IQVIA Inc. Health Plan

IQVIA Inc. Medical Plan

Group health plan providing prescription drug benefits.

January 1 to December 31

501

The plan sponsor and principal employer for the IQVIA benefit plans is:

IQVIA Inc.
4820 Emperor Blvd.
Durham, NC 27703
919-998-2000

Employer Identification Number: 06-1506026

The plan sponsor retains all fiduciary responsibility with respect to these plans, except to the extent the plan sponsor has delegated or allocated to other persons or entities one or more fiduciary responsibilities and to the extent the plan sponsor is not held responsible with respect to a plan by law.

The plan administrator has sole and absolute authority to make all decisions regarding eligibility and/or entitlement to participation or benefits. The plan administrator can be reached at:

Benefits Committee
c/o IQVIA Inc.
4820 Emperor Blvd.
Durham, NC 27703
919-998-2000

The plan's agent for service of legal process is its General Counsel, care of IQVIA Inc. at the address above.

This plan is administered by the IQVIA Benefits Committee. Certain administrative duties concerning COBRA are delegated by contract to Express Scripts. Other administrative duties are performed by either administrative service companies who have entered into contracts with IQVIA or individual insurance companies.

Benefits under the plan are funded by a combination of employer and employee contributions. Employees contribute at a fixed rate per month toward the cost of the plan through payroll deductions. Benefits are provided under a self-funded administrative service arrangement.

For self-funded plans, insurance companies or other companies act as administrators. These administrators do not collect premiums or insure benefits, but rely on the company or the plan to provide them with money to pay claims. The company or the plan pays each of these administrators a fee to administer the plan and make benefit payments.

The COBRA administrator is:

Mercer Marketplace
888-264-9180

The administrative services provided by insurance companies providing benefits and/or administrative services for the group health plan include, where applicable: network establishment, maintenance and management, pre-certification and other utilization review determinations and the review of all utilization review appeals, claims services, in particular claims processing and determination, pre-determinations, review of certain appeals and payment of benefit claims, and the handling of grievances and various other customer services.

IQVIA has engaged the services of the following third-party administrators who are responsible for processing claims for these self-insured plans.

The claims administrator for the Prescription Drug program is:

Express Scripts

Express Scripts
Express Scripts, Inc.
P.O. Box 52132
Phoenix, AZ 85072-2132

For Southern California Member:

Kaiser Foundation Health Plan, Inc.
Claims Department
P.O. Box 7004
Downey, CA 90242-7004

For Northern California Members:

Kaiser Foundation Health Plan, Inc.
Claims Department
P.O. Box 12923
Oakland, CA 94604-2923

For Georgia Members:

Kaiser Foundation Health Plan, Inc.

Claims Department

P.O. Box 370010
Denver, CO 80237-9998

Claims services number:

1-800-390-3510

Express Scripts
Express Scripts, Inc.
PO Box 60903
Phoenix, AZ 85082-0903

For Southern California Member:

Kaiser Foundation Health Plan, Inc.
Claims Department
P.O. Box 7004
Downey, CA 90242-7004

For Northern California Members:

Kaiser Foundation Health Plan, Inc.
Claims Department
P.O. Box 12923
Oakland, CA 94604-2923

For Georgia Members:

Kaiser Foundation Health Plan, Inc.

Claims Department

P.O. Box 370010

Denver, CO 80237-9998

Claims services number:

1-800-390-3510