Page 4 | Inotiv | Plan Year 2026 This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or providers contract. Overview of Benefit Contributions Cigna Medical Premiums Coverage Level Traditional Plan HDHP 3500 HDHP 4500 Employee Only $83.44 $68.63 $53.58 Employee + Spouse $204.52 $166.52 $133.04 Employee + Child(ren) $170.59 $138.91 $109.69 Family $270.65 $220.31 $174.43 Delta Dental Premiums Coverage Level Standard Low Plan Premier High Plan Employee Only $12.32 $18.03 Employee + Spouse $26.18 $38.34 Employee + Child(ren) $26.71 $36.16 Family $40.89 $56.63 VSP Vision Premiums Coverage Level 26 Biweekly Pay Periods Employee Only $3.72 Employee + Spouse $7.44 Employee + Child(ren) $7.97 Family $8.71 Life/AD&D/Short & Long-Term Disability Coverage Level 26 Biweekly Pay Periods Basic Life/AD&D (1x salary) No cost to eligible employee Short-Term Disability No cost to eligible employee Long-Term Disability No cost to eligible employee Voluntary Life/AD&D Employee pays 100% of cost Critical Illness/Accident Employee pays 100% of cost Contributions Effective January 1, 2026, per Pay Period