2021 Benefits Snapshot - Amazon Web Services

1 Benefits Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev. 12/14/20 Welcome to Your Penumbra Benefits !This Benefits Snapshot provides you with an overview of the Benefits available to you at Penumbra. For more information, listen to the recorded education presentations and review the annual notices, benefit summaries, Summary Plan Descriptions, or Evidences of Coverage at or email employees at Penumbra and its subsidiaries are eligible for Benefits if you are scheduled to work an average of 30 hours per week. Eligible dependents include your spouse or domestic partner and your or your domestic partner's children up to age 26 unless they cannot physically or mentally care for themselves or meet other plan eligibility to EnrollEnroll in or make changes to your Benefits by logging onto UKG Pro via PenHub or UKG ProLog on to UKG Pro via PenHub to enroll : Name: Your Penumbra email address Password: Your network passwordFor login assistance, email Benefits Portal: MyBenefitsNowAccess Penumbra s Benefits information 24/7 from any device.

2 Carrier phone numbers, group numbers, claim forms, and other Benefits materials are available. Website: 2021 Benefits Snapshot1 Benefits Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev. 12/14/20 Medical Plan Comparison Plan FeaturesBlue Shield CA HDHP/HSABlue Shield CA PPOIn-NetworkOut-of-NetworkIn-NetworkOut -of-NetworkCalendar Year Deductible1 Individual / Family$2,800 / $5,200$5,000 / $10,000$500 / $1,000 $1,000 / $2,000 Calendar Year Out-of-Pocket Maximum1 Individual / Family$5,000 / $10,000$10,000 / $20,000$3,000 / $6,000 $6,000 / $12,000 Penumbra Annual HSA ContributionIndividual / Family$1,400 / $2,600N/AYou pay:Preventive Care VisitCovered in fullNot coveredCovered in fullNot coveredPrimary Care Visit10% after deductible30% after deductible$20 copay30% after deductibleSpecialist Visit10% after deductible30% after deductible$40 copay30% after deductibleTelemedicine VisitCovered in fullNot coveredCovered in fullNot coveredUrgent Care10% after deductible30% after deductible$20 copay30% after deductibleEmergency Room10% after deductible$150 copay (waived if admitted)Outpatient Facility Services 10% after deductible30% up to $350/day plus 100% of additional charges, after deductible10% after deductible30% up to $350/day plus 100% of additional charges, after deductibleInpatient Facility Services 10% after deductible30% up to $600/day plus 100% of additional charges, after deductible10% after deductible30% up to $600/day plus 100% of additional charges, after deductibleChiropractic Services10% after deductible(24 visits per year)30% after deductible(24 visits per year)

3 $20 copay(24 visits per year)30% after deductible(24 visits per year)Acupuncture10% after deductible(20 visits per year)30% after deductible(20 visits per year)10% after deductible(20 visits per year)30% after deductible(20 visits per year)Prescription Drugs: Retail (up to a 30-day supply)Tier 1$10 copay after deductible25% of purchase price + $10 per prescription, after deductible$10 copay25% of purchase price + $10 per prescriptionTier 2$35 copay after deductible25% of purchase price + $35 per prescription, after deductible$30 copay25% of purchase price + $30 per prescriptionTier 3$60 copay after deductible25% of purchase price + $60 per prescription, after deductible$50 copay25% of purchase price + $50 per prescriptionTier 4 (excluding specialty drugs)30% up to $200 per prescription, after deductible25% of purchase price + 30% up to $200 per prescription, after deductible30% up to $200 per prescription25% of purchase price + 30% up to $200 per prescriptionTier 4 (specialty drugs)30% up to $200 per prescription, after deductibleNot covered30% up to $200 per prescriptionNot coveredPrescription Drugs.

4 Mail Order for 2x retail copay (up to a 90-day supply)1If you cover dependents, the Blue Shield plans have individual limits (deductible and out-of-pocket maximum) within the family limits (deductible and out-of-pocket maximum). This means that these limits will be met for an individual who meets the individual limit prior to the family limit being satisfied within a calendar year. For example, one member can satisfy his/her individual deductible in order for the coinsurance to apply for that Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev. 12/14/20 Medical Plan Comparison (continued) Plan FeaturesKaiser HMOIn-Network OnlyCalendar Year DeductibleIndividual / FamilyNoneCalendar Year Out-of-Pocket MaximumIndividual / Family$2,500 / $5,000 Penumbra Annual HSA Contribution Individual / FamilyN/AYou pay:Preventive Care VisitCovered in fullPrimary Care Visit$20 copaySpecialist Visit$40 copayTelemedicine VisitNo chargeUrgent Care$20 copayEmergency Room$150 copay (waived if admitted)Outpatient Facility Services $35 copay per procedureInpatient Facility Services $250 copay per admissionChiropractic Services $15 copay (20 visits per year)AcupunctureNot coveredPrescription Drugs: Retail (up to a 30-day supply)Tier 1 Generic - $10 copayTier 2 Brand - $35 copayTier 3N/ATier 4 (excluding specialty drugs)N/ATier 4 (specialty drugs)Specialty - 20% not to exceed $150 Prescription Drugs: Mail Order for 2x retail copay (up to a 100-day supply)3 Benefits Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev.

5 12/14/20 Dental CoveragePlan FeaturesMetLife Low PPOMetLife High PPOIn-Network Out-of-NetworkIn-NetworkOut-of-NetworkCa lendar Year Deductible (Individual / Family)$50 / $150$100 / $300$50 / $150$100 / $300 Calendar Year Benefit Maximum$1,000 per person$2,000 per personDiagnostic and Preventive ServicesCovered at 100% (deductible waived)Covered at 100% (deductible waived)Basic and Restorative Services Covered at 80% after deductibleCovered at 70% after deductibleCovered at 90% after deductibleCovered at 80% after deductibleMajor Services Covered at 50% after deductibleCovered at 40% after deductibleCovered at 65% after deductibleCovered at 50% after deductibleOrthodontia (children up to age 26, adults)Not coveredCovered at 50% after deductibleOrthodontia lifetime Maximum$2,000 per personVision CoveragePlan FeaturesVSP In-NetworkOut-of-NetworkYou pay:Plan reimburses you:Exam every 12 months$10 copayUp to $45 Frames every 12 months$200 allowance after $25 copay; 20% off balance over $200Up to $70 Lenses every 12 monthsIncluded in prescription glassesUp to $30-$65 depending on lensesContacts (instead of glasses) every 12 months$200 allowance for contacts; contact lens exam (fitting and evaluation) up to $60Up to $105 Laser Vision CorrectionAverage 15% off regular price or 5% off promotional price from contracted facilitiesNot coveredUV Protection$0 copayNot coveredEasy Options (choose one upgrade per year)$300 retail frame allowance, $300 elective contact lens allowance, anti-reflective coating or photochromatic lensesNot coveredYour Cost for CoverageThe chart below shows your 2021 monthly cost for health coverage.

6 * Benefit PlanEmployee OnlyEmployee + Spouse/Domestic PartnerEmployee + Child(ren)Employee + FamilyMedicalBlue Shield HDHP$ $ $ $ Shield PPO$ $ $ $ HMO (CA)$ $ $ $ Low PPO$ $ $ $ High PPO$ $ $ $ $ $ $ $ *There may be tax implications (post-tax and imputed income) when you enroll your domestic partner and/or his or her children. For the breakdown of pre-tax, post-tax, and imputed income costs, visit Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev. 12/14/20 Health Savings Account (HSA)When you enroll in the Blue Shield HDHP medical plan, you may be eligible to open a Health Savings Account (HSA) if you meet certain eligibility requirements. You can set aside money before taxes to pay for qualified health care expenses. Penumbra also funds your HSA quarterly to help offset the deductible. Visit for more HSA contributions made by you and Penumbra must not exceed the annual maximums set by the IRS each Type2021 Maximum Contribution Limit 12021 Penumbra HSA Contribution2021 Maximum Employee Contribution 1 Individual Coverage$3,600Up to $1,400$2,200 Family Coverage$7,200Up to $2,600$4,6001 If you are age 55 or over, you can contribute an additional catch-up amount of $1,000.

7 This means that individuals can contribute a maximum of $3,200 and families can contribute a maximum of $5, Spending Account (FSA)Flexible Spending Accounts (FSAs) allow you to set aside money before taxes to reimburse yourself for qualified health care and daycare expenses. For more details, visit All FSA contributions must not exceed the annual maximums set by the IRS each ContributionDependent Care FSA$5,000 / yearHealth Care FSA$2,750 / yearLimited Purpose FSA (HDHP Only)$2,750 / yearCommuter BenefitsThe Commuter Benefits Program allows you to set aside money before taxes to pay for qualified transportation expenses related to your commute. For more details, visit contributions must not exceed the monthly maximums set by the IRS each ContributionTransit$270 / monthParking$270 / month5 Benefits Portal: 2021 Benefits Snapshot CA OnlyEmail: Rev. 12/14/20 Life and AD&D InsurancePenumbra offers Basic Life and AD&D insurance equal to 2 times your base annual earnings up to a maximum of $1,000,000 at no cost to may buy additional Life and AD&D insurance for yourself, your spouse or domestic partner, and your children.

8 Log on to UKG Pro for the cost. You may elect the following amounts:Employee: $10,000 increments up to the lesser of five times your base annual earnings or $1,450,000. Any Life insurance election over $200,000 requires evidence of insurability (EOI).Spouse/Domestic Partner: $10,000 increments up to $150,000, not to exceed 100% of your election. Any Life insurance election over $30,000 requires : $1,000 from birth to 6 months. After 6 months, coverage increases to $10, InsurancePenumbra offers Short-Term and Long-Term Disability (STD / LTD) insurance when you are injured or ill at no cost to you. You have the option to choose whether the benefit amount you receive on an approved claim is taxable or tax-free. STD covers 60% of your weekly earnings up to $3,462 per week after a 7-day waiting period. Benefits last for a maximum of 25 weeks. LTD covers 60% of your monthly earnings up to $15,000 per month after a 180-day waiting period. Benefits last as long as you meet eligibility requirements up to your normal retirement age.

9 Employee Assistance Program (EAP)Penumbra offers an EAP at no cost to you. The EAP provides 6 confidential face-to-face visits per problem per year and 24/7 on-line and phone support for family, financial, and legal and Home InsuranceAuto and Home insurance provides access to personal lines of property and casualty insurance at a discounted cost. Contact MetLife for a Illness InsuranceCritical Illness insurance can help pay for expenses related to the diagnosis of a critical illness such as a heart attack, coma, kidney failure, or cancer. Log on to UKG Pro for the Services Plan The Legal Services plan provides a free 30-minute consultation, discounted attorney fees, and covered legal Services such as wills, traffic disputes, and adoption. Log on to UKG Pro for the InsurancePet insurance provides access to coverage for your cats and dogs at a discounted cost. Contact Metife for a quote. 401(k) PlanThe 401(k) plan allows you to set aside money before taxes to save for retirement.

10 Contributions cannot exceed the annual maximum limit, including the additional catch-up amount, set by the IRS. Penumbra offers a discretionary match. Visit for Stock Purchase Program (ESPP)Penumbra offers an ESPP, which gives you the opportunity to buy stock at a 15% discount twice a year through payroll deductions. For details, visit or email BenefitsCarrier Contacts CoverageVendorPhoneWebsite401(k) & Home, Critical Illness & Assistance ProgramConcern Health1-800-344-4222 Code: PenumbraFSA & Commuter Code: PEUH ealth Savings Access Code: GetLawLife, AD&D & Shield of