Other Terms The Plan Administrator may approve certain charges or expenses that are otherwise excluded if it determines, in its sole discretion, that the Plan and participant will benefit, and there is a likelihood that Plan expenses will be reduced over the longer term. If third party funding, discount, or rebate is available, TrueScripts may allocate up to the total amount available proportionately over the remaining calendar months in the Plan Year and treat such proportionate amount as an excluded expense in each respective month, or, in the event the co-pay card or third party assistance is de minimis, TrueScripts may credit towards deductible and out of pocket maximum in accordance with its procedures. If selected by the Employer, prescriptions provided under a 340B program at an insignificant cost may be fully covered by the Plan, including for those covered by a qualified high deductible health plan. When Participation Begins Upon enrollment in the Medical Component Plan, you will be able to access prescription benefits under the Rx Program. When Your Participation Ends Your participation in the Rx Program ends on the date you are no longer covered under the Medical Component Plan. MISCELLANEOUS General 1. The Employer reserves the right to amend, modify, or terminate the Rx Program. The Employer delegates its settlor authority to TrueScripts as expressly provided herein. 2. Neither the Employer nor the service providers guarantee the tax consequences of any reimbursements under this Rx Program. 3. Expenses which you claim as deductions or credits on your Federal Income Tax Return cannot be reimbursed under the Rx Program. Oral Statements No oral statement of any person shall: 1. Modify or otherwise affect the benefits, limitations, or exclusions of the Rx Program; 2. Convey or void any coverage; 3. Increase or reduce any benefits of the Rx Program; or 4. Be used in the prosecution or defense of a claim under the Rx Program. Plan is not Worker’s Compensation Insurance The coverage provided under the Rx Program does not replace, supplement, or provide a substitute for benefits to which you are entitled under worker’s compensation; occupational disease; and similar laws. The Rx Program does not cover health services or expenses, directly or indirectly, related to such services that are provided or payable under worker’s compensation, occupational disease, and similar laws: 1. Even if you or the Employer are/is not properly insured or self-insured under such laws; Huntington County Community Schools Prescription Benefits Program SPD January 1, 2025 Page 14 of 15