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HEALTHY

CHOICES
Benefits to Support a Healthier You
Eligible U.S. CB&I Hourly and Craft employees

2018 B
ENE
FIT
SG
UI
DE
Welcome to CB&I!
At CB&I, we are proud of the benefits program we have designed to deliver
quality coverage and value to you and your family. We are happy to have you
join our team and take advantage of the programs we offer to our employees.

We encourage you to learn about our benefits program before making


your elections. Keep in mind that federal tax law prohibits you from making
changes to your health and welfare benefits outside of this New Hire Enrollment
period or each annual Open Enrollment time frame without a qualifying event.
Make sure you are comfortable with your choices for the rest of the year and
submit them by the deadline noted in this guide.

NEED ASSISTANCE?
If you have a question or need assistance regarding your health and
welfare benefits or New Hire Enrollment, call the CB&I Benefits Center,
administered by Empyrean Benefit Solutions, at 1-833-539-4608.
If you have a question or need assistance regarding your 401(k) benefits,
please call Merrill Lynch at 1-844-CBI-401k.
HEALTHY CHOICES Benefits to Support a Healthier You

To all CB&I employees:

We are leaders in our industry because of our talented workforce, which is one of the safest among our
clients and competitors.

CB&I is committed to attracting and retaining the best people by creating a workplace that engages
and empowers, respects diversity of thought, embraces new ideas, demands accountability and rewards
performance. Supporting your health and wellness goes hand-in-hand with that commitment.

Your contributions to this Company are vital to our success. We are strongly committed to providing a
benefits package that is competitive and accomplishes the primary purpose of our programs: to protect
and promote the health and financial well-being of you and your family.

This 2018 New Hire Benefits Guide highlights a comprehensive benefit package that provides quality care
to keep you and your family healthy. It also offers valuable income protection to give you security and
peace of mind. Safe and healthy employees are essential to CB&I.

In this guide, you will see a number of opportunities for you and your family to choose the benefits and
programs that make the most sense for your situation. We also offer a variety of helpful resources to help
you make informed choices. I encourage you to carefully review your New Hire Enrollment materials to
learn more about the plans and their features, processes, resources and vendors that are available to you.

I believe our benefits program is a healthy beginning to the new partnership between you and CB&I.
We have a dynamic future ahead of us, and you are an important part of it.

Thank you,

Patrick K. Mullen
President and Chief Executive Officer

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HEALTHY CHOICES Benefits to Support a Healthier You

New Hire Enrollment at a Glance


Review 2018 Benefits

Step 1 Step 2 Step 3

Do you want to enroll in any of the Do you want to Do you want to


following health and welfare benefits? enroll in the enroll in the
• Medical 401(k) Plan? Employee Stock
• Health Savings Account/Flexible Purchase Plan?
Spending Accounts
• Dental
• Vision
• Short-Term or Long-Term Disability
• Optional Life & Accidental Death &
Dismemberment Insurance

YES NO YES NO YES

Follow the Are you adding a If eligible, be on No action is If eligible, enroll


instructions on dependent? the lookout for required. in the Plan by
page 6 to enroll additional completing the
within your information enrollment form,
benefits directly from which is available
eligibility date. Merrill Lynch, on iShare.
the Plan Completed forms
recordkeeper, can be sent to
regarding how ESPP@cbi.com.
to enroll. Follow the
YES instructions on
page 43 to enroll.

Comply with the


Dependent
Eligibility Audit NO
by providing the
requested
information Complete the
(see page 10). Biometric Your health and welfare benefits choices
YES Screening and generally remain in effect through the end
Health of the calendar year, and you will not be able
Assessment.*
Do you want to make any changes to your benefits before
to receive a the next Open Enrollment period (typically
discount on in November). However, if you experience a
your medical
plan premiums? “Qualified Status Change” — for example,
marriage, divorce, birth of a child or other
You’ve
event — you may make certain changes at
NO completed
enrollment. that time. See page 9 for details.

* See page 12 for more information.

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Table of Contents
Your New Hire Enrollment Checklist............................................................................... 4

How to Enroll........................................................................................................................... 6

After You Enroll...................................................................................................................... 7

Qualified Status Changes.................................................................................................... 9

Eligible Dependents............................................................................................................. 9

Wellness Incentive............................................................................................................... 12

Medical.................................................................................................................................... 14

Prescription Drug................................................................................................................ 20

Medical Premiums (Including Prescription Drug Plan)........................................... 24

Health Savings Account (HSA) — Tax-Free Savings for You.................................25

Flexible Spending Accounts (FSAs)............................................................................... 28

Employee Assistance Program (EAP)............................................................................ 31

Wellness.................................................................................................................................. 32

Dental...................................................................................................................................... 33

Vision....................................................................................................................................... 35

Disability, Life and AD&D Insurance.............................................................................. 38

401(k) Plan.............................................................................................................................. 41

Employee Stock Purchase Plan....................................................................................... 43

Glossary...................................................................................................................................44

Resources............................................................................................................................... 45

Contacts..................................................................................................................................46

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HEALTHY CHOICES Benefits to Support a Healthier You

Your New Hire Enrollment Enroll in the 401(k) Plan. If eligible, be on the
lookout for additional information directly from
Checklist Merrill Lynch, the Plan recordkeeper, regarding
how to enroll.
This guide provides you with an overview of the
Enroll in the Employee Stock Purchase Plan.
benefits we offer so you can make informed choices
If eligible, enroll in the Plan by completing the
for yourself and your family. enrollment form, which is available on iShare.
Here’s what you need to do to enroll in your new Completed forms can be sent to ESPP@cbi.com.
Follow the instructions on page 43 to enroll.
benefits.
Read through this guide carefully. You’ll
find out about the health, welfare, and financial If you are interested in learning more about
benefits available to you. our benefit vendors, check out the complete
Review additional information. Log list of contacts, including websites and
on to the CB&I Benefits Center website, mobile apps for each vendor, starting on
https://benefits.cbi.com, for additional page 46.
information and resources for health and
welfare benefits.
Compare your costs. Use the Medical
Plan Recommendation Engine available DO NOT MISS THE DEADLINE!
on the CB&I Benefits Center website,
If you do not enroll within the time frames
https://benefits.cbi.com, to determine which
plan may best fit your needs by answering listed, you will not be covered by medical,
questions about your health status, financial dental, or vision, and will receive only the
situation and tolerance for risk. Company-paid benefits (EAP, Basic Life,
Enroll in health and welfare benefits. Follow AD&D and Travel Accident Insurance).
the instructions on page 6 to enroll. If you do not
enroll within 31 days from your benefits eligibility
date, you will receive default coverage and will
not be eligible to make changes until Open IF YOU NEED CARE SOON
Enrollment. If you need care before you receive your ID
Confirm your health and welfare elections. card(s), you can:
If you do not confirm your elections by the
ƒƒ Log on to the vendor’s website to see if an
enrollment deadline, you will receive default
online version of your ID card is available
coverage only. See “What Happens If You Do
for you to print;
Not Enroll” on page 8 for details.
ƒƒ Have your provider contact the vendor to
Verify your dependents. If you are adding a
dependent(s) to your health benefits, you will be confirm your eligibility; or
required to comply with the Dependent Eligibility ƒƒ Pay the provider directly for your services
Audit by providing the requested Information. and file a claim for reimbursement after
See page 10 for details. you have received your ID card.
Complete the Wellness Incentive. Don’t forget
that you and your covered spouse (if applicable)
can complete a biometric screening and
TotalWellness online Health Assessment to
receive a discount on your medical plan
premiums. See page 12 for details.

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Overview of Your Benefits and Enrollment Process
You are eligible to participate in the benefits described in this guide if you are:
ƒƒ A regular full-time or regular part-time employee (with a normally scheduled workweek of at least 20 hours);
ƒƒ Working for CB&I or one of its affiliates that participates in the Plan; and
ƒƒ Paid on a U.S. employee payroll.

The chart below gives you a summary of your benefits, who pays for each program, when you become eligible
for each program, and where in this guide you can find enrollment information.

ENROLLMENT
BENEFIT PLAN FUNDED BY ELIGIBILITY PROCESS

Medical Company & you First of the month following Page 6


(including Prescription Drug) (pre-tax) 30 days from date of hire

Health Savings Account (HSA) Company & you First of the month following Page 6
(pre-tax) 30 days from date of hire

Dental Company & you First of the month following Page 6


(pre-tax) 30 days from date of hire

Vision You (pre-tax) First of the month following Page 6


30 days from date of hire

Employee Assistance Program (EAP) Company First of the month following Not required
30 days from date of hire

Flexible Spending Accounts (FSAs) You (pre-tax) First of the month following Page 6
30 days from date of hire

Basic Life & Accidental Death & Company First of the month following Not required
Dismemberment Insurance 30 days from date of hire

Optional Life & Accidental Death & You (after-tax) First of the month following Page 6
Dismemberment Insurance 30 days from date of hire

Travel Accident Insurance Company First of the month following Not required
30 days from date of hire

Short-Term Disability (STD) You (after-tax) First of the month following Page 6
30 days from date of hire

Long-Term Disability (LTD) You (after-tax) First of the month following Page 6
30 days from date of hire

401(k) Plan Company & you Your eligibility begins on Page 41


(pre-tax and/or your date of hire
after-tax)
After one year of
participation — Company
matching contributions
begin

Employee Stock Purchase Plan You (after-tax) Date of hire Page 43

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HEALTHY CHOICES Benefits to Support a Healthier You

How to Enroll The 401(k) Plan


ƒƒ Eligible employees will receive additional
Enrolling for your CB&I benefits is easy! Here’s how information directly from Merrill Lynch, the
to make your New Hire benefit elections for the Plan recordkeeper, regarding how to enroll.
remainder of 2018.
The Employee Stock Purchase Plan
Health and Welfare
ƒƒ Eligible employees can enroll in the CB&I Employee
Online: Stock Purchase Plan by completing the enrollment
form, which is available on iShare. Completed
ƒƒ Log on to https://benefits.cbi.com. If a first-time forms can be sent to ESPP@cbi.com. Follow
user, you will need to register and create a user the instructions on page 43 to enroll.
ID and password that you will use for future visits
to the site.

Once logged into the CB&I Benefits Center, you will CONFIRM YOUR ELECTIONS!
click on the Pending New Hire Enrollment Event Keep in mind that after submitting your
on the welcome screen and follow the prompts health and welfare elections, you must
to add dependents (if applicable) and make your confirm your choices to finalize the
elections. Click on NEXT BENEFIT or another benefit enrollment process. If you do not confirm
category in the menu (Medical, Dental, etc.) to your elections by your enrollment deadline,
select a plan. the system will not recognize your
enrollment and you will receive default
As you enroll, pending changes are saved when you
coverage. See “What Happens If You Do
click NEXT or SAVE ELECTION on any screen. You can
Not Enroll” on page 8 for details.
log in later and pick up where you left off; however,
elections are not recorded in the system until
you save and accept them and reach the
confirmation page. It’s a good idea to print a
Make Informed Choices Using Online
copy of the online confirmation for your records.
Decision Support Tools
The CB&I Benefits Center website,
If you do not confirm your elections by the https://benefits.cbi.com, features online decision
enrollment deadline, the system will not recognize support tools to help you select a health plan that
your enrollment and you will receive default best meets your needs. Consider using the following:
coverage as described on page 8.
ƒƒ Medical Plan Recommendation Engine can help
By phone: you determine which plan may best fit your needs
by answering questions about your health status,
ƒƒ Call toll-free 1-833-539-4608 or 1-281-768-2959
financial situation and tolerance for risk.
(international direct dial), then follow the prompts.
Representatives are available from 7 a.m. to ƒƒ Savings Account Estimator can help you estimate
7 p.m. CST. how much you may want to contribute to an FSA
or HSA.

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After You Enroll
Enrollment Confirmation
For your health and welfare benefits, if you have an email address on file, you will receive an email confirmation
statement outlining your elections. In addition, you will receive a confirmation statement in the mail.

For your financial plans, you will receive a confirmation at your address of record.

Insurance Identification Cards


If you enroll in the plans listed below, you will receive the following ID and/or debit cards:

BENEFIT PLAN VENDOR ID CARD AVAILABLE?

Medical Cigna Yes

Prescription Drug OptumRx Yes

Dental Cigna Yes

Vision* VSP No

FSA Debit Card Discovery Benefits Yes

HSA Debit Card Connect Your Care Yes**


* You do not need an ID card for your appointment. The provider will access your information by asking a few basic questions.
** You can request additional HSA debit cards at no charge by calling Connect Your Care.

HEALTH ADVOCATE
Navigating the healthcare insurance system isn’t easy. That’s why we offer Health Advocate, a
healthcare advocacy service that provides assistance with healthcare or insurance matters, at no
cost to you. You don’t have to enroll and you don’t even have to be enrolled in a CB&I benefit plan.
When you contact Health Advocate, you are assigned a personal advocate, typically a nurse, who
can help you:
ƒƒ Resolve insurance claims and billing issues (medical, ƒƒ Deal with serious illness or injury;
prescription drug, dental, vision, HSA, and FSA); ƒƒ Secure second opinions;
ƒƒ Understand your benefit plan and how it works; ƒƒ Obtain services for your elderly
ƒƒ Find the right doctors and hospitals; parents and parents-in-law;
ƒƒ Schedule appointments, especially with hard-to- ƒƒ … and much more!
reach specialists;
What’s more, your extended family (spouse, dependent children, parents and parents-in-law) can
also use Health Advocate. Contact Health Advocate by calling 1-866-695-8622.
Health Advocate can be accessed 24/7. Normal business hours are Monday – Friday, between
7 a.m. and 8 p.m., Central Time, but staff are also available to assist you after hours and on weekends.

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HEALTHY CHOICES Benefits to Support a Healthier You

What Happens If You Do Not Enroll


Submitting your elections during your New Hire Enrollment period will help ensure that you and your family
have the benefits coverage that meets your needs for the remainder of 2018. If you do not enroll within 31 days
of the date you become eligible for coverage, you will not be covered for many of the Company benefits,
including healthcare. See the following chart for details:

DEFAULT 2018 COVERAGE IF YOU MISS THE 31-DAY


BENEFIT PLAN NEW HIRE ENROLLMENT DEADLINE

Medical (including Prescription Drug) No coverage

Health Savings Account (HSA) No employee or Company contributions

Dental No coverage

Vision No coverage

Employee Assistance Program (EAP) Full coverage (Company-paid benefit)

Flexible Spending Accounts (FSAs) No employee contributions allowed

Basic Life & Accidental Death & Full coverage (Company-paid benefit)
Dismemberment Insurance

Optional Life & Accidental Death & No coverage


Dismemberment Insurance

Travel Accident Insurance Full coverage (Company-paid benefit)

Short-Term Disability (STD) No coverage

Long-Term Disability (LTD) No coverage

401(k) Plan No coverage, but you can enroll at any time once eligible

Employee Stock Purchase Plan No coverage, but you can enroll during any quarterly enrollment
period once eligible

Your health and welfare default coverage will remain in effect until December 31, 2018, as long as you remain
eligible. Remember, you cannot make changes to your health coverage during the year unless you experience
a qualified change in family or employment status. For details, see “Qualified Status Changes” on page 9.

You can make changes to Optional Life and AD&D Insurance at any time; however, you will be required to
complete the Prudential Evidence of Insurability (EOI).

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Qualified Status Changes Eligible Dependents
Remember, the health and welfare elections you If you are a benefits-eligible employee, you can cover your
make during your New Hire Enrollment period will eligible dependents under CB&I’s benefit plans as well.
remain in effect until December 31, 2018, as long as Please review this section carefully to make sure your
you remain eligible. You cannot make changes to dependents are eligible.
your coverage during the year unless you have a
qualified status change. Examples of qualifying FAMILY
changes in status that allow you to change some MEMBER ELIGIBILITY REQUIREMENTS
of your benefits during the year include: Spouse Your legally married spouse, including
ƒƒ Marriage or divorce common-law spouses in states recognizing
common-law marriage. A common-law
ƒƒ Birth or adoption of your child marriage must have occurred in a state
ƒƒ Death of your spouse or child where it is legally recognized.
ƒƒ Change in your child’s dependent status You will be required to provide
documentation at the time your spouse is
ƒƒ Change in your benefit eligibility status
added to your coverage. See “Dependent
ƒƒ Change in your spouse’s benefit eligibility or Eligibility Audit” on page 10 for more
employment status information.

You have 31 days from the date of your Child(ren) Your dependent children up to age 26
qualified status change to make changes to regardless of whether they are married,
your health and welfare benefits. The changes full-time students, or eligible for other
Group Health Plan coverage. Children
will be effective on the date of your change in
include your natural born children,
status (for example, your baby’s date of birth stepchildren, legally adopted children, or
or the date of your marriage). In addition, you children living with you during a period
will be required to comply with the Dependent of adoption probation, and children who
Eligibility Audit by providing supporting are related to you by blood or by marriage
documentation. (See page 10 for information and for whom you are the legal guardian.
on the Dependent Eligibility Audit.) Dependent children of any age who
are incapable of supporting themselves
To make changes to your benefits as a result of a because of a mental or physical disability.
qualified status change, access the CB&I Benefits
You will be required to provide
Center website at https://benefits.cbi.com or call documentation at the time your
1-833-539-4608. dependent children are added to your
coverage. See “Dependent Eligibility
Audit” on page 10 for more information.

Please note: Intentionally covering ineligible persons


under these plans may be subject to discipline, up to
and including termination.

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HEALTHY CHOICES Benefits to Support a Healthier You

Dependent Eligibility Audit


IMPORTANT INFORMATION:
If you are enrolling dependents for coverage during
COVERED DEPENDENTS
your New Hire Enrollment period, you will need to
complete the Dependent Eligibility Audit to verify As required by federal law, you must provide
that your dependent is benefits-eligible according a valid Social Security number (SSN) for any
to current Plan rules. dependent you are adding to your benefits
coverage.
Your dependent will be added to your coverage.
Shortly thereafter, you will receive a letter in the
mail (and email if you have an email address
on file) explaining the audit process. For your
convenience, a list of required documentation is
also located on the CB&I Benefits Center website,
https://benefits.cbi.com, under Resources. You
must provide the requested documentation within
45 days from the date you enroll or your dependent’s
coverage will be dropped, with no option to elect
COBRA continuation coverage. During that 45-day
period, you will receive follow-up letters and emails
(if an email address is on file) reminding you of the
requested documentation.

Spousal Surcharge
If your spouse is eligible for other employer-sponsored medical coverage
but chooses CB&I coverage, you will pay a monthly surcharge of $125 in
addition to your medical plan premium. Please note that this does not apply if:
ƒƒ your spouse only has access to or gains access to Medicare, or
ƒƒ he or she is also employed by CB&I.

You will see a spousal surcharge section when enrolling through the CB&I Benefits Center website,
https://benefits.cbi.com.

IF YOUR SPOUSE IS INITIALLY … THEN YOU NEED TO …

Not eligible for his or her own employer-sponsored Call the CB&I Benefits Center, or log in to the
coverage and enrolls in CB&I coverage, then later website, https://benefits.cbi.com, to activate
becomes eligible for his or her own employer-sponsored the spousal surcharge
coverage

Eligible for his or her own employer-sponsored coverage Call the CB&I Benefits Center, or log in to the
and then later becomes ineligible for his or her own website, https://benefits.cbi.com, to
employer-sponsored coverage deactivate the spousal surcharge

Why do we have a spousal surcharge? Spousal coverage makes up a large portion of dependent costs. To help
CB&I manage these costs a surcharge is applied when you enroll a spouse who has other medical coverage
available, but chooses CB&I coverage.

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Please be aware that any misrepresentation regarding
the availability of employer medical coverage for BENEFIT FOR RETIRED VETERANS
your spouse may cause CB&I medical coverage for TRICARE is the U.S. Department of Defense
your spouse to end. Such misrepresentation may health benefit program for the military
also be grounds for discipline, up to and including community.
termination of your employment.
The Company offers a TRICARE Supplement
If You and Your Spouse Both Work for CB&I Plan to eligible active employees who have
served in the military. TRICARE Supplement
If you and your spouse are both benefits-eligible CB&I
helps pay your portion of medical costs after
employees, you may each enroll as an employee, or
your primary TRICARE plan has paid.
one of you may enroll as an employee and the other
as a dependent. If you both enroll as employees, only To be eligible, you must be enrolled in the
one of you may cover your eligible children. The Defense Enrollment Eligibility Reporting
spousal surcharge will not apply. System (DEERS) and you must not be eligible
for Medicare. Eligible individuals include:
ƒƒ Military retirees receiving retirement,
DESIGNATING A BENEFICIARY
retainer, or equivalent pay and spouses/
You must make beneficiary designations surviving spouses or military retirees
for Basic and Optional Life and AD&D ƒƒ Retired reservists between the ages of
Insurance online through the CB&I Benefits 60 and 65 and their spouses/surviving
Center when you make your New Hire spouses
Enrollment elections. ƒƒ Retired reservists younger than 60 and
enrolled in TRICARE Retired Reserve (“Gray
Area” retirees) and their spouses/surviving
spouses
ƒƒ Qualified National Guard and Reserve
members
If you are eligible and wish to enroll in
the TRICARE Supplement Plan, you can
contact Selman at 1-800-638-2610,
option 1, or access their website at
www.selmantricareresource.com/cbi.

11
HEALTHY CHOICES Benefits to Support a Healthier You

Wellness Incentive* How to Complete the Two Steps to Earn a


Wellness Incentive
With our Wellness Incentive, you can lower your
You and your spouse (if applicable) will need to
medical plan premiums while potentially lowering
complete BOTH a biometric screening, via a Home
your healthcare risks.
Test Kit or by using a CB&I Primary Care Physician
You and your covered spouse (if applicable) are Form, and complete an online Health Assessment
eligible for the incentive if you enroll in a CB&I through TotalWellness within 60 days of hire. It is not
medical plan for 2018. The program enables you necessary to be enrolled in the medical plan to
and your covered spouse to earn a 20% discount start the process needed for the 2018 Wellness
on your 2018 medical plan premiums simply by Incentive requirements.
participating — you do not have to “pass” any tests
Here’s how:
to earn this discount. Both you and your covered
spouse (if applicable) must each complete BOTH a First, go to https://cbi.gototalwellness.com and
biometric screening and online Health Assessment follow the on-screen instructions to create an
within 60 days of your date of hire to earn the account. You and your spouse (if applicable) will
incentive. each need to create an account.
If both you and your covered spouse (if applicable) Biometric Screening
do not complete the biometric screening and ƒƒ Once the account(s) is created you can select
Health Assessment within 60 days of your date of “Order a Home Test Kit” or complete a CB&I
hire, you will not receive the discounted medical Primary Care Physician Form.
plan premiums and will pay the non-discounted ƒƒ If you choose to complete a CB&I Primary Care
premiums for the remainder of the 2018 plan year. Physician Form you will be able to print this form
You will not have the opportunity to receive a from the TotalWellness website. If you have had a
discount on your premiums until the next plan year. wellness checkup with your provider within the
last 12 months, you may use the results from that
* Please note that Lutech employees and certain collectively bargained exam for your biometric screening requirement.
employees are covered by separate medical plans and are not eligible for
the wellness discount. In addition, U.S. employees on an international
However, your physician will need to complete
assignment are typically required to complete a pre-assignment medical and sign the CB&I Primary Care Physician Form.
exam. As a result, international assignees will not be required to
complete the screening or assessment to receive the discount.
ƒƒ You can return the completed CB&I Primary
Care Physician Form via fax, email or to the
CB&I-TotalWellness website (accessible via a
WHY COMPLETE A BIOMETRIC computer, tablet or smart phone). If you choose
to have your physician fax the form for you please
SCREENING AND HEALTH
follow-up with your physician to make sure the
ASSESSMENT?
fax was submitted to TotalWellness.
A biometric screening and Health
Assessment can help identify major health Please note: Home Test Kits are time sensitive and
risks you may have and encourage healthy need to be ordered as soon as possible to allow time
lifestyle habits. for mailing and processing.

Health Assessment
ƒƒ The Health Assessment can be accessed from the
site and can be completed at any time.
ƒƒ The information from the Health Assessment will
be automatically uploaded to your TotalWellness
account once your biometric screening is
processed and will replace any self-reported data.

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Please note: You do not need to wait until you
receive your Home Test Kit or CB&I Primary Care ON-DEMAND MEDICAL ACCESS
Physician Form results to complete the Health WITH TELEHEALTH CONNECTIONS
Assessment. Need a doctor right away? CB&I has
After you and your spouse (if applicable) complete contracted with Cigna to provide you
BOTH the biometric screening and online Health with fast access to board-certified doctors,
Assessment, you will receive the discounted including pediatricians, via video, phone
premiums as shown on page 24. The discount conferencing or through email advice.
will be effective as soon as administratively possible. Use Cigna Telehealth Connections:
Additional information regarding the biometric ƒƒ For non-emergency medical situations.
screening and Health Assessment requirements for ƒƒ When your doctor is not available on your
both employee and spouse (if applicable) can be schedule or it’s inconvenient to leave your
found on the TotalWellness website. home or office.
ƒƒ For medical consultation or advice while
traveling.
IF YOU TERMINATE EMPLOYMENT
ƒƒ When you need a prescription or a refill.
If you complete the requirements to earn
the Wellness Incentive, then terminate Examples of common conditions that
employment with the Company and are can be treated using Cigna Telehealth
rehired in the same plan year, you will Connections include allergies, cold and flu,
automatically receive the discounted fever, ear infections, pink eye, vomiting, etc.
premiums upon rehire for the remainder of Doctors are available 24/7. When you request
the plan year. You do not have to complete
a consultation by phone or online*, the
the requirements again to maintain the
average callback time is 10 minutes. Your
incentive.
medical plan’s applicable copay, coinsurance
and deductible apply, as if you were visiting
the doctor’s office.
A Small Investment of Time for Life-Saving
Information With Cigna Telehealth Connections,
Completing a biometric screening and Health you have on-demand access to doctors
Assessment requires a relatively small investment whenever you need medical advice. To get
of time for information that could potentially save started, register by phone or online and
your life. Information from these valuable wellness provide your medical history.
tools is kept completely confidential, and individually For more information, contact Cigna at
identifiable health information is not shared with 1-800-244-6224 or go online to
CB&I. The assessment and screening results can help www.mycigna.com.
you to: * Online access is not available in Iowa, Louisiana or Texas.
ƒƒ Understand your current health status and specific
health needs;
ƒƒ Learn how to improve your health habits and work
toward health goals; and
ƒƒ Gain insight about managing specific health issues.

13
HEALTHY CHOICES Benefits to Support a Healthier You

Medical
You can choose from three medical plans, administered by Cigna — two are traditional PPOs, featuring different
copays, deductibles, and out-of-pocket maximums and the third is a high deductible health plan with a Health
Savings Account (HSA).

The following is an overview of how the three plans compare. More detailed information on the CB&I medical
plans is available in the Health & Welfare Summary Plan Description located on the CB&I Benefits Center website
under Resources.

CB&I HEALTH SAVINGS PLAN


WITH HEALTH SAVINGS
CB&I PPO PLAN CB&I VALUE PPO PLAN ACCOUNT (HSA)

Highest premiums but lowest Lowest premiums, but has the Lower premiums but higher annual
deductible of all plans. highest deductible. deductible than the CB&I PPO Plan.
Unlike the PPO plans, the CB&I Health
Savings Plan annual deductible also
applies to prescription drug expenses.

All medical expenses, excluding All medical expenses, excluding All eligible medical and prescription
prescription drug expenses, prescription drug expenses, drug expenses apply toward the
apply toward the out-of-pocket apply toward the out-of-pocket out-of-pocket maximum. Once your
maximum. Once your out-of- maximum. Once your out-of- out-of-pocket maximum is met, the
pocket maximum is met, the Plan pocket maximum is met, the Plan Plan pays 100% of eligible medical
pays 100% of eligible medical pays 100% of eligible medical and prescription drug expenses for
expenses for the remainder of expenses for the remainder of the remainder of the calendar year.
the calendar year. the calendar year.

The deductible and out-of- The deductible and out-of- The individual deductible only applies
pocket maximum applies to each pocket maximum applies to each to employees with “Employee Only”
covered individual regardless of covered individual regardless of coverage. All other coverage levels
which coverage level you choose. which coverage level you choose. must meet the family deductible.
The out-of-pocket maximum applies
to each covered individual regardless
of which coverage level you choose.

Opportunity to participate in Opportunity to participate in Opportunity to open a Health Savings


the Healthcare FSA, a tax-free the Healthcare FSA, a tax-free Account (HSA), a tax-free account to
account to help pay for eligible account to help pay for eligible help pay for eligible medical expenses.
medical expenses. You may also medical expenses. You may also
Opportunity to participate in the
participate in the Dependent participate in the Dependent
Limited Purpose FSA to help pay for
Care FSA. Care FSA.
eligible dental and vision expenses
only. You may also participate in the
Dependent Care FSA.

ƒƒ Access to quality providers through the Cigna Open Access Plus PPO network.
ƒƒ Freedom to receive care from in-network or out-of-network providers.
ƒƒ In-network preventive care expenses paid at 100%.

14
NON-DUPLICATION OF BENEFITS SPOUSAL SURCHARGE
The CB&I medical plan contains a non- If your spouse is eligible for other employer-
duplication of benefits provision. This sponsored medical coverage but chooses
provision means that when the CB&I medical CB&I coverage, you will pay a monthly
plan is the secondary plan, it will reimburse surcharge in addition to your medical
only the difference between the primary plan premium. This does not apply if your
plan payment and what our plan would spouse only has access to or gains access to
normally pay. Medicare or if he or she is also employed by
Since many employer plans now feature CB&I. See “Spousal Surcharge” on page 10
this same provision, those with duplicate for more information.
coverage often receive only the coverage
of the better of the two plans involved.
Thus, while you are paying two benefit plan NEED HELP COMPARING PLANS?
premiums, you may only actually collect
from one of the plans. Although the decision You can access a medical plan comparison
is yours, for most people coverage under tool on https://benefits.cbi.com to compare
only one plan may be the most cost-effective the three medical plan options to determine
solution. which one may best fit the needs of you and
your family.

15
HEALTHY CHOICES Benefits to Support a Healthier You

The chart below compares coverage under each medical plan. Access www.mycigna.com for more details.

CB&I HEALTH SAVINGS PLAN


CB&I PPO PLAN CB&I VALUE PPO PLAN WITH HSA
PLAN Out-of- Out-of- Out-of-
FEATURES In-Network Network In-Network Network In-Network Network
Annual
Deductible
ƒƒ Individual $ 1,000 $ 2,000 $ 3,000 $ 6,000 $ 1,500 1 $ 3,000 1
ƒƒ Family $ 2,000 $ 4,000 $ 6,000 $ 12,000 $ 3,000 1
$ 6,000 1
Annual
Out-of-Pocket
Maximum2
ƒƒ Individual $ 5,000 $ 10,000 $ 5,000 $ 10,000 $ 6,350 3 $ 12,700 3
ƒƒ Family $ 10,000 $ 20,000 $ 10,000 $ 20,000 $ 12,700 3
$ 25,400 3
Lifetime Unlimited Unlimited Unlimited
Maximum
Benefits Summary
Primary Care $25 copay4 50% of MRC $40 copay4 50% of MRC 80% after 50% of MRC
Provider (PCP) after deductible after deductible deductible after deductible
Visit
MDLive $25 copay4 NA $40 copay4 NA 80% after NA
deductible
Specialist Visit $40 copay4 50% of MRC $60 copay4 50% of MRC 80% after 50% of MRC
after deductible after deductible deductible after deductible
Preventive 100% 50% of MRC 100% 50% of MRC 100% 50% of MRC
Care (includes (no copay) after deductible (no copay) after deductible after deductible
preventive lab
and X-ray
services)
Emergency 80% after deductible 70% after deductible 80% after deductible
Room
Urgent Care $50 copay4 $50 copay4 $70 copay4 $70 copay4 80% after 80% of MRC
deductible after deductible
Outpatient 80% after 50% of MRC 70% after 50% of MRC 80% after 50% of MRC
Services deductible after deductible deductible after deductible deductible after deductible
(includes
diagnostic
lab, X-ray,
surgeon, and
professional
fees)
(continued)
Deductible works differently in that it is non-embedded, which means the individual deductible applies only to “employee only”
1

coverage, whereas the family deductible applies if you have coverage other than “employee only.”
The deductible is included in the out-of-pocket maximum.
2

Individual limits apply for the out-of-pocket maximum in the Health Savings Plan, the same as in the other plans.
3

Under the CB&I PPO Plan and Value PPO Plan, medical plan copays apply toward the out-of-pocket maximum.
4

16
CB&I HEALTH SAVINGS PLAN
CB&I PPO PLAN CB&I VALUE PPO PLAN WITH HSA
PLAN Out-of- Out-of- Out-of-
FEATURES In-Network Network In-Network Network In-Network Network
Inpatient 80% after 50% of MRC 70% after 50% of MRC 80% after 50% of MRC
Services deductible after deductible deductible after deductible deductible after deductible
(includes lab
and X-ray
services)
Maternity Office visit 50% of MRC Office visit 50% of MRC 80% after 50% of MRC
Care (physician copay for initial after deductible copay for initial after deductible deductible after deductible
prenatal and office visit; all office visit; all
postnatal care) other inpatient other inpatient
services subject services subject
to 80% after to 70% after
deductible deductible
Short-term $25 PCP or $40 50% of MRC $40 PCP or $60 50% of MRC 80% after 50% of MRC
rehabilitation Specialist copay after deductible Specialist copay after deductible deductible after deductible
(includes per visit per visit
chiropractic,
physical,
speech,
cardiac,
pulmonary,
cognitive and
occupational
therapy (up to
40 visits per
calendar year
for all therapies
combined))
Nutritional 100% 50% of MRC 100% 50% of MRC 100% 50% of MRC
Counseling (no copay) after deductible (no copay) after deductible after deductible
HSA
ƒƒ Individual NA NA $350*
ƒƒ Family $700*

* You MUST actively elect the CB&I HSA, even if you choose not to contribute, in order to receive the employer contribution.

17
HEALTHY CHOICES Benefits to Support a Healthier You

Questions About Your Cigna


WHAT IS A MAXIMUM REIMBURSABLE Coverage?
CHARGE (MRC)?
Get Plan details any time of day. Just call Cigna
When you receive out-of-network medical toll-free at 1-800-244-6224.
care from a doctor or other healthcare
professional, Cigna places a limit to the Learn more about the features and advantages
amount of money it will reimburse for that of Cigna coverage, so you can make an informed
service. For example, your doctor might choice about your medical plan. Call to speak with
charge $100 for treatment, but the most your a knowledgeable enrollment specialist for:
Plan will pay is $80. This amount is called ƒƒ Information on specific plans.
the “maximum reimbursable charge (MRC).” ƒƒ Help finding participating doctors and other
The provider may bill you for the difference healthcare professionals.
between the provider’s normal charge and
ƒƒ Comparisons of all Cigna products and resources
the Maximum Reimbursable Charge, in available to you.
addition to applicable deductibles,
copayments and coinsurance. This service is limited to providing information only.
You must enroll through the CB&I Benefits
Note: Some providers forgive or waive the
Center to submit your 2018 elections.
cost share obligation (e.g., your copayment,
deductible and/or coinsurance) that this Plan
requires you to pay. Waiver of your required NEED HELP LOCATING A CIGNA
cost share obligation can jeopardize your PROVIDER?
coverage under this Plan.
Here are a few ways to locate a provider in
Cigna’s network:
ƒƒ Over the phone: Call Cigna at
The Plan contains an anti-assignment 1-800-244-6224 and speak with a
provision. This provision provides that you customer service representative.
and your dependents do not have the right ƒƒ Online: You can locate a provider by
to alienate, anticipate, commute, pledge, searching the online provider directory:
encumber or assign any of the benefits or
–– If you are already a Cigna member,
payments which you or your dependents
go to the Cigna member site at
may expect to receive, contingently or
www.mycigna.com.
otherwise, under the Plan. In addition,
benefits under the Chicago Bridge & Iron –– If you are not yet a Cigna member, go
Medical Plan may not be assigned, to the general site at www.cigna.com.
transferred or in any way made over to –– With your smartphone, using myCigna
another party by you or your dependents. Mobile App, available from the App
Nothing contained in the written description StoreSM or Google PlayTM.
of the Chicago Bridge & Iron Medical Plan –– Health Advocate can also assist you in
shall be construed to make the Plan or the finding a provider.
Company liable to any third party to whom
you or your dependents may be liable for
medical care, treatment, or services.

18
CIGNA THE AFFORDABLE CARE ACT AND
1-800-244-6224
YOUR MEDICAL COVERAGE
The Affordable Care Act (ACA), or “Health
www.mycigna.com
Care Reform,” requires you to enroll in
myCigna Mobile App: Minimum Essential Coverage for yourself
App StoreSM or Google PlayTM and each of your family members. This is
known as the “individual mandate.” If you
don’t have this coverage, you will pay a
tax penalty.
The CB&I medical plans meet the
requirements of ACA, but you may find
other coverage outside the Company,
through the Health Insurance Marketplace
or your spouse’s employer, that better
meets your family’s needs. You are not likely
to receive a federal subsidy for coverage
through the Health Insurance Marketplace,
but that determination depends on your
household income.
Visit the Federal government website,
www.healthcare.gov, for answers to your
questions about Health Care Reform
and your state’s online Health Insurance
Marketplace. You can also learn more
about the individual mandate in an Internal
Revenue Service FAQ at http://www.irs.gov/
uac/Questions-and-Answers-on-the-
Individual-Shared-Responsibility-Provision.

19
HEALTHY CHOICES Benefits to Support a Healthier You

Prescription Drug WHAT IS THE DIFFERENCE BETWEEN


If you enroll in any of the CB&I medical plans, GENERIC, FORMULARY AND
you will automatically receive prescription drug NON-FORMULARY DRUGS?
coverage through OptumRx, our prescription drug A generic drug is a drug product that
administrator. This coverage allows you to receive is comparable to a brand listed drug
prescription drugs by paying a copay or coinsurance. product in dosage form, strength, route of
administration, quality and performance
characteristics, and intended use. Generic
OPTUMRX
drugs can provide the same benefits as
1-855-241-5343 their brand-name equivalent at a fraction
Manage your prescriptions online at of the cost.
www.optumrx.com A formulary drug is a drug that is on the
OptumRx Mobile App: OptumRx preferred drug list or “formulary.”
App StoreSM or Google PlayTM A formulary is a list of covered drugs
selected by the Plan in consultation with
a team of healthcare providers, which
When your prescription is filled at one of OptumRx’s represents the prescription therapies
64,000 network pharmacies nationwide, and you believed to be a necessary part of a quality
present your OptumRx ID card, the cost for your treatment program.
prescriptions will depend on whether your Non-formulary drugs are drugs that do
prescription drug is a generic, formulary or a non- not fall into the categories above and, while
formulary brand-name drug. The cost is also based covered, generally come at a higher cost.
on whether you purchase your prescription drug
through the OptumRx network of retail pharmacies
or OptumRx Home Delivery.

20
Your cost for each drug category is shown below. More detailed information on the Prescription Drug
program is available in the Health & Welfare Summary Plan Description located on the CB&I Benefits Center
website under Resources.

PRESCRIPTION DRUG1 (administered by OptumRx)


CB&I PPO PLAN CB&I VALUE PPO PLAN CB&I HEALTH SAVINGS PLAN
Retail Mail or Retail Retail Mail or Retail Retail Mail or Retail
PLAN (up to 30-day (up to 90-day (up to 30-day (up to 90-day (up to 30-day (up to 90-day
FEATURES supply) supply) supply) supply) supply) supply)
Annual
Deductible
ƒƒ Individual $0 $0 $0 $0 $1,5002 $1,5002
ƒƒ Family $0 $0 $0 $0 $3,0002 $3,0002
Combined with Combined with
Medical Medical
Generic $10 $25 $10 $25 20% after 20% after
deductible deductible
Formulary 20% 20% 30% 30% 20% after 20% after
($25 min/ ($63 min/ ($35 min/ ($88 min/ deductible deductible
$75 max) $188 max) $105 max) $263 max)
Non- 40% 40% 50% 50% 20% after 20% after
Formulary ($50 min/ ($125 min/ ($70 min/ ($175 min/ deductible deductible
$150 max) $375 max) $210 max) $525 max)
Specialty/ 40% ($50 min/$150 max) 50% ($70 min/$210 max) 20% after deductible
Biotech
(30-day supply
only)
Annual
Out-of-Pocket
Maximum4
ƒƒ Individual $1,850 $1,850 $ 6,350 3
ƒƒ Family $3,700 $3,700 $ 12,700 3
Combined with Medical
Prescriptions filled at an out-of-network pharmacy are reimbursed at the discounted network price. Members may be responsible for any difference.
1

Deductible works differently in that it is non-embedded, which means the individual deductible applies only to “employee only” coverage, whereas the
2

family deductible applies if you have coverage other than “employee only.”
Individual limits apply for the out-of-pocket maximum in the Health Savings Plan, the same as in the other plans.
3

All covered prescription drug copays and coinsurance apply to the prescription drug out-of-pocket maximum.
4

USE A GENERIC WHEN AVAILABLE


Generic drugs have the same active ingredients as brand-name drugs but may cost up to 80 percent
less. As a result, the Plan requires you to use generic drugs whenever possible. If a generic drug is
available and you or your physician choose to use a brand-name drug, you will be required to pay
the applicable brand-name cost, plus the difference in cost between the brand-name drug and the
generic alternative. Please note: This penalty amount will not apply to the out-of-pocket maximum.
(If a generic is not available, you will pay the brand-name cost only.)

21
HEALTHY CHOICES Benefits to Support a Healthier You

If you are enrolled in the CB&I PPO or FULL COVERAGE FOR CERTAIN
Value PPO Plans, if the actual, undiscounted PREVENTIVE MEDICATIONS
cost of your prescription is less than the All of our prescription drug plans include
generic copay or formulary/non-formulary 100% coverage for certain preventive
minimums, you will only be responsible for prescription drugs, such as certain
the actual cost of the drug. For example, if immunizations, smoking cessation aids,
the actual cost of your generic medication contraceptives, breast cancer prevention and
is $5, you will pay only $5, not the $10 bowel preparation drugs, when purchased
generic copay. in-network. For more information on
preventive drugs covered by our prescription
drug plans, see www.optumrx.com.
MANAGE YOUR PRESCRIPTIONS
ONLINE
Once you are enrolled for medical coverage,
you will have access to www.optumrx.com,
your personal prescription management
tool, which allows you to view your
medication history, look up in-network
pharmacies, learn more about your
medications, determine the cost of a drug
before you arrive at the pharmacy, and
keep a journal of medications.
On the go? You can also download the
OptumRx Mobile App from the App StoreSM,
Google PlayTM or BlackBerry® WorldTM to
view medication history, locate participating
pharmacies, compare drug costs, find
lower-cost alternatives, learn about drug
side effects, and more!

22
Maintenance Medications Specialty Medication
Prescription drugs that your doctor requires you to If your physician has prescribed certain specialty
take on a regular basis for chronic conditions are medication for you or a covered family member,
considered “maintenance” medications. Examples you will need to have the prescription filled through
include medication prescribed for the treatment of OptumRx’s Specialty Pharmacy, BriovaRx. You may
long-term or chronic conditions such as diabetes, access this service through www.BriovaRx.com
arthritis, high blood pressure, heart conditions, etc. (member services/specialty pharmacy) or by calling
1-855-4BRIOVA (1-855-427-4682).
If you are prescribed maintenance medication,
you are required to receive a 90-day supply
either at an OptumRx network retail pharmacy Contact OptumRx for more information or to
or through OptumRx Home Delivery for the see if a medication may be subject to one of
medication to be covered under the Plan. You these programs.
can obtain two 30-day prescription fills of your
maintenance medications (original fill and one refill).
After your second 30-day fill, you will receive a letter Utilization Management Program
from OptumRx notifying you of the requirement to
In an ongoing effort to effectively manage your
move to a 90-day supply.
prescription drug benefits, the prescription drug
If you do not move to a 90-day supply after the benefit uses utilization management programs,
second 30-day fill, you will no longer have coverage which include prior authorization; quantity level
for that 30-day supply and will be required to pay limits; and step therapy.
the full, discounted cost of the prescription. This full Utilization management programs ensure the safe
discounted cost will not apply to the deductible (if and appropriate use of certain drugs. OptumRx
you are enrolled in the Health Savings Plan) or the provides clinical review of these drugs with criteria
out-of-pocket maximum (under all of the medical based upon established national clinical guidelines,
plan options). standards of care, and FDA-approved dosing
regimens.

You can check whether utilization management


applies to a specific drug by contacting OptumRx
Member Services at 1-855-241-5343.

23
HEALTHY CHOICES Benefits to Support a Healthier You

Medical Premiums (Including Prescription Drug Plan)


The following charts show your pre-tax premiums for our CB&I medical plans — with and without the 20%
wellness incentive. For more about the CB&I Wellness Incentive Program, see page 12.

Medical and Prescription Drug Coverage

CB&I Value PPO Plan


WEEKLY MONTHLY ANNUALLY
COVERAGE TIER 20% discount No discount 20% discount No discount 20% discount No discount
Employee Only $15.93 $19.85 $69.00 $86.00 $828.00 $1,032.00
Employee + Spouse $33.69 $42.00 $146.00 $182.00 $1,752.00 $2,184.00
Employee + Child(ren) $28.16 $35.08 $122.00 $152.00 $1,464.00 $1,824.00
Family $48.00 $60.00 $208.00 $260.00 $2,496.00 $3,120.00

CB&I Health Savings Plan


WEEKLY MONTHLY ANNUALLY
COVERAGE TIER 20% discount No discount 20% discount No discount 20% discount No discount
Employee Only $22.85 $28.62 $99.00 $124.00 $1,188.00 $1,488.00
Employee + Spouse $48.00 $60.00 $208.00 $260.00 $2,496.00 $3,120.00
Employee + Child(ren) $39.93 $49.85 $173.00 $216.00 $2,076.00 $2,592.00
Family $63.93 $79.85 $277.00 $346.00 $3,324.00 $4,152.00

CB&I PPO Plan


WEEKLY MONTHLY ANNUALLY
COVERAGE TIER 20% discount No discount 20% discount No discount 20% discount No discount
Employee Only $54.92 $68.54 $238.00 $297.00 $2,856.00 $3,564.00
Employee + Spouse $115.15 $144.00 $499.00 $624.00 $5,988.00 $7,488.00
Employee + Child(ren) $96.00 $120.00 $416.00 $520.00 $4,992.00 $6,240.00
Family $164.30 $205.38 $712.00 $890.00 $8,544.00 $10,680.00

24
Health Savings Account ƒƒ You are enrolled in Medicare (Part A or Part B).*

(HSA) — Tax-Free Savings ƒƒ You are eligible to be claimed as a dependent on


another individual’s tax return.
for You ƒƒ You are not a U.S. resident or you are a resident of
If you enroll in the CB&I Health Savings Plan and elect American Samoa.
the HSA, you receive a tax-free Company contribution ƒƒ You are active in the military.
in a Health Savings Account (HSA) that you can use
* If you have an existing HSA and enroll in Medicare, you may continue to
to pay for eligible healthcare expenses — including draw on your HSA funds, but may no longer contribute to your account.
medical, prescription drug, dental, orthodontia, and Call the CB&I Benefits Center no later than the month you turn age 65 to
cancel your contributions.
vision expenses.

YOUR HSA ACCOUNT REQUIRES A


CONNECT YOUR CARE (CYC)
PHYSICAL ADDRESS
1-877-292-4040
Upon your enrollment in the Health Savings
www.connectyourcare.com Plan, an HSA will automatically be opened
CYC Mobile App: on your behalf with HSA Bank. HSA accounts
App StoreSM or Google PlayTM can only be opened with a physical address.
If you currently use a P.O. box as your
primary address, you will need to give
What is an HSA? Connect Your Care a physical address before
the funds in your account can be utilized.
An HSA is like a 401(k) for healthcare. HSAs are
tax-advantaged accounts that accumulate interest
and can earn investment returns. The funds can be
used to pay for qualified medical expenses today or WHY CONSIDER THE CB&I HEALTH
can be saved for future expenses. It is owned by you, SAVINGS PLAN WITH HSA?
is 100% vested from day one, and lets you build up
The CB&I Health Savings Plan has an added
savings for future needs.
advantage not possible with other CB&I
medical plan options — a tax-advantaged
Who Is Eligible
Health Savings Account (HSA) administered
While all employees are eligible to enroll in the by HSA Bank.
CB&I Health Savings Plan, certain individuals are not
eligible for an HSA. You are not eligible for an HSA if Triple Tax Advantage
you fall into any of the following categories: Not only can your HSA grow over time, but it
ƒƒ You are enrolled in another medical plan (e.g., also saves you money on taxes three ways:
your spouse’s plan), unless it is also a qualified ƒƒ Contributions are tax-free.
high deductible health plan. (However, you must
ƒƒ Earnings are tax-free.
be enrolled in the CB&I Health Savings Plan and
elect the HSA to receive Company contributions ƒƒ You don’t pay taxes on the money when
and make pre-tax contributions through payroll you spend it as long as it’s for eligible
deductions.) healthcare expenses.

ƒƒ If you were enrolled in a Health Care Flexible


Spending Account in the same plan year.

25
HEALTHY CHOICES Benefits to Support a Healthier You

Make Tax-Free Contributions


YOUR HSA AND QUALIFYING
Once your account is open, you and CB&I both
STATUS CHANGES
contribute to your HSA tax-free:
If you are enrolled in the CB&I Health Savings
ƒƒ CB&I contributes to your account ($350 individual/
Plan and change from Employee only
$700 family) after you enroll in the Health Savings
Plan and elect the HSA. You may access the funds coverage to Employee plus dependents
once they are deposited into your account. coverage after your New Hire Enrollment
period, CB&I will not provide additional
ƒƒ You have the option to contribute pre-tax to your
contributions for family coverage.
account, up to the following IRS limits for 2018:
–– $3,450 (Employee only coverage);
–– $6,900 (Employee plus any dependent(s)); and Decide How to Spend Your Money
–– $1,000 “catch-up” contribution, for participants
You can use your HSA money to pay for qualified
age 55 or older.
medical, dental, vision, and prescription drug
ƒƒ Your contributions are taken out of your paycheck
expenses, including your annual deductible.
tax-free, in equal amounts during the year. You can
start, stop or change your contributions at any time You can also use your HSA funds for other purposes.
regardless of whether you have a qualified status However, if you use the money in your HSA for
change. Any changes to your contributions will ineligible expenses, you will be taxed on the money
take effect as soon as administratively possible, used for those expenses and could possibly incur a
typically the first or the second pay period penalty from the IRS.
following the date you submit the request.
ƒƒ Depending on where you live, contributions to the Pay for Qualified Expenses
HSA may be subject to state and/or local tax. To use your HSA to pay for eligible healthcare
Keep in mind that CB&I’s contribution to your HSA expenses, you can:
counts toward these limits, as do any contributions ƒƒ Use your HSA debit card from Connect Your
you have already made to an HSA (through another Care to pay for services when you receive them.
employer’s medical plan, for example). ƒƒ Use your HSA to pay eligible healthcare bills
through the online bill payment service on
www.connectyourcare.com.
You MUST actively elect the CB&I HSA, even
ƒƒ Write an HSA check to the provider or to yourself
if you choose not to contribute, in order to
(if you have an HSA checkbook).
receive the employer contribution.
ƒƒ Reimburse yourself for qualified expenses paid
out-of-pocket via direct deposit from your HSA
into a designated account.
The CB&I Benefits Center website,
https://benefits.cbi.com, features a Savings
Account Estimator that can help you
estimate how much you may want to
contribute to an HSA.

26
You can make payments or withdrawals from Using Your Online Account
your HSA only up to your current account
To start, simply log in to www.connectyourcare.com.
balance. Note that you must keep your own records
of qualified expenses — you don’t submit claims ƒƒ Select the log in link from the upper right-hand
documentation to HSA Bank. corner.
ƒƒ Sign in with your user name and password.
Or, you can pay for qualified expenses yourself,
ƒƒ If it is your first time visiting the site, choose
save and invest your HSA funds, and use the money
New User Registration to select your name
for future healthcare expenses, such as retiree
and password.
medical costs.
Your online account puts account information
Save It, Invest It, Take It With You and health education tools at your fingertips.
The money in your HSA account is yours to keep: Online account features allow you to easily:
ƒƒ You can leave funds in your account to earn ƒƒ Get account balance.
interest tax-free. ƒƒ View payment card charges.
ƒƒ When your HSA balance reaches a certain level, ƒƒ View HSA interest payment.
you have the option to invest a portion of your
ƒƒ Enter a request for withdrawal.
HSA money in a wide array of mutual fund options.
You can use your investment money to pay for ƒƒ View withdrawal requests.
current or future expenses. ƒƒ Manage HSA investments.
ƒƒ There is no “use it or lose it” rule so the money in ƒƒ Read important messages.
your HSA account rolls over year to year.
ƒƒ View reimbursement schedule.
ƒƒ The HSA is portable, so if you leave CB&I, you can
take it with you. ƒƒ Access tips & tools from WebMD.
ƒƒ Find answers to frequently asked questions.

ROLLOVERS FROM OTHER HSA


ACCOUNTS
You can rollover funds from another
qualified HSA into the CB&I HSA. Rollovers
into your HSA must be completed within
60 days of the date you receive the
distribution from the other HSA. Contact
Connect Your Care at 1-877-292-4040 for
more information.

27
HEALTHY CHOICES Benefits to Support a Healthier You

Flexible Spending
Accounts (FSAs)
Flexible Spending Account (FSA) programs let you
set aside pre-tax dollars to pay for eligible healthcare FSA DEBIT CARD
and/or dependent care expenses. You can pay FSA expenses with the debit
Each year, you can choose to participate in the card you receive from Discovery Benefits,
following spending accounts: or you can pay out of your pocket and file
a claim for reimbursement later. Be sure to
ƒƒ The Healthcare FSA reimburses you for eligible
healthcare costs incurred by you or your family keep bills and receipts in case you have to
members that are not paid by any other health verify that any expenses are eligible.
insurance or coverage. The Healthcare FSA is
available to CB&I PPO Plan and CB&I Value PPO
Plan participants, or employees who waive
medical plan coverage. ESTIMATING YOUR EXPENSES

ƒƒ The Limited Purpose FSA reimburses you for The FSAs are “use it or lose it,” which means
eligible out-of-pocket dental and vision expenses. account balances do not roll over from year
The Limited Purpose FSA is available to CB&I Health to year and you cannot be reimbursed any
Savings Plan participants only. unused funds. You should try to predict
ƒƒ The Dependent Day Care FSA reimburses you as closely as possible how much you will
for certain day care expenses for children and actually spend during the year. To help you
dependent adults. do this, you can use the Savings Account
Estimator available on the CB&I Benefits
Center website at https://benefits.cbi.com.
DISCOVERY BENEFITS
1-866-451-3399
www.discoverybenefits.com FOR DETAILS ON FSA QUALIFIED
Discovery Benefits Mobile App: EXPENSES
App StoreSM or Google PlayTM See the following publications available on
the IRS website, www.irs.gov, for details on
FSAs:
Discovery Benefits is the administrator for CB&I’s
ƒƒ IRS Publication 502: For qualified
Healthcare, Limited Purpose, and Dependent Day
healthcare expenses.
Care FSAs. For more information about how these
accounts can work for you, view the Tax-Saving ƒƒ IRS Publication 503: For qualified expenses
Accounts at a Glance chart on page 30 or refer for child and dependent care.
to the Health & Welfare SPD in Resources at
https://benefits.cbi.com.

28
When Documentation is Not Needed When Documentation is Needed
Debit card transactions will be substantiated The IRS requires you to submit documentation for
automatically, without additional paperwork, if expenses reimbursed with your FSA debit card at
they are copays under CB&I healthcare coverages healthcare-related merchants such as doctor and
or recurring transactions that match the provider dental offices, hospitals, vision stores and some
and dollar amount exactly for previously approved pharmacies or drug stores. Debit card transactions
that do not meet the criteria listed above will need
transactions (for example, orthodontia claims or
additional documentation to be substantiated. In
maintenance prescription drugs).
these cases:
Plan Year Closing ƒƒ You will receive reminders until you provide the
correct documentation.
Discovery Benefits performs an FSA plan closing
process following the end of each plan year. During ƒƒ If documentation has not been received and
processed within 120 days of the debit card
plan closing, Discovery Benefits reviews all FSA
transaction, your debit card will be temporarily
account credits, debits and repayments and ensures deactivated until you either:
that the plan complies with IRS regulations. Plan
–– Pay the unsubstantiated amount back into
closing occurs shortly after the March 31 deadline your FSA via payment to Discovery Benefits; or
for filing claims.
–– Offset the ineligible amount with
You may receive a notice during and/or following the documentation for other eligible expenses
end of the plan year that you have unsubstantiated incurred within the same plan year.
claims from your FSA. These are typically for expenses Your FSA debit card will be reactivated when
paid using your FSA debit card. You must provide the appropriate documentation or repayment
documentation to substantiate those claims (for is received.
example, a receipt, bill/statement or explanation of
benefits). If you do not substantiate the claims, they
become taxable and will be subtracted from your The amount you elect to contribute to an
pay on an after-tax basis and returned to the plan FSA is divided by the number of pay periods
to offset plan expenses after the plan year closing. in a calendar year (26 pay periods for salaried
employees and 52 pay periods for eligible
hourly employees), or by the number of pay
periods left in the year. If your goal amount
is not equally divisible by the number of pay
periods, your actual contributions may be
slightly different than your goal amount.

29
HEALTHY CHOICES Benefits to Support a Healthier You

Tax-Saving Accounts at a Glance


The following chart will help illustrate how the HSA, Healthcare FSA, Limited Purpose FSA and Dependent Day Care
FSA differ from one another:

HEALTHCARE FLEXIBLE LIMITED PURPOSE DEPENDENT


HEALTH SAVINGS SPENDING ACCOUNT FLEXIBLE SPENDING DAY CARE
QUESTION ACCOUNT (HSA) (HCFSA) ACCOUNT (LPFSA) FSA (DCFSA)
Which medical plan The CB&I Health Savings The CB&I PPO Plan or the The CB&I Health Savings Available
do I enroll in to Plan CB&I Value PPO Plan Plan to all Plan
access it?* participants
Are contributions Yes Yes Yes Yes
tax-free?
Who contributes? You and CB&I You You You
What does CB&I $350** (Employee only $0 $0 $0
contribute? coverage)
$700** (Employee plus any
dependent(s))
What are 2018 Totals for employee and $2,650 $2,650 $5,000
maximum annual Company contributions:
contributions? ƒƒ $3,450 (Employee only
coverage)
ƒƒ $6,900 (Employee plus
any dependent(s))
ƒƒ Additional $1,000 if age
55+ and not enrolled in
Medicare
When can I start Employee contributions Employee contributions do Employee contributions do Employee
using the account? must accumulate in the not need to accumulate in not need to accumulate in contributions
account before using. the account before using. the account before using. must
accumulate in
Employer contributions Your contributions will Your contributions will
the account
will be available as soon as be available as soon as be available as soon as
before using.
administratively possible administratively possible administratively possible
upon enrollment in the upon enrollment in the upon enrollment in the
CB&I Health Savings Plan or Healthcare FSA or on Limited Purpose FSA or
in early January, if enrolling January 1, if enrolling on January 1, if enrolling
during Open Enrollment during Open Enrollment during Open Enrollment
for the following plan year. for the following plan year. for the following plan year.
Can I use money for Yes, but money is subject No No — must use account No
ineligible expenses? to taxes and penalties. for eligible dental and
vision expenses only.
Do I lose unspent No, your money carries Yes Yes Yes
money at the end over year to year.
of the year?
Can I take my Yes No No No
account with me
if I leave CB&I?
* You do not need to be enrolled in a medical plan to access an HCFSA or a DCFSA.
** You MUST actively elect the CB&I HSA, even if you choose not to contribute, in order to receive the employer contribution.

30
Employee Assistance
Program (EAP)
If you find you need help dealing with an issue that You and your family can access the EAP to receive
is affecting your personal and/or work life, call the free, confidential assistance for a wide range of issues,
Employee Assistance Program (EAP). You and all such as:
members of your household are eligible for the EAP, ƒƒ Emotional, personal, and stress-related concerns
even if you are not enrolled in the CB&I medical plan.
ƒƒ Marriage, family, and relationship problems
ƒƒ Child care and elder care referrals
CIGNA BEHAVIORAL HEALTH ƒƒ Legal questions
1-800-527-5939 ƒƒ Chemical dependency
www.cignabehavioral.com
Please note that all requests and services received
(Employer ID is CBI)
through the EAP are confidential. The EAP provider
myCigna Mobile App: will not share your information with the Company
App StoreSM or Google PlayTM without your permission or unless required by law
(e.g., for child or elder abuse, or in a life-threatening
situation).
EAP counselors are available 24 hours a day, 365 days
a year. They can provide initial assessments, referrals,
and short-term therapy. For longer-term care, the
counselors will refer you to an appropriate provider,
and your medical plan may help cover some of
the costs.

31
HEALTHY CHOICES Benefits to Support a Healthier You

Wellness
Good health is not just about getting well — it’s
about staying well, by making healthy lifestyle Please note that all information shared with
choices, such as getting regular exercise, eating Cigna is fully HIPAA protected and will not
right and managing chronic conditions. CB&I offers be disclosed to CB&I except in accordance
several wellness resources to help you take charge with the terms and procedures outlined by
of your health. federal law.

Cigna’s Chronic Condition Program —


Your Health First Cigna Healthy Rewards Program
Your Health First provides holistic coaching support When you enroll in a Cigna medical plan, you can
for individuals with chronic conditions. also take advantage of the Cigna Healthy Rewards
ƒƒ Asthma Program, which provides valuable discounts on
ƒƒ Low back pain services and products to enhance your health and
well-being. You and your family can save up to
ƒƒ Diabetes
60% on:
ƒƒ Heart disease
ƒƒ Massage therapy
ƒƒ Coronary obstructive pulmonary disease (COPD)
ƒƒ Fitness club memberships
ƒƒ Congestive heart failure
ƒƒ Weight management and nutrition
ƒƒ Depression
ƒƒ Tobacco cessation
ƒƒ Osteoarthritis
ƒƒ Healthy lifestyle products (e.g., books,
ƒƒ Peripheral arterial disease subscriptions)
ƒƒ Weight complications ƒƒ Vitamins and herbal supplements
You will receive a call from Cigna if you or a covered Discounts are available from participating Healthy
family member is eligible to participate in the Rewards providers. To find participating providers
program. Cigna will also mail additional information near you, go to www.mycigna.com and look under
on program resources. Enrollment in the Your Health the “Review My Coverage” tab or call 1-800-870-3470.
First program is voluntary. To receive the provider’s reduced fee, be sure to
Your Health First can help you learn new skills to take present your Cigna medical ID card at the time of
control of your health. If you elect to participate in service. There are no referrals necessary and no claim
the program, you will receive educational phone calls, forms to file. You and your covered family members
and health coaching either telephonically or online can use these discounts as often as you like and
through www.mycigna.com. You can learn about there are no annual limits.
the latest tests and treatments and how lifestyle
modifications may help you better manage your
condition. The program can help you work more
effectively with your doctor and other healthcare
providers to optimize treatment.

32
Healthy Babies Healthy Pregnancy
Program CIGNA
Available to expectant mothers enrolled in a CB&I To locate a dentist in your area:
medical plan, the Healthy Babies Healthy Pregnancy 1-888-DENTAL8
program is designed to help babies get the best Dental claims assistance:
possible start in life. The program provides unlimited 1-800-244-6224
access to OB nurses who can help:
www.mycigna.com
ƒƒ Identify any potential risks early
myCigna Mobile App:
ƒƒ Coordinate appropriate care App StoreSM or Google PlayTM
ƒƒ Provide coaching and support for women who are
preparing for pregnancy or are currently pregnant
While you do receive benefits if you seek dental care
Expectant mothers also receive specialized
from an out-of-network dentist, Cigna will only pay
mailings and ongoing assessments to prevent and
up to the maximum reimbursable charge (MRC) —
manage complications associated with pregnancy.
and you may be responsible for filing your claims.
Participants who complete the program are eligible
to receive an incentive of $400 if enrolled by the end
of their first trimester or $200 if enrolled by the end SEARCH CIGNA’S NETWORK
of their second trimester. A dependent child may DIRECTORY
participate in the Healthy Pregnancies Healthy Babies
Cigna makes it easy for you to make more
program, but is not eligible to receive the incentive,
informed decisions when selecting a dentist.
nor can the Employee receive the incentive on behalf
Cigna’s Dental PPO network is made up of
of the dependent child. Call 1-800-615-2906 to enroll.
148,000 unique dentists available at 384,000
locations. These participating dentists are
Dental consolidated into one directory that you can
easily search online at www.mycigna.com
Dental coverage is an important part of your overall
(or www.cigna.com, if you are not already a
health benefits at CB&I. The Cigna Dental Plan covers
Cigna member).
a variety of dental care — preventive, basic, and
major — as well as orthodontia for dependents The online dental directory is designed to
up to the age of 19. help you identify the most cost-effective
dentists based on historical claims data and
With the Cigna Dental Plan, you have the freedom current fee schedules. You can also obtain
to choose any provider you wish and still receive personalized out-of-pocket cost estimates
benefits. While you can receive care from any dentist, for over 400 common dental procedures
it is important to remember that dentists who are and treatments.
in the Cigna PPO network have agreed to charge
negotiated rates.

33
HEALTHY CHOICES Benefits to Support a Healthier You

Below is a summary of coverage. More detailed information on the CB&I Dental Plan is available in the Health &
Welfare Summary Plan Description located on the CB&I Benefits Center website under Resources.

CIGNA DENTAL

TYPE OF SERVICE COVERAGE

Calendar Year Deductible (applies to basic and major services only)


ƒƒ Individual $50
ƒƒ Family $150

Annual Maximum $1,500 per person

Preventive Services (exams, cleanings, X-rays) 100% (no deductible)

Basic Restorative Services (fillings, simple extractions) 80% after deductible*

Endodontics (root canals) 80% after deductible*

Periodontics (treatment related to gum disease) 80% after deductible*

Oral Surgery (simple or complex) 80% after deductible*

Major Restorative Services (implants, crowns, dentures, bridges) 50% after deductible*

Orthodontia Services (limited to covered dependents to the age of 19) 50% coverage

Orthodontia Lifetime Maximum (limited to covered dependents to the age of 19) $1,500
* Up to the maximum reimbursable charge.

Dental Premiums
The following chart shows your pre-tax premiums for the Cigna Dental PPO Plan.

COVERAGE TIER WEEKLY MONTHLY ANNUALLY

Employee Only $ 3.50 $ 15.15 $ 181.80

Employee + Spouse $ 6.99 $ 30.30 $ 363.60

Employee + Child(ren) $ 8.88 $ 38.48 $ 461.76

Family $ 13.98 $ 60.59 $ 727.08

34
Vision
CB&I offers a voluntary vision plan through VSP. You
may obtain a list of network providers, benefits, and VSP
eligibility information through the VSP website at 1-800-877-7195
www.vsp.com or by calling 1-800-877-7195.
www.vsp.com
Below is a summary of vision coverage. More
detailed information on the CB&I Vision Plan is available
in the Health & Welfare Summary Plan Description located on the CB&I Benefits Center website under Resources.

VSP VISION

BENEFIT IN-NETWORK OUT-OF-NETWORK

Eye Exam 12 months

Prescription Lenses 12 months

Contact Lenses (in lieu of 12 months


prescription lenses)

Frames 12 months (dependents under 18); 24 months (over 18)

Copays

Exam and Materials $10 exam; $25 materials $10 exam; $25 materials

Benefits

Eye Exam Covered in full Up to $50

Single Vision Lenses Covered in full Up to $50

Lined Bifocal Lenses Covered in full Up to $75

Lined Trifocal Lenses Covered in full Up to $100

Lenticular Lenses Covered in full Up to $125

Frames 100%, up to $190 Up to $70

Contacts — Elective (in lieu of 100%, up to $170 Up to $105


prescription lenses)

Contacts — Medically Necessary 100% Up to $210

(continued)

35
HEALTHY CHOICES Benefits to Support a Healthier You

VSP VISION

Extra Savings and Discounts (In-Network)

Contact Lens Exam (fitting and 15% discount


evaluation)

Glasses and Sunglasses 30% off additional glasses or sunglasses, including lens options, from the
same VSP doctor on the same day as your WellVision exam, or get 20%
off from any VSP doctor within 12 months of your last WellVision Exam

Retinal Screening Guaranteed pricing on retinal screenings as an enhancement to your


WellVision Exam

Laser Vision Correction Average 15% off regular price or 5% off promotional price from
contracted facility

Diabetic Eyecare Plus Program $20 copay (in-network only) for services related to diabetic eye disease,
glaucoma and age-related macular degeneration (AMD). Includes a
retinal screening for eligible members with diabetes. Limitations and
coordination with medical coverage may apply.

VSP Safety Plan


ABOUT ID CARDS
The VSP Safety Plan has several benefits:
VSP will not send you an ID card, nor do you
ƒƒ Members may see any VSP doctor (Note: not all
VSP providers have ANSI-certified safety frames require one to see a network provider. If you
in office). choose to see an out-of-network provider,
you will be responsible for filing a claim for
ƒƒ Prescription standard plastic or glass lenses
reimbursement.
(single vision, lined bifocal, lined trifocal and
tints/photochromics) are covered once every
calendar year, after a $10 copay.
ƒƒ Lenses are tested and certified to meet current
ANSI and OSHA standards for impact protection.
ƒƒ A $100 frame allowance (once every other
calendar year) is provided for safety frames.
Members pay out-of-pocket for amounts
exceeding the allowance.

36
Vision Premiums
The following chart shows your pre-tax premiums for vision coverage.

COVERAGE TIER WEEKLY MONTHLY ANNUALLY

Employee Only $ 2.01 $ 8.70 $ 104.40

Employee + Spouse $ 3.21 $ 13.92 $ 167.04

Employee + Child(ren) $ 3.28 $ 14.22 $ 170.64

Family $ 5.29 $ 22.92 $ 275.04

For the safety glasses buy-up, add the following amounts to the rates shown above:

COVERAGE TIER WEEKLY MONTHLY ANNUALLY

VSP Safety Plan $ 0.28 $ 1.22 $ 14.64

TRUHEARING® HEARING AID DISCOUNT PROGRAM


The Plan also offers discounts on digital hearing aids and hearing services through TruHearing. The
TruHearing MemberPlus program includes:
ƒƒ Savings of up to 50% on hearing aids.
ƒƒ Yearly comprehensive hearing exams for $75.
ƒƒ Three visits with a hearing professional after hearing aid purchase.
ƒƒ Manufacturer’s coverage for a one-time loss or damage for three years (replacement fee paid to
manufacturer).
ƒƒ Three-year hearing aid repair warranty.
ƒƒ 48 batteries per hearing aid.
To take advantage of the TruHearing discounts,sign up at vsp.truhearing.com or call TruHearing at
1-877-396-7194.

37
HEALTHY CHOICES Benefits to Support a Healthier You

Disability, Life and AD&D Insurance


Benefit Overview

BENEFIT BENEFIT AMOUNT

Short-Term Disability

Employee If you are unable to work due to an illness or injury not connected to your
employment, you may receive up to 26 weeks of STD benefits that replace 60% of
your base pay (up to $3,000 per week). You have the option to elect STD coverage
through employee-paid premiums.

Long-Term Disability

Employee You have the option to elect LTD coverage through employee-paid premiums. The
benefit provides up to 60% of your base pay (up to $5,000 per month) once you have
been disabled for six months.

Basic Life & Accidental Death & Dismemberment (AD&D) Insurance

Employee Company provides 1x your current annual base pay, up to $750,000 maximum for
Basic Life and AD&D insurance.

Optional Life Insurance

Employee 1x to 5x your current annual base pay, up to a maximum of $2,000,000.

Spouse Purchase up to 100% of employee life insurance amount in increments of $5,000,


up to a maximum of $100,000, not to exceed the employee’s basic and optional life
insurance combined.

Dependent Child(ren) ƒƒ $5,000 per child


ƒƒ $10,000 per child
Not to exceed the combined total of the employee’s basic and optional life
insurance.

Optional AD&D Insurance

Employee 1x to 5x your current annual base pay, up to a maximum of $2,000,000.

Employee + Family Based on the optional employee coverage amount elected, if you elect family
coverage, the spouse and child(ren) benefit is as follows:
ƒƒ Spouse only — 60% of employee coverage amount.
ƒƒ Child(ren) only — 20% of employee coverage amount, up to $25,000 per child.
ƒƒ Spouse and child(ren) — 50% of employee coverage amount for your spouse and
10% of employee coverage amount, up to $25,000 per child.

Travel Accident

Employee Up to 5x your annual base pay (up to a maximum of $750,000) in the event of
accidental death while traveling on Company business.

38
You and/or your dependent cannot be covered as
both an employee and a dependent under the Plan. PRUDENTIAL
If you and your spouse or you and your child both 1-800-842-1718
work for the Company:
www.prudential.com/mybenefits
You can elect to be covered either as an employee
Email: disability.requests@prudential.com
or a dependent of the other employee, but not both.

Any dependent child whose parents both work for


the Company can be covered as a dependent under
only one parent. A REMINDER ABOUT IMPUTED
INCOME

EVIDENCE OF INSURABILITY Please note: If your Basic Life Insurance


coverage is greater than $50,000, the value
If you enroll online and your or your covered of this employer-paid coverage in excess
spouse’s election requires Evidence of of $50,000 is considered “imputed income”
Insurability (EOI), you have the option and subject to income tax. The tax on this
to complete the EOI process online. To imputed income is taken on a per-pay-
complete the process, you will access the period basis.
Prudential online health questionnaire via
a link on the CB&I Benefits Center website
and follow the step-by-step process.
You may receive instant approval on your
EOI election. If so, your coverage will be
updated as soon as administratively possible
within the CB&I Benefits Center website.
Prudential will notify you if additional
information is required.

39
HEALTHY CHOICES Benefits to Support a Healthier You

OPTIONAL LIFE INSURANCE RATES — PER $1,000 OF BENEFIT

EMPLOYEE/SPOUSE AGE 2018 MONTHLY EMPLOYEE COST 2018 MONTHLY SPOUSE COST

Under 30 $0.049 $0.061

30 – 34 $0.068 $0.084

35 – 39 $0.078 $0.092

40 – 44 $0.087 $0.108

45 – 49 $0.138 $0.164

50 – 54 $0.213 $0.252

55 – 59 $0.398 $0.472

60 – 64 $0.612 $0.725

65 – 69 $1.176 $1.392

70 or older $1.924 $2.265

Child(ren) Cost
ƒƒ $5,000 $0.100 per $1,000
ƒƒ $10,000 $0.100 per $1,000

OPTIONAL AD&D INSURANCE RATES — PER $1,000 OF BENEFIT

COVERAGE LEVEL 2018 MONTHLY EMPLOYEE COST

Employee Only $0.036

Family $0.057

DESIGNATE YOUR BENEFICIARIES


You will need to designate one or more beneficiaries for your Basic and Optional Life and
AD&D coverage. You can designate your beneficiaries online, via the CB&I Benefits Center,
https://benefits.cbi.com.

40
401(k) Plan Contributing to the Plan
Both you and the Company contribute to the 401(k)
The 401(k) Plan is a tax-effective and convenient way
Plan. You must contribute to the Plan to receive
to save for retirement. You can elect to contribute
employer contributions.
pre-tax payroll contributions, after-tax Roth payroll
contributions, or a combination of both. The Employee Contributions
following is a general description of how the Plan
ƒƒ Employee Elective Pay Deferral: You can elect
works. Detailed information regarding the Plan, your to defer up to 75% of your pay (including overtime
eligibility to participate, and Plan benefits will be and incentive compensation) through pre-tax
provided in the Summary Plan Description which payroll contributions, after-tax Roth payroll
is available on www.benefits.ml.com under the contributions, or a combination of both. However,
Document Resources Library. your combined elective deferrals may not exceed
the maximum dollar limit set each year by the
Who Is Eligible IRS. For 2018, the maximum elective deferral for
Generally, you are eligible to participate in the 401(k) any employee is $18,500. Keep in mind that this
Plan if you are a regular full-time or regular part-time annual limit includes any contributions made to
employee of CB&I or one of its affiliates working in another 401(k) plan prior to your employment
at CB&I.
the U.S. or on a U.S.-based payroll. Employees must
complete one year of service to be eligible to receive ƒƒ Age 50 or Over “Catch-up” Contributions:
Company matching contributions. Employees who will be age 50 or over at any time
during 2018 may defer up to an additional $6,000
How to Enroll over the otherwise applicable IRS $18,500 limit,
which includes any contributions made to another
Eligible employees will receive additional information
401(k) plan prior to your employment at CB&I.
directly from Merrill Lynch, the Plan recordkeeper,
You will be able to elect a single total annual
regarding how to enroll.
contribution percentage rate inclusive of catch-up
contributions. When your contributions reach
the regular pre-tax and Roth contribution limit,
MERRILL LYNCH
subsequent contributions will be considered
1-844-CBI-401k or 1-844-224-4015 catch-up contributions.
www.benefits.ml.com
Company Contributions
Merrill Lynch Mobile App:
ƒƒ Company Matching Contribution: To help your
App StoreSM or Google PlayTM savings grow, the Company matches 100% of the
first 3% you contribute to the 401(k) Plan and then
another 50% of the next 2% you contribute for a
total possible Company match of 4%. This match
on your contributions is deposited to your account
each pay period. You must enroll in the Plan to
receive Company matching contributions, and
employees must complete one full year of service
before receiving Company matching contributions.
ƒƒ Discretionary Contribution: The Company
may choose to make an additional Company
contribution in any year at its discretion. If
the Company elects to make a discretionary
contribution, it may be in the form of an additional
matching contribution or a percentage of your pay.
41
HEALTHY CHOICES Benefits to Support a Healthier You

Example*
First example — you earn $2,000 in a pay period and contribute 6% of pay:
ƒƒ Your contributions (6% of $2,000): $ 120.00
ƒƒ Company matching contributions
–– First part: (100% of the first 3% x $2,000) $ 60.00
–– Second part: (50% of the contributions between 3% and 5% x $2,000) $ 20.00
ƒƒ Total contributions based on 6%: $ 200.00

Second example — you earn $2,000 in a pay period and contribute 3% of pay:
ƒƒ Your contributions (3% of $2,000): $ 60.00
ƒƒ Company matching contributions (100% of the first 3% x $2,000) $ 60.00
ƒƒ Total contributions based on 3%: $ 120.00
* Assumes you have completed at least one full year of service with the Company.

Vesting Rollovers
You are automatically 100% vested (have ownership) The Plan may accept rollovers from other qualified
in your Company matching contributions. If the retirement plans and certain other tax-deferred
Company elects to make a discretionary contribution, vehicles.
a different vesting schedule may apply to that
contribution. Loans and Withdrawals
As an active employee on the Company’s U.S.
Investing Your 401(k) Plan payroll*, you may borrow from your vested 401(k)
Eligible employees will receive additional information account balance and, in certain situations, make
directly from Merrill Lynch, the Plan recordkeeper, withdrawals. However, because the Plan is designed
regarding the investment options available under the to help you save for retirement, taxes and penalties
401(k) Plan. If you don’t make your own investment may apply.
selections, your contributions will be invested in the
If you leave CB&I, you can elect to:
T. Rowe Price Retirement Active Trust whose name
includes the date closest to the year you turn age 65. ƒƒ Receive a distribution of the value of your vested
accounts;
These funds let you hold a diversified portfolio with a
single investment decision, based on your projected ƒƒ Leave the money in the Plan if your balance is
greater than $5,000; or
retirement year.
ƒƒ Roll the money over to another tax-advantaged
plan.
* Please note: employees on a non-U.S. payroll are not eligible for
Plan loans.

42
Employee Stock
Purchase Plan
The CB&I Employee Stock Purchase Plan lets you You can access your account, provided you have a
share in the success of the Company. The CB&I Company email address, by using the Morgan Stanley
Employee Stock Purchase Plan enables you to Benefit Access website. Log in to Benefit Access via
contribute up to the lesser amount of 8% of pay, or www.stockplanconnect.com or telephone the
$25,000, in the form of after-tax payroll deductions Morgan Stanley Smith Barney Customer Service
to purchase Company stock. Center toll-free at 1-800-367-4777 (within the U.S.)
or +1-801-617-7414 non-collect (outside the U.S.)
between the hours of 8:00 a.m. and 8:00 p.m.
MORGAN STANLEY SMITH BARNEY Eastern Time.
1-800-367-4777; outside the USA,
non-collect 1-801-617-7414
HOW TO ENROLL
www.stockplanconnect.com
Eligible employees can enroll in the
J.P. Morgan MobileSM: CB&I Employee Stock Purchase Plan by
App StoreSM or Google PlayTM completing the enrollment form, which is
available on iShare. Completed forms can
be sent to ESPP@cbi.com. These forms must
Your contributions are accumulated during each
be received by the 20th day of the month
calendar quarter, and then applied to purchase shares
preceding the respective contribution
of Chicago Bridge & Iron Company N.V. common
period. Any forms received after this
stock at 85% of the closing price on the New York
deadline will be effective the next
Stock Exchange on the first trading day following
contribution period.
the end of the calendar quarter, provided you
are an active employee on the last day of that
calendar quarter. Quarterly contribution periods are January 1, April 1,
Shares of CB&I stock purchased are credited, in July 1, and October 1.
whole, as well as in fractional shares, to your account
established at Morgan Stanley Smith Barney. You may
sell the shares in your account and buy additional
shares outside the Plan at market prices. Any
dividends paid on CB&I stock in your account are
automatically reinvested in additional shares of
CB&I stock.

43
HEALTHY CHOICES Benefits to Support a Healthier You

Glossary
Coinsurance: The percentage of covered expenses In-Network Providers/Services: In-network
paid by the Plan each plan year after you have met providers are physicians, hospitals, pharmacies, or
the deductible. other healthcare providers that are contracted with
the insurance company. In-network providers do not
Copay: The amount you pay for services received
balance bill for covered services. In other words, they
from a network provider. Medical copays do not count
do not bill you for the difference between what they
toward satisfying your deductible, but do count toward
choose to reimburse for a service and what the provider
your out-of-pocket maximum.
chooses to charge. Cigna in-network providers accept
Deductible: The amount you are required to pay each the amount paid by the Plan (plus any member copay
plan year before certain benefits are payable by the and/or coinsurance) as stated in their contracts.
Plan. Once the deductible has been met, expenses
Maximum Reimbursable Charge (MRC): The amount
are reimbursed based on the coinsurance percentage.
of money Cigna will reimburse an out of-network
The deductible counts towards your out-of-pocket
provider or other healthcare professional for a service.
maximum.
Out-of-Network Providers/Services: Out-of-network
Evidence of Insurability (EOI): A medical
providers are physicians, hospitals, pharmacies, or other
questionnaire you need to complete and submit to an
healthcare providers that are not contracted with an
insurance company that attests to your good health.
insurance company and may balance bill the member
Explanation of Benefits (EOB): Provides information for covered services. If you choose to use an out-of-
about how your claim was processed by the carrier. The network doctor, services will not be provided at a
EOB outlines what portion of the claim was paid by the discounted rate.
Plan and what portion is your responsibility.
Out-of-Pocket Maximum: This is the maximum
Flexible Spending Account (FSA): An FSA allows you amount of covered expenses you (the employee) will
to set aside a portion of your salary on a pre-tax basis pay in a plan year (depending on the medical plan you
to pay for qualified expenses, most commonly for choose). After you have paid the annual out-of-pocket
healthcare expenses but often for dependent care or maximum, the Plan usually pays the full cost of covered
other qualified expenses. Money deducted from your expenses — up to the maximum reimbursable charge
pay into an FSA is not generally subject to payroll taxes, (MRC) — for the remainder of the plan year.
resulting in payroll tax savings.
Over-the-Counter (OTC) Medications: Medications
Healthcare Reform: Signed into law by President normally available without a prescription. However,
Obama on March 23, 2010, to expand healthcare with respect to the Healthcare FSA Plan and the HSA,
coverage through a combination of cost controls, only OTC medications with a prescription will be
subsidies, and mandates. reimbursable.

Imputed Income: The IRS requires you to be taxed


on the value of employer-provided group term life
insurance over $50,000 and on the premiums for
employer-paid long-term disability coverage. The
taxable value of this life insurance coverage is called
“imputed income.” Even though you don’t receive cash,
you are taxed as if you received cash in an amount
equal to the value of this coverage.

44
Resources
WHERE CAN I FIND …? GO TO …

Answers to questions about benefits CB&I Benefits Center


enrollment and/or benefits: 1-833-539-4608 or 1-281-768-2959 (international direct dial)
https://benefits.cbi.com

Help in understanding the plans: Health Advocate


1-866-695-8622
Email: answers@HealthAdvocate.com
Web: http://HealthAdvocate.com/members

More details about my benefit plans: Health & Welfare Summary Plan Description and
Required Plan Notices located in Resources at
https://benefits.cbi.com

General HR-related questions: HR Service Desk


Email: HR.Questions@cbi.com
1-844-224-4473 and select option three for HR
Monday through Thursday from 7:30 a.m. – 5 p.m. and
Fridays from 7:30 to noon CST
If you have a question outside of these hours, a voicemail system is available
and an HR representative will return your call the next business day.

FULL SUMMARY PLAN The following legally required Plan Notices


DESCRIPTION AVAILABLE are available online under Resources
The Summary Plan Description (SPD), on the CB&I Benefits Center website at
which contains detailed explanations of https://benefits.cbi.com.
the health and welfare benefits provided 1. EEOC Notice Regarding Wellness
to you and your eligible dependents by Programs
CB&I, is available online under Resources 2. Medicare Part D Creditable Coverage
Notice
on the CB&I Benefits Center website at
https://benefits.cbi.com. The online version 3. HIPAA Comprehensive Notice of Privacy
Policy and Procedures
is searchable and includes “bookmarks” on
4. Notice of Special Enrollment Rights
a left-hand navigation panel so you can find
5. General COBRA Notice
information quickly and easily. If you would
like a printed copy of the latest SPD booklet, 6. Women’s Health and Cancer Rights Notice
please contact the CB&I Benefits Center. 7. Premium Assistance Under Medicaid and
the Children’s Health Insurance Program
(CHIP)
If you would like a printed copy of the
notices, please contact the CB&I Benefits
Center.

45
HEALTHY CHOICES Benefits to Support a Healthier You

Contacts
PLAN VENDOR CONTACT INFORMATION

All CB&I Health & CB&I Benefits Center 1-833-539-4608 or 1-281-768-2959


Welfare Benefits (international direct dial)
https://benefits.cbi.com

Health Advocate Health Advocate 1-866-695-8622


Email: answers@HealthAdvocate.com
Web: http://HealthAdvocate.com/members

Medical Cigna 1-800-244-6224


www.mycigna.com
myCigna Mobile App: App StoreSM or Google PlayTM

Prescription Drug OptumRx 1-855-241-5343


www.optumrx.com
OptumRx Mobile App: App StoreSM or Google PlayTM or
BlackBerry® WorldTM

Health Savings Connect Your Care 1-877-292-4040


Account (HSA) www.connectyourcare.com
CYC Mobile App: App StoreSM or Google PlayTM

Dental Cigna To locate a dentist in your area: 1-888-DENTAL8


Dental claims assistance: 1-800-244-6224
www.mycigna.com
myCigna Mobile App: App StoreSM or Google PlayTM

Vision VSP 1-800-877-7195


www.vsp.com

Flexible Spending Discovery Benefits 1-866-451-3399


Accounts (FSA) www.discoverybenefits.com
Discovery Benefits Mobile App: App StoreSM or Google PlayTM

Employee Cigna Behavioral Health 1-800-527-5939


Assistance www.cignabehavioral.com
Program (EAP) (Employer code is CBI)
myCigna Mobile App: App StoreSM or Google PlayTM

Life and AD&D Prudential 1-800-842-1718


Email: disability.requests@prudential.com
Web: www.prudential.com/mybenefits

Short-Term Prudential 1-800-842-1718


Disability (STD) Email: disability.requests@prudential.com
and Long-Term
Disability (LTD) Web: www.prudential.com/mybenefits

(continued)

46
PLAN VENDOR CONTACT INFORMATION

International SOS USA/Canada: 1-800-523-6586 or call collect 1-215-942-8226

Mexico or South/Central America: call collect 00-1-215-942-8226

Europe/CIS/Africa/Middle East: call collect 44-208-762-8008

Asia/Australia/Pacific Rim: call collect 65-6338-7800


www.internationalsos.com
Member number: 1CPA1016

Medical Benefits Cigna 1-800-243-1348


Abroad www.cignaenvoy.com

401(k) Merrill Lynch 1-844-CBI-401k or 1-844-224-4015


www.benefits.ml.com
Merrill Lynch Mobile App: App StoreSM or Google PlayTM

Employee Stock Morgan Stanley Smith 1-800-367-4777; outside the USA, call non-collect 1-801-617-7414
Purchase Plan Barney https://www.stockplanconnect.com

47
HEALTHY CHOICES Benefits to Support a Healthier You

Notes

48
Please note that the information presented in this
guide is only a summary and not all of these Plans
may apply to you. If, in our efforts to make the Plans
easier to understand, any of the Plan provisions
have been omitted or misstated, the official Plan
documents or insurance contracts must remain
the final authority and those Plan documents and
insurance contracts also govern the administration
of the Plans and payment of benefits.

2018NHG/LCCRA