USA Employee

Benefits Overview
2024
 Introduction

Health Insurance Coverage

Medical Coverage
Prescription Drug (Rx) Coverage
Dental Coverage
Vision Coverage

Employee Assistance & Work/Life Support program

Tax Savings Programs

Health Savings Account (HSA)
401(k) Retirement Saving Program
Full Purpose Healthcare Flexible Spending Account (FSA)
Limited Purpose FSA
Dependent Care FSA
Commuter Benefits (Transportation and Parking Expenses)

Leave Benefits

Life and Disability Benefits

Basic Life and AD&D Insurance
Voluntary Life Insurance
Short Term Disability (STD) & Long-Term Disability (LTD)

Voluntary Programs

Cigna Voluntary Health Benefits

MetLife Legal Services Plan MetLife
Pet Insurance Plan
Allstate ID Theft Protection plan
SoFi Loan Refinance

Wellness Programs
Healthy Pregnancy, Healthy Babies
Telehealth Services
CIGNA Healthy Rewards
Weight Management Plan
Tobacco Cessation
Stress Management

Lifestyle & Recreation

LTIM Privileges Discount programs
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 Introduction
LTIMindtree (the “Company” recognizes the value of
benefits to employees and their families. The Company
(“LTIMindtree”) supports employees by offering a
comprehensive and competitive benefits program.
Eligibility for each benefit is governed by the terms and
conditions of the applicable plan. For more information
regarding benefit -plans, please refer to the applicable
Summary Plan Descriptions (SPDs), which can be
obtained from the Human Resources Department. To the
extent the information provided here conflicts with the
SPD or full plan document, the full plan document will
control.
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 Health
Insurance
Coverage
LTIMindtree provides employees with four
(4) options for medical plans in addition to
two (2) dental and two (2) vision plans.

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 Medical Coverage
LTIMindtree offers health insurance through Cigna to employees and their families (spouse and unmarried children
under the age of 26). Health Insurance Coverage is effective from your date of hire in USA provided you enroll within
31 days of joining. Enrollment can also be done during Qualified Life Event (QLE) and during open enrollment.

Medical Insurance details are given below:

Plan D (OA
LocalPlus*
Core PPO Plus HDHP
(Zip Code HRA Plan
with HSA)
dependent)
Services In-Network In-Network In-Network In-Network

Annual Deductible: $500/$1,000 $500/$1,000 $2000/$4,000 $3,000/$6,000**

Individual/Family
Out-of-Pocket
Maximum: Individual/ $3,000/$6,000 $3,000/$6,000 $5,000/$10,000 $6,000/$12,000**
Family
Company
Contributions:
N/A N/A $500 / $750 / $1,000 $300 / $450 / $600
EE Only/EE+1/Family
Coverage
Coinsurance (to be paid
by Employee) 15% 15% 20% 20%

$20 Tier1/
PCP Copay 20% after deductible
$30 Tier2 $20 20% after deductible

Specialist Copay $40 Tier1/

$40 20% after deductible 20% after deductible
$50 Tier2
$20 PCP / $40 20% after deductible
MDLIVE Virtual Care $20 PCP / $40 SCP 20% after deductible
SCP

Urgent Care Copay $50 $50 20% after deductible 20% after deductible

Services Out-of-Network Out-of-Network Out-of-Network Out-of-Network

Annual Deductible:
Individual/Family $2,500/$5,000 N/A $5,000/$10,000 $6,000/$12,000

Out-of-Pocket
Maximum: $5,000/$10,000 N/A $10,000/$20,000 $12,000/$24,000
Individual/Family

Coinsurance (to be paid 30% after

by Employee) deductible N/A 40% after deductible 40% after deductible

*The LocalPlus plan’s eligibility is based on the residential zip code where the employee resides.

**HSA plan is non-embedded deductible—the total family deductible must be met before CIGNA starts paying
coinsurance for an individual member. The Out-of-Pocket Max is embedded, no individual will pay more than the
individual Out-of-Pocket Maximum

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 Prescription Drug (Rx) Coverage
If you are enrolled in one of LTIMindtree medical insurance plans, you are automatically provided with prescription
drug benefits through CIGNA Express Scripts. This program also provides a Home Delivery pharmacy. Through this
coverage, you also have an option to choose from ‘CIGNA 90 Now CVS’ and ‘CIGNA 90 Now’ program.

Prescription Drug Coverage details are given below:

Cigna Prescription Drug Coverage

Core PPO LocalPlus* HRA HSA
In-Network In-Network In-Network In-
Network
Rx subject to medical
deductible No No No Yes

Prescription Generic: $10 Generic: $10 Generic: $10 Generic: $10

Coverage Retail (up Brand: $30 Brand: $30 Brand: $30 Brand: $30
to 30-day
supply) Non-Preferred: $60 Non-Preferred: $60 Non-Preferred: $60 Non-Preferred: $60

Generic: $20 Generic: $20 Generic: $20 Generic: $20

Prescription Coverage
Mail Order (31 to 90- Brand: $75 Brand: $75 Brand: $75 Brand: $75
day Non-Preferred: Non-Preferred: $150 Non-Preferred: $150 Non-Preferred: $150
supply) $150
*The LocalPlus plan’s eligibility is based on the residential zip code where the employee resides

Dental Coverage
LTIMindtree offers dental insurance through the CIGNA DPPO and CIGNA EPO plan. Through Dental PPO, you may
choose whether you use a participating dentist or not. The network is extensive, and the benefits are similar in- or out-
of-network.; however, your benefit level is higher if you use in-network providers. Preventive care is covered at 100%
under both in-or out-of-network (subject to plan limits). Through EPO, there is only in-network coverage.

Products Cigna DPO Dental Cigna EPO Dental

Out-of- Out-of-
Feature/Service In-Network In-Network
Network Network
$75(Ind)
Annual Deductible $50 (Ind)/ $150 (Fam) N/A
/$225 (Fam)
Year 1: $2,000, Year 2: $2,100
Annual Maximum Per Person $2,000 N/A
Year 3: $2,200, Year 4: $,2,300
Preventive and Diagnostic
Services oral exams, cleaning, 0%, no ded 0% no ded 0%, no ded N/A
routine x-rays

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 Vision Coverage
LTIMindtree offers two (2) vision plans – Core Vision and Enhanced Vision plans, through CIGNA vision serviced by
EyeMed. The vision benefit is designed to provide routine preventive care such as eye exams, eyewear and other
vision services. This benefit utilizes the CIGNA Vision Network, and there are no claim forms to complete
when you visit an in-network provider.

Products Cigna Core Vision Plan Cigna Enhanced Vision Plan

Out-of-
Feature/Service In-Network In-Network Out-of-Network
Network
Exam, Lenses,
Contacts and Frames Once every 12 months Once every 12 months
Frequency
Reimbursed: Reimbursed:
Exam Copay $10 $0
Up to $45 Up to $45
Up to $180 Up to $119 Up to $300 Up to $130
Frames
allowance allowance allowance allowance

Health Insurance – Employee Premium

2024 Biweekly Contributions (26 paystubs)
Medical Dental Vision
Level of Coverage PPO LocalPlus HRA Plan HSA DPO EPO Core Enhanced
Plan Plan Plan
Single $78.46 $70.53 $58.15 $20.77 $7.92 $6.54 $1.27 $3.45
Employee + $142.80 $130.47 $112.19 $47.32 $11.54 $8.10 $2.54 $6.57
Child(ren)

Employee + Spouse $152.31 $145.38 $131.54 $66.90 $11.54 $8.10 $3.81 $8.38

Family $193.85 $182.31 $177.69 $99.23 $14.47 $9.18 $5.08 $11.61

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 Employee Assistance &
Work/Life Support
Program
The Company provides employees with an Employee Assistance
Program (“EAP”) through Cigna at no cost, which is available to assist
employees and their immediate family members with a variety of
personal and family issues that may impact life at home or at work. The
EAP provides 24/7 support through a toll free # 1877- 622-4327 or at
mycigna.com. The service is free, confidential and offers consultations
on relocations, emotional health, legal matters, financial matters, home,
life referrals, suicide awareness and prevention, critical incident
response (natural calamity) etc. The EAP also offers behavioral
awareness sessions and wellness seminars.
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 Tax Savings
Programs

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 Health Savings Account (HSA)
LTIMindtree offers employees a Health Savings Account (“HSA”) through HSA Bank Account for those who enroll in the
HSA Medical plan. The HSA enables employees to take advantage of tax savings and set aside funds for eligible
healthcare expenses. The annual maximum contribution amount under HSA account is subject to IRS limits..

401(k) Retirement Saving Program

The Company recognizes the importance of saving for retirement and offers eligible employees a 401(k) plan – both
Traditional (pre-tax) 401(k) and Roth 401(k) option. Participation in the plan is purely voluntary. You may enroll in the
Company’s 401(k) plan in the month following your date of joining in USA.

To enhance our employees’ ability to save for retirement, the Company offers an employer matching contribution.
These percentages also apply to catch up contributions. Employees are eligible to receive the employer match after
completion of three months on US payroll. The match starts in the month following eligibility.

401(k) Employer match

Employee's contribution (as % of fixed salary) Employer match
Up to 3% contribution 100% match
Greater than 3% and upto 5% contribution 50% match

The terms, benefits and participation in the plan are subject to all terms and conditions of the 401(k) plan.

Full Purpose Healthcare Flexible Spending Account

A Full Purpose Health Care FSA is available if you are enrolled only in Core PPO, LocalPlus and HRA Medical Plan. It can
reimburse you with your pre-tax dollars for eligible medical, dental and vision expenses, up to the amount you
contribute for the plan year. The annual maximum contribution to the Healthcare FSA is subject to IRS limits.

Limited Purpose Healthcare FSA

Limited Purpose FSA – If you intend to participate in the HSA medical plan, you can enroll in the Limited Purpose FSA
to cover your dental and vision expenses not covered under your HSA medical plan (which is used for medical and
prescription drug expenses only). The annual maximum contribution to the Limited Purpose FSA is subject to IRS limits.

Dependent Care Flexible Spending Account

LTIMindtree offers employees the opportunity to set aside up to $5,000 per plan year for individuals or married
couples filing jointly, or $2,500 for a married person filing separately for eligible dependent care expenses.

Commuter Benefits (Transportation and Parking Expenses)

LTIMindtree provides commuter benefits through HealthEquity (WageWorks) to allow employees to pay for
commuting expenses (train/bus/subway/parking/meter garages etc.) through pre-tax payroll deductions subject to the
annual IRS limits.

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 Leave
Benefits

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 LTIMindtree believes in encouraging its employees to spend quality time for their own wellbeing in order to
achieve a healthy work/life balance. The Company provides the following leave benefits to eligible employees

• Sick Leaves Utilization & Carryforward guidelines will be based on Work locations

• Advanced Paid Time Off (APTO): upto 24 hours per year

• Bereavement Leave: upto 16 hours of paid leave per year

• Parental Bonding Leave: upto 24 hours of paid leave per each instance.

• Jury Duty – 1 day of paid leave per year

• Time off to Vote 2 hours

• 10 Declared holidays (Only for LTIMindtree offices)

Work Location
Leave Types/per year
CA, MN, WA (applicable in these Rest of USA
3 states only)

*Paid Time Off (PTO) 10 Days 10 Days

(80 hours) (80 hours)
Sick Leaves 10 Days 7 Days
(80 hours) (56 hours)

Leave year: January to December

*Max PTO accrual is 15 days (120 hours)

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 Life and
Disability
Benefits

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 Basic Life and AD&D Insurance
All employees are covered by LTIMindtree’s Basic Life and AD&D insurance benefits equal to 1.5 X annual base
salary (minimum of $250,000, up to a maximum of $1 million). LTIMindtree pays 100% of the cost for basic life
insurance and AD&D coverages. Dependents (spouse and children) are not covered under this benefit.

Voluntary (Supplemental) Life insurance

Supplemental Life insurance is an additional layer of coverage employees may purchase to help financially
protect their families. Employees can purchase supplemental life coverage for themselves, a spouse and their
children at the time of joining or during open enrollment only.

Benefits are as follows

Employee: Employees can elect the lesser of 8 times their annual base weekly salary or $1,000,000 in $10,000
increments. The minimum election is $10,000.

Spouse: Employees can elect up to the lesser of 50% of the amount the employee elected or $250,000 in
$5,000 increments. The minimum election is $5,000.
Child: Employees can elect up to $15,000 in $5,000 increments.

Short & Long-Term Disability (STD & LTD)

Disability insurance is coverage that provides you with income protection, should you lose time on the job due
to an injury or illness. With disability coverage, partial replacement of lost income is paid to you. LTIMindtree
offers short-term and long-term disability coverage at no cost to you. Short-term disability pays 66.67% of an
employee’s gross weekly earnings for up to $1000 per week for13 weeks in the event of a covered sickness or
injury. If an employee becomes totally disabled and cannot work for an extended period, long-term disability
benefits pay 60% of the employee’s gross monthly pre- disability earnings subject to the policy limits

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 Voluntary
Programs

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 Voluntary Programs
LTIMindtree offers a wide range of Voluntary benefits related to health, legal, pets and identity theft. These Voluntary
benefits are supplemental to your core benefits and offered to meet your family needs. You can enroll in Voluntary
benefits at the time of joining or during Open enrollment through post-tax payroll deductions.

Voluntary Health Benefits

LTIMindtree offers the following additional voluntary health benefits - Accidental Injury Insurance, Critical Illness
Insurance and Hospital Care Indemnity Insurance through Cigna. Employees contribute to these plans through post-
tax payroll deductions and these voluntary plans pay directly to you based on coverages, not the doctor or hospital in
case of any claims. By enrolling in group coverage through LTIMindtree, you will receive coverage at a discounted rate.

Accident Insurance
CIGNA Accident insurance is designed to help defray the out-of-pocket costs associated with an accidental injury.

Critical Illness
CIGNA Critical Illness insurance is designed to help defray the costs associated with a heart attack, stroke, or other
covered serious illness as defined in the policy.

Hospital Indemnity
CIGNA Hospital Indemnity Insurance provides a benefit if you or a covered dependent are admitted or confined to a
hospital as a result of an accident or sickness.

Wellness Screening Benefits

Included with all three Cigna voluntary benefit plans (Accident, Critical Illness and Hospital Care Indemnity) is a
Wellness Screening Benefit. This benefit pays each covered individual (including spouses and children) $50 per year
for wellness visits and tests.

MetLife Legal Services Plan

LTIMindtree offers Voluntary MetLife Legal Services Plan which provides legal representation and covered legal
services through convenient payroll deductions for a wide range of personal legal matters.
Employees contribute to these plans through post-tax payroll deductions.

MetLife Pet Insurance

With LTIMindtree’s Voluntary Pet Insurance through MetLife, you can protect your furry family members from
unexpected visit to the vet by obtaining a group discount.

Allstate ID Theft Protection

LTIMindtree’ s Identity Theft Protection offered through Allstate monitors your accounts and provides protection in
the event your identity is compromised. Enrollment in Allstate’s Identity Protection plan gives you covered access to
monitoring that catches fraud at its earliest with proactive dark web, tri-bureau credit, financial transaction, and social
media account monitoring.

SoFi Loan Refinance

LTIMindtree has partnered with SoFi at Work to offer products to help reach your financial goals. Through this
program, employees are eligible to receive a better refinancing rate for children’s education, mortgages and personal
loans, etc.

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 Wellness
Programs

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 Healthy Pregnancy, Healthy Babies
Employees can enroll in the Healthy Pregnancies, Healthy
Babies plan, through our CIGNA Health Insurance program,
to help you and your baby stay healthy during your
pregnancy and in the days and weeks following your baby’s
birth. Get live support 24 hours a day, 7 days a week. Get
rewarded ($150/$75) when you participate and complete
the program. Call 1-800-Cigna-24 (800-244-6224) or visit
myCigna.com for more information.
MDLIVE Virtual/Telehealth Services
Telehealth services are offered as part of the CIGNA
Medical plan through MDLIVE. Cigna’s Virtual Visits lets
you get the care you need from board-certified providers
-including most prescriptions-for a wide range of minor
conditions without leaving your home or office. Virtual
Visits with MDLIVE can be a cost-effective alternative to a
convenience care clinic or urgent care center, and cost
less than going to the emergency room. When, where
and how it works best for you. You can download MDLIVE
APP or call 1-888-726-3171
CIGNA Healthy Rewards
As part of the CIGNA Medical plan, you can enjoy
discounts and savings on a wide range of health and
wellness related services and more. No doctor’s referral or
claim forms are needed. Call 1-800-870- 3470 or visit
myCigna.com
About this document
* Information provided in this document is just an
overview of LTIMindtree Benefits program.
LTIMindtree reserves the right to amend or
terminate these benefits at any time. It is not
a legal document and shall not be construed as
a guarantee of benefits nor of continued
employment at the company. All benefit plans are
governed policies and plan documents. Benefit
premiums may be changed without notice at the
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Weight Management Plan
Offered as part of CIGNA Medical plan, CIGNA
provides support to help you reach your goal of
maintaining a healthy weight – all without the fad
diets. Create a personal healthy-living plan that
will help you build your confidence, be more
active and eat healthier and, you’ll get the support
you need to stick with it.
Tobacco Cessation
Offered as part of CIGNA Medical plan, you can
get the help you need to finally quit tobacco.
Create a personal quit plan with a realistic quit
date and get the support you need to kick the
habit for good. You’ll even get free over-the-
counter nicotine replacement therapy (patch or
gum).
Stress Management
Offered as part of CIGNA Medical plan, you can
get help lowering your stress levels and raising
your happiness levels. Learn what causes your
stress in your life and develop a personal stress
management plan and, get the support you need
to help you cope with stressful situations – both
on and off the job. Call 1-800-Cigna-24 (800-244-
6224), or visit myCigna.com or login to myCigna
APP.
LTIMindtree’s discretion. This reserved right may be
exercised for any reason. Eligibility for each benefit is
governed by the terms and conditions of the
applicable plan. For more information regarding
benefit programs, please refer to the applicable
Summary Plan Descriptions (SPDs), which can be
obtained from the Human Resources Department. To
the extent the information provided here conflicts
with the SPD or full plan document, the full plan
document will control.
 Lifestyle &
Recreation
LTIMindtree Privileges
Discount Programs
Employees have access to online saving tools
that allow you, your family members, and
friends to take advantage of corporate rates
and discounts on home shopping, electronics,
automotive, travel, insurance, entertainment,
hotels, car rentals etc. at over 20,000 national
and local merchants
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LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business
models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700
clients, LTIMindtree brings extensive domain and technology expertise to help drive superior competitive differentiation, customer experiences,
and business outcomes in a converging world. Powered by 83,000+ talented and entrepreneurial professionals across more than 30 countries,
LTIMindtree — a Larsen & Toubro Group company — combines the industry-acclaimed strengths of erstwhile Larsen and Toubro Infotech and
Mindtree in solving the most complex business challenges and delivering transformation at scale. For more information, please
visit https://www.ltimindtree.com/.