Work Schedule or Status Change

Medical and
Prescription Drug

Your current coverage and rates continue until the end of the month in which you separate from employment. After that time, COBRA continuation coverage is available at your own expense for up to 18 months by paying 102% of the cost.

COBRA election forms will be mailed to your home automatically. You have 60 days to elect COBRA at www.benefits4meenroll.com or by calling the Benefits4Me Program Service Center at 844-279-7894.

You will receive new member ID cards when you transition to COBRA.

Blue Cross and Blue Shield of Massachusetts (BCBSMA) (Medical)

Express Scripts (Rx)

www.bcbsma.com
1-888-618-7013

www.Express-Scripts.com
1-800-396-2256

Dental

Same as above

Same as above

Delta Dental of
Massachusetts

www.deltadentalma.com
1-800-872-0500

Vision

Same as above

Same as above

EyeMed Vision Care

www.eyemed.com
1-866-299-1358

Retiree Medical

You are no longer eligible for active employee medical coverage through the Company.

If you’ve retired from the Company at age 55 or older, waived COBRA coverage or have exhausted your COBRA coverage, shop for retiree medical coverage through Via Benefits, which helps you navigate your coverage options and gives you access to coverage at a more affordable rate than you are likely to find on your own.

Via Benefits

For coverage before
age 65:
marketplace.viabenefits.com/Benefits4Me
1-833-414-1450

For coverage after becoming eligible for Medicare:
my.viabenefits.com/Benefits4Me
1-833-431-1359

Employee Assistance Program

Same as above

Same as above

Comprehensive EAP

www.compeap.com
Username: Benefits4Me
Password: Benefits4Me

Flexible Spending Accounts

Dependent Care (DCFSA)

Health Care (HCFSA)

Payroll deductions cease as of
your last day of employment.
HCFSA: Eligible medical services provided prior to your date of termination will still be eligible for reimbursement. Services provided after the date of separation will not be eligible unless you elect to continue coverage under COBRA.
DCFSA: Your balance will continue to be available for reimbursement of eligible services provided at any time within your plan year.

Submit reimbursement claims for any eligible HCFSA or DCFSA expenses by March 31 of the following year.

MyChoice Accounts through Businessolver

www.benefits4meenroll.com
1-844-279-7894

Health Savings Account (HSA)

Payroll deductions cease as of your last day of employment.
Funds already deposited into your HSA remain in your account and automatically roll over from one
year to the next.

Since you are the owner of your HSA, you may continue to use the HSA funds for qualified healthcare expenses or save them for the future.
You may also roll over your HSA balance to another HSA, such as your own bank’s or one through a new employer.

Fidelity

www.netbenefits.com
1-800-544-3716

401(k) Savings & Investment Plan

Participation ends on your last day
of employment.
You are 100% vested in Company-matching contributions made to your 401(k) account, which means they are always available to you, even when you leave the Company.
You will also have access to any Retirement Account Contributions (RAC) that have become vested. As a reminder, RAC vests 20% per year of service and are 100% vested after you have five or more years of service.

Upon separation, Fidelity will send information about distribution options in the mail to the preferred address you have on file with Fidelity. These options include leaving funds in your current account or rolling funds over to a different retirement account.
Employees with a 401(k) loan outstanding at the time of separation may choose to:

• Enroll in Fidelity’s 401(k) loan repayment option
• Pay off the loan in full
• Default on the loan

If you do not enroll in loan repayment or pay the loan in full within 90 days of the end of the month of the separation date, the loan will automatically default, causing the outstanding principal to be considered a taxable distribution subject to state and federal taxation and penalties.

Fidelity

www.netbenefits.com
1-800-835-5095

Life Insurance:

Dependent

Basic

Supplemental

Coverage ends on your last day
of employment.

You may be able to convert your supplemental life insurance coverage and pay premiums directly to Sun Life. Premiums may be higher than those paid by active employees.
Once your Company-provided life insurance coverage ends, Sun Life will mail paperwork to your home address about converting your coverage to an individual policy. You must take action within 31 days of your termination in order to avoid an interruption in coverage.

Sun Life

www.Sunlife-AMS.com
1-866-806-3619

Accidental Death and Dismemberment Insurance (AD&D)

Coverage ends on your last day
of employment.

N/A: There is no conversion option available.

Sun Life

www.Sunlife-AMS.com
1-866-806-3619

Short-Term/Basic and Buy- Up Long-Term Disability*

Coverage ends on your last day
of employment.

N/A: There is no conversion option available.

Sun Life

www.Sunlife-AMS.com
1-833-812-5184

Backup Day Care*

Coverage ends on your last day
of employment.

N/A

Wellthy

wellthy.com/member/benefits4me
1-877-588-3917

Voluntary Benefits:

Whole Life with Long Term Care

Critical Illness

Hospital Indemnity

Accident Insurance

Payroll deductions cease as of the last day of employment.

Information on how to continue the coverage through a direct bill arrangement will be sent to your home address within 30 days of your last day or employment.

Allstate

allstatebenefits.com
1-866-828-8501

Group Legal Coverage

Payroll deductions cease as of the last day of employment.

To set up direct payment, call the MetLife Client Service Center within 30 days of your last day of employment.

MetLife

members.legalplans.com
1-800-821-6400

Identity Theft Protection

Payroll deductions cease as of the last day of employment. When employment ends, you will be placed in a 30-day complimentary service period.

Within 30 days of your separation date, an email will be sent to the email address on file with information about switching to a credit card payment.
If you do not receive this email, please call the customer support number.

MetLife
(powered by Aura)

metlife.com/identity-and-fraud-protection/
1-833-552-2123

Auto/Home

If you pay the carrier directly (i.e., direct bill): Your current direct bill arrangement will continue until the end of your policy year.

If you pay via payroll deductions: Payroll deductions cease as of the last day of employment.

N/A: Your current arrangement will continue.

A coverage continuation form will be mailed to you to set up direct payment. You may also contact your insurance company directly to arrange an alternate payment method.

Farmers or
Liberty Mutual

Farmers:
www.farmers.com/groupselect
(Discount Code: AN3)
1-800-438-6381
Liberty Mutual:
libertymutual.com/benefits4me
(Client Code: #135512)
1-844-441-2592

Purchasing Power

Access to the program ends on your last day of employment. Payroll deductions for any purchases you have made through Purchasing
Power will cease as of your last day
of employment.

If you are in repayment for a purchase, Purchasing Power will contact you via email, phone, or mail to arrange direct bill. You may also reach out to Purchasing Power directly.

Purchasing Power

benefits4me.purchasingpower.com
1-888-923-6236

Kashable

Access to the program ends on your last day of employment. If you have an open Kashable loan, payroll deductions cease as of your last day of employment. There will be no changes to your rates or terms.

You are still responsible for repaying the remaining balance of your loan. Please contact Kashable directly to set up an alternative repayment method for the remainder of your loan repayment schedule. You may also repay your loan in full at any time with no prepayment penalty.

Kashable

kashable.com/
employee-emd.html
646-663-4353

Pet Insurance

Payroll deductions cease as of your last day of employment.

A coverage continuation form will be mailed to you to set up direct payment. You may also contact MetLife directly to arrange an alternate payment method.

MetLife

metlife.com/getpetquote
1-800-438-6388

Discount Program

Program availability ends on your
last day of employment.

N/A: There is no option available to continue the program.

PerkSpot

benefits4me.perkspot.com

Access Code: benefits4me

Wellness Program & Incentives**

Eligibility for the Benefits4Me
Wellness Program and incentives ends on your last day of employment.

If you have earned any incentives as part of the wellness program, they will be paid following the normal quarterly payout schedule.

Sharecare

benefits4me.sharecare.com
1-800-806-3996

Tuition Reimbursement*

If you voluntarily separate employment from the Company,
you are responsible to reimburse
the Company for any payments received under this program within the 12 months prior to separation from employment.
If your separation is involuntary, you are not required to reimburse the Company for any tuition payments.

Any payments due following voluntary separation must be made within 30 days of your last day of employment.

EdAssist

hr4you.edassist.com/

Adoption Assistance*

Eligibility for adoption assistance ends on your last day of employment

You must submit for reimbursement prior to your separation date. If you have submitted for reimbursement prior to your last day of employment, you may be eligible to receive payment even after you leave the Company.

HR4You

HR4You.merckgroup.com
1-855-444-5678

Transit Benefits**

Transit: Eligibility for the program ends on your last day of employment. Expenses incurred after the separation date are not eligible. The debit card also cannot be used after separation.

Parking: Eligibility for the program ends on your last day of employment. Expenses must be incurred prior to separation. Any expenses incurred after termination are not eligible for reimbursement.

N/A

You can continue to submit claims for expenses incurred prior to becoming ineligible. You have 90 days to submit your claim for reimbursement.

MyChoice Accounts through Businessolver

www.benefits4meenroll.com
1-844-279-7894

Paid Time Off (PTO)

You will receive payment for any earned, unused vacation time. In addition, you may receive payment for unused Floating Holiday(s) per the calendar year’s Floating Holiday policy. You will not receive payment for any unused Time Off Allowance/Sick Time.

If you have a negative vacation balance, the Company will take action to recoup the value of this time.

HR4You

HR4You.merckgroup.com
1-855-444-5678