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HEALTH BENEFITS: MEDICAL PLAN OPTIONS  HEALTH BENEFITS: MEDICAL PLAN OPTIONS



                 United Healthcare HSA Plan

                 •  Similar to the PPO plan, you may access care from any doctor you wish. You will receive the greatest
                    coverage when using PPO providers. When you use non-network providers, your coverage will be less, you
                    will be responsible for the difference between the covered amount and the actual charges, and you may be
                    responsible for filing claims.
                 •  This plan is onsidered to be a high deductible health plan (HDHP) linked to a special, tax-qualified health
                    savings account (HSA). When you make contributions to an HSA, you reduce your taxable income and save
                    money on Federal income tax.
                 •  You may use your HSA funds to pay for current eligible health care expenses or save toward future
                    expenses.
                 •  When you open an HSA account through our preferred vendor, HSA Bank, Burnham makes a monthly
                    contribution into your HSA account:
                       – Employee: $50/month
                       – Employee + Spouse or Child(ren): $75/month
                       – Employee + Family: $100/month
                 •   In addition to the company contributions, you may elect to make contributions into your account up to the
                    IRS maximums shown on page 20.



                                United HealthCare Online, Mobile and Phone Access
                                Manage your care online by registering at www.myuhc.com. You can locate network
                                providers, manage your claims, obtain health and wellness information and much more.

                                Once you’ve registered, download the United Healthcare app, available on the App Store and
                                Google Play for on-the-go convenience.

                                You can reach customer service for the United Healthcare HMO at 800-624-8822 (refer to
                                the “UnitedHealthcare SignatureValue (HMO)” network).
                                Customer service for the United Healthcare PPO and HSA plans is available at 800-357-0978
                                (refer to the “UnitedHealthcare Select Plus” network).


























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