Page 9 - 2021 Mid Year Open Enrollment Guide

Summary of Changes - Legacy BFS INCOME PROTECTION

Team Members New employer paid short-term disability coverage for all eligible full-time team
Short-Term Disability members providing 50% base wage replacement for up to 26 weeks, limited to
$2,000 per week. See p. 40.
MEDICAL
Currently, team members enrolled in the voluntary short-term disability plan will
be mapped to the Buy-Up STD plan providing 66.67% wage replacement (limited
Earnings tiers for medical contributions are consolidating from five to four tiers;
Team Member Contributions earnings tier of <$25K has been eliminated and rolled into the next tier of Buy-Up to $2,000 per week of employer-paid and Buy-Up benefit combined). If a team
<$39.9K. Short-Term Disability member's base earnings exceed the value of the plan, Buy-Up coverage cannot be
elected. Team member contributions for the Buy-Up plan are lower than the current
voluntary STD plan.
Plan name change to Core HDHP. Increase in Deductible and Out-of-Pocket Limits: Long-Term Disability Lower team member cost due to lower carrier rates and increased employer cost
EE Only Deductible increased from $2,500 to $2,600; EE + Dep(s) Deductible (Voluntary) share of 50%. See p. 41.
Consumer HDHP increased from $5,000 to $5,200. Individual Out-of-Pocket limit increased from LTD disability benefits begin on the 181st day of disability (bridged by 26 weeks
$6,500 to $7,000. Plan includes Basic Critical Illness coverage of $5,000 to cover Long-Term Disability of employer-paid short-term disability). This is a change from benefits beginning
the employee only across all coverage tiers.
Elimination Period on the 91st day of disability. The change affects any disability with a start date
on or after 6/1.
The Buy-Up HDHP is a richer medical plan offering than the other plans. The Long-Term Disability Open Sun Life is allowing a ONE-TIME Open Enrollment for 6/1. This is a great
New Medical Plan Offering Buy-Up plan is a qualified High Deductible Health Plan allowing the participant to Enrollment opportunity to elect LTD coverage without proof of good health!
contribute to a Health Savings Account. See p. 14.
SURVIVOR BENEFITS
Kaiser HMO will be offered in certain Northern and Southern California zip codes.
New Medical Plan Offering Affected team members will have an insert included in their benefits guide with Life and AD&D Carrier change from Sun Life to Voya; all current coverage transfers to new carrier.
details.
Voya is allowing a ONE-TIME Open Enrollment for employee and spouse
The Working Spouse exclusion is being eliminated. Legacy BFS team members Supplemental Life Open supplemental life without requiring proof of good health. This is a great opportunity
may now enroll a spouse in a BFS medical plan even if the spouse has an offer
Working Spouse of coverage from his/her employer that meets ACA requirements of Qualifying Enrollment for team members who previously declined coverage or cannot get approved
Coverage. A Spousal Surcharge of $100 per month will apply for coverage effective due to health conditions. To enroll, see p. 42.
after 6/1. See p. 13. The age at which Basic Life & AD&D coverage decreases due to age is increasing
Age Reduced Coverage from age 65 and 70 to ages 70, 75 and 80. Some legacy BFS team members will
The Employee Tobacco Surcharge is increasing from $50 per month to $100 per see an increase to current company-paid life and AD&D.
Tobacco Surcharge month. The Tobacco Surcharge for a Spouse enrolled in a medical plan is
discontinued as of 6/1. 401(K) PLAN
Increase to 401(k) employer match from 40% of your contributions
DENTAL Employer Matching up to 5% to 50% of your contributions up to 6% of your eligible per pay period
Contribution compensation effective 6/1. See p. 44.
Dental Plan Enhancement Adult orthodontia benefit is now included as part of the Dental Enhanced Plan.
OTHER NEW PLAN OPPORTUNITIES
VISION
Legal Services Plan Discounted legal services plan offered through MetLaw. See p. 47.
Team Member Contributions Lower payroll contributions for the same coverage.
Annual Plan Limits Restart of annual plan limits as of 6/1. Identity Theft Protection Available through Allstate Identity Protection. See p. 48.

SUPPLEMENTAL HEALTH PLANS Discounted Home/Auto Discounted home/auto through Metlife on a direct bill basis. See p. 49.

The Medical Gap Plan is discontinued as of 6/1. See pp. 29-33 for information
Medical Gap Plan
regarding new Supplemental Health Plans.
New Supplemental Health New supplemental health plans are being offered through Voya.
Plans See pp. 29-33 for information on Critical Illness, Hospital Indemnity and Accident plans.

6 • 2021 BUILDERS FIRSTSOURCE MID-YEAR BENEFITS GUIDE 2021 BUILDERS FIRSTSOURCE MID-YEAR BENEFITS GUIDE • 7