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WcuSign Envelope ID: 29EAB906-1936-4BAB-83BE-97C974F00293 <br />EXHIBIT B <br />Plan Incentives <br />[To be completed before execution according to Sponsor's Plan Design] <br />Health Plan <br />Waive <br />Waive <br />Waive <br />Provide Financial <br />Other Financial <br />Copay? <br />Deductible? <br />Coinsurance? <br />Reward? <br />Incentive <br />Structure <br />FL Blue <br />Yes <br />Yes <br />Yes <br />No <br />N/A <br />Silver Plan <br />FL Blue <br />Yes <br />Yes <br />Yes <br />No <br />N/A. <br />Gold Plan <br />