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YOUR BENEFITS CONNECTION 2020 BENEFITS ENROLLMENT GUIDE FOR NEW HIRES ACTION REQUIRED

YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

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Page 1: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

YOUR BENEFITS

CONNECTION2020 BENEFITS ENROLLMENT

GUIDE FOR NEW HIRES

ACTION REQUIRED

Page 2: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

BENEFITS FOR YOUR HEALTH & WELL-BEING

About This GuideThe 2020 Benefits Enrollment Guide for New Hires describes the coverage offered to the majority of benefits-eligible employees under the RR Donnelley Group Benefits Plan (the “Plan”). Your benefits eligibility will determine the coverage that is offered to you, your spouse/domestic partner and any dependent child(ren). More details on benefits eligibility are available in the Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs) online at myRRDbenefits.com.

Enrolling for Benefits01 Welcome to RRD

02 What You Need to Do

04 Eligibility Requirements

05 Summary of Health & Welfare Benefits

For Your Wealth16 Health Savings Account (HSA)

16 Flexible Spending Accounts (FSAs)

18 Supplemental Health Care Coverage

18 Life & Accident Insurance

19 Disability

For Your Life20 Additional Benefit Programs

More Information22 Important Notices & Disclosures

24 Useful Contacts

For Your Health06 Medical & Prescription Drug Coverage

07 Compare Your Medical Program Options

08 2020 Medical Program Options

10 If You Cover Dependents

12 Health Resources

14 Dental Coverage

15 Vision Coverage

01 16

20

22

06

Page 3: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

Welcome to RRDThis guide describes the Health & Welfare benefits that are available to you, provided you meet the eligibility and waiting period requirements. You receive some benefits automatically; others you receive only if you elect an option and coverage category and pay the applicable premiums. It is your responsibility to make sure you have the benefits information you need to enroll in a timely manner. Benefits-eligible employees can connect to RRD’s benefit vendors and services, access important health-related tools and enroll in their benefits through the RRD Benefits Center at rrd.bswift.com. If you don’t have online access or you have questions, call the Benefits Center at 1-877-RRD-4BEN (1-877-773-4236).

Choose WiselyYour benefit elections — including any default coverage if you don’t enroll — will generally be in effect the first day of the calendar month after your one-month anniversary of employment (regardless of the day of the month you started your employment) through December 31, 2020. (See page 5 for exceptions.) You cannot make changes during the year unless you experience a qualified status change (e.g., marriage, divorce, birth of a child). Refer to the Qualified Status Changes (and the Participant Premium Program) SPD for more information.

If You Don’t Take ActionYou must take action, even if you don’t want coverage! If you don’t take action before the deadline indicated on your personalized New Hire Enrollment Worksheet, the following coverage categories will be assigned to you automatically:

Benefit Default Coverage Who pays

MedicalHSA Value for you only. See page 6 for information about how your vendor is assigned. Premiums will be charged at the higher rate for tobacco users. You and RRD

Dental, Vision, Flexible Spending Accounts (FSAs), Health Savings Account (HSA)

No coverage. Although your HSA contribution will be set to $0, you can still elect to contribute to your HSA during the year. N/A

Basic Employee Life Insurance

One times your annual base pay, up to $125,000. (See the SPD and any related SMM for Program details, including annual reductions for active employees age 65 and older.)

RRD

Short-term Disability (STD)

Monthly benefit of 50% of your pre-disability earnings for up to 26 weeks. (See the SPD and any related SMM for details.) RRD

Long-term Disability (LTD)

Monthly benefit amount of 50% of your earnings, up to $10,000 a month. (See the SPD and any related SMM for details.) RRD

ENROLLING FOR

BENEFITSDon't Miss Out!

Enroll before the deadline specified in your enrollment kit. (Note that the date in your enrollment kit is your benefits effective date. So if the date shown is February 1, you must enroll by January 31.)

Online at: rrd.bswift.com

By phone at: 1-877-RRD-4BEN (1-877-773-4236) Monday – Friday, 7 a.m. – 7 p.m. Central Time

1Benefits Enrollment Guide for New Hires 2020

Page 4: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

2Benefits Enrollment Guide for New Hires 2020

ENROLLING FOR

BENEFITSWhat You Need to Do

1 Take action/enroll before the deadline specified in your enrollment kit.You must take action, even if you don’t want coverage. Otherwise, default coverage will be assigned.

2 Read the enrollment materials.Visit myRRDbenefits.com for more information. Refer to rrd.bswift.com to see the coverage options available to you.

3 Get personalized help from Emma.On the enrollment website at rrd.bswift.com, use the Ask Emma feature to view your plan rates, compare your options, and help you choose the plan that's right for you and your family.

4 Make your benefit elections.Even if you don’t want coverage, you must go online or call to elect “No Coverage.”

• Enroll online at rrd.bswift.com.

• If you don’t have online access, enroll by phone at 1-877-RRD-4BEN (1-877-773-4236), Monday – Friday, 7 a.m. – 7 p.m. Central Time.

• You may enroll eligible dependents as described on page 4. You must provide a Social Security number (SSN) for each dependent and enter their name exactly as it appears on their Social Security card.

• If you add a dependent, check the box on the enrollment website for each of the programs (e.g., medical, dental, vision) in which you wish to enroll the dependent. (Simply adding a dependent does NOT enroll them in coverage.)

Page 5: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

3Benefits Enrollment Guide for New Hires 2020

ENROLLING FOR

BENEFITS5 Certify your tobacco status.

On the enrollment website, you must certify whether you and each of your covered dependents are "Tobacco Users." If you are not a Tobacco User, or if you complete an approved tobacco cessation program in 2020, you will receive a premium discount for the Medical, Optional Employee Life, and Optional Spouse/Partner Life plans.

To answer “No” to the Tobacco User question on the enrollment website, you must certify that you (or your dependent) have not used any of the following during the past 12 months: tobacco products (including cigarettes, pipe tobacco, cigars, chewing tobacco, tobacco snuff and hookah tobacco) and/or tobacco-derived or non-Food and Drug Administration (FDA)-approved nicotine-based products (like e-cigarettes, nicotine gels and dissolvables).

You may still answer “No” to the Tobacco User question if you use the following aids to quit tobacco/nicotine: over-the-counter FDA-approved nicotine replacement products (skin patches, chewing gum and lozenges) and/or prescription drugs (Chantix, Zyban or Nicotrol).

Each Tobacco User who does not complete a cessation program in 2020 will pay an annual medical premium surcharge of $500 per adult and $250 per child (added to your medical premium) up to the following maximums:

– Employee Only or Spouse/Domestic Partner Only: $500

– Employee + Spouse/Domestic Partner: $1,000

– Dependent Child(ren) Only: $250

– Employee + Child(ren) or Spouse/Domestic Partner + Child(ren): $750

– Family (Employee + Spouse/Domestic Partner + Child(ren)): $1,250

Optional Life premium rates for Tobacco Users are available at rrd.bswift.com.

You (and/or each of your enrolled dependents) who indicate “Yes” for Tobacco User status may qualify for the non-Tobacco User premium discounts by participating in the tobacco cessation program during the plan year. So long as the individual participates in the tobacco cessation program by December 31, 2020, you will be refunded the tobacco medical plan surcharge for that individual. If you are enrolled in the Optional Life plans, those premium rates will be adjusted prospectively to reflect the non-tobacco premium discount effective on the first of the month following participation in the program. Contact the Life & Wellness Resource Center at 1-877-883-0396 to participate in the program. (Alternate cessation recommendations by your physician will be accommodated.)

6 Confirm your elections.After enrolling, review your confirmation statement and verify that your elections, covered dependents and per-pay-period costs are correct. Print and keep a copy for your records. If you need to make changes or corrections, call the RRD Benefits Center.

Page 6: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

4Benefits Enrollment Guide for New Hires 2020

ENROLLING FOR

BENEFITSEligibility RequirementsIn general, you’re eligible for coverage under the RR Donnelley Group Benefits Plan (the “Plan”) if you are a regular full-time or benefits-eligible part-time employee of RRD or any of its participating subsidiaries. (Certain employees may also be eligible under the Affordable Care Act requirements if they worked a minimum number of hours in the prior year.)

If you enroll, your participation generally takes effect the first day of the calendar month after your one-month anniversary of employment, regardless of the day of the month you started your employment. See page 5 for exceptions and for examples of when your coverage begins. The Plan year is January 1 through December 31.

Eligible DependentsIn general, you may cover a spouse/domestic partner and/or child(ren) who qualify as dependents as defined in the SPD and any related SMM. In some cases, eligibility requirements for each benefit are further described in insurance certificates. Eligible dependents generally include the following:

• Your spouse (including your common-law spouse in states that recognize common-law marriages)

• Your domestic partner

• Your children to age 26, including natural children, legally adopted children, stepchildren, foster children, children for whom you are the sole legal guardian and your domestic partner's children

• Your dependent children age 26 and older who are incapable of earning a living because of a disability, subject to conditions defined in the SPD and any related SMM

Ineligible DependentsYour parents, grandparents, adult brothers and adult sisters are not eligible for coverage. Your minor brothers and sisters or grandchildren are not eligible for coverage except if you are the sole legal guardian, as noted above. Any person covered as an employee or as a dependent of another employee under the Plan is not eligible to be covered by you. The Plan does not pay benefits for ineligible dependents, even if they are enrolled.

For More Eligibility DetailsPlease refer to the SPD (and any related SMM) for each benefit. The above is meant as a summary and does not contain all Plan provisions, conditions or definitions.

Are Your Dependents Eligible for Coverage?

It is up to you to confirm your covered dependent(s) meet the Plan’s eligibility requirements during enrollment and throughout the year.

If your dependent(s) become ineligible for coverage, you must call the Benefits Center or go online to remove them from coverage generally within 30 days of the date they cease to be eligible. Claims will not be paid for ineligible dependent(s).

RRD conducts ongoing audits to confirm dependents enrolled under the Plan are eligible for coverage. This process ensures only eligible dependents are covered, which helps us manage health care costs for both you and the company. If you newly enroll a dependent, watch for a dependent verification letter in the mail. Failure to respond on a timely basis with acceptable proof of your dependent’s eligibility may result in a denial of coverage for that dependent.

Page 7: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

5Benefits Enrollment Guide for New Hires 2020

Summary of Health & Welfare BenefitsBenefit Who’s Eligible When Coverage Takes Effect Who Enrolls

Benefits provided by RRD (no employee contribution)

Basic Employee Life InsuranceRegular full-time and

benefits-eligible part-time employees of RRD or any of its participating subsidiaries2

First day of the month after one-month anniversary of

employment Automatic enrollment

Short-term Disability (STD) and Long-term Disability (LTD)

Life & Wellness Resource Center, RRD’s Employee Assistance Program (EAP)

Date of hire

Benefits for which you and RRD contribute

Medical and Prescription Drug

Regular full-time and benefits-eligible part-time

employees of RRD or any of its participating subsidiaries2

First day of the month after one-month anniversary of

employmentYou3

Optional benefits paid entirely by you

Dental

Regular full-time and benefits-eligible part-time

employees of RRD or any of its participating subsidiaries2

First day of the month after one-month anniversary of

employmentYou5

Vision

Health Savings Account (HSA)

Flexible Spending Accounts (FSAs) – Health Care and Dependent Care4

Optional Employee, Spouse/Domestic Partner, and Child Life Insurance

Optional AD&D Insurance

Accident, Critical Illness and Hospitalization Insurance

1 January 1 for FSAs.

2 For definitions of regular full-time and benefits-eligible part-time status, please refer to HR Core Policy 2-1, “Employee Classifications,” on insideRRD/Employee Center/Policies. Bargaining unit employees are eligible only if agreed on in the collective bargaining agreement.

3 The coverage options for which you are eligible are listed on rrd.bswift.com. The coverage options are based on your home ZIP code. If you don’t take action to elect "No Coverage" or you don’t enroll in a Medical Program before the deadline indicated, you will default to Employee Only coverage under the HSA Value option, you will be assigned the vendor (BCBSIL or UHC) that provides the best overall discounts in your area, you will be charged the higher premium for tobacco users, and you will have no HSA contributions. Your next opportunity to enroll or change options will be the following Annual Enrollment period.

4 If you are hired in October, you become eligible for the FSAs on January 1, even though your coverage for other benefits begins on December 1.

5 The coverage options for which you are eligible are listed on rrd.bswift.com. If you don’t take action to enroll before the deadline indicated, you’ll have no coverage for the Plan year. Your next opportunity to enroll will be the following Annual Enrollment period. Optional life is subject to evidence of insurability (EOI). See page 19 for details.

When Your Coverage Begins: When you start / Coverage begins

Jan. / March 1 Feb. / April 1 March / May 1 April / June 1 May / July 1 June / Aug. 1

July / Sept. 1 Aug. / Oct. 1 Sept. / Nov. 1 Oct. / Dec. 11 Nov. / Jan. 1 Dec. / Feb. 1

Page 8: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

Medical & Prescription Drug CoverageYou have a choice of four national Medical Program options: HSA Value (eligible for an HSA), HSA Advantage (eligible for an HSA), Copay Value and Copay Advantage. Depending on where you live, you may be eligible for a regional medical option. View rrd.bswift.com for more information.

All four national Medical Program options include out-of-network coverage, but you will pay more when you receive services from out-of-network providers. Check ahead of time to ensure you are using an in-network provider. Call the number on the back of your ID card prior to receiving services.

Prescription drug coverage is provided through CVS Caremark. You don’t have to fill your non-maintenance medication prescriptions at CVS. To find local pharmacies in your network, register at caremark.com or download the CVS Caremark app to access the pharmacy search tool. You must use the CVS Caremark Maintenance Choice Program or Mail Order Services to fill your maintenance medication prescriptions. For more information, please contact CVS Caremark at caremark.com or 1-866-273-8402.

You may be able to save money on your medications with Rx Savings Solutions, a confidential online tool that searches for lower-cost options for your prescribed medications. Visit myRRDbenefits.com for more information.

Connect to CVS CaremarkAccess CVS Caremark prescription drug services anytime, anywhere through the CVS Caremark mobile app or caremark.com. By connecting to CVS Caremark, you can find ways to save money, fill new prescriptions and refills, find a network pharmacy, monitor your pharmacy spending, set up medication reminders, understand your prescription drug benefits, and more.

Your Medical Program Vendor Will Be Assigned to YouRRD partners with both BCBSIL and UHC to administer the Group Health Program. You will be automatically assigned the Medical Program vendor (BCBSIL or UHC) that generally has the best overall discounts/rates with providers in the geographical location or market where you live, which is designed to save you money. (Note: Individual experiences with providers and services may differ.) You will not be able to change your medical vendor. Be sure to log in to the enrollment system at rrd.bswift.com or call 1-877-RRD-4BEN (1-877-773-4236) to verify which Medical Program vendor you have been assigned and whether your health care provider(s) are part of that vendor’s network. You may want to ask your provider to consider joining your vendor's network if they are not already part of that network. You will pay much more for services that you receive out-of-network, and you may be required to pay your out-of-network provider directly for any expenses not covered by the Medical Program. To learn more about your assigned vendor, visit their website or call the vendor directly:

BCBSIL UHC

Visit:bcbsil.com/rrd

Visit:welcometouhc.com/rrd

Call:1-800-537-9765

Call:1-877-442-5999

FOR YOUR

HEALTH

6Benefits Enrollment Guide for New Hires 2020

Page 9: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

FOR YOUR

HEALTHCompare Your Medical Program Options

HSA Value & HSA Advantage

Copay Value & Copay Advantage

Provider Choice You may use in-network or out-of-network providers, but you'll save money when you receive care from in-network providers.

Preventive Care Eligible in-network preventive care is covered at 100% with no deductible. Certain generic cholesterol and blood pressure medications are free. Diabetes supplies and insulin listed on the CVS formulary are 100% covered.

Health Savings Account (HSA)

You may contribute tax-free dollars to an HSA to save and pay for eligible health care expenses — now or in the future. See page 16 to learn more about the value of an HSA to save today and in retirement.

With these options, you are not eligible to contribute to an HSA.

Health Care Flexible Spending Account (FSA)

You may contribute to a limited-use Health Care FSA (see page 16).

You may contribute to a full-use Health Care FSA (see page 16).

Annual Deductible The annual deductible is the amount you pay before the Plan begins to pay for covered services. Prescription drug costs apply toward your annual deductible.

The annual deductible is the amount you pay before the Plan begins to pay for covered services. Prescription drug costs have a copay and therefore do NOT apply toward your annual deductible.

Coinsurance or Copay

Once you meet the annual deductible, you pay coinsurance (a percentage of the cost) for covered services until you reach your individual out-of-pocket maximum. Likewise, each covered dependent would pay coinsurance until he/she reaches his/her individual out-of-pocket maximum or the combined family out-of-pocket maximum is met, whichever occurs first.

For certain covered services (e.g., doctor’s office visits), you pay a copay (a flat-dollar amount) regardless of whether you’ve met your annual deductible. The deductible and coinsurance still apply for certain diagnostic and treatment services performed in a doctor’s office or hospital/outpatient setting. Copays DO NOT apply toward the annual deductible, but do apply toward the out-of-pocket maximum.

Annual Out-of-Pocket Maximum

The annual out-of-pocket maximum is the most you will pay in a Plan year for covered and allowed health care expenses (including the deductible and copays/coinsurance but NOT premiums) before the Plan pays 100% of covered in-network services. The same is true for each of your covered dependents.

You could pay much more if you go out-of-network because reimbursements for out-of-network services are capped at an “allowed amount,” which may be significantly lower than the amount charged by your provider. The Plan pays 100% of the allowed amount, but you are responsible for paying anything over that allowed amount directly to your provider. Your expenses in excess of the allowed amount do not count toward the deductible or the out-of-pocket maximum, and are not subject to the out-of-pocket maximum.

This is only a high-level summary. For more details, see the full Summary of Benefits and Coverage (SBC) for each national Medical Program option at myRRDbenefits.com. To request paper copies, call 1-877-RRD-4BEN (1-877-773-4236).

7Benefits Enrollment Guide for New Hires 2020

Page 10: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

FOR YOUR

HEALTH

Medical

HSA Value HSA AdvantageEmployee Only Family Employee Only Family

In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network

Annual Deductible

$4,200 $8,400 $3,200 $6,400

Annual Out-of-Pocket Maximum1

$6,900$13,800

Individual cap of $6,900$6,900

$13,800 Individual cap of $6,900

Office Visit after deductible

25% 50% 25% 50% 20% 40% 20% 40%

Preventive Care 0%50% after deductible

0%50% after deductible

0%40% after deductible

0%40% after deductible

Emergency Room after deductible

25%

25% if true emergency; otherwise

50%

25%

25% if true emergency; otherwise

50%

20% after deductible

20% if true emergency; otherwise

40%

20%

20% if true emergency; otherwise

40%

Prescription Drug3 Retail Mail Order Retail Mail Order

Generic 25% after deductible 20% after deductible

Brand Formulary

40% after deductible 30% after deductible

Brand Non-Formulary

50% after deductible 40% after deductible

Specialty 50% after deductible 40% after deductible

1 Combined in- and out-of-network.

2 If admitted, inpatient stay applies to deductible and out-of-pocket maximum.

3 Through CVS Caremark.

2020 Medical Program OptionsUse this chart to compare your options. You pay the amounts and percentages shown, and the Plan covers the rest. You can view the premiums for each option at rrd.bswift.com.

8Benefits Enrollment Guide for New Hires 2020

Page 11: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

FOR YOUR

HEALTH

Medical

Copay Value Copay AdvantageEmployee Only Family Employee Only Family

In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network

Annual Deductible

$4,200 $8,400 $3,200 $6,400

Annual Out-of-Pocket Maximum1

$6,900$13,800

Individual cap of $6,900$6,900

$13,800 Individual cap of $6,900

Office Visit

$25 PCP or Mental

Health; $50 Specialist

50% after deductible

$25 PCP or Mental

Health; $50 Specialist

50% after deductible

$25 PCP or Mental

Health; $40 Specialist

40% after deductible

$25 PCP or Mental

Health; $40 Specialist

40% after deductible

Preventive Care 0%50% after deductible

0%50% after deductible

0%40% after deductible

0%40% after deductible

Emergency Room

$600 copay + 25% of remaining balance

$600 copay + 25% of remaining balance if true

emergency; otherwise

50% of remaining

balance after deductible2

$600 copay + 25% of remaining balance

$600 copay + 25% of remaining balance if true

emergency; otherwise

50% of remaining

balance after deductible2

$500 copay + 20% of remaining balance

$500 copay + 20% of remaining balance if true

emergency; otherwise

50% of remaining

balance after deductible2

$500 copay + 20% of remaining balance

$500 copay + 20% of remaining balance if true

emergency; otherwise

50% of remaining

balance after deductible2

Prescription Drug3 Retail Mail Order Retail Mail Order

Generic25% ($10 min / $45 max);

no deductible25% ($25 min / $115 max);

no deductible20% ($10 min / $40 max);

no deductible20% ($25 min / $100 max);

no deductible

Brand Formulary

40% ($40 min / $100 max); no deductible

40% ($100 min / $250 max); no deductible

30% ($40 min / $75 max); no deductible

30% ($100 min / $185 max); no deductible

Brand Non-Formulary

50% ($75 min / $150 max); no deductible

50% ($185 min / $375 max); no deductible

40% ($55 min / $125 max); no deductible

40% ($140 min / $315 max); no deductible

Specialty $210; no deductibleMore than 30-day supply

not allowed$150; no deductible

More than 30-day supply not allowed

1 Combined in- and out-of-network.

2 If admitted, inpatient stay applies to deductible and out-of-pocket maximum.

3 Through CVS Caremark.

This is only a high-level summary. For more details, see the full Summary of Benefits and Coverage (SBC) for each national Medical Program option at myRRDbenefits.com. To request paper copies, call 1-877-RRD-4BEN (1-877-773-4236).

9Benefits Enrollment Guide for New Hires 2020

Page 12: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

FOR YOUR

HEALTHIf You Cover DependentsUnderstand How the Deductible & Out-of-Pocket Maximum WorkFor all coverage categories except Employee Only, the expenses of all covered family members are combined to meet the deductible. Once this deductible is met, each covered family member pays coinsurance for his/her covered expenses. The out-of-pocket maximum works differently. No one in your family pays more than the individual out-of-pocket maximum before the Plan starts paying 100% of his/her covered expenses. See below for an HSA Value example for family coverage:

Medical Expense Family * Deductible & Coinsurance Individual Out-of-Pocket Maximum Family * Out-of-Pocket Maximum

YOU have a short hospital stay. Your expenses are $7,000.

$6,900 goes toward your family deductible of $8,400.

YOU PAID: $6,900 THE PLAN PAYS: $100

The full $7,000 isn’t applied to your family deductible because the individual out-of-pocket maximum is $6,900.

$6,900 goes toward — and meets — the individual out-of-pocket maximum; the Plan pays 100%

of in-network covered expenses for you for the rest of the year.

$6,900 goes toward the family out-of-pocket maximum of $13,800:

YOU PAID: $6,900

YOUR DAUGHTER has an accident that requires an emergency room visit (true emergency).

Her expenses are $3,800.

$1,500 goes toward — and meets — the family deductible of $8,400:

DAUGHTER PAID: $1,500

YOU PAID: + $6,900

TOTAL: $8,400

Your daughter pays 25% coinsurance for the remaining $2,300 of your daughter’s expenses, which is $575.

$2,075 ($1,500 + $575) goes toward your daughter’s individual out-of-pocket

maximum of $6,900.

$8,975 has now accumulated toward the family out-of-pocket maximum of $13,800:

DAUGHTER PAID: $2,075

YOU PAID: + $6,900

TOTAL: $8,975

YOUR SON has a doctor visit, which results in a podiatrist (specialist) visit and orthotics.

His expenses are $900.

The family deductible is already satisfied so 25% coinsurance applies to the full

$900 of your son’s expenses (i.e., $225).

$225 goes toward your son’s individual out-of-pocket maximum of $6,900.

$9,200 has now accumulated toward the family out-of-pocket maximum of $13,800:

SON PAID: $225

DAUGHTER PAID: $2,075

YOU PAID: + $6,900

TOTAL: $9,200

For the rest of the yearSince the family deductible of $8,400 has been met by the combination of your and your daughter’s expenses, the Plan will generally pay 75% of in-network covered expenses for the rest of the year, until your family meets the $13,800 family out-of-pocket maximum. If your family meets the $13,800 family out-of-pocket maximum, the Plan will pay 100% of in-network covered expenses for the rest of the year.

* Family includes the employee plus spouse or child(ren) and the family levels of coverage. See page 8 for coverage details.

10Benefits Enrollment Guide for New Hires 2020

Page 13: YOUR BENEFITS CONNECTION...This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value

FOR YOUR

HEALTHOut-of-Network ReimbursementsOut-of-network reimbursements are paid at the Medicare reimbursement level. Out-of-network providers can generally charge you the difference between their billed charges and the Medicare reimbursement level. You can find an in-network doctor by contacting your medical vendor.

Medical Expense Family * Deductible & Coinsurance Individual Out-of-Pocket Maximum Family * Out-of-Pocket Maximum

YOU have a short hospital stay. Your expenses are $7,000.

$6,900 goes toward your family deductible of $8,400.

YOU PAID: $6,900 THE PLAN PAYS: $100

The full $7,000 isn’t applied to your family deductible because the individual out-of-pocket maximum is $6,900.

$6,900 goes toward — and meets — the individual out-of-pocket maximum; the Plan pays 100%

of in-network covered expenses for you for the rest of the year.

$6,900 goes toward the family out-of-pocket maximum of $13,800:

YOU PAID: $6,900

YOUR DAUGHTER has an accident that requires an emergency room visit (true emergency).

Her expenses are $3,800.

$1,500 goes toward — and meets — the family deductible of $8,400:

DAUGHTER PAID: $1,500

YOU PAID: + $6,900

TOTAL: $8,400

Your daughter pays 25% coinsurance for the remaining $2,300 of your daughter’s expenses, which is $575.

$2,075 ($1,500 + $575) goes toward your daughter’s individual out-of-pocket

maximum of $6,900.

$8,975 has now accumulated toward the family out-of-pocket maximum of $13,800:

DAUGHTER PAID: $2,075

YOU PAID: + $6,900

TOTAL: $8,975

YOUR SON has a doctor visit, which results in a podiatrist (specialist) visit and orthotics.

His expenses are $900.

The family deductible is already satisfied so 25% coinsurance applies to the full

$900 of your son’s expenses (i.e., $225).

$225 goes toward your son’s individual out-of-pocket maximum of $6,900.

$9,200 has now accumulated toward the family out-of-pocket maximum of $13,800:

SON PAID: $225

DAUGHTER PAID: $2,075

YOU PAID: + $6,900

TOTAL: $9,200

For the rest of the yearSince the family deductible of $8,400 has been met by the combination of your and your daughter’s expenses, the Plan will generally pay 75% of in-network covered expenses for the rest of the year, until your family meets the $13,800 family out-of-pocket maximum. If your family meets the $13,800 family out-of-pocket maximum, the Plan will pay 100% of in-network covered expenses for the rest of the year.

* Family includes the employee plus spouse or child(ren) and the family levels of coverage. See page 8 for coverage details.

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FOR YOUR

HEALTHHealth ResourcesYour RRD benefits include resources to help you take care of your health and make informed health care decision. For more information about the programs and resources available, visit myRRDbenefits.com.

ConsumerMedicalConsumerMedical can help you with anything and everything medical if you or a family member is faced with a health-related issue or concern. ConsumerMedical provides compassionate support and deep clinical research to help you and your family navigate the health care system, improve outcomes and reduce costs.

A ConsumerMedical nurse will answer your questions and provide free information and support on any medical condition, help you choose the best specialists and hospitals for treatment, get a second opinion, help with medical claims and billing questions, and much more.

Facing a cancer diagnosis? ConsumerMedical offers a specialized Cancer Quality Program to ensure you receive quality cancer care and help you with medical claims and billing issues. You can earn a $500 gift card for completing the Cancer Quality Program.

Considering surgery? Be in the know before you say yes to surgery. You could qualify for a $400 gift card if you or your spouse is considering certain elective surgeries, or a $500 gift card if you or someone in your family has been diagnosed with cancer. Contact ConsumerMedical at 1-888-361-3944 (Code: RRD) for complete details.

ConsumerMedical is available to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value or Copay Advantage). There is no cost to you and it is completely confidential.

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FOR YOUR

HEALTHLivongo for Diabetes and Hypertension ProgramsThe Livongo for Diabetes and Hypertension programs help make living with diabetes and high blood pressure easier.

Livongo for Diabetes offers unlimited strips and lancets, an advanced blood glucose meter and expert advice from certified diabetes instructors.

Livongo for Hypertension provides you with a blood pressure cuff and an exclusive FDA-approved touchscreen meter, personalized reports and health coaching, and access to a mobile app to view and track your readings.

This program is offered at no cost to you and your dependents if enrolled in an RRD national Medical Program option (HSA Value, HSA Advantage, Copay Value or Copay Advantage). Contact Livongo at 1-800-945-4355.

Rx Savings SolutionsYou may be able to save money on prescription drugs with Rx Savings Solutions, a free, online tool available to you and your dependents enrolled in an RRD national Medical Program option. Rx Savings Solutions looks at the medications you take and, if possible, finds lower-cost options to treat the same conditions.

Savings opportunities can be generic forms of brand name drugs, better prices at different pharmacies, or medications that treat the same condition but cost much less than the drug you were originally prescribed.

Once you register for this voluntary program, Rx Savings Solutions will automatically notify you via text or email (based on your preference) whenever you have savings available. If you have a lower-cost alternative and want to take action, Rx Savings Solutions will notify your prescribing physician of the alternative, and your physician will need to authorize the new prescription. You can also use the "search for a medication" tool to find savings suggestions for any drug your doctor prescribes.

Go to myrxss.com or download the Rx Savings Solutions mobile app to access your free account. To learn more, go to myrxss.com or call 1-800-268-4476.

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FOR YOUR

HEALTHDental CoverageYour dental options from Cigna include the Dental PPO, Dental PPO Plus and Dental HMO. With the two PPO options, you can choose any dentist (in-network or out-of-network), but you receive a higher level of coverage (which means you pay less out of your pocket) if you use participating network dentists. With the Dental HMO option, you must choose an in-network dentist. To view the premiums for each option, go to rrd.bswift.com.

Find an In-Network DentistGo to cigna.com and click "Find a Doctor, Dentist or Facility." Follow the prompts on screen and when asked to choose your plan:

• Cigna Dental PPO network: Select "DPPO/EPO > Total Cigna DPPO."

• Cigna Dental HMO network: Select "CIGNA DENTAL CARE DHMO > Cigna Dental Care Access."

Cigna Dental PPO

Cigna Dental PPO Plus

Cigna Dental HMO

In-Network Out-of-Network In-Network Out-of-Network In-Network

Annual Deductible $50 $150 $50 $150 $0

Annual Maximum (Non-orthodontia)

$1,500 per individual $2,000 per individual No annual maximum

Lifetime Orthodontia Maximum

N/A $2,000 per individualLimited to 1 treatment per person, per

lifetime; contact Cigna for details

Preventive Care Type A*

100% 100% 100%

Basic Care Type B*

50% 80% 100%

Major Care Type C*

50% 50% 60%

Orthodontia Type D*

N/A 50% 50%

* For information on what services are considered Type A, B, C and D, refer to the Dental Benefit Program SPD and Cigna Certificates of Coverage on myRRDbenefits.com.

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FOR YOUR

HEALTH

EyeMed EyeMed Enhanced

In-Network Out-of-Network In-Network Out-of-Network

Frequency of Service

Exam every 12 months

Frames every 24 months

Lenses every 12 months

Exam every 12 months

Frames every 12 months

Lenses every 12 month

Routine Vision Exam

$10 copay Up to $35 allowance $0 copay Up to $35 allowance

Frames $0 copay, $130 allowance and 20% off balance over

$130Up to $60 allowance

$0 copay, $160 allowance and 20% off balance over

$160Up to $80 allowance

Lens (Single Vision)*

$20 copay Up to $25 allowance $10 copay Up to $25 allowance

Contacts* $0 copay, $150 allowance and 15% off balance over

$150Up to $150 allowance

$0 copay, $170 allowance and 15% off balance over

$170Up to $150 allowance

Laser Surgery $15 off retail price or 5% off

promotional priceN/A

$15 off retail price or 5% off

promotional priceN/A

* Benefit coverage is for either contact lenses or frame lenses, but not both.

Vision CoverageYour vision options include EyeMed and EyeMed Enhanced. Both options provide comprehensive coverage for exams, lenses, frames and contact lenses through a network of providers, as well as discounts on laser vision correction. To view the premiums for each option, go to rrd.bswift.com.

Find an EyeMed ProviderVisit eyemed.com and look for the Vision Care Program network. Click "Find an eye doctor," enter your ZIP code, choose RRD's network ("Select" network), and click "Get Results."

Prospective members can also call 1-866-299-1358 for assistance.

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Health Savings Account (HSA)If you enroll in the HSA Value or HSA Advantage medical option (and you do not have other disqualifying medical coverage), you have the opportunity to contribute to an HSA, which will automatically open an HSA for you. An HSA is a tax-free account you can use to help pay for eligible health care expenses now and in the future. It is not an RRD-sponsored benefit plan, but rather an individual account set up with an HSA custodian in your own name.

Contributing to your HSA is easy — and flexible. You can contribute on a pre-tax basis through RRD payroll to an account with HealthEquity, and/or you can make direct contributions on your own to an account with HealthEquity or any other HSA custodian, and claim a deduction for those contributions on your income taxes. You decide how much you want to contribute, up to annual IRS limits:

• Employee only coverage: $3,550

• All other coverage categories: $7,100

• Age 55 or older in 2020? Add $1,000 to these amounts

You can change your HSA contribution amount at any time during the year. You earn tax-free interest on money in your account. You decide whether to use your HSA to pay for eligible health care expenses or let it grow. Any money in your account at the end of the plan year carries over for future use. Your entire account balance is always yours, even if you change health plans, change jobs or retire.

For more information about an HSA, including the special contribution limits that apply to married couples, which types of other medical coverage could disqualify you from contributing to an HSA, and restrictions regarding domestic partners and children age 19 or older, see A Quick Guide to Your Health Savings Account (accessible on myRRDbenefits.com), IRS publication 969 at irs.gov, or visit healthequity.com/hsa.

Flexible Spending Accounts (FSAs)FSAs allow you to set aside pre-tax dollars to pay for eligible out-of-pocket health and dependent day care expenses. By using an FSA, you can lower your taxable income and pay for qualified expenses with tax-free dollars. You have two Health Care FSA options:

• A full-use FSA if you enroll in Copay Value or Copay Advantage medical option, or

• A limited-use FSA if you enroll in HSA Value or HSA Advantage medical option.

If you elect a Health Care FSA (full-use or limited-use), you can pay for qualified expenses with the HealthEquity Visa Reimbursement Account Card ("Card") or submit the expense for reimbursement through the HealthEquity online tool. Unlike the HSA, your Health Care FSA dollars may be used for your adult children’s eligible medical expenses through the end of the calendar year in which the child turns age 26, regardless of the child’s student or tax dependent status. Save your receipts. Although some claims can be substantiated without them, you may still need them for manual reimbursements and to validate your Card purchases. If you fail to provide proper substantiation of your eligible expenses, the Plan may deny your claim, deactivate your Card, recover/offset ineligible expenses from future claims, have RRD deduct ineligible amounts from your pay, and/or report ineligible expenses as income on your Form W-2.

FOR YOUR

WEALTH

Use It or Lose It!

Plan carefully. Per IRS rules, you forfeit any money remaining in your FSAs at the end of the 2020 Plan year. You have until March 31, 2021, to submit claims for services incurred during the 2020 Plan year.

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FOR YOUR

WEALTHFull-Use Health Care FSAUse the full-use FSA to pay for eligible health care-related expenses, including the amount you pay in coinsurance, the cost of contact lenses, dental expenses, prescription drug copayments, over-the-counter drugs prescribed by a doctor and more. You may contribute $200 to $2,700.

Limited-Use Health Care FSAIf you enroll in HSA Value or HSA Advantage, you may contribute $200 to $2,700 to a limited-use FSA. A limited-use FSA has more restrictions on eligible expenses than the regular, full-use FSA. These rules may affect how much you want to contribute to your FSA. Here are some key things to know as you make your decision:

If you enroll in:

You may enroll in:

Eligible Expenses1

BEFORE you meet your deductible

AFTER you meet your deductible

HSA Value or HSA Advantage

Limited-use FSA Eligible dental and vision expenses onlyEligible dental and vision expenses,

plus eligible medical and prescription drug expenses2

Copay Value or Copay Advantage

Regular, full-use FSA

Eligible medical, prescription drug, dental and vision expenses

1 These rules also apply to expenses for your eligible dependents, even if they aren’t covered under your Medical Program option.

2 You must meet your medical and prescription drug deductible before you can use your limited-use FSA to pay for medical and prescription drug expenses, even if the expenses are not covered by your Medical Program option and/or incurred by dependents not covered under an RRD medical option.

Dependent Day Care FSAYou can use the Dependent Day Care FSA to reimburse yourself for eligible dependent day care-related expenses such as day care for your child under age 13, elderly parent or disabled spouse. You may contribute $200 to $5,000, depending on your marital status and federal income tax filing status. (You can contribute up to $5,000 a year if your tax filing status is single, head-of-household, or married and filing jointly. If married and filing separately, you can contribute up to $2,500 a year. If you are married, your spouse must work (or be a full-time student, active duty military or disabled), and your contributions are capped at the amount of your spouse’s earned income if that’s less than $5,000. You’ll be notified if the amount you elect to contribute is reduced to comply with government requirements for high-income employees. You cannot participate if you are divorced or a single parent and the child’s other parent is the primary custodian.)

A Smart Way to SaveFor a list of qualified medical expenses for an HSA or FSA, visit healthequity.com/learn/qualified-medical-expenses.

Prescription Drug ReminderThe IRS doesn't allow HSA or FSA funds to be used for over-the-counter medicines without a prescription. The Card cannot be used to purchase over-the-counter medicines, but may be used to purchase certain over-the-counter medical supplies.

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FOR YOUR

WEALTHSupplemental Health Care CoverageYou may elect to supplement your health care coverage with coverage through MetLife. These policies provide benefits for certain illnesses and injuries.

Hospital Indemnity provides a lump-sum payment when you or a covered family member is hospitalized due to a covered event. You receive a flat amount when you are admitted and a per-day amount for up to a 30-day hospital stay for each covered event.

Accident Insurance provides a lump-sum payment when you or a covered family member suffers a covered injury or undergoes covered testing, medical services or treatment. There are more than 150 covered events, and there is no limit to the number of different accidents that will be covered.

Critical Illness Insurance provides a lump-sum payment of $10,000, $20,000 or $30,000 (the “initial benefit amount”) when you or a covered family member is diagnosed with a covered health condition, such as cancer, stroke, kidney failure and heart attack. If you or a covered family member suffers more than one covered condition, the total benefit amount available to you is five times the initial benefit amount ($50,000, $100,000 or $150,000).

See the policy documents for more information regarding eligible family members. Go to myRRDbenefits.com to learn more. If you have plan questions, visit metlife.com/mybenefits or call 1-800-GETMET8 (1-800-438-6388), Monday – Friday, 7 a.m. – 10 p.m. Central Time. For eligibility, payroll deduction and general information, call the Benefits Center at 1-877-RRD-4BEN (1-877-773-4236).

Life & Accident InsuranceThe Life and Accident Insurance Program provides important financial protection if something happens to you, your spouse/domestic partner or child(ren).

Company-Provided Basic Employee Life InsuranceYou automatically receive basic employee life insurance. The Plan pays the full cost of your coverage, which pays your beneficiary one times your annual base pay, up to a maximum benefit of $125,000 in accordance with Plan provisions, if you die.

NOTES: The amount of basic life insurance for active employees age 65 and older is subject to annual age reductions in accordance with the Plan.

The value of employer-paid or discounted premiums for any life insurance amounts in excess of $50,000 (whether for basic, optional employee, or optional spouse/domestic partner and child life insurance) is considered taxable income. Such amounts will be reflected on your Form W-2 and subject to income tax withholding in accordance with IRS requirements. This is called “imputed income." Please see the Active Life Booklet at myRRDbenefits.com for more information.

Designate Your Life Insurance Beneficiaries

You must designate a Life and Accident Insurance Program beneficiary at rrd.bswift.com. You may change your beneficiary designation at any time.

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FOR YOUR

WEALTHOptional Employee Life InsuranceYou may purchase optional employee life insurance from one to eight times your annual base pay, up to a combined benefit (basic and optional) of $2 million. If you die, the Program pays a benefit to your designated beneficiary in accordance with Plan provisions. The premium you pay is based on your age, smoker status and coverage amount. As your coverage amount or age increases, so do your premiums. View your cost at rrd.bswift.com.

Optional Spouse/Domestic Partner & Child Life InsuranceYou may purchase spouse/domestic partner and child life insurance coverage. See page 4 and the insurance certificates for information regarding who is considered an eligible spouse/domestic partner or child(ren). If your covered eligible spouse/domestic partner or child(ren) dies, the Program will pay the life insurance benefit in accordance with Plan provisions. You cannot cover another RRD employee as a spouse/domestic partner or child under the Life and Accident Insurance Program. Please refer to the SPD (and any related SMM) for details.

Optional AD&D InsuranceYou may purchase optional accidental death & dismemberment (AD&D) insurance for yourself and your family. With this coverage, the Program pays a benefit of one to eight times your annual base pay (up to $2 million for yourself) in accordance with Plan provisions for accidental death and certain other losses. The optional AD&D amount a beneficiary would receive on claim approval differs for an employee and covered eligible dependents:

• The amount for an eligible spouse/domestic partner is 60% of the employee’s amount if there are no children (up to a maximum of $750,000).

• The amount for an eligible dependent child is 25% of the employee’s amount if there is no spouse/domestic partner (up to a maximum of $150,000).

• If there is a spouse AND child(ren), the amount for an eligible spouse is 50% of the employee’s amount (up to a maximum of $750,000), and the amount for an eligible child(ren) is 20% of the employee’s amount (up to a maximum of $150,000). For more information, see the Active Life Schedule of Benefits at myRRDbenefits.com.

DisabilityThe Plan provides short-term disability (STD) and long-term disability (LTD) coverage to protect you against the loss of your regular pay if you’re unable to work because of a covered illness or injury. You don’t have to elect disability coverage — it is provided to you automatically and paid for by the Plan.

Short-Term DisabilitySTD coverage provides a monthly benefit of 50% of your pre-disability earnings (paid on a weekly basis) for up to 26 weeks.

Long-Term DisabilityLTD coverage provides a monthly benefit of 50% of your earnings, up to $10,000 a month. Monthly LTD benefits continue until the earlier of age 65 or the date you are no longer disabled according to the Program. If you become disabled after age 60, your benefits duration schedule may vary. Benefits end after 24 months for mental health and substance use disabilities.

For full details about STD and LTD (including LTD pre-existing condition limitations), refer to the Summary Plan Descriptions on myRRDbenefits.com.

Providing Evidence of Insurability (EOI)

• If you elect optional employee life insurance coverage, you must provide EOI for amounts over three times pay or $500,000.

• If you elect optional life insurance for your spouse/domestic partner, EOI is required for coverage amounts over $25,000.

• EOI is not required for optional AD&D insurance or optional child life insurance.

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Additional Benefit ProgramsYour Life & Wellness Resource Center, RRD’s Employee Assistance ProgramTo help you deal with many of life’s challenges, RRD’s Employee Assistance Program (EAP) is available 24/7, completely confidential, and free to you and your family. The EAP (administered by Beacon Health) provides resources to address a variety of issues:

• Stress and anxiety

• Relationship issues

• Depression

• Grief and loss

• Legal and financial issues

• Alcohol and drug issues

• Health-related concerns

• Adoption

• Parenting skills

• Child and elder care

• Smoking cessation support

• Work and life balance

• Career issues

• Children with special needs

Ways to Connect

By PhoneUnlimited telephonic support at 1-877-883-0396.

Face to FaceFree and unlimited video counseling and up to five no-cost EAP visits per incident for each Medical Program participant in your household.

OnlineFind informational resources at www.rrdconnect.com anytime you need them.

Voluntary Benefit ProgramsYou have access to voluntary benefit programs — such as auto and home insurance, legal services, pet insurance, commuter benefits and a credit union — to support your needs outside of work. Please refer to the voluntary benefits information available on myRRDbenefits.com for information.

If you choose to participate in any of the voluntary programs, you must deal directly with the program vendor. Note that some programs have a once-a-year enrollment opportunity, generally in the spring. The voluntary benefit programs are not sponsored, maintained, subsidized nor endorsed by RRD.

FOR YOUR

LIFE

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myRRDbenefits.comY O U R O N L I N E B E N E F I T S R E S O U R C E

Visit myRRDbenefits.com for news and information about your RRD benefits; articles to help you manage your health and use your benefits wisely; important plan documents (including SPDs, SMMs and SBCs); and links to benefit vendors and other resources.

You and your family members can access myRRDbenefits.com anytime and anywhere — even from your smartphone. No password needed!

21

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IMPORTANT NOTICES & DISCLOSURES

HIPAA Privacy NoticeAs a participant in the Plan or the RR Donnelley Flexible Benefits Plan, you are entitled to receive the HIPAA Privacy Notice for the Plan. You may view a copy of the HIPAA Privacy Notice on myRRDbenefits.com, or you may request a copy from the HIPAA Privacy Official for the Plan by writing to:

R.R. Donnelley & Sons Company c/o HIPAA Privacy Official 4101 Winfield Road Warrenville, IL 60555

Changing Your Elections During the YearIf you do not enroll by the deadline, the only way you may be able to enroll or change an election during the calendar year is if you have a life event or qualifying change in status. Keep in mind, new dependents are not automatically covered by the Plan; you must enroll them for coverage. For dependents who are no longer eligible for coverage under the Plan, you are required to call the Benefits Center at 1-877-RRD-4BEN (1-877-773-4236) or go online to rrd.bswift.com to remove them from coverage under the Plan.

You may change your elections during the year if you experience a qualifying life event in one of the categories described in your Qualified Status Changes (and the Participant Premium Program) Summary Plan Description (SPD), including a Special Enrollment Period (described below). Generally, such election changes must be made no later than 30 days from the date of the life event (except in the case of certain special enrollment events described below). You are responsible for making the changes through the RRD Benefits Center. You can make a new election or change an existing election in response to a qualifying life event only if the election is a result of and consistent with the life event. Not all qualifying life events apply to all Plan options. For a full list of qualifying life events, go to myRRDbenefits.com to view your SPD and any related SMM.

Special Enrollment Period for Group Health CoverageIf you decline Medical Program coverage for yourself or your dependents because you/your dependents have other coverage and you/your dependents later lose that other coverage (or if the employer stops contributing toward your or your dependent’s other coverage), you may qualify for special enrollment in health coverage under the Plan.

Your loss of other health coverage qualifies for special enrollment treatment only if both of the following apply:

• You/your dependents were covered under another group health care plan or health insurance coverage at the time you were offered coverage under the RR Donnelley Group Benefits Plan.

• You/your dependents lost the other coverage because you/they exhausted your/their right to COBRA continuation coverage, you/they were no longer eligible under that plan or an employer’s contributions for coverage terminated.

You must enroll within 30 days after your/your dependents’ other coverage ends (or after the employer stops contributing toward the other coverage).

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IMPORTANT NOTICES & DISCLOSURESYou may also be able to enroll if you/your dependents lose eligibility for coverage under Medicaid or a state Children’s Health Insurance Plan (CHIP) and enroll within 60 days of losing Medicaid or CHIP. Also, you may be able to enroll if you/your dependents become eligible for premium assistance from Medicaid or CHIP toward the cost of the group health plan, and enroll within 60 days of eligibility for state premium assistance.

If you have a new dependent as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your dependents for coverage under the Plan. Generally, you must enroll within 30 days after such event. (Note: If you are adding a newborn child, a newly adopted child, or a child newly placed with you for adoption, you have up to 60 days to report such event to the Benefits Center under the Plan’s more generous policy.) To request special enrollment or if you have questions regarding special enrollment rights, please contact the Benefits Center at 1-877-RRD-4BEN (1-877-773-4236).

Right to Choose a Primary Care ProviderDepending on where you live, you might be eligible for a Regional HMO Medical Program option in addition to the four national Medical Program options. If you are eligible, you will receive additional information about the Regional HMO for which you are eligible, including contact information.

The Regional HMOs generally require the designation of a primary care provider (but the national Medical Program options do not). You have the right to designate any primary care provider who participates in the Regional HMO network and is available to accept you or your family members. For information on how to select a primary care provider and a list of participating primary care providers, contact the Regional HMO directly at the number or website included in your enrollment materials. For children, you may designate a pediatrician as the primary care provider.

You do not need prior authorization from the Regional HMO or from any other person (including a primary care provider) to obtain access to obstetrical or gynecological care from a health care professional in the network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals. For a list of participating health care professionals who specialize in obstetrics or gynecology, contact the Regional HMO directly at the number or website provided in the enrollment materials.

Women’s Health & Cancer Rights ActImportant information about benefits that may be available to women who have had or are going to have a mastectomy:

If you have had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’s Health and Cancer Rights Act (WHCRA). For individuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and the patient for:

• All stages of reconstruction of the breast on which the mastectomy was performed;

• Surgery and reconstruction of the other breast to produce a symmetrical appearance;

• Prosthesis; and

• Treatment of physical complications of the mastectomy, including lymphedema.

Such coverage is subject to all Plan provisions, limitations and requirements, including any annual deductible and coinsurance limitations, outlined in your SPD and any related SMMs. If you would like more information, visit the Plan’s website at rrd.bswift.com or call the Benefits Center at 1-877-RRD-4BEN (1-877-773-4236).

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USEFUL

CONTACTSGeneral Benefits Information

RRD Benefits Center1-877-RRD-4BEN (1-877-773-4236), Monday – Friday, 7 a.m. – 7 p.m. CT

rrd.bswift.com

Benefits Information, including Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)

N/A myRRDbenefits.com

Medical Benefits, including Condition Management & Prescription Drug Benefits

Blue Cross and Blue Shield of Illinois (BCBSIL)

1-800-537-9765, Monday – Friday, 7 a.m. – 7 p.m. CT bcbsil.com/rrd

UnitedHealthcare (UHC) 1-877-442-5999, Monday – Friday, 8 a.m. – 8 p.m. CT welcometouhc.com/rrd

CVS Caremark Prescription Drug Benefits

1-866-273-8402, 24 hours a day, 7 days a week caremark.com

ConsumerMedical 1-888-361-3944, Monday – Friday, 7:30 a.m. – 10 p.m. CTmyConsumerMedical.net Code: RRD

Livongo Diabetes & Hypertension Programs

1-800-945-4355, 24 hours a day, 7 days a week welcome.livongo.com

Rx Savings Solutions Prescription Savings Program

1-800-268-4476, Monday - Friday, 7 a.m. - 8 p.m. CT myrxss.com

Dental Benefits

Cigna 1-800-656-1691, 24 hours a day, 7 days a week mycigna.com

Vision Benefits

EyeMed1-866-723-0514, Monday – Saturday, 6:30 a.m. – 10 p.m. CT; Sunday, 10 a.m. – 7 p.m. CT

eyemed.com

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USEFUL

CONTACTSDisability Benefits

The Hartford 1-866-271-0744, Monday - Friday, 8 a.m. - 8 p.m. CT abilityadvantage.thehartford.com

Supplemental Health Care Coverage

MetLife

For plan questions, call 1-800-GETMET8 (1-800-438-6388), Monday – Friday, 7 a.m. – 10 p.m. CT

For eligibility, deduction and general information, call 1-877-RRD-4BEN (1-877-773-4236)

metlife.com/mybenefits

Life & Accident Insurance

Prudential 1-800-778-3827, Monday – Friday, 7 a.m. – 7 p.m. CT prudential.com/rrdonnelley

Health Savings Account (HSA)

HealthEquity 1-844-281-0928, 24 hours a day, 7 days a week healthequity.com

Flexible Spending Accounts (FSAs)

HealthEquity 1-844-281-0928, 24 hours a day, 7 days a week healthequity.com

Employee Assistance Program (EAP)

Life & Wellness Resource Center

1-877-883-0396, 24 hours a day, 7 days a week www.rrdconnect.com

RRD Savings Plan

Empower Retirement™ 1-844-243-4773, Monday – Friday, 7 a.m. - 9 p.m. CT empower-retirement.com

25Benefits Enrollment Guide for New Hires 2020

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Copyright © 2019 R.R. Donnelley & Sons Company

All Rights Reserved

Important The descriptions in this guide are based on official Plan documents. Every effort has been made to ensure the accuracy of this material. In the unlikely event there is a discrepancy between this document, the SPDs, SMMs, any other materials summarizing the RR Donnelley Plan and the official Plan documents, the official Plan documents will control. RRD reserves the right to amend or terminate any or all of the benefit Plans or Programs it sponsors, including without limitation, the RR Donnelley Group Benefits Plan, the R.R. Donnelley & Sons Company Retiree Welfare Benefits Plan, the RR Donnelley Flexible Benefits Plan, the R.R. Donnelley & Sons Separation Pay Plan and the RR Donnelley Savings Plan in whole or in part, at any time.

About SPDs and SMMs You generally receive SPDs and SMMs (if applicable) in the mail within two weeks of your benefits effective date. You can choose to go paperless by electing to review Plan information online. Log on to rrd.bswift.com and select Personal Information under Your Profile. Then choose a Preferred Email Address so you can be notified when new documents are available. You can always access SPDs and SMMs online at myRRDbenefits.com.