Common use of INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM Clause in Contracts

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDER] to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Rollover Form.

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDER] to the Settlement Administrator at the following address: It is your responsibility to ensure the Mercy Plans’ Settlement Administrator has timely received your Former Participant Rollover Form.P.O. Box [number] [City, State, ZIP]

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDERDATE] to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Rollover Form.

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDER] 14 days before the Fairness Hearing, on , 2024, to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Rollover Form.

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDER] 10 days before the Fairness Hearing to the Settlement Administrator at the following address: It is your responsibility to ensure the Invesco 401(k) Savings Plan Settlement Administrator has timely received your Former Participant Rollover Form.P.O. Box [number] [City, State, ZIP]

INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT ROLLOVER FORM. 1. If you would like to receive your settlement payment through a rollover to a qualified retirement account, complete this rollover form. You should also keep a copy of all pages of your Former Participant Rollover Form, including the first page with the address label, for your records. 2. Mail your completed Former Participant Rollover Form postmarked on or before [RETURN DATE SET FORTH IN PRELIMINARY APPROVAL ORDER] May 27, 2025 to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Rollover Form.