SHOP YOUR BENEFITS STYLE - 2022 Benefits Guide
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WHAT’S INSIDE 1 SHOP YOUR BENEFITS STYLE 2 STEPS FOR ENROLLING 4 BENEFIT OVERVIEW 6 WHAT YOU CAN EXPECT IN 2022 7 MEDICAL PLAN HIGHLIGHTS 10 HOW THE HEALTH SAVINGS ACCOUNT (HSA) WORKS 12 OTHER MEDICAL BENEFITS 14 WELLBEING 15 PRESCRIPTION DRUG COVERAGE 17 ACCIDENT, HOSPITAL INDEMNITY AND CRITICAL ILLNESS INSURANCE 19 DENTAL COVERAGE 20 VISION COVERAGE 21 LIFE AND AD&D INSURANCE 23 DISABILITY INSURANCE This is an informational booklet and is not intended as an 24 DEPENDENT CARE FLEXIBLE SPENDING ACCOUNT (FSA) offer of employment or to set forth the terms and conditions 25 EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES of employment in any way. It is also not a guarantee of 25 MILK STORK benefits. You should take the time to read this information 26 OTHER VOLUNTARY BENEFITS and share it with your family. This guide is intended to be 27 INVEST IN YOUR FUTURE WITH THE 401(K) SAVINGS PLAN complete and accurate, but if there is any conflict between 29 PAID TIME OFF this guide and the “Belk Benefit Plans,” the provisions of the 30 IMPORTANT INFORMATION FOR PART-TIME ASSOCIATES “Plans” will prevail. 31 MEMBER SERVICES INFORMATION 32 2022 HEALTH PLAN NOTICES
SHOP YOUR BENEFITS STYLE Associates, Belk cares about our associates’ physical, mental, and financial wellbeing, and we’re committed to providing high-quality benefit programs to give you and your family peace of mind. Open Enrollment for 2022 benefits is happening from October 18 – November 1, 2021, and this is your annual opportunity to review or update your benefit choices for the coming year. In 2022, we’re pleased to offer the same great medical, dental, and vision coverage – plus a variety of other benefits – without increases to premium rates or deductibles. In addition, Belk will continue to help you save for the future by matching your contributions to your 401(k) account and Health Savings Account (HSA). Open Enrollment is a good opportunity to review how you’ve used your benefits in the past and learn what’s new for 2022. That way, you can decide if you want to make adjustments to your coverage. If your current benefit elections are working well for you, that’s great – your current elections will automatically carry over to 2022. You only need to take action during Open Enrollment if you want to change or add to your coverage, or if you want to contribute to your Health Savings Account (HSA) or Dependent Care Flexible Spending Account (FSA). As you prepare for Open Enrollment, I encourage you to visit mybelkbenefits.com and stop by our Virtual Benefits Fair to learn more about the plans available to you. As always, please reach out to our Human Resources team if you have any questions about your benefits. Thank you for being a valuable member of the Belk team, Leslie Riggs Human Resources | 1
2022 Open Enrollment is October 18 – November 1, 2021. STEPS FOR ENROLLING You decide what’s best for you and your family in the coming year with Belk's benefit programs. By using this guide and your online resources, you’ll be ready when it’s time to enroll. This year, your benefit elections from 2021 will carry over to 2022 – your coverage will not change – unless you make changes through Workday during Open Enrollment. The exceptions are Health Savings Account (HSA) and Dependent Care Flexible Spending Account (FSA) contributions; you need to re-enroll for these programs each year. To change or enroll in benefits, especially if you want to participate in the HSA or Dependent Care FSA in 2022, you must take action in Workday. Your Steps to Enroll 1. Review the different medical plans, insurance options and supplemental benefits in this Guide. 2. Make plans to attend our Virtual Benefits Fair to learn about your 2022 benefit choices at virtualfairhub.com/belk beginning October 4, 2021. 3. To enroll or change your benefits, log in to Workday beginning October 18 where you’ll find an Open Enrollment task in your Inbox: ● Click Enroll Now and make your elections before 11:59 pm EST on November 1, 2021. ● Click Submit to complete your enrollment. ● Look for a confirmation statement once you have submitted your enrollment elections, and make sure to print and/or save it for your records. Your benefit elections will take effect on January 1, 2022. Be sure to make your elections from October 18 - November 1, 2021. If you need help enrolling, contact HR Shared Services at 1-800-588-3700 or email HRSharedServices@Belk.com. If you and/or your dependents have Medicare, or will become eligible for Medicare in the next 12 months, a Federal law gives you more choices about your prescription drug coverage. Please see page 32 for more details. | 2
Do I Need to Enroll? This year, most of your current benefit elections will automatically carry over to 2022. The only benefits that won’t carry over are Health Savings Account (HSA) and Dependent Care Flexible Spending NEW TO BELK? Account (FSA) contributions – you’ll need to enroll in these plans each year. Open Enrollment is your chance to make changes if you want to update or add to your current benefit coverage. If you are a new associate, remember to enroll in your benefits within 31 days of your date of Take action through Workday if you want to: hire. Your next opportunity to enroll will be Open ● Enroll in or change your medical, dental or vision plans, add or remove dependents, or obtain Enrollment, or as a result of a qualifying life event coverage as a new associate as long as it is reported within 31 days of the event. ● Contribute to an HSA or Dependent Care FSA as your 2021 election will not carry over ● Enroll in or change your Supplemental Life, Supplemental AD&D or Long-Term Disability Insurance ● Enroll in or change Accident, Critical Illness or Hospital Indemnity Insurance ● Enroll in or change your Legal plan What Will Happen If You Don't Enroll: ● You and your dependents will keep the same coverage from 2021 ● Your HSA contributions will not continue in 2022; you must re-enroll each year MORE INFO ● You will not be able to participate in the Dependent Care FSA in 2022 Need help? Have questions? Contact HR Shared Services at 1-800-588-3700 or HRSharedServices@Belk.com. | 3
BENEFITS OVERVIEW Benefits Available to Associates Full-Time Associates Part-Time Associates Medical Plan, Prescription Drug Coverage Dental Plan Vision Plan 401(k) Savings Plan Health Savings Account Dependent Care Flexible Spending Account Rally Health, Quitline NC Teladoc Telehealth Healthline Blue Nurse Line Livongo Diabetes and Hypertension Care Accident, Hospital and Critical Illness Insurance Disability Insurance Basic Life and AD&D Insurance Supplemental Life and Supplemental AD&D Insurance Legal Plan Auto, Home, Pet and Identity Theft Insurance Maternity, Adoption and Parental Leave Paid Time Off Employee Assistance Program Belk Deals and Discounts (Benefit Hub) Business Travel Insurance Milk Stork Travel Solution | 4
Who You Can Cover Making Changes to Your Benefits During the Year Who you cover with your benefits is an important decision. The benefits you choose during Open Enrollment remain in effect for the entire plan year, January 1 to December 31, 2022. You may change your level of You can cover: coverage during the benefit plan year only if you have a qualified life event. You must make coverage changes within 31 days of the qualifying event – and those changes must be consistent with that event. Qualified life events include: ● Marriage or newly eligible domestic partnership Associate Associate + Associate + Family 1 only spouse/domestic child(ren)1 ● Divorce, legal separation or termination of domestic partnership partner ● Birth or adoption of an eligible child Your eligible dependent(s) must be enrolled in the same plan option ● Death of your spouse or covered child that you elect for yourself. However, you can choose different coverage ● Loss or addition of other group coverage categories for each plan. For example, you may enroll your entire family ● Change in your spouse’s work status (part-time to full-time or vice versa; in medical, yourself only in dental, and yourself and your spouse or taking or returning from an unpaid leave of absence) domestic partner in vision. Please note that Belk reserves the right to audit dependent eligibility at any point during the year. ● Change in your work status that affects your benefits (part-time to full-time or vice versa) SPOUSE OR DOMESTIC PARTNER COVERAGE 2 ● You or your covered dependent become eligible for Medicare or Medicaid As a reminder, if your spouse or domestic partner has access to medical ● Change in residence that affects your eligibility for coverage coverage through their employer, they cannot be covered under Belk’s medical plan. To add a domestic partner to your coverage, you will need to 1 You can cover your children, stepchildren and children of a domestic partner up to age 26. Physically or mentally complete an enrollment form as well as the required affidavit available on disabled children/stepchildren not capable of self-support continue to be eligible beyond age 26. www.mybelkbenefits.com. If your domestic partner is currently covered, 2 nder the Internal Revenue Code Section 152, benefits for domestic partners who are not legal spouses or tax U dependents do not enjoy the same tax-advantaged status as benefits provided to the associate, spouse and you don't need to submit a new affidavit. dependent children. You must pay for these benefits with after-tax income and/or the value of the benefits is added to your gross income for purposes of federal income tax and most state income taxes, unless your domestic partner is your tax dependent. The fair market value assigned to benefits for purposes of income taxes is called “imputed income.” Coverage for the domestic partner paid by Belk must be considered imputed income unless the domestic partner is your tax dependent. Imputed income may not be subject to state income tax in certain circumstances. Note: For information about premium rates for spouses/domestic Families can also include the associate's children or partner's children who are the associate's tax dependents; partners and associates paid on a weekly basis, see the 2022 this does not affect the imputed income. Premium rates on a pre- and post-tax basis for covering your domestic Premium Rates document on the Forms and Documents page at partners and/or children of domestic partners are given in the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. HSA distributions to a non-tax dependent are taxable and subject www.mybelkbenefits.com. to penalty. | 5
WHAT YOU CAN New auto and home insurance options: Save on your auto and home ● insurance by comparing coverages, prices and discounts from multiple leading insurance companies. You can enroll anytime during the year. EXPECT IN 2022 ● New identity theft protection through NortonLifeLock: Identity theft protection helps safeguard your identity and notifies you of any credit inquiries, accounts opened in your name and compromised credentials. If you At Belk, we’re committed to providing peace of mind for you and your family. experience fraud, NortonLifeLock helps restore your identity and reimburses Offering a strong benefit program is just one of the ways we do that. Most of you for fraud-related losses. You can enroll anytime during the year. Your our benefit options are staying the same in 2022. To get the most from your coverage for this benefit will become effective the day after you enroll. benefits and be ready for enrollment, it's a good idea to review your benefits from the past year and anticipate what you may need for 2022. ● New pet insurance plan through Nationwide: In 2022, we're offering pet insurance through Nationwide. You can get reimbursed for eligible vet If you don't make any changes during Open Enrollment, most of your bills, accidents, illnesses, hereditary conditions and more. If you are currently benefit elections and coverage will carry over from this year (2021). enrolled in pet insurance through another carrier, you can continue in your Remember, you must enroll if you want to change your benefits, make current plan or switch to Nationwide.1 contributions to an HSA or dependent care FSA, or participate in new benefit programs. ● ConnectYourCare is now Optum: ConnectYourCare, the administrator of our HSA and Dependent Care FSA, joined the Optum family of services this What's New for 2022 past year. You will continue to manage your accounts in the same way you always have, but with the new Optum brand. We review our benefits each year to be sure we're providing you with the best ● Paid Time Off (PTO) carryover: If you have accrued unused PTO as of resources and programs. There are a few changes you should be aware of: December 31, 2021, you can use up to 40 hours of rollover PTO through ● Support for your wellbeing: The COVID-19 pandemic has shown us the April 30, 2022. importance of putting our wellbeing first. If you're enrolled in a Belk medical plan in 2022, you'll have access to great wellness resources with Rally Health. What’s Staying the Same in 2022 Rally Health will replace the Healthy Outcomes program. All other benefit programs are staying the same. However, we encourage you ● Teladoc is replacing MDLIVE as our telehealth provider as part of the Belk to use this time to review the coverage offered by each plan. medical plan: With Teladoc, you’ll be able to access a national network of 1 Some exclusions may apply. Certain coverages may be excluded due to pre-existing conditions. U.S. board-certified doctors, pediatricians, psychologists and therapists who See policy documents for a complete list of exclusions. are available 24 hours a day, 7 days a week. Teladoc can diagnose, treat and prescribe medicine (when necessary) for many minor medical issues via phone or online video consultations. Consider your opportunities to save for the future ● Enhanced Hospital Indemnity Insurance: In 2022, the plan will cover additional days for both hospital and intensive care stays. Plus, if you enroll Open Enrollment is a great time to think about your physical, mental AND in the plan during Open Enrollment, you won’t be subject to pre-existing financial wellness. Consider increasing your 401(k) contributions, or, if you condition limitations. aren’t already contributing to a 401(k), create an account now. Go to page 26 to see how "free" money from Belk can boost your retirement savings! | 6
MEDICAL PLAN HIGHLIGHTS HOW A HIGH BlueCross BlueShield of North Carolina (BCBS NC) is our medical plan administrator. All of Belk's medical plans DEDUCTIBLE HEALTH are qualified, high deductible health plans (HDHPs) that offer comprehensive medical coverage. HDHPs also let you PLAN (HDHP) WORKS take advantage of using a tax-effective Health Savings Account (HSA). An HSA allows you to save tax-free dollars (state taxes may apply) and use them to pay for eligible expenses, now and in the future. Deductible All associates enrolled in medical coverage will receive a new BCBS NC medical insurance card each year. You pay non-preventive medical and prescription Key Considerations drug expenses until you meet your deductible Premier Plan Standard Plan Basic Plan Consider this plan if… Consider this plan if… Consider this plan if… Coinsurance ● You understand that you'll pay ● You expect to use the medical ● You want the lowest biweekly You and Belk share the the highest biweekly premiums plan, but prefer to pay lower premiums in exchange for the costs of non-preventive in exchange for the lowest premiums each paycheck with highest deductible care until you reach your deductible and out-of-pocket the potential to pay a higher ● You are healthy and don’t expect out-of-pocket maximum maximum deductible and out-of-pocket to use the plan often, but want to Out-of-Pocket ● You anticipate using the plan maximum later start saving in your HSA for future Maximum often and prefer to pay higher medical expenses Additional in-network costs premiums each paycheck in are covered at 100% (paid by exchange for lower out-of-pocket Belk) after you reach your costs when receiving care out-of-pocket maximum SMART SHOPPER With an HDHP, you can always use both in-network and out-of-network medical providers; however, costs are likely to be lower if you use in-network providers. Plus, you always receive in-network preventive care services at no cost to you. | 7
Available for Full-Time Associates Medical Plan Comparison Chart for In-Network Care Premier Plan Standard Plan Basic Plan Annual Deductible Associate $1,700 $2,800 $6,450 Family $3,400 $5,600 $12,900 Accumulation Type Aggregate1 Aggregate1 Embedded1 Out-of-Pocket Maximum Associate $4,000 $5,600 $6,450 Family $8,000 $11,200 $12,900 Accumulation Type Embedded1 Embedded1 Embedded1 Your Coinsurance2 Preventive care, including generic preventive drugs Covered at 100% Covered at 100% Covered at 100% Primary care physician/Specialty physician 20% after deductible 20% after deductible 0% after deductible Urgent treatment center 20% after deductible 20% after deductible 0% after deductible Emergency room 20% after deductible 20% after deductible 0% after deductible Inpatient hospital stay 20% after deductible 20% after deductible 0% after deductible Durable medical equipment 20% 20% 0% Home health services 20% 20% 0% Health Savings Account (HSA) Maximum Matching Contributions from Belk3 Associate $400 $400 $400 Family $800 $800 $800 1 Please see next page for a description of aggregate and embedded deductible. 2 Coinsurance applies after meeting your deductible. 3 Belk will match your HSA contributions dollar for dollar up to the maximum matching amount shown. Belk's contributions are spread evenly over each paycheck. You are not eligible for an HSA if you are enrolled in Medicare, Medicaid or Tricare. See www.mybelkbenefits.com for complete eligibility requirements. Note: The above chart is for in-network costs. Please visit www.mybelkbenefits.com for more details regarding out-of-network coverage. Aggregate Deductible With an aggregate deductible, the total family deductible must be paid before the plan starts paying for health care services for any individual member. You can meet this kind of deductible with care for one person or the entire family. Embedded Deductible An embedded deductible means each family member has an individual deductible as well as the total family deductible. The plan pays for some or all of an individual’s health care services as soon as that person reaches the individual deductible limit. | 8
2022 Biweekly Premiums for Medical Coverage Premier Plan Standard Plan Basic Plan Non-Tobacco Tobacco User Non-Tobacco Tobacco User Non-Tobacco Tobacco User Associate $111.63 $130.86 $76.97 $96.20 $44.34 $63.57 Associate + spouse/domestic partner 1 $310.72 $341.49 $226.71 $257.48 $182.58 $213.35 Associate + child(ren) $162.23 $181.46 $110.14 $129.37 $82.55 $101.78 Family $361.31 $392.08 $259.89 $290.66 $219.53 $250.30 For more information about your premiums, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for spouses/domestic partners and premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. | 9
Available for Full-Time Associates HOW THE HEALTH SAVINGS ACCOUNT WORKS The health savings account (HSA) is a smart way to make your money work for you. Plus, Belk helps you save for future healthcare expenses by matching your contributions. When you contribute to your HSA, Belk will match your pre-tax contributions dollar for dollar to a maximum amount: $400 annually for individual coverage and $800 annually for family coverage. Optum, our HSA administrator, will provide you with a debit card so you can pay for health care expenses at most pharmacies and physicians' offices. Benefits of an HSA Make tax-free contributions to your HSA and receive matching contributions up to the specified amount from Belk + Your HSA grows tax-free through interest and investment returns + Use your HSA savings tax-free to pay for eligible expenses + Own your HSA dollars forever — even if you leave Belk Your contributions to your HSA through biweekly payroll deductions $ Belk's matching contributions Incentives you earn through To receive the maximum contribution from Belk, wellbeing activities contribute $400 annually for individual coverage $ $ and $800 annually for family coverage Total HSA contribution allowed by the IRS in 2022 Your contributions, Belk's matching contributions and any wellness incentives you earn count toward these IRS limits. THE HSA AND 401(K) PLAN ARE BOTH Associate Only Coverage $3,650 RETIREMENT SAVINGS TOOLS. Associates age 55 and over $4,6501 While the HSA can help you pay for eligible health Child/Spouse/Family Coverage $7,300 expenses now and into retirement, the 401(k) Plan Associates age 55 and over $8,3002 can help you build your general retirement fund. 1 Associates age 65 and over who are enrolled in Medicare See page 26 for details. are ineligible to make HSA contributions 2 Associates age 55 and over can contribute an additional $1,000 in "catch-up" contributions | 10
More about HSAs ● Once the balance reaches $1,000, you can invest it in select ENROLLING IN MEDICARE WHEN YOU HAVE AN HSA mutual funds. When you enroll in Medicare, you can no longer make ● Unused money rolls over into the next year. contributions to your HSA. If you become Medicare-eligible and ● If you want to change your HSA contribution amount, you can make enroll in Medicare during the calendar year, please contact HR the change through Workday anytime during the year. Shared Services at 1-800-588-3700 to have future contributions canceled. You can continue to use the funds in your HSA to ● If you contribute to your HSA through a payroll deduction, the annual help pay for medical expenses, such as deductibles, premiums, minimum contribution is $50. copayments and coinsurance. If you use the account for qualified medical expenses, it will continue to be tax-free. | 11
Available for Full-Time Associates OTHER MEDICAL BENEFITS BCBS NC Signature Service Livongo Care When you're covered under a Belk medical plan, the BCBS Signature The Livongo for Diabetes program makes living with diabetes easier by Service team can help you understand your health plan and its benefits, providing you with a FREE connected meter, unlimited test strips and coaching. manage complex health situations, and even find lower-cost care. Signature Livongo for Hypertension (high blood pressure) provides a connected blood Service can help you and your family if you're planning a major medical pressure monitor that sends readings to the easy-to-use app and gives you procedure, if you need guidance for navigating a serious medical situation, support through experienced health coaches, nutritional guidance and more. or if you need support with the Blue Connect website. They can even help you search for a provider and compare costs of prescription drugs and Livongo is offered at no cost to associates and their dependents who are common procedures. covered under one of Belk's medical plans and have diabetes or hypertension. To learn more or join, visit get.livongo.com/belk/now or call Livongo Member To take advantage of this service, call number on the back of your BCBS ID Support at 1-800-945-4355. card or log in to BlueConnectNC.com to send a secure email or chat live. QuitlineNC Quitting tobacco is one of the best ways to get on the road to wellness, but it can be a challenge. If you want to quit, we’re here to help and offer a comprehensive tobacco cessation program. With QuitlineNC, eligible associates who are enrolled in a Belk medical plan will be assigned a Quit Coach who will help create a personalized plan that includes dealing with triggers and tips for quitting. There's no SMART SHOPPER – SAVE MONEY WHEN YOU’RE cost to you if you're enrolled in a Belk medical plan, so call QuitlineNC TOBACCO-FREE at 1-844-8NCQUIT to get started. You can earn a $500 annual premium discount for yourself and a $300 annual discount for your spouse/ domestic partner by certifying that you are tobacco- free. Or if you use tobacco products, earn the discount by completing a free tobacco cessation program through QuitlineNC. | 12
Teladoc Teladoc is our new telehealth provider, replacing MDLive. When you don’t feel well or your child is sick, the last thing you want to do is sit in the doctor’s waiting room. If you're enrolled in a Belk medical plan, you can skip the trip with Teladoc. With Teladoc, you can see and speak to a doctor online any time from the comfort of your home. Teladoc gives you convenient access to a national network of U.S. board-certified doctors for a diagnosis or treatment on minor, short-term issues, typically at a more affordable cost. Call 1-800-TELADOC (835-2362) or visit www.teladoc.com for more information. Healthline Blue Do you have health questions? When you participate in a Belk medical plan, HealthLine Blue provides a free, 24/7 nurse support line that connects you with a friendly and dependable nurse who can help you: ● Decide how and where to get care when you need it ● Answer questions until you can see your doctor ● Answer questions about your medications ● Get information to make better health care decisions Call 1-877-477-2424 to reach HealthLine Blue or visit www.bluecrossnc.com/health-line-blue. | 13
Available for Full-Time Associates WELLBEING Belk Wellness Rewards Program When you're enrolled in a Belk medical plan, you can build healthy habits and get rewarded for your efforts with a fun, new wellness program, powered by Rally Health®. What’s more? Belk associates and their spouses/domestic partners can EACH earn up to $500 in Health Savings Account (HSA) contributions! Here’s How it Works 1. Participate in the wellness activities that best fit your needs to earn up to a maximum $500 in HSA contributions each for you and for your spouse/domestic partner 2. Find your reward-eligible activities and monitor your progress on your personal Blue RewardsSM page in the wellness portal at BlueConnectNC.com 3. Blue Rewards will be paid through monthly HSA contributions* Wellness Activities and Blue Rewards HSA Contributions Activity Earn* Activity Earn* Register for Blue ConnectSM $10 Get Your Annual Physical $50 Complete Your Blue Connect Checklist $25 Get a Health (Biometric) Screening $50 Confirm Your Contact Details $25 Participate in a Private Challenge $25 (max of 2 or $50) Take Your Health Survey $50 Get Your Flu Shot $25 Participate in a Public Challenge $5 (max of 6 or $30) Complete Important Diabetes Tests $25 (if identified) Complete Three (3) Missions $25 (must complete 3; max $75) Complete a Nurse Support Assessment $100 (if identified) Track Your Step Goals with Stride $10 Monthly (or $120 max) Know Your Care Options $50 (if identified) Take a Quiz $5 (max of 6 or $30) Fill Out Your Pregnancy Survey $50 (if identified) The maximum Belk Wellness Rewards available per Belk associate and spouse/domestic partner = $500 each. Note: “If identified” means that Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will reach out to you directly if you qualify for this activity. * Belk Wellness Rewards Program available 1/1/22-12/31/22. Visit the wellness portal at BlueConnectNC.com for details on earning rewards and the activities available to you. Belk associates and their spouses/domestic partners must be at least 18 years old to participate on the wellness portal and earn Blue Rewards in their HSA. Timing to process rewards may vary and they may be added to your HSA from one to two months following completion of the activity. Participation limitations may apply. Blue Cross NC reserves the right to change or discontinue Blue Rewards at any time, including changing dollar amounts and available rewards, without prior notification. Consult with your benefits administrator or contact Blue Cross NC Customer Service for questions or support. Blue Cross NC offers health and wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Blue Cross NC reserves the right to discontinue or change these programs at any time. The goal is to help members make better decisions about their health and to help them follow their provider’s plan of care. Decisions about care should be made with the advice of the member’s provider. Rally Health is an independent company that is solely responsible for the services it provides. Rally Health does not offer Blue Cross or Blue Shield products or services. BLUE CROSS®, BLUE SHIELD®, the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and trade names are the property of their respective owners. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association. | 14
Available for Full-Time Associates PRESCRIPTION DRUG COVERAGE When you enroll in a Belk medical plan, you automatically receive prescription drug benefits. Our provider is Express Scripts. Express Scripts offers a wide network of more than 68,000 retail pharmacy locations where you can fill your short-term prescriptions, as well as a mail-order pharmacy. Visit www.express-scripts.com/belk for more information. Your Prescription Drug Coinsurance Premier Plan Standard Plan Basic Plan Prescription Drugs Deductible Included with medical Included with medical Included with medical Out-of-Pocket Maximum Included with medical Included with medical Included with medical Preventive Drugs1 Generic 0% before deductible 0% before deductible 0% before deductible (plan pays 100%) (plan pays 100%) (plan pays 100%) Preferred brand 20% before deductible 20% before deductible 0% before deductible Non-preferred brand 20% before deductible 20% before deductible 0% before deductible Non-Preventive Drugs Generic 20% after deductible 20% after deductible 0% after deductible Preferred brand 20% after deductible 20% after deductible 0% after deductible Non-preferred brand 20% after deductible 20% after deductible 0% after deductible 1 Preventive drugs are based on Express Scripts’ Standard Preventive Drug List. WHAT HAPPENS WHEN YOU USE A NON-NETWORK PHARMACY? When you visit a non-network pharmacy to fill a prescription, you pay the full cost of your prescription upfront. Then, you must file a claim with Express Scripts for reimbursement. Once your claim is processed, you will receive reimbursement for the amount you paid minus the appropriate coinsurance. | 15
Managing Maintenance Prescriptions 90-DAY SUPPLY With Express Scripts, you have two ways to get up to a three-month supply of your maintenance medicines (those drugs you take regularly for ongoing conditions). You can choose home delivery from the Express Scripts Pharmacy, or fill the prescription at any CVS pharmacy location. If you have prescriptions with open refills through the CVS mail-order pharmacy program, your prescription will be transferred automatically to the Express Scripts Pharmacy (except for controlled substances and compound medications). The Express Scripts Pharmacy mail-order program has several advantages. When you use the Express Scripts Pharmacy, you are automatically using an in-network pharmacy, so there are no claim forms to file for reimbursement. In addition, you can submit and receive your prescriptions from home. You can receive two 30-day courtesy fills at ANY participating network pharmacy. On the third fill, you must obtain a prescription for a 90-day supply and that prescription must be filled at a participating CVS retail location or through the Express Scripts Pharmacy. If filled at the wrong pharmacy or wrong day’s supply, you will be responsible for paying 100% of the prescription cost. SPECIALTY MEDICATIONS Accredo is an Express Scripts specialty pharmacy. Accredo provides medicine for patients with serious, chronic conditions like cancer and hepatitis C. Accredo offers specialized teams of pharmacists, nurses and clinicians who are specially trained on your condition. MORE INFO If you have questions about your pharmacy benefit or need a replacement ID card, you can contact Express Scripts at 1-800-797-2283 or visit www.express-scripts.com/belk. | 16
Available for Full-Time Associates ACCIDENT, HOSPITAL INDEMNITY AND CRITICAL ILLNESS INSURANCE Belk offers Group Accident, Hospital Indemnity and Critical Illness (also called Specified Disease) Insurance with Unum as our provider. These plans may be used to help you meet your deductible and coinsurance should you be faced with a serious illness or accident. The combination of these plans with your HDHP may offer you better coverage at a lower overall cost. These plans can provide a lump sum benefit if you experience a covered critical illness (specified disease), an accident or are confined to a hospital due to an illness or injury. These benefits are designed to supplement your medical coverage by providing an extra layer of financial protection. Premiums are paid through a payroll deduction. Visit www.enrollunum.com/belkbenefits for complete information about these plans, including High and Low coverage. Accident Insurance Low Plan Biweekly Premiums High Plan Biweekly Premiums Associate $3.12 Associate $6.04 This plan pays a set benefit amount based on the type of injury you have and the type of treatment you need. It covers accidents that Associate + spouse/domestic partner1 $5.47 Associate + spouse/domestic partner1 $10.59 occur on and off the job, and includes a range of incidents, from Associate + child(ren) $7.80 Associate + child(ren) $15.26 common injuries to more serious events. Family $10.15 Family $19.81 Hospital Indemnity Insurance Low Plan Biweekly Premiums High Plan Biweekly Premiums Associate $4.75 Associate $9.50 This enhanced plan helps covered associates and their families Associate + spouse/domestic partner1 $9.69 Associate + spouse/domestic partner1 $19.37 cope with the financial impacts of a hospitalization. You can receive benefits when you’re admitted to the hospital for Associate + child(ren) $6.54 Associate + child(ren) $13.09 a covered accident, illness, or other condition. The money Family $11.48 Family $22.96 is paid directly to you, and can help you pay the out-of- 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for spouses/domestic pocket expenses your medical plan may not cover, such as partners and premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates coinsurance and deductibles. If you enroll in the plan during document on the Forms and Documents page at www.mybelkbenefits.com. Open Enrollment, you won’t be subject to pre-existing condition limitations. | 17
Critical Illness Insurance This benefit can pay money directly to you when you’re diagnosed with certain serious illnesses. If you’re diagnosed with an illness that is covered by this insurance, you can receive a lump sum benefit payment to help you pay out-of-pocket medical expenses, like coinsurance and deductibles. This plan pays $10,000 or $20,000 (depending on the coverage level you choose) if you are diagnosed with a major condition. Lesser benefit payments apply to additional conditions. CRITICAL ILLNESS BIWEEKLY PREMIUMS – $10,000 CRITICAL ILLNESS BIWEEKLY PREMIUMS – $20,000 Associate and Associate and Associate spouse/domestic Associate Associate spouse/domestic Associate Age only partner1 and child(ren) Family Age only partner1 and child(ren) Family
Available for Full-Time Associates and Part-Time Associates DENTAL COVERAGE Delta Dental of North Carolina is America's largest dental benefits carrier and our associates have access to care through their extensive national network. Providers who are in-network participate in one of two networks: BIWEEKLY ASSOCIATE CONTRIBUTIONS Delta Dental PPO or Delta Dental Premier. To find a network dental provider, High Core visit www.deltadentalnc.com or call 1-800-662-8856. Associate only $13.85 $9.86 If you enroll in the dental plan for the first time during Open Enrollment, you'll get a new dental card in December 2021. If you need a replacement Associate + spouse/domestic partner1 $26.49 $18.56 card, you can print one from www.deltadentalnc.com. Associate + child(ren) $30.70 $24.37 Below is an overview of Belk’s dental plans: Family $42.74 $33.07 Services High Core Diagnostic Services 0% (Plan pays 100%) 0% (Plan pays 100%) 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for Preventive Services 0% (Plan pays 100%) 0% (Plan pays 100%) spouses/domestic partners and premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. Basic Services 80% 70% Major Services 50% 40% Orthodontic Services 50% Not covered Deductibles and Maximums Deductible $50 per person per $100 per person per (does not apply to diagnostic calendar year calendar year and preventive services) Annual maximum $2,000 $1,000 Lifetime orthodontic maximum $2,000 Not covered Note: The above chart is for in-network costs. Please see www.mybelkbenefits.com for more details regarding out-of-network coverage. | 19
Available for Full-Time Associates and Part-Time Associates VISION COVERAGE EyeMed offers care from thousands of independent providers, top optical retailers and online options. If you enroll in a vision plan during Open Enrollment, you'll get a new vision card in early January 2022. Services In-Network Member Cost BIWEEKLY ASSOCIATE CONTRIBUTIONS Exam With Dilation as Necessary $10 copay Retinal Imaging Up to $39 Vision Plan Frames $0 copay, one-time allowance up to $130, Associate only $2.29 20% off balance over $130 Associate + spouse/domestic partner1 $4.14 Contact Lens Fit and Follow-Up1 Standard Contact Lens Fit & Follow-Up Up to $40 Associate + child(ren) $4.33 Premium Contact Lens Fit & Follow-Up 10% off retail price Family $6.64 Contact Lenses2 Conventional $0 copay, one-time allowance up to $150, 15% off balance over $150 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for Disposable $0 copay, one-time allowance up to $150; spouses/domestic partners and premium rates for associates who are paid on a weekly basis, see the plus balance over $150 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. Medically Necessary $0 copay, paid-in-full Laser Vision Correction LASIK or PRK from U.S. Laser Network 15% off the retail price or 5% off the promotional price Hearing Care Hearing Health Care from 40% off hearing exams and a low price Amplifon Hearing Network guarantee on discounted hearing aids Frequency Examination Once every 12 months Lenses or Contact Lenses Once every 12 months Frame Once every 24 months 1 ontact lens fit and follow up visits are available once a comprehensive eye exam has C been completed. 2 Contact lens allowance includes materials only. | 20
Available for Full-Time Associates LIFE AND AD&D INSURANCE Belk automatically provides Basic Life and Accidental Death and ASSOCIATE SUPPLEMENTAL LIFE Dismemberment (AD&D) coverage to all full-time associates through Unum. Biweekly Rates per There's no cost to associates, and you don't need to enroll. Age Band $1,000 of Coverage Both Basic Life and AD&D coverage are equal to one times your annual Under 30 $0.018 base earnings, up to $500,000, with amounts rounded to the next higher 30-34 $0.018 multiple of $1,000 if not already an exact multiple. However, since life 35-39 $0.023 insurance is offered on a tax-free basis only up to $50,000, any coverage 40-44 $0.032 above $50,000 is considered to be a benefit taxable as income by the IRS. The amount of taxable income on life insurance coverage in excess of the 45-49 $0.042 $50,000 threshold is known as imputed income. Associates earning more 50-54 $0.074 than $50,000 have the option to limit their benefit to $50,000 in order to 55-59 $0.125 avoid imputed income. Your Basic Life and AD&D coverage does not require 60-64 $0.222 Evidence of Insurability (EOI). Reductions apply starting at age 65. 65-69 $0.342 Supplemental Life and AD&D Insurance 70 or More $0.764 You also have the option to purchase supplemental life insurance and/ or supplemental AD&D coverage for you and/or your spouse/domestic DEPENDENT SUPPLEMENTAL LIFE – CHILD(REN) 2 partner1. With the Supplemental Life plan design, you can get from 1 to 6 Biweekly Rate ($10,000 of coverage) times your annual base earnings, up to $2 million. Supplemental Life has a guaranteed issue of $500,000 (the coverage amount you have until you $1.15 need to go through medical underwriting). 2 Child Life Insurance is available for eligible children at birth (live birth) to age 26. For additional coverage information, please see www.mybelkbenefits.com. During Open Enrollment for 2022, you may increase one level of coverage without Evidence of Insurability (EOI), unless it is over the guaranteed issue (GI) limits. Any increase of more than one level or any increase that would lead to surpassing the GI limit will require completion of an EOI Form and approval by Unum. 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for spouses/domestic partners and premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. | 21
Supplemental AD&D Insurance You are also eligible to sign up for supplemental AD&D with coverage options from $25,000 to $200,000. This benefit can help protect you and your family if an unexpected injury occurs. SUPPLEMENTAL AD&D INSURANCE BIWEEKLY PREMIUMS 1 Coverage Level Associate Only Associate + Family $25,000 $0.138 $0.231 $50,000 $0.277 $0.462 $75,000 $0.415 $0.692 $100,000 $0.554 $0.923 $125,000 $0.692 $1.154 $150,000 $0.831 $1.385 $175,000 $0.969 $1.615 $200,000 $1.108 $1.846 1 See page 5 to learn about spouse or domestic partner coverage. For information about rates for spouses/domestic partners and premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. | 22
Available for Full-Time Associates DISABILITY INSURANCE Disability benefits protect you from loss of income by providing a benefit if you are unable to work due to an injury or illness. While no one plans on becoming disabled, it’s important to have a benefit in place to help protect your income. Disability coverage is provided by Unum. Short-Term Disability (STD) Plan Long-Term Disability (LTD) Plan In the event of an injury/accident or illness that prevents you from working, If you would like additional disability coverage, you have the option to enroll you may be eligible to receive STD benefits. Belk automatically offers in the Long-Term Disability plan. You must enroll during Open Enrollment short-term disability coverage at no cost to associates, and there is no need (or within 31 days of your hire date). Note that you will need to complete to enroll. Evidence of Insurability (EOI) unless you are enrolling as a new hire. STD Benefits In the event you remain totally disabled after 90 days of STD, you may be eligible to receive LTD benefits. Generally, LTD benefits will continue for as Benefit Coverage 60 percent of all eligible weekly pay long as you are disabled or until you reach age 65, or normal retirement age, Waiting period – injury/accident, illness 7 calendar days if you are disabled before age 62. If you are age 62 or older and you become disabled, LTD maximum benefit periods are reduced. Maximum weekly benefit period Up to 13 weeks LTD Benefits 60 percent of your eligible earnings Basic LTD benefit (up to $15,000 per month) Elimination period 90 days Current benefit-eligible associates who have not previously elected LTD coverage and newly eligible associates are subject to pre-existing condition rules that are outlined in the certificate of coverage on www.mybelkbenefits.com. BIWEEKLY PREMIUMS – LTD Per $100 of covered earnings Full-Time Associate Only LTD Corporate $0.801 LTD Stores $0.935 For premium rates for associates who are paid on a weekly basis, see the 2022 Premium Rates document on the Forms and Documents page at www.mybelkbenefits.com. | 23
Available for Full-Time Associates DEPENDENT CARE FLEXIBLE SPENDING ACCOUNT A Dependent Care Flexible Spending Account (FSA) is a tax advantaged savings account that can be used to pay for eligible child or elder care expenses. Optum is our Dependent Care FSA administrator. When you enroll in the Dependent Care FSA, your contributions are deducted from your paycheck on a pre-tax basis, so you pay less in taxes. Note that this account does not include a debit card; instead, you can use funds in your account to reimburse yourself for eligible dependent care expenses. Eligible dependents include: ● Children under age 13 who attend daycare, before/after-school care or summer day camp ● Any person who is mentally or physically incapable of caring for themselves Making Dependent Care FSA Contributions The minimum annual election for the Dependent Care FSA is $130. The maximum is $5,000 if your filing status is single, head of house, or married and filing jointly. If you’re married and you file taxes separately from your spouse, the maximum annual dependent care FSA election is $2,5001. SMART SHOPPER — USE IT OR LOSE IT Eligible Expenses You’ll need to plan carefully when deciding how much to contribute to the Dependent ● Before/after-school care Care FSA. Because of the tax benefits, the ● Day camps IRS has several rules: ● Elder care ● Care at licensed nursery schools or child centers ● Can be used to pay for child or elder ● Care provided in or outside your home during your working hours care expenses. This plan is subject to the Internal Revenue Code (IRC) non-discrimination testing. Highly ● You cannot carry forward any money compensated associates are not allowed to participate in Belk’s Dependent Care FSA. For 2022, in your account at the end of the plan associates who earned more than $130,000 in 2021 will be considered highly compensated. year into the next plan year, or use it for expenses you incurred after the end of Enrolling the plan year. Even if you’ve had a Dependent Care FSA in the past, if you want to participate in 2022, you’ll ● Any unused funds remaining in your need to enroll during Open Enrollment. Decide how much you want to contribute for the year, and account at the end of the year will Belk will make deductions from your paycheck, before taxes, in equal amounts throughout the be forfeited. benefit year. Remember that you must re-enroll for the FSA each benefit year. You have until March 31, 2022 to file for reimbursement of your 2021 qualified 1 The limits may increase for 2022, per the IRS. expenses. | 24
Available for Full-Time Associates and Part-Time Associates EMPLOYEE ASSISTANCE MILK STORK TRAVEL PROGRAM (EAP) SERVICES SOLUTION The Belk EAP is a counseling and referral service that's available to all Milk Stork is a business travel solution for breastfeeding moms. This associates and their dependents. There's no cost to you, and you don't breast milk delivery service provides refrigerated express shipping need to enroll. You can get help any time with concerns such as: or easy toting of breast milk home to baby. This benefit is available at ● Mental health no cost regardless of whether you are enrolled in a Belk medical plan. ● Marital and family issues Visit www.milkstork.com/belk to learn more. ● Alcohol and other drug dependency assessment ● Stress-related issues ● Financial/legal referrals BELK MARKETPLACE HELPS YOU SAVE MORE Keep your financial wellbeing in mind and visit belk.benefithub.com ● Emotional problems for discounts and deals on electronics, entertainment, childcare and An EAP counselor can identify issues and help you work through them. education, groceries and more. Counselors can also determine the best alternatives and, if necessary, make appropriate referrals to other professionals who specialize in specific areas. Work/Life Services ● Legal counseling – one free legal consultation with access to discount rates for future service ● Financial counseling – one free session with a financial professional ● Elder care support ● Telephone and video counseling ● Online services – to find a provider in your area, visit TAKE ADVANTAGE OF THE EAP belk.personaladvantage.com For information on the EAP or to schedule an ● Community support resources appointment, call 1-877-771-7708. You can also visit www.mybelkbenefits.com and click Counseling Services on the EAP/Personal Advantage link for access to over 20,000 work-life products on topics Counseling services through the EAP are confidential and free to you, as such as emotional wellbeing, family life, health, this is a Belk-paid benefit. This benefit includes up to four (4) face-to-face finance and fitness. counseling sessions per associate and their eligible dependents per year. Telephone and video counseling are also available. | 25
Available for Full-Time Associates and Part-Time Associates Available for Full-Time Associates OTHER VOLUNTARY BENEFITS Legal Plan Identity Theft Protection Available to full-time associates only Identity theft protection and data security have become increasingly important. Associates can enroll in NortonLifeLock for protection against Full-time associates are eligible for the MetLife Legal Plan, at a rate of (and in the event of) identity theft. These plans combine leading identity $7.615 biweekly. With this plan, you have access to more than 14,000 theft protection and device security to provide defense against online Network Attorneys nationwide who provide legal advice and representation threats at work, at home or on-the-go. NortonLifeLock protects you on a range of matters, including wills and estate planning, family law, by defending your personal information from hackers, alerting you to immigration assistance and more. There are no copays or deductibles to potential threats and reimbursing stolen funds should you experience pay and no claim forms to complete when you use a Network Attorney. If identity theft. This program is available to all associates, and you can you are already enrolled in the plan, you do not need to take action. Your enroll in this benefit beginning October 18, 2021 or at any time during the current coverage will carry over. Keep in mind that Open Enrollment is year. Your coverage will go into effect the day after you enroll. When you your once-a-year chance to enroll in the legal plan. Plus, your coverage enroll, your coverage will begin right away. For more information, visit is portable, which means that if you leave Belk, you can continue to be MyBelkBenefitsPlus.com or call 1-855-429-8818. covered under the plan. For more information, visit www.metlife.com/mybenefits or call 1-800-GET MET 8 (1-800-438-6388). Choice Auto and Home Insurance Pet Insurance You can save on your auto and home insurance by comparing coverages, prices and discounts from six of the top-rated auto and home insurance Pet insurance through Nationwide My Pet Protection® is available to all companies in the nation including: Farmers GroupSelectSM (formerly associates and offers reimbursement for eligible vet bills, plus cash back MetLife), Travelers, Liberty Mutual Insurance, Safeco Insurance, Electric for accidents, illnesses, hereditary conditions, and more. You can enroll in Insurance Company, and Progressive. With the Choice Auto and Home pet insurance beginning October 18, 2021 or at any time during the year, program, you have access to special discounts and lower premiums than and your coverage will go into effect 14 days after you enroll. For more anything you can find on your own. You’ll also be able to get multiple information, visit MyBelkBenefitsPlus.com or call 1-855-429-8818. quotes quickly, all with a single phone call. You can go online to request a policy quote, which will be valid for 14 days. If you want to elect the quoted coverage policy, call 1-855-429-8818. If you enroll in one of these auto or home insurance plans, your coverage will begin right away. This program is available to all associates. You can enroll beginning October 18, 2021, or at any time during the year. For more information, MORE INFO visit MyBelkBenefitsPlus.com or call 1-855-429-8818. For more information about any of these plans, call call 1-855-429-8818 or visit MyBelkBenefitsPlus.com. | 26
Available for Full-Time Associates and Part-Time Associates INVEST IN YOUR FUTURE WITH THE 401(k) SAVINGS PLAN To help you save for a secure financial future, Belk offers a 401(k) Savings Plan through Charles Schwab. The 401(k) plan lets you save on a tax-deferred basis, up to the limit allowed under federal law. Because you make pre-tax contributions, you do not pay any federal taxes or state taxes (in most states) until you withdraw money from your account. Investing your savings with the 401(k) plan allows you to you grow your money over time, helping you to save and prepare for retirement. Eligibility and Enrollment Plan Limits1 All part-time and full-time associates are eligible immediately after your first Your contribution limit for 2021 is $19,500; however, if you will be age 50 paycheck once your employment with Belk begins. For more details on or older by the end of the calendar year, you may make up to $6,500 in eligibility, visit www.mybelkbenefits.com. You can register or enroll online at additional contributions. www.workplace.schwab.com after you receive your first paycheck, or you can enroll by phone at 1-800-724-7526. Belk Match Provided you have three months of service, Belk will match 100% of the first 4% of your eligible compensation contributed to the 401(k) plan, and 50% for the next 2%, for a combined match of 5%. To get the full Belk match, be sure to contribute at least 6% of your eligible compensation. The Belk match does not count toward the total annual contribution limit specified by the IRS. Example: Annual Contribution Your pre-tax contribution election Belk match Belk match Belk match (50% of Total contribution Total Belk Your eligible compensation Your elected contribution Your elected contribution (100% of first 4% of your next 2% of your eligible (your contribution + match (%) ($) eligible compensation) compensation) total Belk match) $1,000 + $250 = $1,500 + $1,250 = $25,000 6% $1,500 $1,000 $250 $1,250 $2,750 In this example, your biweekly contribution would be $57.69. Plus, in this example, you won’t be taxed on the $1,500 annual amount you contribute. Use the payment calculator at workplace.schwab.com to see how much you can save in taxes. Contribute even a small percentage of your paycheck to your 401(k) before taxes are taken out, and your take-home pay won't show a big change, but your savings could. 1 The limits may change for 2022, per the IRS. | 27
Available for Full-Time Associates and Part-Time Associates INVEST IN YOUR FUTURE WITH THE 401(k) SAVINGS PLAN Roth Feature Unlike a traditional 401(k), the Roth 401(k) allows you to contribute after- THREE REASONS TO CONTRIBUTE TO YOUR 401(k) tax dollars, and then withdraw qualified distributions1 tax-free from your ● Pre-tax contributions decrease your taxable income account when you retire, if certain requirements are met. ● Get the match from Belk so your savings grow even faster ● Benefit from lower investment fees Vesting Schedule You are always 100% vested in the value of your account. 1Qualified Roth withdrawals are exempt from federal taxes. Some state taxes may apply. Generally, to qualify, the account must have been held for at least five years and you must be at least age 59½ at the time of withdrawal. MORE INFO If you have questions about any of the funds in the Plan’s investment lineup or if you want to request a prospectus on any of the funds, contact Charles Schwab at HELPFUL HINT 1-800-724-7526 or find information at You can change your 401(k) Plan www.workplace.schwab.com. contributions at any time. | 28
Available for Full-Time Associates and Part-Time Associates PAID TIME OFF Belk offers an integrated Paid Time Off (PTO) bank for all regular associates working at least 20 hours per week on average. Associates may use accrued PTO for vacation, personal time, short-term personal illness or time off to care for others. For complete information about PTO, review the Paid Time Off (PTO) Policy at www.mybelkbenefits.com. If you have accrued unused PTO at the end of December 31, 2021, you can still use up to 40 hours of rollover PTO through April 30, 2022. All PTO rollover time must be used by April 30, 2022 or it will be forfeited. The PTO bank for all associates is shown below. PTO SCHEDULE FOR FULL-TIME ASSOCIATES (DAYS) Stores/DCs/FCs Hourly Corporate Hourly Length of Service Salaried Full-Time Full-Time Full-Time Under 5 years 20 14 15 5 years but less than 10 years 25 19 20 10 or more years 30 24 25 QUESTIONS? For more information PTO SCHEDULE FOR PART-TIME ASSOCIATES (HOURS) about PTO, visit Length of Service Annual PTO www.mybelkbenefits.com. Under 5 years 10 5 years but less than 10 years 20 10 or more years 30 | 29
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