Common use of Benefits Plans Clause in Contracts

Benefits Plans. Members may select one of the following PAK plans, which includes dental, vision, life, and long-term disability. If no election is made, the member shall default to PAK X. XXX A Medical: MESSA ABC Plan 1 IN Deductible: $1400 1P; $2800 2P&FF IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded Medical: N/A – Cash In Lieu of Medical $3,000 each calendar year IN Deductible: N/A IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: N/A Voluntary Abortion: N/A PAK C Medical: MESSA Choices IN Deductible: $500/$1000 IN Coinsurance: 10% IN Copay (OV/UC/ER): $20/$25/$50 Rx Coverage: Saver Rx Mail Voluntary Abortion: Excluded PAK D Medical: MESSA ABC Plan 1 IN Deductible: $1300 1P; $2600 2P&FF IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded PAK E Medical: MESSA ABC Plan 2 IN Deductible: $2000 1P; $4000 2P&FF IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded

Benefits Plans. a. Members may select one of the following benefit plans: PAK plans, which includes dental, vision, life, and long-term disability. If no election is made, the member shall default to PAK X. XXX A Medical: MESSA ABC Plan 1 IN Deductible: $1400 1P; $2800 2P&FF 1350/$2700 IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Rx Mail Rx Voluntary Abortion: Excluded Medical: N/A – Cash In Lieu of Medical $3,000 each calendar year IN Deductible: N/A IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: N/A Voluntary Abortion: N/A PAK C Medical: MESSA Choices II IN Deductible: $500/$1000 IN Coinsurance: 10% IN Copay (OV/UC/ER): $20/$25/$50 Rx Coverage: Saver Rx SRX Mail Voluntary Abortion: Excluded PAK D Medical: MESSA ABC Plan 1 IN Deductible: $1300 1P; $2600 2P&FF 1350/$2700 IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Rx Mail Rx Voluntary Abortion: Excluded PAK E Medical: MESSA ABC Plan 2 IN Deductible: $2000 1P; $4000 2P&FF 2000/$4000 IN Coinsurance: 10% N/A IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded

Benefits Plans. Members may select one of the following PAK plans, which includes dental, vision, life, and long-term disability. If no election is made, the member shall default to PAK X. XXX A Medical: MESSA ABC Plan 1 IN Deductible: $1400 1P; $2800 2P&FF IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded Medical: N/A – Cash In Lieu of Medical $3,000 each calendar year IN Deductible: N/A IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: N/A Voluntary Abortion: N/A PAK C Medical: MESSA Choices IN Deductible: $500/$1000 IN Coinsurance: 10% IN Copay (OV/UC/ER): $20/$25/$50 Rx Coverage: Saver Rx Mail Voluntary Abortion: Excluded PAK D Medical: MESSA ABC Plan 1 IN Deductible: $1300 1400 1P; $2600 2800 2P&FF IRS Minimum High Deductible (2023: $1500, $3000) IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded PAK E Medical: MESSA ABC Plan 2 IN Deductible: $2000 1P; $4000 2P&FF IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded

Benefits Plans. Members may select one of the following PAK plans, which includes dental, vision, life, and long-term disability. If no election is made, the member shall default to PAK X. XXX Plan B. PLAN A Medical: MESSA ABC Plan 1 IN Deductible: $1400 1P; $2800 2P&FF IN Coinsurance: N/A IN Copay (OV/UC/ER): Rx Coverage: N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded PLAN B Medical: N/A – Cash In Lieu of Medical $3,000 each calendar year IN Deductible: N/A IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: N/A Voluntary Abortion: N/A PAK PLAN C Medical: MESSA Choices IN Deductible: $500/$1000 IN Coinsurance: 10% IN Copay (OV/UC/ER): $20/$25/$50 Rx Coverage: Saver Rx Mail Voluntary Abortion: Excluded PAK PLAN D Medical: MESSA ABC Plan 1 IN Deductible: $1300 1400 1P; $2600 2800 2P&FF IRS Minimum High Deductible (2023: $1500, $3000) IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx 3 TIER Voluntary Abortion: Excluded PAK PLAN E Medical: MESSA ABC Plan 2 IN Deductible: $2000 1P; $4000 2P&FF IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded 4. Non-Medical Benefits In the case of non-medical premiums, the Board shall pay the entire premium effective upon ratification and execution and shall not under any circumstances require the Board to provide the described benefits. a. Dental Class I: 80% Class II: 80% Class III: 80% Annual Max: $1,500 Class IV: 80% Class IV/ Lifetime Max: $1,500 Riders: 2 Cleanings Class I: 50% Class II: 50% Class III: 50% Annual Max: $1,500 Class IV: 50% Class IV/ Lifetime Max: $1,300 Riders: 2 Cleanings b. Vision Co-payment - None Participating Provider Non-Participating Provider Examination Once Every Plan Year Covered 100% Reimbursed Amount Up to $35 (OD) Up to $45 (MD) • Single Vision • Bifocal Up to $38 Up to $60 • Trifocal Covered Up to $72 Up to $108 • Lenticular Not Covered • Oversized Lenses Frame Once Every Plan Year Retail Allowance Up to $65 Up to $55 Contact Lenses Once Every Plan Year Elective Contact Lenses In lieu of Lenses & Frame Up to $115 Retail In lieu of Lenses & Frame Up to $115

Benefits Plans. Members may select one of the following PAK plans, which includes dental, vision, life, and long-term disability. If no election is made, the member shall default to PAK X. XXX Plan B. PLAN A Medical: MESSA ABC Plan 1 IN Deductible: $1400 1P; $2800 2P&FF IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded PLAN B Medical: N/A – Cash In Lieu of Medical $3,000 each calendar year IN Deductible: N/A IN Coinsurance: N/A IN Copay (OV/UC/ER): N/A Rx Coverage: N/A Voluntary Abortion: N/A PAK PLAN C Medical: MESSA Choices IN Deductible: $500/$1000 IN Coinsurance: 10% IN Copay (OV/UC/ER): $20/$25/$50 Rx Coverage: Saver Rx Mail Voluntary Abortion: Excluded PAK PLAN D Medical: MESSA ABC Plan 1 IN Deductible: $1300 1400 1P; $2600 2800 2P&FF IRS Minimum High Deductible (2023: $1500, $3000) IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx 3 TIER Voluntary Abortion: Excluded PAK PLAN E Medical: MESSA ABC Plan 2 IN Deductible: $2000 1P; $4000 2P&FF IN Coinsurance: 10% IN Copay (OV/UC/ER): N/A Rx Coverage: ABC Mail Rx Voluntary Abortion: Excluded 4. Non-Medical Benefits In the case of non-medical premiums, the Board shall pay the entire premium effective upon ratification and execution and shall not under any circumstances require the Board to provide the described benefits. a. Dental Class II: 80% Class III: 80% Annual Max: $1,500 Class IV: 80% Class IV/ Lifetime Max: $1,500 Riders: 2 Cleanings Class I: 50% Class II: 50% Class III: 50% Annual Max: $1,500 Class IV: 50% Class IV/ Lifetime Max: $1,300 Riders: 2 Cleanings b. Vision Co-payment - None Participating Provider Non-Participating Provider Examination Once Every Plan Year Covered 100% Reimbursed Amount Up to $35 (OD) Up to $45 (MD) Lenses Once Every Plan Year • Single Vision • Bifocal • Trifocal • Lenticular • Oversized Lenses Covered Up to $38 Up to $60 Up to $72 Up to $108 Not Covered Frame Once Every Plan Year Retail Allowance Up to $65 Up to $55 Contact Lenses Once Every Plan Year Elective Contact Lenses In lieu of Lenses & Frame Up to $115 Retail In lieu of Lenses & Frame Up to $115 c. Long-Term Disability (LTD): In the event that a member qualifies for long-term disability, the Board shall pay its portion of all insurance benefits for the first six months, contingent on receipt of the member’s portion of the payment. For the next six months, the Board shall pay its portion of medical insurance premiums only, and all non-medical coverages will be terminated. After 12 months, all benefits will be terminated. LTD runs concurrently with all available paid or unpaid leave under this Agreement, including eligible FMLA leave, and shall not exceed a total of 12 months leave. Eligibility Waiting Period: Employees are eligible on the first day following five (5) consecutive days as a member. Monthly LTD Benefit 66 2/3% of the first $7,500 of your monthly pre-disability earnings, reduced by deductible income. Maximum Monthly LTD Benefit: $5,000 before reduction by deductible income. Minimum LTD Benefit: $100 or 10% of your LTD benefit before reduction by Deductible Income, whichever is greater. Benefit Waiting Period 60 ays F. LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT: $50,000‌