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Sony Pictures Entertainment Inc. Health and Welfare Benefits Plan Summary Plan Description January 20192020

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Sony Pictures Entertainment Inc. Health and Welfare Benefits Plan Summary Plan Description January 20192020 Sony Pictures Entertainment Inc. Health and Welfare Benefits Plan Summary Plan Description January 20192020 This summary plan description (SPD) provides a summary of your benefits updated as of January 1, 20192020. It describes benefits provided to you by the Sony Pictures Entertainment Inc. Health and Welfare Benefits Plan (the “plan” or “SPE Benefits Plan”) your plans and your rights under the plans. The SPD is based on official plan documents. It is not, nor is it intended to be, the official plan document, a contract between Sony and any employee or contractor, or a guarantee of future employment or benefits. Every effort has been made to ensure the accuracy of this information. Note: This SPD is supplied solely for the purpose of helping you understand the plans—not to replace, amend, or add to the plans. To the extent that any of the information in this SPD is inconsistent with any official plan document, the provisions set forth in the official plan documents will govern in all cases. SPE reserves the right to amend, modify, or terminate, in whole or in part; any or all of the plan(s) or program(s) at any time and for any reason or for no reason by appropriate corporate action. Any such changes may affect the benefits payable to you and/or family members. In addition, there may be situations where the plan(s) provides different benefits to different employee groups. This SPD identifies those benefits that are applicable to you based on your employee group. If you have questions about the benefits available to you, contact the SPE Benefits Center at 1-833-976-6901. The Plan Administrator, or its duly authorized delegate, has the sole and absolute discretionary authority to interpret and apply the terms of the plans. Also, in the event any provisions of this SPD may be held illegal or invalid for any reason, such illegality or invalidity will not affect remaining sections of this SPD, or the SPD will be construed and enforced as if the illegal or invalid provisions had never been included. The information in this SPD is provided on www.KENKOatSPE.comwww.benefits.sonypictures.com in the Basic/Resources section. (Log on to SPE Benefits Center at https://benefitscenter.spe.sony.com on the Internet or via your location’s Intranet home page.) You have the ability to view the SPD on the Web site, and print pages of this SPD from the Web site. If there are any discrepancies between the information on the Web site and this printed copy, the Web site version will control. ___________________________________________________________________________ SPE i 01/2017 Table of Contents SPE Benefits Overview ................................................................................................................. 7 Enrolling for Coverage ...................................................................................................................... 7 If You Have Other Medical Coverage Available ............................................................................... 7 Paying for Coverage .......................................................................................................................... 8 Eligibility for Coverage ................................................................................................................ 9 Who Is Eligible for Employee Coverage ........................................................................................... 9 Eligibility Rules for Rehired Employees ......................................................................................... 19 Eligibility for Retiree Health Care Coverage ................................................................................... 19 Eligibility Rules for Survivors ......................................................................................................... 19 Dependents You Can Cover ............................................................................................................. 19 Spouse Eligibility Rules ................................................................................................................... 20 Domestic Partner Eligibility Rules .................................................................................................. 20 Child Eligibility Rules ..................................................................................................................... 21 Employees Within the Same Family ................................................................................................ 23 Enrollment ................................................................................................................................... 25 Initial Enrollment for a Newly Eligible Employee .......................................................................... 25 Annual Enrollment ........................................................................................................................... 26 Mid-Year Coverage Changes ........................................................................................................... 27 Coverage Categories ........................................................................................................................ 27 Changing Your Coverage During the Year .............................................................................. 29 Rules for Changing Employee Coverage ......................................................................................... 29 Qualified Changes in Status ............................................................................................................. 29 Benefit Coverage Changes Allowed ................................................................................................ 30 Leave of Absence ............................................................................................................................. 40 If You Return From a Leave of Absence ......................................................................................... 41 When Coverage Ends ................................................................................................................. 43 When Eligibility Ends ...................................................................................................................... 43 When Coverage Ends ....................................................................................................................... 44 COBRA ............................................................................................................................................ 46 COBRA Qualifying Events .............................................................................................................. 49 Qualified COBRA Beneficiaries ...................................................................................................... 51 If You Become Disabled .................................................................................................................. 52 If You Die While Covered Under the Company’s Plans ................................................................. 52 Coverage During Military Duty ................................................................................................ 53 Who’s Eligible ................................................................................................................................. 53 How Coverage Works ...................................................................................................................... 53 Paying for Coverage ........................................................................................................................ 53 Medical Plan Overview .............................................................................................................. 54 Common Terms ............................................................................................................................... 54 Coverage Categories ........................................................................................................................ 54 Medical Plan Options ....................................................................................................................... 54 Cost of Coverage .............................................................................................................................. 54 SPE ii 01/2017 Schedule of Benefits ........................................................................................................................ 55 How the Plan Works ........................................................................................................................ 59 What the Plan Covers ....................................................................................................................... 67 Medical Plan Exclusions .................................................................................................................. 95 Coordination of Benefits - What Happens When There is More Than One Health Plan .............. 103 General Provisions ......................................................................................................................... 105 Glossary ......................................................................................................................................... 110 Prescription Drug Program ...................................................................................................... 131 Eligibility for Coverage ................................................................................................................
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