81 Plans for the claim do not exceed the total Allowable expense for that claim. Because the Allowable expense is generally the higher of the Primary and Secondary Plans’ allowable amounts, a Participating Provider can bill you for any remaining Coinsurance, Deductible and/or Copayment under the higher allowable amount. In addition, the Secondary Plan will credit to its Plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage. If you are enrolled in two or more Closed panel plans and if, for any reason, including the provision of service by a non-panel Provider, benefits are not payable by one closed panel plan, COB will not apply between that Plan and other closed panel plans. RIGHT TO RECEIVE AND RELEASE NEEDED INFORMATION Certain facts about health care coverage and services are needed to apply these COB rules and to determine benefits payable under this Plan and other Plans. The Plan may get the facts it needs from or give them to other organizations or persons for the purpose of applying these rules and determining benefits payable under this Plan and other Plans covering the person claiming benefits. The Plan need not tell, or get the consent of, any person to do this. Each person claiming benefits under this Plan must give the Plan any facts it needs to apply those rules and determine benefits payable. FACILITY OF PAYMENT A payment made under another Plan may include an amount that should have been paid under this Plan. If it does, this Plan may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit paid under this Plan. This Plan will not have to pay that amount again. The term "payment made" includes providing benefits in the form of services, in which case "payment made" means the reasonable cash value of the benefits provided in the form of services. RIGHT OF RECOVERY If the amount of the payments made by this Plan is more than should have paid under this COB provision, this Plan may recover the excess from one or more of the persons: 1. This Plan has paid or for whom this Plan paid; or 2. Any other person or organization that may be responsible for the benefits or services provided for the Member. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.

2025 Retiree Indemnity Plan Booklet - Page 82 2025 Retiree Indemnity Plan Booklet Page 81 Page 83