Annual Benefits Enrollment

At Citi, we strive to control costs by working closely with our benefit partners to provide the right services at the best price. We also subsidize a majority of the cost for medical coverage. Although health care costs continue to rise — as reflected in the 2024 paycheck deductions — we made efforts to minimize the increase in your health care coverage costs relative to current market trends.

• Paycheck deductions for medical coverage through Aetna and Anthem will increase by 3% in 2024.*
• Paycheck deductions for dental coverage through MetLife will increase by 2%, while paycheck deductions for dental coverage through Cigna will not increase in 2024.
• Paycheck deductions for vision coverage will not increase in 2024.

Managing costs is a shared responsibility. You can do your part by choosing the right medical coverage for your needs and taking care of your health using the many wellness programs and resources Citi offers.

*Note: Your cost for medical coverage varies based on your pay band. We contribute more toward the cost of medical coverage for our lower-paid employees because we believe that all our employees should have access to affordable, quality health care. If you will be in a higher pay band due to increased pay, your 2024 paycheck deductions for medical coverage may increase more than 3% compared to 2023.

In addition, if you live in CA, CO, CT, GA, ME, or NH and enroll with Aetna for 2024, your medical plan costs may increase more than 3%. Learn more under “Changes to Preferred Medical Plan Partner” below.

Citi is committed to offering you choice and flexibility in your benefit options. When enrolling in the Choice Plan, In-network Only Plan, or High Deductible Plan with HSA, you can choose to have your medical coverage with either Aetna or Anthem, based on your preference and needs. Because the cost of care varies by geography, it’s common for one benefit partner to have more favorable pricing than the other in specific locations.

In 2024, if you’re enrolled in the Choice Plan or High Deductible Plan with HSA and live in CA, CO, CT, GA, ME or NH, your paycheck deductions will be lower with Anthem due to stronger network discounts in those states.

If you live in one of the affected states, we encourage you to make informed decisions about which benefit partner you choose in order to best support your total well-being. Enrolling with Anthem will ensure you pay the lowest paycheck deductions for your coverage. Many of Aetna’s network providers are also in the Anthem network, so you may be able to keep your same in-network doctors if you switch from Aetna to Anthem. Be sure to check that your doctor is in Anthem’s network using Anthem’s online search tool before enrolling. This is also a good time to make sure you’re choosing the most cost-effective medical plan for your health care needs. Learn more about the key differences between each of Citi’s medical plans below. Starting October 2, you can also ask ALEX for guidance in choosing a medical plan.

If you’re currently enrolled with Aetna and are affected by these regional changes, you’ll receive more information by mail in early October.

We know that convenient access to medical care is important to you. MinuteClinic and HealthHUB centers (available in select CVS pharmacies) are already popular choices for Citi medical plan members. These facilities offer immediate treatment for minor conditions like ear infections, rashes, minor burns and cold or flu symptoms.

To make it easier on you and your covered family members to get this care when you need it, the In-network Only Plan and Choice Plan will cover many services provided by a MinuteClinic or HealthHUB at no cost to you.* For High Deductible Plan with HSA members, you pay $0 after meeting the plan deductible.*

Of course, nothing can replace the value of having a trusted relationship with a primary care doctor who knows you and your health history. But MinuteClinic and HealthHUB offer convenient options when you need minor medical attention right away, saving you time and money. You can use the online search tools to find a Minute Clinic or HealthHUB near you.

If a MinuteClinic or HealthHUB isn’t convenient or appropriate for your needs, other options available through your medical plan include:

• Telehealth through Teladoc (Aetna members) or LiveHealth Online (Anthem members) for virtual medical consultations 24/7, 365 days a year.
• Urgent care centers for the treatment for moderately serious injuries or illnesses that require in-person treatment. You can check for in-network centers through your medical plan’s website or app.
• Hospital emergency rooms for serious, life-threatening situations.

*Any associated lab tests will be covered at standard cost.

Through the new Caremark Cost Saver program, you will receive automatic access to discounted prices on generic prescription drugs through GoodRx. When you submit a prescription to be filled, your Caremark benefits and any available GoodRx discounts will be applied to ensure you pay the lowest available price. The amount you pay will automatically be applied to your plan’s prescription deductible and out-of-pocket maximum. This program applies to generic medications only and will be part of the prescription drug coverage included with the In-network Only Plan, Choice Plan, and High Deductible Plan with HSA.

MetLife Legal Plans has partnered with Family First to provide customized caregiving solutions. If you enroll in legal coverage through MetLife Legal Plans for 2024, you’ll receive unlimited access to a confidential, multi-disciplinary team of highly trained experts (physicians, social workers and counselors) to support your unique caregiving situation and create a holistic care plan for your loved one.

Caregiving services include:

• Reviewing your situation in detail to provide customized caregiving guidance and support.
• Providing expert information about a variety of caregiving options, including eldercare, care for cognitive issues/dementia, hospice, homecare, substance abuse/addiction treatment and more.
• Developing a personalized care plan for your loved one.
• Offering support for your own needs as a caregiver.

There is no additional cost for these expanded services through Family First. Note: All employees still have access to caregiving resources and support through Bright Horizons, whether you’re enrolled in MetLife Legal Plans or not.

Through MetLife Legal Plans, you can also access attorneys who have experience with eldercare matters, such as:

• Medicare/Medicaid
• Nursing home agreements
• Estate planning documents

The maximum HSA contributions allowed by the IRS will increase in 2024 to:

• $4,150 for employee-only coverage
• $8,300 for all other coverage levels

Keep in mind that Citi’s contributions count toward these maximums, so the amount that you can contribute will be reduced by:

• Up to $500 for employee-only coverage
• Up to $1,000 for all other coverage levels

The additional “catch-up” contribution allowed for individuals who will be age 55 or older in 2024 remains at $1,000.

• PrudentRx available with the High Deductible Plan with HSA. PrudentRx offers coupons for certain specialty medications, which lowers your cost to $0. This program is already available with the Choice Plan and In-network Only Plan. In 2024, it will also be available with the High Deductible Plan with HSA after the plan’s annual deductible has been met. PrudentRx will contact you if your medication is eligible, or you can call PrudentRx at 1 (800) 578-4403 for more information. Note that if you don’t use the PrudentRx program, you’ll pay 30% coinsurance for eligible specialty medication.
• PrudentMed offers savings on select medically infused drugs using manufacturer coupons. This program is available to all eligible Aetna members in the Choice Plan and In-network Only Plan. If you are taking a medication that would be eligible for this savings program, you will receive more information about it.
• SelectHealth HMO will no longer be offered, effective January 1, 2024. If you’re currently enrolled in this plan, you need to enroll in a different medical plan during Annual Benefits Enrollment. You may choose the In-network Only Plan, Choice Plan or High Deductible Plan with HSA through either Aetna or Anthem. Be sure to check the networks with both Aetna and Anthem before making your enrollment decision. The key considerations below can help you choose the right medical plan for your needs. If you don’t take any action during Annual Benefits Enrollment, you will be enrolled in the Anthem Choice Plan at your same coverage level (employee only, employee + spouse, employee + child(ren), or family).
• The Live Well at Citi Program will be enhanced with new opportunities to earn rewards.

We offer a range of options to meet different needs.

*Note: This plan is not available in every location. If the In-network Only Plan is available to you, it will be offered as an option when you enroll. To check if doctors you’d like to see are included, you can look through the online network directory. Rest assured, you’re covered anywhere in an emergency.

Need Help Choosing?

• Ask ALEX for guidance in choosing a medical plan — this fun, interactive decision support tool is available starting October 2.
• Call your Citi Health Concierge for personal assistance (Aetna members: 1 (800) 545-5862 | Anthem members: 1 (855) 593-8123 | Everyone (Health Advocate): 1 (866) 449-9933).

Citi offers several tax-advantaged accounts that save you money.

• If you enroll in the High Deductible Plan with HSA: You can make tax-free contributions to a Health Savings Account (in addition to the contributions Citi makes). This money can be used for a wide range of eligible health care expenses — now or in the future. Any unused balance carries over year after year, helping you build tax-free savings for future health care costs, even in retirement. The HSA contribution limits will increase for 2024, as described in the “New and Notable for 2024” section above. You can also contribute tax-free money to a Limited Purpose Health Care Spending Account, to spend on dental, vision and preventive care expenses. The current contribution limit is $3,050.
• If you enroll in the Choice Plan or In-network Only Plan: You can contribute tax-free money to a Health Care Spending Account to spend on eligible health care expenses each year. The current contribution limit is $3,050.
• Regardless of your medical plan enrollment: You can contribute tax-free money to a Dependent Day Care Spending Account to spend on eligible expenses each year for dependent day care while you are at work. The current contribution limit is $5,000 (or $2,500 if you’re married and filing separate tax returns).

If you have a planned hospitalization or surgery in 2024, or you worry about the expenses you may face related to an unexpected accident, critical illness, or hospital stay, you may want to consider adding one or more supplemental health benefit options. Accident, critical illness, and hospital indemnity insurance each pay cash benefits directly to you, as a way to supplement your primary medical coverage. You can use this money however you wish.

If you enroll in any Citi medical plan, you can take advantage of additional no-cost programs designed to help you manage your health and enjoy greater well-being, such as:

• SWORD for joint or back pain, or to help prevent injuries through a proactive exercise plan
• Transform Diabetes Care for diabetes management
• Chronic condition support for long-term conditions such as asthma or heart disease
• Included Health for second opinions from leading medical experts at no additional cost to you
• Citi Health Concierge and Health Advocate for assistance finding the right doctors, understanding claims, and more

These programs are free to you and your dependents when enrolled in a Citi medical plan and could help you lower your health care costs through better health management.

Ask yourself these questions to carefully consider your needs and understand the benefit options Citi offers. You might find benefits that provide a better match for your life right now.

Plan networks change, so it’s important for all employees to review the Aetna and Anthem network directories, even if you’re planning to keep your current medical plan. If you find that your preferred doctors no longer belong to your plan’s network, you have the option to switch networks or plans during Annual Benefits Enrollment.

The Choice Plan and High Deductible Plan with HSA allow you to see out-of-network doctors, but you’ll pay less for in-network services. To search within these plan networks:

• Aetna: Enter your home location, click the Search button, then under Aetna Open Access Plans, select Aetna Choice® POS II (Open Access) and follow the prompts to conduct your search, or call 1 (800) 545-5862.
• Anthem BlueCross BlueShield: Select the state in which you live and follow the prompts to conduct your search, or call 1 (855) 593-8123.

The In-network Only Plan has a smaller network of doctors and hospitals than the Choice Plan and High Deductible Plan with HSA, and out-of-network expenses are not covered, except in an emergency. This smaller network is not available in all locations, and the areas where it is offered may change from year to year.

• To check the Aetna’s APCN+ network, use the customized doc finder tool or call 1 (800) 545-5862. To use the online tool:
• Enter your home ZIP code in the Provider Search box, then click “Start Your Search.”
• Enter your ZIP code again under Continue as a guest to search for in-network doctors.
• To check the Anthem network, use the Provider Directory Search tool or call 1 (855) 593-8123. To use the online tool:
• Select the blue button titled: Network: National Blue High Performance Network (BlueHPN Non-Tiered).
• Follow the prompts to conduct your search.

Beginning October 2, you can use ALEX, the independent, fun and interactive benefits tool, to receive guidance with your benefit decisions.

You can also turn to Citi’s Health Concierge for personalized assistance:

• Aetna members: 1 (800) 545-5862 | 8 a.m. to 11 p.m., ET, Monday – Friday | 8 a.m. to 4:30 p.m., ET, Saturday
• Anthem members: 1 (855) 593-8123 | 8:30 a.m. to 8 p.m., ET, Monday – Friday
• Those currently not enrolled in Citi coverage can call Health Advocate: 1 (866) 449-9933 | 8 a.m. to 10 p.m., ET, Monday – Friday

You’ll pay $100 less in 2024 paycheck deductions for your health coverage if you take the Health Assessment between October 1 and November 12 — plus, you’ll learn valuable information about your health status. Your spouse/partner who enrolls in a Citi health plan can earn a $100 reduction, too.

Employees who don’t enroll in a Citi health plan can still take the Health Assessment to learn more about their health status and earn $100 in Live Well Rewards that can be redeemed for gift cards on the Virgin Pulse platform.

To access the Health Assessment, you must register with Virgin Pulse, which can be done through My Total Compensation and Benefits using the Live Well Rewards & Health Assessment link. Once you register, you can even take the Health Assessment right from your smartphone with the Virgin Pulse app!

• Download from the Apple Store
• Download from Google Play

Starting October 9, visit Your Benefits Resources (YBR™), available through My Total Compensation and Benefits, to see your benefit costs for 2024.

Make your benefit elections online or by phone between Monday, October 9 and Friday, October 27.

When you’re in the enrollment site updating your benefits, remember to update your life insurance and retirement plan beneficiaries, too, if necessary.

To update your beneficiary information for Group Universal Life (GUL) insurance, you must do so directly with MetLife. Visit My Total Compensation and Benefits and click on “Group Universal Life” under “Want to get to our best in class vendors fast?” to connect to the MetLife MyBenefits website.

You’ll be automatically enrolled in the same benefits at the same coverage levels as you have now, with a couple exceptions. Some benefits require re-enrollment in order to continue coverage. Learn more about these situations below. Please note that your Vacation Purchase Program days do not carry over.

Note: If you’re currently enrolled in an Aetna medical plan in CA, CO, CT, GA, ME or NH and allow that same coverage to continue, you will pay a higher paycheck deduction for coverage compared to Anthem’s costs in those states in 2024. You must take action during Annual Benefits Enrollment and switch to Anthem in order to get the lower-cost medical coverage in your area.

If you’re currently enrolled in a Citi medical plan and don’t take action during Annual Benefits Enrollment, you’ll pay the tobacco penalty for the 2024 plan year, regardless of whether you use tobacco products. This applies to your spouse/partner as well, if they are covered by a Citi medical plan.

If you don’t use tobacco, complete the Tobacco Free Attestation by the Annual Benefits Enrollment deadline (October 27) by visiting Your Benefits Resources (YBR™), available through My Total Compensation and Benefits. You’ll see the attestation right before you go to enroll in a medical plan.

To contribute before-tax dollars to a spending account, you must actively enroll in these accounts each year. If you don’t enroll during Annual Benefits Enrollment, you may be eligible to enroll during the plan year only if you experience a qualified change in status.

Any 2023 plan year HSA contribution elections will not carry over into 2024.

You must make your 2024 plan year HSA contribution election by the Annual Benefits Enrollment deadline for your contributions to take effect on January 1, and to receive the entire Citi contribution for the 2024 plan year. However, you can enroll in or change your contribution to the HSA at any time during the 2024 plan year.

To qualify for Citi’s entire contribution (up to $500 for employee only coverage or up to $1,000 for all other coverage categories), those enrolling in the High Deductible Plan with HSA for the first time must accept the terms and conditions of the HSA by December 31, 2023.

Note: Delays in establishing your HSA and accepting the terms and conditions may limit Citi’s contribution to your HSA.

In order to change the benefits you have now or enroll in new benefits that you’re not already enrolled in, you must take action October 9 – 27, 2023. You cannot enroll in benefits outside of Annual Benefits Enrollment — this includes benefits like MetLife Legal Plans and the Vacation Purchase Program. Only the Transportation Reimbursement Incentive Program (TRIP) allows enrollment at any time during the year, and certain benefits, such as medical, dental, vision, life insurance and spending or savings accounts, allow enrollment due to a qualifying life event.