Dachser USA 2017 Benefits

Short Term Disability 60% of weekly earnings up to $300 weekly based upon employee status Begins after the 8th day of illness/accident (non work related) Benefit period is 13 weeks Premiums paid by Dachser USA

Long Term Disability 60% of earnings up to $6,000 of monthly salary Begins at the cessation of the Short Term Disability 90 day waiting period Benefits payable to age 65 Three month survivor benefit Partial disability covered Residual disability covered Premiums paid by Dachser USA

Group Term Life Insurance One times annual earnings up to $200,000 Accidental death benefits of one time annual earnings up to $200,000 Premiums paid by Dachser USA

Employee Voluntary Life Insurance Benefit amounts available from $10,000 to $100,000 Spouse and dependent children benefits available Coverage is portable after 12 months Premiums paid by employee

Meritain – Aetna Choice POS II Cost of Insurance Meritain – Aetna Choice POS II Annual Gross Income Employee Employee Employee Family + Child(ren) +Spouse $40,000 - Under $190.00 $230.00 $240.00 $260.00 $40,001 - $60,000 $195.00 $250.00 $260.00 $280.00 $60,001 – Above $215.00 $270.00 $280.00 $300.00 Deductions are per pay period and include medical, dental & vision insurance.

Medical Benefits Meritain – Aetna Choice POS II Co-Pay Meritain In-Network Providers Calendar Year Deductible Individual $ 600.00 Family $1,800.00 (Up to 3 members) Out of Pocket Maximum (Includes Deductible) Individual $2,400.00 Family $7,200.00 (Up to 3 members, All copays, coinsurance and benefit deductibles contribute towards your out- of-pocket maximum) Meritain Out-Of-Network Providers Calendar Year Deductible Individual $ 2,400.00 Family $ 7,200.00 (Up to 3 members) Out of Pocket Maximum (Includes Deductible) Individual $ 9,600.00 Family $28,800.00

Medical Benefits Meritain – Aetna Choice POS II Co-Pay Meritain In-Network Providers Physician Office Visits Primary Care Physician $15 Co-Pay then 90% Specialist $30 Co-Pay then 90% Urgent Care $50 Co-Pay then 90% Preventive/Routine Services 100% Covered Emergency Room visit $150.00 Co-Pay Meritain Out-Of-Network Providers All Physician Office Visits Subject to deductible and then 60% then 70% $150.00 Co-Pay

Medical Benefits After the Deductible Meritain – Aetna Choice POS II Co-Pay Meritain In-Network Providers Inpatient Mental/Chemical Dependency 90% after the deductible Hospice and Home Care covered at 90% after the Deductible. Chiropractic, Occupational, Physical, and Speech therapy limit 20 visits annually $15 Co-Pay Primary Physician $30 Co-Pay Specialist Meritain Out-Of-Network Providers 60% after deductible

No Annual Maximum Yearly or Lifetime Medical Benefits Meritain – Aetna Choice POS II Co-Pay Retail Prescription Drugs Generic $15 Co-Pay Brand Name $40 Co-Pay Non-Preferred $60 Co-Pay Mail Order (3 Months) Prescription Drugs Generic $ 30 Co-Pay Brand Name $ 80 Co-Pay Non-Preferred $120 Co-Pay No Annual Maximum Yearly or Lifetime

Medical Benefits Meritain – Aetna Choice POS II Co-Pay Express Scripts Home Delivery (Mail Order) for 90-Day maintenance medications. Benefit Cost Savings: member pays only 2 times the 30-day supply. Three easy ways to order mail service: 1)online, 2)by telephone, or 3) by mail NEW: members must elect to “opt-in” for maintenance drugs 90- Day maintenance drugs are those that you take on a recurring basis for chronic, long-term conditions. Electing to “Opt-In” for maintenance drugs; if not, you will be charged for 30-day supply and will miss out on the savings. Scrip World Customer Service: 1.877.468.6592 direct link to Rx Plan via www.meritain.com

Health Reimbursement Account Meritain Cost of Insurance Health Reimbursement Account Meritain Annual Gross Income Employee Employee Employee Family + Child(ren) +Spouse $40,000 - Under $ 99.00 $180.00 $190.00 $210.00 $40,001 - $60,000 $145.00 $200.00 $210.00 $230.00 $60,001 – Above $165.00 $220.00 $230.00 $250.00 Deductions are per pay period and include medical, dental and vision insurance.

Meritain Health Reimbursement Account Medical Benefits Meritain Health Reimbursement Account Dachser USA will fund the first $1,000 (individual) and the first $2,000 (family) of the calendar year deductible. If not used during the year, the amount will carry over. Meritain In-Network Providers Calendar Year Deductible Individual $2,000.00 Family $4,000.00 Out of Pocket Maximum (Includes deductible, copays and coinsurance) Individual $4,000.00 Family $8,000.00 (One individual is $6,850 and second individual is $1,150 totaling $8,000 for your total out of pocket max or all individuals can collectively reach $8,000.) Meritain Out-Of-Network Providers Calendar Year Deductible Individual $ 8,000.00 Family $16,000.00 (Up to 3 members) Out of Pocket Maximum (Includes Deductible) Individual $16,000.00 Family $30,000.00

Medical Benefits Meritain Health Reimbursement Account Meritain In-Network Providers All Physician Office Visits 90% After Deductible Routine/Preventive Care 100% Covered Emergency Room visit Meritain Out-Of-Network Providers All Physician Office Visits 60% After Deductible Routine/Preventive Care 70% After Deductible Emergency Room visit

Medical Benefits After the Deductible Meritain Health Reimbursement Account Meritain In-Network Providers Inpatient Mental/Chemical Dependency 90% after Deductible Hospice and Home Care 90% after Deductible. Chiropractic, Occupational, Physical, and Speech therapy limit 20 visits annually Meritain Out-Of-Network Providers 60% after deductible

Medical Benefits After the Deductible Meritain Health Reimbursement Account Meritain In-Network Providers (MRI, MRA, CAT Scan, PET Scan, etc.) at Physician office 90% after Deductible MRI, MRA, CAT Scan, PET Scan, etc.) Inpatient/Outpatient at hospital covered at 90% after deductible In-Patient Hospitalization Meritain Out-Of-Network Providers 60% after Deductible

No Annual Maximum Yearly or Lifetime Medical Benefits Meritain Health Reimbursement Account Retail Prescription Drugs Generic $15 Co-Pay Brand Name $40 Co-Pay Non-Preferred $60 Co-Pay Mail Order (3 Months) Prescription Drugs Generic $ 30 Co-Pay Brand Name $ 80 Co-Pay Non-Preferred $120 Co-Pay No Annual Maximum Yearly or Lifetime

Medical Benefits Meritain Health Reimbursement Account Express Scripts Home Delivery (Mail Order) for 90-Day maintenance medications. Benefit Cost Savings: member pays only 2 times the 30-day supply. Three easy ways to order mail service: 1)online, 2)by telephone, or 3) by mail NEW: members must elect to “opt-in” for maintenance drugs 90- Day maintenance drugs are those that you take on a recurring basis for chronic, long-term conditions. Electing to “Opt-In” for maintenance drugs; if not, you will be charged for 30-day supply and will miss out on the savings. Scrip World Customer Service: 1.877.468.6592 direct link to Rx Plan via www.meritain.com

Dental Benefits Meritain – Aetna Choice POS II & Health Reimbursement Account Dental Benefits Preventive Services 100% Deductible Waived Calendar Year Deductible Individual $ 50 Family $150

Dental Benefits Meritain – Aetna Choice POS II & Health Reimbursement Account Dental Benefits Basic Services 80% After Deductible Major Services 50% After Deductible Calendar Year Maximum $1,500 ------------------------------------------------------------------------------------------ Orthodontia coverage 50% After Deductible up to Age 19. Maximum coverage $1000

Vision Care Meritain – Aetna Choice POS II & Health Reimbursement Account Vision Benefits CIGNA In-Network Out-Of-Network Benefit Routine Eye Exams Maximum Benefit $ 10.00 Copay per 12 Months Up to $45.00 Eyeglass Lenses (12) month Period Single Vision 100% After Co-Pay Up to $32.00 Bifocial 100% After Co-Pay Up to $55.00 Trifocal 100% After Co-Pay Up to $65.00 Lenticular 100% After Co-Pay Up to $80.00 Frames (24) month Period Up to $120.00 Up to $66.00 Contacts (12) month Period Elective Up to $110 Up to $98.00 Therapeutic 100% Up to $210.00

Flexible Spending The Flexible Benefit Plan is an employer-sponsored plan that allows you to pay for certain premiums, eligible medical expenses and dependent care expenses on a pre-tax basis. Paying for these expenses with pre-tax dollars saves you money by lowering your taxable income. Health Care Reimbursement FSA: $2,550 maximum per plan year. Dependent Care FSA: $5,000 per plan year maximum if married filing jointly or $2,550 per plan year maximum if single or married but filing separately. You should only set aside amounts that you expect to incur during the plan year, January 1st – December 31st, 2017. Amounts can include expenses for yourself, your spouse or your dependents as long as you claim them as a dependent. Any amounts left in your account at the end of the plan year will be forfeited; essentially use-it-or-lose-it. Therefore, please plan carefully when making your election. It cannot be changed during the plan year unless you have a qualified status change.