The Vanguard Group, Inc

The Vanguard Group, Inc. Benefit Plan 2019

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Table of Contents

GENERAL PLAN INFORMATION.......................................................................................................... 9

WHOM TO CALL... ..................................................................................................................................12

SECTION I ? AUTOMATIC BENEFITS.................................................................................................14

A. SHORT-TERM DISABILITY..........................................................................................................14

INTRODUCTION ..........................................................................................................................................14 ELIGIBILITY ...............................................................................................................................................14 COST OF COVERAGE ..................................................................................................................................14 BENEFIT AMOUNT .....................................................................................................................................14 EXCLUSIONS ..............................................................................................................................................15 LIMITATIONS .............................................................................................................................................16 LIGHT AND LIMITED DUTY PROVISION .......................................................................................................16 TERMINATION OF BENEFITS.......................................................................................................................16 DEFINITIONS ..............................................................................................................................................16 REQUESTING STD INCOME BENEFITS........................................................................................................17 TERMINATION OF COVERAGE ....................................................................................................................18 FOR MORE INFORMATION .........................................................................................................................18

B. BUSINESS TRAVEL ACCIDENT INSURANCE..........................................................................19

INTRODUCTION ..........................................................................................................................................19 ELIGIBILITY ...............................................................................................................................................19 COST OF COVERAGE ..................................................................................................................................19 BENEFIT AMOUNT .....................................................................................................................................19 EXCLUSIONS ..............................................................................................................................................20 TERMINATION OF COVERAGE ....................................................................................................................20 FOR MORE INFORMATION .........................................................................................................................20

SECTION II ? ELECTIVE BENEFITS....................................................................................................21

A. INTRODUCTION..............................................................................................................................21

ELIGIBILITY ...............................................................................................................................................21 NEW HIRE ENROLLMENT...........................................................................................................................21 ANNUAL OPEN ENROLLMENT....................................................................................................................22 ENROLLMENT CHANGES............................................................................................................................22

B. HEALTH BENEFITS........................................................................................................................25

INTRODUCTION ..........................................................................................................................................25 ELIGIBILITY ...............................................................................................................................................25 YOUR ELIGIBLE DEPENDENTS ...................................................................................................................25 COST OF COVERAGE ..................................................................................................................................25 COVERAGE CATEGORY OPTIONS ...............................................................................................................26 PROVIDER NETWORKS...............................................................................................................................26 SPECIAL ENROLLMENT RIGHTS .................................................................................................................27 TERMINATION OF COVERAGE ....................................................................................................................27

1. MEDICAL AND PRESCRIPTION DRUG BENEFITS ................................................................28

ELIGIBILITY ...............................................................................................................................................28 COST OF COVERAGE ..................................................................................................................................28 MEDICAL COVERAGE ................................................................................................................................28 TELEMEDICINE ..........................................................................................................................................29 PRESCRIPTION DRUG COVERAGE ..............................................................................................................29 FOR MORE INFORMATION .........................................................................................................................30

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2. DENTAL BENEFITS ........................................................................................................................31

ELIGIBILITY ...............................................................................................................................................31 COST OF COVERAGE ..................................................................................................................................31 DENTAL COVERAGE ..................................................................................................................................31 DELTA DENTAL'S NETWORK.....................................................................................................................32 THE PREVENTIVE INCENTIVE.....................................................................................................................32 FOR MORE INFORMATION .........................................................................................................................32

3. VISION BENEFITS...........................................................................................................................33

ELIGIBILITY ...............................................................................................................................................33 COST OF COVERAGE ..................................................................................................................................33 VISION COVERAGE ....................................................................................................................................33 FOR MORE INFORMATION .........................................................................................................................34

4. COORDINATION OF BENEFITS ..................................................................................................35

WHICH PLAN PAYS? ..................................................................................................................................35 COORDINATION WITH MEDICARE AND MEDICAID .....................................................................................36 PLAN'S RIGHTS .........................................................................................................................................37

5. COVERAGE DURING CERTAIN LEAVES .................................................................................38

FAMILY AND MEDICAL LEAVE AND OTHER LEAVES OF ABSENCE ............................................................38 UNIFORMED SERVICES LEAVE...................................................................................................................38 COBRA CONTINUATION COVERAGE AFTER YOUR LEAVE ENDS ..............................................................38

6. CONTINUING COVERAGE UNDER COBRA.............................................................................39

YOU MAY HAVE OTHER OPTIONS AVAILABLE TO YOU WHEN YOU LOSE GROUP HEALTH COVERAGE ..39 WHAT IS COBRA CONTINUATION COVERAGE..........................................................................................39 WHO IS COVERED AS A QUALIFIED BENEFICIARY? ..................................................................................40 YOUR DUTIES UNDER THE LAW................................................................................................................41 VANGUARD'S DUTIES UNDER THE LAW ...................................................................................................41 ELECTING COBRA CONTINUATION COVERAGE .......................................................................................41 DURATION OF COVERAGE .........................................................................................................................42 EARLY TERMINATION OF CONTINUED COVERAGE ....................................................................................43 PREMIUM PAYMENTS ................................................................................................................................43 COBRA AND FAMILY AND MEDICAL LEAVE ACT (FMLA) LEAVE ..........................................................44 FOR MORE INFORMATION .........................................................................................................................44

7. OTHER NON-COBRA CONTINUATION OF COVERAGE ......................................................45

C. LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT........................46

INTRODUCTION ..........................................................................................................................................46 ELIGIBILITY ...............................................................................................................................................46

1. CREW MEMBER LIFE AND AD&D INSURANCE ....................................................................46

EVIDENCE OF INSURABILITY......................................................................................................................47 COST OF COVERAGE ..................................................................................................................................47 IMPUTED INCOME INFORMATION...............................................................................................................47 IMPORTANT LIFE INSURANCE CONSIDERATIONS .......................................................................................48 BENEFICIARIES ..........................................................................................................................................48

2. SPOUSAL/DOMESTIC PARTNER LIFE INSURANCE .............................................................49

EVIDENCE OF INSURABILITY......................................................................................................................49 COST OF COVERAGE ..................................................................................................................................49 BENEFICIARY.............................................................................................................................................49

3. DEPENDENT CHILD LIFE INSURANCE ....................................................................................50

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COST OF COVERAGE ..................................................................................................................................50 BENEFICIARY.............................................................................................................................................50 FOR MORE INFORMATION .........................................................................................................................50

D. FLEXIBLE SPENDING ACCOUNTS ............................................................................................51

INTRODUCTION ..........................................................................................................................................51 ELIGIBILITY ...............................................................................................................................................51 HOW THE ACCOUNTS WORK .....................................................................................................................51 ENROLLMENT ............................................................................................................................................51

1. THE HEALTH CARE FLEXIBLE SPENDING ACCOUNT .......................................................52

ELIGIBLE DEPENDENTS .............................................................................................................................52 ANNUAL MAXIMUM ..................................................................................................................................52 FSA AND YOUR HEALTH PLAN ELECTION ................................................................................................52 ELIGIBLE EXPENSES ..................................................................................................................................54 REIMBURSEMENT FROM YOUR ACCOUNT .................................................................................................54 ORTHODONTIA EXPENSES .........................................................................................................................55 QUALIFIED RESERVIST DISTRIBUTION.......................................................................................................55 IF YOU HAVE A LEFTOVER BALANCE........................................................................................................55 IF YOU LEAVE VANGUARD OR CEASE PARTICIPATION..............................................................................56 IF YOU DIE ................................................................................................................................................57 COBRA ....................................................................................................................................................57

2. THE DEPENDENT DAY CARE FLEXIBLE SPENDING ACCOUNT ......................................57

ELIGIBLE DEPENDENTS .............................................................................................................................57 ANNUAL MAXIMUM ..................................................................................................................................57 ELIGIBLE EXPENSES ..................................................................................................................................58 DEPENDENT DAY CARE SUBSIDY PROGRAM .............................................................................................58 REIMBURSEMENT FROM YOUR ACCOUNT .................................................................................................59 DEPENDENT DAY CARE FSA VS. TAX CREDIT ..........................................................................................59 IF YOU HAVE A LEFTOVER BALANCE........................................................................................................60 IF YOU LEAVE VANGUARD OR CEASE PARTICIPATION..............................................................................60 IF YOU DIE ................................................................................................................................................60 LEAVE OF ABSENCE ..................................................................................................................................60

E. LONG-TERM DISABILITY ............................................................................................................61

INTRODUCTION ..........................................................................................................................................61 ELIGIBILITY ...............................................................................................................................................61 COST OF COVERAGE ..................................................................................................................................61 BENEFIT AMOUNT .....................................................................................................................................61 ENROLLMENT ............................................................................................................................................62 MAXIMUM BENEFIT PERIOD ......................................................................................................................62 DISABILITIES NOT COVERED BY THE PLAN - EXCLUSIONS........................................................................62 TERMINATION OF BENEFITS.......................................................................................................................62 TERMINATION OF COVERAGE ....................................................................................................................62 FOR MORE INFORMATION .........................................................................................................................63

F. LEGAL SERVICES...........................................................................................................................64

INTRODUCTION ..........................................................................................................................................64 ELIGIBILITY ...............................................................................................................................................64 ENROLLMENT ............................................................................................................................................64 WHEN COVERAGE BEGINS ........................................................................................................................64 WHEN COVERAGE ENDS............................................................................................................................64 ADMINISTRATION AND FUNDING...............................................................................................................65 COST OF COVERAGE ..................................................................................................................................65 HOW TO GET LEGAL SERVICES .................................................................................................................65 PLAN CONFIDENTIALITY, ETHICS, AND INDEPENDENT JUDGMENT ............................................................65

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EXCLUSIONS ..............................................................................................................................................65 IF YOU LEAVE VANGUARD .......................................................................................................................66 FOR MORE INFORMATION .........................................................................................................................66

G. PURCHASED PAID TIME OFF .....................................................................................................67

INTRODUCTION ..........................................................................................................................................67 ELIGIBILITY ...............................................................................................................................................67 ENROLLMENT ............................................................................................................................................67 COST OF COVERAGE ..................................................................................................................................67 REIMBURSEMENT ......................................................................................................................................67

SECTION III - HEALTH SAVINGS ACCOUNT ...................................................................................68

INTRODUCTION ..........................................................................................................................................68 ELIGIBILITY ...............................................................................................................................................68 ELIGIBLE DEPENDENTS .............................................................................................................................68 ENROLLMENT ............................................................................................................................................68 ANNUAL CONTRIBUTIONS .........................................................................................................................69 MID-YEAR PLAN ELECTIONS/CHANGES ....................................................................................................69 DISTRIBUTIONS .........................................................................................................................................70 BENEFICIARIES ..........................................................................................................................................70 IF YOU LEAVE VANGUARD .......................................................................................................................70 FOR MORE INFORMATION .........................................................................................................................70

SECTION IV - DOMESTIC PARTNERS ................................................................................................71

INTRODUCTION ..........................................................................................................................................71 ELIGIBILITY ...............................................................................................................................................71 AFFIDAVIT OF DOMESTIC PARTNERSHIP....................................................................................................72 COVERING YOUR DOMESTIC PARTNER AS A PRE-TAX DEPENDENT ..........................................................72 COVERING YOUR DOMESTIC PARTNER'S CHILD .......................................................................................72 COST OF COVERAGE ..................................................................................................................................72 SPECIAL ENROLLMENT RIGHTS .................................................................................................................73 COORDINATION WITH MEDICARE AND MEDICAID .....................................................................................73 TERMINATION OF DOMESTIC PARTNER BENEFITS .....................................................................................73 DOMESTIC PARTNERS AND COBRA..........................................................................................................74 FOR MORE INFORMATION .........................................................................................................................74

SECTION V ? OPTIONAL BENEFITS ...................................................................................................75

A. ACADEMIC ASSISTANCE .............................................................................................................75

INTRODUCTION ..........................................................................................................................................75 ELIGIBILITY ...............................................................................................................................................75 ELIGIBLE PROGRAMS.................................................................................................................................75 REIMBURSABLE EXPENSES ........................................................................................................................75 AMOUNT OF REIMBURSEMENT ..................................................................................................................76 TAX TREATMENT.......................................................................................................................................77 STATE TAX ................................................................................................................................................77 SOURCE OF REIMBURSEMENT....................................................................................................................77 EXCLUSIONS ..............................................................................................................................................77 USING VANGUARD INFORMATION FOR COURSE WORK .............................................................................78 IF YOU LEAVE VANGUARD .......................................................................................................................78

B. ADOPTION ASSISTANCE ..............................................................................................................79

INTRODUCTION ..........................................................................................................................................79 ELIGIBILITY ...............................................................................................................................................79 REIMBURSABLE ELIGIBLE EXPENSES ........................................................................................................79 EXCLUSIONS ..............................................................................................................................................79 EXCLUSIONS FROM TAXABLE INCOME ......................................................................................................80

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REIMBURSEMENT PROCEDURES ................................................................................................................80

C. BEST DOCTORS...............................................................................................................................81

INTRODUCTION ..........................................................................................................................................81 ELIGIBILITY ...............................................................................................................................................81 PARTICIPATION ..........................................................................................................................................81 COST OF COVERAGE ..................................................................................................................................81 HOW THE BENEFIT WORKS........................................................................................................................81 TERMINATION OF COVERAGE ....................................................................................................................81

D. CREWCARE......................................................................................................................................83

INTRODUCTION ..........................................................................................................................................83 ELIGIBILITY ...............................................................................................................................................83 COSTS OF COVERAGE AND SERVICES ........................................................................................................84 OTHER COSTS............................................................................................................................................84 PARTICIPATION ..........................................................................................................................................84 HOW THE PLAN WORKS ............................................................................................................................84 TERMINATION OF COVERAGE ....................................................................................................................84

E. CREW ASSISTANCE PROGRAM .................................................................................................85

INTRODUCTION ..........................................................................................................................................85 ELIGIBILITY ...............................................................................................................................................85 COST OF COVERAGE ..................................................................................................................................85 PARTICIPATION ..........................................................................................................................................85 HOW THE BENEFIT WORKS........................................................................................................................86 CONFIDENTIALITY .....................................................................................................................................86 TERMINATION OF COVERAGE ....................................................................................................................86

F. DEPENDENT SCHOLARSHIP PROGRAM .................................................................................87

INTRODUCTION ..........................................................................................................................................87 ELIGIBILITY ...............................................................................................................................................87 BENEFIT AMOUNT .....................................................................................................................................87 ELIGIBLE DEPENDENT CHILD ....................................................................................................................87 TAX TREATMENT.......................................................................................................................................87 SOURCE OF SCHOLARSHIP AWARD ............................................................................................................87 EXCLUSIONS ..............................................................................................................................................87

G. HEALTH SMART REWARDS WELLNESS PROGRAM ...........................................................88

INTRODUCTION ..........................................................................................................................................88 ELIGIBILITY ...............................................................................................................................................88 PARTICIPATION ..........................................................................................................................................88 COST OF COVERAGE ..................................................................................................................................88 HEALTH SMART REWARDS DOLLARS........................................................................................................88 HOW THE PROGRAM WORKS .....................................................................................................................88 TERMINATION OF COVERAGE ....................................................................................................................89

H. STUDENT LOAN REPAYMENT ASSISTANCE PROGRAM....................................................90

INTRODUCTION ..........................................................................................................................................90 ELIGIBILITY ...............................................................................................................................................90 BENEFIT AMOUNT .....................................................................................................................................90 ELIGIBLE STUDENT LOANS........................................................................................................................91 TAX TREATMENT.......................................................................................................................................91 SOURCE OF VANGUARD PAID LOAN REPAYMENTS ...................................................................................91 EXCLUSIONS ..............................................................................................................................................91 IF YOU LEAVE VANGUARD .......................................................................................................................91

I. SURROGACY ASSISTANCE..........................................................................................................92

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INTRODUCTION ..........................................................................................................................................92 ELIGIBILITY ...............................................................................................................................................92 REIMBURSABLE ELIGIBLE EXPENSES ........................................................................................................92 EXCLUSIONS ..............................................................................................................................................92 TAX TREATMENT.......................................................................................................................................92 REIMBURSEMENT PROCEDURES ................................................................................................................93

SECTION VI ? SEVERANCE PLAN .......................................................................................................94

PURPOSE ....................................................................................................................................................94 ELIGIBILITY ...............................................................................................................................................94 COST OF COVERAGE ..................................................................................................................................94 ELIGIBLE TERMINATION ............................................................................................................................94 TERMINATIONS THAT ARE NOT ELIGIBLE TERMINATIONS .........................................................................94 SPECIAL CORPORATE EVENTS ...................................................................................................................95 SEVERANCE PLAN BENEFITS .....................................................................................................................96 WHEN SEVERANCE MAY STOP AND/OR REQUIRE REPAYMENT ...................................................................97 RESERVATION OF DISCRETION ..................................................................................................................97 CLAIMS PROCEDURE FOR THE SEVERANCE PLAN ONLY ............................................................................98

SECTION VII ? CLAIMS AND APPEALS PROCEDURES FOR PLAN BENEFITS .....................101

DEFINITIONS ............................................................................................................................................101 BENEFITS CLAIMS AND APPEALS PROCEDURES.......................................................................................102 FILING A CLAIM.......................................................................................................................................102 IF YOUR CLAIM IS DENIED ......................................................................................................................103 APPEALING A DENIAL..............................................................................................................................104 NOTICE OF APPEAL DETERMINATION ......................................................................................................105 DENIAL OF APPEAL .................................................................................................................................105 ACA COMPLIANCE..................................................................................................................................106 CLAIMANTS MUST FOLLOW CLAIMS PROCEDURE...................................................................................107 TIME LIMIT FOR LEGAL ACTION .............................................................................................................107 GOVERNING LAW AND JURISDICTION AND VENUE ..................................................................................108 CLAIMS AND APPEAL PROCEDURE TIME DEADLINES ..............................................................................108 CLAIMS FIDUCIARY ? GROUP HEALTH BENEFITS ....................................................................................112 CLAIMS FIDUCIARY ? NON-HEALTH BENEFITS........................................................................................113 CLAIMS PROCESSOR ................................................................................................................................115

SECTION VIII ? ADMINISTRATIVE INFORMATION ....................................................................116

A. SUBROGATION AND REIMBURSEMENT RIGHTS...............................................................116

B. AMENDMENT AND TERMINATION.........................................................................................117

C. ERISA INFORMATION.................................................................................................................117

PLAN SPONSOR........................................................................................................................................117 EMPLOYER IDENTIFICATION NUMBER .....................................................................................................117 PLAN ADMINISTRATOR............................................................................................................................117 AGENT FOR SERVICE OF LEGAL PROCESS................................................................................................118 PLAN NAME.............................................................................................................................................118 PLAN NUMBER ........................................................................................................................................118 PLAN TYPE ..............................................................................................................................................119 PLAN FUNDING........................................................................................................................................119 PLAN YEAR .............................................................................................................................................119

D. YOUR RIGHTS UNDER ERISA ...................................................................................................120

RECEIVE INFORMATION ABOUT YOUR PLAN AND BENEFITS ...................................................................120 CONTINUE GROUP HEALTH PLAN COVERAGE .........................................................................................120 PRUDENT ACTIONS BY PLAN FIDUCIARIES ..............................................................................................120 ENFORCE YOUR RIGHTS ..........................................................................................................................120

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ASSISTANCE WITH YOUR QUESTIONS......................................................................................................121 E. HIPAA PRIVACY NOTICE...........................................................................................................122

THE PLAN'S DUTIES WITH RESPECT TO HEALTH INFORMATION ABOUT YOU .........................................122 HOW THE PLAN MAY USE OR DISCLOSE YOUR HEALTH INFORMATION..................................................123 OTHER ALLOWABLE USES OR DISCLOSURES OF YOUR HEALTH INFORMATION ......................................123 HOW THE PLAN MAY SHARE YOUR HEALTH INFORMATION WITH VANGUARD.......................................125 YOUR INDIVIDUAL RIGHTS......................................................................................................................126 CHANGES TO THE INFORMATION IN THIS NOTICE....................................................................................128 COMPLAINTS ...........................................................................................................................................129 CONTACT.................................................................................................................................................129 F. NOTICE UNDER WOMAN'S HEALTH AND CANCER ACT OF 1998 .................................130 G. NOTICE UNDER THE NEWBORN AND MOTHERS ACT .....................................................130 H. NOTICE OF CREDITABLE COVERAGE ..................................................................................131 I. NOTICE REGARDING VANGUARD'S HEALTH SMART REWARDS WELLNESS PROGRAM ................................................................................................................................................133

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