HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES FAMILY AND MEDICAL LEAVE ACT (FMLA) If the Company and employee (you) are covered under the federal Family and Medical Leave Act (FMLA), then you can take up to 12 weeks of unpaid leave during a 12 - month period for one or more of the following reasons: • for the birth and care of the newborn child of the employee; • for placement with the employee of a son or daughter for adoption or foster care; • to care for an immediate family member (spouse, child, or parent) with a serious health condition; or • to take medical leave when the employee is unable to work because of a serious health condition. If you are covered by FMLA, you will have certain rights to maintain health benefits during the FMLA leave. You will be notif ied of any requirement for you to make any premium payments to maintain health benefits and the arrangements for making such payments along with the possible conseq uen ces of failure to make such payments on a timely basis (i.e., the circumstances under which coverage may lapse) and your potential liability for payment of health insurance premiums paid by the employer during your unpaid FMLA leave if you fail to return to work after taking FMLA leave. For more information about FML A, contact the Plan administrator. GRANDFATHERED STATUS The Plan believes that none of the group health plans available under the Plan are “grandfathered health plans” as described und er the Patient Protection and Affordable Care Act (the “Affordable Care Act”). Our Responsibilities ❖ We are required by law to maintain the privacy and security of your protected health information. ❖ We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. ❖ We must follow the duties and privacy practices described in this notice and give you a copy of it. ❖ We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us w e c an, you may change your mind at any time. Let us know in writing if you change your mind. For more information see: Your Rights Under HIPAA | HHS.gov .