2020 Associate Benefits Book

2020 Associate

Benefits Book

Summary Plan Descriptions with

2021 Summaries of Material

Modifications

What¡¯s inside

Medical plan

Life insurance and disability plans

Pharmacy benefit

Associate Stock Purchase Plan

Dental plan

Walmart 401(k) Plan

Vision 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

Company?paid life insurance

148

Optional associate life insurance

154

Optional dependent life insurance

160

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 72716?3500.

Accidental death and dismemberment

(AD&D) insurance

166

Business travel accident insurance

174

Short?term disability for full-time hourly associates 180

Salaried short-term disability plan

190

Truck driver short?term disability plan

198

Long?term disability

206

Truck driver long?term 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

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 72716?3500.

O puede llamar para cualquier pregunta al 800?421?1362. 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

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¡ªlook 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.

?

Welcome to your 2020

Associate Benefits Book

3

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

5

RESOURCES

Find What You Need

Online

Other Resources

? Enroll in Walmart benefits

? Notify People Services within 60

days of a status change event

Go to One. or

Workday for Jet associates

Call People Services at 800-421-1362

Notify People Services if you have

questions about the payroll deductions

for your benefits

Call People Services at 800-421-1362

Pay premiums for benefits while on a

leave of absence

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

Eligibility and enrollment

Eligibility and enrollment

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download