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2017 Benefits Annual Enrollment Guide for Health Care Qualifying Hours Associates

2017 Benefits Annual Enrollment - Login- Home Depot associates saved time last year by enrolling online. 2016 benefit elections will carry over to 2017 if you do not take action. A

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Page 1: 2017 Benefits Annual Enrollment - Login- Home Depot associates saved time last year by enrolling online. 2016 benefit elections will carry over to 2017 if you do not take action. A

2017 Benefits Annual Enrollment

Guide for Health Care Qualifying Hours Associates

Page 2: 2017 Benefits Annual Enrollment - Login- Home Depot associates saved time last year by enrolling online. 2016 benefit elections will carry over to 2017 if you do not take action. A

WHAT’S INSIDECLICK BELOW TO FIND OUT MORE ABOUT EACH TOPIC

TOP THINGS TO KNOW: Page 1

WHAT’S CHANGING FOR 2017: Page 2

MEDICAL: Page 3

RX : Page 4

24/7 CAREfor Medical enrollees: Page 5

HEALTH CARE SPENDING & HEALTH SAVINGS ACCOUNTS: Page 6

MEDICAL PAYMENT PLAN: Page 7

DENTAL: Page 8

VISION: Page 9

CRITICAL ILLNESS PROTECTION: Page 10

MORE VALUABLE BENEFITS: Page 11

PAYROLL DEDUCTIONS: Page 12

WHAT’S INSIDEClick below to find more about each topic...

NEW!

Page 3: 2017 Benefits Annual Enrollment - Login- Home Depot associates saved time last year by enrolling online. 2016 benefit elections will carry over to 2017 if you do not take action. A

TOP THINGS TO KNOWFOR 2017 ANNUAL ENROLLMENT

Enroll at livetheorangelife.com anytime Nov. 2 – Nov. 18.

You also can enroll by calling the Benefits Choice Center at 800-555-4954, between 9 a.m. and 7 p.m. ET, Mon. through Fri. Call volume maybe heavy, so please be prepared for long wait times.

92%of associates saved time last year by enrolling online.

2016 benefit elections will carry over to 2017 if you do not take action.

A couple of exceptions:• If covered under a Home Depot Medical Plan, you will need to elect your Tobacco-Free Certification.• If you want coverage in a Health Care Spending Account, you will need to actively enroll.

Complete benefit information, including 2017 payroll deductions can be found at livetheorangelife.com.

1

YOU ARE RECEIVING THIS ENROLLMENT GUIDE. . .As our records indicate that you have met the required hours of service to be eligible for health care benefits through The Home Depot for a time period in the 2017 plan year (your initial stability period). Under the Medical Plan, part-time associates who work on average 30 hours or more per week during a 11-month initial measurement pe-riod are eligible for health care coverage during the corresponding initial stability period. Such associates are referred to as “Health Care Qualifying Hours Associates”. Thisguide will give you high-level information about these benefits as well as information about the benefits you have available to you as a part-time associate. For completebenefit details and eligibility rules for Health Care Qualifying Hours Associates, see the 2017 Benefits Summary for Health Care Qualifying Hours Associates at livetheor-angelife.com. These health care benefits are offered in addition to the standard benefit offering as a part-time associate.For complete details of the benefits offered to you as a part-time associate, see the 2017 Benefits Summary for U.S. Part-Time Hourly Associates at livetheorangelife.com.

WHEN YOU ARE READY TO ENROLL,CLOSE THIS GUIDE TO RETURN TOYOUR ENROLLMENT SESSION.

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WHAT’S CHANGING FOR 2017

Most benefits are staying the same in 2017 as in 2016. However, the Medical Plan does have a few changes highlighted below:

MEDICAL CARRIERSWe will partner with the following carriers in 2017:

As always, providers can change network status each year, somake sure to check your doctors and facilities are in-network for 2017.

See page 3 to learn more.

RXSince the FDA no longer requires a prescription for certain heartburn and allergy medications, and theyare now available over the counter, they will no longer be covered under the prescription drug plan.

See page 4 to learn more.

TOBACCO-FREE STATUS

Don’t forget to make your annual Tobacco-Free Certification.1 Also for 2017, the Tobacco-Free definition has been updated to align with the FDA’s Center for Tobacco Products definition.

The Medical Plan recognizes the use of tobacco products as anyof the following:

If you do not certify that you are Tobacco-Free, you will automaticallyreceive Tobacco-User Medical payroll deductions.

PLEASE NOTE: After the 2017 Annual Enrollment Period you will not beable to make a change unless you experience a Qualifying Life Event. This is a requirement by the Federal Government.

NEW!

1 To qualify for the Tobacco-Free Medical payroll deductions, you must actively certify duringyour enrollment that you are at least 4 months Tobacco-Free (or have never used tobacco) andwill continue to be Tobacco-Free in 2017. If you think that you are unable to meet the Tobacco-Free standards, contact the Benefits Choice Center prior to 4/1/17 at 800-555-4954 and wewill work with you (and, if you wish, your doctor) to find a reasonable alternative to allow you toearn the lower payroll deductions.

NEW for

2017!

• Cigarettes • Cigars • Pipes

• Smokeless tobacco• Roll-your-own tobacco

• Electronic Delivery Systems (such as e-cigarettes/vape pens)

• Dissolvable tobacco products

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MEDICALLEARN ABOUT YOUR OPTIONS.

A Quick Look at the Medical Options—Assumes in-network and associate-only coverage

GOLD PPO1 SILVER PLUS PPO1 SILVER PLUS HDHP 1, 2 BRONZE HDHP 1, 2KAISER PERMANENTE

GOLD HMO 3

KAISER PERMANENTECALIFORNIA

SILVER PLUS HDHP 2

Deductible $750 $1,500 $2,000 $3,500 $500 $2,000

Medical Out-of-PocketMaximum $5,000 $5,000 $5,000 $6,350 $2,500 $5,000

Rx Out-of-Pocket Maximum $1,250 $1,250 No separate Rx

out-of-pocket maximumNo separate Rx

out-of-pocket maximumNo separate Rx

out-of-pocket maximumNo separate Rx

out-of-pocket maximum

Total Out-of-PocketMaximum $6,250 $6,250 $5,000 $6,350 $2,500 $5,000

Primary Care Office Visit $25 $35

20% after deductible

30% after deductible

$25

20% after deductible

Specialist Office Visit $50 30% $35

Inpatient Hospital 20% after deductible

+ $200 copay

30% after deductible

+ $300 copay

20% after deductible

Eligible for the Health Savings Account? 6 6 4 4 6 4

1 Your carrier network will depend on where you live. For Anthem: Blue Open Access POS (in GA), NetworkBlue (in FL), Empire POS (in NY), Preferred-Care Blue (in Kansas City), Blue Access Choice (St. Louis), Blue Preferred POS (in WI), BlueChoice (in D.C.), BlueChoice Open Access POS (in NH) and BlueCard PPO for all other areas. For Cigna: all locations will have the Open Access Plus network, except Salt Lake City will have Open Access Plus andPPO, depending on plan enrollment.

2 HDHP refers to High Deductible Health Plan. 3 Not available in all locations. Benefits may vary by location where available.CLICK HERE for more details.

LEARN MORE ABOUT MEDICAL

CLICK HERE

2017 Medical Carriers In a continued effort to provide associates with access to high-quality doctors and facilities at the best price, we will partner with Anthem, Cigna and Kaiser Permanente in 2017. The carrier(s) and network available to you will depend on your ZIP code.1

To find out what carrier(s) or network you have CLICK HERE.

FOR MORE INFORMATION • Medical Payroll Deductions see page 12.

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RXINCLUDED IN YOUR MEDICAL PLAN.

In-network Pharmacies The prescription drug benefit is administered by CVS/caremark. You will payless for prescriptions you have filled at in-network pharmacies, which include:

A Quick Look at Rx—In-network pharmacy and associate only coverage

RX TOOLFind an in-network pharmacy and check the list of covered prescription drugs.caremark.com/homedepot

HEARTBURN & ALLERGY MEDICATIONSHeartburn and allergy medications available over thecounter will no longer be covered under the Rx Plan.Use the Rx tool to check to see if your drug is covered in 2017. caremark.com/homedepot

4LEARN MORE

ABOUT RX

CLICK HERE

IF YOU ENROLL IN AKAISER PERMANENTE PLAN, RX COVERAGE WILL BE THROUGH KAISERPERMANENTE. SEE THE 2017 BENEFITSSUMMARY FOR MORE INFORMATION.

GOLD PPO SILVER PLUS PPO SILVER PLUS HDHP BRONZE HDHP

Rx Out-of-Pocket Maximum$1,250 individual $1,250 individual No separate Rx

out-of-pocket maximumNo separate Rx

out-of-pocket maximum

Generic You pay 20%; $20 maximum

You pay 20%; $20 maximum

20% after deductible1 30% after deductible1Preferred Brand You pay 20%;

$100 maximumYou pay 20%;

$100 maximum

Non-preferred Brand You pay 60%; $300 maximum

You pay 60%; $300 maximum 40% after deductible1 65% after deductible1

1 Deductible does not apply for eligible preventive care prescriptions.

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24/7 CARE FOR MEDICAL ENROLLEES1

QUICK AND AFFORDABLE CARE ANYTIME, ANYWHERE.

About this Benefit• FREE membership for associates and dependents enrolled in a Home Depot Medical plan.2

• Low cost for quality care:

— PPO enrollees: $5 copay— HDHP enrollees: subject to deductible and coinsurance

• What are the advantages of using a 24/7 Care doctor?

— Quick access to nationwide board certified medical expertise— See a doctor from the comfort of home— Perfect while traveling, on the go, after hours, on holidays

and weekends— You get to choose — your doctor, your appointment time

(right away or schedule when convenient for you)

How do I reach my 24/7 Care doctor?

Video Only Video orVoice Call

What services are covered?

Common illnesses, such as coldand flu, sinus problems, urinarytract infections and pink eye

X X

Psychology & psychiatry servicesfor stress, anxiety and depression X X

Dermatology

X X

1 24/7 Care is not available in AR due to state laws. 2 Doctor On Demand is not available in AK. If you enroll in a Kaiser Permanente Medical Plan

through The Home Depot, your 24/7 Care will be provided through Kaiser Permanente.

24/7 Care Options

LEARN MORE ABOUT 24/7 CARE

CLICK HERE

• This is a fabulous service! So easy and convenient! I highly recommend taking advantage of it. Best part is being able to see the doctor from your own home and not expose yourself to the germs of others in the waiting room.

• Exceeded my expectations in every sense of the visit. The doctor was amazingly fast. Asked very pertinent questions and listened to the answers. Would recommend this service to anyone who has a computer or tablet. Five stars!!

• This is the best program. I can resolve my issue at 7 pm at night. No ER or sitting in the doctor office for an hour!!!! Makes getting better easy. Thank you.

• This was the most convenient & best Dr's visit I've everhad...never thought I would say that. Additionally, Dr. B took the time to explain my symptoms and answered all of my questions, she was great. Thank you for helping me! Now I just want to feel better!

What Associates are Saying About 24/7 Care

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HEALTH CARE SPENDING & SAVINGS ACCOUNTSSAVE ON ELIGIBLE HEALTH CARE EXPENSES.

A Quick Look at the Spending Accounts

HOW YOU SAVE MONEY USING THE SPENDING ACCOUNT When you pay for eligible health care expenses—such as deductibles, coinsurance, copayments and prescription drugs— through this account,you are using before-tax dollars, which are put into your account beforetaxes are taken out of your paycheck.

The amount you save depends on your tax bracket and the tax rate in your state. So, if you’re in the 15% tax bracket and you also pay the7.65% Social Security/Medicare tax, you could save as much as 22.65%on expenses you pay for through the accounts. If you pay a state incometax or are in a higher tax bracket, you’ll save even more.

The Health Savings Account (HSA) OptionTHE HEALTH SAVINGS ACCOUNT (HSA) IS AVAILABLE TO YOU IF YOU ARE:• Enrolled in the Silver Plus High Deductible Health Plan or the Bronze

High Deductible Health Plan; and

• Not covered under another medical plan that is not an HDHP—such asyour spouse’s medical plan.

COOL HEALTH SAVINGS ACCOUNT FEATURES• You Could Save as Much as 22% on Health Care depending on

your tax bracket when you pay for eligible expenses with tax-free dollars throughthe account—you’ll save even more if you pay state income tax.

• Home Depot Provides Matching Contributions to Your HSA.

• Instant Access to Your HSA Using the YSA Debit Card. No claim forms, no payingout-of-pocket--when you use your YSA card, your eligible expenses arededucted automatically from your health care account.

• Your HSA Earns Interest.

IN 2016 YOU CANCONTRIBUTE:

FOR ELIGIBLE EXPENSES YOU

INCUR BETWEEN:

IF YOU CONTRIBUTE$1,000/YEAR ($38BI-WEEKLY) TO ANACCOUNT, YOU’LLSAVE AT LEAST:

Health CareSpending Account

$260 minimum up to $2,550 maximum

January 1, 2017 – March 15, 2018

$266 a year

A Quick Look at the Health Savings Accounts

IF YOUR HDHP COVERAGE CATE-GORY IS:

YOU CAN CONTRIBUTE UPTO THIS MAXIMUM AMOUNT

ANNUALLY TO YOUR HSA1:

THE HOME DEPOT WILL MATCH YOUR HSA CONTRIBUTION UP TO:

• Associate only $3,200 $200

• Associate + spouse• Associate + child(ren)• Associate + family

$6,350 $400

1 Annual maximum includes Company matching contributions.

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Medical Payment Plan (MPP) OptionsPAYS FIXED BENEFITS FOR COVERED MEDICAL SERVICES.

Hospital ONly

Hospital Plus I 1

Hospital Plus II 11 Not available to associates who live in MN and ND. Also not available to associates who live and work in NH.

Medical Payment Plan Extras• VISION DISCOUNTS

• RX DISCOUNTS

• 24/7 INFORMED NURSE LINE

NOTE: This plan does not count as Minimum Essential Coverage (MEC) under the Affordable CareAct (ACA) and does not satisfy the Individual Mandate under the ACA. Failure to have MEC andto satisfy the Individual Mandate may result in a tax penalty for you. The Medical Payment Planis a supplement to health insurance and is not a substitute for major medical coverage.

A Quick Look at the MPPIF YOU RECEIVE THIS SERVICE HOSPITAL ONLY HOSPITAL PLUS I HOSPITAL PLUS IIHospital Admission $1,000 (1 per year) $1,000 (1 per year) $700 (2 per year)

Daily Hospital Benefit: Non-Intensive Care Unit $100 (100 day limit) $100 (2 stays per year) $500 (2 stays per year)

Daily Hospital Benefit: Intensive Care Unit $100 (100 day limit) $200 (2 stays per year) $1,000 (2 stays per year)

Emergency Room Visit — $200 (2 per year) $275 (2 per year)

Inpatient Surgery — — $450 (2 per year)

Outpatient Surgery — — $450 (2 per year)

Outpatient Lab and X-ray — — $90 (3 per year)

Services Resulting from an Accident — $200 (2 per year) $300 (2 per year)

Doctor Office Visits — $50 per visit (5 visits per year) $70 per visit (7 visits per year)

Prescription Drugs — $35 per prescription (12 prescriptions per year) $45 per prescription (12 prescriptions per year)

In-network Discount — Pay less for care from participating providers in the Aetna Choice PPO network1

Note: Only one payment per day per service. 1 If you use an Aetna Choice PPO provider, your benefit is paid directly to the provider. If you enroll in the Medical Plan, this option is not available to you.

MEDICAL PAYMENT PLAN & VALUABLE HEALTH CARE RESOURCES

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2

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LEARN MORE ABOUT THE MEDICAL

PAYMENT PLAN

CLICK HERE

Looking for Other Valuable Health Care Resources?• PERKS AT WORK. Associate discounts on everything from prescription drugs,

gym memberships, weight loss programs and much more.• HEALTH ADVOCATE. A free resource to help find health care providers,

resolve health care claims or billing issues and much more.

TO LEARN MORE log on at livetheorangelife.com.

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DENTALFREE DENTAL CHECK-UPS AND DISCOUNTED CARE FROM AN IN-NETWORK DENTIST.

A Quick Look at Dental — assumes in-networkMETLIFE $500 MAX METLIFE $1,000 MAX METLIFE $2,000 MAX

Preventive Care 100% 100% 100%

Restorative Care (fillings, oral surgery, root canals, periodontics)

You pay 30% You pay 25% You pay 20%

Major Care (crowns, bridges) Not covered You pay 60% You pay 50%

Orthodontia (braces) Not covered You pay 50%, up to $750 lifetime maximum per covered dependent child

You pay 50%, up to $1,500 lifetime maximum per covered dependent child

Dental Options

MetLife $500 Max

MetLife $1,000 Max

MetLife $2,000 Max

In-network Dental Features• DENTAL CHECK-UPS. Two cleanings and checkups each calendar

year are free (subject to your option’s maximum annual benefit).

• 15% TO 45% DISCOUNT ON SERVICES.

• DISCOUNTS ON COSMETIC DENTISTRY.

LEARN MORE ABOUT DENTAL AND FIND IN-NETWORK PROVIDERS

CLICK HERE

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VISIONFREE VISION EXAMS FROM IN-NETWORK PROVIDERS.

A Quick Look at Vision — assumes in-networkEYEMED SELECT $120 EYEMED SELECT $150

Disposable Contact Lenses Plan pays first $120, then you pay balance over $120 Plan pays first $150, then you pay balance over $150

Frames Plan pays first $120, then you pay 80% of balance over$120—frame benefit available once every 24 months

Plan pays first $150, then you pay 80% of balance over$150—frame benefit available once every 12 months

Lenses $15 copay $0 copay

Lens Options Coverage Some covered, others available at a discount Covered in full

Vision Options

•EyeMed Select $120

••EyeMed Select $150

In-network Providers

In-network Vision Features• FREE VISION EXAMS. The plan covers one free eye exam every 12 months.

• DISCOUNTS ON LASER VISION CORRECTION.

• PAY LESS FOR GLASSES AND CONTACTS AT EYEMED SELECT PROVIDERS.

LEARN MORE ABOUT VISION AND FIND

IN-NETWORK PROVIDERS

CLICK HERE

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CRITICAL ILLNESS PROTECTION THE CRITICAL ILLNESS PROTECTION PLAN PAYS A LUMP SUM BENEFIT FOR CERTAIN MEDICAL CONDITIONS.

Critical Illness Protection Options

•$5,000

•$10,000

•$20,000

•$30,000

CRITICAL ILLNESS PROTECTION FEATURES• PAYS A LUMP-SUM BENEFIT FOR SPECIFIC CONDITIONS, such as heart attack,

stroke, cancer, transplant, Alzheimer’s disease and paralysis and benefitsfor eligible travel and lodging expenses. See the chart below for a completelist of covered conditions. The plan is administered by Allstate Benefits.

• BENEFITS ARE PAYABLE ONLY FOR CONDITIONS DIAGNOSED AFTER YOUR COVERAGEUNDER THE PLAN BEGINS.

• ALSO PAYS AN ANNUAL BENEFIT OF $75 FOR WELLNESS SERVICES. In some cases,that $75 could cover the cost of your Critical Illness Protection Plan coverage.

A Quick Look at Critical Illness ProtectionPLAN PAYS 100% OF BENEFIT AMOUNT FOR: PLAN PAYS 25% OF BENEFIT AMOUNT FOR: PLAN PAYS UP TO $75 PER CALENDAR YEAR FOR EACH COVERED

PERSON FOR ONE OF THE FOLLOWING ELIGIBLE WELLNESS SERVICES:

• Heart attack• Stroke• Invasive cancer• Heart transplant• Lung transplant• Liver transplant• Pancreas transplant• Kidney transplant• Bone marrow transplant• End stage renal failure• Paralysis• Complete blindness

• Complete loss of hearing

• Coma• Benign brain tumor• Alzheimer’s Disease

A covered person can receive benefits for each of the above critical illnesses if thedates of diagnosis foreach critical illness areseparated by at least 90 days.

• Coronary artery bypasssurgery

• Carcinoma in situ• Amyotrophic lateral scle-

rosis (Lou Gherig’s dis-ease)

• Adrenal hypofunction (Addison’s disease)

• Bone marrow donor• Cerebral palsy• Cystic fibrosis• Hemophilia• Huntington’s chorea

• Meningitis• Multiple sclerosis• Muscular dystrophy• Myasthenia gravis• Necrotizing fasciitis• Osteomyelitis• Scleroderma• Sickle cell anemia• Systemic lupus• Tuberculosis

• Pre Biopsy test for skin cancer• Biopsy for skin cancer• Oral cancer screening• Blood test for triglycerides• Bone marrow testing• Colonoscopy• Echocardiogram• Eletrocardiogram (EKG, including

stress EKG)• Flexible sigmoidoscopy• Hemocult stool analysis• Lipid panel (total cholesterol

count)• Mammography, including breast

ultrasound

• Pap Smear, including ThinPrep Pap Test

• PSA (prostate specific antigen—blood test for prostate cancer)

• Serum Protein Electrophoresis (test for myeloma)

• Stress test on bike or treadmill

• Annual physical examination (only for covered persons over 18 years of age)

• Immunizations

Transportation Benefit Actual cost, up to $1,500, for round trip coach fare on a common carrier; or $.50 per mile for personal vehicle travel, up to $1,500, to a facility if more than 100miles from place of residence.

Lodging Benefit $60 per day up to 60 days if facility is more than 100 miles from residence. Only applies to lodging occurring within 24 hours of, and including days of treatment.

Reoccurrence Benefit A benefit of 100% of the previously paid amount will be paid if a covered person is diagnosed for a second time with a heart attack, stroke, coronary artery by-pass surgery, transplant, invasive cancer or carcinoma in situ. The second date of diagnosis must be more than 12 months after the first date of diagnosis for thecritical illness, and for the cancer critical illness benefits, the covered person must have had no symptoms nor received any treatment during the 12 months afterthe prior occurrence.

LEARN MORE ABOUT CRITICAL

ILLNESS PROTECTION

CLICK HERE

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MORE VALUABLE BENEFITS

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Term Life Insurance• Associate coverage

• Dependent coverage

Disability • Short-term Disability

MetLaw Legal Services• Covered services such as wills and

traffic issues are FREE when you use a network attorney.

• If you enroll, your spouse and children can also use the plan.

FutureBuilder 401(k) Savings Plan• Lower your tax bill today while saving

for tomorrow with before-tax contributions.

• Once you’re eligible, you’ll begin receiving matching contributions on the first 5% of pay you save through FutureBuilder.

Employee Stock Purchase Plan• The Home Depot stock will be purchased for you at a 15% discount.

MORE VALUABLE BENEFITSDURING YOUR ENROLLMENT SESSION, TAKE A LOOK AT THESE BENEFITS.

FOR MORE INFORMATION ABOUT OTHER VALUABLE BENEFITS, GO TOLIVETHEORANGELIFE.COM/ADVANTAGE

CLICK HERE

GET INTO THE GAME!Get into the game the first Tuesday of everymonth to learn more about your benefits and

be entered to win a $100 cash prize. Get moreinformation at livetheorangelife.com/gameday.

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2017 BIWEEKLY PAYROLL DEDUCTIONSPayroll deductions for all other benefits will be available during your enrollment session.

1 These are the Tobacco-Free payroll deductions available to associates and spouses who actively certify that they are Tobacco-Free or complete the reasonable alternative. To find the Tobacco-Userpayroll deductions (which are on average 15% higher), visit livetheorangelife.com. Associates covering three or more children will pay an additional $25 per biweekly pay period.

2 Kaiser Permanente (KP) HMO plan is only available in certain areas, based on your ZIP code.The KP HDHP is only available in certain California ZIP codes.

3 The Medical Payment Plan is NOT a traditional medical plan but will provide some limited assistance with hospitalization costs.

4 You can contribute an additional $1,000 if you are age 55 or older.

• For weekly payroll deductions, take the biweekly payroll deductions and divide by 2.• In some instances your paycheck may not be enough to cover the entire amount of your benefits premiums. In those cases, the amount of the premium above your paycheck is still owed and will be collected from your future paychecks.

MEDICAL & RX (TOBACCO-FREE)1

Gold PPO $118.50 $327.00 $242.00 $407.75

Silver Plus PPO $94.25 $278.50 $198.50 $337.50

Silver Plus High Deductible Health Plan (HDHP) $85.25 $260.25 $182.00 $311.00

Bronze HDHP $44.25 $162.25 $119.50 $199.25

Kaiser Permanente Gold HMO 2 $86.25 $240.50 $176.25 $279.00

Kaiser Permanente California Silver Plus HDHP 2 $58.50 $154.50 $106.75 $172.50

24/7 CARE — FOR MEDICAL ENROLLEES ONLY

Doctor On Demand $0 $0 $0 $0

Teladoc $0 $0 $0 $0

MEDICAL PAYMENT PLAN 3

Hospital Only $6.69 $13.38 $10.94 $19.44

Hospital Plus I $19.40 $43.38 $38.59 $62.57

Hospital Plus II $34.53 $76.59 $68.17 $110.23

DENTAL

MetLife $500 Max $6.19 $12.38 $12.54 $18.80

MetLife $1,000 Max $12.91 $25.81 $26.13 $39.20

MetLife $2,000 Max $16.00 $32.01 $32.40 $48.60

VISION

EyeMed Select $120 $2.19 $3.83 $3.96 $6.64

EyeMed Select $150 $8.04 $14.39 $15.08 $23.67

HEALTH SAVINGS ACCOUNT (HSA) — HDHP participants can get Company matching contributions

You can contribute up to this maximum amount annually to your HSA4 $3,200 $6,350

The Home Depot will match your HSA contribution up to: $200 $400

SPENDING ACCOUNT

Health Care Spending Account You can contribute $260 — $2,550 annually

ASSOCIATEONLY

ASSOCIATE + FAMILY

ASSOCIATE +CHILD(REN)

ASSOCIATE+SPOUSE

MEDICAL PAYROLL DEDUCTIONS

FOR TOBACCO-USERS

CLICK HERE

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¿NO HABLA O LEE INGLÉS?Por favor llame al Benefits Choice Center (Centro de Opción de Beneficios) al 800-555-4954 y diga “Estados Unidos” para hablar con un representante en español.

This guide is for Health Care Qualifying Hours Associates living in the U.S. except for the Imagine Health area. The guide for Imagine Health area is available at livetheorangelife.com.

The Summary of Benefits and Coverage (SBCs), which lets you easily compare the different medical options, is posted online at livetheorangelife.com. A paper copy isavailable through the Benefits Choice Center at 800-555-4954.

The benefits information in this Annual Enrollment Guide is provided as a service to associates. In the event of a conflict between the information provided in the AnnualEnrollment Guide, Benefits Summary and other plan documents or policies, the plan documents or policies will govern. Although The Home Depot established its benefitplans with the intention that they may be maintained indefinitely, the plans may be amended, terminated or discontinued at any time. The Benefits Summary is avail-able at livetheorangelife.com. The FutureBuilder Summary Annual Reports have been posted to livetheorangelife.com under Learn & Enroll. The Health and WelfarePlans’ Summary Annual Reports will be posted to livetheorangelife.com under Learn & Enroll in early 2017. The annual Medicare Part D notice has also been postedto livetheorangelife.com under Learn & Enroll and a paper copy can be requested by calling the Benefits Choice Center at 800-555-4954.

17_AE US HCQH