Page 37 - 2017 Employee Benefit Highlights

HIPAA Special Enrollment Notice

If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health
plan coverage, you may be able to enroll yourself or your dependents in this plan if you or your dependents lose eligibility for that other
coverage (or if the employer stops contributing towards your or your dependents’ other coverage). However, you must request enrollment
within 31 days after your or your dependents’ other coverage ends (or after the employer stops contributing toward the other coverage).
In addition, if you have a new dependent as result of marriage, birth, adoption, or placement for adoption, you may be able to enroll
yourself and your dependents. However, you must request enrollment within 31 days after the marriage, birth, adoption, or placement
for adoption.

Special enrollment rights also may exist in the following circumstances:

• If you or your dependents experience a loss of eligibility for Medicaid or a state Children’s Health Insurance Program (CHIP)
coverage and you request enrollment within 60 days after that coverage ends; or

• If you or your dependents become eligible for a state premium assistance subsidy through Medicaid or a state CHIP with respect
to coverage under this plan and you request enrollment within 60 days after the determination of eligibility for such assistance.

Note: The 60 day period for requesting enrollment applies only in these last two listed circumstances relating to Medicaid and state CHIP.
As described above, a 31 day period applies to most special enrollments.

To request special enrollment or obtain more information, contact Epicor Human Resources Department, 800-999-1809 or
mybenefits@epicor.com.

Employer-Sponsored Wellness Programs
The Epicor wellness program is a voluntary wellness program available to all employees. The program is administered according to federal
rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the
Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability
and Accountability Act, as applicable among others. If you choose to participate in the wellness program you will be asked to complete
a voluntary health risk assessment or “HRA” that asks a series of questions about your health-related activities and behaviors and
whether you have or had certain medical conditions (e.g., cancer, diabetes, or heart disease). You will also be asked to complete a
biometric screening, which will include a blood test for Lipid Panel, Glucose, Blood Pressure, Height, Weight & Body Mass Index (BMI).
You are not required to complete the HRA or to participate in the blood test or other medical examinations.

However, employees who choose to participate in the wellness program will receive a financial incentive of up to $240 per year prorated
quarterly based on the total number of wellness points earned per quarter. Although you are not required to complete the HRA or
participate in the biometric screening, only employees who do so will receive the bonus points.

If you are unable to participate in any of the health-related activities required to earn an incentive, you may be entitled to a reasonable
accommodation or an alternative standard. You may request a reasonable accommodation or an alternative standard by contacting the
Epicor Human Resources Department, 800-999-1809 or mybenefits@epicor.com.

The information from your HRA and the results from your biometric screening will be used to provide you with information to help you
understand your current health and potential risks.. You are encouraged to share your results or concerns with your own doctor.

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