Hyatt International Corporation

Benefits at a Glance
Global Plan for all ACTIVE Employees.
Policy # 07273B001-B020, B022-B033
Plan Start Date January 1, 2024

This plan provides minimum essential coverage.

NOTE: This information is a general description of benefits and is not a contract. Refer to your certificate booklet for
complete details of coverage and exclusions. If there is any difference between this summary and the certificate, the
information in the certificate will apply. Please note that your plan does not cover expenses for services which are not
medically necessary. Please see your certificate booklet (located on www.cignaenvoy.com) for detailed benefits and
exclusions.
Cigna Global Customer Service
Toll Free Telephone Number: 1.800.441.2668
Direct Telephone: 1.302.797.3100 (collect calls accepted)
Toll Free Fax Number: 1.800.243.6998
Direct Fax Number: 001.302.797.3150
www.cignaenvoy.com. Registration is required (See member kit for
Secure Website:
registration information.) Secure email available at this site.
Cigna Global Health Benefits Cigna Global Health Benefits
Mail Delivery: P.O. Box 15050 300 Bellevue Parkway
Wilmington DE 19850-5050 U.S.A. Wilmington DE 19809 U.S.A.
Eligibility information

If you are designated as Group 1-3 (as described below), or in a position otherwise determined to be eligible in Group 4, your enrollment will begin
from your date of hire, or if later, your appointment to an eligible position. Please note that eligibility may be dependent on local legislation and
individual employment contracts.

Group 1 – Vice President and above

Group 2 – General Managers, Corporate/Regional Office RVPs & Directors, and Area/Regional Directors
Group 3 – Leadership Committee Members, and Area/Regional Managers/Specialists
Group 4 – All other colleagues

You may cover your eligible dependents under the plan. Dependents are further defined in the Plan’s certificate. Dependent children may continue
insurance up to age 26. It is your responsibility to inform your employer about your dependents or life event changes such as the birth/adoption of
a child or a marriage or divorce. These changes all have an effect on your insurance coverage.

Initial eligibility for yourself and your dependents

The Plan requires you and your eligible dependents to be enrolled no later than 60 days following your initial eligibility date. This could be your
date of hire, transfer to a new location or promotion into an eligible position. If enrollment is not completed within the 60-day window, you (or your
dependents) will not be allowed to enroll until the next plan year. Please confirm with your Human Resources Department that your enrollment
(or enrollment of your dependents) has been processed.

Life Event Changes

Coverage changes due to events such as marriage/divorce or the birth/adoption of a child must also take place no later than 60 days following the
date of the event (i.e. date of birth, marriage, etc.) If enrollment is not completed within the 60-day window, you will not be allowed to enroll your
dependents until the next plan year.

There will be an annual enrollment window each December whereby you and your eligible dependents can enroll into the plan effective as of 1-
January of the next plan year. There are no exceptions to this policy.

When Coverage Ends

Coverage under the Hyatt group plan ceases upon your retirement/termination of employment from Hyatt International and its affiliates.
Individuals who are at least age 50 as of 1-January-2024 are eligible to continue coverage by enrolling in the Optional Retiree Medical/Dental
(ORMD) Plan upon reaching a retirement age of at least 55 and with active and continuous employment with Hyatt International or its affiliates of
at least 5 years. Members are not required to be actively enrolled in the Hyatt group plan at retirement provided they meet the eligibility
requirements and have previously participated in the Plan. The ORMD Plan requires the retiree and any eligible dependents to be enrolled no
later than 60 days following the member’s retirement date. If enrollment is not completed within 60-day window, the right to enroll will be lost.

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited.

by applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 1
 Global Medical Plan (All amount in U.S. dollars)
International
U.S. In-Network U.S. Out-of-Network
(Outside of the U.S.)
Area of Cover Worldwide
U.S. Medical Network Open Access Plus
Eligibility Refer to eligibility definition on previous page
Lifetime Maximum Unlimited
Calendar Year Deductible
$400 $400 $400
· Per Individual
· Per Family $800 $800 $800
Coinsurance
(The percentage of covered expenses the 80% 80% 60%
plan pays)
Out-of-Pocket Maximum (Includes
Deductible) $2,500 $2,500 $2,500
· Per Individual
· Per Family $5,000 $5,000 $5,000

Global Medical Plan

Claims for a family member are covered at plan coinsurance:
• When that family member satisfies the Individual Deductible
Deductible Calculation -OR-
• When the Family Deductible is satisfied regardless of whether or not the Individual
Deductible is satisfied.
Claims for a family member are covered at 100% coinsurance:
• When that family member satisfies the Individual Out-of-Pocket Maximum
-OR-
• When the Family Out-of-Pocket Maximum is satisfied regardless of whether or not the
Out-of-Pocket Calculation Individual Out-of-Pocket Maximum is satisfied.
Out-of-Pocket will: Include deductible payments; Include copay payments; Include
pharmacy copays; Include pharmacy coinsurance payments; Include Pre-Admission
Certification/Continued Stay Review penalties.
Plan Deductible, Out-of-Pocket, maximums and service specific maximums (dollar and
Network Accumulation occurrence) will cross-accumulate across international and domestic networks.

Certification Requirements - For services rendered inside the United States

Precertification for inpatient and outpatient services received in the U.S. may be required.
• Providers must call our toll-free number, 1.800.441.2668 to pre-certify services.
• You or your dependents are responsible for ensuring that Out-of-Network providers pre-certify services.
• Failure to obtain precertification may affect Out-of-Pocket costs.
• This is a summary only and further details can be found in the certificate booklet.

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 2
 International
U.S. In-Network U.S. Out-of-Network
(Outside of the U.S.)
Physician's Services
80% after deductible 80% after deductible 60% after deductible
· Physician's Office Visit
· Surgery Performed In the Physician's Office 80% after deductible 80% after deductible 60% after deductible
Preventive Care
100% not subject to 100% not subject to
· Routine Preventive Care - Adult 60% after deductible
deductible deductible
100% not subject to 100% not subject to
· Immunizations - Adult 60% after deductible
deductible deductible
100% not subject to 100% not subject to
· Routine Preventive Care - Child 60% after deductible
deductible deductible
100% not subject to 100% not subject to
· Immunizations - Child 60% after deductible
deductible deductible
Travel Immunizations 100% not subject to 100% not subject to
60% after deductible
(Immunizations as required for travel) deductible deductible
Mammograms, PSA, PAP Smear and 100% not subject to 100% not subject to
60% after deductible
Colorectal Cancer Screenings deductible deductible
Inpatient Hospital
· Inpatient Hospital - Facility Services 80% after deductible 80% after deductible 60% after deductible
· Inpatient Hospital Physician
80% after deductible 80% after deductible 60% after deductible
Visits/Consultations
· Inpatient Professional Services
(Surgeon, Radiologist, Pathologist, 80% after deductible 80% after deductible 60% after deductible
Anesthesiologist)
Outpatient Services
· Outpatient Facility Services 80% after deductible 80% after deductible 60% after deductible
· Outpatient Professional Services 80% after deductible 80% after deductible 60% after deductible
Emergency Room 80% after deductible 80% after deductible 80% after deductible
Urgent Care Services 80% after deductible 80% after deductible 60% after deductible
Ambulance 100% after deductible 100% after deductible 100% after deductible
Laboratory Services
80% after deductible 80% after deductible 60% after deductible
· Physician Office Visit
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible
· Laboratory Services at an
80% after deductible 80% after deductible 60% after deductible
Independent Lab facility
Radiology Services
· Physician Office Visit 80% after deductible 80% after deductible 60% after deductible
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 3
 Global Medical Plan
International
U.S. In-Network U.S. Out-of-Network
(Outside of the U.S.)
Advanced Radiology
(i.e., MRIs, MRAs, CAT Scans, PET Scans)
· Physician Office Visit 80% after deductible 80% after deductible 60% after deductible
· Inpatient Facility 80% after deductible 80% after deductible 60% after deductible
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible
Short-Term Rehabilitation
· Physician Office Visit 80% after deductible 80% after deductible 60% after deductible
· Outpatient Hospital Facility 80% after deductible 80% after deductible 60% after deductible
Calendar Year Maximum: Unlimited for all Therapies Combined
The limit is not applicable to Mental Health and Substance Use Disorder conditions.
Note: The Short-Term Rehabilitation Therapy maximum does not apply to the treatment of Autism
Includes: Cardiac and Pulmonary Rehab, Speech, Occupational and Cognitive Therapy
Short-Term Rehabilitation - Physical
Therapy / Physiotherapy
· Physician Office Visit 80% after deductible 80% after deductible 60% after deductible
· Outpatient Hospital Facility 80% after deductible 80% after deductible 60% after deductible
Calendar Year Maximum: Unlimited for all
Therapies Combined
Chiropractic Care
80% after deductible 80% after deductible 60% after deductible
Calendar Year Maximum: Unlimited
Maternity Care Services

· Initial Visit to Confirm Pregnancy

80% after deductible 80% after deductible 60% after deductible
· All subsequent Prenatal Visits, Postnatal
Visits and Physician's Delivery Charges (i.e. 80% after deductible 80% after deductible 60% after deductible
global maternity fee)
· Physician's Office Visits in addition to the
global maternity fee when performed by an 80% after deductible 80% after deductible 60% after deductible
OB/GYN or Specialist
· Delivery – Facility
· Inpatient Hospital 80% after deductible 80% after deductible 60% after deductible
· Birthing Center 80% after deductible 80% after deductible 60% after deductible

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 4
 Global Medical Plan
International
U.S. In-Network U.S. Out-of-Network
(Outside of the U.S.)
Diagnosis of Infertility is covered under general Physician Office
Infertility Services
Visits. Coverage will be provided for the following services:
· GIFT, ZIFT, etc.
· In-vitro
· Artificial Insemination
· Physician Office Visit and Counseling 80% after deductible 80% after deductible 60% after deductible
· Lab and Radiology Tests 80% after deductible 80% after deductible 60% after deductible
· Inpatient Facility 80% after deductible 80% after deductible 60% after deductible
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible
Hearing Exam
80% after deductible 80% after deductible 60% after deductible
· 1 Exam Every 24 Months
Hearing Device / Aids
· Limited to Dependent Children Under 24
80% after deductible 80% after deductible 60% after deductible
Years
· 1 Per Ear Every 36 Months up to $1,000
Mental Health
80% after deductible 80% after deductible 60% after deductible
· Physician Office Visit
· Inpatient Facility 80% after deductible 80% after deductible 60% after deductible
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible
Substance Use Disorder
80% after deductible 80% after deductible 60% after deductible
· Physician Office Visit
· Inpatient Facility 80% after deductible 80% after deductible 60% after deductible
· Outpatient Facility 80% after deductible 80% after deductible 60% after deductible

Global Telehealth
Available 24/7 via the Cigna Wellbeing App, Global Telehealth gives you access to licensed
doctors around the world.
• Video or phone consultations with licensed doctors when medically necessary
• Prescriptions for common health concerns when medically necessary and permitted
Teladoc Health
• Treating medical conditions like fever, rash, pain and more
International
• Assistance with preparations for an upcoming consultation
• Discussing medication plan and potential side effects
• Diagnosing non-emergency health issues ranging from acute conditions to complex chronic
conditions

Global Vision Plan

International
U.S. In-Network U.S. Out-of-Network
(Outside of the U.S.)
Examinations 80% not subject to
80% not subject to deductible
One every 24 consecutive months deductible

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 5
 Prescription Drug Benefits
International (Outside of the U.S.)
Purchased outside the United States 80% after plan deductible
Certain preventive care medications covered under this plan and required as part of preventive care services (detailed
information is available at www.healthcare.gov) are payable at 100% with no copayment or deductible, when purchased
from a Network Pharmacy. A written prescription is required.
Purchased Inside the United States Only
Network Pharmacy Non-Network Pharmacy
Benefit Highlights
(U.S. In-Network) (U.S. Out-of-Network)
Prescription Drug Products at Retail
The amount Cigna pays for up to a consecutive 30-day supply
Pharmacies
Tier 1 - Generic Drugs on the Prescription 80% not subject to plan
60% after plan deductible
Drug List deductible
Tier 2 – Brand Drugs designated as preferred 80% not subject to plan
60% after plan deductible
on the Prescription Drug List deductible
Tier 3 – Brand Drugs designated as non- 60% not subject to plan
60% after plan deductible
preferred on the Prescription Drug List deductible
Prescription Drug Products at Home Delivery
The amount Cigna pays for up to a consecutive 90-day supply
Pharmacies
Tier 1 - Generic Drugs on the Prescription 80% not subject to plan
In-Network coverage only
Drug List deductible
Tier 2 – Brand Drugs designated as preferred 80% not subject to plan
In-Network coverage only
on the Prescription Drug List deductible
Tier 3 – Brand Drugs designated as non-
60% not subject to plan
preferred on the Prescription Drug List In-Network coverage only
deductible

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 6
 Pharmacy Plan Features for Prescriptions Drugs Purchased Inside the United States Only
Prescription Drug List Performance 3-Tier
If you request to fill a brand name drug that has a generic equivalent available, you will be
Dispense As Written financially responsible for the difference in cost between the brand name and the generic
drug, plus any required brand name drug copayment and/or coinsurance, if applicable.
However, if your doctor has determined a generic drug is not an acceptable alternative for
you, you will only be responsible for payment of the appropriate brand name drug
copayment and/or coinsurance, if applicable
Your plan features drug management programs and edits to ensure safe prescribing, and
Utilization Management access to medications proven to be the most reliable and cost effective for your medical
condition
Certain drugs are subject to step therapy requirements. To identify whether a particular drug
Step Therapy
is subject to step therapy, please refer to your prescription drug list.
Coverage for certain drugs require your Physician to obtain prior authorization from Cigna.
Prior Authorization To identify whether a particular drug requires prior authorization, please refer to your
prescription drug list.
Includes maximum daily dose edits, quantity over time edits, duration of therapy edits, and
Quantity Limits
dose optimization edits
Your plan includes the Patient Assurance Program, which waives the deductible, if
Patient applicable, and reduces the amount you owe for certain medications used to treat chronic
Assurance conditions included in the program. Additionally:
Program • Any amount you pay for these medications only count toward meeting your out-of-pocket
maximum, if applicable.
• Any discount provided by a pharmaceutical manufacturer for these medications only count
toward meeting your out-of-pocket maximum, if applicable.
To see if your medication is covered, you can view Cigna’s Prescription Drug List by going to
www.Cigna.com/druglist and select "Performance 3-Tier"

Global Evacuation Plan

You are eligible for this benefit if you are enrolled in the International SOS (ISOS) program. Please see your employer if you have any questions.

Toll Free telephone number
Emergency Medical Evacuation
Family Travel Arrangements
Return of Dependent Children
Repatriation of Mortal Remains
Cigna 1.800.441.2668 or contact your regional ISOS center
100% of covered expenses not subject to the deductible for approved services.
Roundtrip airfare at economy rates to the place of hospitalization for 1 family
member for hospitalizations in excess of 7 Days
One-way airfare at economy rates to return dependent children to country of
residence
100% coverage

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 7
 Global Dental Plan
Calendar Year Maximum
$2,000
Combined for: Class I Class II Class III
Calendar Year Deductible
$50 Individual / $150 Family
Combined for: Class II Class III
Class IV Separate Lifetime Maximum $3,000
Class IV Separate Calendar Year Deductible $50 Individual
Preventive Care
For diagnostic and preventative services including:

• Oral Exam -2 Per Person Per Year

• Cleanings -2 Per Person Per Year
• Bitewing X-rays -2 Per Person Per Year
Class I • Fluoride Applications -1 Per Person Per Year (Up 100% not subject to deductible
to age 19)
• Sealants -1 Per Person Per 3 Years
• Diagnostic X-rays –Unlimited
• Full Mouth / Panoramic X-rays -1 Per Person
Per 3 Years

Basic Restorative
For Basic Restorations:

• Endodontics
• Periodontics
Class II • Prosthodontics Maintenance 80% after deductible
• Oral Surgery
• Fillings
• Root Canal
• Periodontal Scaling and Root Planing
• Repair to Bridgework and Dentures

Major Restorative
For Major Restorations:

Class III • Dentures 50% after deductible

• Bridgework
• Crowns

Orthodontia
Class IV 50% after separate $50 deductible
Children under 19 Years

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 8
 Group Term Life Insurance –
please refer to the eligibility section of this summary for group definitions
Amount of Insurance
Group 1: $1,000,000
Group 2: $500,000
Employee Benefit Group 3: $300,000
Group 4: $150,000
Group 1: $1,000,000
Group 2: $500,000
Guaranteed Issue Amount Group 3: $300,000
Group 4: $150,000
Dependent Life Insurance - Coverage is for spouses and dependents of Groups 1, 2, 3, & 4.
Amount of Insurance
Spouse a flat amount of $10,000
Dependent Children between 15
days to 26 years of age a flat amount of $10,000

Group Accidental Death & Dismemberment (AD&D) Insurance

Principal Amount
Group 1: $1,000,000
Group 2: $500,000
Employee Benefit
Group 3: $300,000
Group 4: $150,000
Long Term Disability Insurance
Group 1: (Grandfathered) – 70% of monthly earnings with maximum
monthly payment of $15,000
Group 1: (Non-Grandfathered) – 65% of monthly earnings with maximum monthly
Monthly Benefit Amount payment of $15,000
Group 2-4: 65% of monthly earnings with maximum monthly payment of $15,000
Elimination Period 90 days
Minimum Disability Benefit $50 per month
Benefit Period To age 65
Definition of Disability Initial 24 months: regular occupation. After 24 months: any occupation
Return to Work Incentive Included
Successive Periods of
6 months, or less
Disability
Survivor Benefits Single lump sum payment equal to 3 months Disability Benefits
U.S. Social Security, CPP-QPP, Local Country Social Programs and
Other Income Benefits other standard offsets
24 months (conditions include, but are not limited to, Mental Health and Substance
Limited Benefit Period
Use)
When Coverage
Continues(Waiver of Included
Premium)

The information herein is believed accurate as of the date of publication and is subject to change. This material is intended for informational purposes only and
contains only a partial and general description of benefits. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
Please consult your policy/customer certificate for a complete description of coverage and exclusions. In the event of a conflict or discrepancy, the terms of the
formal plan documents control. Please contact your Plan Administrator for a copy of the plan documents. Coverage and benefits are contingent upon the applicable
policy terms and are available except where prohibited by
applicable law. © Copyright 2023 Publication Date November 30, 2023, SP Page 9