2026 CODAC Benefit Summaries and Carrier Flyers

3.3 Plan Amendment and Termination Amendment. The Plan Sponsor may amend or alter the provisions of the Rx Plan, or any information in the Schedule of Benefits in Exhibit A, at any time, by any action of the Plan Sponsor taken in the normal course of its business. This includes, without limitation, any action by an officer or employee of the Plan Sponsor or any individual designated in writing by such an officer as authorized to take such action. Any such amendment will be effective at the time designated in the amendment. Termination. The Plan Sponsor may discontinue or terminate the Rx Plan, in whole or in part, at any time whatsoever, by any action in the normal course of business, including without limitation, by written action of the Plan Sponsor in accordance with its operating documents and/or applicable state law. Any such termination will be effective at the time designated in such documentation. SECTION 4: PROGRAMS OF BENEFITS 4.1 Pharmacy Benefit Manager ("PBM") The Name and Basic Information on the Pharmacy Benefit Manager ("PBM") is below and important additional information on the PBM is on the PBM Data Sheet at page 37. SEE THE PBM DATA SHEET AT PAGE 37 FOR MORE INFORMATION ON THE PBM 4.2 Schedule(s) of Benefits - Exhibit A The Rx Plan includes a Schedule or Schedules of Benefits to state the Rx Plan's rules on a number of specific items. These include Eligibility, Spouse and Dependent Benefits, Deductibles, whether those Deductibles coordinate with any group health plan of the employer, the Co-Payments and/or Co-Insurance amounts, Out-of-Pocket Maximums amounts for covered Prescription Medicine and related supplies and more. The Deductibles, Co-Payment and/or Co Insurance amounts may also depend upon which Schedule of Benefits applies to you and your Dependents and also on the type of Prescription Medicine that you purchase; sometimes, this is referred to as a "Tier" of a covered Prescription Medicine. These details are stated in Exhibit A, and are incorporated into this Rx Plan by reference. Other materials regarding the Rx Plan, the Schedule of Benefits and how Covered Persons should use the Rx Plan are provided by the PBM and your Employer. Covered Persons should review those materials as well. If the PBM or the Employer mark any document with the name of the Plan and as "Included in the Rx Plan," then such document becomes part of this Rx Plan. Defined terms are generally noted with an initial Capital letter. See defined terms below in Section 4.6, and otherwise throughout this Rx Plan document. 4.3 Rx Plan Benefit Information Coverage – General Conditions - The Plan provides coverage for Prescription Medicine under the Rx Plan, if all of these conditions are met: 1. you are an eligible Employee or Dependent covered under the Rx Plan; 2. it is Medically Necessary; 3. it is obtained through an authorized source, including a Retail, Network, or Non-Network Pharmacy; 4. you have met any Utilization requirements such as Pre-Authorization or Step Therapy; Name of Pharmacy Benefit Manager ("PBM"): CVS Caremark Main PBM Mailing Address: 1 CVS Dr., Woonsocket, RI 02895 Website Access: www.Caremark.com PBM Telephone Number: 1 (800) 552-8159

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CIDN:199534

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