BETTER REWARDS - Hologic · 2020-05-07 · Our Better Rewards program is developed with you in mind, focusing on helping you ... Open Enrollment period or within 31 days of a “qualifying

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BETTER REWARDS Pay Health Future Life Career

BENEFITS OPEN ENROLLMENT 2020 eGuide

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Our Commitment to You It’s Open Enrollment: May 13 – May 29For benefit plan year July 1, 2020 – June 30, 2021 At Hologic, we’re committed to helping people to live better – and that commitment begins with you! Our Better Rewards program is developed with you in mind, focusing on helping you achieve better health, a better future and a better life.

Open Enrollment is your opportunity to review and make changes to your benefits. We encourage you to take advantage of the full array of benefits available and choose what will work best for you and your family in the year to come.

This Benefits Open Enrollment eGuide highlights the benefit plans offered to you as well as important updates that will take effect July 1. It also outlines steps to enroll using Benefits Self Service at hologicbenefits.com.

DON’T MISS THE DEADLINE! ENROLL BY MAY 29, 2020

Otherwise, your next opportunity to make changes to your benefits will be during the next Open Enrollment period or within 31 days of a “qualifying life event,” such as a marriage, divorce or the birth or adoption of your child(ren).

INSIDE

Benefit Changes 3

Choose Well 4

Who Is Eligible? 5

Enroll Today 6

Health...be at your best 7

Future...plan for a sure tomorrow 14

Life...feed your mind, body, spirit 15

ID Cards 17

Plan Resources 18

16 weeks

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Life...feed your mind, body, spirit

Healthy Living Premium Rewards• The medical premium reduction earned by

reaching Level 2 in the Healthy Living Virgin Pulse program from April 1, 2019 through March 31, 2020 will be applied to medical premiums beginning July 1, 2020. You will see this reduction applied to your medical premium within Benefit Self Service.

Healthy Living• Start earning rewards for the 2021/2022

medical plan year. If you aren't a member, visit join.virginpulse.com/hologic.

• Already a member? Log into your account at member.virginpulse.com to continue your healthy habits or get back on track.

Dependent Care Flexible Spending Account (FSA)• The IRS limit for the 2020 tax year remains at $5,000 (or

$2,500 if you are married and file separate tax returns).

• The annual contribution elected will now be divided evenly over 24 pay periods, skipping the 7/31 and 12/31 pay period*.

• You must enroll or re-enroll in the Dependent Care FSA to participate in the 2020/2021 plan year.

MetLife Legal Plan• No changes to coverage or premium.

• This is your only opportunity to enroll or waive from this plan during the year. If you are currently enrolled and do nothing, your coverage will roll over to the new plan year.

$200 per year

Future...plan for a sure tomorrow

Financial Security• No changes to your basic life and accident

insurance plan premiums.

• Consider adding optional life insurance coverage for added protection for you, your spouse/domestic partner or child(ren).

• No changes to your short- (STD) or long-term disability (LTD) plan coverage.

Benefit Changes

Health...be at your best

Medical

All Medical Plans• Breast health imaging such as diagnostic mammograms,

ultrasounds, CT scans, MRIs and PET scans are now covered at no cost share, unless you are still paying toward your deductible on the Consumer Driven Health Plan (CDHP). Medical policy guidelines and pre-authorization requirements still apply.

• Continuous glucose monitors and supplies are now available at your pharmacy.

• With all plans, there is a 4.3% premium increase.

PPO Plus Medical Plan • In-network diagnostic X-rays and lab tests, including CT

scans, MRIs, PET scans and nuclear cardiac imaging tests, as well as urgent care visits, will increase by $10.

• Out-of-network out-of-pocket maximum and coinsurance amounts will increase. See the Plan Summary and 2020/2021 Benefits eCatalog for details.

PPO and PPO Plus Medical Plans• In-network specialist visit and urgent care copays will

increase by $10.

• ER visit copays will increase by $25.

• A 4th tier has been added to the prescription drug program for specialty medications. These medications are typically used to treat complex conditions such as autoimmune disorders, multiple sclerosis and hemophilia. Although the $150 copay is an increase to what you may have been paying, the cost of these medications are significant and this copay is only a small portion of the shared cost.

• If you are currently enrolled in a medical plan and do nothing, your coverage will roll over to the 2020/2021 plan year.

Dental• With both plans, there is a 4.3% premium increase.

• If you are currently enrolled in a dental plan and do nothing, your coverage will roll over to the 2020/2021 plan year.

Health Savings Account (HSA)• The maximum contribution is increasing to $3,550 for

employee only coverage and to $7,100 for family coverage.

• The annual contribution elected will now be divided evenly over 24 pay periods, skipping the biweekly 7/31 and 12/31 pay periods*.

• Hologic will continue to fund up to $600 for employee only coverage and up to $1,200 for family coverage when enrolled in the CDHP the entire plan year.

• Remember, you must enroll or re-enroll each year. If you are currently enrolled and take no action, employee and Company contributions will end starting July 1, 2020.

Health Care Flexible Spending Accounts (FSA)• The Health Care FSA contribution maximum is increasing

to $2,750.

• The annual contribution elected will now be divided evenly over 24 pay periods, skipping the 7/31 and 12/31 pay period*.

• You must enroll or re-enroll in the Health Care FSA to participate in the 2020/2021 plan year.

* Does not apply to semi-monthly payroll, which is already a 24-pay period cycle paid on the 15th and last day of each month.

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Choose Well During Open Enrollment, you can elect or make changes to the following benefits:

• Medical

• Dental

• Flexible Spending Accounts (FSAs)

• Health Savings Account (HSA)

• MetLife Legal Plan

If you aren’t making any changes to your benefits, you do not need to enroll this year unless you wish to participate in the Flexible Spending Accounts (FSAs) or the Health Savings Account (HSA). If you do not enroll in the HSA, you will not receive contributions from Hologic.

It’s also a good time to review your life insurance coverage to ensure you have the income protection you and your family need.

NE E D HE LP WITH YOUR DECIS IONS?

Use the information and decision support tools available on the Benefits Open Enrollment site at benefitsopenenrollment.hologic.com.

• Review the Decision Tools and Guides tab

• Find rates for benefit plans

• Use the medical plan cost comparison tool

• Examine benefits plan resources

• View an informational video

Take ActionTake the time to compare your options. It will help you make informed decisions about what’s best for you and your family.

• READ this Open Enrollment eGuide.

• THINK about how to make the most of all the benefits Hologic offers.

• USE the decision support tools located on the Decision Tools and Guides tab at benefitsopenenrollment.hologic.com and read through applicable Benefit Summaries.

• CHOOSE the benefits that best meet your and your family’s needs.

• ENROLL by May 29: { Online through Benefits Self Service

at hologicbenefits.com { Over the phone at 844.319.3420 { Via the MyChoice Mobile App

• REVIEW your beneficiaries.

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Who Is Eligible?Full-Time and Part-Time EmployeesIf you are a regular full- or part-time employee scheduled to work at least 30 hours per week, you are eligible to participate in the Company’s medical (including prescription and vision), dental, flexible spending, life, accidental death and dismemberment and disability insurance plans, as well as the MetLife Legal Plan.

DependentsYou may enroll your dependents in certain plans. Eligible dependents include:

• Your legal spouse

• Your domestic partner (same sex or opposite sex) for whom you can provide proof of shared residency and financial interdependence (such as a joint lease or mortgage)

• Dependent children are covered up to the end of the month they attain age 26, regardless of their marital status, residence or eligibility for coverage elsewhere

More information about dependent eligibility is available in the 2020/2021 Benefits eCatalog.

Adding Dependents?• You must provide a Social Security number and documentation (such as a birth

or marriage certificate or tax returns) to verify your newly added dependents’ eligibility by May 29, 2020. Otherwise, your coverage for any newly added dependent will not be effective as of July 1, 2020.

• You will receive additional information and instructions on how to submit this documentation when you add your dependent through Benefits Self Service.

• A list of acceptable documentation to verify dependent eligibility is available on MyHologic.

IMPORTANT NOTE

This is not a full description of the eligibility rules and each of the benefit plans may have variations from this general description. For a detailed explanation of eligibility, please refer to the applicable plan document and Wrap Plan Document found on the Benefits Open Enrollment site or MyHologic.

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Enroll Today To make benefit changes or enroll, log on to Benefits Self Service at hologicbenefits.com from May 13 – May 29, or access the MyChoice Mobile App from your mobile device.

This is Your Chance...Take the time to reflect on your needs. For most benefits, once Open Enrollment closes, your only opportunity to make changes during the plan year is within 31 days of a “qualifying life event,” such as a marriage, divorce or the birth or adoption of your child(ren). More information about qualifying life events can be found in the 2020/2021 Benefits eCatalog.

Benefits Self Service: Our Enrollment System

1 Log on to Benefits Self Service at hologicbenefits.com from May 13 – May 29. If this is the first time you are accessing this site, register with your Social Security number, date of birth, and the Company key of “hologic” (all lower case).

You may also make enrollment updates using the MyChoice Mobile App after retrieving an access code by logging into your account at hologicbenefits.com.

2 Once you are logged into the system, follow the onscreen instructions to complete your enrollment.

3 A printable PDF Benefit Confirmation Statement will be posted to your Personal Documents on or around June 13, 2020. Select Open Enrollment Benefit Summary from the drop-down arrow next to your name on the menu bar to view your elections.

Enrollment guidance• How to enroll• How to make

qualified changes• How to access

resources

Technical/ navigational support• Website assistance• Help downloading

benefit confirmations and resources

• Help uploading dependent verification documentation

Eligibility advisement• Information on

qualifying events• Dependent

verification and documentation assistance

Advocacy• Guidance to help

you understand your plans

• Assistance in resolving eligibility and coverage issues

• Help with ID cards

QUE STIONS?

Contact the Benefits Service Center:Telephone 844.319.3420 / Monday through Friday 8 a.m. to 8 p.m. ET

Live chat hologicbenefits.com / Monday through Friday 8:30 a.m. to 6:30 p.m. ET

Benefits Service Center

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 Health...be at your bestA key ingredient to your overall wellness is being the healthiest you can be.

MedicalYou have the choice of three PPO medical plans through Blue Cross Blue Shield of MA (BCBSMA):

• Consumer Driven Health Plan (CDHP) with a Health Savings Account (HSA)

• PPO

• PPO Plus

It’s important to understand the terminology. More information on your healthcare benefits and a list of detailed medical terms can be found in the 2020/2021 Benefits eCatalog.

BCBSMAMedical Option

Payroll Premium Deductible

Coinsurance (a % after

deductible)

Copays (a flat $ after deductible)

CDHP with HSA LowestHighest

(offset by Company-funded HSA)

Lowest N/A

PPO Moderate Moderate Moderate Moderate

PPO Plus Highest Lowest N/A Lowest

NE E D MORE INFORMATION ABOUT THE HOLOG IC ME DICAL PL ANS?

Click on the links below:

• 2020/2021 Benefits eCatalog• Your Guide to the CDHP with HSA• Summary of Benefits and Coverage (SBCs)

FIND A BCBSMA ME DICAL PROVIDE R

It’s Your ChoiceAll three medical plans offer access to the BCBSMA PPO network of providers. You can choose in-network providers or facilities that have better network discounts or you can use out-of-network providers or facilities. To save on out-of-pocket costs, use in-network providers whenever possible. In-network preventive exams, screenings and immunizations are 100% covered.

1. Go to provider.bcbs.com.

2. Click on “Select a plan,” enter HLX in the box provided and then click on “Go.”

3. Under “Select a category” you can search by provider name, specialty, facility, etc.

Note: Members residing in NH must first login to their MyBlue account at bcbsma.com to search for an in-network provider.

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Medical Plans At-a-GlanceCDHP with HSA Plan PPO Plan PPO Plus Plan

In-network You Pay

Out-of-network You Pay

In-network You Pay

Out-of-network You Pay

In-network You Pay

Out-of-network You Pay

Plan year deductible $1,500 employee only1 $3,000 family1

$3,500 employee only1 $7,000 family1

$1,000 per person $2,000 per family2

$2,250 per person $4,500 per family2

$750 per person $1,500 per family2

$1,250 per person $2,500 per family2

Plan year out-of-pocket maximum

$3,000 employee only3 $6,000 family3

$6,000 employee only3 $12,000 family3

$3,500 per person $7,000 per family4

$4,500 per person $9,000 per family4

$2,500 per person $5,000 per family4

$4,000 per person $8,000 per family4

Hologic annual contribution to Health Savings Account (HSA)

$600 employee only $1,200 family

Prorated and funded per pay periodN/A N/A N/A N/A

Preventive visits (i.e. well-child care, adult preventive exams)

No cost 40%5 No cost 40%5 No cost 40%5

Telehealth visits through Well Connection No cost 40%5 No cost 40%5 No cost 40%5

Primary care office visit 10%5 40%5 $30 copay5 40%5 $20 copay5 40%5

Other covered providers (specialists) office visit 10%5 40%5 $50 copay5 40%5 $40 copay5 40%5

Diagnostic X-rays and lab tests, including CT scans, MRIs, PET scans and nuclear cardiac imaging tests

10%5 40%5 15%5 40%5 $40 copay5 40%5

Breast Health Imaging (Ultrasounds/MRIs/CT & PET scans)

No cost 40% No cost 40% No cost 40%

Inpatient hospitalization 10%5 40%5 15%5 40%5 No cost 40%5

Chiropractic care (90 visits per calendar year) 10%5 40%5 $50 copay5 40%5 $40 copay5 40%5

Acupuncture (20 visits per calendar year) 10%5 10%5 $50 copay5 $50 copay5 $40 copay5 $40 copay5

Emergency room 10%5 applies to in-network deductible only $150 per visit; no deductible $125 per visit; no deductibleOutpatient behavioral health/substance abuse treatment 10%5 40%5 $30 copay5 40%5 $20 copay5 40%5

Routine vision exam No cost 40%5 No cost 40%5 No cost 40%5

Vision hardware reimbursement

Limited to two sets of prescription lenses and/or frames or contact lenses per calendar year until the end of the month a member turns age 19 Up to $250 per calendar year for prescription lenses and/or frames or contact lenses for members age 19 or older

Prescription drugs See page 9 See page 9 See page 9

1 CDHP with HSA: The entire deductible must be satisfied before benefits are paid.2 PPO and PPO Plus: The family deductible can be satisfied by eligible costs incurred by any combination of covered

family members. No individual family member will have to pay more than the per person deductible before benefits are provided for that family member.

3 CDHP with HSA: The out-of-pocket maximum must be satisfied before any covered member receives 100% coverage for the remainder of a plan year, including prescription drugs.

4 PPO and PPO Plus: The family plan year out-of-pocket maximum can be satisfied by eligible costs incurred by any combination of covered family members. No individual family member will have to pay more than the per person out-of-pocket maximum before the family member receives 100% coverage for the remainder of the plan year, excluding prescription drugs.

5 After the plan year deductible is met.

5 5 5 5

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Prescription DrugsAll three medical plans include retail and mail order prescription drug coverage through CVS Caremark. See the 2020/2021 Benefits eCatalog for details. To find network pharmacies in your area, go to Caremark’s Pharmacy locator page or call a Customer Care representative toll-free at 855.271.6598.

In-network Coverage At-a-GlanceWhen enrolled in: CDHP with HSA Plan* PPO and PPO Plus Plan

Fill at**:Retail Pharmacy: 30-day supply

Maintenance Choice: 90-day supply***Mail Order: 90-day supply***

Generic (Tier 1)

$10 copay at retail† $20 copay at mail order†

$10 copay at retail $20 copay at mail order

Preferred brand name (Tier 2) 25%† $30 copay at retail

$60 copay at mail order

Non-preferred brand name (Tier 3) 35%† $50 copay at retail

$100 copay at mail order

Specialty medication (Tier 4)

Covered within respective tier level†

$150 copay through specialty pharmacy 30-day supply only

Out-of-pocket maximum Combined with medical out-of-pocket maximum$3,000 per employee

only coverage$6,000 per family coverage

A separate out-of-pocket maximum applies

PPO: $3,500 per person $7,000 per family

PPO Plus: $2,500 per person $5,000 per family

* Certain preventive drugs are not subject to the medical plan year deductible. ** Fill options may be limited for specialty and diabetic medications.*** If you fill a prescription at a CVS retail pharmacy, you may receive a 90-day supply for the cost of a 60-day

supply when enrolled in the PPO or PPO Plus plan and a discount when enrolled in the CDHP plan.† After medical plan year deductible is met.

VisionWhen you enroll in a medical plan, vision coverage is automatically included through BCBSMA. Your routine vision exams are covered at no cost when you use an in-network provider. Diagnostic visits are subject to the applicable medical plan deductible and copay/coinsurance.

• For members 19 and older, receivereimbursement up to an overall $250benefit per member per calendaryear for any combination of:

{ Lenses { Frames { Contact lenses

• For children up to age 19, receivereimbursement per calendar yearfor any two:

{ Glasses, or { Year supply of contact lenses

You must pay out-of-pocket for hardware and file for reimbursement for your expenses with BCBSMA. Reimbursements from the medical plan are not eligible for reimbursements through a Health Care FSA or Health Savings Account (HSA).

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2020/2021 Medical PremiumsRates shown are effective July 1, 2020 – June 30, 2021.

Biweekly Rate* (26 pay periods)Plan Employee Only Employee + 1 Family

CDHP $28.67 $80.28 $120.41

PPO $47.63 $108.35 $162.52

PPO Plus $105.12 $216.43 $324.65

* Biweekly means you are paid every other Friday.

Semi-monthly Rate* (24 pay periods)Plan Employee Only Employee + 1 Family

CDHP $31.06 $86.97 $130.45

PPO $51.60 $117.38 $176.07

PPO Plus $113.88 $234.47 $351.70

* Semi-monthly means you are paid on the 15th and the last day of the month.

NOTE:

The portion of medical and dental premiums you pay to cover a domestic partner and/or their child(ren) must be paid on an after-tax basis unless they are also your tax dependent. In addition, the amount that Hologic pays toward coverage for such dependents is considered taxable income to you and will be added to your W2 as imputed income.

Medical Plan Premium ReductionWhen you participate in the Healthy Living program and reach Level 2 each quarter. You can earn a medical plan premium reduction of $50 per quarter for a total of $200 each plan year.

The medical premium reduction for the upcoming 2020/2021 plan year was earned between April 1, 2019 and March 30, 2020. It will be applied to the medical premium beginning July 1, 2020. During Open Enrollment, you are able to see your earned medical premium reduction when you go to Benefits Self Service.

If you didn’t earn the reduction for this plan year, now’s the time to start earning for next year. Go to the Healthy Living page on MyHologic for more information.

Quarters Earned 1 Quarter 2 Quarters 3 Quarters 4 Quarters

Annual medical premium reduction $50 $100 $150 $200

Biweekly medical premium reduction* $1.93 $3.85 $5.77 $7.70

Semi-monthly medical premium reduction**

$2.08 $4.17 $6.25 $8.33

* Biweekly means you are paid every other Friday.** Semi-monthly means you are paid on the 15th and the last day of the month.

ExampleJennifer earned the medical plan premium reduction in 3 quarters for a total of $150. She elects the PPO medical plan with employee + 1 coverage.

PPO Employee + 1 Medical Plan Rate

Premium Reduction

Medical Plan Rate with Premium Reduction

Biweekly rate* $108.35 $5.77 $102.58

Semi-monthly rate** $117.38 $6.25 $111.13

* Biweekly means you are paid every other Friday.** Semi-monthly means you are paid on the 15th and the last day of the month.

$200 per year

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Extra Support When you Need itNavigating the healthcare system doesn’t have to be difficult. Hologic and its healthcare partners offer support for your health with these valuable managed care programs. More details, including partner contact information, can be found in the 2020/2021 Benefits eCatalog and page 18 of this eGuide.

Robin Care – Navigate the Cancer Journey Whether you are newly diagnosed or in survivorship, Robin Care’s team of care advocates are focused on you, anticipating and reacting to everything you’re facing throughout your cancer journey. Robin Care’s team helps cancer patients and their families make clinical choices, get physical and emotional support, coordinate day-to-day life and manage life during and after cancer with:

• Caregiver support

• Appointment prep

• Proactive tracking

• Financial navigation

• Emotional wellbeing support

• Navigating work and cancer

This benefit is paid for by Hologic. Find more information on MyHologic.

Grand Rounds – Complete and Compassionate Healthcare ExperienceGrand Rounds offers personal medical guidance, assistance, and support to ensure Hologic employees and their families receive the best possible medical care. Connect with Grand Rounds and world-leading specialists for peace of mind for you and your family today.

Get the right care at the right time from the right physician. Grand Rounds can be especially useful when you need:

• Personalized assistance in finding high-quality physicians

• Help understanding if a surgery you are considering is the right thing to do

• An existing medication regimen reviewed

• Help with getting a proper diagnosis and clear guidance on next steps

This benefit is paid for by Hologic. Find more information on MyHologic.

OmadaOmada® combines the latest digital technology and a personalized approach for ongoing support to those that are at risk for certain chronic diseases such as type 2 diabetes or heart disease. Omada can also support those living with type 2 diabetes or hypertension. This program will help you make small, meaningful changes to the way you eat, move, sleep and manage stress. Omada provides:• A personalized home page

• A professional health coach

• Smart device integration

• Weekly online lessons

• Small online peer group

The Omada program is available at no cost to you, your spouse or domestic partner and your dependent children over the age of 18 that meet the health risk criteria even if you/they are not enrolled in the Hologic medical plan.

Take a short survey at omadahealth.com/hologic to find out if you or your eligible family member qualifies for Omada.

Virtual Doctor Visits through Well ConnectionWhen enrolled in our medical plan, you have access to virtual doctor visits through Well Connection from your mobile device or computer. This telehealth service gives you access to board-certified physicians and behavioral health specialists whenever and wherever you or your covered dependents need it. Download the Well Connection telehealth app from the App Store or Google Play to access care using your smartphone. Services are covered at no cost.

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DentalYou may choose from two dental plans offered through Delta Dental of Massachusetts: the Core plan or the Enhanced plan with orthodontia.

Both comprehensive plans have coverage for exams, cleanings, fillings, crowns, implants, bone grafts, periodontal services and more. More information about the dental plans can be found in the 2020/2021 Benefits eCatalog.

Dental Plans At-a-GlanceCore Plan Enhanced Plan

Plan year deductible $100 per individual $300 per family

$50 per individual $150 per family

Plan year maximum benefit $750 per individual $2,000 per individual

In-Network Out-of-Network In-Network Out-of-Network

Preventive Exams, cleanings, sealants, X-rays

100% 100% 100% 100%

RestorativeFillings, extractions, root canals, oral surgery

80%* 80%* 80%* 80%*

Major treatmentCrowns, dentures 50%* 50%* 60%* 60%*

OrthodontiaAdults and children Not covered 50%

Lifetime orthodontia benefit N/A $2,000 per individual

* After dental plan year deductible is met.

Note: Percentages above apply to discount contracted rates for Delta Dental dentists and to usual and customary fees for dentists who are non-members of the Delta Dental networks.

Get the Max from Your CoverageThe plans also offer a Rollover Max feature that allows you to roll over a portion of your unused dental benefits from one plan year to the next.

Dental PremiumsBiweekly Rate* (26 pay periods)

Plan Employee Only Employee + 1 Family

Core plan $3.49 $6.68 $9.79

Enhanced plan $8.15 $15.57 $22.83

* Biweekly means you are paid every other Friday.

Semi-monthly Rate* (24 pay periods)

Plan Employee Only Employee + 1 Family

Core plan $3.79 $7.24 $10.61

Enhanced plan $8.83 $16.87 $24.73

* Semi-monthly means you are paid on the 15th and the last day of the month.

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Health Care Flexible Spending Account (FSA)The Health Care FSA offers a way to save money and pay for healthcare expenses on a tax-free basis. Set aside pre-tax dollars from your paycheck and reimburse yourself for qualified expenses.

Account Feature Health Care FSA

Goal Pay for qualified healthcare expenses for yourself and eligible family members not already reimbursable by a medical or dental plan

Plan year pre-tax election Minimum amount: $100 Maximum amount: $2,750

Qualified healthcare expenses • Medical and dental out-of-pocket expenses

• Over-the-counter medications without a prescription, including feminine care products.

• Glasses and contact lenses not already paid for by the medical plan, as well as LASIK surgery

IMPORTANT RULE S

1. You must enroll in the FSA each year if you wish to participate; elections do not carry forward.

2. Use it or lose it! Any funds you contribute but do not use for qualified healthcare expenses incurred during the plan year (July 1, 2020 – June 30, 2021) must be forfeited. Keep this rule in mind when estimating your plan year contributions.

3. The plan does not include a grace period or allow for any unused funds to be rolled over to the following plan year.

4. You may not participate in the Health Care FSA if you enroll in the Consumer Driven Health Plan (CDHP) with HSA.

For a list of IRS-qualified expenses, visit the IRS website. For planning tools, go to payflex.com.

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 Future...plan for a sure tomorrowA secure future for you and your family with income protection benefits.

Basic Life and AD&D InsuranceBasic life insurance provides valuable financial security in the event of your death.

• All full-time employees, excluding Full Commission Sales plan eligible employees, receive Company-paid basic life and AD&D insurance equal to two times your base annual salary up to $500,000.

• Full Commission Sales plan eligible employees will receive Company-paid basic life and AD&D insurance at a flat benefit of $175,000.

Basic life and AD&D insurance is paid for by Hologic and administered by Lincoln Financial.

Optional LifeIn addition to basic life and AD&D coverage, you may purchase optional life insurance for yourself and/or dependents through Lincoln Financial.

Click here for premium rates.

Coverage for: Coverage Amount Maximum

Employee* Increments of $10,000 Up to a maximum of $1,000,000

Spouse/domestic partner Increments of $10,000 The lesser of $500,000 or your combined basic and optional employee life coverage amount

Child(ren) $2,500, $5,000 or $10,000* Optional life insurance for yourself also includes AD&D coverage at the same coverage level.

You may apply for coverage any time throughout the year. However, electing or increasing optional employee and spouse life insurance requires you to complete Evidence of Insurability (EOI) before coverage is approved. Child life insurance does not require EOI and can be elected at any time.

CHECK YOUR BE NE FICIARY INFORMATION

If you do not have a beneficiary for your life insurance plans, you will be required to assign a beneficiary(ies) within Benefits Self Service. You can change your beneficiary information at any time.

Disability InsuranceHologic pays the full cost to provide you with short- and long-term disability coverage through Lincoln Financial.

Plan Waiting Period Benefit

Short-term disability 7 days Weeks 2-8: 100% of your pre-disability earnings*

Weeks 9-13: 60% of your pre-disability earnings*

Long-term disability 90 days 60% of pre-disability earnings* up to a maximum monthly benefit of $25,000.

Benefits are payable for up to 24 months if you are disabled and cannot perform the duties of your regular occupation. After 24 months, benefits will continue to be paid only if you are unable to perform the duties of any gainful occupation for which you are reasonably qualified by education, training or experience.

* Pre-disability earnings for non-sales employees include weekly gross base pay only. Pre-disability earnings for sales employees include weekly gross pay plus commissions.

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 Life...feed your mind, body, spiritHelping you to manage the demands of every day while you strive to live your best life.

MetLife Legal PlanMetLife Legal Plan offers an affordable solution to help with your legal needs at the same low rate of $8.08 biweekly or $8.75 semi-monthly. For details, visit info.legalplans.com and enter access code 6091281.

If you are already enrolled, you do not need to re-enroll to continue coverage. However, if you want to waive or enroll for the first time, Open Enrollment is your only opportunity throughout the year.

Receive help with:• Personalized legal advice

• Document preparation

• Powers of attorney

• Trusts

• Real estate matters

• Family law

• Financial matters

Health AdvocateServices are offered at no cost and are typically provided by registered nurses, backed by a team of medical directors and benefits and claims specialists. They can help you find doctors, schedule appointments, get cost estimates, resolve insurance claim issues and more. Health Advocate is available to you, your spouse, dependent children, parents and parents-in-law. Go to healthadvocate.com/hologic for more information.

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Dependent Care Flexible Spending Account (FSA)The Dependent Care FSA offers a tax-favorable way to save money on qualified dependent care expenses. Set aside pre-tax dollars from your paycheck and reimburse yourself for qualified expenses.

Account Feature Dependent Care FSA*, **

Purpose Pay for qualified dependent care expenses so you and, if you are married, your spouse can work

Plan year pre-tax election Minimum amount: $100

Maximum amount: $5,000 ($2,500 if married and filing separate tax returns)

Qualified expenses • Child and elder care provided in your home

• Child and elder care provided in an approved day care center

• Before- and after-school programs

• Day camp, but not overnight camp

* All dependent care providers must have a Social Security number or tax identification number.

** This account may be used for your dependent child(ren) under the age of 13 and your spouse or a person who is physically or mentally unable to care for him or herself, including parents or parent in-laws, that you can claim as a dependent.

NOTE

• You must enroll in the FSA each year if you wish to participate; elections do not carry forward.

• Use it or lose it! Any funds you contribute but do not use for qualified dependent care expenses incurred during the plan year (July 1, 2020 – June 30, 2021) must be forfeited. Plan carefully!

• A change in dependent care provider costs is considered a qualifying life event. You have the opportunity to make benefit changes within 31 days of a qualifying life event.

• For a list of IRS-qualified expenses, visit the IRS website.

• For planning tools, go to payflex.com.

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ID CardsIf you are enrolling in medical (including prescription and vision), dental or either Flexible Spending Account for the first time, you will receive member ID cards before July 1, 2020. If you are re-enrolling or switching plans, please see the chart below:

If you are currently enrolled in: And you enroll in: You will:

CDHP with HSA PPO PPO Plus

The same plan for the new plan year or you switch between the PPO and PPO Plus plans

• Keep your current BCBSMA Medical ID card for each plan member

• For CDHP plan, keep your current HealthEquity Visa® Health Account debit card and receive new debit card if your current card reaches expiration date

• Keep your current CVS Caremark prescription card

PPO or PPO Plus CDHP with HSA • Receive a new BCBSMA Medical ID card (one card for each covered member)

• Receive a HealthEquity Visa® Health Account debit card (one card with your name on it)

• Receive a new CVS Caremark prescription card (two cards with your name on them)

CDHP with HSA PPO PPO Plus

• Receive a new BCBSMA Medical ID card (one card for each covered member)

• Receive a new CVS Caremark prescription card (two cards with your name on them)

Either dental plan Enhanced Plan Core Plan

• Keep your current Delta Dental card

Health Care or Dependent Care Flexible Spending Account

Health Care or Dependent Care Flexible Spending Account

• Keep your current PayFlex Cards®

• Receive new card if your current card reaches expiration date

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Plan ResourcesFor more information about your benefits, visit the Benefits Open Enrollment site at benefitsopenenrollment.hologic.com to help you make confident enrollment decisions:

Plan Vendor Website Phone Number

Benefits Open Enrollment site Hologic benefitsopenenrollment.hologic.com 844.319.3420

Benefits Self Service Benefits Service Center Live chat: hologicbenefits.com 844.319.3420

Employee Assistance Program (EAP) ACI Specialty Benefits affinity-online.com/ Username: hol Password: ACI 800.932.0034

Medical and Vision Plans Blue Cross Blue Shield of MA bluecrossma.com 800.358.2227

Prescription Drug Program CVS Caremark https://www.caremark.com/wps/portal 855.271.6598

DentalDelta Dental of Massachusetts

Group Number: 001495deltadentalma.com 800.872.0500

Expert Medical Opinions and Support Grand Rounds grandrounds.com/hologic 800.929.0926

Healthcare Advocacy – claims, coordination and navigation Health Advocate healthadvocate.com/hologic 866.695.8622

Health Savings Account (HSA) HealthEquity healthequity.com 877.694.3938

Personal Legal Matters MetLife Legal Plan info.legalplans.com Access code: 6091281 800.821.6400

Life, AD&D, Short- and Long-Term Insurance Lincoln Financial Live chat: hologicbenefits.com 844.319.3420

Hypertension and Type 2 Diabetes Prevention and Management Program Omada omadahealth.com/hologic 888.987.8337

Flexible Spending Accounts PayFlex payflex.com 800.284.4885

Cancer Care Support Robin Care robincare.com/hologic 855.697.6246

Hologic Healthy Living Program Virgin Pulse Enroll: join.virginpulse.com/hologic After enrollment: member.virginpulse.com 888.671.9395

Telehealth Well Connection wellconnection.com N/A

DisclaimerThis eGuide is for informational purposes only and is neither an offer of coverage nor medical advice. It contains only a partial, general description of the Hologic benefits program and does not constitute a contract. Consult your plan documents (Summary Plan Descriptions and Group Insurance Certificates) for a complete description of all governing contractual provisions, including benefits, exclusions, limitations and procedures relating to your plans. All of the terms and conditions of the plans are subject to applicable laws, regulations and policies. In case of a conflict between your plan documents and the information contained in this eGuide, the plan documents will always govern. eGuide - 4/20

2020/2021 Benefits eCatalog Benefit plan resources and summaries Medical plan cost comparison tool