will be administered through Silver. Script starting January 1, 2020. You will receive a new ID card. TIAA PUBLIC 17

A closer look at your benefits TIAA PUBLIC

Healthy Home Visit* Voluntary visit where a nurse comes to your home • Talks about safety • Reviews your medications • Offers care advocacy resources and support programs • Shares results with your doctor Home safety assessment Activity and independence assessment Medication review Holistic health screening This is strictly voluntary. There is no additional cost to you. * TIAA PUBLIC 19

Receive help anywhere on your health journey Prevention Wellness Support Eye and hearing exams Healthy Home Visits Resources For Living® Annual physicals 24/7 Nurse Line Fall Prevention Program Hearing and vision reimbursements Chronic health condition support Women’s annual health reminder Cancer screening reminder Silver. Sneakers® Fitness Program Able. To mental health support Readmission Avoidance Program Aetna Compassionate Care. SM TIAA PUBLIC 20

Aetna Medicare Advantage plans Medicare Advantage PPO Premium Plan Medicare Advantage PPO Plus Plan Medicare Advantage PPO Standard Plan Deductible $0* $0* Medicare Deductible $0 $0 $0 Primary Care $15 copay * 15% coinsurance (in-network) 25% coinsurance (out-of-network) $15 copay (in-network) 30% coinsurance (out-of-network) Specialist $15 copay* 15% coinsurance (in-network) 25% coinsurance (out-of-network) $40 copay (in-network) 30% coinsurance (out-of-network) Hospital Covered 100% $500 per admission. No day limit. (in -network) 25% per admission. No day limit. (out-of-network) $200 per day (1 -7). No day limit. (in-network) 30% per admission. No day limit. (out-of-network) Preventive Care Covered 100% Out-of-Pocket Limit $2, 000* $2, 750 (in-network) $5, 500 (out-of-network) $6, 700 (in-network) $10, 000 (out-of-network) *In- and out-of-network. TIAA PUBLIC 21

Aetna prescription drug plans Benefit Features Rx Premium Plan Rx Plus Plan Rx Standard Plan Formulary Open 2 Plus Formulary GRP B 2 Formulary Annual deductible $100 $200 $435 Initial Coverage Limit: $4, 020. (Applies to retail, up to a 30 - and 90 -day supply, and mail-order supply) Tier 1 – Generic Tier 2 – Preferred Brand Tier 3 – Non-preferred Brand 15% 25% 40% 15% 25% 50% 15% 25% Tier 1 – Generic Tier 2 – Preferred Brand Tier 3 – Non-preferred Brand 15% 25% 25% Catastrophic Coverage benefits start once $6, 350 in true out-of-pocket costs is incurred You pay $0 Greater of 5% of the cost of the drug - or $3. 60 for a generic drug or a drug that is treated like a generic and $8. 95 for all other drugs Coverage Gap Phase begins after you reach Initial Coverage Limit and until you reach $6, 350 in drug expenses (Applies to retail, up to a 30 - and 90 -day supply, and mail-order supply) Catastrophic Coverage Phase TIAA PUBLIC 22

Aetna dental plan* Preventive Service 100% coverage Annual Deductible (basic and major services) You pay $100 Basic Services Coverage (fillings, standard crowns, extractions) You pay 50% Major Services Coverage (root canal therapy, surgical removals, dentures) You pay 50% Annual Benefit Maximum $1, 500 *KEY NOTES: • Twelve month waiting period applies for major services, but may be waived with evidence of continuing coverage. • One-time only opt-in opportunity. • Dental is only available when you enroll in a combination Medical/Rx coverage, or elect the stand-alone Rx Standard Plan • Please note: in the states of CA, OR, WA, the stand-alone Dental plan may be elected if the participant is enrolled in a Kaiser Permanente MAPD Plan, and with evidence of existing coverage. • Dental not available in MD. TIAA PUBLIC 23

Open enrollment key dates OCTOBER Mid October November 26 & December 2 Open enrollment kit mailed Join an informational phone call NOVEMBER DECEMBER Early October Retiree newsletters mailed October 21 – December 6 Open enrollment TIAA PUBLIC 24

Next steps Happy with your current plans? Need personalized guidance? Ready to enroll? Do nothing. Be re-enrolled in the same plans next year. Call Aetna benefits specialists: 855 -212 -5666 Enroll online: My. Emeriti. Benefits. org Open enrollment is October 21 – December 6 TIAA PUBLIC 25

Working together Income Security TIAA PUBLIC Healthcare Security Total Retirement Planning 26

Questions? TIAA PUBLIC

The Emeriti Program is delivered in collaboration with TIAA, CBIZ RPS, Aetna Life Insurance Company, and Health. Partners. Emeriti, TIAA, CBIZ RPS, Aetna Life Insurance Company, and Health. Partners are independent corporations and are not legally affiliated. The full name of Emeriti Retirement Health Solutions is The Emeriti Consortium for Retirement Health Solutions, an Illinois Nonprofit Corporation. Emeriti Retirement Health Solutions is not an insurance company, insurance broker or insurance provider. Teachers Insurance and Annuity Association of America (TIAA) is Emeriti’s accumulation record keeper, trust services provider, and investment manager. TIAA is a leading provider of financial services to nonprofits offering investing, banking, advice and guidance, and retirement services. TIAA has helped institutions and individuals pursue financial well-being for more than 100 years. TIAA-CREF Individual & Institutional Services, LLC, Member FINRA, distributes securities products. CBIZ RPS provides services in connection with the Emeriti group insurance administration and Emeriti medical expense reimbursement processing. Headquartered in Cleveland, Ohio, CBIZ RPS has 26 offices around the country and more than forty years of experience in providing full-service benefits services supporting employees and retirees in organizations nationwide. Aetna Life Insurance Company is the primary health insurer for the Emeriti Program, providing fully insured medical insurance and health-related products. For over 150 years, Aetna has been an innovator in the delivery of insurance solutions and is a nationwide provider of Medicare-approved Part D prescription drug services. For Minnesota institutions and their Minnesota-resident retirees, Health. Partners provides participants with medical insurance and health-related products. Health. Partners is the largest consumer-governed nonprofit health care organization in the nation. © 2019 Aetna Inc. GRP_6013_2454_M 10/2019 961065 TIAA PUBLIC