SUMMARY PLAN DESCRIPTION for the Walgreen Health and Welfare Plan Effective January 1, 2021 TABLE OF CONTENTS Introduction .................................................................................................................................. 1 IMPORTANT NOTICE..................................................................................................... 3 About This Document ........................................................................................................ 4 Whom to Contact... ............................................................................................................ 5 Eligibility ..................................................................................................................................... 10 You Are Eligible If... ....................................................................................................... 10 Additional Medical Plan Eligibility Requirements for Hourly Team Members Subject to Employer Mandate .......................................................................................... 11 Eligible Dependents ......................................................................................................... 13 Domestic Partner .............................................................................................................. 14 Imputed Income ............................................................................................................... 15 When Your Spouse or Other Eligible Dependents Are Also Team Members ................ 15 Enrollment .................................................................................................................................. 17 As a New Team Member ................................................................................................. 17 If You Leave the Company and Are Rehired .................................................................. 17 Your Dependents ............................................................................................................. 17 Social Security Numbers Generally Required for Enrollment ........................................ 18 Open Enrollment .............................................................................................................. 18 If You Do Not Enroll ....................................................................................................... 19 Declining Enrollment and Special Enrollment Period Rules ........................................... 19 Enrollment Under a Qualified Medical Child Support Order (“QMCSO”) .................... 19 Paying for Coverage .................................................................................................................. 21 Your Contribution ............................................................................................................ 21 Medical Premium Surcharge for Tobacco Users ............................................................. 21 Paying for Coverage—Active Team Members ................................................................ 22 When Coverage Begins .............................................................................................................. 23 New Team Members ........................................................................................................ 23 Current Team Members ................................................................................................... 23 Changing Your Coverage .......................................................................................................... 24 During the Year................................................................................................................ 24 Qualified Change in Status .............................................................................................. 24 -i- TABLE OF CONTENTS (continued) Special Enrollment Rights ............................................................................................... 24 Other Changes in Circumstance ....................................................................................... 25 Special Enrollments in a Qualified Health Plan .............................................................. 25 Reduction in Hours of Service ......................................................................................... 26 How to Make Changes During the Year .......................................................................... 26 Your Medical Coverage ............................................................................................................. 31 What Medical Options Will Be Available? ..................................................................... 31 Care Coordination ............................................................................................................ 32 Surgical Centers of Excellence ........................................................................................ 33 Overview of Medical Plan Options and Networks .......................................................... 33 Primary Care Provider (PCP) Requirements ................................................................... 34 EPO Network—Common Features Applicable to Most Options .................................... 35 United Healthcare (UHC) Nexus Medical Plan Network ................................................ 35 United Healthcare (UHC) Navigate Medical Plan Network ............................................ 36 United Healthcare (UHC) Choice Medical Plan Network ............................................... 36 United Healthcare (UHC) Core Medical Plan Network .................................................. 36 Blue Cross Blue Shield of Illinois (BCBSIL) Networks ................................................. 36 POS Network Option—Options Through Kaiser Permanente ........................................ 36 HMO Network Option—Only Applicable in Certain States ........................................... 37 Emergency Room Coverage ............................................................................................ 38 Health Reimbursement Arrangement (HRA) .................................................................. 38 Health Savings Account (HSA) Plans ............................................................................. 38 Enrollment in Medicare ................................................................................................... 39 How Health Savings Account Plans Work ...................................................................... 39 Coordination with Healthcare FSA .................................................................................. 39 Limited Purpose FSA ....................................................................................................... 39 Tax Information ............................................................................................................... 40 Highly Compensated Individuals ..................................................................................... 40 Medical Coverage in Hawaii ........................................................................................... 40 Medical Coverage in Puerto Rico .................................................................................... 41 -ii- TABLE OF CONTENTS (continued) Medical Coverage in US Virgin Islands ......................................................................... 41 Rescission of Coverage .................................................................................................... 41 Continuation of Coverage Through COBRA .................................................................. 41 Your Prescription Drug Coverage ................................................................................... 41 Managing Your Health .................................................................................................... 42 Telehealth Services .......................................................................................................... 42 Wellness Programs ..................................................................................................................... 44 365 Get Healthy Here & Life365 ..................................................................................... 44 $0 Copay Medication Program ........................................................................................ 44 Tobacco-Free Program..................................................................................................... 45 Healthy Living Centers .................................................................................................... 46 Special Disease Management/Prevention Programs ........................................................ 47 Coordination with Medicare ............................................................................................ 47 The Aon Active Health Exchange ............................................................................................. 48 Your Dental Coverage ............................................................................................................... 49 What Dental Options Will Be Available? ........................................................................ 49 Overview of Options ........................................................................................................ 49 Basic PPO Options—Bronze Option ..............................................................................