Common use of Employee Premium Share Clause in Contracts

Employee Premium Share. For 2020, the premiums (payroll contributions) will be deducted twice-monthly. For plan years in 2021 and later, the premiums may be deducted twice-monthly (24 times per year) or bi-weekly (26 times per year). Employee Only $3.00 $35.50 Employee + Child $19.00 $51.50 Employee + Children $35.50 $68.00 Employee + Spouse/Domestic Partner (DP) $54.00 $96.50 Employee + Spouse/DP + Child $70.00 $112.50 Employee + Spouse/DP + Children $86.50 $129.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child $84.00 $116.50 Employee + Children $165.00 $197.50 Employee + Spouse/DP $195.50 $238.00 Employee + Spouse/DP + Child $276.50 $319.00 Employee + Spouse/DP + Children $357.50 $400.00 For plan year 2020, employees enrolled in the PPO plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Employee only $28.78 $45.45 Employee + child(ren) $83.38 $100.05 Employee + spouse/ DP $103.11 $136.45 Employee + family $157.66 $191.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $43.78 $60.45 Employee + child(ren) $116.53 $133.20 Employee + spouse/ DP $148.01 $181.35 Employee + family $220.81 $254.15 For plan year 2020, employees enrolled in the Swedish Group Health HMO Medical Plan will automatically pay the twice-monthly costs with Wellness credit as shown above.

Employee Premium Share. For 2020, Swedish PPO Medical Plan. Employees enrolled in the Swedish PPO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) will be deducted twice-monthly. For plan years in 2021 and later, the premiums may be deducted twiceTwice-monthly (24 times per year) or biContributions with Wellness Credit Twice-weekly (26 times per year). monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child Child(ren) $19.00 32.00 $51.50 Employee + Children $35.50 $68.00 64.50 Employee + Spouse/Domestic Partner (DP) DP $54.00 57.50 $96.50 90.00 Employee + Spouse/DP + Child $70.00 $112.50 Employee + Spouse/DP + Children Child(ren) $86.50 $129.00 119.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child Child(ren) $84.00 148.00 $116.50 Employee + Children $165.00 $197.50 180.50 Employee + Spouse/DP $195.50 184.50 $238.00 217.00 Employee + Spouse/DP + Child Child(ren) $276.50 330.00 $319.00 Employee + Spouse/DP + Children $357.50 $400.00 362.50 For plan year 20202016, employees enrolled in the PPO plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish Group Health HMO. For plan year 2016, employees enrolled in the Group Health HMO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $28.78 25.83 $45.45 42.50 Employee + child(ren) $83.38 76.83 $100.05 93.50 Employee + spouse/ DP $103.11 94.16 $136.45 127.50 Employee + family $157.66 145.16 $191.00 178.50 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $43.78 39.83 $60.45 56.50 Employee + child(ren) $116.53 107.83 $133.20 124.50 Employee + spouse/ DP $148.01 136.16 $181.35 169.50 Employee + family $220.81 204.16 $254.15 237.50 For plan year 20202016, employees enrolled in the Swedish Group Health HMO Medical Plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish HSA Medical Plan. For plan year 2016, employees enrolled in the HSA Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) Twice-monthly Contribution Employee only $0 Employee + child(ren) $11.00 Employee + spouse/ DP $19.00 Employee + family $30.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contribution Employee only $12.00 Employee + child(ren) $30.50 Employee + spouse/ DP $43.00 Employee + family $61.50 For plan year 2016, Employees will receive a one-time only automatic health incentive from the Employer to itsHealth Savings Account (IRS eligibility rules apply) in the amount of $1,500 and an additional automatic contribution of $700 will be added for dependent coverage (for a maximum of $2,200 per employee). For employees who become newly eligible for and enrolled on the Swedish HSA Medical Plan with an effective date of July 1 or later in the year, the employee will receive 50% of the wellness contribution. For all health insurance plans, employees covering domestic partners and their domestic partner’s children will have additional income tax withholding on the value of medical, dental and vision coverage through Swedish, in compliance with tax law. 14.1.2.1 Wellness Credit - Plan Years 2017/2018/2019. Swedish PPO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the PPO Medical Plan will receive up to $780 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for PPO Medical Plan in 14.1.2 above. For those employees who become newly eligible for and enrolled in the PPO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish Group Health HMO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the Group Health HMO Medical Plan will receive up to $400 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. Employees can also receive an additional $400 annual premium credit if their enrolled spouse or domestic partner also participates in the wellness program (for a maximum of $800 per employee). That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for HMO Medical Plan in 14.1.2 above. For those employees who become newly eligible for and enrolled in the Group Health HMO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish HSA Medical Plan: For the plan years 2017, 2018, and 2019, employees enrolled in the HSA Medical Plan will receive up to $700 as a contribution to the Health Savings Account for participation in the wellness program, as well as an additional $700 if their enrolled spouse or domestic partner also participates in the wellness program (maximum of $1,400 per employee). Child(ren) need not participate in the wellness program to receive these funds. For those employees who become newly eligible for and enrolled in the HSA Medical Plan with an effective date of July 1 or later in the year, the employee will automatically receive 50% of the wellness contribution.

Employee Premium Share. For 2020, Swedish PPO Medical Plan. Employees enrolled in the Swedish PPO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) will be deducted twice-monthly. For plan years in 2021 and later, the premiums may be deducted twiceTwice-monthly (24 times per year) or biContributions with Wellness Credit Twice-weekly (26 times per year). monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child Child(ren) $19.00 32.00 $51.50 Employee + Children $35.50 $68.00 64.50 Employee + Spouse/Domestic Partner (DP) DP $54.00 57.50 $96.50 90.00 Employee + Spouse/DP + Child $70.00 $112.50 Employee + Spouse/DP + Children Child(ren) $86.50 $129.00 119.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child Child(ren) $84.00 148.00 $116.50 Employee + Children $165.00 $197.50 180.50 Employee + Spouse/DP $195.50 184.50 $238.00 217.00 Employee + Spouse/DP + Child Child(ren) $276.50 330.00 $319.00 Employee + Spouse/DP + Children $357.50 $400.00 362.50 For plan year 20202016, employees enrolled in the PPO plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish Group Health HMO. For plan year 2016, employees enrolled in the Group Health HMO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) Twice-monthly Contributions Twice-monthly Contributions without with Wellness Wellness Credit Credit Employee only $28.78 25.83 $45.45 42.50 Employee + child(ren) $83.38 76.83 $100.05 93.50 Employee + spouse/ DP $103.11 94.16 $136.45 127.50 Employee + family $157.66 145.16 $191.00 178.50 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $43.78 39.83 $60.45 56.50 Employee + child(ren) $116.53 107.83 $133.20 124.50 Employee + spouse/ DP $148.01 136.16 $181.35 169.50 Employee + family $220.81 204.16 $254.15 237.50 For plan year 20202016, employees enrolled in the Swedish Group Health HMO Medical Plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish HSA Medical Plan. For plan year 2016, employees enrolled in the HSA Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) Twice-monthly Contribution Employee only $0 Employee + child(ren) $11.00 Employee + spouse/ DP $19.00 Employee + family $30.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contribution Employee only $12.00 Employee + child(ren) $30.50 Employee + spouse/ DP $43.00 Employee + family $61.50 For plan year 2016, Employees will receive a one-time only automatic health incentive from the Employer to its Health Savings Account (IRS eligibility rules apply) in the amount of $1,500 and an additional automatic contribution of $700 will be added for dependent coverage (for a maximum of $2,200 per employee). For employees who become newly eligible for and enrolled on the Swedish HSA Medical Plan with an effective date of July 1 or later in the year, the employee will receive 50% of the wellness contribution. For all health insurance plans, employees covering domestic partners and their domestic partner’s children will have additional income tax withholding on the value of medical, dental and vision coverage through Swedish, in compliance with tax law. 14.1.2.1 Wellness Credit - Plan Years 2017/2018/2019. Swedish PPO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the PPO Medical Plan will receive up to $780 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for PPO Medical Plan in 14.1.2 above. For those employees who become newly eligible for and enrolled in the PPO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish Group Health HMO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the Group Health HMO Medical Plan will receive up to $400 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. Employees can also receive an additional $400 annual premium credit if their enrolled spouse or domestic partner also participates in the wellness program (for a maximum of $800 per employee). That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for HMO Medical Plan in 14.1.2 above. For those employees who become newly eligible for and enrolled in the Group Health HMO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish HSA Medical Plan: For the plan years 2017, 2018, and 2019, employees enrolled in the HSA Medical Plan will receive up to $700 as a contribution to the Health Savings Account for participation in the wellness program, as well as an additional $700 if their enrolled spouse or domestic partner also participates in the wellness program (maximum of $1,400 per employee). Child(ren) need not participate in the wellness program to receive these funds. For those employees who become newly eligible for and enrolled in the HSA Medical Plan with an effective date of July 1 or later in the year, the employee will automatically receive 50% of the wellness contribution.

Employee Premium Share. For 2020, Swedish PPO Medical Plan. Employees enrolled in the Swedish PPO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) will be deducted twice-monthly. For plan years in 2021 and later, the premiums may be deducted twiceTwice-monthly (24 times per year) or biContributions with Wellness Credit Twice-weekly (26 times per year). monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child $19.00 $51.50 Employee + Children $35.50 $68.00 Employee + Spouse/Domestic Partner (DP) $54.00 64.00 $96.50 Employee + Spouse/DP + Child $70.00 80.00 $112.50 Employee + Spouse/DP + Children $86.50 96.50 $129.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child $84.00 $116.50 Employee + Children $165.00 $197.50 Employee + Spouse/DP $195.50 205.50 $238.00 Employee + Spouse/DP + Child $276.50 286.50 $319.00 Employee + Spouse/DP + Children $357.50 367.50 $400.00 For plan year 20202016, employees enrolled in the PPO plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish Group Health HMO. For plan year 2016, employees enrolled in the Group Health HMO Medical Plan will pay the following twice-monthly premiums (payroll contributions): Full-Time (0.75 – 1.0 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $28.78 25.83 $45.45 42.50 Employee + child(ren) $83.38 76.83 $100.05 93.50 Employee + spouse/ DP $103.11 94.16 $136.45 127.50 Employee + family $157.66 145.16 $191.00 178.50 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $43.78 39.83 $60.45 56.50 Employee + child(ren) $116.53 107.83 $133.20 124.50 Employee + spouse/ DP $148.01 136.16 $181.35 169.50 Employee + family $220.81 204.16 $254.15 237.50 For plan year 20202016, employees enrolled in the Swedish Group Health HMO Medical Plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Swedish HSA Medical Plan. For plan year 2016, employees enrolled in the HSA Medical Plan will pay the following twice-monthly premiums (payroll contributions): Employee + family $30.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contribution Employee only $12.00 Employee + child(ren) $30.50 Employee + spouse/ DP $43.00 Employee + family $61.50 For plan year 2016, Employees will receive a one-time only automatic health incentive from the Employer to its Health Savings Account (IRS eligibility rules apply) in the amount of $1,500 and an additional automatic contribution of $700 will be added for dependent coverage (for a maximum of $2,200 per employee). For employees who become newly eligible for and enrolled on the Swedish HSA Medical Plan with an effective date of July 1 or later in the year, the employee will receive 50% of the wellness contribution. For all health insurance plans, employees covering domestic partners and their domestic partner’s children will have additional income tax withholding on the value of medical, dental and vision coverage through Swedish, in compliance with tax law. 15.1.2.1 Wellness Credit - Plan Years 2017/2018/2019. Swedish PPO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the PPO Medical Plan will receive up to $780 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for PPO Medical Plan in 15.1.2 above. For those employees who become newly eligible for and enrolled in the PPO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish Group Health HMO Medical Plan: For plan years 2017, 2018, and 2019, employees enrolled in the Group Health HMO Medical Plan will receive up to $400 annual premium credit, payable as a twice-monthly premium credit, for participation in the wellness program. Employees can also receive an additional $400 annual premium credit if their enrolled spouse or domestic partner also participates in the wellness program (for a maximum of $800 per employee). That credit is reflected in the “Twice-monthly Contributions with Wellness Credit” for HMO Medical Plan in 15.1.2 above. For those employees who become newly eligible for and enrolled in the Group Health HMO Medical Plan after the start of the plan year, the annual premium credit will be prorated based on the number of paychecks remaining. Swedish HSA Medical Plan: For the plan years 2017, 2018, and 2019, employees enrolled in the HSA Medical Plan will receive up to $700 as a contribution to the Health Savings Account for participation in the wellness program, as well as an additional $700 if their enrolled spouse or domestic partner also participates in the wellness program (maximum of $1,400 per employee). Child(ren) need not participate in the wellness program to receive these funds. For those employees who become newly eligible for and enrolled in the HSA Medical Plan with an effective date of July 1 or later in the year, the employee will automatically receive 50% of the wellness contribution.

Employee Premium Share. For 2020, the premiums (payroll contributions) will be deducted twice-monthly. For plan years in 2021 and later, the premiums may be deducted twice-monthly (24 times per year) or bi-weekly (26 times per year). Employee Only $3.00 $35.50 Employee + Child $19.00 $51.50 Employee + Children $35.50 $68.00 Employee + Spouse/Domestic Partner (DP) $54.00 $96.50 Employee + Spouse/DP + Child $70.00 $112.50 Employee + Spouse/DP + Children $86.50 $129.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee Only $3.00 $35.50 Employee + Child $84.00 $116.50 Employee + Children $165.00 $197.50 Employee + Spouse/DP $195.50 $238.00 Employee + Spouse/DP + Child $276.50 $319.00 Employee + Spouse/DP + Children $357.50 $400.00 For plan year 2020, employees enrolled in the PPO plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Employee only $28.78 $45.45 Employee + child(ren) $83.38 $100.05 Employee + spouse/ DP $103.11 $136.45 Employee + family $157.66 $191.00 Part-Time (0.5 – 0.74 FTE) Twice-monthly Contributions with Wellness Credit Twice-monthly Contributions without Wellness Credit Employee only $43.78 $60.45 Employee + child(ren) $116.53 $133.20 Employee + spouse/ DP $148.01 $181.35 Employee + family $220.81 $254.15 For plan year 2020, employees enrolled in the Swedish Group Health HMO Medical Plan will automatically pay the twice-monthly costs with Wellness credit as shown above. Employee only $0 Employee + child(ren) $12.00 Employee + spouse/ DP $20.00 Employee + family $32.00 Employee only $12.50 Employee + child(ren) $32.00 Employee + spouse/ DP $45.00 Employee + family $64.45 For all health insurance plans, employees covering domestic partners and their domestic partner’s children will have additional income tax withholding on the value of medical, dental and vision coverage through Swedish, in compliance with tax law.