Page 3 - QSC Benefit Summary 7-18 SO CALIFORNIA

This guide provides a summary of the high performance benefit options available to you and your
family, and is designed to help you make your choices and enroll in your coverage. If you have any
questions after your benefits coverage goes into effect, please call the benefit plan providers directly or
login to their websites. Refer to the table in the “Questions / Contacts” section for contact information.

CONTENTS

Enrollment Information ....................................................................................................................................... 4
Online Enrollment .................................................................................................................................................. 5
Questions / Contacts ........................................................................................................................................... 6
Medical Insurance .................................................................................................................................................. 7
Supplemental Benefits ........................................................................................................................................ 13
Dental Insurance ..................................................................................................................................................... 14
Vision Insurance ...................................................................................................................................................... 15
Flexible Spending Account (FSA) ................................................................................................................. 16
Basic Life and Accidental Death & Dismemberment (AD&D) ......................................................... 17
Voluntary Life and Accidental Death & Dismemberment (AD&D) ................................................ 17
Long-Term Disability ............................................................................................................................................. 18

Employee Assistance Program (EAP) ......................................................................................................... 18
Travel Assistance .................................................................................................................................................... 18
LifeLock ...................................................................................................................................................................... 19
401(k) Retirement Savings ................................................................................................................................ 20
QSC Wellness Programs ..................................................................................................................................... 21
Wellness Program Disclosure ........................................................................................................................... 22
Important Information ......................................................................................................................................... 23
Your Cost For Coverage ..................................................................................................................................... 26

Page 3