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<div class="WordSection1">
<h1><img width="150" height="57" id="Picture_x0020_1" src="cid:image001.png@01D7428C.F523AE90"></h1>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">May 6, 2021<o:p></o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="642" style="width:481.5pt;margin-left:-4.5pt;border-collapse:collapse">
<tbody>
<tr>
<td width="91" valign="top" style="width:68.3pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">Department Benefits Representatives (DBRs)<o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="91" valign="top" style="width:68.3pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">HR Benefits Office on behalf of UCOP<o:p></o:p></span></p>
</td>
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<tr>
<td width="91" valign="top" style="width:68.3pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
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<td width="551" valign="top" style="width:413.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:5.05pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">COBRA Provisions of the American Rescue Plan Act of 2021<o:p></o:p></span></p>
</td>
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<tr>
<td width="642" colspan="2" valign="top" style="width:481.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (ARP), the latest federal COVID-19 relief bill. The law includes a mandate for employers to subsidize COBRA continuation coverage, allow
COBRA-eligible individuals to enroll in continuation coverage, and provide, at the employer’s discretion, the opportunity to switch health plans. UCOP is still working on implementing these new processes, but wanted to share how these pandemic relief provisions
will work.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">COBRA Subsidy<o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:-.95pt;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals may be eligible for full subsidization of their COBRA premium if they are eligible for and elect COBRA continuation coverage due to a UC employee reduction in hours or an involuntary termination from
employment. The subsidy will apply to the (former) UC employee and their family members covered under UC plans. The subsidy, referred to as “premium assistance” by the federal government, is available for periods of coverage from April 1, 2021 through September
30, 2021. Premium assistance is available for continuation coverage under the Federal COBRA provisions, as well as for group health insurance coverage under Cal-COBRA.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Premium assistance is available for “Assistance Eligible Individuals” who are COBRA qualified beneficiaries and meet the following requirements between April 1, 2021 and September 30, 2021:<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:5.05pt;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l2 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Eligible for COBRA continuation coverage due to a qualifying event that is a reduction in hours or an involuntary termination
of employment (not including a voluntary termination); <o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l2 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Elect COBRA continuation coverage
<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l2 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Ineligible for other group health coverage, (i.e., a new employer’s plan or a spouse’s plan)
<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l2 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Ineligible for Medicare<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:5.05pt;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">The subsidy applies to medical, dental and/or vision coverage in which a COBRA participant is enrolled; it does not apply to Health FSA continuation.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">The determination of whether a termination is involuntary, making the individual eligible for a subsidy, will be based on the “Termination Action Reason” code in UCPath. For example, terminations due to resignation,
retirement or participation in a voluntary separation program are not considered involuntary, but medical separation and the end of contract appointment are considered involuntary. If the employee’s termination was due to gross misconduct, the employee and
any dependents would not qualify for COBRA continuation coverage or the premium assistance.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">A UC employee who loses eligibility for a higher health benefit package due to a reduction in hours may be eligible for COBRA continuation coverage with a subsidy. This would apply if, for example, an employee with
Full benefits enrolled in UC Care is moved to Core benefits as a result of the reduction in time. The employee is only eligible for COBRA where a reduction in benefits occurs; for example, if that employee was enrolled in CORE medical instead of UC Care prior
to the reduction in hours, they would only be eligible for COBRA continuation of dental and vision coverage.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Note that if a person has individual health insurance coverage, such as a plan through Covered California or the Health Insurance Marketplace of another state, or Medicaid, they may be eligible for ARP premium assistance.
However, if they elect to enroll in COBRA continuation coverage with premium assistance, they will no longer be eligible for the premium tax credit, advance payments of the premium tax credit, or the health insurance tax credit provided by the Affordable Care
Act. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Premium assistance can last from April 1, 2021 through September 30, 2021. However, it will end earlier if the COBRA participant:<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l3 level1 lfo2">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Becomes eligible for another group health plan, such as a plan sponsored by a new employer or a spouse’s employer<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l3 level1 lfo2">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Becomes eligible for Medicare<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l3 level1 lfo2">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Reaches the end of the maximum COBRA continuation coverage period.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Once eligibility for a subsidy is determined, any premiums that were already paid to WEX will be applied to months after the subsidy end date. For example, if April 2021 premium payment has been paid, once the subsidy
has been applied the premium payment previously applied to April will automatically be applied to October 2021. If the participant cancels coverage or reaches the end of their COBRA period prior to September 30, 2021 and has a credit on their account, WEX
will automatically refund the credit amount after the participant’s COBRA is terminated.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals choosing to continue COBRA continuation coverage after the premium assistance period ends must pay the full amount of the premium.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">In the case of a UC employee who lost eligibility for a higher benefit package due to a reduction in hours and elected COBRA continuation (such as in the example above), if the employee drops COBRA coverage at the
end of the subsidy they would be placed back into the benefit level for which their appointment makes them eligible.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">It is the responsibility of the COBRA participant to notify WEX if they become ineligible for the subsidy. Participants who do not notify the COBRA administrator of a change in status are subject
to tax penalties</span></b><span style="font-family:"Arial",sans-serif">.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">Additional COBRA Enrollment Opportunity<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">If an individual was offered Federal COBRA continuation coverage as a result of a reduction in hours or an involuntary termination of employment, and they declined to take COBRA continuation coverage at that time,
or they elected Federal COBRA continuation coverage and later discontinued it, they have another opportunity to elect COBRA continuation coverage and receive the premium assistance, if the maximum period they would have been eligible for COBRA continuation
coverage has not yet expired.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals eligible for this additional COBRA election period will receive a notice informing them of this opportunity. This notice will be provided within 60 days of the first day of the first month beginning after
the date of the enactment of the ARP, that is, no later than May 31, 2021. Individuals have 60 days after the notice is provided to elect COBRA.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals may begin their coverage prospectively from the date of their election, or, if an individual has a qualifying event on or before April 1, choose to start their coverage as of April 1, even if the individual
receives an election notice and makes such election after April 1. In either case, note that the premium assistance is only available for periods of coverage from April 1, 2021 through September 30, 2021.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">The additional enrollment opportunity does not apply to the Cal-COBRA coverage period; that is, an individual who would have been in the Cal-COBRA coverage period if they had not discontinued continuation coverage,
or who did not continue coverage under Cal-COBRA after the end of the federal COBRA period, does not have a new enrollment opportunity.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">Option to Change Health Plan(s)<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">UC has chosen to adopt the provision of the ARP that allows qualified beneficiaries to enroll in coverage that is different from the coverage they had at the time of the COBRA qualifying event, provided that:<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l1 level1 lfo4">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">The COBRA premium charged for the different coverage is the same or lower than for the coverage the individual had at the
time of the qualifying event <o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-bottom:6.0pt;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l0 level1 lfo3">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">The different coverage is also offered to similarly situated active employees; and
<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto;text-align:justify;text-indent:-.5in;mso-text-indent-alt:-.25in;line-height:110%;mso-list:l0 level1 lfo3">
<![if !supportLists]><span style="font-family:Symbol;color:#002060"><span style="mso-list:Ignore"><span style="font:7.0pt "Times New Roman"">
</span>·<span style="font:7.0pt "Times New Roman""> </span></span></span><![endif]><span style="font-family:"Arial",sans-serif">The different coverage is not a health FSA.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Eligible individuals will be notified by WEX and have 90 days to elect to change their coverage after the notice is provided.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">The following chart indicates which medical plan changes are allowed:<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="574" style="width:430.6pt;border-collapse:collapse">
<tbody>
<tr style="height:15.75pt">
<td width="155" rowspan="2" style="width:116.5pt;border:solid windowtext 1.0pt;background:#0070C0;padding:0in 5.4pt 0in 5.4pt;height:15.75pt">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:white">If you are enrolled in…<o:p></o:p></span></p>
</td>
<td width="419" colspan="5" style="width:314.1pt;border:solid windowtext 1.0pt;border-left:none;background:#0070C0;padding:0in 5.4pt 0in 5.4pt;height:15.75pt">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:white">You can switch to…<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:32.3pt">
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;background:#DEEAF6;padding:0in 5.4pt 0in 5.4pt;height:32.3pt">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center">
<span style="font-size:10.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#002060">UC Care<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;background:#DEEAF6;padding:0in 5.4pt 0in 5.4pt;height:32.3pt">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center">
<span style="font-size:10.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#002060">UC Blue & Gold HMO<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;background:#DEEAF6;padding:0in 5.4pt 0in 5.4pt;height:32.3pt">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center">
<span style="font-size:10.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#002060">Kaiser<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;background:#DEEAF6;padding:0in 5.4pt 0in 5.4pt;height:32.3pt">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center">
<span style="font-size:10.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#002060">UC Health
<br>
Savings Plan<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;background:#DEEAF6;padding:0in 5.4pt 0in 5.4pt;height:32.3pt">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center">
<span style="font-size:10.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#002060">Core<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:.3in">
<td width="155" style="width:116.5pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">UC Care<o:p></o:p></span></p>
</td>
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">N/A<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:.3in">
<td width="155" style="width:116.5pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">UC Blue & Gold HMO<o:p></o:p></span></p>
</td>
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">N/A<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:.3in">
<td width="155" style="width:116.5pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Kaiser<o:p></o:p></span></p>
</td>
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">N/A<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:.3in">
<td width="155" style="width:116.5pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">UC Health Savings Plan<o:p></o:p></span></p>
</td>
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">N/A<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Yes<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:.3in">
<td width="155" style="width:116.5pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">Core<o:p></o:p></span></p>
</td>
<td width="83" style="width:62.1pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="96" style="width:1.0in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="72" style="width:.75in;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="108" style="width:81.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">No<o:p></o:p></span></p>
</td>
<td width="60" style="width:45.0pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.3in">
<p class="MsoNormal" align="center" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:center;line-height:normal">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif">N/A<o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
</div>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">For dental, PPO members can switch to the DHMO, but not vice versa. As you know, there is only one vision plan.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">Process for Making Changes and Obtaining a Subsidy<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">WEX (formerly Discovery Benefits), the COBRA administrator for UC, will issue notices and forms to all individuals potentially eligible for these relief provisions, based on information provided by UC.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals wishing to enroll in COBRA continuation, to change plans or to obtain a subsidy will need to complete a form and submit it to WEX by the deadline indicated on the form. Upon receipt of the form, WEX will
verify eligibility for the subsidy and then send a letter to COBRA participants confirming they need not submit premium payments for coverage periods from April 1 through September 30, 2021 (or other range within those dates, depending on the individual’s
COBRA period). UC will pay the premiums for the subsidized coverage months.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">WEX will also issue notices to COBRA participants receiving a subsidy to alert them to the expiration of the subsidy. Once the subsidy is no longer available, participants will be required to resume paying premiums
and will be subject to coverage cancellation if the plan premium is not paid in a timely manner. Note that participants will not be able to change plans after the subsidy expires (in the absence of a qualifying life event or Open Enrollment).<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Copies of the notices and forms will be shared in another HRB memo, when they become available from WEX.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#002060">Additional Information<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">The federal government has published an
</span><a href="https://www.dol.gov/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/faqs/cobra-premium-assistance-under-arp.pdf"><span style="font-family:"Arial",sans-serif">FAQ document</span></a><span style="font-family:"Arial",sans-serif">
which you may find helpful.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Individuals with questions about the process or who believe they may be eligible for a subsidy and have not received a notice by mid-June should contact WEX at (844) 561-1338.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;line-height:normal">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
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