2018 BENEFITS

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 Eligibility for the health benefits outlined below is the first
day of the month following date of hire.

Medical and Rx Gold (PPO) Silver (QHD)* Bronze (QHD)*

with HSA with HSA

Services provided
In-Network
Physician Visit $20 co-pay 20% after deductible 20% after deductible

Specialist Visit $40 co-pay 20% after deductible 20% after deductible

Deductible
- Individual $250 individual $1,500 individual $3,000 individual
- Family $500 family $3,000 family $6,000 family
Coinsurance 80% after deductible 80% after deductible 80% after deductible

Preventive Care 100% 100% 100%

Emergency Room $200 co-pay 20% after deductible 20% after deductible
Waived if admitted

Out-of-Pocket Max
- Individual $6,850 individual $4,000 individual $6,350 individual
- Family $13,700 family $8,000 family $12,700 family
Prescription Drugs
- Tier 0/ Select Generic $3 Co-pay
- Tier 1/ Generic $20 Co-pay 20% After Deductible 20% After Deductible
- Tier 2/ Preferred $40 Co-pay Max $150 Retail/$300 Mail Order Max $150 Retail/$300 Mail Order
- Tier 3/ Non-Preferred $60 Co-pay
Employee Contributions: PA, IL Weekly Bi-Weekly Weekly Bi-Weekly Weekly Bi-Weekly
Single $42.97 $85.94 $19.58 $39.16 $15.21 $30.43
Ee + Child $67.04 $134.07 $30.55 $61.09 $23.74 $47.47
Ee + Children $94.54 $189.07 $43.08 $86.16 $33.48 $66.96
Ee & Sp $96.25 $192.51 $43.86 $87.72 $34.09 $68.17
Family $126.33 $252.67 $57.57 $115.13 $44.74 $89.47
Employee Contributions: OHIO Weekly Bi-Weekly
Single $41.39 $82.78
See rates above See rates above
Ee + Child $64.57 $129.14
Ee + Children $91.06 $182.12
Ee & Sp $92.72 $185.43
Family $121.69 $243.38
*For Participants in the Silver and Bronze Plans: AZEK will help you meet your deductible expenses by opening a
Health Savings Account (HSA) in your name and contributing an amount equal to 50% of the deductible for the
Family coverage you elect (prorated based on your benefits eligibility date). For full year participants,
the contribution will be made in two installments – 1st one in January and 2nd one in July.

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 Dental Base Plan
Buy-Up Plan
with Orthodontia
Services

Type A Services (i.e. cleanings, 100%

100%
examinations)

Type B Services (i.e. fillings) 80% 90%

Type C Services (i.e. bridges, dentures,

TMJ) 50% 60%

Type D Services (i.e. Orthodontia) Not Covered 50%

Per Person Annual Maximum

Benefit $1,200 $1,700

Deductible Individual $50 $25

Family $150 $75
Employee Contributions Weekly Bi-Weekly Weekly Bi-Weekly
Single $2.90 $5.79 $5.20 $10.39
Ee + Child $6.58 $13.16 $11.05 $22.10
Ee + Children $7.10 $14.21 $11.58 $23.16
Ee & Sp $6.58 $13.16 $11.12 $22.24
Family $13.16 $26.32 $19.65 $39.29
Individual Family

Vision Service In-Network Coverage

Service In-Network Coverage Frequency

$100 Allowance 20% off balance

Frames Every 24 Months

Lenses
100%
Standard Plastic Single (upgraded lenses and additional services Every 12 Months
Vision, Bifocal, Trifocal and Lenticular subject to co-pay)

Contact Lenses
$100 Allowance Every 12 Months
In lieu of lenses for frames 15% off balance

Lasik 15% of Retail Price or

Per Eye Per Lifetime
5% of Promotional
Employee Contributions Weekly Bi-Weekly
$.21 $.42
$.40 $.80
$.59 $1.18
$.40 $.80
$.59 $1.18

Family
 Basic Life and AD&D Insurance (Company-paid)
• Exempt - 2.5 times your annual base salary
• Non-exempt - $30,000 or more annual base salary: 1 times your annual base salary
• Non-exempt - less than $30,000 annual base salary: $30,000

Voluntary Life Insurance

Available for employee, spouse and child(ren) at additional cost through payroll deductions.

The chart below shows the price of supplemental life insurance per $1,000 of coverage.
Example: An employee who is age 36 and elects a $10,000 policy. Employee would pay $1.40 per
month to carry that insurance (.140 X 10 = 1.40). Additional rates are included in the Employee Handbook.
Age bands <20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+
Employee 0.076 0.076 0.093 0.117 0.140 0.187 0.312 0.527 0.892 1.347 2.154 4.095 9.529

Spouse 0.026 0.042 0.042 0.066 0.088 0.146 0.187 0.374 0.619 0.874 1.523 2.309 7.400

Disability Income Benefits

Short-term Disability Long-term Disability

60% of Weekly Earnings after 60% of Monthly Earnings after
Income Replacement
elimination period elimination period
Maximum Benefit $1,000 per week $10,000 per Month

Elimination (Waiting) Period 13 Days 90 Days

Maximum Benefit Duration End of recovery or age 65

11 Weeks
(whichever comes first)

401(k) Savings Plan

Plan Entry Date
Company Match Vesting Schedule

1st day of the month following 100% on the 1st 1% contributed, then
30 days of employment. 50% on the next 5% contributed (total 100% after 2 years of employment
of 3.5% match)

Other Benefits
Additional benefits include Tuition Reimbursement, Travel Assistance, Employee Assistance Program (EAP),
bonus and gainsharing plans, personal days, holidays, employee referral bonus, service awards, and a wide
array of employee discount programs.

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 Highmark Blue Cross (Medical)
800-241-5704
www.highmarkbcbs.com

Express Scripts (Prescription)

800-282-2881
www.expressscripts.com

MetLife (Dental)
800-942-0854
www.metlife.com/mybenefits

EyeMed (Vision)
866-804-0982
www.eyemedvisioncare.com

One America Retirement Services (401k)

800-858-3829
www.oaretirement.com

Aetna (Life, STD & LTD Insurance)

800-872-3862
www.aetna.com

TASC (Flexible Spending Accounts)

800-422-4661
www.tasconline.com
Enter Participant ID# from card

Employee Assistance Program (EAP)

877-327-5832
www.mylifevalues.com
Username: EAP4LIFE
Password: EAP4LIFE

Aetna Travel Assistance Program

U.S.: 877-935-3704
Outside U.S.: 312-935-3704
Email: [email protected]
www.aetnatravelassistance.com

Chris Sparks Penny Hajduk

AZEK Sr. Benefits Specialist AZEK Sr. Director, Benefits & Compensation
847-626-1576 847-626-1506
[email protected] [email protected]

Updated January 2018 5