Introduction

The medical options available at R.R. Donnelley & Sons Company (“RR Donnelley”) enable you to select the level of coverage and cost that best meet your needs. These options offer you and your eligible dependents coverage for a wide range of services – including preventive care, physicians’ services, hospitalization, and surgery.

The coverage options available to you depend on where you live and may include the following:

You also may be eligible to choose a Health Maintenance Organization (HMO) option. The HMO options for which you are eligible are listed in your enrollment information. Alternatively you may decide to purchase a private medical insurance policy instead of RR Donnelley coverage. If so, you may be eligible for the Private Medical Opt-Out option. Click here for eligibility rules and details regarding the Private Medical Opt-Out option.

For Department of Labor (DOL) filing purposes, several RR Donnelley welfare benefit programs, combined, make up the R.R. Donnelley & Sons Company Group Benefits Plan (“Group Benefits Plan”). Generally, each welfare program under the Group Benefits Plan is described in a separate Summary Plan Description (SPD).

When the term “Group Health Program” is used in this SPD, it refers collectively to the CIGNA Group Health Program Medical Program options, the United HealthCare (UHC) Group Health Program Medical Program options (including UHC/Definity), the Blue Cross and Blue Shield (BCBS) Group Health Program Medical Program options, and the Caremark Prescription Drug Program (also referred to as the Prescription Drug Program). The HMO Program is offered as an alternative to the Group Health Program in some areas. When the term “Program” is used in this SPD, it refers collectively to the Group Health Program and the HMO Program.

You and RR Donnelley share the cost of coverage for you and your covered eligible dependents, with RR Donnelley paying the majority of the cost. Your cost is based on your base pay, which of the RR Donnelley participating subsidiaries or participating employers you work for, whether you are a full- or part-time employee, the coverage option you elect, whether or not you or any of your enrolled family members use tobacco products, your completion of certain health and wellness initiatives during Annual Enrollment and throughout the plan year, and the coverage category you choose. It is important that you know how the Program works. Become an informed consumer of services, read all of the benefits information available, and ask questions so that you can make coverage decisions that are best for you and your family.

This SPD summarizes the Group Health Program. It also highlights the HMO Program. It explains your coverage as of January 1, 2006 (unless noted otherwise). It details who is eligible for coverage and when coverage begins and ends. It details which expenses are and are not covered under the Group Health Program, and it describes how to file a claim and your rights under the Program. Please read this information to familiarize yourself with your coverage.

A number of third parties help administer the Group Health Program. The chart below highlights the claims administrators.

You are eligible for coverage under the Program only if you are an employee of a participating employer or subsidiary. If you are an employee of an employer or subsidiary that does not participate in the Group Benefits Plan, you are not eligible for the benefits described in this SPD. To find out if you are eligible for these benefits, contact the eligibility administrator.

This SPD and any supplemental information attempt to be as complete, accurate, and up-to-date a description as possible of your coverage under the Program. However, since treatments and practices continually change, this document cannot adequately define every potentially covered service or exclusion. In the event of such circumstances, the claims administrator or network manager will make the determination of covered services. If there is any discrepancy between this SPD versus the Group Benefits Plan, the actual Group Benefits Plan document always governs.

In addition, nothing in this SPD should be interpreted as an employment contract. This summary merely describes the coverages offered to eligible employees as of January 1, 2006. RR Donnelley reserves the right to change or terminate the Group Benefits Plan or Program, in whole or in part, at any time.

This content contains a summary in English of your rights and benefits under the Program. If you have difficulty understanding any part of this content, call the RR Donnelley Benefits Center at 1-877-RRD-4BEN (1-877-773-4236). Benefits Center Representatives are available between the hours of 8 a.m. and 5 p.m. CT, Monday through Friday, except holidays.

RR Donnelley Medical, Prescription Drug, Mental Health
and Substance Abuse, and HMO Programs SPD
January 1, 2006