2. When you refuse to use your or the Employer’s designated prescriber; or 3. When you have not abided by the Employer’s policy for treatment or reporting of a work- related illness/injury. Anti-Assignment No Participant, beneficiary, or any other person such as a guardian, shall have the right to assign, transfer, alienate, mortgage, pledge, or otherwise encumber any benefit or right provided under the Rx Program, or any benefit or right provided by ERISA related to the Rx Program. This includes, but is not limited to, the right to file claims or appeals, request information, and the right to bring a lawsuit seeking benefits, penalties, damages, or equitable relief. Any such attempted disposition thereof shall be void. Benefits will not be subject to attachment, garnishment, execution, or levy of any kind. Notwithstanding the foregoing, this provision will not prevent direct payments to third party medical providers for the convenience of the Rx Program, the member, or claims administrator. The Plan Administrator reserves the discretionary authority to determine the validity of any arrangement to direct the payment of benefits to a third party and does not guarantee that any arrangement will be valid under the Rx Program. Any payment to a third party shall not be construed to give such party any rights under the Rx Program, including any right to receive future payments or ERISA rights. __________________________________________________ Plan Sponsor 12 2024 16 ____ / _____ / ______ V13 10212024 Huntington County Community Schools Prescription Benefits Program SPD January 1, 2025 Page 15 of 15