Page 125 - 2021 Medical Plan SPD

Texas Mutual Insurance Company Medical Plan

Amendment: Wellness

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 Wellness Amendment?

This Amendment describes the health and wellness tool that applies digital experiences, tools, games
and rewards designed to engage Covered Persons in managing their health.

Who Is Eligible?

Participation is available to Covered Persons age 13 years and older; however, wellness rewards are only
available to Covered Persons age 18 years and older.

What Are the Wellness Opportunities?

The health and wellness tool includes a wide range of wellness engagement opportunities. Engagement
opportunities include the following:

• Interactive social media and games, which may include taking part in wellness challenges and
health communities.

• Health Survey.
• Online Personal Health Record.

• An Invite to create personal missions.
• Integration with a variety of wellness devices (for example, wearable wireless trackers and mobile
tools).

What Are the Rewards?

Covered Persons, age 18 years and older, receive wellness rewards for taking part in health and wellness
opportunities as described above. When you take part in a health and wellness opportunity, you earn
"coins" as a reward. For example, you may earn 40 coins for completing a Health Survey. You can save
up coins and use the coins to enter into sweepstakes.

If you cannot meet a standard for a certain wellness reward, then you might qualify to earn the same
reward by different means. You may call the Claims Administrator at the telephone number listed on your
identification (ID) card who will work with you (and, if needed, with your doctor) to find another way for you
to earn the same reward.

122 Wellness Amendment