UL - 2023-24 Benefits Guide (FINAL 11.1.2023) SP

2023 Gerresheimer Salary Benefits Bulletin • 9

DENTAL & VISION PLAN OVERVIEWS

Without healthy teeth, you may be unable to enjoy many of the delicious foods on which we subsist. You may be embarrassed to speak in front of others if the appearance of your teeth is less than desirable. Furthermore, dental problems can lead to or be a symptom of other health related problems. Consequently, the Company will continue to offer dental coverage in 2023 under two arrangements, as outlined below. The primary differences are the annual maximum benefit and availability of orthodontia coverage. As you might expect, you will pay more for the arrangement that provides greater benefits. For 2023, there are no changes to the benefit designs or its premiums. 2023 Dental Coverage Administered by MetLife

Website: http://mybenefits.metlife.com Phone: 1-800-942-0854

Price Breakdown of Dental Plan Options

The Dental Plan premiums per pay will be as follows:

GOLD PLAN BASIC PLAN

Employee Only

$4.40

$4.04

Employee + 1

$9.80

$7.69

Family

$15.64

$11.64

GOLD PLAN

BASIC PLAN

DENTAL BENEFIT

IN-NETWORK / OUT-OF-NET WORK

IN-NETWORK ONLY

Deductible Individual / Family

$25 / $75

$25 / $75

Preventive Care

100% of Allowed Benefit 80% of Allowed Benefit 50% of Allowed Benefit

100% of Allowed Benefit 80% of Allowed Benefit 50% of Allowed Benefit

Routine Care Major Care

Maximum Annual Benefit Non-Orthodontia Orthodontia

$1,000 per member Not Covered

$1,500 per member 50% of Allowed Benefit $1,000 lifetime maximum per family member

2023 Vision Coverage Administered by Vision Service Plan

Website: http://www.vsp.com Phone: 1-800-877-7195

Imagine if you couldn’t see your child’s bright smile, the rainbow after a storm or the love in the eyes of the one who makes your heart beat faster. Those who have lost all or part of their sight can live quite fulfilling lives, but would you voluntarily make that choice? While the available vision care plan doesn’t address diseases of the eye (they fall under medical coverage), routine eye exams and vision correction are still important and can lead to the early discovery of potentially serious problems. When you are enrolled in the plan, you can obtain related services at comparatively reasonable prices and help keep the beautiful things around in your line of vision. For 2023, neither the vision care plan design nor its premiums are changing.

Price Breakdown of Vision Plan

VISION PLAN

Employee Only

$2.01

Employee + 1

$2.91

Family

$5.21

VISION BENEFIT

IN-NETWORK

OUT-OF-NETWORK

Standard Exams – every 12 months

$10 copayment

Up to $45 allowance

Lenses – every 12 months Single

$ 30 allowance $ 50 allowance $ 65 allowance $100 allowance

Bifocal Trifocal Lenticular

$10 material copayment

Frames – every 24 months Contacts – every 12 months Medically Necessary Elective

Up to $200 plus 20% discount over limit

Up to $70 allowance

$10 material copay $150 maximum

Up to $210 allowance $105 maximum