Aviva: Confidential

HCA International Limited Staff Retirement BenefitsScheme

Members’ Booklet

6 April 2019

Please be aware that this booklet reflects current auto-enrolment legislation and doesnot take into account any increases that may be required to Company and membercontributions in the future. Please note that the Trustee/Company will write to youahead of making any changes to the Scheme’s contribution structure.

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Please keep in a safe place for future reference

WELCOME TO OUR SCHEME

The HCA International Limited Staff Retirement BenefitsScheme (the Scheme) has been established by HCAInternational Limited (the Company). The Scheme is one ofthe most valuable benefits offered to employees. It aims tohelp to provide financial security for you and your family onyour retirement and in the unfortunate event of your death.

This booklet tells you about the range of benefits that apply toemployees who join the Scheme and become members. Itoutlines important points, and highlights the issues you mayneed to consider.

We have tried to keep things as simple as possible throughoutthis booklet but there are some technical terms, which areexplained under Definitions.

The Scheme has been nominated as an “auto-enrolmentscheme” by the Company to comply with its legal requirementto enrol all eligible employees into a workplace pensionscheme. The impact on the Scheme of these requirements isreflected in this booklet. If you are not already a member ofthe Scheme, the Company will write to you separatelyregarding the requirement to automatically enrol employeesinto the Scheme.

It is not possible to cover every scenario that could arise but ifyou want more information about this booklet or the Schemein general, please contact the Reward department at HCAInternational Limited, 242 Marylebone Road, London, NW16JL - Rewards@hcahealthcare.co.uk.

We welcome your feedback and if you have any helpfulcomments, we look forward to hearing from you.

HCA International Limited and the Trustee (Punter SouthallGovernance Services is the sole professional independenttrustee for the Scheme)

Aviva: Confidential

CONTENTS

PAGE

DEFINITIONS 1

OUTLINE OF THE SCHEME 3

JOINING THE SCHEME 7

CONTRIBUTIONS 9

INVESTMENT 12

LEAVING AND ABSENCE 14

RETIREMENT BENEFITS 17

BENEFITS FOR YOUR FAMILY 18

A – Z OF FURTHER DETAILS 20

STATE PENSION SCHEME 23

HELP AND ADVICE 24

APPENDIX

EXPRESSION OF WISH FORM

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DEFINITIONS

This booklet uses certain words that may need further explanation. These are shownbelow to help you understand any terms that may not be familiar to you.

Additional Voluntary Contributions (AVCs)Once enrolled into the Scheme, you agree to pay into your pension account eachmonth. If you want to pay in more each month than the standard ‘NormalContributions’ (which are explained below) the Scheme has an AVC facility thatlets you do this. The overall aim of paying AVCs is to get more benefits when youtake retirement. You do not have to pay AVCs to join the Scheme. Any AVC youpay will be recorded with your normal contributions on your payslip. See PensionSalary Exchange.

AnnuityPurchasing an Annuity is one option of how you may use your Scheme Account toprovide you with an income in retirement. The annuity provider agrees to pay you apension income for the rest of your life, in return for your Scheme Account.

Cease ContributionsThis is the term used if you choose to leave the Scheme after 1 month ofmembership. By ceasing your contributions, you will no longer be a member of theScheme.

CompanyThis means HCA International Limited or any other employer that uses the Schemeto provide benefits for its employees.

Dependant(s)Your spouse or civil partner at the date of your death, any children you have, andany other individual who, in the opinion of the Trustee, has been dependent or partlydependent on you for maintenance or support.

Normal ContributionsThis is the term used for the contributions that you pay to the Scheme from yoursalary (known as employee contributions) and the contributions paid to the Schemeby the Company (known as employer contributions). Everyone who joins theScheme agrees to pay their employee contributions to their Scheme Account andthe Company will pay their contributions to your Scheme Account too. Your normalcontributions and any AVCs will be recorded on your payslip. See Pension SalaryExchange.

Opt OutThis is the term used if you choose to leave the Scheme within 30 days of automaticenrolment

Pensionable SalaryYour basic annual salary plus shift allowance and acting up allowance. PensionableSalary is based on your salary at the beginning of the month.

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Pension Salary ExchangeThe Company introduced a Pension Salary Exchange arrangement with effectfrom 1 July 2009. This means your basic annual salary will be reduced by theamount of the pension contributions (both Normal Contributions and AVCs) youhave elected to pay (unless you have opted out of Salary Exchange). TheCompany will then pay both its own and your chosen level of pension contributionsinto your Scheme Account. As a result the salary used for tax and nationalinsurance purposes is your salary after the pension contribution has been deducted.Information on Salary Exchange has been provided to all employees. Furtherinformation regarding Salary Exchange is available on request from the RewardDepartment at 242 Marylebone Road, London, NW1 6JL.

SchemeThis is the HCA International Limited Staff Retirement Benefits Scheme.

Scheme AccountThis is an account set up for you and this is where your money is held until you retire.Each month, your pension contributions are paid to this account and any fund growthwill be paid here for you. The retirement benefits you receive will depend on theoverall value of your Scheme Account when you take retirement.

Scheme AdministratorThis is Aviva and they can be contacted on 0345 600 6303. The SchemeAdministrator’s microsite (http://avivapensiondocuments.co.uk/HCA) is also availableas a further source of information, particularly for those individuals who have yet tojoin the Scheme.

Scheme Pension DateThe default Normal Retirement Date (NRD) is your 65th Birthday but you may amendthis if you want to retire at an alternative date after age 55.

State PensionEveryone who has paid enough National Insurance Contributions qualifies for theState Pension from State Pension Age.

TrusteeThe sole independent Trustee, for the Scheme, is Punter Southall GovernanceServices. It is represented by one of their Client Directors at each Trustee Meetingand in fulfilling their Trustee responsibilities and duties. The Trustee is appointed tolook after the Scheme and your money until you retire. However, members continueto be responsible for monitoring their investment fund choices.

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OUTLINE OF THE SCHEMEHow the Scheme works

Each month you and the Company will contribute to your Scheme Account. This willbe invested in line with your instructions. When you retire, the overall value of your fundis used to provide your retirement benefits.

The benefits you will receive on your retirement ultimately depend on:

§ the contributions paid by you and by the Company on your behalf,

§ the investment choices and returns achieved on those contributions, and

§ how you use your Scheme Account to provide you with an income. See the“Retirement Benefits” section for more information.

You may also pay additional contributions to increase your benefits. These will be paidinto your Scheme Account and will provide you with additional retirement benefits whenyou retire.

The Scheme is a Money Purchase, or Defined Contribution (DC), pension scheme andis characterised by having the features outlined above.

Other benefits

The Scheme also provides the following benefits for you and your beneficiaries:

§ a lump sum based on a multiple of your annual salary if you die while in theCompany's service before your Scheme Pension Date, and

§ A refund of the value of your Scheme Account and AVC Account if you die beforeretirement; and

§ the option to keep your benefits in the Scheme or transfer their value to anotherpension arrangement if you leave the Scheme before you retire, see the “Leavingand Absence” section for more information

Annual statement

Each year you will receive a Scheme statement showing the value of your SchemeAccount, the contributions paid in during the year and the estimated pension that youcould receive on retirement. The estimated pension will be based on expected futurereturns, among other factors and is not a guaranteed amount. Please contact theReward Department on 020 7616 4836 or email rewards@hcahealthcare.co.uk if at anystage you would like to request a Scheme statement or have any questions about theScheme.

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Online Access to your Scheme Account

The Scheme Administrator’s online member site is a quick, secure and convenientway to access and manage your Scheme Account. Employees can sign on securelyvia Harmonise (Beneflex). Alternatively, the site can be accessed using the followingaddress: https://www.avivamymoney.co.uk/Login

When you visit the site you will need to log-in using your username and password. Ifyou do not know these, there are also links there to re-set them.

Once logged into your personal site you are able to:

· View the funds your money is invested in;· See the payments being made into your account;· Find out how much your pension is worth;· Change your investment choices in the Scheme.

You are also provided with access to interactive online tools to help you make sense ofyour pension planning. These include online learning and support and a pension forecasttool.

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Tax advantages

The Scheme has several important tax advantages:

§ you receive tax relief on your contributions to the Scheme (subject to a limit); andthose who participate in the Pension Salary Exchange arrangement may alsobenefit from National Insurance savings

§ you may take part of your benefits as a tax free cash sum,

§ any lump sum death benefits paid to your beneficiaries are normally tax free,

§ you are not taxed on the Company contributions (subject to a limit), and

§ the Scheme’s investments are given favourable tax treatment.

The current tax regime has two important limits:

The first is a maximum amount that will receive favourable tax treatment from thecontributions paid into one or more pension arrangements in any tax year. This is knownas the “Annual Allowance”. Your personal contribution limit is set at 100% of yourtaxable earnings in any one tax year with a maximum tax relief per annum of £40,000for the 2019/20 tax year. If your taxable income plus the value of your total pensionsavings in any tax year is £150,000 or more, a Tapered Annual Allowance will apply toyou for that tax year. This will gradually reduce your Annual Allowance, subject to aminimum of £10,000, by £1 for every £2 of taxable income you have in excess of£150,000. If your income (ignoring the value of total pension savings in any tax year),however, is lower than £110,000, the Tapered Annual Allowance will not apply to you.

Additionally, if you ‘flexibly access’ benefits (i.e. don’t take a pension) from a DefinedContribution (DC) or money purchase pension arrangement, such as this Scheme, youwill be subject to a Money Purchase Annual Allowance (“MPAA”). The MPAA is £4,000for the 2019-2020 tax year. This will limit the amount of any new pension savings youcan make into a DC or Money Purchase pension scheme that will receive favourable taxtreatment to £4,000.

The Government has introduced a process (known as “Scheme Pays”) wherebymembers can choose to have any additional tax charge paid by the Scheme (so long asthe tax charge exceeds £2,000 each year). If you choose to take advantage of SchemePays then the Scheme will meet your Annual Allowance tax charge through a reductionfrom your Scheme Account.

Further information on Scheme Pays is available from the Reward Department. If youthink you might be affected, then you are strongly advised to contact an independentfinancial adviser – neither the Trustee nor HCA International Limited can provide youwith financial advice.

The second tax limit is the total value of pension savings you can build up over yourentire working lifetime before a tax penalty applies. This is known as the “LifetimeAllowance” and increased to £1,055,000 million for the 2019/20 tax year and willincrease in line with the CPI index each year.

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These tax advantages are based on current taxation law, which may change in thefuture.

These tax changes are complex and you are strongly advised to seek IndependentFinancial Advice if you are at all concerned about your own personal situation - neitherthe Trustee or the Company can provide you with personal financial advice.

The Trustee

The Scheme’s assets are kept separate from the Company’s assets and are held andinvested by the Trustee. In the case of a pension scheme, the assets are member’sScheme Accounts. The Trustee has a large number of responsibilities, as required byGovernment legislation, including the running of the Scheme, investing its assets andensuring that members' interests in the Scheme are protected. The Trustee appointsprofessional advisers to assist it in the efficient running of the Scheme.

The Trustee has been appointed by the Company in accordance with the Trust Deedand Rules, which is a document detailing the legal basis of the Scheme.

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JOINING THE SCHEME

Automatic enrolment

You will be automatically enrolled into the Scheme by the Company, following anassessment period of 2-3 months, if you are:

- aged between 22 and State Pension Age; and- you earn more than an amount set by the Government each year (£10,000 a year

or £833 per month in 2019/20); and- working or ordinarily working in the UK.

If you do not meet these criteria when you first start work with the Company, you willbe automatically enrolled when you first meet these criteria. You are able to opt in andyou should receive information on joining which explains how to do so. If you needhelp contact rewards@hcahealthcare.co.uk

You will also be automatically re-enrolled into the Scheme if you are not already amember (for example because you have previously opted-out) when the Company islegally required to automatically enrol you again. By law re-enrolment has to becarried out by the Company approximately every three years, but it may also occurearlier in some circumstances (for example if your employment transfers to anotherHCA employer in the UK).

If you are automatically enrolled (or re-enrolled), your contribution rate and investmentoptions will be set to the default options as described later in this booklet. Once youhave joined the Scheme, you will receive information from the SchemeAdministrator, on behalf of HCA International, enabling you to change these defaultoptions.

In addition, when you join the Company, you are entitled to a lump sum death in servicebenefit of at least two times your Pensionable Salary (see “Benefits for your family”).You should complete an Expression of Wish Form (see the Appendix to this booklet orrequest a new one from the Reward Department) to let the Trustee know how you wouldlike any death benefits to be paid.

Leaving the Scheme

Once you have been automatically enrolled you can leave the Scheme at any time,even if you are still employed by the Company.

If you do choose to leave, you and the Company will not pay any contributionstowards your retirement savings and you will not earn any further retirement benefitsfrom the Scheme.

The Company may also have to automatically re-enrol you again at a future date(typically every three years) as required to do so by law.

For further details of how you can leave the Scheme, and how your contributions andbenefits will be affected, please see the “Leaving and Absence” section.

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If you decide to opt out (i.e. leaving the Scheme within 30 days of automaticenrolment), you should contact the Scheme’s Administrator on 0345 600 6303 torequest an Opt out form. Once the form is completed, send to the Reward Departmentvia email - rewards@hcahealthcare.co.uk. Note that you will be treated as though youwere never a member and any contributions are fully refunded.

If you have been in the Scheme for over 30 days and decide to leave, you must log ontothe Company’s flexible benefits platform to cease your contributions. Note that byceasing your contributions, you will be treated as having left the Scheme.

If you opt out or cease membership you will still be entitled to a lump sum death in servicebenefit of at least two times your Pensionable Salary.

If you are not automatically enrolled

If you are not automatically enrolled into the Scheme, you may ask to join at any time.You will then be enrolled on the 1st of the month following the date your application isreceived.

Re-joining the Scheme

If you are still a Company employee and have previously left the Scheme, you canask to re-join at any time. You will be enrolled on the 1st of the month following the dateyour application to join is received.

Please note that if you join the Scheme after your first opportunity to do so, you mayneed to undertake a medical underwriting process before you are covered for theScheme’s full death in service benefits and this may require you to attend a medicalexamination. The benefits payable on your death may need to be reduced by theTrustee until such time as this medical underwriting process has been completed.

Pension from other pension schemes

If you have benefits in other pension schemes you may be able to transfer them into theScheme, subject to a few exceptions. In normal circumstances, the Trustee requiresthat you seek independent financial advice before the transfer of your benefits canproceed. Additionally, if the benefits are being transferred in from a scheme whichprovided you with ‘safeguarded benefits’ and are worth at least £30,000 you will belegally required to seek independent financial advice as part of the transfer process.

If you decide to transfer benefits into the Scheme, the money transferred in is investedin the same way as your contributions are invested (see “Investment”).

Please note, at the current time, the Trustee has elected to accept transfers in,however this decision will be revisited from time to time.

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CONTRIBUTIONS

Normal Contributions

As a member of the Scheme you have the opportunity to choose how much you wishto contribute and benefit from a matching contribution by the Company in line with thetable below. When you are eligible to move to a new matching contribution band i.e.because you have completed the required length of service, you will receive anotification confirming that you can request a change in the contributions you pay intothe Scheme.

If you are auto-enrolled into the Scheme and do not make a contribution choice of yourown, you will automatically pay 4% of your Pensionable Salary, with the Companycontributing a further 4% ("auto-enrolment minimum contributions"). Thesecontribution rates apply for the 2019/2020 tax year. However, you will be able to alteryour contribution rate at any point after you have joined the Scheme.

Years' Company Service EmployeeContribution % up to

Matched HCA Contribution % up to

0 – 4 4 4

5 – 9 5 5

10 – 14 6 6

15 – 19 7 7

20 – 24 8 8

25+ 9 9

For example, a member with 5 years’ Company service could contribute 5% of annualsalary and receive a matching 5% of annual salary contribution by the Company.However, such a member could choose to contribute a lesser percentage, for example4% of annual salary and would therefore only receive a matching 4% of annual salarycontribution by the Company. This member could then decide to pay an extra 1%contribution, which means the Company would then make a matching additional 1%contribution.

Please note that if you are likely to be impacted by the Tapered Annual Allowance (seepage 5) you will need to carefully consider the level of contributions you pay into theScheme.

You can increase the amount you contribute to the Scheme through the FlexibleBenefits website, which can be accessed from the HCA Portal or by the following site:

https://harmonise.mercer.com/provision/login

Please click on the menu bar at the top left hand corner of your dashboard, select‘Benefits and Products’ and “View your Rewards” in the Rewards Hub. Then click on‘Benefits’, followed by ‘Pension’.

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The contributions that you choose to pay will be collected by a reduction in your salaryunder the Pension Salary Exchange arrangement. This means your basic annualsalary will be reduced by the amount of the pension contributions you have elected topay (unless you have opted out of Pension Salary Exchange). The Company willthen pay both its own and your chosen level of pension contribution into your SchemeAccount. As a result, the salary used for tax and national insurance purposes is yoursalary after the pension contribution has been deducted. The Company share the NIsaving through an additional contribution made to the Scheme. Further informationregarding Pension Salary Exchange is available on request from the RewardDepartment at 242 Marylebone Road, London, NW1 6JL.

Note: If you are a member of the Manager or Executive Tiers of the Scheme thecontribution structure noted above will not apply to you. You should read the Manageror Executive Tier Schedules for more information on the contributions payable.

Contributions paid during your opt-out period

Contributions paid by you and the Company during the opt-out period will still bepaid to the Scheme. This opt out period is normally a month from the date that yourmembership of the Scheme is confirmed to you.

Additional Voluntary Contributions (AVCs)

You may also pay AVCs to increase your retirement benefits. Your AVCs are collectedby a reduction in your salary via the Pension Salary Exchange in the same way asyour normal contributions. Your AVCs are paid into your Scheme Account.

You can make pension scheme contributions, in total, of up to 100% of your taxablepay subject to HMRC Annual Allowance limits. There will be a tax charge if the totalcontributions in any year, by you and the Company, together with the value of anyother benefits earned in that year, result in benefits in excess of the Annual Allowanceor if applicable to you, the Tapered or Money Purchase Annual Allowances (see page5).

If you would like to make AVCs, you can make these through the Company’s FlexibleBenefits platform. Please remember that you must pay normal contributions in orderto pay AVCs.

Although AVCs may be an appropriate method of saving for retirement for manypeople there may be more flexible or more tax efficient forms of investment availableto you. You should seek Independent Financial Advice before deciding to pay AVCsor before investing in any financial product.

Anyone who has elected to make AVCs in prior years will automatically see theircontributions treated as core contributions (and eligible for HCA matching) as far aspossible with any balance above the appropriate scale treated as AVCs.

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Other Company contributions to the Scheme

The Company pays the cost of providing a two times your Pensionable Salary (thisis on an annual salary basis) lump sum death benefit if you die before you leave service(see “Benefits for your family”).

Costs

The administration costs of the Scheme are met by a deduction from your SchemeAccount. An annual charge is made based on the value of your Scheme Accountand the individual funds in which it is invested. This is usually a small percentage ofthe overall value of the fund(s) you choose to invest in. See the Investment Guide forexact details of these charges.

The Company pays the charges for ensuring that the Scheme complies withlegislative requirements and Professional Advisors and Auditor fees. This is asignificant financial commitment to running the Scheme and should not beunderestimated.

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INVESTMENT

Investment of contributions

The contributions you and the Company make are paid into your Scheme Accounteach month and invested by the Trustee. The Scheme’s assets are independent of,and kept entirely separate from; those of the Company. The purpose of this SchemeAccount is to provide a fund that grows in value over the years until you takeretirement which will provide you with a pension and/or other benefits when you retire.

The Trustee is responsible for the investment of the Scheme’s assets. The Trusteeseeks professional advice on the selection of the Scheme’s investment funds and hasprepared a Statement of Investment Principles. The Statement of InvestmentPrinciples is a formal document that details the Scheme’s available funds and thereasons for offering these as well as the targets for the chosen funds. The Trusteehas delegated the day-to-day investment decisions to external fund managers wholook after your money on behalf of the Trustee by using a Scheme policy held in thename of the Trustee.

Choosing your investment funds

The Trustee will notify you from time to time of the range of investment funds availableunder the Scheme. You should tell the Trustee which one or more of the funds youwant your Scheme Account and AVC Account to be invested in and in whatproportions. You should give this careful thought when you join the Scheme. If youwish to change your choices later you may do so by logging into your SchemeAccount, which can be accessed via Mercer Harmonise on the HCA Portal then byclicking on My Retirement and View/Edit My Pension or by typing the following url intoyour web browser https://www.avivamymoney.co.uk/Login or alternatively by callingthe Scheme Administrator member helpline on 0345 600 6303. The type ofinvestment you choose depends on your personal circumstances and the degree ofrisk (the risk that your fund could be worth less than you pay in) you wish to take. Youmay wish to seek independent financial advice about your investment choices whenyou first join the Scheme but also at regular intervals thereafter or in the event thatyour circumstances change. Please note that the Reward Department, nor theTrustee, are able to provide you with any financial advice in connection with yourdecision.

It is your responsibility to review your investment decision on a regular basis. You willbe responsible for meeting the costs of any independent financial advice you receive.

Please note that the value of your Scheme Account cannot be guaranteed. The valueof your Scheme Account can go up and down depending on how well the underlyinginvestments perform.

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Lifestyle Strategy

This is a way of controlling the value of your fund as you approach retirement. It aimsto reduce the volatility, the movement in the fund values invested in, so that the amountof money available for retirement benefits remains relatively stable until the memberreaches retirement. However, its use depends on your own circumstances and it maynot be appropriate for all members, especially if you intend to retire before yourScheme Pension Date.

There are three lifestyle strategies available within the Scheme. These lifestylestrategies give you the option to target cash, drawdown or make an annuity purchaseat retirement, unless you opt out of lifestyling altogether. These lifestyle strategies arecalled the Aviva Pension MyM Mercer Target (Cash, Drawdown and Annuity) Fundsrespectively. If you do not elect a particular lifestyle strategy, the Trustee will assumeyou wish to participate in the lifestyle strategy targeting cash at retirement, the AvivaPension MyM Mercer Target Cash Fund. For more information on these lifestylestrategies please see the Investment Guide or alternatively please visithttp://avivapensiondocuments.co.uk/HCA

If you are planning to retire at a different age to the Scheme Pension Date, you areable to choose a ‘Selected Retirement Age’, which will be used as your retirement datefor Lifestyling purpose. Please note that selecting a different date does not mean youwill be able to retire at this date.

You should take independent financial advice if you are unsure about choosing thisoption.

Default Option

The Trustee provides a default option, which is available for new members who do notmake a decision where to invest their future contributions. The default investmentoption is the Aviva Pension MyM Mercer Target Cash Fund, which initially invests inthe Aviva Pension MyM Growth/Balanced Risk Fund until 8 years before a member’sScheme Pension Date. The Aviva Pension MyM Growth/Balanced Risk Fund thenswitches into Cash Target Retirement Funds as the member approaches retirement.

The Aviva Pension MyM Growth/Balanced Risk Fund invests in one or more underlyingfunds to produce a portfolio with around three quarters or more invested in UK andoverseas shares, a holding in government and corporate bond and the remainderspread across other asset types giving exposure to commodities, property and moneymarket instruments. The Cash Target Retirement Funds have been designed for thosemembers planning to retire and transfer their assets into cash at their SchemePension Date. The Cash Target Retirement Funds invest in one or more underlyingfunds to produce a portfolio with access to a range of asset classes, including equities,bonds, commodities indices and Real Estate Investment Trusts (REITs). These fundsgradually switch, over the 8 year period before your Scheme Pension Date, so that atretirement your funds are completely invested in the Cash Retirement Fund.

Before deciding to use the default option you are advised to check the InvestmentGuide to make sure that you are happy with the risks involved in such an investment.

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If you wish to change your investment decision you can do this by logging into yourScheme Account or alternatively by calling the Scheme Administrator’s memberhelpline on 0345 600 6303.

The Scheme Administrator’s Investment Guide detailing further information oninvestment is available to you when you join the Scheme. The Investment Guide canbe accessed through the following website http://avivapensiondocuments.co.uk/HCA

Please note that neither the Trustee, the Reward Department nor any employee ofHCA International can provide you with financial advice. The default fund option andthe lifestyle options are provided in good faith but are not a personal recommendationfor you. The choices you make regarding these items will directly impact on the amountof benefits you will receive. If you are unsure about what to do, you are strongly advisedto speak to an Independent Financial Advisor.

LEAVING AND ABSENCE

Transfer of benefits

If you leave the Scheme before your Scheme Pension Date, instead of leaving yourbenefits in the Scheme, you may be able to transfer them to your new employer'sscheme, a personal pension scheme or an individual insurance policy. Various rulesand regulations apply to transfers and you will be advised if these affect you.

The transfer value is the value of your Scheme Account calculated under the SchemeAdministrator’s policy.

At any time, whether you have left the Scheme or not, you may ask the Trustee for anestimate of the transfer value available. The Trustee will give you this within threemonths of your request. If you need the estimate because of a divorce settlement, youshould tell the Trustee this, as they may need further information from you. TheTrustee is not obliged to give you another estimate within 12 months of your lastrequest.

If you want to transfer the value of your Scheme to another pension scheme orinsurance policy, you should contact the Scheme’s Administrator on 0345 600 6303Again, you should consider seeking independent financial advice before making adecision.

Absence from work

Most absences from work are for a relatively short time and do not normally affect yourmembership of the Scheme. If you are absent for a long time, your membership in theScheme may be affected. You will be notified if this applies to you.

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If you are absent due to illness or injury, your Scheme membership is continued,provided the Company agrees and continues to pay you.

If you are away from work for any other reason except maternity leave, paternity leaveor adoption leave the Company will decide whether your membership in the Schemeshould continue, whether you will remain covered for the lump sum death benefit and,in each case, for how long.

You are normally treated as having left employment if you do not return to work at theend of the appropriate period.

Maternity leave

Ordinary maternity leave entitlement is 39 weeks and additional maternity leave is afurther 13 weeks from the end of ordinary maternity leave.Ordinary maternity leave

If, and for so long as, you qualify for Statutory Maternity Pay (SMP) or you receivecontractual pay from the Company, your membership under the Scheme continuesas if you are working normally. Your pension benefits will continue and will be basedon the Pensionable Salary that would have applied had you been working normally.Your death in service benefits will be similarly continued (see “Benefits for your family”).You continue to pay Normal Contributions but they are based on the pay you actuallyreceive during ordinary maternity leave(rather than on your Pensionable Salary) while employer contributions will be basedon the Pensionable Salary that would have applied had you been working normally.Under Pension Salary Exchange, all contributions will be treated as employerContributions. Employer contributions will be based on the salary the member isentitled to prior to any reduction for Pension Salary Exchange. The amount of salaryexchanged, however, will be based on the percentage of pay you actually receive.Whilst you are in receipt of Statutory Maternity Pay (SMP), there will be no salaryexchanged but contributions will continue.If you do not receive SMP or do not receive contractual pay from the Company, yourmembership of the Scheme and death in service benefits continue (see Benefits foryour family), as previously described, for the ordinary maternity leave period of 39weeks.

During any unpaid ordinary maternity leave you do not pay any Normal Contributions.The Company pays its own contributions based on the Pensionable Salary you wouldhave received had you been working normally.

Additional maternity leave

If, and for so long as, you receive contractual pay from your employer, yourmembership under the Scheme continues as if you are working normally. You willcontinue to pay Normal Contributions based on the contractual pay you receive andyour death in service benefits will continue (see Benefits for your family) and will bebased on your Pensionable Salary that would have applied to you had you beenworking normally. Employer contributions will be based on the Pensionable Salarythat would have applied had you been working normally.

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If you do not receive contractual pay from your employer during additional maternityleave, your pension benefits for that period will not be continued but your death inservice benefits will be (see “Benefits for your family”). Any period of additionalmaternity leave in which you were not receiving contractual pay will count asmembership of the Scheme only if, with the agreement of the Company you havearranged with the Trustee to pay the contributions you would have paid to the Schemehad you been working normally.

If, following maternity leave (either ordinary or additional, whichever applies to you),you do not return to work, and you have not left the Scheme earlier, you will then betreated as leaving service and the Scheme. Your date of leaving the Scheme is takenas the date any maternity (either SMP or contractual pay) pay stops or, if later, whenyour maternity leave ends.

Paternity leave

During paternity leave you are entitled to all your normal terms and conditions ofemployment and providing you meet certain eligibility requirements you are entitled totwo weeks Statutory Paternity Pay.

Your pension benefits will continue normally during periods of paid paternity leave andnormal death in service benefits will continue to apply. You will be required tocontribute to the Scheme during paternity leave. Any period of unpaid paternity leavewill count as membership of the Scheme only if with the agreement of the Companyyou have arranged with the Trustee to pay the contributions you would have paid tothe Scheme had you been working normally.

Adoption leave

During ordinary adoption leave your pension and death in service benefits will becontinued in exactly the same way as described for maternity leave. However, foradoption leave, the earlier references to “maternity leave”, and “Statutory MaternityPay (SMP)” should be taken to read “adoption leave” and “Statutory Adoption Pay(SAP)” respectively.

You can obtain further details about maternity, adoption and paternity leave from yourManager.

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RETIREMENT BENEFITS

From the age of 55, members of Defined Contribution (DC) pension schemes havecomplete freedom and choice as to how they use their retirement savings to providethem with an income in retirement. The Scheme is a DC pension scheme and atretirement you will be able use your Scheme Account as you wish. For example atyour Scheme Pension Date you may choose to:

· Buy a pension (an annuity), to provide a guaranteed income for life – with theoption to provide additional income for your dependants after your death. Youcan choose to take up to 25% of your Scheme Account as tax-free cash, themore tax-free cash you take the smaller the annuity will be.

· Take all of your Scheme Account as a lump sum or a series of lump sums.25% of each lump sum can be taken tax free with the balance being taxed asincome. The income tax that you pay will depend upon your total income in anytax year, the higher your income the greater amount of income tax you pay.Taking a large lump sum may move you into a higher tax bracket and so youshould take financial advice if considering this option. Please note the Schemecurrently only allows you take your Scheme Account as a single cash lumpsum, if you would like to use your Scheme Account to take a series of cashlump sums you will need to transfer your benefits to another approved pensionarrangement that can facilitate this option.

· Leave your Scheme Account invested in a pension plan and draw as much oras little as you want in income. Please note that this option will not be availableto you through the Scheme and therefore you will be required to transfer yourbenefits to another approved pension arrangement that can facilitate this.

· Buy a pension with part of your Scheme Account, leave the rest invested, ortake it as cash and spend it as and when you want. Again this option will not beavailable to you through the Scheme and therefore you will be required totransfer your benefits to another approved pension arrangement that canfacilitate this.

Note, if you choose to withdraw your benefits partially or in full from the Scheme whilststill employed by the Company, the Company will no longer make any contributions.

Further details of the retirement options available to you will be provided to you as youapproach retirement. Some of the options available to you at retirement may be liableto charges, which you will be responsible for paying.

Should you still wish to use your Scheme Account to purchase an annuity then thiswill be bought from an insurance company. You have the option to choose theinsurance company yourself, but if you do not want to do so, the Trustee can reviewthe market and select an insurance company on your behalf. This is a service which iscurrently paid for by the Company on your behalf, if the value of your SchemeAccount is greater than £7,500 after you have taken any tax-free cash lump sum.

The Scheme currently has investment strategies in place that you can choose fromthat target cash, drawdown or an annuity purchase at retirement. Please see the“Investment” section for further details.

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Financial guidance at retirement

As you approach retirement, you will be able to access financial guidance free ofcharge on the range of options available to you, and to help you choose how best toprovide the income you need in retirement. This will not be individual advice, for whichyou would have to pay. This free guidance can be accessed through the followingwebsite www.pensionwise.gov.uk

Early retirement

Early retirement may be possible. The Company’s and/or Trustees’ consent may berequired depending upon the circumstances of your retirement, for example becauseof serious ill health or incapacity.

You will be able to use the value of your Scheme Account to provide you withretirement benefits in the same way as at your Scheme Pension Date. If you do retireearly the value of your Scheme Account will be lower due to the shorter period of timefor which contributions have been paid and invested together with the earlier paymentdate.

Late retirement

If, by arrangement with the Company, you continue working after your SchemePension Date no benefits are payable until you actually retire. Company contributionsand your Normal Contributions will continue to be paid until you retire.

You may also continue to pay AVCs until you retire.

Your Life Assurance Lump Sum cover will cease on reaching your 70th birthday, andyou should note that the benefits payable on your death after age 70 will depend onwhether you continue with Scheme membership.

BENEFITS FOR YOUR FAMILY

Death before you retire

If you die before your Scheme Pension Date while employed by the Company a lumpsum death in service benefit of at least 2 times your Pensionable Salary at your dateof death is payable.

This lump sum may be at a different level if you have elected to amend this lump sumthrough the Company’s flexible benefits plan. This applies to all references to lumpsum death benefits throughout this booklet.

The lump sum death in service benefits are insured under a group insurance policy tospecifically provide these benefits. Payment of the benefit is subject to acceptance by,

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and any terms and conditions imposed by, the insurer. Cover may be subject tosatisfactory medical evidence or underwriting and you will be notified if this applies toyou.

Any insured death in service benefits stop upon leaving service, early retirement or atthe age of 70.

Death benefits from your Scheme Account and AVC Account

A refund of your Scheme Account and AVC Account will also be paid as a lump sum.However, the Trustee may use their discretion to provide a pension for your widow orwidower or for another person who is financially dependent on you.

Payment of lump sums

The lump sum death benefits are paid at the discretion of the Trustee to yourbeneficiaries and normally no inheritance tax is paid on them. Your beneficiariesinclude your family, someone who is dependent on you because of disability and anyperson not married to you who wholly or partly relied on your income to maintain astandard of living that had depended on your joint incomes before you died. It mayalso include anyone nominated in your will or in writing to the Trustee. The easiestdocument for use in such circumstances is an Expression of Wish form and you areadvised to keep this up to date.

The Trustee must decide who receives the money but in making a decision they willconsider your wishes provided they have been notified of them beforehand.

You may nominate the people you would like the Trustee to consider as beneficiariesby completing an Expression of Wish Form. There is an Expression of Wish Form foryou to use in the Appendices at the back of this booklet. You may change thisnomination at any time by filling in a new form. Further Expression of Wish Forms areavailable from the Reward Department.

Death after you retire

The benefits payable on your death will depend on the choices you made at yourretirement (see “Retirement Benefits”).

Restriction on benefits

Normally the death benefits are provided automatically. However, sometimesrestrictions are placed on benefits because of conditions imposed by the insurer. Youmay be asked to provide evidence of your good health before you are covered for fullbenefits and this may include you being required to attend a medical examination. Thebenefits payable on your death may need to be reduced by the Trustee until such timeas this medical underwriting process has been completed.

With regards to your lump sum death in service benefits (3 x Pensionable Salary), yourPensionable Salary will be limited to an earnings cap which for the 2019/20 tax year is£154,000.

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A-Z OF FURTHER DETAILS

Alteration or discontinuation

The Company determines the contributions payable to the Scheme. TheCompany with the consent of the Trustee also has the right to alter the futureterms of the Scheme subject to giving members appropriate notice.

This booklet is based on current understanding of tax and pension schemelaw and is subject to change at any time in the future.

Change of address

If any benefits remain in the Scheme after you leave the Company, youshould keep the Trustee informed of any change in your address. This isbecause the Trustee will need to contact you at the time of your retirement.You can do this by contacting the Scheme Administrator on 0345 600 6303.

Contributions to other pension arrangements

You can pay into as many pension schemes outside of the Scheme as youwish. The allowances detailed earlier in this booklet will apply to all of yourpension arrangements.

Special rules apply concerning residency in the UK and the source of yourearnings. You should discuss the payment of contributions with the personalpension/stakeholder provider.

You should seek independent financial advice before making any retirementsaving decisions.

Current income tax position

If your total retirement income including your State Pension is more thanyour personal income tax allowance, your Scheme pension is subject toPAYE income tax.

Divorce

If you get divorced, your benefits under the Scheme may become subject toa court order. This would require the Trustee to allocate a specified part ofyour retirement benefits and death benefits under the Scheme to your ex-spouse.

If a court order applies to your Scheme benefits, you will be given details ofthe reduction to apply to your benefits. However, you may be able to increase

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your benefits by paying AVCs or, if you pay AVCs already, by increasingthem.

On divorce, you should tell the Trustee about the changes in your personaldetails. You may also wish to consider changing any Expression of WishForm you previously completed.

The Trustee incurs extra costs when providing information relating to apotential divorce or in complying with a court order concerning your Schemebenefits. The Trustee reserves the right to recover these costs from you or,where a court order specifies, from your ex-spouse.

This will normally happen by deducting the relevant costs from your SchemeAccount, although you have the right to make payment direct to the Trusteeif you prefer.

Formal Trust Deed and Rules

This booklet is for information only and does not give rights to benefits for orin respect of you. Your rights to benefits under the Scheme arise from theformal Trust Deed and Rules. The Trust Deed and Rules are designed tomeet the requirements of Her Majesty’s Revenue & Customs (HMRC) andother Government authorities.

This booklet gives a summary of the benefits provided by the Scheme anddoes not cover everything in the Trust Deed and Rules. If this Booklet differsin any way from the Trust Deed and Rules, the Trust Deed and Rules willprevail.

Giving up your benefits

Except in the limited circumstances allowed by law and by the formal TrustDeed and Rules, you are not allowed to give up, cash in or forfeit your benefitsor use them as a security for a loan.

Independent financial advisor

If you do not have an independent financial advisor to whom you usually referyou can contact the professional advice website at www.unbiased.co.uk. Anyfinancial advice you take will be at your own cost.

Inheritance tax

Under current law your lump sum death benefits are not normally subject toinheritance tax as they are paid at the Trustee’s sole discretion.

You should let the Trustee know whom you would like them to consider toreceive the benefits by completing an Expression of Wish Form. You mustcomplete another form if your personal circumstances change or if youchange your mind at any time and return this form to the Reward department,HCA International Ltd, 242 Marylebone Road, London, NW1 6JL.

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Her Majesty’s Customs & Revenue (HMRC) registration of the Scheme

The Scheme is registered with HMRC as a tax-approved pension scheme.

Tax approval brings important tax advantages for you but limits the benefitsthat can be paid. Normally, your benefits are paid without any furtherrestriction and you will be notified if any further limits apply to you.

Pension increases

You can opt to use your Scheme Account to buy a pension via an annuitycontract that increases at a level of your choice.

Any increases you choose to secure at retirement take place on eachanniversary of your retirement following your retirement date.

You will receive further details about pension increases if you choose topurchase a pension when you retire.

Security of personal information

The Trustees will use your information including information about yourentitlements for the purpose of administering and operating the Scheme andpaying benefits under it. The information will be kept secure and onlydisclosed in limited circumstances. Examples of people to whom informationmay be disclosed include, but are not limited to:

The Administrator of the Scheme

The professional advisers of the Trustees

Insurance companies to arrange particular entitlements

Your current or future employer

Information may also be disclosed to Government and/or other regulatoryauthorities if the Trustees are obliged by law to do so.

Some of the personal data held is deemed ‘sensitive personal data’ under theGeneral Data Protection Regulation (GDPR). By joining the Scheme youconsented to your personal data being held and used in this way. Yourpersonal data may be transferred outside of the European Economic Areabut only when this is necessary and when appropriate safeguards requiredby the GDPR are in place.

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Under the GDPR you have various rights with respect to your personal data.For example you are entitled to a copy of the information held about you. Youare also entitled to have any inaccuracies corrected. To assist in ensuringthat the information held is accurate and up to date, please inform us of anychanges to your personal details via your HR Representative.

For further information on how your data is used by the Trustees, please referto the Trustees’ notice on fair processing which is available via OneView.

If you have any questions about how your personal data is handled by theScheme or how the GDPR is being applied, please contactRewards@hcahealthcare.co.uk.

The Trustee is the data controller under the General Data ProtectionRegulation (GDPR). GDPR replaced the Data Protection Act 1998 from 25May 2018.

It is important that you tell the Trustee of any changes in your personal detailsto ensure the information held is accurate. You can do this by contacting theScheme Administrator, on 0345 600 6303.

STATE PENSION SCHEME

In April 2016, a number of changes were made to the State PensionScheme. For everyone reaching State Pension Age (SPA) after 6 April2016, a single tier State Pension will apply. The single tier State Pensionwill be payable to anyone who has reached SPA and has at least 35qualifying years. A reduced State Pension is payable at 1/35th for the fullrate per qualifying year to people with less than 35 qualifying years and aminimum of 10 qualifying years will be needed to get any State Pension.

Transitional arrangements and protections apply for individuals who havebuilt up State Pension benefits prior to April 2016, many of whom will haveopted out of certain elements of State Pension benefits e.g. State SecondPension (S2P) by being members of contracted-out Occupational PensionSchemes. The Scheme contracted-out of S2P (formerly known as the StateEarnings Related Pension Scheme) until the 6 April 2012, and is nowcontracted-in.

The Government has produced several short booklets to help employeesas part of its State Pension toolkit:

· Your State Pension explained· Introduction to the new State Pension

State Pension Age (SPA)

Women’s SPA was increased from age 60 to 65 in short steps over theperiod between 2010 and 2018, and is now aligned at age 65 with theSPA for mean. The SPA will increase to 66 for everyone by October 2020;age 67 by 2028 and age 68 by 2039.

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Note: This information is not intended to be a comprehensive guide to theState Pension and benefits provided by the State to you. To find outmore about your State Pension, or to request a State Pension statement,go to the Government pensions website at https://www.gov.uk/state-pension.

HELP AND ADVICEFurther information about the Scheme

If you want to see a copy of the formal Trust Deed and Rules, or you wantmore information about this booklet or the Scheme in general, please contactthe Reward department on 020 7616 4836. You may be charged for theprovision of formal documents.

Queries and problems

The Trustee aims to administer and manage the Scheme to high standardsbut there may be times when you are unhappy about something concerningyour benefits or your membership of the Scheme in general.

Most queries and problems stem from a misunderstanding of information andnormally can be quickly and informally sorted out without the need to use anyformal procedures. You should refer any initial query or problem to theReward Department

If you are still unhappy about the matter, you may then wish to considermaking a formal complaint through the internal dispute resolution procedures.

Internal dispute resolution procedures

If you have not been able to resolve any complaint about the Schemeinformally, there is a two-stage formal procedure you may use.

Stage 1 - You should contact the Reward Department via email –rewards@hcahealthcare.co.uk, stating you have a complaint or dispute andasking for it to be resolved through the Scheme’s internal dispute resolutionprocedures. You will then be provided with an Application Form on which toformally record your complaint or dispute.

A decision in respect of your complaint or dispute by the Reward Departmentwould normally be made within two months of receiving your application. Youwill receive a written notice of the decision within 15 working days after it hasbeen made.

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Stage 2 - If you are not satisfied with the response provided in Stage One youwill be entitled to refer the matter to the Trustee within six months of receivingit. A decision would normally be made within two months of the Trusteereceiving your appeal. You will receive a written notice of the decision within15 working days after it has been made.

If you wish, you may use a representative to act on your behalf.

The Internal Dispute Resolution procedures apply to matters concerning theScheme that affect members and others who may have an interest in theScheme. They do not apply to disputes between employees and theCompany, nor do they apply to disputes where court proceedings havestarted or are being investigated by the Pensions Ombudsman.

The Pensions Regulator

The statutory body that regulates occupational pension schemes is ThePensions Regulator (TPR). TPR can be contact at:

The Pensions Regulator,Napier House,Trafalgar Place,Brighton,BN1 4DW.

Telephone: 0345 600 0707.Website: www.thepensionsregulator.gov.uk.Email: customersupport@tpr.gov.uk

The Pensions Advisory Service (TPAS)

If you have general requests for information or guidance concerning yourpension arrangements contact:

The Pensions Advisory Service,11 Belgrave Road,London,SW1V 1RB.

Telephone: 0800 011 3797.Website: www.pensionsadvisoryservice.org.uk.

Pensions Ombudsman

The Pensions Ombudsman is available to help settle complaints of fact or lawin connection with pension plans. If you have any complaint or dispute aboutany matter relating to the Plan, you can refer it to the Pensions Ombudsman,

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regardless of whether or not you have initiated the Internal Dispute ResolutionProcedure.

The Ombudsman can be contacted at the following address:

10 South ColonnadeCanary WharfE14 4PU

Telephone: 0800 917 4487.Email: enquiries@pensions-ombudsman.org.ukWebsite: www.pensions-ombudsman.org.uk

You can also submit a complaint form online:www.pensions-ombudsman.org.uk/our-service/make-a-complaint/

Pensions tracing

The Trustee has given information about the Scheme, including details of anaddress at which they can be contacted, to the Pensions Service. A tracingservice run by the Pensions Service may be of help to you if you need tocontact the Trustees of a previous employer's pension scheme and cannottrace them yourself.

The Pensions Tracing Service may be contacted at:

The Pensions Tracing Service,The Pensions Service 9,Mail Handling Site A,Wolverhampton,WV98 1LU.

Telephone: 0800 731 0193

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Appendix

HCA INTERNATIONAL LTD STAFF RETIREMENT BENEFITS SCHEMEEXPRESSION OF WISH FORM – NOMINATION OF BENEFICIARY

The Trustee has absolute discretion under the Trust Deed and Rules as to whom to pay any death inservice benefits, although in exercising discretion it will normally take into account your wishes.

Please complete the details below using BLOCK CAPITALS and return to the Reward Department HCAInternational Ltd, 242 Marylebone Road, London, NW1 6JL.

Facility Name…….………..…………………Department……………..………………….….

Surname……………..................................................................................................................

First Name(s)........................................................….

Date of Birth.............................................

Address…………………………………………………………………………………………

I wish the following person(s) to benefit in accordance with the Trust Deed and Rules, in the event ofmy death.

Nominations

Although I understand that the Trustee has absolute discretion as to whom to pay any death in servicebenefit, I would like it paid to:

1) Full Name: Mr/Mrs/Miss …………………….……………………………………………..

Address…………………………………………………………………………………………

Relationship…………….…………………….Proportion of Benefit.…………………………

2) Full Name: Mr/Mrs/Miss……………………………………………………………………

Address…………………………………………………………………………………………

Relationship….……………………………….Proportion of Benefit.…………………………

If you would like to nominate more than two people, please write (on the back of this form) their fulldetails and the proportion of benefit you would like them to receive.

I CAN CONFIRM THAT THIS EXPRESSION OF WISH FORM CANCELS ANY PREVIOUSLY MADEBY ME.

I authorise the Trustee and it’s advisers to hold, and in the event of my death, to use this information inaccordance with the requirements of the General Data Protection Regulation (GDPR).

Signed.…………………………………………… Date………………………………..

If you have any queries or require another Expression of Wish Form please contact the RewardDepartment on 020 7616 4836.