Revised 12/28/11

Fox-1 Resources, Inc. Benefits Summary

Benefit / Eligibility Starts / Regular
Full-time / Regular Part-Time / Part-Time / Temporary Employee
32+ hrs/wk / 24-31 hrs/wk / 23 or less hrs/wk / Assignment less than 6 months & more than 23 hrs/wk

Cigna Limited-Benefit Medical Health Plan

- Doctor visits as low as $15
- Prescription Drug Program
- See plan overview for details. Cigna offers three medical plans. /

1st of the month following a 60-day waiting period.

/

Delta Dental Insurance**

- 100 % preventative & diagnostic care are available at the start.
- Basic and major care coverage after six months. Deductible of $50 /

1st of the month following a 60-day waiting period

/

Voluntary Insurance

- Life, Disability and other voluntary insurance can be purchased through Aflac. /

See Aflac agent

/

Paid Time Off (PTO)

Your traditional vacation and sick time are rolled into one program called PTO. For each 1000 hours worked, receive 2.5 days of paid time off. See notes below. / Eligible 6 months from start date. Accrues in waiting period. / /
Paid for average # of hours worked

Holidays

New Years Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day, and Christmas Day. / After 6 months of service.
Must work regular day before and after holiday to receive holiday pay. / /
Paid for average # of hours worked

401(k) Savings Plan**

Fox-1 offers you the chance to save money for retirement on a pre-tax basis. Discretionary profit sharing. / After 90 calendar days of service. Must be 21 years of age to participate. / / /

·  PTO: At the end of the calendar year, up to 20 hours of unused accrued PTO will carry over. PTO is not a paid out benefit. See handbook or addendum for more specific policies about PTO.

·  MEDICAL and DENTAL INSURANCE NOTE: Fox-1 offers individual and family insurance plans through Cigna and Delta Dental. Cost of coverage is at the employee’s expense. If an employee’s employment ends Fox-1 reserves the right to collect premiums owed through the end of the coverage month from the final paycheck.

·  SUPPLEMENTAL BENEFITS:

o  There are a variety of voluntary insurance policies (i.e., dental, accident, disability, cancer) that can be purchased. See the Fox-1 human resources representative to discuss the supplemental benefits.

o  Most insurance policies are eligible for pre-taxing through our flexible benefits plan, (FSA) which means that the premiums are deducted from your gross pay before taxes.

** See plan documents for detailed benefit information. All benefits are subject to periodic changes without notice.

BENEFITS
Contact Information

Primary Contact for Fox-1 on Medical, Dental, Disability, and Life Insurance:

Mr. Tony Pavelka

RJF Agencies, Inc.

Office Phone: 763-746-8225

Medical / Dental / Supplemental Benefits
Company: / Cigna – Starbridge / Delta Dental / AFLAC
Website / www.starbridgechoices.com / www.deltadental.com / www.aflac.com
Contact Information: / Customer Service-
1-800-308-5948 651-406-5916
800-553-9536 / Marla Feikema
Address / 1581 Mourning Dove Path
City, State, Zip / Mankato, MN 56001
Phone / 507-625-8753
Fax / 507-351-2750

Group Number

/ Fox-1 Group 3889 / 004801-0061
Billing Number
401(k) / Section 125 / Fox-1 Employee Representative
Company: / Principal Financial Group / AFLAC / Fox-1 Drafting & Design, Fox-1 Resources, Inc.
Website / www.principal.com / www.aflac.com
Contact Information: / Mark Sanda / Marla Feikema / Kristen Bartsch
Address / 11100 Wayzata Blvd., Ste. 161 / 4155 Old Sibley Memorial Hwy.
City, State, Zip / Minnetonka, MN 55305 / Eagan, MN 55122
Phone / 952-277-4283 / 507-625-8753 / 651-894-3990
Fax / 952-277-4301 / 507-351-2750 / 651-894-0016

Group Number

/ Individual account numbers / N/A /
Billing Number


4155 Old Sibley Memorial Highway, Eagan, MN 55122

Phone: 651-894-3990 Fax: 651-894-0016 www.fox-1.com