2022 FLEXIBLE BENEFITS RATES

1 HUMAN RESOURCES ADMINISTRATION2022 FLEXIBLE BENEFITS RATESF lexible BENEFITS : Rate Summary2022 Plan YearEmployee LifeCoverage Selections 1,2,3,4,5,6,7,8,9, 10xBenefit Salary Spousal Life CoverageSelections$6,000, $12,000, $30,000, $60,000, $100,000, $150,000, $200,000, $250,000 Accidental DeathCoverage Selections1,2,3,4,5,6,7,8,9, 10xBenefit SalaryEmployee Age(rate per thousand)(rate per thousand)(rate per thousand) over Spouse Life RATES are based on spouse s age An administrative fee will be added to the premium Computations are based on rate per CoverageMetLife2 FLEXIBLE BENEFITS Rate Summary2022 Plan YearChild Life$3,000 Child Life$6,000 Child Life$10,000 Child Life$15,000 Child Life$20,000$ $ $ $ $ Coverage (continued) Child Life RATES based on coverage Level Employee must be enrolled in Employee Life An administrative fee is reflected in the premiumDental Plans Delta Dental: Select PlanDelta Dental:Select Plus PlanCigna.

2 DHMOE mployee$ $ $ + Spouse$ $ $ + Children$ $ $ $ $ $ An administrative fee is reflected in the premium3 FLEXIBLE BENEFITS Rate Summary2022 Plan YearEBlue CrossBlue Shieldof Georgia Vision SelectBlue Cross Blue Shield of Georgia Vision Select PlusEmployee$ $ + Spouse$ $ + Children$ $ $ $ View VisionLegal PlanMetLife Legal Plans SelectMetLife Legal Plans SelectPlusMetLife Legal Plans Select PremiumEmployee$ $ $ $ An administrative fee is reflected in the premium An administrative fee is reflected in the premium4 FLEXIBLE BENEFITS Rate Summary2022 Plan YearEmployee AgeGroupShort TermDisabilityLongTerm Disability without Retirement Disability Long Term Disability with Retirement Disability EmployeeAge GroupSeven Day PlanThirty Day PlanUnder SocialSecurityNot Under Social SecurityUnder SocialSecurityNot Under Social Standard Disability Plans An administrative fee will be added to the premium Computations are based on rate per thousand5 FLEXIBLE BENEFITS Rate Summary2022 Plan YearEmployee Critical Illness Select PlanAFLAC$5,000 CoverageLevel$10,000 Coverage Level$20,000 Coverage Level$30,000 Coverage Level$40,000 Coverage Level$50,000 Coverage LevelAge Groups18-29$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ +$ $ $ $ $ $ An administrative fee is reflected in the premium6 FLEXIBLE BENEFITS Rate Summary2022 Plan YearSpouse Critical Illness Select PlanAFLAC$5,000 CoverageLevel$10,000 Coverage Level$20,000 Coverage Level$30,000 Coverage Level$40,000 Coverage Level$50,000 Coverage LevelAge Groups18-29$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ +$ $ $ $ $ $ An administrative fee is reflected in the premium7 FLEXIBLE BENEFITS Rate Summary2022 Plan YearEmployee Critical Illness Select Plus PlanAFLAC$5,000 CoverageLevel$10,000 Coverage Level$20,000 Coverage Level$30.

3 000 Coverage Level$40,000 Coverage Level$50,000 Coverage LevelAge Groups18-29$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ +$ $ $ $ $ $ An administrative fee is reflected in the premium8 FLEXIBLE BENEFITS Rate Summary2022 Plan YearSpouse Critical Illness Select Plus PlanAFLAC$5,000 CoverageLevel$10,000 Coverage Level$20,000 Coverage Level$30,000 Coverage Level$40,000 Coverage Level$50,000 Coverage LevelAge Groups18-29$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ +$ $ $ $ $ $ An administrative fee is reflected in the premium9 FLEXIBLE BENEFITS Rate Summary2022 Plan YearWageWorks FLEXIBLE spending Accounts Health Careand Dependent Care FLEXIBLE spending AccountsEmployees enrolled in the Health Care FLEXIBLE spending Accountwill be charged a $ monthly administrative fee. Unum Long-Term Care Employees who are interestedin enrolling or making changes to the Long-Term Care plan must contact UNUM at or call 1-888-764-3539.

4 If enrolling, you must download the application from UNUM s website. Once you have completed the application, please mail it to UNUM. All Long-Term Care enrollment information must be returned directly to UNUM. 12% premium increase on Long-Term Care plan options with Compound Inflation A monthly administrative fee of $.70 will be added to the Long-Term Care premium10