Changes for 2027

Due to ongoing increases in healthcare costs, medical plan contributions will also increase — however, we are pleased to share that we have maintained the same high-quality, comprehensive benefit plan designs you value. These contribution adjustments help support the ongoing sustainability of our plans, ensuring they continue to provide strong coverage for you and your family. The specific increase will vary based on your chosen plan, your base salary, and whom you choose to cover.

Your medical plan options and how they cover care remain the same as they are in 2026. Keep in mind that AXA XL continues to contribute to covering the cost of care when you enroll in an HSA plan: $500 (individual coverage) or $1,000 (if you cover dependents) to your HSA in 2027.

Now is a great opportunity to take a fresh look at your healthcare needs and choose the coverage that makes the most sense for you and your family. Be sure to review our plan options and carefully consider who you may want to cover on the plan. Remember, all of our medical plans cover the same services, they all have the same provider choices, and they all offer free in-network preventive care.

Dental
Our two dental plan options remain comprehensive, with the same plan design for 2027. Contribution increases vary by plan and coverage tier. As you’re thinking about your dental needs for 2027, you may explore both plan options and consider the following to determine which dental plan option is right for you.

• You may consider the Basic Plan if you expect you and your family to only need preventive and lower-cost services, such as regular oral examinations and cavity fillings, in a given year.
• Or you might consider choosing the Premium Plan if you or someone in your family needs orthodontia, or if you expect you and your family’s dental needs to involve high-cost services such as implants.

Vision
For 2027 you will continue to have the choice between two MetLife VSP vision plan options to help pay for well vision care, including exams, lenses, frames, and contact lenses. The cost for coverage will remain the same as it is today.

You may want to consider the following as you determine which vision plan might be right for you.

• You may consider the Basic Plan if you prefer to wait a couple of years before changing your glasses and overall style, or if you or your family members prefer to wear monthly reusable contacts, which may be less expensive than daily contacts.
• Or you might choose the Premium Plan if you like to experiment with your look and prefer to change your frames more frequently or would like to obtain more expensive frames or contacts.

We regularly review our benefits to ensure we’re investing in the programs that provide the greatest value to our colleagues and align to market. As such, we’re changing the Company-provided Basic Life and AD&D benefit to equal 1.5x your annual base salary, from 3x your annual base salary currently.

We’ll continue to offer the same voluntary financial protection options through MetLife’s Group Variable Universal Life (GVUL) and Supplemental AD&D insurance offerings. These opportunities allow you to elect additional protection for yourself, and coverage options for your dependents as well.

With the update to the Basic Life and AD&D benefit, you have a special enrollment opportunity. During this Annual Benefits Enrollment, you may increase your supplemental employee GVUL insurance coverage up to 1.5x annual base salary guaranteed issue, not to exceed the Plan maximum of $3 million, without having to complete an Evidence of Insurability (EOI) form. Even if you may have been denied coverage in the past, you may elect additional coverage this year only. You will make the GVUL elections directly with MetLife on their platform at www.mybenefits.metlife.com as in the past.

We're pleased to introduce Carrum — a new Centers of Excellence (COE) network that connects you to top-tier specialty providers for joint, spine, bariatric, cancer and other specialty procedures if necessary.

How does the Carrum COE work?

• Mandatory for major musculoskeletal and bariatric surgeries: Starting in 2027, you and/or a covered family member must use the Carrum COE for procedures such as hip and knee replacements, spine fusions, and gastric bypass surgery. If you receive one of these procedures at another facility, it will not be covered under your AXA XL medical plan.
• Doesn't apply to ongoing orthopedic or gastrointestinal care: The Carrum COE requirement is limited to the major surgeries listed above — it does not apply to your regular, ongoing orthopedic or gastrointestinal care.
• Cancer treatment is offered, but not mandatory: Carrum is also available for cancer treatment, and while using the COE is preferred, it's not required to receive coverage under your plan.
• Your cost: Treatment through a Carrum COE is covered at 100% under the OAP medical plan, and at 100% after the IRS minimum deductible is met if you're enrolled in one of the HSA medical plans.
• Questions about providers? Call Carrum at 888-855-7806 to confirm which providers are included in the COE network.

For 2027, we’ll be transitioning general prescription drug coverage from CVS to Express Scripts (ESI). Archimedes will continue to manage specialty medications and will dispense those medications through the Archimedes network pharmacy. Based on our review of the available options for prescription drug coverage, we believe the combination of ESI and Archimedes will best support the needs of our colleagues moving forward.

To ensure a smooth transition:

• Be on the lookout for your new pharmacy ID Card and download the Express Scripts app to create an account in January.
• Confirm your preferred pharmacy is part of the Express Scripts broad national network.
• If you take medication that requires pre-authorization, you may need to complete additional steps to continue coverage.
• If you use mail order, you will need to download the Express Scripts app, create an account for ordering your prescription drugs, and request new 90-day subscriptions from your doctor.

You will receive more information if you need to take action. Find more information here.

Those enrolled in an AXA XL medical plan will gain access to Teladoc’s Comprehensive Weight Care program, which includes access to GLP-1 weight loss medications if clinically appropriate. It is important to note that coverage for GLP-1s specific to weight management will only be provided through this program, or through Teladoc’s diabetes prevention program if you meet the criteria for prediabetes.

• Cost: AXA XL subsidizes the price of GLP-1s, so your estimated out-of-pocket cost is under $300 per prescription, after shipping and handling. Please note that actual cost will vary based on drug, dosage and manufacturer price. This cost will not apply to your AXA XL medical plan deductible or out-of-pocket maximum, since the prescription is billed and paid through Teladoc rather than through your medical plan.
• Staying eligible: To receive your subsidized refill each month, you’ll need to log 4 weigh-ins and 4 other qualifying activities (such as food logging or completing a lesson) in the Teladoc app. You can track your progress toward these requirements once you register and set up your profile.
• If you’re currently taking a GLP-1 for weight management: You’ll continue to have access to your medication through the new program, but you’ll need to register with Teladoc and complete a profile to do so. Keep in mind that your prescription will now be processed and paid through Teladoc rather than through CVS, so it will no longer count toward your medical plan deductible or out-of-pocket maximum.

There is no change to coverage or access for GLP-1s used to treat other conditions, like diabetes. Those drugs will continue to be dispensed through Express Scripts under the AXA XL pharmacy plan.

For 2027, we’ll be combining our Staying Well and online well-being reimbursement incentives into a single wellness award of up to $500 per colleague per year.

If you enroll in one of the HSA medical plans, AXA XL will contribute $500 (individual coverage) or $1,000 (if you cover dependents) to your HSA for the 2027 plan year. The total amount that you and AXA XL can contribute to your HSA in 2027 is $4,500 for individuals and $9,000 for families. If you’re age 55 or older in 2027 you may contribute an additional $1,000. Keep in mind that you must re-enroll for your HSA for 2027 since those benefits default to waived for this active enrollment.

The Health Care and Limited Purpose FSA contribution limits will increase to $3,400 and you may carry over up to $680 of your remaining balance for use in 2027.

The Dependent Day Care FSA contribution limit will continue to be $7,500 for married couples filing jointly and $3,750 for couples filing separately.

Think about your wallet when enrolling, including the long-term savings with the HSA and the opportunity to defer more to an FSA if applicable.

Beginning in 2027, our Flexible Spending Accounts (FSA) and Commuter accounts will transition from Inspira Financial to Bank of America, where our Health Savings Account (HSA) and 401(k) accounts are already managed. Consolidating these accounts with a single provider will create a more streamlined and convenient experience for our colleagues.

Keep the following in mind:

• FSAs:
  • If you enroll in an FSA for 2027, you’ll receive a new payment card from Bank of America in December.
  • If you currently have an FSA, your 2026 FSA claims must be submitted for reimbursement to Inspira Financial by March 31, 2027. If you have a carryover-eligible balance remaining after this date, it will be automatically added to your 2027 balance with Bank of America.
• Commuter accounts:
  • If you wish to contribute to a Commuter account, you will be able to enroll with Bank of America starting January 1, 2027.

We are pleased to introduce several coverage enhancements for 2027, with no increases to what you pay for coverage:

• Critical Illness: The guaranteed issue amount will increase to $20,000 for employees, $10,000 for spouses/partners, and $10,000 for child(ren).
• Hospital Indemnity:
  • ICU admission benefit will be added: $1,000 per admission up to 4 times per year, paid in addition to hospital admission.
  • Newborn confinement benefit will increase from up to 2 days to up to 3 days.
  • Inpatient rehabilitation benefit will be added: $100 per day up to 15 days.

Annual well exams, vaccinations, and other preventive care services are free under all AXA XL medical plans as long as you use in-network providers. Don’t wait — book your appointment before year-end.

Make everyday life a little less expensive with a wide variety of money-saving benefits, from tax-free commuter accounts to exclusive discounts on travel, entertainment, fitness memberships, electronics, and more.

With virtual health programs for diabetes, high blood pressure, pelvic health disorders, pain and mobility issues, and more, you and your covered family members can get specialized support for managing your condition without leaving the house.

AXA XL helps you save for the future with generous contributions to your 401(k) and, if you enroll in the HSA 1 or HSA 2 medical plan, your Health Savings Account (HSA). Review details about our 401(k) match and HSA contributions so you can maximize the Company funding available to you.