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Medical, vision & pharmacy benefits, cont.



                                                Wellness
                                   Monthly                      Tobacco-Free        Employee
             Coverage Option                    Premium
                                   Premium                        Incentive          Monthly
                                                Incentive
             Employee Only           $409         -$205            -$155               $49
             Employee & Children     $609         -$205            -$155               $249
             Employee & Spouse       $872         -$410            -$155               $307
             Employee & Family      $1,003        -$410            -$155               $438

                                            Spousal premium surcharge
                                            If you elect medical coverage for your spouse who has coverage available through
                                            his/her own employer, you will be required to pay an additional $150 premium
                                            per month.




            Wellness program & incentives


                                            LiveWell at TXM
                                            Our LiveWell wellness program is here to help you reach your wellness goals.
                                            The program supports the four pillars of wellness: nutritional health, physical
                                            health, emotional health, and financial health. You can choose your own
                                            wellness objectives with multiple wellness campaigns during the year.
                                            You can also reduce your monthly medical premium by earning the below
                                            wellness incentives. Covered spouses may also earn these incentives to
                                            further reduce the medical premium you pay. Activities to earn the
                                            incentives must be completed by the communicated due dates.
                                            LiveWell medical premium incentive
                                            The LiveWell premium incentive program is forward-looking, which means
                                            the wellness activities you complete in the current year determine the
                                            medical premium you’ll pay in the following year.

                                            To qualify for the premium incentive, you and your covered spouse must
                                            complete these three things through Texas Mutual’s wellness vendor, Virgin
                                            Pulse, by October 15, 2021:

                                                ■ Complete a member health assessment
                                                ■ Earn a minimum of 15,000 wellness points

                                            There are many ways to earn wellness points in your Virgin Pulse profile. Use
                                            this resource to support your wellness goals and challenge yourself to make
                                            2021 the best year for your wellness.
                                            Tobacco-free incentive
                                            If you are tobacco-free, you will receive a wellness incentive of $155 per
                                            month towards your medical premium. Tobacco-free means you do not
                                            smoke, vape, use e-cigarettes, dip or chew tobacco products.

                                            If you do use tobacco, you may earn the incentive by participating in TXM’s
                                            tobacco cessation program or by remaining tobacco free for 90 days. You can
                                            find program information on the HR page of the intranet.



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