Page 124 - 2021 Medical Plan SPD
P. 124

Texas Mutual Insurance Company Medical Plan



                                        Amendment: Real Appeal


               This Amendment to the Plan is issued by the Plan Sponsor as described below.
               Because this Amendment is part of a legal document, the Plan wants to give you information about the
               document that will help you understand it. Certain capitalized words have special meanings. The Plan has
               defined these words in the Summary Plan Description in Section 9: Defined Terms.

               What is the Real Appeal Amendment?

               This Amendment to the Plan provides a virtual lifestyle intervention for weight-related conditions to
               eligible Covered Persons 18 years of age or older. Real Appeal is designed to help those at risk from
               obesity-related diseases.
               This intensive, multi-component behavioral intervention provides 52 weeks of support. This support
               includes one-on-one coaching with a live virtual coach and online group participation with supporting
               video content. The experience will be personalized for each individual through an introductory online
               session.
               These Covered Health Care Services will be individualized and may include the following:

               •     Virtual support and self-help tools: Personal one-on-one coaching, group support sessions,
                     educational videos, tailored kits, integrated web platform and mobile applications.

               •     Education and training materials focused on goal setting, problem-solving skills, barriers and
                     strategies to maintain changes.

               •     Behavioral change counseling by a specially trained coach for clinical weight loss.
               If you would like information regarding these Covered Health Care Services, you may contact the Claims
               Administrator through www.realappeal.com, https://member.realappeal.com or at the number shown on
               your ID card.




































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