Union Carbide Benefits

New medical plan names, same great coverage. We’ve simplified the names of our two core plans available through Aetna:

• MAP Plus Option 1 is now Low Deductible Medical Plan
• MAP Plus Option 2 is now High Deductible Medical Plan

While the names have changed, what’s covered remains the same.

Medical Cost and Coverage

To help you make an informed choice, we have provided a series of medical charts. The charts will outline the cost and coverage of the medical plans offered to Union Carbide retirees and eligible family members.

For plan year 2023

Calculating Retiree Medical Premiums

To help calculate your monthly premium, if you are on the Support Schedule:

Union Carbide Retiree Medical Calculator

• 2023

Summary Plan Descriptions

• Summary of Material Modifications - End of COVID-19 Emergencies

Please select the summary plan description (SPD) applicable to you:

• Low Deductible and High Deductible Plans
  • Appendix A for: Medicare Advantage Low Deductible (Medicare Retirees)
    
    • Evidence of Coverage
    • Summary of Cost Sharing
  • Appendix A for: Union Carbide Medicare Advantage MSP (Medicare Retirees)
    • Evidence of Coverage
    • Summary of Cost Sharing
  • Appendix A for: Summary of SilverScript Prescription Drug Benefits (For Medicare Retirees)
    SilverScript Prescription Drug plan is paired with the Medicare Advantage Low Deductible and Union Carbide Medicare Advantage MSP plans listed above.
  • Appendix A for: High Deductible Plan (Pre-Medicare Retirees)
• Medicare Advantage PPO
  • Appendix A for: Plan Document Notice
  • Appendix A for: Evidence of Coverage
  • Appendix A for: Schedule of Cost Sharing
• Cigna - International Medical and Dental Plan

The SPD's for the self-funded HMO's are comprised of two parts: 1) SPD Wrapper and 2) Appendix A:

• Self-Funded HMO SPD Wrapper(applies to all self-funded HMO's)
  • Appendix A for: Blue Care Network (Midland/Tri-Cities Michigan) Self-Funded Plan
  • Appendix A for: Cigna Self-Funded HMO
    • 2023 Cigna Medical OAPIN Rider
• Appendix A for: Humana Self-Funded Plan (Pre-Medicare Retirees)
• Appendix A for: Humana Fully-Insured Plan – Medical (Medicare Retirees)
• Appendix A for: Humana Fully-Insured Plan – Pharmacy (Medicare Retirees)

The SPD's for the insured HMO's are comprised of two parts: 1) SPD Wrapper and 2) HMO publication. The SPD wrapper is at the link below. Contact your HMO or the Retiree Service Center (800-344-0661) to obtain a copy of the HMO publication, which contains coverage details.

• Fully-Insured HMOs and Insured Health Plans Wrapper

Life Insurance Information

Please refer to the Summary Plan Description (SPD) for the applicable benefit plan:

• Retiree Life Insurance SPD for Retirees who retired on or after February 7, 2003
• UCC Basic Life Insurance SPD for Retirees who retired before February 7, 2003

Life Insurance Extras

Will Preparation and Estate Resolution Services

Pre-Age 65 retirees who are enrolled in Retiree-Paid Optional Life Insurance can prepare or update a standard will for little or no cost, and probate assistance is available for their estate.

• Estate Resolution Services FAQ
• Digital Estate Planning
• Will Prep Attorney Map
• Will Prep FAQ
• Funeral Planning Guide - provides an easy-to-use format for documenting information your survivors will need upon your death.
• Dignity Funeral Planning - provides information on funeral discounts and planning services available through MetLife Advantages ‐ at no additional cost to you.
• Grief Counseling - can provide you, your dependents or beneficiaries with support, comfort, tools and services to help get back to a productive life after experiencing any major loss.

Annual Enrollment Information

Dow's annual open enrollment provides you an opportunity to review your current benefit elections and decide if you want to make changes for the coming year.

A comprehensive look at what's new for the coming year:

• 2023 Retiree Guide: Pre-65
• 2023 What’s New: Pre-65
• 2023 What’s New: Post-65

Dow U.S. Benefits Site
If you need to change your medical plan or coverage level during Annual Enrollment or update beneficiaries at any time, you can do so on the Dow Benefits Enrollment Website. A password will be required.

Summary Plan Descriptions

For a detailed description of the Pension Plan for Union Carbide Employees and its Participating Subsidiary Companies, select the applicable link below.

• For Employees who left Union Carbide or its participating employers on or after January 1, 2008.
  • Union Carbide Employees' Pension Plan - PPA Component Summary Plan Description
• For Employees who left Union Carbide or its participating employers after February 6, 2003.
  • Union Carbide Employees' Pension Plan - UCEPP Component Summary Plan Description
• For Employees who left Union Carbide or its participating employers on or before February 6, 2003 and after September 30, 1999.
  • UCRP Summary Plan Description
• For Employees who left Union Carbide or its participating employers on or before September 30, 1999, please contact the Service Center.

Summary of Material Modifications

• SMM – Union Carbide Employees' Pension Plan 2016

Annual Pension Funding Notice

These notices provide important funding information about your pension plan. They also provide a description of how the plan's assets are invested and a description of the benefits under the plans that are eligible to be guaranteed by the Pension Benefit Guaranty Corporation (PBGC), a federal agency.

• Union Carbide Employees' Pension Plan

Pension Form 5500

Each year, the Company is required to provide information to the Internal Revenue Service (IRS) and the Department of Labor (DOL) regarding the Union Carbide Employees’ Pension Plan. This reporting requirement is generally satisfied by filing the IRS Form 5500, including all applicable Schedules and Attachments. The Company generally files the Form 5500 in mid-October for the prior year and posts a subset of the filing here, which provides the basic plan and actuarial information. The entire filing can be found on the DOL website at www.efast.dol.gov.

• Union Carbide Employees' Pension Plan –Form 5500

401(k) Information

The Dow Chemical Company Employees’ Savings Plan (401(k)) record keeper is Fidelity Investments. The Savings Plan Service Center at Fidelity has been established to handle the day-to-day Plan operations. The Savings Plan Service Center offers a voice response system, a website and Plan representatives to answer your questions.

• The Savings Plan Service Center

Summary Plan Descriptions

• Employees’ Savings Plan
• Loan SMM

Summary Plan Descriptions

For detailed information regarding RHCAP, download the Summary Plan Description.

• RHCAP - Summary Plan Description (SPD)

Retirement Health Care Assistance Plan Claim Form

• RHCAP Claim Form

RHCAP Fund Performance

RHCAP Plan assets are invested in two institutional funds provided by Northern Trust. The default election invests 60% of the assets in an equity fund and 40% in a fixed-income fund. Additionally, a secondary option is available which allocates 20% of the assets to an equity fund and 80% in a fixed-income fund. The assets are invested in the following funds:

Northern Trust U.S. Investable Market Index Fund – The market index fund employs a "passive management" or indexing investment approach. The primary objective of the market index fund is to approximate the risk and return characteristics of the Morgan Stanley U.S. Investable Market Index. This index is commonly used to represent the broad U.S. equity market. To achieve its objective, the fund employs a replication technique which generally seeks to hold each index constituent in its proportional index weight.

Northern Trust Aggregate Bond Index Fund - The bond index fund employs a "passive management" or indexing investment approach. The primary objective of the bond index fund is to hold a portfolio representative of the overall U.S. bond and debt market, as characterized by the Barclays Capital Aggregate Index. The bond index fund provides the desired exposure using quantitative techniques which maintain the portfolios neutrality to the index by monitoring a broad range of factors while limiting exposure to liquid securities and excessive transaction costs.

The investment goal of the RHCAP fund is to provide one option (60% equity / 40% fixed income (default)) which aims to deliver growth of capital and low to moderate level of current income and a second option (20% equity / 80% fixed-income) which aims to deliver a low level of growth of capital and a moderate to high level of current income. The investments are subject to the volatility of the financial markets and there may be periods during which the returns are or could be negative.

IMPORTANT!

Choosing to move to the 20/80 fund is a permanent and irrevocable election.

You cannot change back to the 60/40 fund in the future.

RHCAP Annual Portfolio Returns*

As of June 30, 2022

20% Equity / 80% Fixed Income Portfolio

• 2021 return: 3.52%
  
• 2020 return: 10.93%
  
• 3-year annualized return: 1.47%
  
• 5-year annualized return: 2.67%
  

60% Equity / 40% Fixed Income Portfolio

• 2021 return: 14.38%
  
• 2020 return: 16.48%
  
• 3-year annualized return: 5.89%
  
• 5-year annualized return: 7.04%
  

*The 20% Equity /80% Fixed Income returns are simulated returns based on the fund allocation weights and the actual returns of the respective fund. The 60% Equity / 40% Fixed Income returns are included for comparison purposes. The 20% Equity / 80% Fixed Income option enables the retired participant to do.

RHCAP Online Account and Contact Information FAQs

Q. How do I access my RHCAP online account?
A. Register or log in at www.wageworks.com.

Q. How do I add or update my email address or phone number?
A. Register or log in to your www.wageworks.com account, then select “Profile.”

Q. How do I update my mailing address?
A. Contact the Retiree Service Center at 800-344-0661 or visit the Dow Benefits website.

Q. Who can I contact for help?
A.

• HealthEquity (WageWorks) Member Service Center – 877-924-3967 – available 24 hours a day. For assistance with claim submission or denials, website navigation, semiannual statements, and reimbursement status.
• Dow Retiree Service Center – 800-344-0661 – available Mon-Fri 8a – 8p ET. For assistance with updating your mailing address, eligibility and enrollment issues, or setting up automatic reimbursements and direct deposit.
• You may also visit the Dow Benefits website at https://dowbenefits.ehr.com for self-service options.

For plan year 2022

• VSP Vision Benefits