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SUPPLEMENT TO THE CONOCOPHILLIPS EMPLOYEE …

EMPLOYEE BenefitsHANDBOOKE ffective January 1, 2019 EMPLOYEE Medical PlanEmployee Vision Plan EMPLOYEE Dental PlanFlexible Spending PlanEmployee Assistance PlanEmployee Life InsuranceEmployee Accidental Death & Dismemberment InsuranceShort-Term Disability BenefitsLong-Term Disability InsuranceSeverance Pay Plani2019 WelcomeWelcome to the CONOCOPHILLIPS EMPLOYEE benefits Handbook iiContacts A-1 EMPLOYEE Medical Plan B-1 EMPLOYEE Vision Plan C-1 EMPLOYEE Dental Plan D-1 Flexible Spending Plan E-1 EMPLOYEE Assistance Plan F-1 EMPLOYEE Life Insurance G-1 EMPLOYEE Accidental Death & Dismemberment Insurance H-1 Short-Term Disability benefits I-1 Long-Term Disability Insurance J-1 Severance Pay Plan K-1 Other Information/ erisa L-1 Glossary M-1 Appendix For Certain Historical Plan Provisions of Health & Welfare Plans N-1 This handbook is the Summary Plan Description (SPD) for the CONOCOPHILLIPS health and welfare plans. Additionally if you are enrolled in a plan that s insured and provides you an insurance contract and Certificate of Coverage, that insurance contract and the Certificate of Coverage will be considered a part of the SPD for that insured plan.

Employee Assistance Plan F-1 Employee Life Insurance G-1 Employee Accidental Death & Dismemberment Insurance H-1 Short-Term Disability Benefits I-1 Long-Term Disability Insurance J-1 Severance Pay Plan K-1 Other Information/ERISA L-1 Glossary M-1 Houston Onsite Medical Clinic Employee Plan N-1 This handbook is the Summary Plan Description (SPD ...

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Transcription of SUPPLEMENT TO THE CONOCOPHILLIPS EMPLOYEE …

1 EMPLOYEE BenefitsHANDBOOKE ffective January 1, 2019 EMPLOYEE Medical PlanEmployee Vision Plan EMPLOYEE Dental PlanFlexible Spending PlanEmployee Assistance PlanEmployee Life InsuranceEmployee Accidental Death & Dismemberment InsuranceShort-Term Disability BenefitsLong-Term Disability InsuranceSeverance Pay Plani2019 WelcomeWelcome to the CONOCOPHILLIPS EMPLOYEE benefits Handbook iiContacts A-1 EMPLOYEE Medical Plan B-1 EMPLOYEE Vision Plan C-1 EMPLOYEE Dental Plan D-1 Flexible Spending Plan E-1 EMPLOYEE Assistance Plan F-1 EMPLOYEE Life Insurance G-1 EMPLOYEE Accidental Death & Dismemberment Insurance H-1 Short-Term Disability benefits I-1 Long-Term Disability Insurance J-1 Severance Pay Plan K-1 Other Information/ erisa L-1 Glossary M-1 Appendix For Certain Historical Plan Provisions of Health & Welfare Plans N-1 This handbook is the Summary Plan Description (SPD) for the CONOCOPHILLIPS health and welfare plans. Additionally if you are enrolled in a plan that s insured and provides you an insurance contract and Certificate of Coverage, that insurance contract and the Certificate of Coverage will be considered a part of the SPD for that insured plan.

2 When you enroll you will receive information about how to access the current cost for most of the plans described in this handbook. That information and any Summaries of Material Modifications that are issued should be maintained with this handbook. If you are enrolled in a plan that s insured by an insurance contract, sections of this handbook that do not apply to you will be indicated. Some employees are not eligible to participate in the plans described in this handbook. Receipt of this handbook does not mean you are eligible to participate in all the plans described. To be eligible to participate in a particular plan, you must meet the eligibility requirements outlined for that plan. This handbook does not describe health and welfare benefits for retired employees. Every effort has been made to ensure the accuracy of this handbook. If there is any conflict between this handbook and the official plan documents, the official plan documents will control.

3 If an insurance contract exists, it is part of the official plan document and will control. The Appendix of this handbook contains details of certain historical official plan provisions. Nothing in this handbook creates an employment contract between CONOCOPHILLIPS Company or its subsidiaries and affiliates and any EMPLOYEE . The Company reserves the right to amend or terminate a plan at any time, in its sole discretion, according to the terms of the to the CONOCOPHILLIPS EMPLOYEE benefits HandbookiiWelcome 2019 CONOCOPHILLIPS is committed to your overall health and well-being, and we re pleased to ofier a quality, competitive bene ts package that provides valuable health care and nancial protection for you and your family. Your bene ts are a signi cant part of your total compensation at CONOCOPHILLIPS , and it s your responsibility to make sure you understand them and use them wisely. This easy-to-use handbook, which features important information about our health and welfare bene t plans, is designed to help you do just WelcomeFeatures to Help YouWithin the handbook, you ll find features to help increase your understanding of the benefit plan being described.

4 These features include: Examples We ve included several examples of your benefits at work. As you see your benefits in action, you ll get a working understanding of the mechanics of your CONOCOPHILLIPS benefit plans and how they might apply to you. Icons The following icons placed throughout the text highlights essential information for you:p Refers you to other sections in the handbook that provide additional information on the Highlights information of special importance. Contacts For easy reference, this chapter, located at the front of the handbook, provides you with the phone numbers, addresses, and websites for benefit plan resources when you have questions or need contact information. Glossary Some benefit terms used in this handbook have very specific meanings. These terms are underlined throughout this book, and you ll find their definitions in the Glossary at the end of the Up-to-DateThe benefit information in this handbook will be updated from time-to-time, as necessary.

5 When that happens, you ll receive a notice of what s changing and when. Be sure to keep any updates with this handbook for easy access. Additional information about your CONOCOPHILLIPS benefits is available on WelcomeiiiWelcome 2019A-12019 Contacts = Mobile AccessibleContactsAFor the Health and Welfare Plans A-2 Plan Administration A-2 COBRA Administration A-2 Claims and Services A-3 Medical, Prescription Drug, Vision Discount.

6 Hearing Discount and Mental Health/Substance Use Disorder benefits A-3 Vision benefits A-5 Dental benefits A-5 Flexible Spending Plan A-6 Disability benefits A-6 Life and Accidental Death & Dismemberment (AD&D) Insurance A-7 EMPLOYEE Assistance Plan (EAP) A-8 For the CONOCOPHILLIPS Severance Pay Plan A-9A-2 Contacts 2019 For the Health and Welfare PlansPlan AdministrationFor Information on:Contact/AddressPhone/Operating Hours Eligibility criteria to participate in a health and welfare plan Enrollment, changing coverage Changing personal information (including dependent information) Coverage amounts Payment of premiums Qualified Medical Child Support Orders (QMCSO) benefits Center Box 64057 The Woodlands, TX 77387-4057 Web: Visit to see benefit plan information Visit Your benefits Resources (YBR) through HR Express (for active employees only), or at for personal and benefit plan information and enrollments(800) 622-5501 or (718) 354-13448:00 to 6:00 Central time, Monday Friday, except Company holidays Accessing HR Express, your logon ID, password or Web access codeEmail (via Web for employees): or Service Desk (918) 661-4095 or (866) 322-282524 hours/day, 365 days/yearEurope/Middle East/Africa Service Desk +47-52-02-222224 hours/day, 365 days/yearAsia/Pacific Service Desk +61-8-6363-200024 hours/day, 365 days/yearCOBRA AdministrationFor Information on:Contact/AddressPhone/Operating HoursContinuing your medical, vision, dental, EMPLOYEE Assistance Plan and Flexible Spending Plan s Health Care Flexible Spending AccountBenefits Center Box 64057 The Woodlands, TX 77387-4057 Web.

7 Visit to see benefit plan information Visit Your benefits Resources (YBR) at for personal and benefit plan information and enrollments (800) 622-5501 or (718) 354-13448:00 to 6:00 Central time, Monday Friday, except Company holidaysA-32 019 ContactsContactsClaims and ServicesThe Plans described in this Summary Plan Description (SPD) have a benefits Committee that has delegated certain responsibilities to others, which may include the administration of claims. Contact information provided below identifies others who have been delegated authority to assist you with your participation in the Plans, including the filing of claims. See the How to File a Claim section in each of the health and welfare benefit plan chapters for details on filing a benefit claim. See the information in this section for the Claims Administrators and their contact information. See Claims and Appeals Procedures for information on how to appeal a denied claim and for the Appeals Administrators contact information.

8 P Claims and Appeals Procedures, page L-26 See Plan Administration for descriptions of the benefits Committee s rights and responsibilities and its contact Plan Administration, page L-4 For Information on:Contact/AddressPhone/Operating HoursMedical, Prescription Drug, Vision Discount, Hearing Discount and Mental Health/Substance Use Disorder BenefitsYou should contact the appropriate parties identified below if you have questions about: Network providers Covered and non-covered expenses ID cards ClaimsMedical benefits (see medical ID card for network used)Aetna, Inc. Medical Claims Administrator Box 981106 El Paso, TX 79998-1106 Web: or (8 0 0) 738 -76748:00 to 6:00 Central time, Monday FridayNational Medical Excellence Program (for solid organ and bone marrow transplants)TeladocWeb: ( 8 7 7 ) 212 - 8 8118:00 to 5:00 Eastern time, Monday Friday(855) 835-236224 hours/day, 365 days/yearHealth Improvement ProgramsProvant Health SolutionsWeb: Tobacco CessationWeb: Informed Health Line/Nurseline (to speak with a registered nurse 24 hours/day)Disease ManagementWeb: or (877) 239-35577:00 to 6:00 Eastern time, Monday Friday, excluding holidays(8 6 6) 213 - 01538:00 to 10:00 Eastern time, Monday Friday(800) 556-155524 hours/day, 365 days/year(8 0 0) 738 -76748:00 to 6:00 Central time, Monday Friday(continued)A-4 Contacts 2019 For Information on.

9 Contact/AddressPhone/Operating HoursMedical, Prescription Drug, Dental, Mental Health and Substance Use Disorder benefits (Only employees eligible for the Inpatriate Medical and Dental Plan or the Expatriate Medical and Dental Plan)Cigna Global Health benefits Claims Administrator Box 15050 Wilmington, DE 19850-5050 Web: the : ( 8 5 5 ) 611- 813 024 hours/day, 365 days/yearOutside the : (302) 797-5252 (call collect)24 hours/day, 365 days/yearFax: (800) 243-6998 (302) 797-3150 (direct)Prescription Drug BenefitsCVS caremarkTM Claims Administrator Box 52136 Phoenix, AZ 85072-2136 Web: or or ( 8 5 5 ) 2 9 3 - 411824 hours/day, 365 days/yearFor Specialty Pharmacy: (800) 237-27676:30 to 8:00 Central time, Monday FridayFor FastStart Program: (800) 378-56979:00 to 7:30 Eastern time, Monday FridayFor ExtraCare Health Card: (888) 543-59388:00 to 10:00 Eastern time, Monday Friday10:00 to 6:30 Eastern time, Saturday SundayVision Discount ProgramAetna Vision Discounts Claims Administrator Box 981106 El Paso, TX 79998-1106 Web: (8 0 0) 793 - 8 6167:30 to 11:00 Eastern time, Monday Saturday11:00 to 8:00 Eastern time, SundayContact Lens Replacement (800) 391-53677:30 to 11:00 Eastern time, Monday Saturday11:00 to 8:00 Eastern time, SundayLASIK (800) 422-66008:00 to 8:00 Eastern time, Monday Friday9:00 to 5:00 Eastern time, Saturday(Automated telephone location finder available 24 hours/day)(continued)A-52 019 ContactsContactsFor Information on:Contact/AddressPhone/Operating HoursHearing Discount ProgramAetna Hearing Discounts Claims Administrator Box 981106 El Paso, TX 79998-1106 Web: or or Hearing Health Care (888) 432-74647:00 to 7:00 Central time, Monday FridayHearing Care Solutions (866) 344-77566:00 to 6.

10 00 Mountain time, Monday FridayMental Health and Substance Use Disorder benefits (See EAP section on page A-8 for EAP contact information)Beacon Health Options CONOCOPHILLIPS Claims Administrator Box 1850 Hick s ville, NY 11802-1850 Web: or (for online self-help resources)Within the : (8 6 6) 241- 4 0 8 024 hours/day, 365 days/yearOutside the : (714) 763-2366 (call collect)24 hours/day, 365 days/yearVision BenefitsVision BenefitsVision Service Plan Insurance Company Claims Administrator 3333 Quality Drive Rancho Cordova, CA 95670 Web: non-network provider claims only: Box 385018 Birmingham, AL 35238-5018(8 0 0) 877-71955:00 to 8:00 Pacific time, Monday Friday7:00 to 8:00 Pacific time, Saturday7:00 to 8:00 Pacific time, SundayHearing Aid Discount (Vision Plan enrollees only)TruHearing, Inc. Claims Administrator 9071 S. 1300 West #100 West Jordan, UT 84088 Web: (877 ) 39 6 -719 48:00 to 8:00 Central time, Monday FridayDental BenefitsDental benefits Network providers Covered and non-covered expenses Claims PredeterminationsMetLife CONOCOPHILLIPS Dental Claims Administrator Box 981282 El Paso, TX 79998-1282 Web: or Email: 328-21668:00 to 11:00 Eastern time, Monday FridayFor International Dental Travel Assistance dentist referral:(888) 558-2704 or (312) 356-597024 hours/day, 365 days/year(continued)A-6 Contacts 2019 For Information on:Contact/AddressPhone/Operating HoursFlexible Spending PlanHealth Care Flexible Spending Account and Dependent Day Care Flexible Spending Account benefits Reimbursement requests (claims) Account balance Eligible expenses Order FSA debit cards for spouse/dependentsPayFlex Systems USA, Inc.


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