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Our Benefits, Your Choice:

TIME TO CHOOSE WHAT WORKS FOR YOU IN 2018

2018 BENEFITS GUIDE (U.S. EMPLOYEES)


Current Employees: Enroll November 16 – December 6, 2017
New Hires: Enroll within 30 days of hire date
Halliburton U.S. Domestic Benefits Guide

At Halliburton, we work hard to provide you with the benefits you need to be your best — but we can’t do it alone.
It’s up to you to make healthy choices for your life, and to take advantage of the resources and opportunities we
provide. Our history as a company proves that when we work together, we can do great things — so join us on
a journey to better health.

Make healthy choices across all aspects of your life:

COMMUNITY FINANCIAL EMOTIONAL PHYSICAL NUTRITION


INVOLVEMENT WELLNESS HEALTH HEALTH

The partnership between you and Halliburton means that you can start working to improve your health today.
Select the right benefits, then make them work for you.

WHEN TO ENROLL:
CURRENT EMPLOYEES NEW HIRES
must enroll in 2018 benefits during Annual must enroll in 2018 benefits within 30 days
Enrollment, November 16 – December 6, 2017. of their date of hire.
Halliburton U.S. Domestic Benefits Guide > Table of Contents 1

Table of Contents

WHAT’S NEW FOR 2018 3 ENROLLMENT AND ELIGIBILITY 18


What’s Changing and How 4 When to Enroll 18
How to Enroll in Your Benefits 18
YOUR 2018 BENEFITS 7 Total Rewards Website 22

Medical 7 Qualified Change-in-Status Events 23

Teladoc 9
How the Consumer Choice Plan Works 10 THE HALLIBURTON RETIREMENT
AND SAVINGS PLAN 24
Health Savings Account (HSA) 11
Flexible Spending Accounts (FSAs) 12 Naming or Updating Your Beneficiaries 24
Tobacco-Free Benefit Requirements 13
Dental 14 COMPLIANCE AND
LEGAL NOTICES 25
Vision 15
Life Insurance 16 The Women’s Health and Cancer
Rights Act of 1998 25
Accidental Death and Dismemberment
(AD&D) 16 IRS Form 1095-c 26
Flex Days 16 Premium Assistance Under Medicaid
and the Children’s Health Insurance
Long-Term Disability (LTD) 17
Program (CHIP) 26
Employee Assistance Program (EAP) 17
2
Halliburton U.S. Domestic Benefits Guide > What’s New for 2018 3

What’s New for 2018


In an effort to provide you with the
best value for benefits that meet
your needs, we evaluate and revise
your options every year. This process
keeps our benefits sustainable and up
to date, making sure we can continue
to offer you the ability to improve your
life, every day. Here are the updates
we’re making for 2018.
4 Halliburton U.S. Domestic Benefits Guide

REVIEW YOUR BENEFITS


Review Your Benefits
It’s always smart to review your benefit
choices each year to confirm or make
changes to your elections and take note
of plan or pricing changes if applicable.
Most of your current benefits will roll over
to the next year; however, if you want to
participate in a Flexible Spending Account What’s Changing … And How
or Health Savings Account, or elect Flex
Days, you must actively enroll in these Changes to Your Medical Coverage
benefits for 2018.
To sustain our health and welfare benefit plans,
Even if you choose to not make any premiums (your cost for coverage) will increase
Medical Plan
changes, log on to the Halliburton Total slightly. For more detailed information on your
Contributions
Rewards website and review and submit
premiums, visit the Halliburton Total Rewards
website at www.halliburton.com/totalrewards.
all of your elections. If you experience
a qualified change-in-status or you are a
For both the Basic and Standard PPO plans, you’ll pay
late year new hire, you must submit your
a $200 copay plus your applicable coinsurance after
elections and, if applicable, verify your meeting your deductible for an Emergency Room visit.
newly added dependents by the deadline Remember to use in-network providers and facilities
or you will not be able to make any changes when possible, and consider whether your illness
until the next Annual Enrollment period, or injury is truly an emergency before you go to the
Emergency Room. For many medical concerns, an
unless you experience another qualified
Urgent Care center may provide both less expensive
change-in-status, which you must report Emergency Room
and faster medical assistance. Contacting Teladoc is an
Coinsurance
within 30 days of the event. even faster and less expensive option, as long as your
medical concern isn’t particularly urgent, but can’t
wait for an appointment with your normal doctor.

You can easily find Urgent Care centers, and other


providers, near you with the BCBSTX provider finder
app, available on both the Apple App Store and
Google Play for Android.

For both the Basic and Standard PPO Plans, you’ll


In-Network Lab and
pay 30% or 20% coinsurance for in-network x-ray
X-Ray Services
and lab services.

Effective January 1, 2018, BCBSTX’s Blue Distinction


Centers will offer knee replacement, hip replacement,
and spinal surgeries to covered employees and dependents
Blue Distinction Centers
who meet the requirements as outlined by their physician.
for Knees, Hip and
Only when these surgeries are performed at a BCBSTX
Spine Treatment
Blue Distinction Center will they be covered by the
plan. You can find a Blue Distinction Center at
www.bcbs.com/blue-distinction-center-finder.

If you would like to make contributions to a healthcare


or dependent care FSA, you must make a new election
Flexible Spending
each year you want to participate — much like the
Account (FSA) Change
current Health Savings Account, your election will
no longer automatically roll over.
Halliburton U.S. Domestic Benefits Guide > Review Your Benefits 5

What’s Changing … And How

Changes to Your Prescription Drug Coverage

Beginning January 1, 2018, you have two ways to


receive up to a 90-day supply of your long-term
maintenance medication (drugs you take regularly
for ongoing conditions). You can:
1. Fill prescriptions through home delivery from the
Express Scripts Pharmacy (the current benefit), or
2. Fill prescriptions at a Walgreens retail pharmacy
using the Smart90 Walgreens Network and
receive equivalent cost savings as the current
New Smart90 mail-order benefit. This option allows you to fill
Walgreens Program your 90-day maintenance prescriptions at
a Walgreens retail location.
To locate a pharmacy in the Smart90 network, log
in to www.express-scripts.com and click “Locate
a pharmacy” from the menu under “Manage
Prescriptions” — Smart90 network pharmacies will
be noted in your search results. If you are a first-
time visitor to www.express-scripts.com, have your
member ID number handy and take a minute to
register. You can also use the Express Scripts app on
your mobile device to locate a participating pharmacy.

Beginning January 1, 2018, we are introducing a


new specialty drug coinsurance assistance program,
coordinated through SaveonSP. You are eligible to
participate in SaveonSP program if you are currently
taking, or if you begin taking specific specialty drugs.
The program will help you enroll in any applicable
manufacturer coinsurance assistance programs for
your qualifying drugs.
Enrollment in the program is voluntary. However, your
New SaveonSP Program specialty drug coinsurance will be waived if you choose
for PPO and DMP Plans to participate. If you are eligible and choose not to
enroll in the program, you will be responsible for the
full cost of your applicable specialty drugs, and this
expense will not count toward your deductible or
out-of-pocket maximum.
If you are eligible to participate in this program, you will
receive a letter in the mail from SaveonSP outlining your
enrollment process. This does not apply to the CCP plan.
Please note, your prescriptions will still be filled through
Accredo, Halliburton’s specialty mail-order pharmacy.

The prescription drug deductible for all PPO and


Prescription Drug DMP plans will increase to $50, regardless of
Deductible for PPO coverage level. You must reach this deductible
and DMP Plans before the plan will begin paying a portion of the
cost of your prescription drugs.
6 Halliburton U.S. Domestic Benefits Guide

URGENT CARE VS.


FREESTANDING ER Review Your Benefits (continued)
An Urgent Care center is a much less
expensive option than an Emergency
Room, and should be used for medical
situations which are urgent, but not
quite emergencies.

Freestanding Emergency Rooms — those not


associated with a hospital — are beginning to
What’s Changing … And How
pop up throughout residential areas.

Though freestanding ERs tend to have the Changes to Your Dental Coverage
same look and feel of Urgent Care centers,
many people are unaware that they will pay Using in-network providers for care is less
Emergency Room prices if they receive expensive both for you, and for the Company.
Out-of-Network
That’s why we’re changing the coinsurance you
care there. Coinsurance
pay for basic, out-of-network dental services to
50% effective January 1, 2018.
If you do decide to visit a freestanding ER,
make sure to ask what your costs will be
BEFORE you receive care. Otherwise, you
Changes to Your Purchased Time Off
may be responsible for a much larger price
tag than you expect. If you would like to purchase flex days for 2018, you
Flex Days Must must actively elect them during Annual Enrollment.
be Re-Elected Your previous election will no longer roll over. You
may only elect flex days during Annual Enrollment.

NO NEED FOR PAPER?

Last year, Halliburton


introduced the option
to receive paperless
benefits communications
— and more than 63%
of employees have
already done so. We are still
encouraging our employees to
join the paperless movement. Help us
go green by logging on to
www.halliburton.com/totalrewards.
To change your preference to digital,
click on the Health & Benefits icon, where
you can elect to receive all of your benefit
communications electronically.

Please note that if you elect to go paperless,


you will not receive an enrollment confirmation
statement in the mail. You must confirm
your final benefit elections online. After the
enrollment period has ended, you will have 10
business days to call the Halliburton Benefits
Center to make any corrections; otherwise,
you will be enrolled per your online elections,
unless you have a qualifying life event and you
report it within 30 days.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 7

Your 2018 Benefits


MEDICAL

Halliburton offers a choice of medical plans. Eligibility for all plans depends
on your home ZIP code on file with the Halliburton Benefits Center.

»» Basic Preferred Provider Organization (Basic PPO)


»» Standard Preferred Provider Organization (Standard PPO)
»» Consumer Choice Plan (CCP)
»» Basic Deductible Medical Plan (Basic DMP)
»» Standard Deductible Medical Plan (Standard DMP)
»» Consumer Choice Out-of-Area Plan (OOA)

The comparison charts below show the differences between each plan.
Always remember that you can save money by using in-network providers.
Log on to www.halliburton.com/totalrewards for more information on
your medical plan options.

Basic PPO, Standard PPO and Consumer Choice Plan (CCP)

Basic PPO Standard PPO CCP

In- Out-of- In- Out-of- In- Out-of-


Network Network Network Network Network Network

Individual Deductible $800 $800 $1,500 $1,500 $2,700 $2,700

Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400 $5,400

Halliburton
Contribution N/A N/A Up to $1,200
to your HSA

Individual
Out-of-Pocket $4,250 $8,500 $4,250 $8,500 $4,750 $9,500
Maximum

Family Out-of-Pocket
$8,500 $17,000 $8,500 $17,000 $9,500 $19,000
Maximum

50% of 50% of 50% of


Co-insurance
70% allowed 80% allowed 80% allowed
(Paid by Plan)
amount amount amount

Routine Office
50% after 50% after 80% after 50% after
Visit (Primary Care/ 70% 80%
deductible deductible deductible deductible
Specialist)

$200 plus employee $200 plus employee


Emergency Room* coinsurance after coinsurance after 80% after deductible
deductible deductible

Annual Physical
50% after 50% after
Exam/Preventive 100% 100% 100% 50%
deductible deductible
Care

*Emergency room copay waived if admitted.


8 Halliburton U.S. Domestic Benefits Guide

Basic DMP, Standard DMP, and Consumer Choice Out-of-Area Plan

HEALTH SAVINGS ACCOUNT (HSA) Basic DMP Standard DMP CCP Out-of-Area

In- Out-of- In- Out-of-


Out-of-Area
Network Network Network Network
The HSA is only available in the Consumer
Choice Plan, which means you can only Individual Deductible $800 $800 $1,500 $1,500 $2,700
receive Halliburton’s contribution if you
Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400
enroll in the CCP.
Halliburton
Contribution N/A N/A Up to $1,200
to your HSA
KNEE, HIP AND SPINE CARE
Individual
Out-of-Pocket $4,250 $4,250 $4,250 $4,250 $4,750
Maximum
Effective January 1, 2018, BCBSTX’s Blue
Distinction Centers will offer knee, hip and Family Out-of-Pocket
$8,500 $8,500 $8,500 $8,500 $9,500
Maximum
spine surgery to covered employees and
dependents. Only surgeries performed at 70% of 80% of 80% of
Co-insurance
these high quality, cost-effective providers 70% allowed 80% allowed allowed
(Paid by Plan)
will be covered. amount amount amount

Routine Office Visit


70% after 80% after 80% after
(Primary Care 70% 80%
deductible deductible deductible
Physician/Specialist)

Annual Physical Exam/


100% 70% 100% 80% 100%
Preventive Care

Prescription Drug Coverage — All Plans*

Basic and
CCP OOA CCP
Standard PPO/DMP

In-Network Out-of-Network**

Prescription Drug Medical deductible Medical deductible


$50
Deductible applies applies

RETAIL PHARMACY: Prescription Drug Coverage — You Pay***

Generic 30-Day Supply $15 20% after deductible 50% after deductible

25%
Preferred Brand
Minimum: $25/ 20% after deductible 50% after deductible
30-Day Supply
Maximum: $100

45%
Nonpreferred Brand
Minimum: $45/ 20% after deductible 50% after deductible
30-Day Supply
Maximum: $100

MAIL OR SMART90 WALGREENS PHARMACY: Prescription Drug Coverage — You Pay

Generic 90-Day Supply $30 20% after deductible 50% after deductible

25%
Preferred Brand
Minimum: $65/ 20% after deductible 50% after deductible
90-Day Supply
Maximum: $200

45%
Nonpreferred Brand
Minimum: $115/ 20% after deductible 50% after deductible
90-Day Supply
Maximum: $250

35%
Specialty Pharmacy**** Minimum: $30/ 20% after deductible 50% after deductible
Maximum: $300

* Refer to the Summary Plan Description (SPD) for information on prescription drug coverage out-of-pocket maximums.
** Out-of-Network subject to allowed amount limits.
*** Maximum of two fills of a maintenance medication at a retail pharmacy; for additional fills, you pay the full cost.
**** Minimum and maximum co-pay amounts depend on number of days supplied.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 9

TELADOC

When you experience an injury or illness, Halliburton offers an


alternative to visiting your doctor’s office for care. With Teladoc, you
can talk with a qualified doctor over the phone and receive treatment
for your condition.

This service is not an alternative to your medical plan, but it is an excellent


way to access acute, non-emergency care at any time. A co-pay will apply
for each use of Teladoc based on your medical plan and will apply to your
out-of-pocket maximum:

PPO or DMP: $10 co-pay

CCP: $40 fee for service

Download the app:

THE IMPORTANCE OF PREVENTIVE CARE

Preventive care is covered at 100% in-network, but that’s not the only reason
to get your annual checkup. Preventive care can catch many conditions early,
sometimes before symptoms begin.
10 Halliburton U.S. Domestic Benefits Guide

THE CONSUMER CHOICE PLAN (CCP) HOW THE CONSUMER CHOICE PLAN WORKS

The Consumer Choice Plan (CCP) provides Phase 1: Deductible Preventive care is covered at 100%
medical coverage for you and your family,
in-network. Certain maintenance
as well as up to $1,200 per year funded
medications are also covered at
by Halliburton and deposited into your
Health Savings Account. The plan has lower 100%, but you pay the full cost of
premiums, a slightly higher deductible, and the remainder of your medical care
allows you full control over the management until you reach your deductible.
of your health care spending. This is offset by the contribution
Halliburton makes to your HSA
and the tax savings you gain by
participating in the account when
you contribute your own funds.
FREE MONEY FROM HALLIBURTON! You may use your Limited Purpose
Health Care FSA for vision and
Halliburton gives you
dental expenses even before
up to $1,200 per you meet your deductible.
year, deposited
into your HSA, Phase 2: Co-insurance Once you meet the annual deductible,
when you enroll you share the cost of services
in the Consumer by paying a percentage (called
Choice Plan (CCP). The co-insurance) for covered health care
money from Halliburton is yours to keep,
expenses and prescription drugs.
and you will never pay taxes on it, the
You can use the funds in your HSA to
interest it earns, or any bills that you pay
with it, as long as you only use it for cover these co-insurance costs or you
qualified medical expenses. may use your Limited Purpose Health
Care FSA for expenses incurred after
the deductible has been met.

Phase 3: Out-of-Pocket Maximum You pay co-insurance until you reach


the annual out-of-pocket maximum.
Then, the plan pays 100% of covered
costs for the remainder of the year.
If you go out-of-network for care,
you may incur additional costs that
are not included in the out-of-pocket
maximum. Like other medical
expenses, these costs can be paid
using the balance in your HSA.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 11

HEALTH SAVINGS ACCOUNT (HSA)

The HSA is a special savings account used to pay for qualifying health care
expenses. Anyone enrolled in the Halliburton CCP may take advantage of
the HSA and receive company contributions deposited on a prorated basis
throughout the year.

If you are age 55 or older, you can contribute an additional $1,000 to


your HSA. You must elect a new contribution amount each year.
Contributions you elected in a previous year will not roll over.

Any earnings on your account balance are tax-free as long as they are
spent on eligible health care expenses. There is no limit on how much
money you can accumulate and roll over from year to year.

HSA by the Numbers


$6,900
$7,000
$1,200
$6,000

$5,000

$4,000
$3,450

$3,000 $600 $5,700

$2,000

$2,850

2018 Individual 2018 Employee +


Contribution Dependent(s)
Amounts Contribution Amounts

Halliburton’s Contributions if You Open an HSA with ConnectYourCare


Your Maximum Allowed Contributions

Total Maximum Contributions for 2018


12 Halliburton U.S. Domestic Benefits Guide

USE IT OR LOSE IT FLEXIBLE SPENDING ACCOUNTS (FSAs)

Any FSA funds not used by December 31, 2018, FSAs help you save money on your taxes by allowing you to use pre-tax
will be forfeited. dollars to pay for eligible medical and dependent day care expenses.

Health Care FSA: Eligibility:


NEW FOR 2018! Participants in a DMP or PPO plan or
anyone not enrolled in coverage

You must elect FSA contributions each year


2018 Contribution Limits:
during Annual Enrollment — your elections from $120 – $2,650
the previous year will not carry over. Availability of Funds: Full balance available
January 1, 2018
Eligible Expenses:
»» Medical insurance deductibles and co-insurance
USE YOUR DEBIT CARD … »» Dental deductibles
SAVE YOUR RECEIPTS »» Non-cosmetic dental treatments
»» Laser eye surgery
»» Vision care
You may be required to confirm that you
used your card to pay for an eligible
expense. Generally, a copy of your Limited Purpose Health Care Eligibility:
Explanation of Benefits for medical or Spending Account Participants in the CCP (see page 10)
dental can be submitted as appropriate
2018 Contribution Limits:
documentation. If you cannot or do not
provide documentation supporting the $120–$2,650
eligible expense, your card will be Availability of Funds: Full balance available
suspended and the unsubstantiated
January 1, 2018
expense could be subject to taxation.
Eligible Expenses:
You will receive an Explanation of
Benefits from your medical or
»» Medical expenses after you meet your
dental provider. CCP deductible
»» Dental deductible and non-cosmetic
Another method of confirming eligible
dental treatments
expenses is to save your receipts — a valid
»» Vision expenses
receipt must show the date of purchase
or service, amount of purchase or service,
description of item or service, name Dependent Day Care FSA Eligibility:
of merchant or service provider and All benefits-eligible employees
name of patient. Documentation can be
2018 Contribution Limits:
provided through ConnectYourCare’s
website,www.connectyourcare.com,
$120–$5,000
or through the ConnectYourCare mobile app. Availability of Funds: Funds only available
as they are deposited into your account
Eligible Expenses:
»» Day care centers
»» Elder/dependent care facility
»» Private sitters
»» Nursery school or preschool
»» Day camp
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 13

TOBACCO-FREE BENEFIT REQUIREMENTS

Tobacco-free employees show a commitment to leading a healthier lifestyle.


If you are tobacco-free, you will receive a 50% medical premium discount,
as long as you avoid using tobacco products. To qualify for this benefit, you
must certify that you and your spouse, if applicable, have not used tobacco
products in the last 12 months. You must also certify that you will continue to
avoid tobacco products as long as you receive this incentive. This certification
is subject to the Halliburton Code of Business Conduct.

If you can’t certify that you and your spouse are tobacco-free, you may
qualify for an opportunity to earn the same premium discount by identifying
yourself and/or your spouse as a tobacco user during Annual Enrollment,
or upon hire on January 1, 2018 or thereafter, by choosing “Yes” to the
election commitment to enroll in and complete the LiveWell Tobacco
Cessation Program. To complete the program, you and/or your spouse have
the choice to complete either four coaching calls or the online Tobacco Free
Journey through the LiveWell Tobacco Cessation program. Employees hired
prior to January 1, 2018 must complete the program’s requirements by
April 30, 2018; employees hired on 1/1/2018 or thereafter, must complete
the program’s requirements within 4 months of their hire date. Your
receipt of the non-tobacco user incentive is subject to verification of your
completion of the program. Failure to meet any of these requirements
will result in the loss of the non-tobacco user incentive, and your medical
and any optional life insurance payroll contributions will be updated to the
tobacco rate.

To enroll in the Tobacco Cessation Coaching Program, you may call


877-278-5244, Monday - Thursday 7:00 a.m. to 10:00 p.m., Friday,
7:00 a.m. to 6 p.m., and Saturday, 10:00 a.m. to 2:00 p.m. C.T., or visit the
Halliburton Total Rewards page at www.halliburton.com/totalrewards
and click the LiveWell icon on the scrolling toolbar to schedule your call
online. RedBrick Health coaches are certified experts who will work with
you by phone to help answer health questions and help you to set goals to
becoming tobacco-free. You can also choose to enroll in the Tobacco Free
Journey, simply by visiting the Halliburton Total Rewards page and clicking
the LiveWell icon on the scrolling toolbar.

If it is medically inadvisable for you to complete the telephone coaching


program or the online Tobacco Free Journey, we will work with you (and, if
you wish, with your doctor) to develop another way to get the incentive.

Get the RedBrick Health mobile app to access all of the LiveWell Tobacco
Cessation Program tools and resources to help you improve your health —
on the go! Download the app today via Google Play or the App Store.
14 Halliburton U.S. Domestic Benefits Guide

DENTAL

You have two dental coverage options: the Dental Preferred Provider
Organization (DPPO) and the Dental Health Maintenance Organization
(DHMO). To enroll in the DHMO, you must live in an eligible DHMO area.

The DPPO allows you to choose any dentist, whether in or out-of-network.


However, out-of-network services may cost more.

With the DHMO, you will only receive benefits when you visit in-network
providers. You must choose a primary care dentist — if you do not choose
one, the DHMO will appoint one for you; however, you can contact Cigna
at a later date to choose a primary care dentist.

Dental Plans

Benefit Provisions DPPO DHMO

In-Network Out-of-Network

Individual Deductible $50 $50 None

Preventive Services 100% covered 90% covered 100% covered

Basic Services 80% after deductible 50% after deductible Co-pay structure

Major Services 50% after deductible 50% after deductible Co-pay structure

Co-pay
Orthodontia/Lifetime
50%/$1,500 50%/$1,500 structure/24-month
Maximum
treatment

Annual Maximum $1,500 $1,500 None


Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 15

VISION

Vision coverage helps you manage the cost of routine eye care expenses like
exams, contact lenses and eyeglasses for you and your eligible dependents.

Vision Plan

In-Network Out-of-Network

Eye Exam (one per


100% after $10 co-pay Up to $50 after $10 co-pay
calendar year)

Prescription Glasses* Lenses


– Single Vision 100% after $20 co-pay Up to $50 after $20 co-pay
– Lined Bifocal 100% after $20 co-pay Up to $75 after $20 co-pay
– Lined Trifocal 100% after $20 co-pay Up to $100 after $20 co-pay

Up to $170 allowance
Frames after $20 co-pay; 20%
Up to $70 after $20 co-pay
(one per calendar year) discount off amount
over allowance

Contact Lenses instead Up to $150 allowance


of prescription glasses for contacts; up to $60
Up to $105 allowance
(not medically necessary)* co-pay on contact lens
fitting exam**

100% after $20 co-pay Up to $210 after


Medically Necessary
when specific criteria $20 co-pay when specific
Contact Lenses***
are met criteria are met

Medical eyecare
services related to
Diabetic Eyecare Program Type 1 and 2 diabetes; Not covered
$20 co-pay for medical
eyecare exam

* One pair of prescription glasses or contacts every plan year, beginning in January, but not both in the same year.
** Fitting and evaluation to ensure the proper fit of contact lens materials.
*** These conditions include aphakia, anisometropia, high ametropia, nystagmus, keratoconus and correction
of extreme visual acuity problems that are not correctable with glasses, and following cataract surgery.
16 Halliburton U.S. Domestic Benefits Guide

LIFE INSURANCE

The life insurance plan provides financial protection for you and your family
in the event of your death or the death of one of your covered dependents.
Basic coverage is company-paid and is equal to your annual benefit base pay,
up to $50,000. You may choose to purchase extra coverage for yourself and
your family.

Life Insurance

Coverage Optional Life Insurance

Increments of 1 to 6 times annual benefit base pay, up to


Employee*
$3 million including basic coverage.

$10,000, or from ½ to 3 ½ times employee’s annual benefit


Spouse* base pay; coverage may not exceed employee coverage or
$250,000, whichever is less.

Child(ren) under age 25 $10,000 per child

*May require evidence of insurability (EOI).

ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D)

Halliburton provides basic AD&D coverage at no cost to you, equal to


your annual base pay, up to $200,000. You may choose to purchase extra
coverage for yourself and your family.

AD&D

Coverage Optional AD&D

Increments of $50,000, up to $1 million or 10 times your


Employee*
annual benefit base pay — whichever is less.

Increments of $50,000, up to $1 million or 10 times your


Spouse* annual benefit base pay — whichever is less. May not exceed
employee coverage amount.

Child(ren) under age 25 $50,000 per child

*May require evidence of insurability (EOI).

FLEX DAYS

During Annual Enrollment, you may have the opportunity to purchase


extra days off. However, it is important to discuss any vacation plans with
your manager before purchasing flex days. If you do not actively make an
election, your 2017 flex day election will not automatically carry over into
the next year. You must actively purchase any flex days you wish to take in
2018. Any unused flex days will be forfeited at the end of the year, even if
you had a change to your work schedule.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 17

LONG-TERM DISABILITY (LTD)


BENEFITS CONTACT INFO
ON THE GO
Halliburton provides employees with basic LTD to assist you with a portion
of your income if you become injured or too ill to work. After your application
for benefits has been approved, the LTD program begins paying monthly Visit
www.halliburton.mybenefitswalletcard.com
benefits when you have been continuously disabled for 26 weeks. Your basic
on any device with an internet connection
LTD is provided at no cost to you, and guarantees 40% of your income. You
to access Halliburton benefit contact
may purchase coverage for an additional 10% or 20% of your monthly information anywhere, anytime.
income, subject to Evidence of Insurability (EOI) requirements. The maximum
LTD benefit is $25,000 per month.

EMPLOYEE ASSISTANCE PROGRAM (EAP)

Halliburton strongly encourages all employees to take advantage of the


EAP, which can help employees and their eligible dependents work through
a variety of personal difficulties. Through our confidential process, the EAP
can provide a free assessment of your concerns and discuss strategies for
addressing them. Some of the issues the EAP can help with are listed below.

Depression Stress and anxiety Worry and guilt Communication issues

Parent/child relations Marriage and family issues Alcohol and drug problems

Personal tragedy Separation and divorce Grief and bereavement

You can contact the EAP by telephone or in person. You can speak with
a trained professional who will make a preliminary assessment of your needs.
EAP counselors will either help you directly or refer you to the appropriate
resources. Call the EAP at 281-575-3200 or 866-761-4540, or access the EAP
resources online at www.achievesolutions.net/halliburton.
18 Halliburton U.S. Domestic Benefits Guide

Enrollment and Eligibility

WHEN TO ENROLL

If you would like to make changes to your benefits, or make HSA or FSA
contributions for 2018, you must make an election during the enrollment
window below. If you are a new hire, you have 30 days to enroll.

Current Employees: Enroll November 16 – December 6, 2017.

New Hires: Enroll within 30 days of your hire date.

If you take no action, your 2017 elections will carry forward to 2018, with the
exception of Flexible Spending Accounts, Health Savings Account and Flex Days.

If you are a new hire and you do not enroll within 30 days of your hire date,
unless you experience a qualified change in status which you report within
30 days, you will only be provided:

»» Basic Life Insurance of one times your annual benefits base pay,
up to $50,000.
»» Basic Accidental Death and Dismemberment insurance of one times your
annual benefits base pay, up to $200,000.
»» Long-Term Disability insurance of 40% of your annual benefits base pay.
»» LiveWell wellness program.

HOW TO ENROLL IN YOUR BENEFITS

First, review your benefit options before making changes for 2018. When you’re
ready to enroll, follow the steps below:

»» 1. Visit www.halliburton.com/totalrewards, then log in with your user name and


password, or from the HalWorld homepage, click on the Employee Benefits link in the
Human Resources Toolkit located at the bottom of the page. Next, from the Benefits
homepage, in the text box, click “here” to single sign on and go directly to the Total
Rewards website.
Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility 19

»» 2. Click Health and Benefits to complete your Annual Enrollment elections.


20 Halliburton U.S. Domestic Benefits Guide

Enrollment and Eligibility


(continued)

»» 3. In the Annual Enrollment sidebar or the upper left corner, select


“Get Started.”

»» 4. Click “Start Your Enrollment.”


Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility 21

»» 5. Enroll in your benefits.

»» NEW: Visit the Message Center on the Health and Benefits page at
www.halliburton.com/totalrewards to review copies of any emails or
mailed communications you receive from the Halliburton Benefits Center.
From the home page, click “Menu.” Next, under “My Accounts,” select
“Communications,” and then select “Personal Documents.”
22 Halliburton U.S. Domestic Benefits Guide

Total Rewards Website

Note: Halliburton Total Rewards is available We’re always striving to empower you to use and understand your benefits.
for your use both during Annual Enrollment That’s why we provide the Total Rewards website, and that’s why we’re always
and throughout the year. Take advantage of
expanding the resources available to you online. The site is a streamlined
the convenience of managing your benefits.
source for all of your benefit needs, available from any device, anytime,
See the Forms & Documents page where anywhere. Enroll, change and keep track of your benefits all in one convenient
you can access the Annual Enrollment
location, at www.halliburton.com/totalrewards.
Guide, Summary of Benefits Coverage
and Summary Plan Description.

Enroll Access Change


Choose “Get Started” Use your dashboard to: Select “Change Your
when it’s time for you »» Visit provider websites. Benefits” to change
to select your benefits, »» View your your elections after
for a streamlined and current benefits. a Qualified Change-
intuitive enrollment in-Status Event.
experience.

Learn
Connect Click on the Knowledge
Select Secure Chat to: Center tab to find:
»» Chat privately with »» Health education articles.
a customer service »» Interactive learning tools.
representative. »» Instructional videos.
»» Find answers to
your questions.
Halliburton U.S. Domestic Benefits Guide > Total Rewards Website 23

QUALIFIED CHANGE-IN-STATUS EVENTS

Under normal circumstances, your only opportunity to make changes to


your 2018 benefits is Annual Enrollment or within 30 days of your date
of hire. However, the IRS allows you to change some benefit elections
during the year if you experience a qualified change-in-status. Adding
dependents to your health plan is a two-step process. The Plan does not
automatically enroll your dependents in coverage. You must call or go
online to add your dependents to the benefits you want to have them
covered for, and then you must verify their eligibility by providing the
appropriate documentation within 30 days. If you do not report the life
event to add your dependent or verify your dependent’s eligibility, they will
not be covered, and your next opportunity to add them will be during the
next Annual Enrollment period.

Marriage Loss of coverage Adoption

Birth Death Divorce

When you experience a qualified change-in-status or other special event,


be sure to call the Halliburton Benefits Center or log on to Halliburton
Total Rewards and make any necessary changes within 30 days. You will
be informed of any changes in your cost for benefits. If you do not make
changes within 30 days of the event, you will not be able to change your
coverage until the next Annual Enrollment period.
24 Halliburton U.S. Domestic Benefits Guide

HALLIBURTON
BASIC CONTRIBUTION
The Halliburton Retirement
and Savings Plan
Generally, if you are an active employee (or on
an approved leave of absence) on December 31,
the Company will make an additional
discretionary contribution, which will be
a percentage of your annual eligible pay. OWN YOUR FUTURE FINANCIAL HEALTH: INVEST IN
The Company will determine in its discretion
whether to make the Halliburton Basic
YOUR HALLIBURTON RETIREMENT & SAVINGS PLAN
Contribution each year and the amount. The
contribution is deposited into your account Haven’t started saving for retirement yet? The Halliburton Retirement
regardless of whether or not you are making
& Savings Plan is a program to help you build your savings for retirement.
contributions to the plan.
By not contributing at least 6% of your earnings into your Halliburton
Retirement & Savings Plan, you’re losing out on money the Company is
offering toward your retirement. The Company matches dollar for dollar
on the first 4% you contribute and 50 cents on the next 2% — for a total
match of 5%. You can enroll in the Halliburton Retirement & Savings Plan
by logging on to the Halliburton Total Rewards website.

The Halliburton Retirement & Savings Plan offers two types of


investment options:

Target Date Portfolios


Target Date Portfolios can help take the guesswork out of choosing
different investment options. They can help balance out your investment
risks by rebalancing them as you move throughout your career and get
closer to reaching your retirement age.

Single Focus Strategies


You may choose from 10 Single Focus Strategies if you prefer to build and
manage your own portfolio.

Please note, as with any of the investments offered by the Halliburton


Retirement & Savings Plan, the asset value is not guaranteed at any time,
including the target date. You can always find investment and plan
information at www.halliburton.com/totalrewards, where you can
view your account and investment choices anytime.

Naming or Updating Your Beneficiaries


What would happen to all your retirement savings if something happened
to you? If you haven’t reviewed who your beneficiaries are in a while, or
if you need to add them, now is a good time to review and make updates.
You may update your beneficiaries by logging on to the Halliburton Total
Rewards website.
Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices 25

Compliance and Legal Notices

This communication provides a brief overview of the benefit choices that


will be offered to eligible Halliburton U.S. employees for 2018. It is not
a complete description of the choices or a complete description of the
plans. Detailed information is available in your Summary Plan Descriptions.

For questions about your benefits, please contact the Halliburton


Benefits Center, Monday through Friday, at 866-321-0964 (if dialing
internationally, use your country’s AT&T access number), or 857-362-5980,
from 7:30 a.m. to 7:30 p.m. Central Time. You can also log on to
www.halliburton.com/totalrewards for information or to initiate
a chat session.

Every effort has been made to provide clear and accurate information about
Halliburton’s benefit plans. However, in the event of a discrepancy between
these materials, the Plan’s Summary Plan Description, and the other official
Plan documents, the other official Plan documents will govern. There are
no guarantees that participation under the benefit plans described in this
material will remain unchanged in future years.

Halliburton reserves the right to change, suspend, amend or terminate the


plans described in this material at any time, in whole or in part. This means
that the plans may be:

»» Discontinued in their entirety,


»» Changed to provide different levels of benefits,
»» Changed to provide for different cost sharing between the Company
and participants, or
»» Changed in any other way.

Any such change or termination shall be solely at the discretion of the


Company. You will be notified if any such change or termination occurs.

THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998

Under Halliburton’s Medical Program, coverage will be provided to an


employee or covered dependent who is receiving benefits for a medically
necessary mastectomy and who elects breast reconstruction after the
mastectomy for:

»» Reconstruction of the breast on which a mastectomy has been performed,


»» Surgery and reconstruction of the other breast to produce a symmetrical appearance,
»» Prostheses, or
»» Treatment of physical complications of all states of mastectomy,
including lymphedemas.
26 Halliburton U.S. Domestic Benefits Guide

THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998


(CONTINUED)

This coverage will provide benefits in consultation with the attending


physician and the patient, and will be subject to the same deductibles and
co-insurance provided for the mastectomy.

IRS FORM 1095-c

If you are enrolled in the Halliburton medical plan, a 1095-c tax form will be
issued to you and, if applicable, your covered dependents.

PREMIUM ASSISTANCE UNDER MEDICAID AND THE


CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)

If you or your children are eligible for Medicaid or CHIP and you’re eligible
for health coverage from your employer, your state may have a premium
assistance program that can help pay for coverage, using funds from
their Medicaid or CHIP programs. If you or your children aren’t eligible
for Medicaid or CHIP, you won’t be eligible for these premium assistance
programs but you may be able to buy individual insurance coverage
through the Health Insurance Marketplace. For more information, visit
www.healthcare.gov.

If you or your dependents are already enrolled in Medicaid or CHIP and you
live in a state listed below, contact your state Medicaid or CHIP office to
find out if premium assistance is available.

If you or your dependents are NOT currently enrolled in Medicaid or CHIP,


and you think you or any of your dependents might be eligible for either
of these programs, contact your state Medicaid or CHIP office or dial
1-877-KIDS-NOW or www.insurekidsnow.gov to find out how to apply.
If you qualify, ask your state if it has a program that might help you pay
the premiums for an employer-sponsored plan.

If you or your dependents are eligible for premium assistance under


Medicaid or CHIP, as well as eligible under your employer plan, your
employer must allow you to enroll in your employer plan if you aren’t
already enrolled. This is called a “special enrollment” opportunity, and
you must request coverage within 60 days of being determined eligible
for premium assistance. If you have questions about enrolling in your
employer plan, contact the Department of Labor at www.askebsa.dol.gov
or call 1-866-444-EBSA (3272).
Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices 27

If you live in one of the following states, you may be eligible for assistance paying
your employer health plan premiums. The following list of states is current as of
August 10, 2017. Contact your state for more information on eligibility.
ALABAMA – Medicaid ALASKA – Medicaid

The AK Health Insurance Premium


Payment Program
Website: http://myalhipp.com/ Website: http://myakhipp.com/
Phone: 1-855-692-5447 Phone: 1-866-251-4861
Email: CustomerService@MyAKHIPP.com
Medicaid Eligibility: http://dhss.alaska.gov/dpa/
Pages/medicaid/default.aspx

COLORADO – Health First Colorado


ARKANSAS – Medicaid (Colorado’s Medicaid Program)
& Child Health Plan Plus (CHP+)

Health First Colorado Website:


https://www.healthfirstcolorado.com/
Health First Colorado Member Contact Center:
Website: http://myarhipp.com/
1-800-221-3943/ State Relay 711
Phone: 1-855-MyARHIPP (855-692-7447)
CHP+: Colorado.gov/HCPF/Child-Health-Plan-Plus
CHP+ Customer Service: 1-800-359-1991/
State Relay 711

FLORIDA – Medicaid GEORGIA – Medicaid

Website: http://dch.georgia.gov/medicaid
Website: http://flmedicaidtplrecovery.com/hipp/ - Click on Health Insurance Premium
Phone: 1-877-357-3268 Payment (HIPP)
Phone: 404-656-4507

INDIANA – Medicaid IOWA – Medicaid

Healthy Indiana Plan for low-income adults 19-64


Website: http://www.in.gov/fssa/hip/ Website:
Phone: 1-877-438-4479 http://dhs.iowa.gov/ime/members/
All other Medicaid medicaid-a-to-z/hipp
Website: http://www.indianamedicaid.com Phone: 1-888-346-9562
Phone 1-800-403-0864

KANSAS – Medicaid KENTUCKY – Medicaid

Website: http://www.kdheks.gov/hcf/ Website: http://chfs.ky.gov/dms/default.htm


Phone: 1-785-296-3512 Phone: 1-800-635-2570

LOUISIANA – Medicaid MAINE – Medicaid

Website: http://dhh.louisiana.gov/index.cfm/ Website: http://www.maine.gov/dhhs/ofi/


subhome/1/n/331 public-assistance/index.html
Phone: 1-888-695-2447 Phone: 1-800-442-6003
TTY: Maine relay 711

MASSACHUSETTS – Medicaid and CHIP MINNESOTA – Medicaid

Website: http://mn.gov/dhs/people-we-serve/
Website: http://www.mass.gov/eohhs/gov/
seniors/health-care/health-care-programs/
departments/masshealth/
programs-and-services/medical-assistance.jsp
Phone: 1-800-862-4840
Phone: 1-800-657-3739

MISSOURI – Medicaid MONTANA – Medicaid

Website: http://www.dss.mo.gov/mhd/ Website: http://dphhs.mt.gov/


participants/pages/hipp.htm MontanaHealthcarePrograms/HIPP
Phone: 573-751-2005 Phone: 1-800-694-3084
28 Halliburton U.S. Domestic Benefits Guide

NEBRASKA – Medicaid NEVADA – Medicaid


Website: http://www.ACCESSNebraska.ne.gov
Phone: (855) 632-7633 Medicaid Website: https://dwss.nv.gov/
Lincoln: (402) 473-7000 Medicaid Phone: 1-800-992-0900
Omaha: (402) 595-1178
NEW HAMPSHIRE – Medicaid NEW JERSEY – Medicaid and CHIP

Medicaid Website:
http://www.state.nj.us/humanservices/
Website: http://www.dhhs.nh.gov/oii/ dmahs/clients/medicaid/
documents/hippapp.pdf Medicaid Phone: 609-631-2392
Phone: 603-271-5218 CHIP Website: http://www.njfamilycare.org/
index.html
CHIP Phone: 1-800-701-0710

NEW YORK – Medicaid NORTH CAROLINA – Medicaid

Website: https://www.health.ny.gov/
Website: https://dma.ncdhhs.gov/
health_care/medicaid/
Phone: 919-855-4100
Phone: 1-800-541-2831

NORTH DAKOTA – Medicaid OKLAHOMA – Medicaid and CHIP

Website: http://www.nd.gov/dhs/services/
Website: http://www.insureoklahoma.org
medicalserv/medicaid/
Phone: 1-888-365-3742
Phone: 1-844-854-4825

OREGON – Medicaid PENNSYLVANIA – Medicaid

Website: http://healthcare.oregon.gov/Pages/ Website: http://www.dhs.pa.gov/provider/medi-


index.aspx calassistance/healthinsurancepremiumpaymen-
http://www.oregonhealthcare.gov/index-es.html thippprogram/index.htm
Phone: 1-800-699-9075 Phone: 1-800-692-7462

RHODE ISLAND – Medicaid SOUTH CAROLINA – Medicaid

Website: http://www.eohhs.ri.gov/ Website: https://www.scdhhs.gov


Phone: 855-697-4347 Phone: 1-888-549-0820

SOUTH DAKOTA – Medicaid TEXAS – Medicaid

Website: http://dss.sd.gov Website: http://gethipptexas.com/


Phone: 1-888-828-0059 Phone: 1-800-440-0493

UTAH – Medicaid and CHIP VERMONT– Medicaid

Medicaid Website: https://medicaid.utah.gov/


Website: http://www.greenmountaincare.org/
CHIP Website: http://health.utah.gov/chip
Phone: 1-800-250-8427
Phone: 1-877-543-7669

VIRGINIA – Medicaid and CHIP WASHINGTON – Medicaid

Medicaid Website: http://www.coverva.org/


programs_premium_assistance.cfm Website: http://www.hca.wa.gov/free-or-low-
Medicaid Phone: 1-800-432-5924 cost-health-care/program-administration/
CHIP Website: http://www.coverva.org/ premium-payment-program
programs_premium_assistance.cfm Phone: 1-800-562-3022 ext. 15473
CHIP Phone: 1-855-242-8282

WEST VIRGINIA – Medicaid WISCONSIN – Medicaid and CHIP

Website: http://mywvhipp.com/ Website: https://www.dhs.wisconsin.gov/


Toll-free phone: 1-855-MyWVHIPP publications/p1/p10095.pdf
(1-855-699-8447) Phone: 1-800-362-3002

WYOMING – Medicaid

Website: https://wyequalitycare.acs-inc.com/
Phone: 307-777-7531
Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices 29

To see if any other states have added a premium assistance program since
August 10, 2017, or for more information on special enrollment rights, contact:
U.S. Department of Health
U.S. Department of Labor
and Human Services

Employee Benefits Security Administration Centers for Medicare & Medicaid Services
www.dol.gov/agencies/ebsa www.cms.hhs.gov
1-866-444-EBSA (3272) 1-877-267-2323, Menu Option 4, Ext. 61565

Paperwork Reduction Act Statement


According to the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA), no persons are
required to respond to a collection of information unless such collection displays a valid Office
of Management and Budget (OMB) control number. The Department notes that a Federal agency
cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA,
and displays a currently valid OMB control number, and the public is not required to respond to
a collection of information unless it displays a currently valid OMB control number. See 44 U.S.C.
3507. Also, notwithstanding any other provisions of law, no person shall be subject to penalty for
failing to comply with a collection of information if the collection of information does not display
a currently valid OMB control number. See 44 U.S.C. 3512.

The public reporting burden for this collection of information is estimated to average approximately
seven minutes per respondent. Interested parties are encouraged to send comments regarding
the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the U.S. Department of Labor, Employee Benefits Security Administration,
Office of Policy and Research, Attention: PRA Clearance Officer, 200 Constitution Avenue, N.W.,
Room N-5718, Washington, DC 20210 or email ebsa.opr@dol.gov and reference the OMB Control
Number 1210-0137.

OMB Control Number 1210-0137 (expires 12/31/2019)


© 2017 Halliburton. All Rights Reserved. 404583 1/18

www.halliburton.com/totalrewards

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