2016 Annual Enrollment Guide

2016 Annual Enrollment Guide FOR NEW MEXICO EMPLOYEES Choose benefits to power your best life. Annual Enrollment is October 26 to November 13, 2015 Changes effective January 1, 2016 JUMP TO COMPARISON CHARTS

It s time for you and your family to review your healthcare plan choices and make your 2016 Annual Enrollment Annual Enrollment decisions for 2016 to help What s changing in New Mexico? We are pleased to share that Connected Care plans are available with no cost increase. Existing Anthem and HMO plans continue to be available with no significant changes and only the 2% increase we promised last year. This is identical to our 2015 increase and compares favorably to U.S. market increases of 4 6.5% estimated for 2016. Additional changes that may apply to you, depending on your plan or family needs, are listed here for your quick reference. power your best life at home and at work. Thanks to your feedback, we brought back mailing this guide to your home and abbreviated it significantly so you can easily get the information you need. We share what s changing, what decisions you need to make, and provide plan features and cost comparison charts to help you make informed choices. If you want more, we outline the best venues for detailed information and how you can get your questions answered. Decision-support tools within My Health Benefits and other resources will be available to you and your eligible dependents starting on October 19, 2015. Take advantage of all the available resources to help you prepare. Connected Care Presbyterian HDHP Hospice coverage is now at 100% for in-network. Connected Care and Anthem Certain compound medications are no longer covered. Anthem and Presbyterian HMO Anthem HDHP paycheck deductions remain at zero; annual deductibles and out-of-pocket maximums increase 2%. Presbyterian HMO paycheck deductions increase 2%. Health Savings Accounts (HSAs)* 2016 HSA maximum contribution for family coverage increases from $6,650 to $6,750. * HSA is not an Intel-sponsored benefit and is not an ERISA welfare benefit plan. Additional Benefits Anyone who enrolls in the VSP Vision Plus Plan receives the added benefit of laser vision correction (Lasik) coverage. The benefit is a $2,000 allowance per lifetime per covered member. Intel s voluntary short-term disability (STD) plan increases from.8% of earnings (annual maximum contribution of $700) to 1% of earnings (annual maximum contribution of $900). Your choices take effect January 1, 2016 MAKE YOUR ELECTIONS OCT. 26 NOV. 13, 2015

Why Connected Care is a great choice for you and your family This is our fourth year offering Connected Care plans through Presbyterian with no cost increase and lower out-of-pocket costs. Connected Care emphasizes teamwork, coordination, and technology with you, the patient, being the center of it all. Your care is provided through a Patient Centered Medical Home where a team of connected healthcare providers are led by your primary care physician to enhance shared decision-making and communication, resulting in personalized care that is based on your needs and goals. Connected Care is built on several of Intel s leading principles: innovation, measuring outcomes, a great user experience, and continuous improvement. Connected Care providers are rewarded for the quality, convenience, and value of care they provide. With traditional healthcare, on the other hand, the more services providers order, the more they get paid. With Connected Care, Intel has designed a system that holds providers accountable for getting and keeping you healthy. We know that any changes to your plan selection or your healthcare providers are not decisions to take lightly. If you are not enrolled in Connected Care today, you may discover your doctors already are part of the network or you may want a new doctor that is part of the network to meet your needs through the Connected Care plans. Either way, we encourage you to look at Connected Care as you weigh your options for 2016. We are confident the Connected Care commitment will continue to be realized, including cost savings. If you are currently enrolled in the Presbyterian HMO plan you can save even more and may keep your current providers. The average savings is about one month s worth of your premium to change to Connected Care Copay. If you change from the HMO to Connected Care HDHP, you could see savings of $350 per year for employee only and more than $1,500 annual savings for family coverage. Connected Care experience in New Mexico 95% overall satisfaction. 96% feel the quality of care delivered meets or exceeds expectations. OUR BENEFITS GROW WITH YOUR FAMILY Along with introducing the new Bonding Leave in January, Intel strives to improve benefits that help you and your growing family. While details in the Family section of Circuit My Benefits & Career tab highlight even more of these valuable benefits, here are two key changes we believe will meet the needs of our Intel families in 2016: Adoption reimbursement increases to $15,000 per adoption (from $5,000). The value is even greater by removing the benefit lifetime cap and expanding the list of eligible reimbursements to include expenses associated with surrogacy and adoption of spouse s existing child. The fertility lifetime maximum increases to $40,000 (from $10,000) for medical services and $20,000 (from $5,000) for prescription drugs with all plans, except for HMOs. This includes a variety of new conception services for employees wishing to expand their families.

What do I need to do during Annual Enrollment? Log on to My Health Benefits from Circuit, find in Quick Links in left navigation or search for My Health Benefits; from the Internet, go to intel.com/go/myben then: Re-elect pre-tax savings plans and choose contribution amounts for: Health Savings Account (HSA), Health Flexible Spending Account (Health FSA), Limited Use Health Flexible Spending Account (Limited Use Health FSA), and Dependent Care Assistance Program (DCAP). Update your dependent Social Security Number(s) or Taxpayer Identification Number(s) in My Health Benefits by December 31, 2015 in order to comply with reporting requirements under the Affordable Care Act (ACA) individual shared responsibility mandate. If we are missing your dependent social security number(s), an alert will show at the top of My Health Benefits with a link. In addition, you may: Add or drop dependents from your coverage. Make changes to your health, dental, vision, life insurance, short-term disability, and Hyatt Legal Plan. Log on to the MetLife website mybenefits.metlife.com to enroll in voluntary benefits such as supplemental long-term disability, critical illness insurance, auto, and home. Validate or update life insurance beneficiary information. What if I don t make any changes during Annual Enrollment? While it is important for you to review the plan information and make your decisions for 2016, if you don t make any changes during the annual enrollment period, the following will occur: The health, dental, and vision plan you and your dependents are currently enrolled in will remain the same for 2016. Your HSA, Health FSA, Limited Use Health FSA, and DCAP contributions will stop at the end of 2015. Your life insurance, voluntary benefits, and short-term disability coverage will remain the same for 2016. Health Plan Comparisons for new mexico This table summarizes categories and plans, including the main features and amounts you would pay. Connected Care High Deductible Health Plan (HDHP)/Anthem HDHP Connected Care Copay Plan Presbyterian Health Plan HMO Provider Network: Receive the highest level of coverage when using providers who are part of your plan s network. Connected Care Provider Network Anthem Blue Cross National Network Connected Care Provider Network Presbyterian Network What do I pay when I access care? For each plan, you will be responsible for either a deductible and coinsurance or copayment. The deductible is the annual amount you pay out-of-pocket before the plan begins to pay. In-network preventive care is covered at 100% under all plans. For Connected Care HDHP, first you pay your annual deductible: Employee only: $1,350 Employee + child(ren): $2,700 Employee + spouse: $3,375 $3,375 Once you have met your deductible, you pay a coinsurance for services: In-network: 5% coinsurance Out-of-network: 30% coinsurance; reimbursement limits apply Other: Prescription drugs covered at 100% for certain conditions. For Anthem Blue Cross HDHP, First you pay your annual deductible: Employee only: $1,400 Employee + child(ren): $2,810 Employee + spouse: $3,515 $3,515 Once you have met your deductible, you pay a coinsurance for services: In-network: 10% coinsurance Out-of-network: 30% coinsurance; reimbursement limits apply For in-network care, you pay a copayment when you access care. In-network: $10 copayment per primary provider visit $25 copayment per specialist visit $100 copayment per emergency room visit $250 copayment per hospital stay Out-of-network requires a deductible: Employee only $250 Family coverage: $750 After you meet the deductible you pay 30% coinsurance and reimbursement limits apply. Other: Prescription drugs covered at 100% for certain conditions. For in-network care, you pay a copayment when you access care. In-network: $15 copayment per primary provider visit $35 copayment per specialist visit $100 copayment per emergency room visit $250 copayment per hospital stay Prescription drug copay $10 generic, $20 preferred, $35 non-preferred. Specialty drugs 15% coinsurance capped at $250 per prescriptions and $1,500 per year. Out-of-network: Not covered except emergencies

Connected Care High Deductible Health Plan (HDHP)/Anthem HDHP Connected Care Copay Plan Presbyterian Health Plan HMO You re protected by the outof-pocket maximum. This is the maximum annual amount you would pay out-of-pocket for innetwork care (not including any paycheck deductions). All plans pay 100% for all remaining eligible in-network costs you incur. Connected Care HDHP: Employee only: $2,100 Employee + child(ren): $4,200 Employee + spouse: $5,000 $5,000 Anthem HDHP: Employee only: $2,180 Employee + child(ren): $4,370 Employee + spouse: $5,200 $5,200 Employee only: $1,500 Family: $3,000 2x Annual Premium Health accounts you can enroll in to help you pay for your out-of-pocket healthcare expenses with pretax dollars (such as deductibles, coinsurance, and copayments). Health Savings Account (HSA): Use funds to pay for your eligible out-ofpocket medical, dental, and vision expenses. Unused dollars go with you when you change plans, leave the company or retire. Health FSA: Use funds to pay for your eligible out-of-pocket medical, dental, or vision expenses. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Health FSA: Use funds to pay for your eligible out-of-pocket medical, dental, or vision expenses. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Annual contribution limits are: Employee only: $3,350* Family: $6,750* Age 55+ can contribute an additional $1,000 * HSA contributions reflect IRS limits for 2016. Annual contribution limit is: $2,500 Annual contribution limit is: $2,500 Limited Use Health FSA: Use funds to pay for your eligible out-of-pocket dental and vision expenses only. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Annual contribution limit is: $2,500 Get the Help You Need Phone The Intel Health Benefits Center, 877-GoMyBen (466-9236), is available Monday Friday, 6 a.m. 6 p.m. Pacific. Web My Health Benefits Access My Health Benefits site from Circuit Quick Links in the left navigation of the homepage or search for My Health Benefits. You can also access it via the Internet at intel.com/go/myben, which allows the entire family to view your health benefits at home. To access from the Internet, you need to log in with your user ID and password. First-time users need to create a user ID and password to log in. Once logged in, you can ask questions via web chat Monday Friday, 6 a.m. 6 p.m. Pacific. Ask Ivy Ivy provides personalized answers to many common questions related to Annual Enrollment. Circuit Select Annual Enrollment under Quick Links. Social 24x7 Virtual Roadshow and Webinars Visit intel.com/annualenrollment so you and your dependents can use the tool s interactive functionality to access more in-depth materials from HR and our plan providers. Inside Blue Our Annual Enrollment community is a great place to get insights from your fellow employees if you want to collaborate and benefit from their BKMs. Ask Vote Answer This new channel that s often used for our CEO s Business Update Meeting will be used to see what questions about Annual Enrollment surface to the top and are frequently asked by your peers.

My Best Life Annual Enrollment requires us to focus on our benefits elections for 2016, but Intel benefits power your best life year round. See what Anna Ballard and other employees have to say about Intel benefits and how fulfilling their lives are as a result. From Circuit, goto/mybestlife. Health, Dental, and Vision Plan Annual Paycheck Deductions This table shows how much will be deducted from your paycheck for 2016, depending on your plan and eligible dependents you cover. Costs represent your annual cost. See below to determine your cost per paycheck***. Plan Year You Only Health Plans Connected Care HDHP Connected Care Copay Presbyterian Health Plan HMO Anthem Blue Cross HDHP Global Plan (available only to employees on expatriate assignment) Aetna International Dental Plans You & 1 Child You & 2 You & 3 or More You & Spouse You, Spouse & 1 Child You, Spouse & 2 2016 $0 $0 $0 $0 $0 $0 $0 $0 2016 HFL* You will receive a $250 deposit into your Health Savings Account.** 2015 $0 $0 $0 $0 $0 $0 $0 $0 You, Spouse & 3 or More 2016 $660 $1,248 $1,968 $2,460 $2,940 $3,612 $4,272 $4,728 2016 HFL* $410 $998 $1,718 $2,210 $2,690 $3,362 $4,022 $4,478 2015 $660 $1,248 $1,968 $2,460 $2,940 $3,612 $4,272 $4,728 2016 $723 $1,371 $2,166 $2,706 $3,243 $3,978 $4,713 $5,214 2016 HFL* $473 $1,121 $1,916 $2,456 $2,993 $3,728 $4,463 $4,964 2015 $708 $1,344 $2,124 $2,652 $3,180 $3,900 $4,620 $5,112 2016 $0 $0 $0 $0 $0 $0 $0 $0 2016 HFL* You will receive a $250 deposit into your Health Savings Account.** 2015 $0 $0 $0 $0 $0 $0 $0 $0 2016 $378 $1,101 $1,458 $1,812 $1,800 $2,436 $2,742 $3,012 2016 HFL* $128 $851 $1,208 $1,562 $1,550 $2,186 $2,492 $2,762 2015 $372 $1,080 $1,428 $1,776 $1,764 $2,388 $2,688 $2,952 Delta Dental (Intel Dental Plan) 2016 $0 $120 $216 $336 $240 $336 $444 $588 Assurant 2016 $0 $48 $96 $132 $72 $120 $168 $204 Vision Plans VSP Basic Vision 2016 $0 $0 $0 $0 $0 $0 $0 $0 VSP Vision Plus 2016 $84 $102 $114 $138 $156 $180 $192 $216 *2016 annual paycheck deductions with Health for Life discount if you met the requirement for completing the Intel Vitality Check. **If you are enrolled in the HDHP for 2016 and you met the requirements for completing the Intel Vitality Check during 2015, Intel will deposit $250 into your Health Savings Account. You must be eligible for a Health Savings Account, and have an open, active account on February 28, 2016 with the Health Savings Account administrator associated with your health plan (BNY Mellon BenefitWallet for Anthem Blue Cross and HealthEquity for Connected Care HDHP). The $250 deposit will be made on or before March 31, 2016. ***The paycheck deductions shown in the table are for the whole year, but here s how to determine your amount per paycheck: If you are an exempt employee, take the annual rate and divide by 24. If you are a nonexempt employee, take the annual rate and divide by 26.

2016 Annual Enrollment Oct. 26 Nov. 13 This 2016 Annual Enrollment Guide is intended to be a Summary of Material Modifications to your benefit plans. The information provided here is a summary of your benefits and is not intended to take the place of or change official plan documents in any way. In the event of any discrepancy between the information in this guide and the 2016 Pay, Stock and Benefits Handbook (PSBH), the 2016 PSBH will prevail. For a copy of the current PSBH, from Circuit search Pay, Stock and Benefits Handbook. PSBH Updates will be available in Q1 2016. Intel reserves the right to modify, change, or discontinue any benefit provided under PSBH, at its sole discretion. Reproduction, photocopying, and/or electronic storage or transmission of this publication in whole or in part without the written permission of Intel Corporation is strictly prohibited. Letters and comments should be directed to: 2016 Annual Enrollment Guide, 4100 Sara Road, RR5-306, Rio Rancho, NM 87124. Copyright 2015 Intel Corporation. All rights reserved. Intel and the Intel logo are trademarks of Intel Corporation in the U.S. and/or other countries. 0915/TSG/HBD/PDF Printed in the USA. Please Recycle. CPS# H000164465