Dachser USA 2016 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

Cost of Insurance Open Access Plan CIGNA 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 CIGNA Open Access Plus Co-Pay CIGNA 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) CIGNA 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 CIGNA Open Access Plus Co-Pay CIGNA 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 CIGNA 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 CIGNA Open Access Plus Co-Pay CIGNA 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 CIGNA Out-Of-Network Providers 60% after deductible

No Annual Maximum Yearly or Lifetime Medical Benefits CIGNA Open Access Plus 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

Health Reimbursement Account CIGNA Cost of Insurance Health Reimbursement Account CIGNA 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.

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

Medical Benefits After the Deductible CIGNA Health Reimbursement Account CIGNA 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 CIGNA Out-Of-Network Providers 60% after Deductible

No Annual Maximum Yearly or Lifetime Medical Benefits CIGNA 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

Dental Benefits CIGNA Open Access Plus & Health Reimbursement Account Preventive Services 100% Deductible Waived Calendar Year Deductible Individual $ 50 Family $150

Dental Benefits CIGNA Open Access Plus & Health Reimbursement Account 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 CIGNA Open Access Plus & 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

CIGNA Global Health Benefits *must be a non USA citizen Cost of Insurance CIGNA Global Health Benefits *must be a non USA citizen 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 CIGNA Global Health Benefits *must be a non USA citizen

Medical Benefits After the Deductible CIGNA Global Health Benefits *must be a non USA citizen

Medical Benefits- Prescriptions CIGNA Global Health (prescriptions) Benefits *must be a non USA citizen No Annual Maximum Yearly or Lifetime

Dental Benefits Global Access Plan CIGNA Global Health Benefits *must be a non USA citizen - DENTAL

Vision Global Access Plan Benefits CIGNA Global Vision Benefits *must be a non USA citizen

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, 2016. 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.