Where to Go for 2013 | Where to Go for More Information More Information
Important Benefits Information
Contact Information for Employee Benefits Plans and Programs This is a summary of material modifications (SMM) for some of your benefits plans and programs. See the Appendix for more information.
Please keep this document for future reference.
DISTRIBUTION
Distributed to all employees and eligible former employees (including LTD recipients) of all AT&T and YP Holdings companies (excluding employees of AT&T Support Services Company, Inc. and Yellowpages LLC; bargained employees of AT&T Alascom, Inc., and international employees not on U.S. payroll).
Distributed to alternate payees and beneficiaries receiving benefits from the retirement plans.
Distributed to COBRA participants, recipients of company-extended coverage, surviving dependents and alternate recipients (QMCSOs) of the populations noted above receiving benefits from the health and welfare plans.
NIN: 78-27065
Benefits Summary of Material Modifications | January 2013
This page left intentionally blank. IMPORTANT INFORMATION In all cases, the official documents for the Plans govern and are the final authority on the terms of the Plans. If there are discrepancies between the information in this summary of material modifications (SMM) and the Plans, the Plan documents will control. AT&T reserves the right to terminate or amend any and all of its employee benefits plans or programs, at any time for any reason. Participation in the Plans and Programs is neither a contract nor a guarantee of future employment.
What Is This Document? This is an updated summary of material modifications (SMM) for the Contact Information for Employee Benefits Plans and Programs. This SMM is a one-stop reference guide for frequently called numbers, websites and other important AT&T benefits contact information. Este documento contiene un resumen de las modificaciones materiales, en inglés. Si usted tiene dificultad en entender este SMM, entre en contacto por favor con AT&T Benefits Center, 877-722-0020. Why Did I Receive This Document? This SMM replaces your existing Where to Go for More Information: Contact Information for Employee Benefits Plans and Programs SMM dated January 2012. What Action Do I Need To Take? You should review this SMM and your plan and program summary plan descriptions (SPDs) in their entirety so that you can understand the details of your plans and programs. No other action is necessary. What Has Changed? Changes since the last Contact Information for Employee Benefits Plans and Programs SMM, including changes previously communicated, are incorporated. Please note the following important changes: • Added the AT&T Subpoena Processing Center. See the “Agent for Service of Process” section. • Added the Your Health Matters portal. See the “Contact Information for AT&T Benefits Administrators” section. • Updated the website address for the Fidelity Service Center throughout the SMM. • Added the new AT&T Retiree Discount Center managed by HealthSmart. See the “Employee and Retiree Discount & Offers” section. • Changed the name and website of the FSA and HRA benefits administrator to ADP. See the “Flexible Spending Accounts and Health Reimbursement Accounts” section. • Changed the name of the international benefits administrator to Cigna Global Health Benefits. See the “International Expatriate and Inpatriate Benefits” section. • Added the myNurseLine phone number. See the “UnitedHealthcare” section. • All employees and eligible former employees are directed to the Fidelity Service Center for pension administration. See the “Pension Plan” section. • Added the AT&T MedicareRx Program. See the “Prescription Drugs” section. How Do I Use This Document? As you read this SMM, pay special attention to the “Important” boxes that contain helpful examples and impor- tant notes. Also, throughout this SMM, there are cross-references to other sections in the SMM. Please consult the Table of Contents to help you locate these cross-referenced sections. Questions? If you have questions about this SMM, call the AT&T Benefits Center at 877-722-0020. If you still have ques- tions about the plans and programs after reading your SPDs, you can call the applicable administrator listed in the “Contact Information for AT&T Benefits Administrators” section for more information. CONTENTS
CONTENTS AT A GLANCE About This Summary of Material Modifications...... 6 Agent for Service of Process...... 6 How Do I Look Up a Contact?...... 7 Contact Information for AT&T Benefits Administrators...... 7 Requests for Copies of Documents...... 16 Filing Claims and Appeals...... 18 Address Changes...... 22 Glossary...... 23 Appendix: Affected Benefits Plans, Policies and Programs...... 24
About This Summary of Material Modifications...... 6 Policy and Program Eligibility...... 9 Information You Need to Know to Use This SMM...... 6 Account Support – Wireline Voice, U-Verse, Agent for Service of Process...... 6 High Speed Internet and DIRECTV...... 9 How Do I Look Up a Contact?...... 7 Account Support – Wireless...... 9 Contact Information for Preferred Customer Discount Program...... 10 AT&T Benefits Administrators...... 7 Flexible Spending Accounts and The Your Health Matters Portal...... 7 Health Reimbursement Accounts...... 10 Your Health Matters...... 7 ADP...... 10 Adoption Reimbursement...... 7 Health Savings Accounts...... 10 AT&T Benefits Center...... 7 OptumHealth Bank...... 10 Beneficiary Designations, Death, and Survivor Benefits.... 7 International Expatriate and Inpatriate Benefits...... 11 Fidelity Service Center...... 7 Cigna Global Health Benefits...... 11 CarePlus and MedPlus...... 8 Leaves of Absence...... 11 UnitedHealthcare...... 8 Life Insurance...... 11 Commuter Benefits...... 8 AT&T Benefits Center...... 11 WageWorks...... 8 Long-Term Care Insurance...... 11 Dental...... 8 John Hancock Life Insurance Company USA...... 11 Cigna Dental...... 8 Medical...... 11 Disability (Short-Term and Long-Term), Blue Cross and Blue Shield of Illinois...... 11 Workers’ Compensation and Job Accommodations...... 9 Cancer Resource Service...... 12 Sedgwick Claims Management Services...... 9 Consumer’s Medical Resource...... 12 Eligibility for Health and Welfare Benefits Plans...... 9 Teladoc...... 12 AT&T Benefits Center...... 9 UnitedHealthcare...... 12 Employee Assistance Program/Employee and Alaska Electrical Health & Welfare Fund...... 13 Family Assistance Program (EAP/EFAP)...... 9 Medicare Part B Premium Reimbursement...... 13 ValueOptions...... 9 AT&T Benefits Center...... 13 Employee and Retiree Discounts & Offers...... 9 Mental Health and Substance Abuse...... 13
Legend - Mailing Address Website ( Telephone Hours of Availability 2 Fax * Email
Page 4 Where to Go for More Information | 2013 CONTENTS
ValueOptions...... 13 Benefits Not Specifically Listed...... 17 Pension Plans ...... 13 Fully-Insured Managed Care Options...... 17 Fidelity Service Center...... 13 Bargaining Agreements...... 17 National Electrical Benefit Fund...... 14 Official Plan Documents...... 17 Alaska Electrical Pension Plan...... 14 Filing Claims and Appeals...... 18 Prescription Drugs...... 14 Beneficiary Designations, Death and Survivor Benefits..... 18 CVS Caremark...... 14 CarePlus and MedPlus...... 18 SilverScript Insurance Company...... 14 Dental...... 18 Savings Plans...... 14 Disability (Short-Term and Long-Term), Workers’ Fidelity Service Center...... 14 Compensation and Job Accommodations...... 18 Scarborough Alliance Group...... 14 Eligibility for Health and Welfare Benefits Plans...... 19 Alaska Electrical Workers Money Employee Assistance Program/Employee and Purchase Pension Plan...... 14 Family Assistance Program (EAP/EFAP)...... 19 Stock Options, Performance Shares or Restricted Stock.... 15 Flexible Spending Accounts and Health Reimbursement Accounts...... 19 Merrill Lynch...... 15 International Expatriate and Inpatriate Benefits...... 19 AT&T Equity Administration...... 15 Life Insurance...... 19 Terms of Employment (also known as Net Credited Service)...... 15 Long-Term Care Insurance...... 19 Fidelity Service Center...... 15 Medical...... 19 Vision...... 15 Blue Cross Blue Shield of Illinois...... 19 EyeMed Vision Care...... 15 UnitedHealthcare...... 20 Voluntary Benefits...... 15 Alaska Electrical Health & Welfare Fund...... 20 Marsh PersonalPlans...... 15 Medicare Part B Premium Reimbursement...... 20 Work/Life Program...... 15 Mental Health and Substance Abuse...... 20 LifeCare...... 15 Pension Plans...... 20 Requests for Copies of Documents...... 16 Prescription Drugs...... 20 Summary Plan Descriptions, Summary of CVS Caremark...... 20 Material Modifications, or Printed Policies...... 16 SilverScript Insurance Company...... 20 Health and Welfare Plans...... 16 Savings Plans...... 21 AT&T Benefits Center...... 16 Terms of Employment (also known as Alaska Electrical Health & Welfare Fund...... 16 Net Credited Service)...... 21 Pension Plans...... 16 Vision...... 21 Fidelity Service Center...... 16 Address Changes...... 22 National Electrical Benefit Fund...... 16 Active Employee Address and Telephone Number Changes...... 22 Alaska Electrical Pension Plan...... 16 Eligible Former Employees and Inactive Savings Plans...... 17 Employee Home Address Changes...... 22 Fidelity Service Center...... 17 Glossary...... 23 Scarborough Alliance Group...... 17 Appendix: Affected Benefits Plans, Alaska Electrical Workers Money Policies and Programs...... 24 Purchase Pension Plan...... 17
Legend - Mailing Address Website ( Telephone Hours of Availability 2 Fax * Email
2013 | Where to Go for More Information Page 5 ABOUT THIS SUMMARY OF MATERIAL MODIFICATIONS
This summary of material modifications (SMM) is a one-stop Welfare Benefits Plans” section for more information on how reference guide for frequently called numbers, websites and to contact the AT&T Benefits Center. other important AT&T benefits contact information. It is designed to help you find information quickly and easily. Important: Please verify your eligibility for (or participation in) a program before taking any action. See the “Requests for Copies of Documents” section for more information on how to obtain a copy of this SMM. Benefit eligibility for employees classified as nonmanagement Information You Need to Know to Use This SMM nonunion (NMNU) employees varies by employing company and type of benefit. If you are uncertain whether you should AT&T offers a wide variety of benefits, employee discounts receive management or bargained benefits, call the AT&T and other programs. You may not be eligible to participate in Benefits Center at 877-722-0020 to determine your job title every program listed in this SMM. Eligibility to participate in a classification. See the “How Do I Look Up a Contact” section program depends on certain factors, such as your: for more information on how to look up a contact. • Employment status (for example, active or eligible former employee) See the Appendix for a list of employee benefits plans and programs for which this SMM applies. • Job title classification (for example, bargained or management) Important: Legacy AT&T means AT&T Corp. and its subsidiaries • Employing company before the merger with SBC Communications Inc. Legacy BellSouth means BellSouth Corporation and its subsidiaries • Service history (for example, hire date, termination date before the merger with AT&T Inc. Legacy SBC means or Term of Employment also known as net credited subsidiaries of SBC Communications Inc. before the merger service or NCS.) with AT&T Corp. A name change of the subsidiary you work for To understand what Programs apply to you, you will need to or retired from does not affect what legacy group of companies know the preceding information. The AT&T Benefits Center it is a part of. can provide these details. See the “Eligibility for Health and
AGENT FOR SERVICE OF PROCESS This section of the SMM only applies to ERISA plans. See the If you have a signed authorization to release information or a Appendix for more details. subpoena request for production, you must fax the request to the AT&T Subpoena Processing Center. If you wish to bring a legal action concerning your right to participate in a plan or your right to receive any benefits under 2 877-971-6093 a plan (or any of its programs), you must first file a claim for Available 24 hours a day, seven days a week benefits and go through the ERISA claim and appeal process. A legal action should not be filed until you complete the claim Important: For additional information regarding and appeal process. Legal action involving a plan should be authorizations to release information or subpoena filed directly against the plan and served at the address below: requests, call 800-291-4952, Monday through Friday AT&T Services, Inc. from 9 a.m. to 6 p.m. Central time. P.O. Box 132160 Dallas, TX 75313-2160
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General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
Leave of Savings Plans Pension Life Insurance Paid Time Off Absence
HOW DO I LOOK UP A CONTACT?
Tuition Aid Adoption Product Concessions Commuter LifeCare 1-Color Benefits Icons Version 02.20.02 EMS It’s simple. See this section any time you need contact • Under1-Color the Benefits administr Icons Versionator 02.20.02 for your EMS employee group, you will information for employeeUse SBC Emphasis benefits, Black or SBC discounts Brand Mark Blue. or Interior other of circle in white. No screens. Additionfind ofavailable Energy Yellow websites,radial gradiant fill telephone TBD. numbers, hours of Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. programs. Here’s how: General Benefits operation and mailing addresses. General Benefits • Determine the factors that describe what kind of employee you are. See the “Information You Need to Example: Assume you are a manager who retired in 2005. Know to Use This SMM” section for more information. Prescription Medical Vision Dental Drugs Disability Prescription You live in Florida and haveMedical questionsVision about Dentalyour wirelineDrugs Disability • Find the type of benefit, employee discount or other voice discount. program — e.g., medical, prescription drugs or commuter. stock options shares of stock workers compensation Find the “Employee and Retiree Discounts & Offers” section. Wellness Web site • ExpatsFind the administrator for your employee group. Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts ChemicalSee Dependency the “ActivePlan Employees and Retirees Who Receive Flexible Spending Mental Health/ Employee Assistance Important: If you do not see your employee group listed, call Discounts on an AT&T Bill”CarePlus underLong-Term the Care“AccountAccounts SupportChemical – Dependency Plan the administrator at the beginning of the section. Wireline Voice, U-Verse, High Speed Internet and DIRECTV” heading, and call the AT&T Employee and Retiree Sales and Service Center at 877-377-9010, Monday through Friday Leave of Savings Plans Pension Life Insurance Absence Paidfrom Time Off 9 a.m. to 6 p.m. Central time. Leave of Savings Plans Pension Life Insurance Paid Time Off Absence
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service CONTACTMatters INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
Tuition Aid Adoption Product Concessions Commuter LifeCare Tuition Aid Adoption Product Concessions Commuter LifeCare The Your Health Adoption Important: To access the website, 2011 Reimbursement 20122013 Matters Portal you will need your AT&T Benefits Center user ID and password. To access the AT&T Benefits Center To find: stock options shares of stock workers compensation Wellness Web site Expats AT&T Benefits Center via the phone, you stock options shares of stock workers compensation Wellness Web site Expats Net Credited • Quick answers to questions about For information on adoption reimburse- will need to provide the last four digits Service the benefits and programs for which ment and eligibility, contact the AT&T of your Social Security number, your you are eligible, Benefits Center. date of birth and your AT&T Benefits
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Center password. and Survivor Benefits Health/Welfare Benefits Service Matters Beneficiary Designations Eligibility for Voluntary Net Credited Your Health • Information on health and wellness - AT&T Benefits Center Service Matters and Survivor Benefits Health/Welfare Benefits tools, resources and programs 100 Half Day Road 2011 20122013 Beneficiary Designations, provided by AT&T, or P.O. Box 1474 20112012 Lincolnshire, IL 60069-1474 Death and Survivor 2013 Net Credited • Connect with your medical claims Service Net Credited Benefits Service administrator or another benefit ( 877-722-0020 administrator. 847-883-0866 (international) Fidelity Service Center Your Health Matters ( Call the Fidelity Service Center to report 847-883-8217 See the Your Health Matters 2 the death of an employee, an eligible section at onestop.web.att.com. Monday through Friday from former employee, an inactive employee 7 a.m. to 7 p.m. Central time and/or an eligible dependent, or ask ( When you need a little assistance, questions about beneficiary dedicated Your Health Matters An interactive voice response designations. (If you have submitted an advocates can help you. system is available 24 hours a AT&T Beneficiary Designation to the 866-276-8444 day (except Sunday from 1 a.m. Fidelity Service Center, service to noon Central time and periodi- associates will be able to answer The portal is available 24 hours a cally during the week for one hour questions regarding the designation day, 7 days a week. You can call between midnight and 5 a.m. for that you have on file. Many benefits a Your Health Matters advocate maintenance and updates). plans and programs allow you to Monday through Friday from designate a beneficiary. Although you 7 a.m. to 6 p.m. Central time. are not required to update your beneficiary designation, it is recommended that you do so when certain life events occur (for example, getting married or divorced, having or adopting a child, or losing a loved one).
2013 | Where to Go for More Information Page 7 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
You may manage your beneficiary - Fidelity Service Center ( 877-261-3340Leave of designations via the AT&T Online P.O. Box Savings770003 Plans Pension Life Insurance Paid Time Off Absence Beneficiary tool. (Note: Some eligible Cincinnati, OH 45277-0088 ( 877-246-8173 (international) former employees and former vested employees may need to call the Fidelity ( 800-416-2363 Monday through Friday from Service Center for further assistance.) 7 a.m. to 7 p.m. Central time ( Dial yourTuition country’s Aid Adoptiontoll-free ProductAT&T Concessions Commuter LifeCare If you have not completed an AT&T Direct Access number, then enter Commuter Benefits Beneficiary Designation, or if you 800-416-2363 (international). wish to change your current beneficiary designation on file: ( 888-343-0860 (hearing-impaired) WageWorks stock options shares of stock workers compensation Wellness Web site Expats Y ou may create, update, print or Monday through Friday from 7:30 - WageWorks request an AT&T Beneficiary a.m. to 11 p.m. Central time P.O. Box 14053 Designation through Fidelity’s Lexington, KY 40512 NetBenefits website at The autBeneficiaryomated Designations voiceEligibility response for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters netbenefits.com/att. You may system is available 24 hours a day, wageworks.com seven days a week. also go to the Quick Reference 20112012 section of the OneStop home page *2013 [email protected] at onestop.web.att.com (from Important: The AT&T Beneficiary Net Credited Service( 877-924-3967 work), or access.att.com (from Designation applies to most, but not all, home). Click on “B” and then click AT&T-provided benefits. Carefully review 2 877-353-9236 (Claims submission) “Beneficiary Designation (online).” the AT&T Rules for Employee Beneficiary Eligible former employees may Designations, the AT&T Beneficiary Monday through Friday from also go to the Benefits section Designation and the accompanying 7 a.m. to 7 p.m. Central time, of access.att.com. Click on “Your instructions to determine whether the excluding holidays. An interactive AT&T Beneficiary Designation applies to Finances,” and then click 1-Color Benefits Icons Version 02.20.02 EMS voice response system is available “Beneficiary Designation.” all of your benefits. If one of your 24 hours a day, 7 days a week. Company-sponsoredUse SBC Emphasis Black benefit or SBC Brand plans Mark Blue.or Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. All beneficiary designations made programs does not use the AT&T Rules for Important:General Benefits Commuter Benefits are not using the Online Beneficiary tool Employee Beneficiary Designations to available to employees located in Guam, will be available for future viewing distribute the proceeds of your benefits in Puerto Rico or the Virgin Islands. and updating at your convenience. the event of your death, please refer to Prescription Please note that in some cases you the SPD of that plan or program.Medical Vision Dental Drugs Disability may have to print your AT&T Dental Beneficiary Designation, gather You will need to establish a user name additional signatures, and1-Color then Benefits Icons and Version password, 02.20.02 EMS if you haven’t already, return the form before yourUse AT&TSBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of EnergyFlexible Yellow Spending radial gradiantMental Health/ fill TBD. Employee Assistance when you access the FidelityCarePlus NetBenefitsLong-Term Care CignaAccounts DentalChemical Dependency Plan Beneficiary Designation is valid website, and you will needGeneral Benefits your Fidelity AT&T Dental Service Center (for example, in cases for which Service Center PIN and Social Security - P.O. Box 188040 spousal consent is required by the number/customer ID when you access Chattanooga, TN 37422 applicable benefit plan). Please the automated voice response system or Prescription Leave of follow the prompts for when a Savings Plans Pension Life Insurance Paid Time Off Absence to Medicalspeak to a serviceVision associate.Dental You doDrugs not Disability mycigna.com printed form must be returned to need a Fidelity Service Center PIN or the Fidelity Service Center. Social Security number/customer ID to ( 888-722-5505 report a death. Quick and easy! Update your Monday through Friday from Flexible Spending Mental Health/ Employee Assistance beneficiary designation online at CarePlus Long-Term Care AccountsTuition Aid Chemical DependencyAdoption ProductPlan Concessions7 a.m. toCommuter 7 p.m. CentralLifeCare time netbenefits.com/att. CarePlus and MedPlus ( You may request an AT&T Benefi- ciary Designation Form through the UnitedHealthcare Leave of Fidelity Service Center. An AT&T Savings Plans Pension Lifestock Insurance options Paidshares Time Offof stock workersAbsence compensation Wellness Web site Expats Beneficiary Designation Form will To confirm whether a specific procedure be mailed to you within three is covered under CarePlus or MedPlus or business days. to obtain preapproval for a procedure:
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Tuition Aid Adoption Productand Survivor Concessions Benefits CommuterHealth/Welfare LifeCareBenefits Service Matters
20112012 Page 8 Where to Go for More2013 Information | 2013
Net Credited Service
stock options shares of stock workers compensation Wellness Web site Expats
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters
2011 20122013
Net Credited Service 1-Color Benefits Icons 1-Color Version Benefits 02.20.02 Icons EMS Version 02.20.02 EMS
Use SBC Emphasis BlackUse or SBC EmphasisBrand Mark Black Blue. or InteriorSBC Brand of circleMark inBlue. white. Interior No screens. of circle Addition in white. of No Energy screens. Yellow Addition radial of gradiant Energy Yellowfill TBD. radial gradiant fill TBD.
General Benefits General Benefits
1-Color Benefits Icons Version 02.20.02 EMS 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radialUse SBC gradiant Emphasis fill BlackTBD. or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Prescription Prescription Medical VisionMedical DentalVision DrugsDental DisabilityDrugs Disability General Benefits General Benefits CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
Prescription Flexible Spending MentalFlexible Health/ SpendingEmployeeMental Assistance Health/ Employee Assistance Prescription Medical Vision Dental Disability Medical Vision Dental CarePlusDrugs Long-TermDisabilityCarePlus Care AccountsLong-Term CareChemical DependencyAccounts ChemicalPlan Dependency Plan Drugs Disability (Short-Term Employee Assistance Account Support – Wireline Voice, U-Verse, High Speed Internet and and Long-Term), Workers’ Program/Employee and DIRECTV Compensation and Family Assistance Program Flexible Spending Mental Health/ Employee Assistance Flexible Spending Mental Health/ Employee Assistance Leave of Leave of CarePlus Long-Term Care Accounts Chemical Dependency Plan FOR DISCOUNT ENROLLMENT, SERVICE & CarePlus Long-Term Care Accounts ChemicalSavings Dependency Plans PensionSavingsPlan PlansJobLife InsuranceAcPensioncommodationsPaid LifeTime Insurance Off AbsencePaid Time Off Absence (EAP/EFAP) BILLING ISSUES (E.G. NEW CONNEC- Sedgwick Claims TIONS, DISCONNECTS, AND OTHER ValueOptions CUSTOMER SERVICE MATTERS) Management Services achievesolutions.net/att Leave of Leave of Active Employees and Retirees Who Savings Plans Pension Life Insurance Paid Time Off Absence Savings Plans Pension Life Insurance TuitionPaid Time Aid Off -AdoptionAbsenceTuition AT&T Aid Product Integrated ConcessionsAdoption DisabilityProductCommuter Concessions LifeCareCommuter LifeCare Receive Discounts on an AT&T Bill: Service Center ( 800-554-6701 P.O. Box 14627 attathome.att.com Available 24 hours a day, seven Lexington, KY 40512-4627 days a week ( 877-377-9010 AT&T Employee and stock options Tuition Aid Adoption Product Concessions Commuter LifeCare Tuition Aid Adoption Product Concessions stockCommuter options ( sharesLifeCare of stock866-276-2278workersshares compensation of stock Wellnessworkers Web compensation site ExpatsWellness Web site Expats Retiree Sales and Service Center Employee and Retiree Monday through Friday from Monday through Friday from 7 a.m. to 7 p.m. Central time Discounts & Offers 9 a.m. to 6 p.m. Central time
Net Credited Beneficiary Designations BeneficiaryEligibility Designationsfor VoluntaryEligibility for Net CreditedVoluntary Your Health Your Health 2 866-224-4627 stock options shares of stock workers compensation Wellness Web site Expats Retirees Who Receive Reimbursements stock options shares of stock workers compensation Service and SurvivorWellness Benefits Web siteHealth/Welfareand Survivor Expats Benefits BenefitsHealth/Welfare ServiceBenefits Matters PolicyMatters and Program Eligibility (discount not on an AT&T bill):
Eligibility for2011 Health and2011 FOR AT&T PRODUCTS AND SERVICES: 2012 20122013 HealthSmart Welfare Benefits2013 Plans WIRELINE VOICE, WIRELESS, U-VERSE, - HIGH SPEED INTERNET AND DIRECTV P.O. Box 2911 Net Credited Net Credited Service Net Credited Beneficiary Designations Eligibility for Voluntary Net Credited Your Health ServiceBeneficiary Designations Eligibility for Voluntary Your Health Service Charleston, WV 25339-2911 and Survivor Benefits Health/Welfare Benefits Service AT&TMatters Benefits Centerand Survivor Benefits Health/Welfare ActiveBenefits Employees Matters ( 888-251-0645 2011 AT&T Benefits Center 20112012 20122013 - Go to the2013 OneStop home page, and 100 Half Day Road select “Your Money Matters” and go * anw.attretireediscounts@ Net Credited Net Credited Service P.O. Box 1474 to theService “Discounts & Offers” section. healthsmart.com Lincolnshire, IL 60069-1474 • If you need additional information, Monday through Friday from resources.hewitt.com/att contact OneStop. 8 a.m. to 6 p.m. Eastern time ( 877-722-0020 ( 888-722-1787 (say “discounts” Account Support – Wireless ( 847-883-0866 (international) at prompt) FOR DISCOUNT ENROLLMENT, SERVICE & BILLING ISSUES (E.G., NEW Customer-care specialists are 2 847-883-8217 ACTIVATIONS, DISCONNECTS AND available Monday through Friday OTHER CUSTOMER SERVICE MATTERS) Monday through Friday from from 8 a.m. to 6 p.m. Central time. Active Management Employees 7 a.m. to 7 p.m. Central time Retirees Enhanced Mobility Offer An interactive voice response ( 888-251-0645 AT&T Retiree (E.M.O. 1.0) website: system is available 24 hours a day Discount Center (managed emprateplan.edc.cingular.net/ (except Sunday from 1 a.m. to noon by HealthSmart) emo/ and click on Central time and periodically “Contact Us” during the week for one hour * anw.attretireediscounts@ healthsmart.com between midnight and 5 a.m. for ( 800-331-0500 AT&T Customer maintenance and updates). Monday through Friday from Care Team or dial 611 from your 8 a.m. to 6 p.m. Eastern time wireless phone Important: To access the website, you will need your AT&T Benefits Center Monday through Friday from user ID and password. To access the 5 a.m. to 9 p.m. Pacific time AT&T Benefits Center via the phone, you will need to provide the last four digits of your Social Security number, your date of birth and your AT&T Benefits Center password.
2013 | Where to Go for More Information Page 9 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
Leave of Savings Plans Pension Life Insurance Paid Time Off Absence Active Nonmanagement Employees To search for companies, go to Health Savings Mobility Nonmanagement – the OneStop home page, and Accounts Enhanced Mobility Offer (E.M.O. 3.0) select Your Money Matters, go to website: https://emprateplan.edc. Discounts & Offers section, and FOR ALL PARTICIPANTS IN THE select the Preferred Customer Tuition Aid Adoption Product Concessions Commuter LifeCare cingular.net/erp/1-Color Benefits Icons Version 02.20.02 EMS CONSUMER-DRIVEN HEALTH Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white.Discount No screens. Additionsection. of Energy Yellow radial gradiant fill TBD. PROGRAM UNDER THE AT&T Nonmanagement (Non- MEDICAL PROGRAM General Benefits Mobility) – Premier website: • If you need additional informa- Many financial institutions offer HSAs. tion, contact OneStop stock options shares of stock att.com/wireless/att You may wish to checkworkers with compensation your Wellnessfinancial Web site Expats 888-722-1787 (say “discounts” institution concerning the availability and ( 800-331-0500 AT&T Customer ( Prescription Care Team or dial 611Medical from yourVision Dentalat prompt)Drugs Disability terms of an HSA. To facilitate Employee wireless phone participation in an HSA, the Company Customer-care specialists are Beneficiaryhas Designations arrangedEligibility to permitfor payrollVoluntary deducNet Credited- Your Health and Survivor Benefits Health/Welfare Benefits Service Matters Monday through Friday from available Monday through Friday tions by eligible Employees into an from 8 a.m. to 6 p.m. Central time. 5 a.m. to 9 p.m. Pacific time Flexible Spending Mental Health/ Employee Assistance HSA established with OptumHealth20112012 CarePlus Long-Term Care Accounts Chemical Dependency Plan Bank. Note: Employees in Hawaii and2013 Retirees (Management Flexible Spending Puerto Rico may not make before-taxNet Credited and Nonmanagement) Service Accounts and Health payroll contributions to an HSA through Premier website: Reimbursement payroll deduction. Leave of att.com/wireless/attSavings Plans Pension Life Insurance AccountsPaid Time Off Absence OptumHealth Bank ( 800-331-0500 AT&T Customer ADP - OptumHealth Bank Care Team or dial 611 from your P.O. Box 271629 wireless phone - ADP Benefit Services KY, Inc. Salt Lake City, Utah 84127-1629 Tuition Aid Adoption Product ConcessionsP.O. BoxCommuter 34700 LifeCare * Retiredatt@amcustomercare. Louisville, KY 40232-4700 optumhealthbank.com att-mail.com myspendingaccount.adp.com ( 866-234-8913 Monday through Friday from stock options shares of stock 800-283-3211 5 a.m. to 9 p.m. Pacific time workers( compensation Wellness Web site Expats 2 866-538-9701 502-267-4900 (international) Important: Discount enrollments ( Monday through Friday from 7 a.m. to 7 p.m. Central time cannot be added to wireless accounts ( 800-952-0450 (hearing-impaired) at Mobility retail locationsBeneficiary Designationsnor can Eligibilityit for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters The IVR is available 24 hours a day, be added through the 800 number. 866-643-2219 2 seven days a week. Discounts must be applied through 2011 the provided website functionality. Monda2012y2013 through Friday from 7 a.m. to 7 p.m. Central time Important: The HSA offered by Net Credited Service OptumHealth is not an arrangement Preferred Customer The IVR is available 24 hours a day, that is established and maintained by Discount Program seven days a week. the Company. Rather, the OptumHealth The AT&T Preferred Customer Discount HSA is established and maintained by Important: Employees located in OptumHealth Bank, the HSA trustee. Program (PCDP) gives active AT&T Puerto Rico are not eligible for an FSA. employees access to special prices on It is the Company’s intention to comply select products and services provided with Department of Labor guidance by certain business customers. Email set forth in Field Assistance Bulletin and chat features are available on No. 2004-1, which specifies that an the website. HSA is not an ERISA plan if certain requirements are satisfied.
Page 10 Where to Go for More Information | 2013 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
1-Color Benefits Icons Version 02.20.02 EMS
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
1-Color Benefits Icons Version 02.20.02 EMS
Leave of Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Savings Plans Pension Life Insurance Paid Time Off Absence Prescription Medical Vision Dental Drugs Disability General Benefits
Tuition Aid Adoption Product Concessions Commuter LifeCare Flexible Spending Mental Health/ Employee Assistance Prescription CarePlus Long-Term Care Accounts Chemical Dependency Plan Medical Vision Dental Drugs Disability
CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
stock options shares of stock workers compensation Wellness Web site Expats Leave of Flexible Spending Mental Health/ Employee Assistance Savings Plans Pension Life Insurance Paid Time Off Absence CarePlus Long-Term Care Accounts Chemical Dependency Plan International Expatriate Life Insurance Long-Term and Inpatriate Benefits Care Insurance
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service FORMatters MEDICAL, PRESCRIPTION DRUGS, For information regarding eligibility, John Hancock Life InsuranceLeave of Tuition Aid Adoption Product Concessions Commuter Savings Plans Pension Life Insurance Paid Time Off Absence DENTAL AND VISION enrollment or cost of coverageLifeCare contact Company USA 20112012 the AT&T Benefits Center. 2013 Cigna Global Health Benefits - John Hancock Life Insurance Net Credited AT&T Benefits Center Company USA Service Cigna Global Health Benefits - Group Long-Term Care Department Expatriate Benefitsstock options shares of stock workers compensation Wellness Web site Expats Tuition Aid Adoption Product Concessions Commuter LifeCare - AT&T Benefits Center B-6 P.O. Box 15050 100 Half Day Road P.O. Box 111 Wilmington, DE 19850 USA P.O. Box 1474 Boston, MA 02117 Lincolnshire, IL 60069-1474
The following numbers are Net Credited Your Health Beneficiary Designations Eligibility for Voluntary stock options shares of stock and Survivor Benefits Health/Welfare Benefits Service Matters ( 800-732-3220workers compensation Wellness Web site Expats available 24 hours a day, resources.hewitt.com/att seven days a week: 2011 ( 617-572-0048 (international) ( 877-722-002020122013 800-441-2668 (If dialing 1-Color Benefits Icons Version 02.20.02 EMS ( ( 800-255-1808 (hearing-impaired) Net Credited Service internationally, use that country’s ( 847-883-0866 (international)Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. and Survivor Benefits Health/Welfare Benefits Service Matters AT&T Direct Access number.) 1-Color Benefits Icons Version Monda 02.20.02 y EMS through Friday from General Benefits 2 847-883-8217 Use SBC Emphasis Black or SBC Brand7:30 Mark a.m. Blue. Interior to 5:30 of circle p.m.2011 in white. Central No screens. time Addition of Energy Yellow radial gradiant fill TBD. ( 302-797-3100 (reverse charges 20122013 accepted) Monday through Friday from General Benefits Important: To beNet directed Credited to the 7 a.m. to 7 p.m. Central time Service
Prescription appropriate website, call Customer Medical Vision Dental Drugs 2Disability 800-243-6998 (If dialing interna- Service at the above telephone numbers. tionally, use that country’s AT&T An interactive voice response system is available 24 hours a day Prescription Direct Access number.) Medical Vision Dental Drugs Disability (except Sunday from 1 a.m. to noon cignaenvoy.com Central time and periodically Medical Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan during the week for one hour Important: Registration is required to between midnight and 5 a.m. For information regardingFlexible Spending self-insuredMental Health/ Employee Assistance for maintenance and updates). CarePlus Long-Term Care Accounts Chemical Dependency Plan use the member website. Secure mail is medical programs, see the contact also available at this site. information listed in this section of the Leave of Important: To access the website, Savings Plans Pension Life Insurance Paid Time Off Absence you will need your AT&T Benefits Center SMM. The AT&T Benefits Center can provide contact information for fully- user ID and password. To access the Leave of Leaves of Absence Savings Plans Pension Life Insurance Paid Time Off Absence AT&T Benefits Center via the phone, insured managed care options. See the you will need to provide the last four “Eligibility for Health and Welfare For information regarding leaves of digits of your Social Security number, Benefits Plans” section for more Tuition Aid Adoption Product Concessions Commuter LifeCare absence, use the following resources: your date of birth and your AT&T information on how to contact the AT&T Benefits Center. Benefits Center password. Tuition Aid Adoption Product Concessions Commuter LifeCare • Your immediate supervisor. Blue Cross and • Go to: Call the Fidelity Service Center to report Blue Shield of Illinois stock options shares of stock workers compensation Wellness Web site Expats the death of an employee, an eligible the OneStop home page, and former employee, an inactive employee FOR ACTIVE AND ELIGIBLE FORMER select “Company Leaves of and/or an eligible dependent. You stock optionsBARGAINEDshares of stock EMPLOYEESworkers compensation OF AT&TWellness Web site Expats Absence” in the “Time and do not need a Fidelity Service Center EAST, AT&T MIDWEST, AND AT&T Attendance” section. SOUTHEAST AND ELIGIBLE FORMER Beneficiary Designations Eligibility for Voluntary Net Credited Your Health PIN or Social Security number/customer and Survivor Benefits Health/Welfare Benefits Service Matters MANAGEMENT EMPLOYEES OF • If you need additional information, ID to report a death. See the “Beneficiary AT&T EAST AND AT&T SOUTHEAST Designations, Death and Survivor Beneficiary Designations Eligibility for Voluntary Net Credited Your Health 2011 contact OneStop. and Survivor Benefits(UNLESSHealth/Welfare YOU ARE ENROLLEDBenefits INService Matters 20122013 Benefits” section for contact information. THE AMERITECH, PTG, OR SNET Net Credited ( 888-722-1787 MEP PROGRAMS) 20112012 Service 2013
Customer-care specialists are Net Credited available Monday through Friday Service from 8 a.m. to 6 p.m. Central time.
2013 | Where to Go for More Information Page 11 CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
- Blue Cross and Blue Shield of ( 866-936-6002 Teladoc is a national network of Illinois board-certified physicians providing P.O. Box 805107 Monday through Friday from medical consultations 24 hours a day, Chicago, IL 60680-4112 7 a.m. to 7 p.m. Central time 365 days a year. Teladoc physicians Note: This program is not available use electronic health records and bcbsil.com/att for anyone with Medicare as their telephone/video consultations to primary insurer. diagnose, recommend treatment and ( 800-621-7336 write short-term, non-DEA controlled ( 800-621-0965 (for medical Important: To receive the network prescriptions when appropriate. Teladoc services requiring precertification) level of benefits, you must contact the physicians are available to resolve your Cancer Resource Service before receiv- routine medical issues when you need ( 800-299-0274 (NurseLine) ing treatment. All provisions, terms and it, from wherever you happen to be. conditions of the AT&T Medical Program The customer service center is apply when services are provided Teladoc.com (to enroll available Monday through Friday through the Cancer Resource Service. or schedule a consult) 7 a.m. to 7 p.m. Central time. ( 800-835-2362 For medical services requiring precertification, the customer Consumer’s Medical Resource 24 hours a day, seven days a week service center is available Monday FOR ALL ACTIVE MANAGERS ENROLLED Note: Participants located in Puerto through Friday from 8 a.m. to IN THE AT&T MEDICAL PROGRAM, Rico are not eligible for Teladoc. 5 p.m. Central time. AS WELL AS ALL LEGACY AT&T ACTIVE LEGACY AT&T BARGAINED The NurseLine is available 24 hours EMPLOYEES ENROLLED IN THE AT&T Important: When you log on to the a day, seven days a week. MEDICAL EXPENSE PLAN FOR member website for the first time: OCCUPATIONAL EMPLOYEES 1. Click “Set up account.” During off hours, the IVR is available 2. Were you given a Teladoc username? Monday through Friday from Consumer’s Medical Resource provides Select “No.” 6 a.m. to 11:30 p.m. Central time Medical Decision Support, a service that 3. Enter your first name, last name, date and on Saturday from provides you with current, comprehen- of birth, and the following Company 6 a.m. to 3 p.m. Central time. sive, objective and personalized infor- Code: ATTMP mation about medical conditions, your Cancer Resource Service 4. Complete the setup process and enter treatment options and their effective- your medical history. FOR ALL ACTIVE AND ELIGIBLE FORMER ness. The service is for you and your MANAGERS AND CERTAIN ACTIVE dependents who are facing a serious AND ELIGIBLE FORMER BARGAINED or chronic illness. UnitedHealthcare EMPLOYEES ENROLLED IN THE AT&T MEDICAL PROGRAM, AS WELL AS ( 888-644-1640 FOR ALL PARTICIPANTS ENROLLED IN ALL LEGACY AT&T ACTIVE AND THE AT&T MEDICAL PROGRAM ELIGIBLE FORMER BARGAINED Monday through Friday from EMPLOYEES ENROLLED IN THE 7:30 a.m. to 4 p.m. Central time - UnitedHealthcare AT&T MEDICAL EXPENSE PLAN FOR P.O. Box 30557 OCCUPATIONAL EMPLOYEES OR THE Important: Consumer’s Medical Salt Lake City, UT 84130-0557 AT&T CORP. POSTRETIREMENT WEL- Resource does not provide advice or myuhc.com (for information on FARE BENEFITS PLAN recommend a particular treatment. The Cancer Resource Service is designed claims, benefits, explanation of to help you better understand oncology/ benefits, ID cards, search for cancer diagnoses and available treat- Teladoc hospitals, physicians, specialists and more) ment options, and to give you access to FOR ALL ACTIVE AND ELIGIBLE FORMER the providers and services available at MANAGERS AND CERTAIN ACTIVE ( 866-705-9767 many of the country’s leading cancer AND ELIGIBLE FORMER BARGAINED centers — all at network rates. EMPLOYEES ENROLLED IN THE AT&T ( 866-802-8572 (international) MEDICAL PROGRAM ( 877-218-7138 (hearing-impaired) ( 877-861-3861 (myNurseLine)
Page 12 Where to Go for More Information | 2013 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
1-Color Benefits Icons Version 02.20.02 EMS Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. The customer service center is Alaska Electrical Health & Mental Health and Welfare Fund General Benefits available Monday through Friday Substance Abuse from 7 a.m. to 7 p.m. Central time, FOR BARGAINED EMPLOYEES OF AT&T except some holidays. MOBILITY – IBEW LOCAL 1547 HIRED ValueOptionsLeave of Savings Plans Pension Life Insurance Paid Time Off Absence BEFORE DEC. 31, 2011 Prescription For medical services requiring Medical -Vision ValueOptions Dental Drugs Disability precertification, preauthorization - Alaska Electrical Trust Funds P.O. Box 1860 or prenotification, the customer 2600 Denali St., Suite 200 Latham, NY 12110 service center is available Monday Anchorage, AK 99503 1-Color Benefits Icons Version 02.20.02 EMSTuition Aid Adoption Product Concessions Commuter LifeCare through Friday from 8 a.m. to 5 p.m. achievesolutions.net/attFlexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan Central time, except someUse holidays. SBC Emphasis Black or SBC Brand aetf.com Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. General Benefits ( 800-554-6701 The IVR and myNurseLine are ( 800-478-1246 The IVR is available 24 hours a day, available 24 hours a day, seven stock options shares of stock workers compensation Wellness Web site Expats Monday through Friday from 8 a.m. seven days a week. Leave of days a week. Savings Plans Pension Life Insurance Paid Time Off Absence to 5 p.m. Alaska time Prescription Medical Vision Dental Drugs Disability FOR ALL OTHER PARTICIPANTS NOT Pension Plans ENROLLED IN THE AT&T MEDICAL Medicare Part B Premium PROGRAM WHO ARE ADMINISTERED ReimbursementBeneficiary Designations Eligibility for Voluntary Net Credited Your Health . and Survivor Benefits Health/Welfare Benefits Service Matters BY UNITEDHEALTHCARE Fidelity Service Center Tuition Aid Adoption Product Concessions Commuter LifeCare Flexible Spending Mental Health/ Employee Assistance AT&TCarePlus BenefitsLong-Term Care CenterAccounts Chemical Dependency 2011Plan - Un itedHealthcare -20122013 Fidelity Service Center P.O. Box 30557 - AT&T Benefits Center Net Credited P.O. Box 770003 Salt Lake City, UT 84130-0557 100 Half Day Road Service Cincinnati, OH 45277-0065 P.O. Box 1474 stock options shares of stock workers compensation Wellness Web site Expats myuhc.com (for information on Leave of Savings PlansLincolnshire,Pension IL 60069-1474Life Insurance Paid Time Off Absence netbenefits.com/att claims, benefits, explanation of benefits, ID cards, search for resources.hewitt.com/att ( 800-416-2363 hospitals, physicians, specialists
Dial your country’sNet Creditedtoll-free AT&TYour Health and more) ( 877-722-0020 Beneficiary Designations (Eligibility for Voluntary and Survivor Benefits Health/WelfareDirect AccessBenefits number,Service then enterMatters Tuition Aid847-883-0866Adoption (international)Product Concessions Commuter LifeCare ( 877-506-7221 ( 800-416-2363 (international).2011 20122013 ( 866-802-8572 (international) 2 847-883-8217 ( 888-343-0860 (hearing-impaired) Net Credited Service ( 877-218-7138 (hearing-impaired) Monday through Friday from Monday through Friday from stock options7 a.m. toshares 7 of stockp.m. Centralworkers compensation timeWellness Web site Expats 7:30 a.m. to 11 p.m. Central time ( 877-861-3861 (myNurseLine) An interactive voice response The interactive voice response The customer service center is system is available 24 hours a day system is available 24 hours a day, available Monday through Friday Beneficiary Designations(exceptEligibility Sunday for fromVoluntary 1 a.m. toNet Credited noon Your Healthseven days a week. from 7 a.m. to 7 p.m. Central time, and Survivor BenefitsCentralHealth/Welfare time and periodicallyBenefits Service Matters except some holidays. during the week for one hour 20112012 Important: You will need to establish a between midnight and 5 a.m.2013 for user name and password, if you haven’t For medical services requiring maintenance and updates).Net Credited already, when you access the Fidelity Service precertification, preauthorization NetBenefits website, and you will need or prenotification, the customer Important: To access the website, you your Fidelity Service Center PIN and service center is available Monday will need your AT&T Benefits Center user Social Security number/customer ID through Friday from 8 a.m. to 5 p.m. ID and password. To access the AT&T when you access the automated voice Central time, except some holidays. Benefits Center via the phone, you will response system or to speak to a service The IVR and myNurseLine are need to provide the last four digits of associate. available 24 hours a day, seven your Social Security number, your date days a week. of birth and your AT&T Benefits Center password.
2013 | Where to Go for More Information Page 13 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
CONTACT INFORMATION FOR AT&T BENEFITS ADMINISTRATORS
Leave of Savings Plans Pension Life Insurance Paid Time Off Absence National Electrical Benefit Fund The IVR is available 24 hours a day, Savings Plans FOR BARGAINED EMPLOYEES OF SBC seven days a week. GLOBAL SERVICES, INC. – IBEW LOCAL 494 Important: To access the member Fidelity Service Center website, you must be a registered user Tuition Aid Adoption Product Concessions Commuter LifeCare - National Electrical Benefit Fund and will need your username and - Fidelity Service Center 2400 Research Blvd., Suite 500 password. If you’re not registered, select P.O. Box 770003 Rockville, MD 20850-3266 “Not Registered” and follow the instruc- Cincinnati, OH 45277-0070
tions listed. The group code is ATTRX. stock options shares of stock workers compensation Wellness Web site Expats nebf.com netbenefits.com/att ( 301-556-4300 To access the IVR or to speak to a 800-416-2363 service associate, you will need the CVS ( 301-869-4322 Caremark ID or Social Security number 2 Beneficiary( Designations Dial yourEligibility country’s for Voluntary toll-free NetAT&T Credited Your Health of the primary member. and Survivor BenefitsDirect Health/WelfareAccess number,Benefits then enterService Matters Monday through Friday from 800-416-2363 (international).2011 8 a.m. to 5 p.m. Eastern time 20122013 If you have a claim or wish to use the ( 888-343-0860 (hearing-impaired) Net Credited Alaska Electrical Pension Plan mail service program, claim forms and/ Service or mail service order forms are available Monday through Friday from FOR BARGAINED EMPLOYEES OF AT&T on the website or by phone. Mailing MOBILITY – IBEW LOCAL 1547 IN THE 7:30 a.m. to 11 p.m. Central time, JOB TITLES OF JOURNEYMAN CELL addresses are listed on the form. except some holidays SITE TECHNICIAN AND FOREMAN, OR SilverScript Insurance Company Scarborough Alliance Group HIRED BEFORE MAY 31, 2011, INTO A RETAIL SALES AND SERVICE POSITION FOR ELIGIBLE FORMER EMPLOYEES FOR BARGAINED EMPLOYEES OF SBC ENROLLED IN THE AT&T GLOBAL SERVICES, INC. LOCAL 21 - Alaska Electrical Trust Funds MEDICARERX PROGRAM WHO PARTICIPATE IN THE IBEW 2600 Denali St., Suite 200 LOCAL UNIONS SAVINGS AND Anchorage, AK 99503 - SilverScript SECURITY PLAN P.O. Box 280200 aetf.com Nashville, TN 37228 Scarborough Alliance Group 1-Color Benefits Icons Version 02.20.02 EMS - One Bridge St., Suite 70 Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens.( Addition800-478-1246 of Energy Yellow radial gradiant fill TBD. caremark.com Irvington, NY 10533 General Benefits Monday through Friday from ( 877-878-5714 scarboroughalliance.com 8 a.m. to 5 p.m. Alaska time ( 866-236-1069 (hearing-impaired) ( 800-223-7608 Prescription Medical Vision Dental Drugs Disability Available from 8 a.m. to 8 p.m. in 2 914-591-8801 Prescription Drugs your time zone, seven days a week Monday through Friday from Important: To access the member 9 a.m. to 5 p.m. Eastern time Flexible Spending CVSMental Health/ CaremarkEmployee Assistance website, you must be a registered CarePlus Long-Term Care Accounts Chemical Dependency Plan Alaska Electrical Workers Money user and will need your username and Purchase Pension Plan - CVS Caremark Inc. password. If you’re not registered, select Attn: Research Team “Not Registered” and follow the instruc- FOR BARGAINED EMPLOYEES OF AT&T P.O. Box 6590 tions listed. The group code is RXCVSD. MOBILITY – IBEW LOCAL 1547 HIRED Lee’s Summit,Leave of MO 64064-6590 Savings Plans Pension Life Insurance Paid Time Off Absence BEFORE DEC. 31, 2011 caremark.com To access the IVR or to speak to a service associate, you will need your - Alaska Electrical Trust Funds 2600 Denali St. Suite 200 800-378-8851 member ID or Social Security number. ( Anchorage, AK 99503 Tuition Aid Adoption Product Concessions Commuter800-231-4403LifeCare (hearing-impaired) ( aetf.com Monday through Friday from 800-478-1246 7 a.m. to 11 p.m. and Saturday ( from 7 a.m. to 5 p.m. Central time, stock options shares of stock workers compensation Wellness Web site Expats Monday through Friday from except some holidays 8 a.m. to 5 p.m. Alaska time
Beneficiary Designations Eligibility for Voluntary PageNet Credited 14 Your Health Where to Go for More Information | 2013 and Survivor Benefits Health/Welfare Benefits Service Matters
2011 20122013
Net Credited Service 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Prescription Medical Vision Dental Drugs Disability
General Benefits
Flexible Spending Mental Health/ Employee Assistance Prescription CarePlus Long-Term Care Accounts Chemical Dependency Plan Medical Vision Dental Drugs Disability
Leave of Flexible Spending Mental Health/ Employee Assistance Savings Plans Pension Life Insurance Paid Time Off Absence CarePlus Long-Term Care Accounts Chemical Dependency Plan
Leave of Tuition Aid Adoption Product Concessions Commuter LifeCare Savings Plans Pension Life Insurance Paid Time Off Absence
stock options shares of stock workers compensation Wellness Web site Expats Tuition Aid Adoption Product Concessions Commuter LifeCare 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
CONTACT INFORMATION FOR AT&T BENEFITSGeneral Benefits ADMINISTRATORS
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters stock options shares of stock workers compensation Wellness Web site Expats
Stock Options, Monday through Friday from 7:30 2011 Voluntary2012 Benefits a.m. to 11 p.m. Central time Prescription 2013 Performance Shares Medical Vision Dental Drugs Disability Net Credited or Restricted Stock Service Beneficiary Designations Eligibility for Voluntary Net Credited Your Health The automated voice response Service Marsh PersonalPlans and Survivor Benefits Health/Welfare Benefits Matters system is available 24 hours a day, 1-Color Benefits Icons Version 02.20.02 EMS Merrill Lynch seven days a week. 2011 volbenefitsadvisor.com Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. 20122013 Flexible Spending Mental Health/ Employee Assistance benefits.ml.com CarePlus Long-Term Care Accounts Chemical Dependency Plan General Benefits Net Credited Important: You will need to establish ( 866-909-5149 Online is available 24 hoursService a day, a user name and password, if you seven days a week haven’t already, when you access the Monday through Friday from 7 a.m. to 5 p.m. Central time 1-Color Benefits Icons Version 02.20.02 Fidelity EMS NetBenefits website, and you Leave of Prescription Savings Plans Pension Life Insurance Paid Time Off Absence Medical Vision Dental (Drugs 888-722-6767Disability will need your Fidelity Service Center Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. PIN and Social Security number/ Important: Voluntary Benefits excludes 609-818-8849 (international) General Benefits ( customer ID when you access the employees located in Guam, Puerto Rico automated voice response or to or the Virgin Islands. Important: No person has been Flexible Spending Mental Health/ Employee Assistance speakTuition toAid a serviceAdoption associate.Product Concessions Commuter LifeCare CarePlus Long-Term Care Accounts Chemicalauthorized Dependency to givePlan any information Prescription or to make representations other thanMedical Vision Dental Drugs Disability Work/Life Program those contained in the Plan Prospectus. Vision
To access theLeave website, of you will need LifeCare stock options shares of stock workers compensation Wellness Web site Expats Savings Plans Pension Life Insurance yourPaid Time Merrill Off LynchAbsence PIN. Call Merrill Lynch EyeMed VisionFlexible Spending CareMental Health/ Employee Assistance for a PIN reset, if needed. CarePlus Long-Term Care Accounts Chemical Dependency Plan lifecare.com - EyeMed Vision Care 800-873-4636 Attn: Quality Assurance ( AT&T Equity Administration Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters Tuition Aid Adoption Product Concessions Commuter LifeCare 4000 Luxottica Place ( 800-873-1322 (hearing-impaired) Leave of If Merrill Lynch is unable to resolveSavings your Plans PensionMason,Life OH Insurance 45040-7111Paid Time Off Absence 2011 issue, you may contact the AT&T Equity 20122013 Available 24 hours a day, seven Administration Team. ( 800-638-4288 days a week Net Credited Service stock options shares of stock [email protected] 866-308-5375 (hearing-impaired) workers compensation*Wellness Web site Expats ( Important: When you log on to the available Monday through Friday ( 866-533-4390 Tuition Aid Adoption Product Concessions Commuter LifeCare member website for the first time, from 7 a.m. to 8 p.m. Central time click on “Sign Up Now” and enter the Monday through Friday from eyemedvisioncare.com registration code att or your work email Beneficiary Designations Eligibility for Voluntary Net Credited8 a.m. toYour 4 Health p.m. Central time address. Then follow the instructions and Survivor Benefits Health/Welfare Benefits Service Matters The IVR is available 24 hours a day, on the screen to create a username stock options shares of stock workers compensation Wellness Web site Expats 2011 Term of Employment and password. 2012 seven days a week (except during 2013 (also known as Net days that require scheduled Net Credited Credited Service) maintenance). Service
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Fidelity Service Center and Survivor Benefits Health/Welfare Service associatesBenefits Serviceare availableMatters Monday through Saturday from Fi delity Service Center 6:30 a.m. to 10 p.m.2011 and Sunday - 20122013 P.O. Box 770003 from 10 a.m. to 7 p.m. Central time.
Net Credited Cincinnati, OH 45277-0065 Service netbenefits.com/att ( 800-416-2363 ( Dial your country’s toll-free AT&T Direct Access number, then enter 800-416-2363 (international). ( 888-343-0860 (hearing-impaired)
2013 | Where to Go for More Information Page 15 REQUESTS FOR COPIES OF DOCUMENTS
Summary Plan Descriptions, Summaries of Material Modifications or Printed Policies If you would like a summary plan description (SPD), a • You may send your request in writing to the following address: summary of material modifications (SMM) or a printed policy: - AT&T Services, Inc. • Go to OneStop at onestop.web.att.com, which provides Attn: Plan Documents access to administrator websites, or P.O. Box 132160 • Go to the Your Benefits section of access.att.com (AT&T’s Dallas, TX 75313-2160 secure Internet site)1-Color for Benefits benefits Icons Versioninformation 02.20.02 EMSat home. • You may call or go to one of the following administrators’ 1-Color Benefits Icons Version 02.20.02 EMS Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens.websites Addition of Energy directly. Yellow radial gradiant fill TBD.
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. General Benefits
General Benefits Health and Welfare Alaska Electrical Health & Welfare Fund Important: You will need to establish a Plans Prescription user name and password, if you haven’t Medical Vision Dental Drugs Disability FOR BARGAINED EMPLOYEES OF AT&T Prescription already, when you access the Fidelity Medical Vision AT&TDental BenefitsDrugs CenterDisability MOBILITY – IBEW LOCAL 1547 NetBenefits website, and you will need HIRED BEFORE DEC. 31, 2011 For any of the following plans, you may your Fidelity Service Center PIN and Social Security number/customer ID call the AT&T Benefits Center or access aetf.comFlexible Spending Mental Health/ Employee Assistance the AT&T Benefits Center website toCarePlus Long-Term Care Accounts Chemical Dependency Plan when you access the automated Flexible Spending Mental Health/ Employee Assistance voice response system or to speak CarePlus Long-Term Care viewAccounts an SPDChemical or Dependency SMM: Plan ( 800-478-1246 to a service associate. • Adoption Reimbursement Monday through Friday from
8 a.m. to 5 p.m. Alaska time Leave of • CarePlus and MedPlus Savings Plans Pension Life Insurance Paid Time Off Absence National Electrical Benefit Fund
Leave of Savings Plans Pension • Life Commut Insurance erPaid Benefits Time Off Absence Pension Plans FOR BARGAINED EMPLOYEES OF SBC GLOBAL SERVICES, INC. – IBEW • Dental LOCAL 494 • Disability Fidelity Service Center Tuition Aid Adoption Product Concessions Commuter LifeCare nebf.com Tuition Aid Adoption Product• Empl Concessionsoyee AssistanceCommuter LifeCarePrograms netbenefits.com/att From the 301-556-4300 • Flexible Spending Accounts home page, select the appropriate ( Pension Program under the • Group Life Insurance Monday through Friday from stock options shares of stock“Pension”workers compensation section, then click “Plan Wellness Web site Expats 8 a.m. to 5 p.m. Eastern time Information and Documents” under stock options shares of stock • Long-Term Care Insurance workers compensation Wellness Web site Expats the “View” section. Then select the Alaska Electrical Pension Plan • Medical (including Mental SPD link for your Program. Health/Substance Abuse FOR BARGAINED EMPLOYEES OF AT&T Beneficiary Designations Eligibility for Voluntary Net Credited Your Health MOBILITY – IBEW LOCAL 1547 IN THE and Prescription Drugs) and Survivor Benefits Health/Welfare800-416-2363Benefits Service Matters ( JOB TITLES OF JOURNEYMAN CELL Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare • VisionBenefits Service Matters SITE TECHNICIAN AND FOREMAN, OR ( Dial your country’s20112012 toll-free AT&T Direct Access number,2013 then enter HIRED BEFORE MAY 31, 2011, INTO A resources.hewitt.com/att20112012 RETAIL SALES AND SERVICE POSITION 2013 Net Credited 800-416-2363 Service(international). ( 877-722-0020Net Credited aetf.com Service ( 888-343-0860 (hearing-impaired) 847-883-0866 (international) 800-478-1246 ( Monday through Friday from ( Monday through Friday from 7:30 a.m. to 11 p.m. Central time Monday through Friday from 7 a.m. to 7 p.m. Central time 8 a.m. to 5 p.m. Alaska time
Important: To access the website, you will need your AT&T Benefits Center user ID and password. To access the AT&T Benefits Center via the phone, you will need to provide the last four digits of your Social Security number, your date of birth and your AT&T Benefits Center password.
Page 16 Where to Go for More Information | 2013 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
REQUESTS FOR COPIES OF DOCUMENTS
Leave of Savings Plans Pension Life Insurance Paid Time Off Absence Savings Plans Benefits Not Specifically Official Plan Documents Listed
Fidelity Service Center If you would like to request information To request copies of ERISA plan Tuition Aid Adoption Product Concessions Commuter forLifeCare all other programs, employee and documents — or other documents - P.O. Box 770003 retiree discounts and offers, or plans, under which an ERISA plan is Cincinnati, OH 45277-0065 please contact the particular administra- established or operated — you tor listed in the “Contact Information for must send your request in writing netbenefits.com/att stock options shares of stock workers compensation Wellness Web siteAT&T Expats Benefits Administrators” section for to the following address: 800-416-2363 more information. ( - AT&T Services, Inc. ( Dial your country’s toll-free AT&T Fully-Insured Managed Attn: Plan Documents Care Options P.O. Box 132160 Beneficiary DesignationsDirect AccessEligibility for number,Voluntary thenNet enter Credited Your Health and Survivor Benefits800-416-2363Health/Welfare (international).Benefits Service Matters Dallas, TX 75313-2160 To request an Evidence of Coverage of 2011 ( 888-343-0860 (hearing-impaired)20122013 the provisions of the managed care option in which you are enrolled, Net Credited Monday through Friday fromService contact the managed care option 7:30 a.m. to 11 p.m. Central time, directly. The AT&T Benefits Center can except some holidays provide contact information. See the Scarborough Alliance Group “Eligibility for Health and Welfare Benefits Plans” section for more FOR BARGAINED EMPLOYEES OF SBC information on how to contact the GLOBAL SERVICES, INC. LOCAL 21 AT&T Benefits Center. WHO PARTICIPATE IN THE IBEW LOCAL UNIONS SAVINGS AND SECURITY PLAN Bargaining Agreements ( 800-223-7608 To request a copy of the collective Monday through Friday from bargaining agreement that covers you, 9 a.m. to 5 p.m. Eastern time please go to the OneStop home page and select “Labor Relations” in the Tools Alaska Electrical Workers Money & Resources section in the right Purchase Pension Plan navigation bar, contact your immediate FOR BARGAINED EMPLOYEES OF AT&T supervisor, or write to the address listed MOBILITY – IBEW LOCAL 1547 in the “Official Plan Documents” section. HIRED BEFORE DEC. 31, 2011 aetf.com ( 800-478-1246 Monday through Friday from 8 a.m. to 5 p.m. Alaska time
2013 | Where to Go for More Information Page 17 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan FILING CLAIMS AND APPEALS
This section only applies to ERISA plans. See Leavethe of Appendix for more details. Savings Plans Pension Life Insurance Paid Time Off Absence Unless your provider submits the claim for you, or the applicable claims administrator allows you to call to initiate a claim for benefits, claims for benefits must be mailed to the applicable claims administrator for the plan in which you are enrolled at the addresses listed in this section. However, urgent care medical claims that require expedited action may be initiated by calling the number for your claims administrator listed in this section. Tuition Aid Adoption Product Concessions Commuter LifeCare If your claim is denied, ERISA requires you to exhaust administrative remedies, including filing an appeal of the claim denial before you initiate external review, if applicable, or commence a lawsuit. Some claims administrators have a different address to
file an appeal1-Color Benefits of a Iconsdenied Version claim. 02.20.02 If so, EMS the appeal address is also listed in this section. If an external review is available, informa-
tion regardingUse SBC Emphasis how Blackto requestor SBC Brand Markthe Blue. review Interior ofwill circle be in white. provided No screens. alongAddition of with Energy Yellowthe denialradial gradiant of fillyour TBD. appeal. stock options shares of stock workers compensation Wellness Web site Expats Administrative remedies are considered to beGeneral exhausted Benefits either when your appeal is denied or when the claims administrator fails to issue a decision on your appeal before the end of the time frames described in the applicable SPD or SMM.
1-Color Benefits Icons To Version file 02.20.02 a written EMS claim or a written appeal of a denied claim for benefits, use the appropriate address in this section. Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Use SBC Emphasis Blackand or SBCSurvivor Brand Benefits Mark Blue.Health/Welfare Interior of circle inBenefits white. No screens.Service Addition of EnergyMatters Yellow radial gradiantPrescription fill TBD. Medical Vision Dental Drugs Disability General Benefits FOR AT&T EAST EMPLOYEES 1-Color Benefits Icons Version 02.20.02Beneficiary EMS 20112012 Dental Use SBC Emphasis Black or SBC Brand Designations, Mark Blue. Interior of circle in Death white. No screens.2013 Addition of Energy Yellow radial gradiant fill TBD. Written claims for Supplemental General Benefits Net Credited Long-Term Disability Benefits under the and Survivor BeneServicefits Flexible Spending Mental Health/ Employee Assistance Prescription AT&T East Disability Benefits Program CarePlus Long-Term Care Accounts Chemical Dependency Plan Medical Vision Dental Drugs -Disability AT&T Dental Service Center must be sent to the carrier of the Beneficiary Designation P.O. Box 188044 - insurance policy under which the Administrator Prescription Chattanooga, TN 37422 Medical Vision Dental Drugs Disability particular claimant is covered. P.O. Box 770003 Disability (Short-Term Cincinnati, OH 45277-0072Flexible Spending Mental Health/ Employee Assistance Leave of CarePlus Long-Term Care AccountsSavings Plans Chemical DependencyPension Life Insurance Paid Time Off Absence - Prudential Disability Plan and Long-Term), Workers’ Management Services Compensation and CarePlus andFlexible MedPlus Spending Mental Health/ Employee Assistance P.O. Box 13480 CarePlus Long-Term Care Accounts Chemical Dependency Plan Job Accommodations Philadelphia, PA 19176
Claims incurred in the United States: Leave of Savings Plans Pension Life InsuranceTuition Aid Paid TimeAdoption Off ProductToAbsence initiate Concessions a claimCommuter for benefits,LifeCare call the - UNUM – The Benefits Center AT&T Integrated Disability Service Center. P.O. Box 100158 - AT&T CarePlus Supplemental Leave of Columbia, SC 29202-3158 SavingsBenefit Plans Program/AT&TPension Life Insurance MobilityPaid Time Off (Absence 866-276-2278 Medical Plus Program Monday through Friday from Important: UNUM insures claims P.O. Box 30557 stock options shares of stock workers compensation Wellness Web site Expats Tuition Aid Adoption Product Concessions Commuter LifeCare 7 a.m. to 7 p.m. Central time that occurred Jan. 1, 2004, through Salt Lake City, UT 84130-0557 Dec. 31, 2008. Written claims: ClaimsTuition AidincurredAdoption outsideProduct Concessions Commuter LifeCare of the United States: - AT&T Integrated Disability Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Service -stock options UnitedHealthcare shares of stock workersand Survivor compensation Benefits WellnessHealth/Welfare Web site ExpatsBenefitsService Center Matters P.O. Box 14627 International Claims 2011 Lexington,20122013 KY 40512-4627 stock optionsP.O. Box shares740817 of stock workers compensation Wellness Web site Expats
Atlanta, GA 30374 Net Credited 2 866-224-4627Service Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Service Matters Appeals: Benefits Appeals for denied disability claims:
2011Net Credited -Beneficiary UnitedHealthcare Designations Eligibility for Voluntary 20122013 Your Health and Survivor Benefits Health/Welfare Benefits Service -Matters AT&T Integrated Disability Service Attn: Appeals – AT&T Center Net Credited CarePlus Supplemental Service 2011 Quality Review Unit 20122013 Benefit Program/ P.O. Box 14626 AT&T Mobility Medical PlusNet Credited Lexington, KY 40512-4626 Program Coordinator Service P.O. Box 740816 2 866-856-5065 Atlanta, GA 30374-0816
Page 18 Where to Go for More Information | 2013 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
Leave of Savings Plans Pension Life Insurance Paid Time Off Absence
1-Color Benefits Icons Version 02.20.02 EMS
Tuition Aid Adoption UseProduct SBC Concessions Emphasis Black orCommuter SBC Brand Mark LifeCareBlue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. 1-Color Benefits Icons Version 02.20.02 EMS General Benefits Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
stock options shares of stock workers compensation Wellness Web site Expats Prescription Medical Vision Dental Drugs Disability
Prescription Medical Vision Dental Drugs Disability FILING CLAIMS AND APPEALS
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan Claims of Special Accidental Death & Eligibility f2011orFlexible Health Spending Mental Health/ Employee AssistanceFlexible Spending CarePlus Long-Term Care 2012Accounts Chemical Dependency Plan Dismemberment that have been denied: and Welfare2013 Benefits Accounts and Health Net Credited - ACE American Insurance Company Plans Service Reimbursement Leave of 1 Beaver Valley Road Savings Plans Pension Life Insurance AccountsPaid Time Off Absence FOR FSA, MEDICAL, DENTAL, LIFE INSUR- P.O. Box 15417 Leave of SavingsANCE, Plans MEDICAREPension PARTLife Insurance B PREMIUMPaid Time Off RegularAbsence Mail: Wilmington, DE 19850 REIMBURSEMENT AND VISION - ADP Benefit Services1-Color Benefits KY, Icons Inc. Version 02.20.02 ( EMS 800-336-0627 AT&T Benefits Center Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. - Tuition Aid Adoption Product ConcessionsP.O. BoxCommuter 34700 LifeCare Benefits Determination Louisville, KY 40232-4700 Important:General Call Benefits the Fidelity TuitionReview Aid 1-Color Team BenefitsAdoption Icons Product Version Concessions 02.20.02 Commuter EMS LifeCare Service Center to report the death Overnight Mail: P.O. UseBox SBC 1407Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. of an employee, an eligible former
Lincolnshire, IL 60069-1407 General Benefits employee, an inactive employee - ADP Benefit Services KY, Inc. Prescription stock options shares of stock workers compensation Wellness Web site Expats Medical and/orVision an eligibleDental dependent.Drugs SeeDisability Urgent Care claims regarding 11405 Bluegrass Parkway 1-Color Benefits Icons Version 02.20.02 EMS ( the “Beneficiary Designations, Death stock optionseligibilityshares that of stock requireworkers compensation expeditedWellness Web site ExpatsLouisville, KY 40299 Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. and Survivor Benefits” section for action may be initiated by calling Prescription contact information. General Benefits Medical Vision Dental InternationalDrugs Disability Expatriate 877-722-0020 (domestic) or Net Credited Your Health Beneficiary Designations Eligibility for Voluntary Flexible Spending Mental Health/ Employee Assistance and Survivor Benefits Health/Welfare Benefits andService InpatriatMatterse Benefits 847-883-0866 (international). CarePlus Long-Term Care Accounts Chemical Dependency Plan
Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Long-Term Care and Survivor Benefits Health/Welfare Benefits Service FORMatters MEDICAL,2011 PRESCRIPTION DRUGS, Monday through Friday from 20122013 Prescription DENTAL AND VISION Insurance Medical Vision Dental Drugs Disability7 a.m. to 7 p.m. Central time Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term2011 Care Accounts Chemical Dependency Plan 2012 Net Credited 2013 Service Leave of - Cigna Global Health Benefits Savings Plans Pension John HancLife Insuranceock LifePaid Insurance Time Off Absence 2 847-554-1397 1-Color Benefits Icons - Version 02.20.02 EMS Net Credited Service Expatriate Benefits Company USA Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Important: To access the AT&T Benefits P.O. Box 15050 Group Long-Term Care Flexible Spending Mental Health/ Employee Assistance General Benefits CarePlus Long-Term Care Accounts Chemical Dependency Plan Wilmington, DE 19850Leave of USA Department, B-6 Center via the phone, youSavings will Plans need Pensionto Life Insurance Paid Time Off Absence provide the last four digits of your Social Attn: Claim Unit Tuition Aid Adoption Product Concessions Commuter LifeCare Security number, your date of birth and Life Insurance P.O. Box 111
your AT&T Benefits Center password. Boston, MA 02117 Prescription Medical Vision Dental Drugs Disability Leave of Savings Plans Pension Life Insurance Paid Time Off Absence Claims that Evidence of Insurability (EOI) Tuition Aid Adoption Product Concessions Commuter LifeCare Medical Employee Assistance has been denied: stock options shares of stock workers compensation Wellness Web site Expats Program/Employee and - MetLife Statement of Health For information regardingFlexible Spending self-insuredMental Health/ Employee Assistance Family Assistance Program Appeals Unit CarePlus Long-Term Care Accounts Chemical Dependency Plan medical programs, see the contact Tuition Aid Adoption Product Concessions Commuter LifeCare (EAP/EFAP) P.O. Box 14069 stock options shares of stock workers compensation Wellness Web site Expats Lexington, KY 40512-4069 information listed in this section. For Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Claims: and Survivor Benefits informationHealth/Welfare regardingBenefits fully-insuredService Matters ( 800-638-6420 (select option 1) managed care options, please refer to Leave of - ValueOptions yourSavings PlansEvidencePension of Coverage.Life20112012 Insurance The AT&TPaid Time Off Absence Claims of Life Insurance, Accidental Death 2013 stock options shares of stock workers compensation Wellness Web site Expats Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Benefits Center also can provide P.O. Box 1920 and Survivor Benefits Health/Welfare Benefits Service Matters & Dismemberment or Accelerated Death Net Credited Latham, NY 12110 Benefit that have been denied: addresses for these plans.Service See the 2011 “Eligibility for Health and Welfare 2012 Appeals: - MetLife2013 Group Life Claims Benefits Plans” section for more Tuition Aid Adoption Product Concessions Commuter LifeCare Net Credited Beneficiary Designations Eligibility for Voluntary Net Credited Your Health information on how to contact the P.O. BoxService 6100 and Survivor Benefits Health/Welfare Benefits Service -Matters ValueOptions (AT&T Appeals) P.O. Box 1860 Scranton, PA 18505-6100 AT&T Benefits Center. 20112012 Latham, NY 12110 Blue Cross Blue Shield of Illinois 2013 ( 800-638-6420 (select option 2)
Net Credited Claims:stock options shares of stock workers compensation Wellness Web site Expats Service - Blue Cross and Blue Shield of Illinois P.O. Box 805107 Chicago, IL 60680-4112 Beneficiary Designations Eligibility for Voluntary Net Credited Your Health and Survivor Benefits Health/Welfare Benefits Service Matters ( 800-621-7336 2011 20122013
Net Credited Service 2013 | Where to Go for More Information Page 19 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
1-Color Benefits Icons Version 02.20.02 EMS
Use SBCPrescription Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Medical Vision Dental Drugs Disability General Benefits
FILING CLAIMS1-Color BenefitsAND Icons APPEALS Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. Flexible Spending Mental Health/ Employee Assistance Prescription CarePlus Long-Term Care Accounts Chemical Dependency PlanMedical Vision Dental Drugs Disability Appeals: General Benefits Mental Health and Prescription Drugs - Blue Cross and Blue Shield of Illinois Substance Abuse Attn: Appeals Coordinator Leave of Prescription Flexible Spending Mental Health/ Employee Assistance Medical Claims:Vision Dental Disability 3405 LibertySavings Plans Drive Pension Life Insurance Paid Time Off AbsenceCarePlus Long-TermDrugs Care Accounts ChemicalCVS Dependency CaremarkPlan Springfield, IL 62704 - ValueOptions Claims for reimbursement for retail UnitedHealthcare P.O. Box 1860 prescription drugs: Latham, NY 12110 Claims incurred in the United States: Flexible Spending Mental Health/ Employee Assistance - CVS CarLeaveemark of Inc. CarePlus Long-Term Care Accounts Chemical Dependency Plan Tuition Aid Adoption Product Concessions Appeals:Commuter LifeCareSavings Plans Pension Life Insurance Paid TimeAttn: Off ClaimsAbsence Department - UnitedHealthcare P.O. Box 52196 P.O. Box 30557 - ValueOptions (AT&T Appeals) Phoenix, AZ 85072-2196 Salt Lake City, UT 84130-0557 P.O. Box 1860
Latham, NY 12110 Leave of Requests for prescription drugs by Savings Plans Pension Life Insurance Paid Time Off Absence Claims incurredstock optionsoutside shares of stock workers compensation Wellness Web site ExpatsTuition Aid Adoption Product Concessions mailCommuter service: LifeCare of the United States: Pension Plans Claim forms and/or mail-service order - UnitedHealthcare forms are available via the website or International Claims by phone. See the “Prescription Drugs” Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Tuition Aid AdoptionRe Product Concessions Commuter LifeCare P.O. Boxand Survivor740817 Benefits Health/Welfare Benefits -Service gular stockMattersMail: options shares of stock workers compensation sectionWellness Web site for more Expats information on how Atlanta, GA 30374 Fidelity Service Center to contact CVS Caremark. Mailing 20112012Claims and Appeals addresses are listed on the form. Appeals: 2013 P.O. Box 770003 For retail or mail-order claims that have Net Credited Service Cincinnati, OH 45277-1060 - UnitedHealthcare Beneficiary Designations Eligibility for Voluntary beenNet Credited denied: Your Health stock options shares of stock workers compensation Wellness Web site Expats and Survivor Benefits Health/Welfare Benefits Service Matters Attention: Appeals Overnight: P.O. Box 740816 - CVS Caremark Inc. Fidelity Service Center 2011 Atlanta, GA 30374-0816 20122013Appeals Department/AT&T Claims and Appeals MC109 Net Credited Alaska Electrical Health & Beneficiary Designations Eligibility100 for CrosbyVoluntary Parkway,Net Credited KC1F-D Your Health Service and Survivor Benefits Health/Welfare Benefits Service Matters P.O. Box 52084 Welfare Fund Covington, KY 41015 Phoenix, AZ 85072-2084 FOR BARGAINED EMPLOYEES2011 OF SBC FOR BARGAINED EMPLOYEES OF AT&T 20122013 MOBILITY – IBEW LOCAL 1547 GLOBAL SERVICES, INC. – IBEW 2 866-689-3092 LOCAL 494 Net Credited HIRED BEFORE DEC. 31, 2011 Service SilverScript Insurance Company - Alaska Electrical Trust Funds - National Electrical Benefit Fund FOR ELIGIBLE FORMER EMPLOYEES 2600 Denali St., Suite 200 2400 Research Blvd., Suite 500 ENROLLED IN THE AT&T MEDICARE Anchorage, AK 99503 Rockville, MD 20850-3266 RX PROGRAM Medicare Part B Premium FOR BARGAINED EMPLOYEES OF Claims: SBC GLOBAL SERVICES, INC. – Reimbursement IBEW LOCAL 494 - SilverScript Attn: Claims Department - AT&T Benefits Center - National Electrical Benefit Fund P.O. Box 52066 Benefits Determination 2400 Research Blvd., Suite 500 Phoenix, AZ 85072-2066 Review Team Rockville, MD 20850-3266 Coverage Decisions and Appeals P.O. Box 1407 FOR BARGAINED EMPLOYEES OF AT&T Department: Lincolnshire, IL 60069-1407 MOBILITY – IBEW LOCAL 1547 IN THE JOB TITLES OF JOURNEYMAN CELL - SilverScript Insurance Company Monday through Friday from SITE TECHNICIAN AND FOREMAN, OR Prescription Drug Plans 7 a.m. to 7 p.m. Central time HIRED BEFORE MAY 31, 2011, INTO A Coverage Decisions and Appeals RETAIL SALES AND SERVICE POSITION Department 847-554-1397 2 P.O. Box 52000, MC109 - Alaska Electrical Trust Funds Phoenix, AZ 85072-2000 Important: To access the AT&T Benefits 2600 Denali St., Suite 200 Center via the phone, you will need to Anchorage, Alaska 99503 ( 866-884-9479 provide the last four digits of your Social Security number, your date of birth and 2 866-884-9475 your AT&T Benefits Center password.
Page 20 Where to Go for More Information | 2013 1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD.
General Benefits
Prescription Medical Vision Dental Drugs Disability
Flexible Spending Mental Health/ Employee Assistance CarePlus Long-Term Care Accounts Chemical Dependency Plan
1-Color Benefits Icons Version 02.20.02 EMS
Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiantLeave fillof TBD. Savings Plans Pension Life Insurance Paid Time Off Absence
General Benefits
Prescription Tuition Aid Adoption Product Concessions Commuter LifeCare Medical Vision Dental Drugs Disability
1-Color Benefits Icons Version 02.20.02 EMS
Flexible Spending Mental Health/ Employee Assistance Use SBC Emphasis Black or SBC Brand Mark Blue. Interior of circle in white. No screens. Addition of Energy Yellow radial gradiant fill TBD. stock options shares of stock workers compensation CarePlus Long-Term Care Accounts Chemical Dependency PlanWellness Web site Expats General Benefits FILING CLAIMS AND APPEALS
Net Credited Your Health Beneficiary Designations Eligibility for Voluntary Leave of Prescription and Survivor Benefits Service Matters Savings Plans Pension Life InsuranceHealth/Welfare Paid TimeBenefits Off Absence Medical Vision Dental Drugs Disability Term of Employment Savings Plans 2011 Vision 20122013 (also known as Net Net Credited Credited Service) Service Claims: Flexible Spending Mental Health/ Employee Assistance -Tuition AidRegularAdoption Mail: Product Concessions Commuter LifeCare CarePlus Long-Term Care Accounts Chemical Dependency Plan Fidelity Service Center - Fi delity Service Center EyeMed Vision Care Claims and Appeals - Benefits Plan Administrator Attn: Out-of-Network Claims P.O. Box 770003 P.O. Box 770003 P.O. Box 8504
Cincinnati, OH 45277-1060 Cincinnati, OH 45277-1060 Leave of stock options shares of stock Savings Plans PensionMason,Life OH Insurance 45040-7111Paid Time Off Absence workers compensation Wellness Web site Expats Overnight: Appeals: Fidelity Service Center Claims and Appeals - EyeMed Vision Care Beneficiary Designations100 CrosbyEligibility for Parkway,Voluntary KC1F-DNet Credited Your Health Attn: Quality Assurance and Survivor Benefits Health/Welfare Benefits Service Matters Tuition Aid Adoption Product Concessions Commuter LifeCare Covington, KY 41015 4000 Luxottica Place 2011 Mason, OH 45040-7111 FOR BARGAINED EMPLOYEES OF SBC20122013 GLOBAL SERVICES, INC. LOCAL 21 Net Credited WHO PARTICIPATE IN THE IBEWService LOCAL UNIONS SAVINGS AND stock options shares of stock workers compensation Wellness Web site Expats SECURITY PLAN - Scarborough Alliance Group
1 Bridge St., Suite 70 Beneficiary Designations Eligibility for Voluntary Net Credited Your Health Irvington, NY 10533 and Survivor Benefits Health/Welfare Benefits Service Matters
FOR 2011 BARGAINED EMPLOYEES OF AT&T 20122013 MOBILITY – IBEW LOCAL 1547 HIRED Net Credited BEFORE DEC. 31, 2011 Service - Alaska Electrical Trust Funds 2600 Denali St., Suite 200 Anchorage, AK 99503
2013 | Where to Go for More Information Page 21 ADDRESS CHANGES
For employees without access to the Active Employee Address and employee intranet: Important: These instructions are also Telephone Number Changes for LTD recipients, employees on a leave Contact your supervisor or of absence, as well as COBRA partici- It’s important to keep your work and eLink assistant. pants, alternate payees and survivors home addresses current because the For Commuter Benefits: that have a pension benefit (including a majority of your benefits, payroll or retiree death benefit) or savings plan similar information is sent to them. To update your home address: benefit that has yet to be paid to you. Please include any room, cubicle or • Go to wageworks.com, or suite number that will help make If you are not eligible to receive a mail-routing more efficient. • Call the WageWorks Service Center pension or savings plan benefit, or have at 877-924-3967. already received your entire pension For employees with access to the employee intranet: and savings plan benefits and are not Eligible Former Employees eligible for a retiree death benefit from Home and Work address updates: and Inactive Employee your pension plan, contact the AT&T Benefits Center to update your home • Go to insider.web.att.com. . Home Address Changes address. See the “Eligibility for Health • Click on the OneStop website It’s important to keep your home and Welfare Benefits Plans” section for (hronestop.web.att.com) and address up to date because your more information on how to contact the select “eLink (eCORP)” under benefits information is sent there. AT&T Benefits Center. Tools & Resources. Call the Fidelity Service Center to • Enter your AT&T User ID and password change your address. for the AT&T Global Logon. (If you do Fidelity Service Center not know your password, please follow the instructions on the screen.) ( 800-416-2363 • Once logged on, click “OK.” ( Dial your country’s toll-free AT&T • On the eCORP home page, Direct Access number, then enter click on “Employee Services.” 800-416-2363 (international). Note: Please be sure the far 888-343-0860 (hearing-impaired) right-hand scroll bar is all the ( way to the top. Monday through Friday from • Select “Personal Information.” 7:30 a.m. to 11 p.m. Central time • Select “Maintain Addresses and Important: You will need your Fidelity Phone Numbers.” Service Center PIN and Social Security • To update your home address, select number/customer ID when you speak to “Edit” at the bottom of the Permanent a service associate. Residence box, make any necessary changes and click “Save.” • To update your work address, select “Edit” at the bottom of the Cubicle/ Office box, make any necessary changes, and click “Save.”
Page 22 Where to Go for More Information | 2013 GLOSSARY
COBRA — Consolidated Omnibus Legacy AT&T — AT&T Corp. and its MEP — Medical Expense Plan Budget Reconciliation Act of 1985 subsidiaries before the merger with SBC NCS — Net Credited Service, officially Communications Inc. ERISA — Employee Retirement Income known as Term of Employment Security Act of 1974 Legacy BellSouth — BellSouth PIN — Personal Identification Number Corporation and its subsidiaries before FSA — Flexible Spending Account the merger with AT&T Inc. SMM — Summary of Material IBEW — International Brotherhood Modifications Legacy SBC — Subsidiaries of SBC of Electrical Workers Communications Inc. before the merger SPD — Summary Plan Description IVR — Interactive Voice Response with AT&T Corp. (System) LTD — Long-Term Disability
2013 | Where to Go for More Information Page 23 APPENDIX: AFFECTED BENEFITS PLANS, POLICIES AND PROGRAMS
This document applies to several n Savings Plans SNET Active Bargaining Unit Employee employee benefits plans, policies and Health Plan – SNET Point-of-Service programs sponsored by AT&T. Some of AT&T Puerto Rico Retirement SNET Bargaining Unit Retiree Health the plans, policies and programs are Savings Plan Plan – SNET Point-of-Service, SNET subject to ERISA and some are not. AT&T Retirement Savings Plan Medical Program for Retirees and ERISA is a federal law that gives you SNET Medical Expense Program certain rights and protections. Refer to AT&T Savings and Security Plan the applicable summary plan description BellSouth Savings and Security Plan SNET Management Retiree Health for more details about ERISA. Plan – SNET Point-of-Service, SNET n Health and Welfare Medical Program for Retirees and ERISA Plans Benefits Plans SNET Medical Expense Program For the following employee benefits AT&T Umbrella DENTAL PROGRAMS plans, this document is a summary of Benefit Plan No. 1 Ameritech Non-Management material modifications. MEDICAL PROGRAMS Umbrella Welfare Benefit Plan – Ameritech Dental Expense Plan n Pension Plans Ameritech Management Umbrella Welfare Benefit Plan – Ameritech AT&T Corp. Postretirement Welfare AT&T Pension Benefit Plan – Medical Expense Program Benefits Plan AT&T Legacy Bargained Program Ameritech Non-Management AT&T Dental Expense Plan for Bargained Cash Balance Program Umbrella Welfare Benefit Plan – Active Employees Ameritech Comprehensive Health Bargained Cash Balance Program No. 2 Care Program and Ameritech AT&T Dental Plan East Program Medical Expense Program AT&T International Health Plan Management Cash Balance Program AT&T CarePlus – A Supplemental BellSouth Medical Assistance Plan – Benefit Program The BellSouth Dental Assistance Plan Midwest Program AT&T Corp. Postretirement Welfare BellSouth Retiree Medical Assistance Midwest Publishing Ventures Program Benefits Plan Plan – The BellSouth Retiree Dental Mobility Bargained Program AT&T International Health Program Assistance Plan Mobility Program AT&T Medical & Group Life Insurance Cingular Wireless Health and Plan – CustomCare Welfare Benefits Plan for Bargained Nonbargained Program Employees – Cingular Wireless Dental Southeast Management Program AT&T Medical Expense Program for Plan for Bargained Employees Occupational Employees Southeast Program Pacific Telesis Group AT&T Medical Program Dental Expense Plan Southwest Program AT&T Mobility Employee SNET Active Bargaining Unit Employee West Program Assistance Program Health Plan – SNET Dental Plan AT&T Puerto Rico Pension Benefit Plan – AT&T Mobility Medical Program SNET Bargaining Unit Retiree Health AT&T Legacy Bargained Program AT&T Mobility Medical Plus Program Plan – SNET Dental Plan AT&T Legacy Management Program AT&T of Puerto Rico, Inc. Group Health Mobility Program Coverage Program BellSouth Medical Assistance Program BellSouth Retiree Medical Assistance Program Pacific Telesis Group Health Care Network Program Pacific Telesis Group Medical Expense Program for Retirees
Page 24 Where to Go for More Information | 2013 APPENDIX: AFFECTED BENEFITS PLANS, POLICIES AND PROGRAMS
VISION PROGRAMS DISABILITY PROGRAMS AT&T Umbrella Ameritech Vision Care Program AT&T Disability Income Program Benefit Plan No. 2 AT&T International Health Plan AT&T Disability Income Program for EMPLOYEE ASSISTANCE PROGRAMS Bargained Employees AT&T of Puerto Rico, Inc. Group AT&T Employee Assistance Program Health Coverage Plan AT&T Disability Income Program for VISION PROGRAMS Southwest Bargained Employees AT&T Vision Care Program AT&T Retiree Vision Care Program AT&T East Disability Benefits Program AT&T Vision Program LIFE INSURANCE PROGRAMS AT&T Midwest Disability Benefits BellSouth Vision Assistance Program AT&T Special AD&D Insurance Program Program Cingular Wireless Health and AT&T Mobility Disability Benefits Welfare Benefits Plan for AT&T Dependent Group Life Program Bargained Employees – Cingular Insurance Program Wireless Vision Program AT&T Mobility Disability Benefits AT&T Special Accidental Death Policy Program for Southwest Bargained Pacific Telesis Group Employees AT&T Supplementary Group Vision Care Program Life Insurance Program AT&T Southeast Disability Benefits SNET Vision Program Program The BellSouth Special LIFE INSURANCE PROGRAMS Accidental Death Plan AT&T Southeast Disability Benefits AT&T Group Life Insurance Program Program for Special Represented LONG-TERM CARE INSURANCE PROGRAMS AT&T Retiree Death Benefit Program Employees AT&T Consolidated Long-Term Care Insurance Plan L.M. Berry and Company Health & AT&T West Disability Benefits Program Accident, Weekly Indemnity, Long- Legacy AT&T Disability Benefits Term Disability, Dental Benefits & Program Retired Lives Plan
2013 | Where to Go for More Information Page 25 APPENDIX: AFFECTED BENEFITS PLANS, POLICIES AND PROGRAMS n Flexible Spending n Employee and Retiree n Voluntary Benefit Programs Account Plan Discounts & Offers Marsh PersonalPlans AT&T Flexible Spending Account Plan AT&T High Speed Internet n Work/Life Programs AT&T Management 9 State In-Region n Health Reimbursement LifeCare Account Plan Voice Discount Policy AT&T Health Reimbursement AT&T Management 13 State In-Region Pension and Savings Plans Account Plan Voice Discount Plan Not Sponsored by AT&T AT&T Out-of-Region Voice Discount Plan Some AT&T employees and eligible Benefits, Policies and Programs former employees participate in Not Subject to ERISA AT&T U-verse and DIRECTV Employee pension and savings plans that are Discounts Terms and Conditions This document is not a summary sponsored by unions, not the Company. of material modifications for the AT&T Wireless – Employee Therefore, this document is not a following employee benefits, policies Mobility Offer (EMO) summary of material modifications or programs because they are not for the following plans. Summary AT&T Wireless – Employee plan descriptions, SMMs and other subject to ERISA. This document is Mobility Premier provided for your information and documents required by ERISA are the review; no other action is necessary. AT&T Wireless – Employee responsibility of, and will be sent Mobility Rate Plan (ERP) directly from, the plan sponsor, not n Adoption Reimbursement AT&T. This document is provided for Legacy AT&T Non-management your information and review; no other Benefits Telephone Concession Plan action is necessary. AT&T Adoption Reimbursement Program Legacy BellSouth Employee Telephone Concession Program The contents of this document for the Cingular Wireless Adoption following plans are subject to change Assistance Program Legacy SBC East Region Telephone without notice from AT&T: Concession Program for n Commuter Benefits Residential Service Alaska Electrical Health & Welfare Fund AT&T Commuter Benefit Program Legacy SBC Midwest Region Telephone Alaska Electrical Pension Plan n Company Leaves of Concession Highlights for Alaska Electrical Workers Money Absence Policies Residential Service Purchase Pension Plan Legacy SBC Southwest Telephone AT&T Leave of Absence Policy National Electrical Benefit Fund Concession Policy Program AT&T Mobility Bargained Edge The IBEW Local Unions Savings Legacy SBC West Telephone Concession Leave of Absence Policy and Security Plan Highlights for Residential Service AT&T Mobility Bargained Leave Limited Time Employee Offers of Absence Policy for Bargained Employees in District 6 Other Discount Programs and Offers AT&T Southeast Leave of Absence Policy Preferred Customer Discount Program (PCDP) AT&T Occupational Employee Leaves of Absence Policy Midwest Leave of Absence Policy West Leave of Absence Policy SNET Leaves of Absence Policy
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