2020 Associate Benefits Book

2020 Associate Benefits Book

Summary Plan Descriptions with 2021 Summaries of Material Modifications

What's inside

Medical plan Pharmacy benefit Dental plan Vision plan

Life insurance and disability plans Associate Stock Purchase Plan Walmart 401(k) Plan 2021 Summaries of Material Modifications

Effective January 1, 2020

Walmart 401(k) Plan effective February 1, 2020

Version 4.5 | Nov. 2020

Table of contents

Eligibility and enrollment

4

Eligibility and benefits for associates in Hawaii

38

The medical plan

44

The pharmacy benefit

92

Health savings account (HSA)

98

The dental plan

106

The vision plan

116

COBRA

122

Resources for Living?

130

Critical illness insurance

134

Accident insurance

140

Companypaid life insurance

148

Optional associate life insurance

154

Optional dependent life insurance

160

Accidental death and dismemberment

(AD&D) insurance

166

Business travel accident insurance

174

Shortterm disability for full-time hourly associates 180

Salaried short-term disability plan

190

Truck driver shortterm disability plan

198

Longterm disability

206

Truck driver longterm disability

214

The Associate Stock Purchase Plan (ASPP)

222

The Walmart 401(k) Plan

234

Claims and appeals

260

Legal information

280

Glossary

294

2021 Summaries of Material Modifications

296

For more information

338

Information obtained during communications with Walmart Inc. or any Plan service provider does not waive any provision or limitation of the Plan. Information given or statements made through any form of communication do not guarantee payment of benefits. In addition, benefits quotes that are given by phone are based wholly on the information supplied at the time. If additional relevant information is discovered, it may affect payment of your claim. All benefits are subject to eligibility, payment of premiums, limitations, and all exclusions outlined in the applicable Plan documents, including any insurance policies. You can request a copy of the documents governing these plans by writing to: Custodian of Records, People Services, 508 SW 8th Street, Bentonville, Arkansas 727163500.

Atenci?n Asociados Hispanos: Este folleto contiene un resumen en ingl?s de los derechos y beneficios para todos losasociados bajo el plan de beneficios de Walmart. Si Ud tienedificultades para entender cualquier parte de este folletopuede dirigirse a la siguiente direcci?n: People Services, 508 SW 8th Street, Bentonville, Arkansas 727163500.

O puede llamar para cualquier pregunta al 8004211362. Tenemos asociados quienes hablan Espa?ol y pueden ayudarles a Ud comprender sus beneficios de Walmart. El Libro de beneficios para asociados esta disponible en Espa?ol. Si usted desea una copia en Espa?ol, favor de ver su Representante de Personal.

2020 Associate Benefits Book | Questions? Log on to One. or call People Services at 800-421-1362

3

Welcome to your 2020 Associate Benefits Book

This is where you'll find the Summary Plan Descriptions (SPDs) for the Associates' Health and Welfare Plan (the Plan), and the Walmart 401(k) Plan.

The prospectus for the Associate Stock Purchase Plan is here, too.

Check out the table of contents for a complete list of what you'll find in this book. It's a great resource to help you understand your benefits.

This is also where you'll find the 2021 Summary of Material Modifications to the Associates' Health and Welfare Plan and the 2021 Summary of Material Modifications to the Walmart 401(k) Plan. The addition of these "SMMs" brings the 2020 Associate Benefits Book up to date for another year. You'll find the SMMs on page 296, along with several important legal notices.

Throughout this book you'll also see many spots where we have alerted you to details that have been updated in one of the SMMs--look for the page icon like the one to the left. When you see that, you'll know where to turn to find the most current information.

Lots of information. So easy to find.

When you download the 2020 Associate Benefits Book from One., you'll have answers to your benefit questions at your fingertips.

Just launch the PDF with Adobe Reader and click "Edit" on the toolbar. Then click "Find," and enter a word or phrase that describes what you're looking for, like "preventive" or "copay." Easy!

Key words

Many of the terms used throughout the 2020 Associate Benefits Book may be unfamiliar to you, or have specific meanings within the context of the Plans. You'll find many of them defined in the Glossary on page 294, and we have also included important definitions at critical points throughout the text.

Eligibility and enrollment

The Associates' Health and Welfare Plan

6

Associate eligibility

6

Part-time hourly and temporary associates: eligibility checks for medical benefits

7

Dependent eligibility

9

Legal documentation for dependent coverage

10

Dependents who are not eligible

10

When your dependent becomes ineligible

10

When you enroll for benefits

10

When coverage is effective

11

If you leave the company and are rehired

12

Effective dates for benefits under the Plan

12

Enrollment and effective dates by job classification

13

Paying for your benefits

18

Tobacco rates

19

Continuing benefit coverage if you go on a leave of absence

19

Continuing benefit coverage while disabled

20

Status change events

21

If your job classification changes

24

Transferring from one job classification to another

24

Qualified Medical Child Support Orders (QMCSO)

36

When your Plan coverage ends

36

If you have Medicare or will become eligible for Medicare in the next 12 months, you have more choices for your prescription drug coverage. See page 287 in the Legal information chapter for more details. See page 332

2020 Associate Benefits Book | Questions? Log on to One. or call People Services at 800-421-1362

Eligibility and enrollment

5

Eligibility and enrollment

RESOURCES

Find What You Need

Online

? Enroll in Walmart benefits ? Notify People Services within 60

days of a status change event

Notify People Services if you have questions about the payroll deductions for your benefits

Pay premiums for benefits while on a leave of absence

Go to One. or Workday for Jet associates

Other Resources

Call People Services at 800-421-1362

Call People Services at 800-421-1362

See Continuing benefit coverage if you go on a leave of absence in this chapter for detailed information. If you are required to pay your premiums to keep coverage current, you must pay the premiums to keep coverage current. You may pay by credit or debit card with a Visa, MasterCard, American Express, or Discover card by calling 800-421-1362 and saying "make a payment." You may also send a check or money order payable to the Associates' Health and Welfare Trust to: Walmart People Services P.O. Box 1039 Department 3001 Lowell, Arkansas 72745 To ensure timely posting of your payment, be sure to include your WIN (Walmart ID) number on the check.

What you need to know about eligibility and enrollment

? You can enroll for benefits during your initial enrollment period as a newly eligible associate, during Annual Enrollment, or when you have a status change event.

? Your job classification (or changes to your job classification) determines when your initial enrollment period begins. If you are a Hawaii associate, see the Eligibility and benefits for associates in Hawaii chapter.

? Medical, dental, vision, critical illness, accident, and accidental death and dismemberment (AD&D) insurance benefits cannot be changed except during Annual Enrollment or after you have a status change event.

? If you choose to enroll in the short-term disability enhanced, long-term disability, or truck driver long-term disability benefits options, you may drop your coverage at any time, but you will only be able to add this coverage again during an initial enrollment period, Annual Enrollment, or when you have a status change event.

? You may enroll in, drop, or change optional life insurance benefits at any time but if you enroll after your initial enrollment period, you will have to provide Proof of Good Health.

See page 298

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