Where Possible, Enrolment Should Be Completed on Employee Self Service

My Choice - Flexible Benefits Enrolment and Lifestyle Change Form – 2016/17

Annual Enrolment □ 1st – 29th March 2016 Personnel Number: New Joiner Enrolment □

First Name: Lifestyle Change □ Please state reason for lifestyle change below

Last Name: Marriage □ Birth / Adoption of a Child □

Date Completed: Separation □ Death of immediate Relative □

Business Area: Divorce □ Change in Childcare □

Preferred Email Address: Your preferred email is needed for administration purposes by some benefit providers and will only be passed on to providers of benefits you enrol in PLEASE NOTE: All sections above are mandatory. Incomplete forms will not be processed. Where possible, enrolment should be completed on Employee Self Service To confirm your ‘My Choice’ options you should mark a  in the box against the plans you wish to enrol in. For Pure cards and Childcare Vouchers indicate the monthly amount you wish to receive. If you are choosing to enrol in Payroll Giving, please ensure you accurately note the name and registration number of the charity you would like to donate to. When completing this form you should always do so in conjunction with the detailed information provided by each supplier, as well as with the information on the My Choice website. Having read the My Choice website, if you have further questions regarding the products and services on offer please contact the provider. When you have completed this form you must sign the T & C’s changes and retain a copy of both. The original version (with your signed T & C’s Form) should be emailed to:

[email protected]

Where it is not possible for you to submit your form via email, please send it to:

FAO: My Choice Enrolment, HR Shared Service, Thomas Cook Airlines Ltd Hangar 1, Western Maintenance Area, Runger Lane, Manchester Airport, M90 5FL Please Note: Annual Enrolment Forms should be received no later than 29 th March

Family Information

If you have selected cover for your partner or family in any of the available plans, please complete the following: First Name Last Name Sex Date of Birth Relationship to You Partner / Spouse Child Child Child Child Child Child

Annual Leave Buy & Sell

Buy 1 Day □ Sell 1 Day □ Buy 2 Days □ Sell 2 Days □ Buy 3 Days □ Sell 3 Days □ Buy 4 Days □ Sell 4 Days □ Buy 5 Days □ Sell 5 Days □ PLEASE NOTE – Airline employees may not purchase annual leave in excess of 5 days (pro rata equivalent for part time employees and employees who work a shift pattern). Employees can only take a maximum of FTE 30 days and a minimum of FTE 20 days annual leave in a year. If your selection exceeds these levels, your choice will be automatically adjusted. For those employees whose contractual annual leave entitlement is 30 days or more, they will not be eligible to participate in this benefit. Cabin Crew and Flight Deck are unable to participate in this due to rostering requirements.

Care-4 Childcare Vouchers Monthly Cost

PLEASE NOTE: If you are currently enrolled in Childcare Vouchers for 2015/16, your existing arrangements will automatically carry over into the 2016/17 benefit year. You only need to complete this section if you wish to change or cancel your enrolment for 2016/17. Minimum = £5 per month. Please enter desired amount: £______By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

I wish to cancel my Childcare Vouchers for 2016/17 □ PLEASE NOTE: Your monthly deduction will be placed in to your own care-4 account from where you pay your child care provider. You must set-up your own care-4 account via www.care-4.co.uk using the unique identifier THC8J5. Participation in this benefit is classed as salary sacrifice. You must ensure you have read and understood the terms and conditions.

Pure Card Monthly Cost

PLEASE NOTE: If you are currently enrolled in Pure card for 2015/16, your existing arrangements will automatically carry over into the 2016/17 benefit year. You only need to complete this section if you wish to change or cancel your enrolment for 2016/17. Minimum = £20 per month. Please enter desired amount (must be a multiple of £5): £______By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

I wish to cancel my Pure card for 2016/17 □ PLEASE NOTE: Your monthly deduction will be added to your own Pure Card each month. Once enrolment processes have concluded, you will be sent your Pure card directly from the provider.

Bike4work

£100 (£8.34 per month) □ £600 (£50.00 per month) □

£300 (£25.00 per month) □ £800 (£66.67 per month) □ £400 (£33.34 per month) □ £900 (£75.00 per month) □

PLEASE NOTE: Participation in this benefit is classed as salary sacrifice. You must ensure you have read and understood the terms and conditions. Please ensure you complete the Hire Agreement available on your local Intranet. This option is not available outside of the annual enrolment window. By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

Payroll Giving (Give as You Earn) Monthly Cost

PLEASE NOTE: If you are currently enrolled in Charity Giving for 2015/16, your existing arrangements will automatically carry over into the 2016/17 benefit year. You only need to complete this section if you wish to change or cancel your enrolment for 2016/17. Please enter desired amount: £______

Charity Name ______Registered Charity Number ______

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. □ By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

I wish to cancel my Charity Giving for 2016/17 □

Salary Sacrifice Travel Benefit (SSTB) Monthly Cost

Number of months participation

□ 3 months Monthly Salary Reduction: £______

PLEASE NOTE: Your monthly deduction must be a minimum of £25 per month and maximum of £500 per month (monthly amount must be a multiple of £5). Please refer to the rules of the scheme for full terms and conditions. This option is not available outside of the annual enrolment window. By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

Vitality Health Private Medical Insurance Monthly Cost

PLEASE NOTE: If you currently have CORE Private Medical Insurance, you are unable to increase your level of cover via this form. Any existing arrangements will automatically carry over into 2016/17 benefit year. For more information, contact your HR Manager.

My Choice - Flexible Benefits Enrolment and Lifestyle Change Form – 2016/17 PLEASE NOTE: If you are currently enrolled in Private Medical Insurance for 2015/16, your existing arrangements will automatically carry over into the 2016/17 benefit year. You only need to complete this section if you wish to change or cancel your enrolment for 2016/17. Under 65: Buy: Employee Only £75.79 □

Buy: Employee + Partner £151.57 □ Buy: Single Parent + Children £113.68 □ Buy: Family £189.46 □

By selecting this benefit I am confirming that I have read and understood all the documentation provided. □ Over 65: Buy: Employee Only £151.57 □ Buy: Employee + Partner £303.14 □ Buy: Single Parent + Children £227.35 □ Buy: Family £378.92 □

By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

I wish to cancel my Private Medical Insurance cover for 2016/17 □

Mychoice Annual Employee Travel Insurance Monthly Cost PLEASE NOTE: Cover will only be provided if conditions are met. You must read the Key Features document. Airline employees are automatically covered; please contact HR Shared Service if you wish to add partner/family to you cover.

Employee Only – Europe Mychoice Standard £2.17 □ Employee Only – Europe Mychoice Premium £5.58 □ Employee Only – Worldwide Mychoice Standard £2.90 □ Employee Only – Worldwide Mychoice Premium £6.87 □

Employee & Partner – Europe Mychoice Standard £3.80 □

My Choice - Flexible Benefits Enrolment and Lifestyle Change Form – 2016/17 Employee & Partner – Europe Mychoice Premium £8.19 □ Employee & Partner – Worldwide Mychoice Standard £5.21 □ Employee & Partner – Worldwide Mychoice Premium £10.56 □

Employee & Children – Europe Mychoice Standard £3.26 □ Employee & Children – Europe Mychoice Premium £7.32 □ Employee & Children – Worldwide Mychoice Standard £4.34 □ Employee & Children – Worldwide Mychoice Premium £9.16 □

Family – Europe Mychoice Standard £4.34 □ Family – Europe Mychoice Premium £9.05 □ Family – Worldwide Mychoice Standard £6.10 □ Family – Worldwide Mychoice Premium £12.02 □

Medicash Healthcare Cash Plan Monthly Cost

PLEASE NOTE: Dependant children under 16 or 19 if in full time education are covered free of charge – please ensure they are registered as dependants on Self Service / on page 1 of this form, to ensure cover is provided. Bronze: Employee (& Children) £5.20 □ Bronze: Employee & Partner (& Children) £10.40 □

Silver: Employee (& Children) £13.00 □ Silver: Employee & Partner (& Children) £26.00 □

Gold: Employee (& Children) £23.20 □ Gold: Employee & Partner (& Children) £46.40 □

Platinum: Employee (& Children) £34.70 □ Platinum: Employee & Partner (& Children) £69.35 □

Cigna Dental Insurance Monthly Cost

Cigna Dental Core Level 1: Employee only £5.89 □ Cigna Dental Core Level 1: Employee & Partner £11.78 □ Cigna Dental Core Level 1: Single Parent & Children £11.78 □ Cigna Dental Core Level 1: Family £17.78 □

Cigna Dental Level 2: Employee only £9.95 □ Cigna Dental Level 2: Employee & Partner £19.91 □ Cigna Dental Level 2: Single Parent & Children £19.91 □ Cigna Dental Level 2: Family £29.86 □

I wish to cancel my Dental Insurance cover for 2016/17 □

Gymflex

To sign up go to www.gymflex.co.uk and enter Thomas Cook into the login box in the top right hand corner of the screen.

My Choice - Flexible Benefits Enrolment and Lifestyle Change Form – 2016/17 By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

Tastecard One-off payroll deduction

Tastecard annual membership: £29.99 □ By selecting this benefit I am confirming that I have read and understood all the documentation provided. □

Critical Illness

£25,000 Cover £50,000 Cover £100,000 Cover £150,000 Cover Age Employee  Partner  Age Employee  Partner  Age Employee  Partner  Age Employee  By selecting 16 - 29 £ 1.54 £ 1.87 16 - 29 £ 3.08 £ 3.74 16 - 29 £ 6.16 £ 7.48 16 - 29 £ 9.24 this benefit 30 £ 2.05 £ 2.11 30 £ 4.10 £ 4.22 30 £ 8.20 £ 8.44 30 £ 12.30 I am 31 £ 2.31 £ 2.28 31 £ 4.62 £ 4.56 31 £ 9.24 £ 9.12 31 £ 13.86 32 £ 2.59 £ 2.49 32 £ 5.18 £ 4.98 32 £ 10.36 £ 9.96 32 £ 15.54 confirming 33 £ 2.83 £ 2.72 33 £ 5.66 £ 5.44 33 £ 11.32 £ 10.88 33 £ 16.98 that I have 34 £ 3.10 £ 2.98 34 £ 6.20 £ 5.96 34 £ 12.40 £ 11.92 34 £ 18.60 35 £ 3.41 £ 3.26 35 £ 6.82 £ 6.52 35 £ 13.64 £ 13.04 35 £ 20.46 read and 36 £ 3.79 £ 3.62 36 £ 7.58 £ 7.24 36 £ 15.16 £ 14.48 36 £ 22.74 understood 37 £ 4.12 £ 3.94 37 £ 8.24 £ 7.88 37 £ 16.48 £ 15.76 37 £ 24.72 all the 38 £ 4.44 £ 4.25 38 £ 8.88 £ 8.50 38 £ 17.76 £ 17.00 38 £ 26.64 39 £ 4.80 £ 4.59 39 £ 9.60 £ 9.18 39 £ 19.20 £ 18.36 39 £ 28.80 40 £ 5.25 £ 5.03 40 £ 10.50 £ 10.06 40 £ 21.00 £ 20.12 40 £ 31.50 41 £ 5.79 £ 5.54 41 £ 11.58 £ 11.08 41 £ 23.16 £ 22.16 41 £ 34.74 42 £ 6.36 £ 6.09 42 £ 12.72 £ 12.18 42 £ 25.44 £ 24.36 42 £ 38.16 43 £ 6.98 £ 6.78 43 £ 13.96 £ 13.56 43 £ 27.92 £ 27.12 43 £ 41.88 44 £ 7.74 £ 7.69 44 £ 15.48 £ 15.38 44 £ 30.96 £ 30.76 44 £ 46.44 45 £ 8.68 £ 8.80 45 £ 17.36 £ 17.60 45 £ 34.72 £ 35.20 45 £ 52.08 46 £ 9.78 £ 10.14 46 £ 19.56 £ 20.28 46 £ 39.12 £ 40.56 46 £ 58.68 47 £ 10.86 £ 11.40 47 £ 21.72 £ 22.80 47 £ 43.44 £ 45.60 47 £ 65.16 48 £ 11.87 £ 12.59 48 £ 23.74 £ 25.18 48 £ 47.48 £ 50.36 48 £ 71.22 49 £ 12.96 £ 13.98 49 £ 25.92 £ 27.96 49 £ 51.84 £ 55.92 49 £ 77.76 50 £ 14.40 £ 15.85 50 £ 28.80 £ 31.70 50 £ 57.60 £ 63.40 50 £ 86.40 51 £ 16.00 £ 18.01 51 £ 32.00 £ 36.02 51 £ 64.00 £ 72.04 51 £ 96.00 52 £ 17.55 £ 20.11 52 £ 35.10 £ 40.22 52 £ 70.20 £ 80.44 52 £ 105.30 53 £ 19.07 £ 22.20 53 £ 38.14 £ 44.40 53 £ 76.28 £ 88.80 53 £ 114.42 54 £ 20.95 £ 24.77 54 £ 41.90 £ 49.54 54 £ 83.80 £ 99.08 54 £ 125.70 55 £ 23.16 £ 27.79 55 £ 46.32 £ 55.58 55 £ 92.64 £ 111.16 55 £ 138.96 56 £ 25.85 £ 31.17 56 £ 51.70 £ 62.34 56 £ 103.40 £ 124.68 56 £ 155.10 57 £ 28.29 £ 34.29 57 £ 56.58 £ 68.58 57 £ 113.16 £ 137.16 57 £ 169.74 58 £ 30.70 £ 37.48 58 £ 61.40 £ 74.96 58 £ 122.80 £ 149.92 58 £ 184.20 59 £ 33.79 £ 41.61 59 £ 67.58 £ 83.22 59 £ 135.16 £ 166.44 59 £ 202.74 60 £ 37.66 £ 46.78 60 £ 75.32 £ 93.56 60 £ 150.64 £ 187.12 60 £ 225.96 61 £ 42.13 £ 52.75 61 £ 84.26 £ 105.50 61 £ 168.52 £ 211.00 61 £ 252.78 62 £ 46.35 £ 58.43 62 £ 92.70 £ 116.86 62 £ 185.40 £ 233.72 62 £ 278.10 63 £ 50.16 £ 63.54 63 £ 100.32 £ 127.08 63 £ 200.64 £ 254.16 63 £ 300.96 64 £ 64.46 £ 69.15 64 £ 128.92 £ 138.30 64 £ 257.84 £ 276.60 64 £ 386.76 65 £ 44.48 £ 57.84 65 £ 88.96 £ 115.68 65 £ 177.92 £ 231.36 65 £ 266.88 66 £ 47.68 £ 62.14 66 £ 95.36 £ 124.28 66 £ 190.72 £ 248.56 66 £ 286.08 67 £ 50.26 £ 65.59 67 £ 100.52 £ 131.18 67 £ 201.04 £ 262.36 67 £ 301.56 68 £ 52.67 £ 68.69 68 £ 105.34 £ 137.38 68 £ 210.68 £ 274.76 68 £ 316.02 69 £ 55.87 £ 72.74 69 £ 111.74 £ 145.48 69 £ 223.48 £ 290.96 69 £ 335.22 documentation provided.

Terms & Conditions

I confirm that I have read, understood and accept the terms of the Flexible Benefits Programme as outlined in this document. I have also read the additional supplier literature and understand the criteria and eligibilities surrounding the benefits that I am choosing. I understand my salary from April 2016 to March 2017 will be adjusted to reflect the value of the benefits I have chosen. My choices will be subject to the Thomas Cook approval process although no further action is required from me in this respect.

By participating in the Flexible Benefits Programme I know that my existing terms of employment will be amended to reflect the benefit choices I have made and I accept that by electronically submitting my benefit choices or by signing the Manual Enrolment form I agree to these changes to my existing terms of employment and to Thomas Cook making the appropriate deductions from my pay through Payroll.

I understand that I will have the opportunity to amend my selection of benefits during each enrolment period (typically March each year). Where major changes occur in my personal ‘lifestyle’ I may also be able to make amendments during the Flexible Benefits year subject to the conditions of each benefit in force at the time of applying.

If I have chosen to participate in the Bike4work or Salary Sacrifice Travel Benefit (SSTB) schemes, I understand that my gross salary will be adjusted for a period of up to 12 months from 1 April 2016.

If I leave my employment for any reason at any time during the Flexible Benefits year, I understand that the remaining payments for Bike4work, SSTB and GymFlex have to be paid when I leave. Details of my obligations about payments are provided in the literature provided. I agree that if I leave, Thomas Cook may reduce the final salary payment due to me by any outstanding balance and payments I owe to Thomas Cook.

Some of the benefits have certain conditions or may require specific disclosure (please refer to supplier literature for details of each plan). I understand that it is a requirement of choosing these particular benefits that I fully comply with any applicable conditions and disclosure requirements. I confirm that I have read and understand and accept all the conditions and disclosure requirements that apply to the benefits I have chosen. I have retained a copy of the documents provided to me via the enrolment processes.

I understand that if I have chosen not to participate in the Flexible Benefits Programme this year i.e. no benefits choices have been selected, then my salary and benefits package will not be affected and I will not participate in the Flexible Benefits Programme for the 12 months up to 1 April 2017. If I have a ‘lifestyle change’ I may have the opportunity to participate in the Flexible Benefits Programme by enrolling between the 1st & 14th working day of the month, but this will be subject to the conditions of each benefit in force at the time of applying.

Signature: ______

Date: ______