2026 CODAC Benefit Summaries and Carrier Flyers

ANNUAL OPEN ENROLLMENT PERIOD

During the annual open enrollment period, eligible Employees will be able to enroll themselves and their eligible Dependents for coverage under this Plan. Covered Employees will be able to make changes in coverage for themselves and their eligible Dependents.

If You and/or Your Dependent becomes covered under this Plan as a result of electing coverage during the annual open enrollment period, the following will apply:

• The employer will give eligible Employees written notice prior to the start of an annual open enrollment period; and

• This Plan does not apply to charges for services performed or treatment received prior to the Effective Date of the Covered Person’s coverage; and

• The Effective Date of coverage will be January 1 following the annual open enrollment period.

-21-

7670-00-415125