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CenturyLink Retiree and Inactive Health Care Plan

Issued August 2020 Summary Plan DescriptionFor Qwest RepresentedCenturyLink, January 1, 2020 This SPD must be read in conjunction with the Retiree General Information SPD, which explains many details of your coverage and provides a listing of the other bene t options under the Retiree and Inactive Health Care Plan Retiree Health Reimbursement Account (HRA)(Administered by YSA)iiRetiree HRA SPD Issued August 2020I. OVERVIEW SUMMARY 1II. ADMINISTRATOR S CONTACT LIST3 III. INTRODUCTION4 The Required Forum for Legal Disputes 5 HOW TO USE THIS DOCUMENT5 CenturyLink s right to use your Social Security number for administration of bene ts6IV. WHO IS ELIGIBLE6 ELIGIBLE DEPENDENTS7 NON-MEDICARE PARTICIPANTS (excluding Qwest Pre-1991 and ERO 92 retirees)8 REHIRED RETIREES8V. WHEN YOU BECOME MEDICARE-ELIGIBLE8 For additional Medicare information:9VI. HOW TO ENROLL IN AN INDIVIDUAL MEDICARE POLICY10 VII. EFFECTIVE DATES OF COVERAGE - DEADLINES YOU MUST BE AWARE OF11 VIII.

Dependent This has a onetime allocation of funding at your retirement, as agreed to in the collective bargaining agreement, if applicable. Premiums and out-of- pocket expenses for medical/prescription, dental and vision (including Medicare Part B premium, but excluding any COBRA premiums). Balance rolls over from year to year, but once it is

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