AT&T 2014 Active Employee Annual Benefit Enrollment

September 15, 2013

The Annual Enrollment period for AT&T Midwest Active Employees will begin on September 30th at 7 a.m. and run through October 11th at 7 p.m (CST). A Correction Period will run during the two weeks immediately following the enrollment period, through October 25th at 7 pm.

A postcard with the Annual Enrollment timeline will be mailed to your home address on record on September 16th. The 2014 Annual Enrollment Guide will be sent electronically to your company email on September 27th. You will also receive email reminders on September 30th, advising Annual Enrollment has begun, and on October 8th, indicating Annual Enrollment is coming to an end.

Following is a summary of changes to your benefit plans for 2014.

 Medical:                                                

—Dependent Eligibility - Your Children are eligible for Medical Coverage until the end of the month they reach age 26, regardless of marital or student status.

 —Monthly Contributions, Deductibles and Annual Out-of-Pocket Maximums are changing.

Monthly Contributions for the PPO, ONA and Health Care Network plans are as follows:

      •     Employees hired on or before June 22, 2013:

            Individual Coverage: $45/month

            Family Coverage: $95/month

      •     Employees hired after June 22, 2013:

            Individual Coverage: $130/month

            Family Coverage: $280/month

Deductibles for the PPO and Health Care Network Medical Plans are as follows:

      •     Network/PPO/ONA

            Individual: $500

            Family: $1000

      •     Non-Network/Non-PPO

            Individual: $1,300

            Family: $2,600

Annual Out-of-Pocket Maximums for the PPO and Health Care Network Medical Plans are as follows:

      •     Network/PPO/ONA

            Individual: $1,700

            Family: $3,400

      •     Non-Network/Non-PPO

            Individual: $5,100

            Family: $10,200

All other Medical Plan provisions remain the same.

Prescription Drugs:                              

—Prescription Drug Copays and Annual Out-of-Pocket Maximums are as follows for 2014:

      •     Annual Out-of-Pocket Maximums

            Individual: $1,200

            Family: $2,400

Copays

Retail – Short-term (up to 30-day supply)       

*Network                     *Non-Network

Generic - $10              Participant pays the greater of

Formulary - $35           the applicable Network copay or

Non-formulary - $60    balance remaining after the

 plan pays 75% of Network                                                                  
 retail cost

Mail Order – Long-term (up to 90-day supply)

• Through CVS Pharmacy or Caremark Mail Order.

      Generic - $20

      Formulary - $70

      Non-formulary - $120

Dental:                                                          

—Dependent Eligibility – Your unmarried Children are eligible for Dental Coverage until the end of the year in which they reach age 23.

 —Monthly Contributions, Deductibles and Annual Maximum Benefits for the Dental PPO are changing.

Monthly Contributions beginning in January of 2014 are as follows:

      •     Individual Coverage: $3/month

            Individual+1 Coverage: $9/month

            Family Coverage: $16/month

Deductibles beginning in January of 2014 are as follows:

      •     Network/ONA - $25 per individual per year

      •     Non-Network - $50 per individual per year

Annual Maximum Benefit beginning in January of 2014 are as follows:

      •     Network/ONA: $1,700 per individual

      •     Non-Network: $1,300 per individual

Orthodontic Lifetime Maximums beginning in January of 2014 are as follows:

      •     Network/ONA: $2,000 per individual

      •     Non-Network: $1,400 per individual

Vision:                                                         

—Dependent Eligibility – Your unmarried Children are eligible for Dental Coverage until the end of the year in which they reach age 23.

—Monthly Contributions beginning in January of 2014 are as follows:

      •     Individual Coverage: $2.50/month

            Individual+1 Coverage: $5.00/month

            Family Coverage: $7.50/month

You will not receive an enrollment package in the mail. You can review your available options
and Health Plan Comparison Charts online at resources.hewitt.com/att or you can call the AT&T Benefits Center at 1-877-722-0020 to request a mailed copy.

It is important that you review your current coverage and available options. Don’t assume that you will default to your current coverage if you make no changes. Your current plan may not be an available option!

The AT&T Benefits website has a new Web Chat feature. The Web Chat tool is available after you log in to the website and the representatives will have access to your account when the chat begins. This tool is intended to help answer your questions. The representatives on Web Chat have the same training and tools available to the reps who answer your calls into the AT&T Benefits Center. However, they cannot complete or make changes to your enrollment.

Enrollment can be completed online (resources.hewitt.com/att), by phone (1-877-722-0020) or from your mobile device. If you complete your enrollment online it is imperative that you to print a copy of the final confirmation page for your records. Look it over and make sure you are enrolled in the correct options. You will not receive a confirmation of coverage in the mail if you complete your enrollment online. Confirmation of Coverage will only be mailed to those who complete their enrollment by phone.

Taking a moment to review your options and confirm your elections can save a lot of time and headaches in the future.

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