OUTSIDE IDAHO MEDICAL, DENTAL, AND VISION PLANS

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1 This section of the benefits handbook is applicable to Micron Self Insured Health Plans. Team members assigned to a Northern California or Virginia employment location in Micron s internal database are also eligible to participate in a fully insured Kaiser Permanente Medical Plan. Team members on an International Assignment greater than 6 months will participate in the fully insured International Medical Plan. See the Additional Medical Plan Options section of this Benefits Handbook for additional information about these plans. Your Eligibility in the Micron Health Plans. You are eligible to participate in the Medical Health Plan if you are a regular, full-time or part-time team member or an intern of Micron Technology, Inc. ("Micron") or a wholly owned US-based Micron subsidiary. You are eligible to participate in the Dental and Vision Health Plans if you are a regular, full-time or part-time team member of Micron Technology, Inc. ("Micron") or a wholly owned US-based Micron subsidiary. Team members assigned to an eligible Idaho employment location in Micron s internal database are eligible to participate in the Standard and Premium Medical Plans, the Dental Plan and the Vision Plan. Team members assigned to an eligible employment location outside of Idaho in Micron s internal database are eligible to participate in the Basic and Select Medical Plans, the Dental Plan and the Vision Plan. Definition of a Team Member. Team members are those individuals who are considered an employee of Micron as classified by Micron under its standard personnel practices, regardless of whether or not such person may be considered a common law employee or independent contractor for purposes of federal income tax withholding or other purposes. For example, the following persons are not employees for purposes of the Health Plans: leased employees, as defined in Internal Revenue Code Section 414(n), individuals classified by Micron as independent contractors, temporary workers or leased employees (including those who are at any time reclassified as employees by the Internal Revenue Service or a court of competent jurisdiction), and individuals who are seconded to an employer participating in the Health Plans. Ineligible Team Members. You are ineligible to participate in the Health Plans if: You are on an expatriate assignment of at least 6 months or your extended international business travel assignment has reached 6 months, with the exception of the Vision plan, or You are an individual whose terms and conditions of employment are governed by a collective bargaining agreement, or You are an individual who has waived participation in the Plan through any means including individuals whose employment is governed by a written agreement with Micron (including an offer letter setting forth the terms and conditions of employment) that provides that the individual is not eligible to participate in the Plan. Definition of Full-Time. A full-time team member is a team member who is expected to work at least an average of 38 hours per week, 48 weeks per year. Definition of Part-Time. A part-time team member is a team member who is expected to work at least 18 hours, but less than 38 hours per week, 48 weeks per year. Definition of Intern. An intern is a team member who is classified as an intern by Micron regardless of job function or experience. Eligibility upon Re-Employment. If your employment with Micron has terminated for at least 31 days and you are later reemployed by Micron or another wholly owned US-based Micron subsidiary that participates in the Health Plans, you are required to meet all eligibility and enrollment requirements before coverage begins. Eligibility During a Leave of Absence. Your participation in the Health Plans will 1

2 automatically continue while on a Micron approved leave of absence provided you pay all of your share of premiums accrued during the approved leave of absence. You also have the option to stop coverage while you are on a leave of absence. See the "Leave of Absence" section for more information on stopping coverage and important implications as a result of stopping coverage. An approved leave of absence is your absence from assigned work, which has been approved by Micron under standard human resource policies, applied in a nondiscriminatory manner to all team members, including: an approved leave of absence for up to 12 weeks in any 12-month period qualifying under the Family and Medical Leave Act of 1993 ("FMLA"), or 26 weeks in any 12- month period under the Service Member Family Leave ( SMFL ) for Caregiver Leave. an approved personal leave of absence, an approved leave of absence in accordance with other state law, and an approved military leave as a result of duty in the uniformed services including service in the Armed Forces, the Army National Guard, and the Air National Guard, when engaged in active duty for training, inactive duty training, or fulltime National Guard duty, the commissioned corps of the Public Health Service, certain types of service in the National Disaster Medical System, and any other category of persons designated by the President of the United States in time of war or emergency. If you have not returned to active employment after 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks of an approved leave of absence, you are no longer eligible to participate in the Health Plans and your participation will end on the last day of the month in which your leave reaches 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks. There is one exception to this rule. If you are on a state or federal mandated leave of absence that requires coverage to continue for a specified period of time under the Health Plans, your participation will continue through the time specified in that regulation. Examples of state or federal mandated leaves of absence that require coverage to continue for a specified period of time include the Uniformed Services Employment and Re-employment Act, and the Family and Medical Leave Act. If you return to full-time active employment after being gone for 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks on an approved personal leave of absence, an approved leave of absence in accordance with state law, a FMLA leave of absence, or an approved military leave of absence within the guidelines outlined in the Uniformed Services Employment and Reemployment Act, you are eligible to re-enroll. Your Dependent s Eligibility You may enroll the following Eligible Dependents in the Health Plans. Spouse Child Under age 26 Child with Mental or Physical Disabilities Spouse. Your spouse by a marriage between persons of the opposite sex legally valid under your applicable state law, or your same-gender spouse legally married in any state or foreign jurisdiction that recognizes such marriages, regardless of where you currently live, is eligible to participate in the Health Plans. Please note that only married spouses are eligible; dependents living in a civil union, civil partnership, domestic partnership, registered partnership, unregistered partnership, and unregistered cohabitation are not eligible. Child Under Age 26. A child who is under age 26 is eligible to participate in the Health Plans if they meet the following criteria: A son, daughter, stepson, stepdaughter, or child placed with you by judgement decree or other order of any court of competent jurisdiction, including guardianship of a minor child. A legally adopted child or child placed with you for adoption through a legally enforceable agreement under applicable state law is 2

3 considered your son or daughter. Child with Mental or Physical Disability. A child who meets the "child under age 26" eligibility requirements listed above except for age is still eligible to participate in the Health Plans if they meet all of the following criteria: The child has a permanent mental or physical disability; The child is incapable of self-sustaining employment because of the disability; and, The child became incapacitated prior to reaching age 26. Special Rule for a Child of Divorced or Separated Parents. For purposes of the Health Plans, if you are divorced or legally separated, your son and/or daughter is considered to be a dependent of both you and your divorced or legally separated spouse. Dependents That are Not Eligible. You may not enroll any individual who does not meet the definition of an Eligible Dependent. Ineligible dependents include but are not limited to the following: Your partner and your partner s dependents if you are living in a civil union, civil partnership, domestic partnership, registered partnership, unregistered partnership, and unregistered cohabitation. An ex-spouse from whom you have obtained a legal divorce, legal separation, or an annulment of the marriage. A child who has reached age 26, unless disabled as described above. A child of a common law spouse. A child for whom a court ordered custodial arrangement or guardianship as described above is terminated or superseded, for example, because the child turns 18. A stepchild if your marriage with the natural parent terminates. However, the stepchild may be eligible as an adopted child, child placed for adoption or child over whom you have court-ordered custody or guardianship. Your parent. Your eligible dependent s spouse. Your grandchild. Individuals under your care or living in your home that do not meet the requirement of Eligible Dependent. Premium for Eligible Dependents. The Health Plans are written to comply with the definition of dependent in Section 152 of the Internal Revenue Code, as amended under the Working Families Tax Relief Act of This allows the premium for Eligible Dependents that you enroll in the Health Plans to be taken on a pre-tax basis. By enrolling your dependents in the Health Plans: you are certifying that your dependent meets the definition of an Eligible Dependent as outlined in this section, and you are agreeing to submit claims only for the dependents enrolled in the Health Plans Determination of Dependent Eligibility. Micron will rely upon information provided by you and your dependents when determining eligibility for the Health Plans. Once enrolled, you are required to notify Micron as soon as possible if you have reason to believe that your Enrolled Dependent has become no longer eligible for participation in the Health Plans. You may be requested to provide evidence of eligibility of any dependent at any time, including but not limited to marriage certificates, birth certificates, divorce decrees and tax forms. If you do not provide proof of eligibility within the time limit specified, your dependent may be deemed ineligible for part or all of the Plan Year. Misrepresentation. You and/or your dependent s coverage may be terminated for any misrepresentation, omission or concealment of facts that could have impacted the Plan s determination of eligibility for coverage. You and/or your dependent may also be held liable for any penalties or fines imposed on the Health Plans by a governmental agency for allowing an individual to be on the Health Plans that does not meet the definition of a dependent in Section 152 of the Internal Revenue Code. Initial Enrollment 3

4 If you are a full-time team member you are automatically enrolled for employee only coverage in the dental and vision plans. Fulltime team members assigned to an eligible Idaho employment location in Micron s internal database are automatically enrolled for employee only coverage in the Standard medical plan. Full-time team members assigned to an eligible employment location outside of Idaho in Micron s internal database are automatically enrolled for employee only coverage in the Basic medical plan. You may enroll your Eligible Dependents in the Health Plans or change the medical plan within 30 days of your hire date by using the Benefits Enrollment System: MERC > HROnline, or type BENENROLL in the MERC address bar, or by completing an Initial Insurance Enrollment form, which must be received by the HR Customer Service Center within 30 days of your hire date. Part-time team members and interns are automatically enrolled for employee only coverage in the in the Medical Plan. Part-time team members and Interns assigned to an eligible Idaho employment location in Micron s internal database are automatically enrolled for employee only coverage in the Standard medical plan. Part-time team members and Interns assigned to an eligible employment location outside of Idaho in Micron s internal database are automatically enrolled for employee only coverage in the Basic medical plan. You may enroll yourself and Eligible Dependents in the Health Plans within 30 days of your hire date by using the Benefits Enrollment System: MERC > HROnline, or type BENENROLL in the MERC address bar, or by completing an Initial Insurance Enrollment form, which must be received by the HR Customer Service Center within 30 days of your hire date. No team member or Eligible Dependent is entitled to receive benefits for Covered Services under more than one Micron enrollment. How to Enroll. You enroll by using the Benefits Enrollment System: MERC > HROnline, or type BENENROLL in the MERC address bar, or by completing an Initial Insurance Enrollment form, which must be received by the HR Customer Service Center within 30 days of your hire date. You can print out the Initial Enrollment form from the MERC > HROnline. You may also call the HR Customer Service Center at (800) or (208) , or [email protected] to request a form. When to Enroll. You may only enroll in the Health Plans within 30 days of your hire date. Changing your Enrollment. Once your 30 day initial enrollment window has passed, any changes will be subject to the provisions described in the Midyear Enrollment Changes section and you will not be able to add, drop, or change the coverage for you and your Eligible Dependents until the next Annual Enrollment. Enrollment Effective Date. If you enroll timely, or transfer from a wholly owned USbased Micron subsidiary, or IMFT, the Effective Date of coverage is the first day of the calendar month following your date of hire or transfer date. This may result in retroactive coverage, depending on when you enroll. As a result, your first paycheck after enrollment could have multiple deductions to cover the retroactive period and the current period. Enrollment Date for Transfers. If you are transferring to Micron or another wholly owned US-based Micron subsidiary directly from a wholly owned foreign Micron subsidiary, or IMFS, the Effective Date of coverage is the date of your transfer. Confirmation of Enrollment. It is your responsibility to print and review your enrollment confirmation. You can access a Benefits Confirmation Statement at any time on-line using the following path: MERC > HROnline. A copy of your Benefits Confirmation Statement may be requested in the event of a dispute. Premiums By enrolling in the Health Plans you authorize Micron to collect the required premiums 4

5 through payroll deduction. Premiums vary based on whether you are a full-time or part-time team member or an intern, and how many Eligible Dependents you enroll for coverage. Premiums may change from year to year. You will be notified of any premium changes during Annual Enrollment each year. Premiums may change during the year if your employment status changes from full-time to part-time or part-time to fulltime. Premium information can be found at the beginning of the Benefits Handbook. When Your Spouse Works at Micron You can set up your enrollment in one of the following ways if you are married to another Micron team member. Coverage may be set up in either you or your spouse s name where one of you is enrolled as the Participant and the other is enrolled as an Eligible Dependent. This allows you to take advantage of the Family Deductible. Coverage may be set up where both you and your spouse are separate Participants. This does not allow you to share in the same Family Deductible. Under either option you may enroll Eligible Dependents. No team member or Eligible Dependent is entitled to receive benefits for Covered Services under more than one Micron enrollment. If you or your spouse employment changes during the Plan Year, and either you or your spouse no longer works at Micron, you may be able to change your enrollment. See the "Midyear Enrollment Change" section for more information. Important Notice for Team Members who Decline Medical Coverage. You may opt out of Micron s medical coverage. Unlike most other benefits, if you are a full time employee, your Medical Plan Opt-Out election does not carry over to the next plan year. You must opt out of Medical coverage during Annual Enrollment each year to continue your medical plan opt out status. Micron will notify you before the start of Annual Enrollment. You must make your opt out election using Micron s online enrollment system. If you opt out and later decide you would like to enroll in one of these Plans, you must either experience a qualifying change of status as explained in the "Midyear Enrollment Changes" section or enroll during the next Annual Enrollment. If you opt out and later notify us that you have lost your other medical coverage, through HIPAA Special Enrollment Rights you may enroll yourself and your Eligible Dependents in one of these Plans only if you inform the HR Customer Service Center within 30 days of the loss of coverage by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. See the "HIPAA Special Enrollment Rights" section for more information. Annual Enrollment Micron s Annual Enrollment usually takes place each year in the fall. You may change your enrollment in the Health Plans, including opting-out, for the coming Plan Year during Annual Enrollment. You must make your enrollment change using Micron s online enrollment system. If you do not make any changes, your enrollment from the previous Plan Year will continue without interruption at the applicable bi-weekly premium level, with the exception of medical opt out enrollments for full time team members. Full time team members waiving Micron medical coverage are required to opt out each year during Annual Enrollment. Micron will notify you before the start of any Annual Enrollment. No team member or Eligible Dependent is entitled to receive benefits for Covered Services under more than one Micron 5

6 enrollment. Confirmation of Enrollment. It is your responsibility to print and review your enrollment confirmation. You can access a Benefits Confirmation Statement at any time on-line using the following path: MERC > HROnline. A copy of your Benefits Confirmation Statement may be requested in the event of a dispute. Midyear Enrollment Changes Your enrollment in the Health Plans may not be changed during the Plan Year unless you experience one of the events outlined below. Change in Status HIPAA Special Enrollment Rights Certain Judgments, Decrees and Orders Entitlement to Medicare or Medicaid Change in Cost or Coverage Qualifying Leave of Absence No team member or Eligible Dependent is entitled to receive benefits for Covered Services under more than one Micron enrollment. How to Make an Enrollment Change. If one of these events occur and you want to change your enrollment in one or more of the Health Plans, you must inform the HR Customer Service Center within 60 days of the event by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. If you fail to inform the Micron HR Customer Service Center in writing on the Insurance Change form within the 60 day period, you are not eligible to change your enrollment until the next Annual Enrollment. There is one exception to this rule. To obtain retroactive pre-tax coverage for a change due to birth, adoption or placement for adoption (including guardianship of a minor child) pursuant to HIPAA special enrollment rights, you must inform the HR Customer Service Center within 30 days of the event by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline Print out an Insurance Change form from Micron s intranet: MERC > HROnline. Or, or by calling the HR Customer Service Center at (800) or (208) , or [email protected] to request a form. The address, Mail Stop and fax number of the HR Customer Service Center are provided on the form for your reference. Effective Date of Midyear Enrollment Change. All changes are effective the first day of the month after the Insurance Change form is received, as long as the form is received within the appropriate time period. The Health Plans have four exceptions to the above rule. If the change results in a dependent s loss of eligibility, the change is retroactive back to the date of the event. Due to the special enrollment rights in HIPAA, if your Insurance Change form is received within 30 days of a birth, adoption or placement for adoption (including guardianship of a minor child), your new child s medical plan Effective Date is retroactive back to the date of the birth, adoption or placement for adoption (including guardianship of a minor child). An Eligible Dependent is considered adopted upon finalization of the court order approving the adoption. An Eligible Dependent is considered placed for adoption on the date the Participant becomes obligated through the existence of a legally enforceable agreement under applicable state law to provide total or partial support in anticipation of adoption. If an Insurance Change form is received between 31 and 60 days of a birth, adoption or placement for adoption (including guardianship of a minor child), your medical plan change is retroactive back to the event, but your premiums will be deducted on an after-tax basis for the retroactive period unless your premium doesn t increase because you are already paying for three or more Eligible Dependents. Premiums will once again be deducted on a pre-tax basis beginning with the pay period following the pay period in which the HR Customer Service Center receives your form. Pre-tax 6

7 premiums that had previously been deducted from your paycheck(s) for the coverage in effect prior to you submitting your Insurance Change form will be refunded to you and taxes will be withheld from that amount. The amount of aftertax premiums for the same period will then be withheld from your next paycheck. In the event of divorce, if the form is received within the appropriate time period, the change retroactive back to the date of divorce. If the form is received after the appropriate time period, the change is retroactive back to the later of the date of divorce or January 1 st of the current plan year. Confirmation of Enrollment Change. It is your responsibility to print and review your Benefit Enrollment Confirmation Statement. You can access a Benefits Enrollment Confirmation Statement at any time on-line using the following path: MERC > HROnline. A copy of your Benefits Enrollment Confirmation Statement may be requested in the event of a dispute. Important Notice when Changing Employment Status to Part-Time. Your participation in the Health Plans will automatically continue when your employment status changes from full-time to part-time. You will be subject to higher dental and vision premiums. Premium information can be found at the beginning of the Benefits Handbook. You have the right to stop or change your coverage level based on the midyear enrollment change rules. It is your responsibility to notify the HR Customer Service Center if you want to make a change. See the "Midyear Enrollment Changes - How to Make an Enrollment Change" section for more information on stopping or changing coverage when your employment status changes from full-time to part-time. The higher premiums as a result of your parttime status will be effective the first day of the month after your change in employment status from full-time to part- time. If there is a delay within Micron in processing your employment status change, for example your PCR does not go through timely, your premium change will still be effective the first day of the month after your change in employment status from full-time to part-time. However, the premium change will not be reflected within Micron s benefit systems until the employment status change has been processed. This could result in a retroactive lump sum deduction for the additional premium amount charged to you once the employment status change has been processed. To minimize the impact of a retroactive lump sum deduction, contact the HR Customer Service Center if you do not see a change in premium on your pay check after changing your employment status to part-time. The HR Customer Service Center will assist you in getting your employment status change processed timely. Important Notice when returning from a Micron Expatriate Assignment greater than 6 months. If you fail to make an enrollment election within 60 days of the date of your return, Micron will choose a medical and dental plan for you which will be effective the first day of the month following your 60 day change window. Important Notice when a Change in Residence occurs (see Change in Status Chart for additional information). If you fail to make an enrollment election within 60 days of the date of your move, Micron will choose a medical and dental plan for you which will be effective the first day of the month following your 60 day change window. Coordination with Severance Plan If a terminated Participant is eligible for benefits pursuant to a severance plan operated by the Employer and is offered continued participation in the Plan in connection with such Participant s termination, such Participant shall continue 7

8 eligibility for the time period specified in the severance plan, notwithstanding an earlier Termination date. Change in Status Micron s change in status rules are written to comply with Internal Revenue Code Section 125 and regulations issued under Code Section 125. Your enrollment in the Health Plans may only be changed during the Plan Year due to a change in status if: you experience one of the events listed in the "Change in Status Chart", the event causes a gain or loss of eligibility under an employer s medical plan, and, the enrollment change is consistent with the event as outlined in the Change in Status Chart. When an Enrollment Change is Considered Consistent with the Event. In general, an enrollment change is considered consistent with the event if the enrollment change is on account of and corresponds with a change in status that affects eligibility for coverage under an employer s medical plan. Below are some examples of how the consistency rule works. It is consistent to add medical coverage when you or your dependents lose medical coverage under another employer s medical plan. It is not consistent to add dental coverage when you or your dependents lose medical coverage under another employer s medical plan. It is consistent to add dependents when a change in status event results in new eligibility for a dependent; even if those dependents were previously eligible for coverage but not enrolled. For example, a team member who gets married can choose to cover not just the new spouse, but also all other Eligible Dependents. Personal Health Advisor Blue Cross of Idaho offers a personal health advisor, to assist you with confidential advice about complex medical and insurance concerns. The Personal Health Advisor is an employee of Blue Cross of Idaho. Micron Family Health Center and MTV Health Center Team members and their dependents enrolled in the Basic Select, Standard or Premium medical plans are eligible to use the Micron Family Health Center, located at Micron s Boise, Idaho site, for a $10 copay per visit. Team members enrolled in the Basic Select, Standard or Premium medical plans are eligible to use the the MTV Health Center, located at Micron s Manassas, Virginia site, for a $10 copay per visit. Additional charges may apply depending on the services performed. All regular employees and interns may use the Micron Family Health Center for occupational health programs or work incident medical care. Please remember to bring your medical card to your appointment so the Micron Family Health Center can bill you or your insurance correctly. The Employer has hired an outside organization which specializes in clinic management to provide health care services at the Micron Family Health Center and the MTV Health Center. The Employer is not responsible for the acts of employees of the clinic management company or its related companies and agents. The clinic management company hired to manage the Micron Family Health Center and MTV Health Center processes claims. The clinic management company hired to manage the Micron Family Health Center and MTV Health Center does not serve as an insurer, just a provider of service. The Employer is ultimately responsible for providing benefits (i.e. paying the costs, other than costs which are your responsibility), not the clinic management company hired to manage the Micron Family Health Center and MTV Health Center. 8

9 Change in Status (You must provide an Insurance Change Form to Micron s HR Customer Service Center within 60 days of the event) Event Change Allowed Effective Date Marriage Divorce, Legal Separation, Annulment (as defined by state family law principles) You may add your spouse to Micron coverage, as well as any new or existing dependents not previously covered, or you may drop your Micron coverage if you become covered on your spouse s medical plan and you may change your medical plan. You must drop coverage for your exspouse and your step-children; you may add Micron coverage for you and your dependent children if you lose coverage on your ex-spouse s medical plan and you may change your medical plan. month after the Insurance Change form is received Date of Divorce Death of a Spouse You must drop coverage for a spouse who dies and you may change your medical plan. Day following death Birth, Adoption, legal guardianship, or Placement for Adoption Death of a Dependent Commencement of an Unpaid Leave of Absence Returning from an Unpaid FMLA or Military Leave of Absence greater than 12 consecutive calendar weeks You may add the new dependent to Micron coverage, as well as any existing dependents not previously covered and you may change your medical plan. You must drop coverage for a dependent who dies and you may change your medical plan. You may drop coverage for yourself and/or your dependents at the commencement of the leave and you may change your medical plan. You may elect coverage for yourself and/or your dependents when you return from. Medical - Date of Birth, Adoption, legal guardianship, or Placement for Adoption. Dental and/or Vision First day of the month after the Insurance Change form is received Day following death month after the Insurance Change form is received Date you return to work

10 Returning from a Personal Leave of Absence greater than 12 consecutive calendar weeks You may elect coverage for yourself and/or your dependents when you return from leave. month after the Insurance Change form is received Change in your Eligible Dependent s employment status that triggers eligibility under another employer s health plan such as commencement of employment, return from an unpaid leave of absence, change in worksite, switching from salaried to hourly-pay or union to non-union or vice versa, incurring an increase in hours (for example going from part-time to full-time) or any other similar change which makes your dependent eligible for another employer s health plans. You may drop yourself, your spouse and/or other dependents enrolled in Micron s Plans only if the individual(s) you are dropping are enrolled in the other plans and you may change your medical plan. month after the Insurance Change form is received Change in your Eligible Dependent s employment status that results in a loss of eligibility in his/her employer s health plans such as termination, strike or lockout, commencement of an unpaid leave of absence, change in worksite, switching from salaried to hourly-pay or union to non-union or vice versa, incurring a reduction in hours (for example going from full-time to part-time), or any other similar change which makes the individual ineligible for another employer s health plans. You may add yourself, your spouse and/or other Eligible Dependents who have lost eligibility under the other plans as well as dependents who did not lose eligibility under the other plans and you may change your medical plan. month after the Insurance Change form is received

11 Dependent no longer meets eligibility requirements such as attaining a specific age. Dependent meets eligibility requirements. Commencement of a Micron Expatriate Assignment greater than 6 months Return from a Micron Expatriate Assignment greater than 6 months Permanent Transfer from a Micron subsidiary which did not offer these Health Plans, or IMFT or IMFS You must drop the impacted dependent and you may change your medical plan. You may add the impacted dependent and any previously eligible but not enrolled dependents and you may change your medical plan. Your medical and dental plan enrollment will be changed to the International Health Plan. You must change your medical and dental plan enrollment to the Health Plan offered in the United States according to your employment location in Micron's internal database. If you do not make a selection, Micron will make a selection for you. You may enroll in Health Plans offered in the United States according to your employment location in Micron s internal database. If you do not make a selection, Micron will enroll you in core coverage. Last day of the month in which Dependent reached maximum age month after the Insurance Change form is received Date PCR Assignment begins month after the Insurance Change form is received Date of Transfer to the United States Commencement of a Temporary work assignment outside the managed care service area for your Kaiser HMO plan enrollment. You may change your medical plan enrollment to a plan offered in the area of your temporary assignment in Micron s internal database. month after the Insurance Change form is received Return from a Temporary work assignment outside the managed care service area for the Kaiser HMO plan enrollment. You may change your medical plan enrollment to a plan offered in the area of your permanent employment location in Micron s internal database. month after the Insurance Change form is received Permanent Transfer to a different Micron US location You may change your medical plan if you move into an area in Micron's internal database that has additional medical plans to choose from or if you move out of the service area of your current medical plan which results in a loss of eligibility for that coverage. If you move out of the service area of your current medical plan resulting in loss of eligibility for month after the Insurance Change form is received

12 that coverage, you must choose a new plan and enroll. If you do not make a selection, Micron will make a selection for you. Termination and Rehire within 30 days Your coverage at termination is reinstated unless another event has occurred that allows a change. Reinstatement from date of termination Entitlement to Medicare or Medicaid If you or your Eligible Dependent who is enrolled in a Micron Medical Plan becomes entitled to Medicare or Medicaid (other than coverage consisting solely of benefits under Section 1928 of the Social Security Act providing for pediatric vaccines), you may cancel Micron s coverage for the person becoming entitled to Medicare or Medicaid. month after the Insurance Change form is received Loss of Medicare or Medicaid Eligibility If you or your Eligible Dependent that has been entitled to Medicare or Medicaid loses eligibility for such coverage, then you may choose to enroll that dependent under a Micron Medical Plan. month after the Insurance Change form is received Termination of QMCSO When the issuing State confirms a QMCSO is no longer valid, you may cancel Micron s coverage for the person named in the expired or terminating QMCSO. month after the Insurance Change form is received

13 HIPAA Special Enrollment Rights The Health Insurance Portability and Accountability Act (HIPAA) provides you special enrollment rights in some situations. If you decline coverage for yourself or your dependents (including your spouse) because you have other health insurance coverage, under HIPAA you may, in the future, be able to enroll yourself or your dependents in the Health Plans provided that you request enrollment within 30 days after your other coverage ends by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. To qualify for this special enrollment period, you or your dependent must have lost the other health plan coverage because coverage terminated due to loss of eligibility for coverage (for example, divorce or termination of employment), because an employer s contributions for the coverage was terminated, or because Consolidated Omnibus Budget Reconciliation Act ("COBRA") coverage is now exhausted. Coverage is effective the first day of the month after the request for enrollment is received. In addition, if you have a new dependent as a result of marriage, birth, adoption or placement for adoption (including guardianship of a minor child), you may be able to enroll yourself and your dependents under these HIPAA Special Enrollment Rights provided that you request enrollment within 30 days after the event by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. Coverage as a result of marriage is effective the first day of the month after the request for enrollment is received. Medical coverage for you, your spouse, the new child, and/or any other eligible dependent children not previously covered as a result of birth, adoption, or placement for adoption (including guardianship of a minor child), is retroactive back to the date of the birth, adoption, or placement for adoption (including guardianship of a minor child) if enrollment occurs within 30 days of the event. Any other enrollment change (dental and/or vision) for your, your spouse, the new child, and/or any other eligible dependent children not previously covered as a result of a birth, adoption, or placement for adoption (including guardianship of a minor child) is effective the first day of the month after the Insurance Change form is received. Greater Rights Under the Health Plans. The Health Plans provide you greater rights to make changes than is required by your HIPAA Special Enrollment Rights. For example, if your dependents lose coverage under another medical plan you will also be able to enroll them between 31 and 60 days of the loss of coverage. In addition, if you have a new dependent as a result of birth, adoption or placement for adoption (including guardianship of a minor child), and you request enrollment between 31 and 60 days of the event, you can enroll yourself and your new dependent as well as any existing dependents not previously covered through the Change in Status rules. See the other parts of this "Midyear Enrollment Changes" section for more information. Judgments, Decrees and Orders You may change your enrollment in the Health Plans if a judgment, decree or order resulting from a divorce, legal separation, annulment or change in legal custody (including National Medical Support Notices) requires you to provide medical insurance for your Eligible Dependent child or requires another individual to provide medical insurance under their policy. If the judgment, decree or order requires you to provide medical coverage, you may change your enrollment to provide coverage for the child. If the judgment, decree or order requires someone else to provide medical coverage, you may change your enrollment to drop coverage for the child. The Health Plans comply with all Qualified Medical Child Support Orders ("QMCSO"), including, but not limited to, National Medical Support Notices ( NMSN ), and National Medical Support Orders ( NMSO ). A QMCSO requires a Participant to provide health coverage to a dependent child in accordance

14 with a court order despite certain Plan rules that might otherwise exclude these children. A QMCSO must include certain information to be considered qualified. When a QMCSO is received by the HR Customer Service Center, it is reviewed to determine if it is qualified. A determination will be made within 30 days of receipt and you and the affected child will then be notified of the determination. If it is determined that the support order is qualified, Micron is required to withhold your share of the premium for the child's coverage. A change due to a QMCSO is effective the first of the month after the determination. Change in Cost or Coverage Your enrollment in the Health Plans may only be changed during the Plan Year due to a change in cost or coverage if: you experience one of the events listed in the "Change in Cost or Coverage Chart", and the enrollment change is consistent with the event. Change in Cost or Coverage (You must provide an Insurance Change Form to Micron s HR Customer Service Center within 60 days of the event) Change Your premium for the Health Plans significantly increases during the Plan Year (for example, you change from full-time to part-time status which results in a higher per pay period premium). Change Allowed You may change your health plan enrollment to another health plan offered by Micron as long as that plan provides similar coverage and allows a change for this reason. You may also drop coverage. If no request is received, Micron will automatically increase your contributions under the Health Plans. Effective Date month after the Insurance Change form is received Your health plan is eliminated, your HMO ceases to be available in an area where you reside, there is a substantial overall decrease in providers available under your medical plan, there is a reduction in benefits for a specific type of medical condition for which treatment is being received or other similar fundamental loss of coverage. You may change your health plan enrollment to another health plan offered by Micron as long as that plan allows a change for this reason. You may also drop coverage if no similar health plan is available. month after the Insurance Change form is received There is a significant increase in the deductible, co- pay, or Out-of-pocket Maximum of your health plan, or there is another significant curtailment of coverage that does not result in a loss of coverage. You may change your health plan enrollment to another health plan offered by Micron as long as that plan allows a change for this reason. You may not drop coverage. month after the Insurance Change form is received

15 A new health plan is added mid-year or a health plan is significantly improved. An enrollment change is made under another employer s plan so long as the other employer s plan allows an election change permitted under applicable IRS regulations or when the other employer plan has a different Plan Year (for example, the employer of your spouse has a plan year which starts August 1st, and your spouse adds you to that plan during its annual enrollment). You may change your health plan enrollment to the newly added or newly improved plan. You may not drop coverage. You may change your enrollment in the Health Plans that is on account of and corresponds with the enrollment change allowed under the other employer s plan. month after the Insurance Change form is received month after the Insurance Change form is received You enroll yourself and/or members of your family in a Marketplace health plan during a special or annual enrollment period. You may change your enrollment in the Health Plans that is on account of and corresponds with the enrollment change you made in the Marketplace. month after the Insurance Change form is received You, your spouse or your Eligible Dependents lose coverage under a health plan sponsored by a governmental or educational institution. Governmental institutions include a state s children s health insurance program under Title XXI of the Social Security Act; a medical care program of an Indian Tribal government, the Indian Health Service, or a tribal organization; a state health benefits risk pool; or a foreign government group health plan. You may add yourself, your spouse, and your Eligible Dependents to Micron s coverage. month after the Insurance Change form is received Leave of Absence Continuing Coverage. Your participation in the Health Plans will automatically continue while on: an approved leave of absence qualifying under the FMLA, an approved military leave or caregiver leave as a result of duty in the uniformed services including the Armed Forces, the Army National Guard, and the Air National Guard, when engaged in active duty for training, inactive duty training, or full-time National Guard duty, the commissioned corps of the Public Health Service, and any other category of persons designated by the President of the United States in time of war or emergency, an approved personal leave, or an approved state mandated leave of absence. You must pay all of your share of premiums accrued during the approved leave of

16 absence. If premiums increase during your leave of absence you are required to pay the increased premium. If you are receiving pay during the approved leave of absence, including regular pay, TOP pay or short-term disability pay, your premiums will be deducted from your pay. If you are not receiving pay during the approved leave of absence, your premiums, if any, will be paid by Micron on your behalf. You will still be responsible for payment of these premiums, and the premiums paid by Micron on your behalf will be deducted from your pay upon your return from the approved leave of absence. If you have not returned to active employment after 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks of an approved leave of absence you will no longer be eligible to participate in the Health Plans and your participation in the Health Plans will end on the last day of the month in which your leave reaches 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks. There is one exception to this rule. If you are on a state mandated leave of absence that requires coverage to continue for a longer period of time under the Health Plans, your participation will continue through the time specified in that regulation. If you return to full-time or part-time active employment after being gone for 12 (or 26 if SMFL for Caregiver Leave) consecutive calendar weeks, you may enroll yourself and your Eligible Dependents in the Health Plans only if you inform the HR Customer Service Center within 60 days of your return from the approved leave of absence by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. Upon return from a personal leave, your coverage will go into effect the first day of the month after the month you returned from leave. Upon return from an approved military or FMLA leave, your coverage will go into effect on the date you return to work. If you fail to submit an Insurance Change form within 60 days of your return to the HR Customer Service Center, you will be opted-out of Micron medical, dental and vision insurance coverage. Print out an Insurance Change form by following this menu path on Micron s intranet: MERC > HROnline, or, or by calling the HR Customer Service Center at (800) or (208) to request a form. If you choose to end your employment with Micron while on an approved leave of absence, any premiums paid by Micron on your behalf will be deducted from your final paycheck. If you are unable to return due to a serious health condition or a situation beyond your control such as an unexpected transfer of your spouse to a job location that is more than 75 miles from your work site, any premiums paid by Micron on your behalf will not be deducted from your final paycheck. Stopping Coverage. You also have the right to stop your coverage under the Health Plans while on an approved leave of absence. If you decide to stop your coverage, you must complete an Insurance Change form, which must be received by the HR Customer Service Center within 60 days of the start of your leave. The change will be effective the first of the month following the HR Customer Service Center s receipt of your form. You are not eligible to have your claims reimbursed for expenses incurred during the period in which coverage was not in effect. Upon return to full-time or part-time active employment, you may enroll you and your Eligible Dependents in the Health Plans only if you inform the HR Customer Service Center within 60 days of your return from the approved leave of absence by completing an Insurance Change form, which must be received by the HR Customer Service Center within the deadline. Upon return from FMLA or military leave, your coverage will be reinstated immediately upon re-enrollment. Upon return from personal leave your coverage will be reinstated the first of the month following re-enrollment. If you fail to submit an Insurance Change form within 60 days of your return to the HR Customer Service Center, you will be opted-out of Micron medical, dental and vision insurance coverage.

17 In this circumstance, you will have no greater right to benefits for the remainder of the Plan Year than a Participant who worked continually during the Plan Year. Print out an Insurance Change form by following this menu path on Micron s intranet: MERC > HROnline. Or, or by calling the HR Customer Service Center at (800) or (208) to request a form. When You Have Other Coverage When your enrolled dependents are covered by more than one health plan, it is important that each of those plans have the necessary "coordination of benefits" (COB) information to determine which plan is primary (the first to pay) and which plan is secondary (may pay after the primary plan has paid depending on the primary plans and and secondary plans level of coverage). If you have dependents enrolled in the Health Plans, you should update your COB information when it changes or when requested by Blue Cross of Idaho. For example, adding your new spouse or children if you get married, adding dependents during annual enrollment, and adding a newborn child are situations where new COB information is needed. Without this information, processing your enrolled dependent s claims can be delayed and a denied claim will eventually result if you fail to provide COB information. Even if your enrolled dependents do not have other medical coverage, COB information should be updated in order to avoid unnecessary delays in the processing of claims. Paper COB forms may be obtained through You may call the HR Customer Service Center at (800) or (208) to request a form. You may also call Blue Cross of Idaho at (800) to request a medical or dental COB form. How Order of Payment is Determined. The rules used to determine which coverage is primary are as follows: The coverage that has no coordination requirement is primary. The coverage covering the patient as an active employee is primary. The coverage covering the patient as a dependent spouse is secondary. If you or your dependents have other coverage as a dependent child (for example, coverage through your parent), and also covered as a spouse on another plan, the coverage that has been in force the longest is primary. The coverage of the parent whose birth date is earlier in the year is primary for dependent children. If parents have the same birth date, the coverage that has been in force the longest is primary. If the other coverage has a rule based on the gender of the parent, which contradicts this rule, the other rule prevails. When parents are divorced or separated and only one parent has custody of dependent children, the coverage of the custodial parent is primary unless there is a Qualified Medical Child Support Order, including a National Medical Support Notice, directing the non-custodial parent to maintain health coverage. When parents are divorced or separated and both parents have joint custody of dependent children, the coverage of the parent whose birth date is earlier in the year is primary for dependent children. If parents have the same birth date, the coverage that has been in force the longest is primary. If the other coverage has a rule based on the gender of the parent which contradicts this rule, the other rule

18 prevails. If you or your dependents have other coverage as a result of being laid-off or retired, the coverage as a result of being an active employee is primary and the coverage as a result of being a laid-off or retired employee is secondary. If the other coverage contradicts this rule, this rule is ignored. If you or your dependents have this coverage as a result of current employment status as well as Medicare or Medicaid, the coverage pursuant to your current employment status is primary and Medicare and Medicaid are secondary except when Medicare is allowed to be primary by federal law. If you or your dependents have other coverage pursuant to federal or state continuation rights, the coverage as a result of being an active employee shall be primary and the coverage as a result of federal or state continuation rights shall be secondary. If the other coverage contradicts this rule, this rule is ignored. If you or your dependents have this coverage pursuant to federal or state continuation rights as well as Medicare or Medicaid, the coverage pursuant to federal or state continuation rights is secondary and the coverage as a result of Medicare or Medicaid is primary except when Medicare is required to be secondary by federal law. If you or your enrolled dependent is injured and another party is partially or totally at fault, the insurance company of that party has the primary responsibility to pay your medical and/or dental expenses to the extent their insured is at fault. If these payments do not cover all your expenses, you can apply for benefits in accordance with this coverage. If you or your enrolled dependent are on Micron sponsored short term international travel, the CIGNA MBA plan is primary. If none of the above determine which coverage is primary and which coverage is secondary, allowable expenses shall be shared equally between the plans or contracts. No team member or Eligible Dependent is entitled to receive benefits for Covered Services under more than one Micron enrollment, with the exception of Micron sponsored short term international business travel. When the Plan is Primary. Benefits are paid based only on the Health Plan s coverage. There is no coordination with any secondary coverage you may have. Check your other coverage for information on how to file a claim. When the Plan is Secondary. Benefits are paid so that the total combined reimbursement from your primary plan and the Micron Health Plan equals the Micron Health Plan s maximum benefit payment. This method of payment is known as nonduplication of benefits and works as follows: Blue Cross of Idaho calculates how much would have been paid without the other coverage. Any applicable deductibles and coinsurances will be taken into account. If the other plan s benefits are the same or more than this amount, the Micron Health Plan will pay nothing. If the other plan pays less than this amount, the Micron Health Plan will pay the difference. Benefits from both plans combined will equal the amount normally paid by the Micron Health Plan. When the Micron Health Plan is secondary, Contracting Providers may not be required to recognize the Maximum Allowance as their fee for Covered Services. If you go to a Covered Provider you may be charged for an

19 amount above the Maximum Allowance. How to Submit Claims When Two Plans are Involved. It is important to file your claim properly to avoid lengthy processing delays when two plans are involved. If your Eligible Dependent has other coverage and the Micron Health Plan is secondary, submit the claim to the other coverage first. After the other coverage determines what will be paid on the claim, submit a claim form and a copy of the explanation of benefits from the other coverage to Blue Cross of Idaho for processing. Subrogation and Reimbursement Rights If benefits are provided when a third party is legally responsible for your injury, harm or loss, or if you are entitled to benefits under any payments provision, no fault provision, uninsured motorist provision, underinsured motorist provision or other first party or no fault provision of any automobile, homeowner s or other policy of insurance, contract or underwriting plan, the Micron Health Plan will be subrogated and will succeed to your rights of recovery or, in the event of your death, to the rights of your estate, heirs or personal representatives. In addition, any amounts recovered by voluntary payment, suit, settlement or otherwise which are in any way related to your injury, harm or loss must be paid to the Micron Health Plan to the extent that benefits were provided under the Micron Health Plan. As a condition of receiving benefits for Covered Services in such an event, you are required to furnish Blue Cross of Idaho, in writing, with the full details of the event and the names and addresses of the party or parties responsible. You also are required to fully cooperate in good faith with the Micron Health Plan in its investigation, evaluation, litigation and/or collection efforts, including without limitation by providing information and by signing authorizations, consents, releases, assignments, liens and other documents promptly upon request. You may not take any action which may in any way prejudice or reduce the Micron Health Plan s rights to subrogation and reimbursement. The Micron Health Plan also may initiate litigation on its own behalf and, in its sole discretion, in the name of the affected Plan Participant against any third party or parties. These subrogation rights apply to both claims already incurred, and to payments to be made in the future on account of the injury, harm or loss. The "make whole doctrine" arising under federal common law and under state law does not apply to the Micron Health Plan s reimbursement or subrogation rights. The Micron Health Plan retains its reimbursement and subrogation rights described herein regardless of whether your receipt of payment from other sources fully reimburses you or whether you have been "made whole". If you fail to provide information or otherwise do not cooperate with the Micron Health Plan in these matters, the Micron Health Plan may, in its sole discretion, deny any related claims for benefits under the Micron Health Plan and may seek reimbursement from you for any related claims which have been paid. The Micron Health Plan may, in its sole discretion, enter into any compromise or settlement regarding its interests in any subrogation or reimbursement matter. Refunds, Settlements and Other Payments If the Plan receives any refund, settlement or other payment related to Plan activities, the payment will first be paid over to Micron until all amounts Micron has paid toward Plan expenses out of the general assets of Micron have been repaid. Further payments will then

20 be paid to the Participants in a pro-rata manner or such other manner as is deemed equitable under the circumstances by Micron in its sole and absolute discretion. Appeals There are two different types of appeals allowed for under the Health Plans. First Level Appeal Second Level Appeal You or your enrolled dependents have 180 calendar days after notice is received of an adverse benefit determination to request a first level appeal. The appeal must be received within the deadline specified. The appeals process varies depending on the type of appeal. First Level Claim Processing Appeal If you or your enrolled dependents disagree with the decision regarding a claim for benefits, you have 180 days from the date of the original notice of the denial in which to file a written request for review. If the appeal is for a decision to reduce or terminate an ongoing program of benefits (that is, a concurrent care decision), an appeal must be filed within 30 days of your receipt of the notification of the decision to reduce or terminate treatment. You, your enrolled dependent, or an authorized representative must send or fax a written request for review to the address below. Medical or Dental Claim Appeal: Customer Service Department Blue Cross of Idaho P.O. Box 7408 Boise, ID Fax (208) Prescription Claim Appeal: Appeals Department SelectHealth P.O. Box Salt Lake City, UT Fax (801) Vision Claim Appeal: Member Appeals VSP 3333 Quality Drive Rancho Cordova, CA First Level Eligibility and Enrollment Appeal. If you or your enrolled dependents disagree with a decision regarding your Health Plans eligibility or enrollment, you have 180 days from the date of the original notice of the denial in which to file a written request for review. The appeal must be received within the deadline specified. You, your enrolled dependent, or an authorized representative must , mail or fax a written request for review to the address below. First Level Appeal HR Customer Service Center, MS Micron Technology, Inc South Federal Way P.O. Box 6 Boise, Idaho Fax: (208) [email protected] Authorized Representative. If you or your enrolled dependent are physically or mentally incapacitated (for example, you are in a coma), your spouse, parent or other individual designated by a court shall be deemed to be an authorized representative. In the case of an urgent care claim a treating Physician is also an authorized representative.

21 Appeal Review Process. The First Level Appeals Committee will review the appeal and a decision will be made consistent with the terms of the Plan and applicable law. The persons who made the initial decision will not decide the first level appeal. If the claim involves specific judgment, the review of an independent health professional with appropriate experience in the area of treatment may be sought. The First Level Appeals Committee and Blue Cross of Idaho, SelectHealth, and VSP, as applicable, have full discretionary power to interpret the Plan and decide all questions concerning the Plan and the eligibility of any person to participate in the Plan, with such interpretation and decisions to be final and conclusive on all persons claiming benefits under the Plan subject only to the decision of the Second Level Appeals Committee, if applicable. A written decision will be provided regarding the written appeal within a reasonable period of time, but not usually longer than 15 days for a pre-service claim, 30 days for a postservice claim, or 60 days for an Eligibility and Enrollment appeal after the appeal is received. For concurrent care appeals, written notice will be provided prior to the proposed termination or reduction of treatment taking place. For urgent care claims, the determination will be provided to the provider and/or Participant verbally in 72 hours and will be followed-up with a letter. The notice will include the following information: The results of the request for review, The reason(s) for the decision, A reference to and description of the Plan provision(s) on which the decision is based, and Other information about the review and your options as required by federal law. Second Level Claim Processing Appeal If you or your enrolled dependents disagree with the result of the first level claim processing appeal, you or your enrolled dependent may file a second written request for review. You have 60 days from the date you receive the outcome of the first appeal in which to file the written request for a second review. The second level appeal must be received within the deadline specified. You, your enrolled dependent, or an authorized representative must send or fax a written request for review to the address below. Medical or Dental Claim Appeal: Appeals and Grievance Coordinator Blue Cross of Idaho P.O. Box 7408 Boise, Idaho (208) (800) Fax: (208) Prescription Claim Appeal: Appeals Department SelectHealth P.O. Box Salt Lake City, UT Fax (801) Vision Claim Appeal: Second Level Appeals Committee VSP 3333 Quality Drive Rancho Cordova, CA

22 Second Level Eligibility and Enrollment Appeal If you or your enrolled dependent disagree with the result of the first eligibility and enrollment appeal, you or your enrolled dependent may file a second written request for review. You have 60 days from the date you receive the outcome of the first appeal in which to file the written request for a second review. The second level appeal must be received within the deadline specified. You, your enrolled dependent, or your authorized representative must , mail or fax your written request for review to: Second Level Appeals Committee HR Customer Service Center MS Micron Technology, Inc South Federal Way P.O. Box 6 Boise, Idaho Fax: (208) [email protected] Appeal Review Process. The Second Level Appeals Committee will review the appeal and will make a decision consistent with the terms of the Plan and applicable law. The persons who decided the first level appeal will not decide the second level appeal. If the claim involves specific judgment, the review of an independent professional with appropriate experience in the area of treatment may be sought. The Second Level Appeals Committee and Blue Cross of Idaho, SelectHealth, and VSP, as applicable, have full discretionary power to interpret the Plan and decide all questions concerning the Plan and the eligibility of any person to participate in the Plan, with such interpretation and decisions to be final and conclusive on all persons claiming benefits under the Plan. A written decision will be provided regarding the appeal within a reasonable period of time, but not usually longer than 72 hours for an urgent claim, 15 days for a pre-service claim, 30 days for a post-service claim, or 60 days for an eligibility and enrollment appeal after the request is received. The notice will include the following information: The results of the request for review, The reason(s) for the decision, A reference to and description of the Plan provision(s) on which the decision is based, and Other information about the review and your options as required by federal law. Your Appeal Rights You and your enrolled dependents have the following rights for all appeals: You have the right to receive, upon written request, copies of all documents, records, and other information used in the review of your claim at no cost. A document, record or other information is considered related to your claim if it was relied on in making the benefit determination; was submitted, considered, or generated in the course of making the benefit determination; demonstrates compliance with the Plan's administrative processes and consistency safeguards required in making the benefit determination or constitutes a statement of policy or guidance with respect to the Plan concerning the benefit for your diagnosis. You have the right, within the specified time limits, to submit written comments, documents, records, and other information relating to your claim. If the denial of your claim was based in whole or in part on professional judgment, you have the right to require Blue Cross of Idaho, SelectHealth, or VSP, to consult

23 with a health care professional who has appropriate training and experience in the field involved in the professional judgment and who was neither part of the previous decision(s) to deny your claim nor the subordinate of any such individual. If Blue Cross of Idaho, Select Health,or VSP obtains advice from an expert in connection with your claim, you have the right to be notified that an expert was used and, upon written request by you, the name of the expert. Appeals Committee Membership. Micron s Vice President of Human Resources may appoint and remove members of the eligibility and enrollment Appeals Committees. Lawsuits. This Plan requires that the Plan s claims and appeals processes must be exhausted before bringing any suit in court. The Plan also requires any suit must be brought within the earlier of one year after the date the Second Level Appeals Committee has made a final denial of the claim or two years after the date service or treatment was provided. Release of Information As a condition of coverage under the Health Plans, each team member on behalf of themselves and their Eligible Dependents: authorize Covered Providers and other entities to provide the Health Plans and its business partners any and all records and other information pertaining to health related services submitted for consideration of payment under the Health Plans, authorize the Health Plans and its business partners to use this information for Plan purposes including but not limited to reviewing, investigating and evaluating all claims and enabling the Plan and all its business partners to provide the services outlined in the Plan. authorize the Health Plans and its business partners to disclose any information obtained or payments made if such disclosures are necessary to allow the administration of services, the processing of claims or other disclosures allowed by HIPAA, authorize your providers to testify regarding the condition, care, or treatment of any covered individual; any and all provisions of law or professional ethics forbidding such disclosures or testimony are waived by and in behalf of each Participant, and authorize the Health Plans and its business partners to pay Contracting Providers directly. Business partners include Blue Cross of Idaho,SelectHealth, VSP, Blue Cross and/or Blue Shield Provider Networks, and other business associates. Mistaken Benefits Payment If the Health Plans mistakenly pays benefits for which you are not entitled, you must reimburse the benefits paid in error. The reimbursement is due and payable as soon as the Health Plans notifies you and requests reimbursement. If reimbursement is not made in a timely manner, future benefits may be offset. Availability of Covered Services Receipt of Covered Services are subject to the availability of Facility Providers and Professional Providers. The Health Plans are not responsible for nor have any liability for conditions beyond its control which affect the Participant s ability to obtain Covered Services. Provider Choice The choice of a provider is solely the Participants. Neither the Health Plans nor its administrators furnish Covered Services. They

24 only make payment for Covered Services received by Participants. Neither the Micron Health Plans, Micron or its subsidiaries, Blue Cross of Idaho, SelectHealth or VSP, shall be liable for any act or omission or competence of any provider and none of them have responsibility for a provider s failure or refusal to provide Covered Services to a Participant. Exclusion of General Damages Liability under the Health Plans for benefits, including recovery under any claim or breach of the Health Plans, shall be limited to the actual benefits available under the Health Plans and shall specifically exclude any claim for general damages including but not limited to alleged pain, suffering or mental anguish, or for economic loss, consequential loss or punitive damages. Termination of Coverage Enrollment in the Health Plans ends on the earlier of the following dates: the date the Health Plans terminate, the day after an Eligible Dependent dies, the last day of the month after a Participant who is a team member dies, the date an Eligible Dependent loses eligibility under the Health Plans, or the last day of the month during which a Participant who is a team member loses eligibility under the Plan due to job status change including any approved leave of absence greater than 12 weeks and when a Participants employment with Micron ends. The Health Plans may also, after a 30 day notice, terminate a Participant s coverage for any fraud, misrepresentation, omission or concealment of facts that could have impacted eligibility for coverage under the Health Plans. Termination of coverage may be retroactive. In the event of termination, the following benefit will continue. On the medical plans, participants who are hospitalized at the time their coverage in the Health Plans ended continue to be eligible for Inpatient Hospital Services until earlier of discharge. No other Covered Services are continued. You will be mailed a Certificate of Coverage upon your termination from the Health Plans. The Certificate of Coverage is a written certification provided to you for the purpose of confirming the duration and type of your coverage under the Health Plans. Under certain circumstances, you and your Eligible Dependents may continue to participate on an after-tax basis provided you elect to continue participation in the Health Plans pursuant to your rights under the Consolidated Omnibus Budget Reconciliation Act of 1985 ( COBRA ) and you make the required monthly premium payments to Micron. See the Health Care Continuation Coverage Notice (found in the Benefits Handbook) for more information about your rights and responsibilities. Newborns and Mothers Health Protection Act of 1996 Group health plans and health insurance issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother s or newborn s attending provider, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, plans and issuers may not, under federal law, require that a provider obtain authorization from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 hours). The Medical Plans comply with this law.

25 Women s Health and Cancer Rights Act of 1998 The Medical Plans, as required by the Women's Health and Cancer Rights Act of 1998, provide benefits for mastectomyrelated services including reconstruction and Surgery to achieve symmetry between the breasts, prostheses and complications resulting from a mastectomy including lymphedema. Keep this notice for your records and call Micron s HR Customer Service Center at (800) or (208) for more information. Health Insurance Portability and Accountability Act (HIPAA) The Health Plans have been written to comply with all requirements of HIPAA. You may request a certificate of creditable coverage at any time by calling Blue Cross of Idaho at (800) You will also receive a Certificate of Creditable Coverage when your enrollment in the Medical Plan ends. See the HIPAA Privacy Notice (found in the Benefits Handbook) for more information on how the Micron Health Plan uses and discloses your medical information. Definitions Accidental Injury. An objectively demonstrable impairment of bodily function or damage to part of the body caused by trauma from a sudden, unforeseen outside force or object, occurring at an identifiable time and place, and without a Participant's foresight or expectation. Alcoholism. A behavioral or physical disorder caused by repeated excessive consumption of alcohol to the extent that it interferes with a Participant's health or social or economic functioning. Alcoholism or Substance Abuse Treatment Facility. A Facility Provider that is primarily engaged in providing detoxification and rehabilitative care for Alcoholism or Substance Abuse or Addiction. Ambulatory Surgical Facility. A Facility Provider with an organized staff of Physicians which: has permanent facilities and equipment for the primary purpose of performing surgical procedures on an Outpatient basis, provides treatment by or under the supervision of Physicians and provides Skilled Nursing Care when the Participant is in the facility, does not provide Inpatient accommodations appropriate for a stay of longer than 12 hours, and is not primarily a facility used as an office or clinic for the private practice of a Physician or other Professional Provider. Ambulance. Emergency ambulance transportation by a licensed land or air ambulance service to the nearest Hospital where care and treatment is available. Covered Services also include Medically Necessary on-site treatment by licensed ambulance personnel, which do not result in transportation. Artificial Organs. Permanently attached or implanted man-made devices that replace all or part of a Diseased or non-functioning body organ, including but not limited to, artificial hearts and pancreases. Birthing Center. A Facility Provider, with an organized staff of Physicians, which: has permanent facilities and equipment for the primary purpose of normal vaginal childbirth,

26 provides treatment by or under the supervision of Physicians and provides Skilled Nursing Care while the Participant is in the facility, does not provide Inpatient accommodations appropriate for stays longer than eight hours beyond delivery, is not, other than incidentally, a facility used as an office or clinic for the private practice of a Physician or other Professional Provider, and meets the freestanding Birthing Center requirements of the State Department of Health in the state in which the covered person receives the services. Blue Cross of Idaho. A company, hired by Micron to act as the third party contract administrator to perform medical and dental claims processing and other specific administrative services as outlined in this Plan and/or Administrative Services Agreement. Certified Nurse Midwife. An individual licensed to practice as a Certified Nurse Midwife by the state where the service is provided. Certified Registered Nurse Anesthetist. A licensed individual registered as a Certified Registered Nurse Anesthetist by the state where the service is provided. Certified Speech Therapist. An individual certified to perform Speech Therapy by the state where the service is provided. Chemotherapy. The treatment of malignant Disease by chemical or biological antineoplastic agents. Chiropractic Physician. An individual licensed to practice chiropractic care by the state where the service is provided. Clinical Nurse Specialist. An individual licensed to practice as a Clinical Nurse Specialist by the state where the service is provided. Clinical Psychologist. An individual licensed to practice clinical psychology by the state where the service is provided. Coinsurance. A specified dollar amount which the Participant is required to pay which is calculated using a specified percentage of the Maximum Allowable amount applicable to the Covered Services. The coinsurance must be paid to the provider of such service. Congenital Anomaly. A condition existing at or from birth, which is a significant deviation from the common form or function, whether caused by a hereditary or a developmental anomaly. In this Plan, Congenital Anomalies include cleft lips, cleft palates, birth marks, webbed fingers or toes, and other conditions that Blue Cross of Idaho may determine to be Congenital Anomalies. Except as specifically listed above, the term Congenital Anomaly shall not include conditions related to the teeth, or inter-oral structures supporting the teeth, or to irregularities resulting from growth or development. Contraceptive Device. A device or over-thecounter item used as a method of contraception that is not a prescription drug. Contracting Provider. Contracting Providers are Covered Providers who have agreed to recognize the applicable Maximum Allowance as their fee for Covered Services by entering into an agreement. Copay. A specified dollar amount which the Participant is required to pay for certain Covered Services. The copayment must be paid to the provider of such service. Covered Service. A Covered Service is a service, supply or procedure listed below that is both Medically Necessary and provided by a Covered Provider. Custodial Care. Care designed principally to assist a Participant in engaging in the activities of daily living; or services which

27 constitute personal care, such as help in walking and getting in and out of bed; assistance in bathing, dressing, eating and using the toilet; preparation of special diets, and supervision of medication, which can usually be self administered and which does not entail or require the continuing attention of trained medical personnel. Custodial Care is normally, but not necessarily, provided in a nursing home, convalescent home, rest home or similar institution. Custodial Care also includes Home Health Skilled Nursing Care when it is expected to exceed 20 days. Dentist. An individual licensed to practice dentistry by the state where the service is provided. Denturist. An individual licensed to make dentures by the state where the service is provided. Diagnostic Imaging Provider. A person or entity that is licensed, where required, to provide diagnostic imaging services by the state where the service is provided. Diagnostic Service. A test or procedure performed on the order of a Professional Provider because of specific symptoms, in order to identify a particular condition, Disease, Illness or Accidental Injury. Diagnostic Services include but are not limited to: radiology services, laboratory and pathology services, and cardiographic, encephalographic and radioisotope tests. Disease. Any alteration in the body or any of its organs or parts that interrupts or disturbs the performance of vital functions, thereby causing or threatening pain, weakness or dysfunction. A Disease can exist with or without an Participant s awareness of it and can be of known or unknown cause. Durable Medical Equipment Supplier. A business that is licensed, where required, to sell or rent Durable Medical Equipment, by the state where the service is provided. Effective Date. The date when coverage for a Participant begins under this Plan. Electroencephalogram (EEG) Provider. A Facility Provider that has technologists certified by the American Board of Registration of Electroencephalographic and Evoked Potential Technologies, licensed by the state to provide Covered Services where the service is provided. Emergency Medical Condition. A condition in which sudden and unexpected symptoms are sufficiently severe to necessitate immediate medical care. Emergency Medical Conditions, include but are not limited to, heart attacks, cerebrovascular accidents, poisonings, loss of consciousness or respiration, and convulsions. Enterostomal Therapy. Counseling and assistance provided by a specifically trained enterostomal therapist to patients who have undergone a surgical procedure to create an artificial opening into a hollow organ (e.g., colostomy). Free Standing Diabetes Facility. A person or entity that is recognized by the American Diabetes Association to provide Covered Services by the state where the service is provided. Free Standing Dialysis Facility. A Facility Provider, that is primarily engaged in providing dialysis treatment, maintenance or training to patients on an Outpatient or home care basis, and licensed where required, by the state where the service is provided. Free Standing Diagnostic Imaging Center. A Facility Provider that is primarily engaged in providing radiological services to patients on an Outpatient basis.

28 Generic Prescription Medication. A medication which is a chemically equivalent copy designed from a brand name drug whose patent has expired, requires a prescription and is marketed under its chemical name. Growth Hormone Therapy. Treatment administered by intramuscular injection to treat children with growth failure due to pituitary disorder or dysfunction. Home Health Agency. Any agency or organization that is duly licensed by the appropriate licensing authority to provide Skilled Nursing Care services and other therapeutic services in the state it which it operates. Home Intravenous Therapy. Treatment of a medical condition by intravenous injection, administered primarily at the Participant s home at or under the direction of a Home Health Agency or other Covered Provider. Home Intravenous Therapy Company. A licensed, where required, entity that is principally engaged in providing Skilled Nursing Care services, medical supplies and equipment for certain covered home infusion Therapy Covered Services to patients in their homes or other locations outside of a Licensed General Hospital. Hospice. A public agency or private organization designated specifically to provide services for care and management of terminally ill patients, primarily in the home, and licensed where required. Hospital. An institution which is engaged primarily in providing medical care and treatment of sick and injured persons on an inpatient basis and which is accredited as a Hospital by the Joint Commission on Accreditation of Healthcare Organizations or the American Osteopathic Association Healthcare Facilities Accreditation Program; it is approved by Medicare as a Hospital; it maintains diagnostic and therapeutic facilities on the premises for surgical and medical diagnosis and treatment of sick and injured persons by or under the supervision of a staff of Physicians; it continuously provides on the premises 24 hour-a-day nursing services by or under the supervision of registered nurses (R.N. s) and it is operated continuously with organized facilities for operative surgery on the premises. Illness. A deviation from the healthy and normal condition of any bodily function or tissue. An Illness can exist with or without a Participant's awareness of it and can be of known or unknown cause. Independent Laboratory. A Facility Provider that is primarily engaged in providing laboratory services to patients on an Outpatient basis. Inpatient. A Participant who is admitted as a bed patient in a Licensed General Hospital or other Facility Provider and for whom a room and board charge is made. Intensive Outpatient Program (IOP). A treatment program that includes extended periods of therapy sessions, several times a week for a minimum of three (3) hours per day, a minimum of three (3) days per week and a minimum of nine (9) hours per week.it is an intermediate setting between traditional therapy sessions and partial hospitalization. Intermountain Specialty Pharmacy. A pharmacy utilized by SelectHealth to facilitate Specialty Drug prescriptions. Investigational/Experimental. Any technology (service, supply, procedure, treatment, drug, device, facility, equipment or biological product), which is in a developmental stage or has not been proven to improve health outcomes such as length of life, quality of life and functional ability. A technology is considered investigational if it fails to meet any one of the following criteria:

29 The technology must have final approval from the appropriate government regulatory body. This applies to drugs, biological products, devices and other products/procedures that must have approval from the U.S. Food and Drug Administration (FDA) or another federal authority before they can be marketed. Interim approval is not sufficient. The condition for which the technology is approved must be the same as the condition it was used to treat in the relevant benefit claim. The scientific evidence must permit conclusions concerning the effect of the technology on health outcomes. The evidence should consist of current published medical literature and investigations published in peer-reviewed journals. The quality of the studies and consistency of results will be considered. The evidence should demonstrate that the technology can measure or alter physiological changes related to a Disease, Injury, Illness or condition. In addition, there should be evidence that such measurement or alteration affects health outcomes. The technology must improve the net health outcome. The technology's beneficial effects on health outcomes should outweigh any harmful effects on health outcomes. The technology must be as beneficial as any established alternatives. The technology must show improvement that is attainable outside the investigational setting. Improvements must be demonstrated when used under the usual conditions of medical practice. If a technology is determined to be Investigational, all services specifically associated with the technology, including but not limited to associated procedures, treatments, supplies, devices, equipment, facilities or drugs associated with the investigational/experimental care will also be considered investigational. Unproven technologies are those which after clinical review do not have enough evidencebased medicine data to support a more favorable outcome. Standard of care items will be covered services regardless of participation in a Qualified Clinical Trial. In determining whether a technology is Investigational, Experimental, or Unproven, Blue Cross of Idaho may review evidence in the peer-reviewed published medical literature, technology assessments and structured evidence reviews, evidence-based consensus statements, expert opinions of healthcare providers, and evidence-based guidelines from nationally recognized professional healthcare organizations and public health agencies. Joint Commission on Accreditation of Healthcare Organizations (JCAHO). An independent, not-for-profit organization, governed by a board that includes physicians, nurses, and consumers. JCAHO sets the standards by which health care quality is measured. Licensed Clinical Professional Counselor (LCPC). An individual providing diagnosis and treatment of Mental Health or Substance Abuse, Alcoholism and Substance Abuse or Addiction and licensed by the state where the service is provided. Licensed Clinical Social Worker (LCSW). An individual providing diagnosis and treatment of Mental Health or Substance Abuse, Alcoholism and Substance Abuse or Addiction and licensed by the state where the service is provided. Licensed General Hospital. A short-term,

30 acute care general hospital, residential treatment facility or transitional living center that is approved by Medicare, and: is an institution duly licensed in and by the state in which it is located and is lawfully entitled to operate as a general, acute care hospital, residential treatment facility or transitional living center, for compensation from or on behalf of its patients, is primarily engaged in providing Inpatient diagnostic and therapeutic services for the diagnosis, treatment and care of injured and sick persons by or under the supervision of Physicians, has organized, functioning departments of medicine and Surgery, provides 24 hour nursing service by or under the supervision of licensed registered nurses, and is not predominantly a Skilled Nursing Facility, nursing home, Custodial Care home, health resort, spa or sanatorium, place for rest, place for the aged, place for the treatment or rehabilitative care of Mental Health, place for the treatment or rehabilitative care of Alcoholism or Substance Abuse or Addiction, or place for Hospice care. Licensed Marriage and Family Therapist. An individual licensed to practice as a Marriage and Family Therapist by the state where the service is provided. Licensed Occupational Therapist. An individual licensed to practice Occupational Therapy in the state in which the service is provided. Licensed Rehabilitation Hospital. A Facility Provider principally engaged in providing diagnostic, therapeutic, and Physical Rehabilitation Services to Participants on an Inpatient basis. Lithotripsy Provider. A facility licensed to perform Lithotripsy by the state where the service is provided. Medicaid. Title XIX (Grants to States for Medical Assistance Programs) of the United States Social Security Act as amended. Medicare. Title XVIII (Health Insurance for the Aged and Disabled) of the United States Social Security Act as amended. Medicare Certified. Centers for Medicare and Medicaid Services (CMS) develops standards that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs. These minimum health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries. These standards are the minimum health and safety requirements that providers and suppliers must meet in order to be Medicare and Medicaid Certified. Mental Health. All mental disorders, mental Illnesses, psychiatric Illnesses, mental conditions and psychiatric conditions whether organic, non-organic, biological, nonbiological, chemical or non- chemical origin and irrespective of cause including the following conditions: psychoses, neurotic disorders, schizophrenic disorders, affective disorders, personality disorders and psychological or behavioral abnormalities associated with transient or permanent dysfunction of the brain or related neurohormonal systems. Non-Network. Service providers who are not MHPN or PPO service providers at the time service is rendered. Nurse Practitioner. An individual licensed to practice as a Nurse Practitioner by the state where the service is provided. Nutritional Formula. A form of nutrition unavailable from normal commercial sources for use in circumstances in which a medical disorder or route of delivery necessitates special nutrition for sustained growth and

31 health. Nutritional Formula Therapy. Treatment of a medical condition by means of Nutritional Formula. Occupational Therapy. The treatment of a physically disabled Participant by means of constructive activities designed and adapted to promote the restoration of the Participant s ability to satisfactorily accomplish the ordinary task of daily living and those tasks required by the Participant s particular occupational role. Ocularist. An individual who is licensed to practice fabrication and fitting of custom made ocular prosthetics by the state where the service is provided. In states where Ocularists are not required to be licensed, one who is skilled in the design, fabrication and fitting of artificial eyes and the making of prostheses associated with the appearance of function of the eyes, and who is a Board Certified Ocularist by the National Examining Board of Ocularists. Office Visit. Any direct one-on-one examination and/or exchange, conducted in the Covered Provider s location, other than a hospital, skilled nursing facility, military treatment facility, community health center, state or local public health clinic or intermediate care facility, where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury, between a Participant and a Provider, or members of his or her staff for the purposes of seeking care and rendering Covered Services. For purposes of this definition, a Medically Necessary visit by a Physician to a Homebound Participant s place of residence may be considered an Office Visit. Ophthalmologist. An eye specialist for medical and surgical problems. Since ophthalmologists perform operations on eyes, they are considered to be both a surgical and medical specialty. Optometrist. An individual licensed to practice optometry by the state where the service is provided. Outpatient. A Participant who receives services or supplies while not an Inpatient. Partial Hospitalization Program (PHP). A treatment program that provides interdiciplinary medical and psychiatric services. PHP involves a prescribed course of psychiatric treatment provided on a predetermined and organized schedule and provided in lieu of hospitalization for a patient who does not require full-time hospitalizaiton. Participant. An Eligible team member or Eligible Dependent who has enrolled as required by this Plan. Pharmacist. An individual licensed to practice pharmacy by the state where the service is provided. Physical Therapist. An individual licensed to practice Physical Therapy by the state where the service is provided. Physical Therapy. The treatment by physical means, hydrotherapy, heat or similar modalities, physical agents, biomechanical and neurophysiological principles, or devices to relieve pain, restore maximum function or prevent disability following a condition, Disease, Illness, Accidental Injury or loss of a body part. Physician. A doctor of medicine (M.D.) or doctor of osteopathy (D.O.) licensed to practice medicine by the state where the service is provided. Physician Assistant. An individual licensed to practice as a Physician Assistant by the state where the service is provided. Podiatrist. An individual licensed to practice podiatry by the state where the service is provided.

32 Plan. The Micron Technology, Inc. Premium Medical Plan as set forth in this document as amended from time to time. PPO. The Plan s Contracting Provider networks other than the MHPN. Pregnancy or Related Condition. A normal Pregnancy or complication of Pregnancy: Normal Pregnancy includes all conditions arising from Pregnancy or delivery including any condition usually associated with the management of a Pregnancy. Complications of Pregnancy include cesarean section delivery, ectopic Pregnancy that is terminated, spontaneous termination of Pregnancy that occurs during a period of gestation in which a viable birth is not possible, missed abortion, puerperal infection and eclampsia. Complications of Pregnancy requiring Inpatient admission that are due to a diagnosis other than Pregnancy, but are adversely affected by Pregnancy or are caused by Pregnancy, including acute nephritis, nephrosis, cardiac decompensation, missed abortion and similar medical and surgical conditions of comparable severity. Complications of Pregnancy do not include false labor, occasional spotting, Physician prescribed bed rest during the period of Pregnancy, morning sickness, hyperemesis gravidarum, pre-eclampsia and similar conditions associated with the management of a difficult Pregnancy not constituting a nosologically distinct complication of Pregnancy. Prescription Drug. A drug, biological or compounded prescription that meets all of the following criteria: Can be dispensed only pursuant to a written prescription given by a Physician, Is listed and accepted in the United States Pharmacopeia, National Formulary, or AMA Drug Evaluations published by the American Medical Association (AMA), Is prescribed for human consumption, and Is required by law to bear the legend Caution federal law prohibits dispensing without prescription. The following items are also considered a Prescription Drug for the purposes of this Plan: Growth hormone, and Diabetic supplies including insulin syringes, insulin pen needles, lancets, and test-strips (both glucose and urine), and insulin pump supplies (reservoirs and syringes, administration sets, and access sets). Supplies are covered as a Prescription Drug only if the supply is used in the treatment of diabetes or if there is a valid prescription for a self administered injectable and the prescription is supplied in a pre-mixed syringe. Primary Care Physician. A Physician whose practice is considered Family Practice, Family Practice Geriactric Medicine, Family Practice Sports Medicine, General Practice, Geriactrics, Gynecology, Internal Medicine, Obstetrics, OB Gynocology, Obstetrics and Gynecology, Occupational Medicine, Pediatrics, Preventive Medicine and General Preventive Medicine. Prosthetic and Orthotic Supplier. A person or entity that is licensed, where required, to render Covered Services. Psychiatric Hospital. A Facility Provider principally engaged in providing diagnostic and therapeutic services and rehabilitative care for the Inpatient treatment of Mental Health or Substance Abuse, Alcoholism or Substance Abuse or Addiction. Such services must be provided by or under the supervision of an organized staff of Physicians. Continuous nursing services must be provided under the supervision of a licensed registered nurse.

33 Radiation Therapy. The treatment of Disease by x-ray, radium or radioactive isotopes. Radiation Therapy Center. A Facility Provider that is primarily engaged in providing Radiation Therapy Services to patients on an Outpatient basis. Rehabilitation Hospital. A Facility Provider principally engaged in providing rehabilitative services for the Inpatient or Outpatient treatment of Accidental Injuries, Diseases and Illnesses that are not primarily Mental Health or Substance Abuse, Alcoholism and Substance Abuse or Addiction. Services must be provided by or under the supervision of an organized staff of Physicians. Continuous nursing services must be provided under the supervision of a licensed registered nurse. Renal Dialysis. The treatment of an acute or chronic kidney condition, which may include the supportive use of an artificial kidney machine. Respiration Therapy. Treatment of respiratory disorders via the introduction of dry or moist gases into the lungs. SelectHealth Prescriptions. A company, hired by Micron to act as the third party contract administrator to perform prescription drug claims processing and other specific administrative services as outlined in this Plan and/or Administrative Services Agreement. Skilled Nursing Care. Nursing service that must be provided by or under the direct supervision of a licensed registered nurse to maximize the safety of a Participant and to achieve the medically desired result pursuant to the orders and direction of an attending Physician. The following components of Skilled Nursing Care distinguish it from Custodial Care, which does not require professional health training: the observation and assessment of the total medical needs of the Participant, the planning, organization and management of a treatment plan involving multiple services where specialized health care knowledge must be applied in order to attain the desired result, and the provision of direct nursing services to the Participant where the ability to provide the services requires specialized training. Skilled Nursing Facility. A licensed Facility Provider, which is Medicare approved or licensed, primarily engaged in providing Inpatient Skilled Nursing Care to patients requiring convalescent care rendered by or under the supervision of a Physician. Other than incidentally, a Skilled Nursing Facility is not a place or facility that provides minimal care, Custodial Care, ambulatory care, or part time care services; or care or treatment of Mental Health or Substance Abuse, Alcoholism, or Substance Abuse or Addiction. Specialist. A Phycian who is not a Primary Care Physician. Specialty Injectible Medications. Specialty Injectable Medications administered under the direct supervision of medical personnel, such as in a Physician s office, skilled nurse for home infusion, or in an infusion center, or certain preauthorized self injectibles. Specialty Medications. Specialty medications are defined as scientifically engineered medications that are prescribed to patients with complex diseases that may include rheumatoid arthritis, growth deficiencies, multiple sclerosis, or cancer. The medications tend to be the product of innovative technology, high cost, and they require special handling and administration. Types of specialty medications may include, but are not limited to, self-administered injectable drugs administered by the patient or the patient s caregiver in a home setting, office-administered injectable drugs administered by a healthcare professional in a non-hospital setting, inhalation agents for

34 non-cancer treatments, and high-cost oral agents. Speech Therapy. The treatment for correction of a speech impairment resulting from a condition, Illness, Disease, Surgery or Accidental Injury; or from Congenital Anomalies or previous therapeutic processes. Substance Abuse or Addiction. A behavioral or physical disorder caused by repeated excessive use of a drug or alcohol to the extent that it interferes with a Participant s health, social or economic functioning. Surgery and/or Surgical Services. Surgery and/or Surgical Services include the following services: Generally accepted operative and cutting procedures, Endoscopic examinations and other invasive procedures utilizing specialized instruments, The correction of fractures and dislocations, and Customary preoperative and postop care. Telemedicine. Telemedicine is the use of medical information exchanged from one site to another via interactive telecommunications equipment that includes at a minimum, audio and video permitting real-time interactive communication between the patient and physician at one site and a physician at a distant site. Third Party Contract Administrator (TPA). An organization that handles the claims processing for the Micron self-insured health plans. Vision Service Plan (VSP). A company, hired by Micron to act as the third party contract administrator to perform vision claims processing and other specific administrative services as outlined in this Plan and/or Administrative Services Agreement.