Mondelez Global LLC

• The filing says benefits are paid from the employer's general assets.
• The filing says benefits are paid from a trust the plan controls.
• Medical insurance bought from Kaiser Permanente, HMSA (Blue Cross Blue Shield of Hawaii) is on file, covering about 399 people.
• We ignored a small insurance contract with Paramount Healthcare, Aetna covering about 168 people; it is too small to be the main plan.
• Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
• The insured options cover only about 3% of the 13,691 participants, so most people in this plan are in the self-funded part.
• The self-funded part's claims are processed by Blue Cross Blue Shield, Businessolver.Com, First American (Schedule C).

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.

• The filing says benefits are paid from the employer's general assets.
• The filing says benefits are paid from a trust the plan controls.
• Medical insurance bought from Kaiser Permanente is on file, covering about 42 people.
• We ignored a small insurance contract with Paramount Healthcare covering about 11 people; it is too small to be the main plan.
• Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
• The insured options cover only about 1% of the 4,307 participants, so most people in this plan are in the self-funded part.
• The self-funded part's claims are processed by Blue Cross Blue Shield, Businessolver.Com (Schedule C).

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.

• The filing says benefits are paid from the employer's general assets.
• Medical insurance bought from Cigna, Kaiser Permanente is on file, covering about 1,130 people.
• Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.