2022 Benefits Guide

2022
Benefits Guide
Full-Time Employees
Your Health Your Finances Your Spending Accounts Your Perks Your Family Your Contacts Your Eligibility Definitions and Terms
Tesla Full-Time Employee Benefits Guide
TheTeslaLife
With our goal to accelerate the world’s transition to sustainable energy, Tesla continues to accelerate your benefits package to support your total wellbeing at little or no
cost to you. Our benefits are designed to provide you and your family with top tier offerings — whatever stage of life you are in. We offer medical, dental and vision plans
with $0 paycheck contributions for you and your dependents. If you elect an HSA-eligible medical plan, Tesla contributes to your HSA to help you pay for health care
expenses throughout the year.
To have a thriving workforce, it is important that we offer a competitive benefits package that helps you thrive at work and at home. From student loan consolidation
services and confidential counseling resources to our Tesla Babies program, we provide additional offerings to support both you and your family. It is because of
extraordinary employees like you that Tesla’s business is able to succeed.
Tesla’s Virtual Benefits Fair

As you consider your needs, visit the Virtual Benefits Fair via MyApps.Tesla.com.
02 2 022 B en ef it s G u id e
Tesla Full-Time Employee Benefits Guide Your Health
Medical (Aetna and Kaiser) Choose the Benefits That Fit Your Life
Medical (HMSA)
Dental
Tesla offers comprehensive medical, dental and vision plan options designed to support your health and financial wellbeing. You can also choose a
Vision
Plus plan for enhanced benefits.
Make the Most of TheTeslaLife
Voluntary Benefits
– PPO Base, PPO Plus and HSA medical plan options are available through Aetna. Consider a Medical Plan With a Health Savings Account (HSA)
The PPO Base and HSA plans have a $0 paycheck deduction for you and your By selecting an HSA plan, you can pay for eligible medical, dental and vision
eligible family members. The PPO Plus and Kaiser Plus options are available for expenses on a pre-tax basis. Even better, Tesla also contributes to your HSA to
a paycheck deduction. If you live in California, you have two additional plan help your balance grow even faster. You can use the funds to pay for current
options through Kaiser Permanente: Kaiser HSA and Kaiser Plus. If you live in expenses or save them for future expenses all the way into retirement. Unlike
Hawaii, you are offered one medical plan through the Hawaii Medical Service FSAs, any remaining funds will roll over at the end of each year. Your entire
Association (HMSA). balance. including Tesla’s contributions, are yours to keep — even if you
Questions?
change medical plans, leave the company or retire. Get the details.
– Base and Plus options are available for dental coverage through Delta Dental. The
Check out TheTeslaLife.com for more information and resources.
Base option has $0 paycheck deduction for you and your eligible family members.
Consider a Health Care or Dependent Care Flexible Spending
– Base and Plus options are available for vision coverage through Vision Service
Account (FSA)
Plan (VSP). The Base option has a $0 paycheck deduction for you and your
If you are not in an HSA plan, you are eligible to enroll in a Health Care FSA.
eligible family members.
Similar to an HSA, you can pay for eligible out-of-pocket medical, dental or vision
Consider a Base Plan expenses using pre-tax dollars. You can also pay for eligible dependent care
If you are currently enrolled in the PPO Plus plan, consider if the PPO Base Click below to review your medical, dental and vision plan options. Remember, you expenses using pre-tax dollars through a Dependent Care FSA. Get the details.
plan might be more cost-effective for you. We ran the numbers and for most will receive a discounted rate when you use in-network providers, which means
employees, they add up to one thing — the PPO Base plan offers high- lower out-of-pocket costs for you. Per IRS regulations, FSAs are “use-it-or-lose-it” plans, which means any
quality coverage and huge savings since you have no paycheck deductions. remaining funds at the end of the plan year will be forfeited.
Medical Plan Chart Dental Plan Chart Vision Plan Chart

Check Your Beneficiaries
Be sure to review your beneficiary information to ensure it is accurate and up
to date. It is important to do this for all of your benefits, including your 401(k),
stock, HSA, life and accidental death & dismemberment (AD&D) insurance.
Tesla Full-Time Employee Benefits Guide In-Network Medical Options & Coverage
Medical (Aetna and Kaiser)

Aetna (all locations, except Hawaii) Kaiser (California only)
Medical (HMSA)
Dental 2022 Plan HSA PPO Base* PPO Plus* Kaiser HSA Kaiser Plus*
Vision
Employee-Only: $30 Employee-Only: $30
Make the Most of TheTeslaLife Employee + Employee +
Cost (per paycheck) $0 $0 Spouse/Partner: $80 $0 Spouse/Partner: $80
Voluntary Benefits Employee + Child(ren): $55 Employee + Child(ren): $55
Employee + Family: $105 Employee + Family: $105
Deductible (Individual / Family)** $1,750 / $3,500 $750 / $1,500 None 1,750 / $3,500 None
Out-of-Pocket Maximum
$3,250 / $6,500 $2,000 / $4,000 $1,500 / $3,000 $3,250 / $6,500 $1,500 / $3,000
(Individual / Family)**
HSA Funding*** (Individual / Family) $750 / $1,500 N/A N/A $750 / $1,500 N/A
Questions About Terminology? What You Pay for Care
Coinsurance 20% 10% 10% 20% N/A

Please see Definitions and Terms.
Primary Care / Specialist 20% after deductible $25 copay / $40 copay $20 copay / $35 copay 20% after deductible $20 copay / $35 copay
$100 copay
Note: The deductible is the amount of money you are responsible for paying Emergency Room 20% after deductible $100 copay $100 copay 20% after deductible
(waived if admitted)
before your insurance starts to pay a portion of your bills. Deductibles are an
Urgent Care 20% after deductible $50 copay $50 copay 20% after deductible $20 copay
annual amount, which means they reset each calendar year.
Inpatient Hospital (per admission) 20% after deductible $500 copay $250 copay 20% after deductible $250 copay
Virtual Visits $0 after deductible $0 $0 $0 after deductible $0
Aetna Network * Copayments do not apply to the deductible, but most do apply to the out-of-pocket maximum.
** Most of Tesla’s medical plans feature embedded family deductibles and out-of-pocket maximums, which means each covered individual is only responsible for their own portion of the family
Employees enrolled in an Aetna medical plan will use the Aetna Choice® deductible or out-of-pocket maximum. However, the Aetna HSA plan features a true family deductible and out-of-pocket maximum, which means the full family amounts must be reached before
POS II (Open Access) network. Employees who reside in Utah use the Utah the plan begins to pay benefits or fully cover care. See Definitions and Terms for more details.
Connected Network - Aetna Choice POS II (Open Access) network, which *** Tesla’s HSA employer contribution is prorated based on hire date. Tesla contributes to your HSA on a per-paycheck basis.
includes the Intermountain Healthcare (IHC) network. You will have access
to the same network of providers no matter what Aetna plan you choose.
Employees who reside in Puerto Rico use the First Health network.
Tesla Full-Time Employee Benefits Guide In-Network Prescription Drugs Coverage
Medical (HMSA)
Aetna/CVS Caremark (all locations, except Hawaii) Kaiser (California only)
Dental 2022 Plan HSA PPO Base PPO Plus Kaiser HSA Kaiser Plus
Vision
Make the Most of TheTeslaLife Retail Prescription Drugs (Note: Aetna plans use CVS Caremark)*
Voluntary Benefits 20% after deductible, 20% after deductible,
Generic $15 copay $10 copay $10 copay
up to $25 up to $25
20% after deductible, 20% after deductible,

Preferred Brand $45 copay $30 copay $30 copay
up to $50 up to $50
20% after deductible,

Non-Preferred Brand $90 copay $60 copay N/A N/A
up to $100
Mail-Order Prescription Drugs (Note: Aetna plans use CVS Caremark)*
Aetna/CVS Caremark mail-order supply limit: up to 90 days Kaiser mail-order supply limit: up to 100 days

Generic $30 copay $20 copay $20 copay
up to $50 up to $25

Preferred Brand $90 copay $60 copay $60 copay
Questions About Terminology? up to $100 up to $50
20% after deductible,

Non-Preferred Brand $180 copay $120 copay N/A N/A
Please see Definitions and Terms. up to $200
* Check your specific plan for the day supply of your medication (e.g., 31 days).
Note: The deductible is the amount of money you are responsible for paying
Where Can You Fill Your Prescription?

While prescriptions are administered through CVS Caremark, you are not
required to use a CVS retail pharmacy. You can continue to use any in-
network pharmacy, including Target, Wal-Mart, Costco and more.
Tesla Full-Time Employee Benefits Guide Out-of-Network Medical and Prescription Drugs Options & Coverage
Medical (HMSA)
Aetna/CVS Caremark (all locations, except Hawaii) Kaiser* (California only)
Dental 2022 Plan HSA PPO Base** PPO Plus** Kaiser HSA Kaiser Plus
Vision
Deductible (Individual / Family)† $1,750 / $3,500 $1,500 / $3,000 $1,000 / $2,000 N/A N/A
Voluntary Benefits Out-of-Pocket Maximum***†

$6,500 / $13,000 $4,000 / $8,000 $3,000 / $6,000 N/A N/A
(Individual / Family)
What You Pay for Care
Coinsurance 40% 30% 30% N/A N/A
Primary Care / Specialist 40% after deductible 30% after deductible 30% after deductible N/A N/A
Questions About Terminology? Emergency Room 20% after deductible $100 copay $100 copay 20% after deductible
$100 copay
(waived if admitted)
Urgent Care 40% after deductible 30% after deductible 30% after deductible 20% after deductible $20 copay
Inpatient Hospital (per admission)

Note: The deductible is the amount of money you are responsible for paying (prior authorization required or 40% after deductible 30% after deductible 30% after deductible N/A N/A
coinsurance reduced to 50%)
Retail Prescription Drugs (CVS Caremark)*
Generic 40% after deductible $15 copay $10 copay N/A N/A
Out-of-Network Coverage Preferred Brand 40% after deductible $45 copay $30 copay N/A N/A
You will pay less if you use a provider in the plan’s network. If your plan Non-Preferred Brand 40% after deductible $90 copay $60 copay N/A N/A
includes an out-of-network benefit and you use a non-network provider,
you are responsible for any difference between the covered expense and * Kaiser does not cover out-of-network benefits, except for urgent and emergency care.
the actual non-participating provider’s charge. ** Copayments do not apply to the deductible, but most do apply to the out-of-pocket maximum.
*** In-network and out-of-network deductibles and out-of-pocket maximums cross accumulate.
† Most of Tesla’s medical plans feature embedded family deductibles and out-of-pocket maximums, which means each covered individual is only responsible for their own portion of the family
deductible or out-of-pocket maximum. However, the Aetna HSA plan features a true family deductible and out-of-pocket maximum, which means the full family amounts must be reached
before the plan begins to pay benefits or fully cover care. See Definitions and Terms for more details.
Tesla Full-Time Employee Benefits Guide In- and Out-of-Network Medical and Prescription Drugs Options & Coverage
Medical (HMSA)
Hawaii only Hawaii Medical Services Association (HMSA)
Dental In-Network Out-of-Network

Vision
2022 Plan
Voluntary Benefits Cost (per paycheck) $0 $0
Deductible (Individual / Family) $0 $100 / $300
Medical Out-of-Pocket Maximum (Individual / Family) $2,500 / $7,500 $2,500 / $7,500
Rx Out-of-Pocket Maximum (Individual / Family) $3,600 / $4,200 $3,600 / $4,200
What You Pay for Care

Coinsurance 20% 30%
Primary Care / Specialist $12 copay 30% after deductible
Emergency Room 20% (deductible waived) 20% (deductible waived)
Urgent Care $12 copay 30% after deductible
Inpatient Hospital (per admission) 10% (deductible waived) 30% after deductible
HMSA Virtual Visits* $0 N/A

Questions About Terminology?
* Cost share for HMSA Online Care

Retail Prescription Drugs
Generic $7 copay $7 copay + 20% (deductible waived)
Note: The deductible is the amount of money you are responsible for paying
before your insurance starts to pay a portion of your bills. Deductibles are an Preferred Brand $30 copay $30 copay + 20% (deductible waived)
annual amount, which means they reset each calendar year. Non-Preferred Brand $75 copay $30 copay + 20% coinsurance (deductible waived)
Mail-Order Prescription Drugs

Generic $11 copay N/A
Preferred Brand $65 copay N/A
Non-Preferred Brand $200 copay N/A
Tesla Full-Time Employee Benefits Guide In-Network Dental Options & Coverage
Delta Dental
Medical (HMSA) 2022 Plans Base Plus

Dental Employee-Only: $5 • Employee + Spouse/Partner: $11
Cost (per paycheck) $0
Employee + Child(ren): $12 • Employee + Family: $18
Vision
Make the Most of TheTeslaLife Deductible* (Individual / Family) $100 / $300 $0

Voluntary Benefits
Calendar Year Maximum (excludes orthodontia) $1,000 per person $2,500 per person
Service
Preventive and Diagnostic $0 $0
Basic Restorative Care 20% after deductible 20% (deductible waived)
Major Restorative Care 30% after deductible 30% (deductible waived)
Orthodontia (children and adults) 50%; $1,000 lifetime maximum (deductible waived) 50%; $2,500 lifetime maximum (deductible waived)
Out-of-Network Dental Options & Coverage**
Delta Dental
Questions About Terminology? 2022 Plans Base Plus
Please see Definitions and Terms. Deductible* (Individual / Family) $100 / $300 $0
Calendar Year Maximum (excludes orthodontia) $1,000 per person $2,500 per person
Note: The deductible is what you pay out of pocket before your insurance
starts paying its share of your costs. The calendar year maximum is
Service
the most the insurance company will pay in a year for dental costs. The
orthodontia lifetime maximum is the total amount the insurance company Preventive and Diagnostic 10% (deductible waived) 10% (deductible waived)
will pay per eligible person. The dental lifetime maximum is separate from Basic Restorative Care 30% after deductible 30% (deductible waived)
the orthodontia lifetime maximum.
Major Restorative Care 50% after deductible 50% (deductible waived)
Orthodontia (child(ren) and adults) 50%; $1,000 lifetime maximum (deductible waived) 50%; $2,500 lifetime maximum (deductible waived)
* Out-of-network dentists may bill you the difference between their usual fee and Delta Dental’s maximum contract allowance.
** The deductible is combined for in-network and out-of-network.
Tesla Full-Time Employee Benefits Guide In-Network Vision Options & Coverage
Vision Service Plan (VSP)

Medical (HMSA)
2022 Plans Base Plus
Dental Employee-Only: $2.50 • Employee + Spouse/Partner: $6.25

Cost (per paycheck) $0
Employee + Child(ren): $5.00 • Employee + Family: $8.75
Vision
Make the Most of TheTeslaLife Well Vision Exam (per calendar year) $25 copay $10 copay
Voluntary Benefits Frames* (per calendar year) $25 copay; $100 allowance $10 copay; $200 allowance
Standard Progressive Lenses $0 $0
Premium and Custom Progressive Lenses $0-$175 copay $15-$25 copay
High Index Lenses Not covered $0
Contact Lenses* (per calendar year) $25 copay; $100 allowance $10 copay; $200 allowance
Out-of-Network Vision Options & Coverage**
Vision Service Plan (VSP)

2022 Plans Base Plus
Well Vision Exam (per calendar year) Up to $45 allowance Up to $45 allowance
Frames (per calendar year) Up to $70 allowance Up to $70 allowance
Standard Progressive Lenses Up to $45 allowance Up to $45 allowance
Elective Contact Lenses Up to $70 allowance Up to $70 allowance
*Members in the Base plan get an allowance for contact lenses or one pair of frames (not both). Members in the Plus plan have an allowance for contact lenses and an allowance for one pair of
Questions About Terminology? frames. These allowances are separate and cannot be combined.
** Out-of-network allowances are subject to applicable copays.
Tesla Full-Time Employee Benefits Guide Make The Most of TheTeslaLife All Year Long

Get Personalized Help With Your Medical Benefits
Medical (HMSA)
No matter which medical plan you choose, there is a program to help you navigate the health care system. For Aetna plans, it is Health Care Advocate and for Kaiser
Dental
plans, it is Member Services.
Vision
Make the Most of TheTeslaLife Health Care Advocate (Aetna) Member Services (Kaiser)
833.514.1394 800.464.4000
Voluntary Benefits
Understand your health benefits, options for care and better manage health care and prescription costs  
Get support from advisors who can help locate doctors and schedule appointments, explain medical bills or claims
and help to resolve billing issues  
Contact an expert for any health-related questions  
These free, personalized and confidential services are available to you and your family members. Think of them as your “go-to” resource for health information and support.
Virtual Visits Connect with a physician or health care specialist Average cost:
Know Where to Go When You Need Care via phone or video chat for non-emergency issues like allergies, $
headaches, sore throats and more
Your Tesla benefits are designed to be used, and we want to help you Primary Care Physician (available during business hours) Average cost:
Visit for your annual preventive exam and routine care or an
make the most of them. If you are facing a minor medical issue and your first $
issue that can wait until the next day
instinct is to head to the emergency room, consider trying something new —
Urgent Care (often available after hours) Average cost:
it could save you time and money. Visit for immediate care for common issues like colds, flu, low $$
fevers, rashes and minor injuries
Emergency Room (open 24/7) Average cost:

Visit for potentially life-threatening situations that need attention $$$
Get More Value From Your Prescription Benefits right away
Generic Versus Brand-Name Drugs

Generic drugs cost less than brand-name drugs and meet the same FDA requirements for effectiveness, quality and safety. You can save money if your prescription is
a generic drug, but always check with your doctor first before making any changes.
CVS Caremark, HMSA or Kaiser’s formulary list may change throughout the year, so be sure to check with them if you have questions or concerns.
Advantages of Using Mail-Order Services

The mail-order service can be used for maintenance medications that you take on a regular basis. Using this service can help you save money, and you have the added
convenience of your medications being delivered directly to your home. Plus, you will receive 90-100 days’ worth of your prescription at a time, so you don’t have to
worry about going to the pharmacy each month or running out of your medication. Contact your prescription drug provider to learn more and sign up. You can find your
provider’s contact information on the back of your member ID card.
Tesla Full-Time Employee Benefits Guide Other Health Benefits
Employee Assistance Program — Lyra Confidential Counseling

Medical (Aetna and Kaiser) Lyra provides confidential therapy when you need it, at no cost to you. Whether you are feeling stressed, anxious, depressed or are dealing with any number of life’s
Medical (HMSA) emotional challenges, Lyra can guide you through it.
Dental
– Find personalized recommendations for top therapists just for you
Vision
– Meet with a therapist in-person, via live video or tap into self-care apps on-the-go
– Schedule appointments online at tesla.lyrahealth.com or by phone at 855.238.5972
Voluntary Benefits
– Pay nothing — sessions are covered for you, and your eligible dependents
Learn how to communicate better, improve your relationships and build your skill set for taking on life’s challenges at tesla.lyrahealth.com.
Lyra Work-Life
Tesla provides legal consultations and financial planning services in partnership with Lyra to you and your family members.
To learn more about these services, call Lyra at 844.700.8039 or visit tesla.lyrahealth.com/worklife.
LGBTQ+ Care Concierge Service — Included Health

Included Health is a comprehensive care navigation platform for the LGBTQ+ community specializing in connecting individuals and their loved ones with quality, affirming
care. This dedicated care concierge service can:
– Answer your health care questions

– Help you find an in-network doctor or therapist
– Guide you through your available options — specific to your Tesla plans and coverage
– Connect you to a community of LGBTQ+ individuals and loved ones for additional support
Included Health is available to all employees. Visit lgbtq.includedhealth.com to learn more.
Aetna Tobacco Cessation Program

If you are enrolled in an Aetna medical plan, you have access to Quit For Life. Quit For Life is a free program to help you and your family members stop using tobacco
products. The program includes a personalized plan, access to a tobacco cessation coach, nicotine replacement therapy and ongoing support from an online community
of peers.
Call 866.QUIT4LIFE (866.784.8454) or visit quitnow.net to join countless others who have kicked the habit.
Kaiser Tobacco Cessation Program

Employees enrolled in a Kaiser medical plan can get the support they need to quit using tobacco products with help from Kaiser. Visit kp.org/quitsmoking or call
800.464.4000 for more information.
Tesla Full-Time Employee Benefits Guide Other Health Benefits (cont.)
Aetna Real Appeal Weight Loss Program

Medical (Aetna and Kaiser) If you are enrolled in an Aetna medical plan, you have access to Real Appeal. Real Appeal connects you and your family members with a Transformation Coach, helps you
Medical (HMSA) track your activities and progress and gives you access to useful recipes and workouts. This online weight loss program is available at no additional cost. Learn more and
Dental sign up on TheTeslaLife.com.
Vision
Make the Most of TheTeslaLife Kaiser Permanente Balance Weight Loss Program
Voluntary Benefits Balance is designed to help you get to a healthier weight with a personalized action plan. This online resource has videos, goal-tracking tools and recipes to support you
and your family in building new healthy habits by balancing nutrition, exercise and a healthy lifestyle. Learn more on the Kaiser Permanente website.
Tesla Full-Time Employee Benefits Guide Voluntary Benefits

Voluntary benefits supplement your health insurance by paying a lump sum in the event that you or your family have an accident, are hospitalized or become critically ill.
You can use the funds for anything — medical expenses, hotel bills, groceries and more. Tesla provides three types of voluntary benefits — accident, hospital indemnity
and critical illness insurance. For complete coverage details, including exclusions and limitations, go to TheTeslaLife.com or call 833.543.1900.
Medical (HMSA)
Dental
Vision
Accident Insurance
Even with medical coverage, accidents can be very expensive. Voluntary accident insurance through Voya pays you in the event that you or a family member covered under
Voluntary Benefits
the plan is in an accident, such as a sporting injury or a household accident. Keep in mind that voluntary accident insurance is not a replacement for medical coverage.
Your cost is automatically deducted from your paycheck when you enroll. The bi-weekly cost is based on your coverage level, as outlined below:
– Employee Only: $3.26

– Employee + Spouse/Partner: $5.86
– Employee + Child(ren): $6.94
– Employee + Family: $9.53
Hospital Indemnity Insurance
When you or a family member is in the hospital, the last thing you want to worry about is the bill. Hospital indemnity insurance through Voya pays you in the event that you
or a family member covered under the plan is hospitalized.
Your cost is automatically deducted from your paycheck when you enroll. The bi-weekly cost is based on your coverage level, as outlined below:
– Employee Only: $6.43

– Employee + Spouse/Partner: $13.58
– Employee + Child(ren): $8.22
– Employee + Family: $15.37
Critical Illness Insurance
Dealing with a serious illness is hard. Critical illness insurance through Voya pays a benefit in the event that you or a covered family member become critically ill. Covered
illnesses include heart attack, stroke and kidney failure, among others. Plus, you can earn a $50 benefit when you complete an eligible health screening test, like a
colonoscopy, mammogram or certain cancer screenings.
Tesla Full-Time Employee Benefits Guide Your Finances
The Tesla 401(k) Plan
Employee Stock Purchase Plan (ESPP) Save With the Tesla 401(k) Plan
Equity Incentive Plan
Tesla offers both traditional and Roth 401(k) options to help you save for retirement. As a new hire, we will automatically put 5% of your gross pay into your Tesla 401(k)
Student Loan Refinancing
account each paycheck, unless you tell Fidelity you would like to do something else. Of course, you are always in control of your contributions, and can change your
Salary Finance
contribution at any time throughout the year. If you are new to Tesla, make sure to report any contributions that you made into a prior employer’s 401(k) this year to
Life Insurance
[email protected]. Don’t risk over contributing. Failure to do so may result in tax implications.
Accidental Death & Dismemberment Insurance
Disability Benefits
You Choose How to Invest Your Funds
To make things even easier, when you first enroll in the 401(k) Plan, you will automatically contribute to a “life cycle” fund. This type of fund is based on your date of birth
and a retirement age of 65, and it is actively managed by investment experts who monitor and adjust the investments as you approach retirement.
If you want additional control over your 401(k) savings, Tesla provides a variety of options that allow you to actively manage your investments in the 401(k) Plan.
Learn more about your options and manage your 401(k) account by visiting TheTeslaLife.com.
Employee Stock Purchase Plan (ESPP)

Through this voluntary program, you can purchase company stock at a 15% discount off the market price at either the beginning or the end of the 6-month offering period,
whichever is lower.
Offering periods begin March 1 and September 1, and purchases are made on the last day of each offering period. Shares are purchased using after-tax contributions
made through payroll deductions that accumulate during the 6-month offering period.
Shortly after the shares are purchased, they are deposited into your E*TRADE Stock Plans account where you can hold onto them as long as you want or (subject to
Tesla’s Insider Trading Policy) sell or gift the shares without any holding period restrictions. Learn more about the ESPP on the Internal Tesla website. If you have any
questions, email the Stock team at [email protected].
Tesla Full-Time Employee Benefits Guide Equity Incentive Plan

Tesla created the Equity Incentive Plan to give every employee the opportunity to own a portion of the company whose success they are helping to drive. Through equity
based awards, the plan allows Tesla to recognize outstanding work performance and it allows employees to benefit from Tesla’s continued success.

The value of vested shares of Tesla stock can be a significant portion of your total compensation. You can personally contribute to that value through innovation,
efficiency and commitment to quality. Hard work is as evident in the exceptional products we deliver to customers as it is in the performance of our stock.
Salary Finance
Tesla has partnered with E*TRADE Financial to help employees manage and stay updated on the status of their equity awards. Please refer to your equity grant for the
Life Insurance
specific terms and conditions and your applicable vesting schedule.
Disability Benefits
SoFi takes a unique approach to student loan refinancing to help save you money. SoFi is one of the few lenders that handles federal and private student loan consolida-
tion. You can refinance through sofi.com/tesla and get a $400 welcome bonus with your loan.
Salary Finance
Salary Finance is a simple way to borrow and save that can help you manage your finances and get out of debt. With Salary Finance, you can borrow at affordable rates,
pay back your loan directly from your paycheck and refinance existing, higher-cost debt. Learn more on tesla.salaryfinance.com.
Tesla Full-Time Employee Benefits Guide Basic Life Insurance

– Tesla gives you 2 times your annual earnings up to $1,000,000
– Monthly premium cost is paid by Tesla

Optional Life Insurance
Salary Finance You can purchase additional life insurance, as outlined below:
Life Insurance
–
For you: $10,000 increments up to $2,000,000 maximum, not to exceed 8 times your base annual earnings
–
For your spouse/domestic partner: $10,000 increments up to $500,000 maximum, not to exceed 100% of the total of your basic and optional life insurance amount
Disability Benefits
–
For your child(ren): $5,000 increments up to $20,000 for each child
Employee + Spouse/Partner (Paid Separately) Child

Age of Insured Person Monthly Rate per $1,000 of Coverage Coverage Level Monthly Rate*
Under 25 $0.038 $5,000 Benefit per Child $0.150
25-29 $0.048 $10,000 Benefit per Child $0.300
40-44 $0.086
* The monthly rates apply regardless of the number of children you cover.
45-49 $0.133
50-54 $0.209
55-59 $0.390
60-64 $0.589
Imputed Income
65-69 $1.140
The IRS requires Tesla to report the cost of company-paid employee life
70-74 $1.853
insurance in excess of $50,000 as “imputed income.” If your basic life
insurance coverage exceeds $50,000, you will have imputed income, 75-79 $1.853
which is subject to federal and state income taxes and payroll taxes. Visit
80+ $1.853
the IRS website for additional information about group-term life insurance.
Your cost is automatically deducted from your paycheck when you enroll online at TheTeslaLife.com.
Tesla Full-Time Employee Benefits Guide Evidence of Insurability
You may be required to provide proof of good health by filling out an Evidence of Insurability questionnaire, depending on the amount of optional life insurance you elect.
Employee Stock Purchase Plan (ESPP) Evidence of insurability is NOT required if:
– You enroll when you are a new hire for an amount that does not exceed the lesser of 5 times your salary or $500,000
– You elect coverage between $10,000 and $50,000 for your spouse, when first eligible
Salary Finance
– You elect coverage between $5,000 and $20,000 for your child(ren), when first eligible
Life Insurance

Evidence of insurability IS required if:
Disability Benefits
– At Annual Enrollment or during a qualifying life event, you increase your existing coverage by more than one level or any increase above $500,000 — you will need to
answer a few simple health questions and your responses will be submitted to the insurance carrier for approval
– You elect coverage for any amount after previously declining coverage when first eligible — you will need to answer a few simple health questions and your responses
will be submitted to the insurance carrier for approval
– If you elect any amount of coverage for your spouse/domestic partner for the first time during a qualifying life event or Annual Enrollment after previously declining to
elect to coverage when first eligible, or if you increase coverage for your spouse/domestic partner by more than one level or above $50,000 — your spouse/domestic
partner will need to answer a few simple health questions and their responses will then be submitted to the insurance carrier for approval
Tesla Full-Time Employee Benefits Guide Basic Accidental Death & Dismemberment (AD&D) Insurance
– Tesla gives you 2 times your annual earnings up to $1,000,000
– Monthly premium cost is paid by Tesla

Optional AD&D Insurance
Salary Finance You can purchase additional AD&D insurance, as outlined below:
Life Insurance
–
For you: $10,000 increments up to $2,000,000 maximum, not to exceed 8 times your base annual earnings
–
For your spouse/domestic partner: $10,000 increments up to the lesser of 5x salary or $500,000 maximum, not to exceed 100% of the total of your basic and optional
Disability Benefits
AD&D coverage amount
–
For your child(ren): $5,000 increments up to $20,000 for each child — cost based on coverage level, as noted below
– Your monthly cost of coverage is $0.03 per $1,000 of coverage, which is deducted from your paycheck when you enroll online at TheTeslaLife.com.
* You do not have to be enrolled for dependent coverage to elect Optional Life or AD&D coverage. Dependent coverage may not exceed 100% of combined Basic +
Optional Employee coverage.
Disability Benefits
Tesla provides short- and long-term disability coverage at no cost to you. These benefits can provide income replacement of up to two-thirds of your income if you become
disabled due to illness or injury that keeps you from working for an extended period of time.
–
Short-term disability (STD): Provides 66.67% of weekly pre-disability earnings up to a maximum of $2,308 for up to 6 months
–
Long-term disability (LTD): Provides up to $15,000 per month after you have been disabled and unable to work for 180 days
Tesla Full-Time Employee Benefits Guide Your Spending Accounts

We offer several spending accounts that give you a tax break on your eligible health care and dependent care expenses by having tax-free Health Savings Account (HSA)
Health Care Flexible Spending Account (HCFSA) and Flexible Spending Account (FSA) contributions taken from your paycheck. (That is where the tax break and savings come in.)
Dependent Care Flexible Spending Account (DCFSA)
Health Savings Account (HSA) You can use your Health Care FSA debit card to pay for your eligible medical, dental and vision expenses, or you can submit claims to request reimbursement for your
HSA Contribution Limits eligible health care and dependent care expenses online via optumbank.com or using the Optum Bank mobile phone app.
Health Care Flexible Spending Account (HCFSA)

The HCFSA allows you to:
– Pay for certain medical, dental and vision expenses that are not covered by your health care plan (such as copays, coinsurance, non-cosmetic dental expenses, most
prescription drugs and eyeglasses).
– Contribute up to $2,750 in 2022 through tax-free payroll deductions. The minimum 2022 annual contribution is $100.
Note: You are not eligible to enroll in the HCFSA if you are enrolled in a medical plan that has a Health Savings Account (HSA) in 2022. IRS rules require that FSAs are
use it or lose it plans. If you do not spend the funds within the plan year, you will lose them. If electing, you may want to be conservative if you do not anticipate any
qualified expenses.
Find a full list of eligible health care expenses at irs.gov/publications/p502/.
Use It or Lose It — It’s Up to You

Any amount remaining at the end of the plan year is forfeited. All the money
in your HCFSA must be spent by March 15 of the following year, and
claims must be submitted by April 30 of that year.
Tesla Full-Time Employee Benefits Guide Dependent Care Flexible Spending Account (DCFSA — Day Care Reimbursement)
The DCFSA allows you to:
Health Care Flexible Spending Account (HCFSA) – Pay for certain preschool expenses, nursery school expenses, day care expenses, senior day care facility needs and licensed home child care (expenses related
Dependent Care Flexible Spending Account (DCFSA) to child care must be for a child under the age of 13).
Health Savings Account (HSA)
– Make tax-free payroll contributions up to $5,000 annually if you are single or if you are married and file a joint tax return ($2,500 annually if you are married and file
HSA Contribution Limits
separately). The minimum 2022 annual contribution is $100.
– There is a $1,500 limit for certain highly compensated employees.
Keep in mind that DCFSA funds can only be used to pay for a qualified dependent’s day care expenses — they cannot be used to pay for health care expenses. IRS rules
require that DCFSAs are “use-it-or-lose-it” plans. If you do not spend the dependent care funds within the plan year, you will lose them. For example, if you do not have
children or day care expenses, you will not have any qualified DCFSA costs and may not want to enroll in this plan.
Find a full list of eligible dependent care expenses at irs.gov/publications/p503/.
Know the Fine Print
The IRS has certain rules for HCFSAs and DCFSAs:
– Estimate your contributions and budget carefully. There is a “use-it-or-lose-it” rule — funds left over at the end of each year will be forfeited.
– Enrollment is not automatic. You have to re-enroll each year if you want to participate in an FSA.
– You can enroll in one or both accounts, but you cannot transfer money between accounts.
– You cannot enroll in a HCFSA if you are enrolled in a medical plan that has a Health Savings Account (HSA) in 2022. (You can enroll in a DCFSA if you are enrolled in a
medical plan with an HSA).
– You can use the funds in your account for eligible expenses only.
– To be eligible for the DCFSA, you and your spouse must be working, looking for work or attending school on a full-time basis. This would include if you are enrolled in an
HSA through your spouse/domestic partner.
– There are some limitations to using your FSA when you go on a leave of absence. Review the Leave of Absence Policy on TheTeslaLife.com for more information.
Use It or Lose It — It’s Up to You

Any amount remaining at the end of the plan year is forfeited. All the money
in your DCFSA must be spent by December 31 of that year, and claims
must be submitted by April 30 of the following year.
Tesla Full-Time Employee Benefits Guide Health Savings Account: Tesla’s Contribution to Your HSA
When you enroll in the Aetna Health Savings Account Plan or Kaiser Health Savings Account Plan, you pay nothing out of your paycheck for your medical plan cost — plus,
you get access to a Health Savings Account (HSA). An HSA is a great way to save tax-free* money for current and future health care expenses. You can contribute up to
$3,650 (individual) or $7,300 (family) per year, and Tesla will contribute up to $1,500 as well, depending if you are covering any dependents.

– In most states, HSA contributions are tax-free.* That means they are deducted from your paycheck before taxes are figured, which reduces the tax amount withheld from
your paycheck.
– The money in your account grows tax-free,* and it is yours to keep even if you leave Tesla or move to another country.
– You are not taxed* when you use your HSA to pay for eligible medical, dental and vision expenses. Find a full list of qualified health care expenses at
irs.gov/publications/p502/.
– Your account balance rolls over from year to year and never expires. You can even use your HSA funds into retirement. Once you are 65, you can withdraw funds for any
reason without paying a penalty, but they will be subject to ordinary income tax (with the exception of qualified medical expenses, which would remain tax-free).
– If you claim your domestic partner on your tax return and cover them under your medical plan, you may use your HSA to cover their eligible health care expenses.
What You Can Do With an HSA
You can use the money in your HSA to:
1. Pay for current qualified health care expenses, like your medical, dental and vision copays, coinsurance and deductible
2. Save for future qualified health care expenses
3. Invest — you can choose from a variety of investment options once your balance exceeds $2,000
* In California and New Jersey, you can contribute to an HSA before federal taxes are withheld, but state taxes are still withheld. HSA earnings are subject to state tax in CA
and New Jersey. Please consult with your tax specialist.
Note: Tesla’s HSA employer contribution is prorated based on hire date.
Tesla Full-Time Employee Benefits Guide Tesla’s Contribution
If you elect an eligible medical plan and open an HSA, Tesla will contribute to your account. The amount depends on your hire date and if you are covering dependents.

Coverage Level Contribution Amount
HSA Contribution Limits Individual coverage $750
Individual + Family coverage $1,500
Tesla’s HSA employer contribution is prorated based on hire date. For example, if you are hired in June, you will receive half of the annual employer contribution because
you are only working for Tesla half of the year.

The IRS determines how much you can contribute to your HSA each year. In 2022, contribution limits are as follows:
–
$3,650 for individual coverage
–
$7,300 for family coverage
These amounts include Tesla’s contribution to your HSA. If you are 55 or older, you can contribute an additional $1,000 each a year as a “catch-up” contribution.
Note: There are some limitations to using your Health Savings Account
when you go on a leave of absence. Make sure to review the Leave of
Absence Policy on TheTeslaLife.com for more information.
Tesla Full-Time Employee Benefits Guide Your Perks

Tesla perks make your life easier, more affordable and more enjoyable. We have a growing range of perks to choose from, so there is something for everyone.
Discounted Gympass Membership
Commuter Benefits
Tesla Shop Discount Discounted Fitness Membership With Gympass

Perks at Work Receive discounted membership rates on the Gympass corporate wellness app. Plans start at $9.99 and your first week is free.
Identity Theft Protection
– Live-streamed classes
Legal Services
– One-on-one virtual personal training sessions
Travel Assistance
– Wellness apps for mindfulness, therapy, nutrition and on-demand fitness content
Business Travel Insurance
– Gyms and studios
Pet Insurance
Download the app and learn more at gympass.com/us/tesla-us.
Commuter Benefits
We aim to support your daily commute by providing full-time employees and interns $130 per month to use towards specific commuting costs, and you can contribute up
to $270 per month for mass transit and mass transit parking costs. For more information and to enroll in commuter benefits, visit Go Tesla at tesla.luum.com.
Tesla Shop Discount

You receive up to 35% off all Tesla apparel. Visit shop.tesla.com to get started. Sign in with your Tesla email ([email protected]) to participate —
no discount code
necessary. Discounts are automatically applied at checkout on eligible items.
Perks at Work
Get exclusive discounts on products and services through perksatwork.com — use your Tesla login credentials to create your account.
Tesla Full-Time Employee Benefits Guide Identity Theft Protection

If your identity is stolen, it can take a long time and a lot of trouble to repair the damage. Identity theft protection from EZ Shield could help you catch fraud in its early
stages through 24/7 monitoring of your personal and financial information. It can also help you act quickly to limit damage if your personal or financial information is stolen.
Discounted Gympass Membership
Commuter Benefits
Your cost for coverage is $4.32 bi-weekly, which is deducted from your paycheck when you enroll through TheTeslaLife.com. For a complete list of identity theft protection
Tesla Shop Discount
services available, go to TheTeslaLife.com or call 833.543.1900.
Perks at Work
Identity Theft Protection
Legal Services
Legal Services
Travel Assistance
Legal services are not just for the serious issues in life. They come in handy for everyday needs, too. Some you plan for (like creating a will or buying a home) and others you don’t
(like fighting a traffic ticket or getting your deposit back from a difficult landlord). With legal services, Network attorney fees are 100% paid-in-full for most covered matters.
Pet Insurance
Your cost for coverage is $8.95 bi-weekly, which is deducted from your paycheck on an after-tax basis. You must enroll during your enrollment window. Visit TheTeslaLife.com or
call 833.543.1900 for additional information.
Travel Assistance
Enjoy travel away from home, worry-free. Tesla provides free personal travel assistance for you and your family members. Services are available for trips more than 100
miles from home and up to 180 consecutive days. Tesla employees can enjoy a long list of travel services, including medical referrals, emergency medical and security
evacuation, prescription replacement and telemedicine and more. Services are provided by International Medical Group (IMG), a global assistance provider with extensive
experience handling complex and remote medical transport situations, as well as providing support for travel concerns when they arise. IMG’s on-site 24/7/365 customer
service center is available day or night to provide high-quality care you can depend on.

This plan is available to you at no cost and provides 24-hour support when traveling on business, including pre-travel assistance, medical travel services and
personal security assistance. You also have access to concierge services for local recommendations and arrangements. Visit TheTeslaLife.com to learn more.
Pet Insurance
Tesla offers voluntary pet insurance through MetLife. This benefit reimburses you for eligible veterinary expenses, including accidents, illnesses, hereditary conditions
and more. Visit metlife.com/getpetquote to enroll, metlife.com/mybenefits after you enroll, or call 800.GET.MET8 for questions.
Tesla Full-Time Employee Benefits Guide Your Family
Family-Building Benefits Family-Building Benefits

Tesla Babies There is no one way to define a family — families and household arrangements are diverse. To recognize and support the many paths to grow your family, Tesla is proud to offer
Back-Up Care best-in-class family-building and fertility benefits. These services include comprehensive medical treatment and medications, as well as expert support to help you find the best
Kindercare Discounts fertility practitioners to meet your unique needs.
Rethink
While all medical plans include family-building benefits, the Aetna plans provide more services, flexibility and choice.
 = Covered
Fertility Benefits Aetna (+) Kindbody Kaiser* HMSA*

Diagnosis of Infertility Required Not required Required Required
Limits   
$40,000 lifetime max (medical); 1 ART** cycle (medical & prescription) 1 cycle (medical & prescription)
$20,000 lifetime max (prescription) lifetime maximum lifetime maximum
Infertility Diagnosis, Studies & Test   

Egg & Sperm Donors  Not covered Not covered
Cryopreservation (sperm, egg & embryo)  
Elective cryopreservation — up to 1 year Medically necessary — up to 6 months Not covered
(included in lifetime limits) in conjunction with ART** cycle
Stimulated Intrauterine Insemination (IUI)   
In Vitro Fertilization (IVF)   
Fertility Medications* 
 
(through Schraft Pharmacy)
Adoption Benefits (through Kindbody) — available to all benefits-eligible employees and their eligible family members
NEW! Eligible Adoption Benefit   

Up to $25,000 lifetime max Up to $25,000 lifetime max Up to $25,000 lifetime max
Surrogacy Benefits (through Kindbody) — available to all benefits-eligible employees and their eligible family members
NEW! Eligible Surrogacy Benefit   
Up to $25,000 lifetime max Up to $25,000 lifetime max Up to $25,000 lifetime max
*
Subject to any applicable cost share.
**
ART, which stands for assisted reproductive technology, refers to in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer
(ZIFT) procedures.
Tesla Full-Time Employee Benefits Guide Tesla Babies

Baby on board? Tesla Babies gives you access to helpful tools and resources to support your growing family. You will also find information about taking a leave of absence
and the process for returning to work. To top it off, we will send you a Tesla-branded care package to celebrate your new arrival.
Family-Building Benefits
Tesla Babies
Back-Up Care
Kindercare Discounts
Tesla.Care.com — Back-Up Daycare, Tutoring and Distance Learning Assistance
Rethink Babysitter going on vacation for a week? No problem. Tesla pays for 5 days of back-up daycare, tutoring and distance learning assistance using your own network of
family and friends, or by selecting one of Care.com’s background-checked providers. After you pay a small copay, Tesla pays up to $125 per day for 5 days per year. Visit
Tesla.Care.com for more details.
Kindercare Discounts
Get a 10% tuition discount with the largest network of early childhood education programs in the U.S. through KinderCare, CCLC and Champions. Visit any KinderCare
facility or TheTeslaLife.com under the “Your Family” tab to learn more.
Rethink
If your child has a learning, social or behavioral challenge or a developmental disability, this program can help. Rethink gives you access to live teleconsultation with
behavior experts, hundreds of easy-to-follow videos and materials to support you with understanding, teaching and communicating with your child. Access Rethink
through TheTeslaLife.com under the “Your Family” tab.
Tesla Full-Time Employee Benefits Guide Your Contacts

Resource or Partner Website or Email Phone Number
General Tesla Benefits Center TheTeslaLife.com 833.543.1900
Medical
– Aetna aetna.com 833.514.1394
– Kaiser CA kp.org/thrive 800.464.4000
– Hawaii Medical Services Association (HMSA) hmsa.com 800.776.4672
Health Care Advocate (Aetna) aetna.com 833.514.1394
Family-Building Benefits: Kindbody kindbody.com/tesla-benefit/.com 855.989.2020
Northern CA: 866.454.8855
Kaiser CA Nurse Line N/A
Southern CA: 888.576.6225
CVS Caremark (for Aetna medical plans) caremark.com 833.514.1394
Health Dental: Delta Dental www1.deltadentalins.com/group-sites/tesla.html 888.335.8227

Vision: VSP vsp.com 800.877.7195
Tobacco Cessation
– Kaiser Tobacco Cessation Program (Kaiser members) kp.org/quitsmoking 800.464.4000
– Quit for Life (Aetna members) quitnow.net 888.QUIT4LIFE (866.784.8454)
Included Health lgbtq.includedhealth.com N/A
Lyra Confidential Counseling and Coaching tesla.lyrahealth.com 855.238.5972
Lyra Work-Life tesla.lyrahealth.com/worklife 844.700.8039
Critical Illness, Hospital Indemnity and Accident Insurance: Voya TheTeslaLife.com 833.543.1900
401(k) Plan: Fidelity Investments (27719) 401k.com 800.835.5097
Student Loan Refinancing: SoFi sofi.com/tesla 855.456.7634
Salary Finance tesla.salaryfinance.com 800.317.6850
Employee Stock Purchase Plan & Equity Incentive Plan: E*TRADE etrade.com 800.838.0908
Finances
Life and Accidental Death & Dismemberment (AD&D): Prudential prudential.com 800.524.0542
Leave and Disability absenceone.com/tesla 844.648.3752
Health Savings Account (HSA) & Flexible Spending Account (FSA): HSA: 844.326.7967
optumbank.com
Optum Bank FSA: 800.243.5543
Discounted Gympass Memberships gympass.com/us/tesla-us 844.478.4744
tesla.luum.com
Commuter Benefit: Luum N/A
[email protected]
Identity Theft Protection: EZ Shield TheTeslaLife.com 833.543.1900
Perks Legal Services: ARAG TheTeslaLife.com 833.543.1900

imglobal.com
Personal Travel Assistance: IMG 855.847.2194
[email protected]
Business Travel Insurance: ACE [email protected] 855.327.1414
To enroll: metlife.com/getpetquote
Pet Insurance: MetLife 800.GET.MET8 (800.438.6388)
After enrolled: metlife.com/mybenefits
Tesla Babies, KinderCare Discounts TheTeslaLife.com N/A
Family Tesla.Care.com: Back-Up Daycare and Tutoring Assistance Tesla.Care.com 855.781.1303

Rethink tesla.rethinkbenefits.com 800.714.9285
Tesla Full-Time Employee Benefits Guide Your Eligibility
Eligibility Who’s Eligible?

New Hires
All active, full-time employees on U.S. payroll who are scheduled to work at All employees on U.S. payroll are eligible for the following:
Family Changes
least 30 hours per week are eligible for the following benefits on their first – 401(k) Plan
day of work: – Employee Stock Purchase Plan (ESPP) — if scheduled over 20 hours per week
– Medical – Lyra Behavioral Health & Work-Life Services
– Dental – Included Health
– Vision – Tesla Babies
– Voluntary Accident, Hospital Indemnity and Critical Illness – Rethink
– Life and Accidental Death & Dismemberment AD&D) – Tesla.Care.com
– Short-Term and Long-Term Disability – Tesla Perks and Perks at Work Discounts
– Flexible Spending Accounts (FSAs) – SoFi
– Health Savings Account (HSA) – Gympass
– Commuter Benefits
– Voluntary Identity Theft Protection Your eligible dependents for medical, dental, vision, optional life, optional
– Voluntary Legal Plan AD&D, voluntary accident insurance, Lyra behavioral health and identity
– Pet Insurance theft protection include:
– Your spouse or domestic partner
All active, part-time employees on U.S. payroll in Hawaii who are scheduled – Your children (biological, adopted, domestic partner’s children, stepchildren,
to work at least 20 hours per week are eligible for medical. children placed with you for adoption or children for whom you received
a Qualified Medical Child Support Order (QMCSO)), regardless of their marital
All active, full-time interns on U.S. payroll who are scheduled to work at or student status, up until the end of the month in which they turn age 26
least 30 hours per week are eligible for the following benefits on their first
day of work:
– Medical
– Dental
– Vision
– Voluntary Accident, Hospital Indemnity and Critical Illness
– Life and Accidental Death & Dismemberment (AD&D)
Check Your Beneficiaries
– Short-Term Disability
Be sure to check that your beneficiary information is accurate and up to – Flexible Spending Accounts (FSAs)
date. It is important to do this for all of your benefits, including your 401(k), – Health Savings Account (HSA)
stock, HSA, life insurance and AD&D insurance. – Voluntary Legal Plan Click Here to Enroll Now
– Pet Insurance
Tesla Full-Time Employee Benefits Guide If You Do Not Enroll as a New Hire
If you are eligible and do not make benefit elections within 31 days from your hire date, you will automatically be enrolled in the following benefits:
Eligibility
– Short-Term Disability
New Hires
– Long-Term Disability
Family Changes
– Basic life insurance
– Basic Accidental Death & Dismemberment (AD&D) insurance
– Lyra Behavioral Health
– Lyra Work-Life
You will not be able to enroll in other benefits until the next Annual Enrollment period (unless you experience a qualified life event, such as those noted below).
If Your Family Situation Changes

You have 31 days from the date of most qualified life events to change your benefit elections. If you miss the deadline, you will not be able to make changes until the next
Annual Enrollment period. Eligible life events include the following:
– Marriage, divorce, legal separation or annulment

– Birth or adoption of a child
– Beginning or ending of a domestic partnership
– Court order
– Beginning or ending of benefits coverage through a spouse’s or domestic partner’s plan
For details on the changes that can be made for each type of life event, visit TheTeslaLife.com and select Changing My Benefits.
Tesla Full-Time Employee Benefits Guide Definitions and Terms

Coinsurance — The percentage of claim and prescription costs that you pay. Once your costs reach the deductible limit, the insurance company pays for covered
expenses at its level of coinsurance and you pay at your level of coinsurance. For example, once a family reaches its in-network deductible, a plan with 80% coinsurance
would pay for 80% of all bills or prescriptions for covered services from that point forward. You would continue to pay your portion (20% in this example) of additional costs
until you reach your in-network out-of-pocket maximum.
Copay — A flat dollar amount, such as $20, that you pay when visiting the doctor or paying for prescriptions. Some plans have copays and others do not.
Deductible — The amount of money you are responsible for paying before your insurance starts to pay a portion of your bills. Deductibles are an annual amount, which
means they reset each calendar year. Tesla’s medical plans have two types of deductibles:
–
True Family — This type of deductible does not require that you or a covered eligible family member meet the “single” deductible in order to satisfy the family
deductible. If more than one person in a family is covered under this plan, benefits begin for any one covered family member only after the family deductible is satisfied.
The family deductible may be met by one family member or a combination of family members. The out-of-pocket maximum functions in the same way. If more than one
person in a family is covered under this plan, the out-of-pocket maximum is satisfied for any one covered family member when the family out-of-pocket maximum is
satisfied. The family out-of-pocket maximum may be met by one family member or a combination of family members.
–
Embedded Family — This type of deductible may be satisfied by a combination of family members, but also has an individual deductible “embedded” within the plan
that may be satisfied earlier. This allows you or a covered eligible family member to begin benefits as soon as the individual’s deductible is met. Another member’s
benefits do not begin until the person has also met his or her individual deductible, or until the group has met the family deductible. The out-of-pocket maximum
functions in the same way.
Domestic Partnership — Generally, a committed, intimate relationship between two adults of the same or opposite sex who share a common residence, are not married
to or in a domestic partner relationship with anyone else and are jointly responsible for their common welfare and financial obligations. To qualify your domestic partner
for Tesla benefits, you both will be required to sign an affidavit attesting to your eligibility and to provide documentation to prove your joint financial responsibilities. Note:
Documentation is only required outside of the Annual Enrollment period. You cannot use your Flexible Spending Accounts (FSAs) or Health Savings Account (HSA) to pay
for your domestic partner’s expenses unless you claim him or her as a dependent on your federal income tax return.*
*Under federal tax law, if your domestic partner does not qualify as your tax dependent for health coverage purposes, then the value of your domestic partner’s coverage
will be included in your gross income and be subject to federal income tax withholding and employment taxes and will be reported on your Form W-2. This includes any
portion of the premiums that Tesla pays for your domestic partner’s health coverage. Applicable state taxes may apply.
This information is only a summary of the tax provisions governing the tax status of a domestic partner for health plan purposes and is not intended nor should it be relied
upon as legal or tax advice. Due to the complexity of these tax rules and the potential impact of any imputed income you may incur, you should seek advice from
a competent tax professional before certifying as to the tax status of the person being enrolled. Learn more at irs.gov/publications/p501/ar02.html.
Flexible Spending Accounts (Required Annual Testing) — Health and Dependent Care FSAs are subject to IRS rules, which are designed to ensure that the program
does not discriminate in favor of highly compensated individuals. Tesla has the right to unilaterally modify, reduce or revoke an employee’s election or to treat some or all
of the empoyee’s contributions as taxable income without the employee’s consent if such action is necessary or desirable to comply with IRS rules.
Formulary — A list of commonly prescribed brand-name and generic drugs that a managed care organization has listed as preferred, based on their clinical effectiveness
and opportunities to help contain plan costs.
Health Savings Account (HSA) — Available with certain medical plans, this account allows you to save for eligible medical, dental and vision expenses on a pre-tax
basis.The balance in the account rolls over from year to year, and the money in the account is yours to keep even if you leave Tesla. In California and New Jersey, you can
contribute to an HSA before federal taxes are withheld, but state taxes are still withheld. HSA earnings are subject to state tax in CA and New Jersey. Please consult with
your tax specialist.
In-Network Coverage — You will pay less if you use a provider in the plan’s network as those networks provide services at lower cost to the insurance companies with
which they have contracts.
Out-of-Network Coverage — You will pay less if you use a provider in the plan’s network. If your plan includes an out-of-network benefit and you use a non-network
provider, you are responsible for the difference between the covered expense and the actual non-participating provider’s charge.
Out-of-Pocket Maximum — The annual out-of-pocket maximum is the most you and your covered family members would have to pay in a year for health care costs. The
annual out-of-pocket maximum does not include premium costs (the amount that is deducted from your paycheck for health coverage).
Under all coverage levels, once a covered family member meets the individual out-of-pocket maximum, your insurance will pay the full cost of covered charges for that
individual. Charges for all covered family members will continue to count toward the family out-of-pocket maximum. Once the family out-of-pocket maximum is met, your
insurance will pay the full cost of covered charges for all covered family members.
Premiums — The amount you pay each paycheck for insurance coverage. Premiums do not count toward deductibles or out-of-pocket maximums. Premiums are also
referred to as “employee contributions” or “cost of coverage.”
This document is subject to change without notice. Tesla does not warrant that the material contained in this document is error-free. If you find any problems with this
document, please report them to Tesla Human Resources in writing.
Tesla reserves the right to terminate, suspend, withdraw or modify the benefits described in this document, in whole or in part, at any time. No statement in this or any other
document, and no oral representation, should be construed as a waiver of this right.
This is not a legal document. Please refer to the summary plan description for detailed information. This document is not intended to cover every option detail. Complete
details are in the legal documents, contracts and administrative policies that govern benefit operation and administration found on TheTeslaLife.com.
If there should ever be any differences between the summaries in this handbook and these legal documents, contracts and policies, the document contracts and policies
will be the final authority.

2022 Benefits Guide

Uploaded by

Copyright:

Available Formats

2022 Benefits Guide

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

2022 Benefits Guide

Uploaded by

Copyright:

Available Formats

2022

Tesla Full-Time Employee Benefits Guide

Tesla’s Virtual Benefits Fair

Tesla Full-Time Employee Benefits Guide Your Health

Medical Plan Chart Dental Plan Chart Vision Plan Chart

Medical (Aetna and Kaiser)

Questions About Terminology? What You Pay for Care

Coinsurance 20% 10% 10% 20% N/A

Virtual Visits $0 after deductible $0 $0 $0 after deductible $0

Tesla Full-Time Employee Benefits Guide In-Network Prescription Drugs Coverage

Medical (Aetna and Kaiser)

20% after deductible, 20% after deductible,

20% after deductible,

Mail-Order Prescription Drugs (Note: Aetna plans use CVS Caremark)*

20% after deductible, 20% after deductible,

20% after deductible, 20% after deductible,

20% after deductible,

Where Can You Fill Your Prescription?

Medical (Aetna and Kaiser)

Voluntary Benefits Out-of-Pocket Maximum***†

What You Pay for Care

Coinsurance 40% 30% 30% N/A N/A

Inpatient Hospital (per admission)

Medical (Aetna and Kaiser)

Dental In-Network Out-of-Network

Voluntary Benefits Cost (per paycheck) $0 $0

Deductible (Individual / Family) $0 $100 / $300

Medical Out-of-Pocket Maximum (Individual / Family) $2,500 / $7,500 $2,500 / $7,500

Rx Out-of-Pocket Maximum (Individual / Family) $3,600 / $4,200 $3,600 / $4,200

What You Pay for Care

Primary Care / Specialist $12 copay 30% after deductible

Emergency Room 20% (deductible waived) 20% (deductible waived)

Urgent Care $12 copay 30% after deductible

HMSA Virtual Visits* $0 N/A

Please see Definitions and Terms.

Mail-Order Prescription Drugs

Preferred Brand $65 copay N/A

Non-Preferred Brand $200 copay N/A

Medical (HMSA) 2022 Plans Base Plus

Make the Most of TheTeslaLife Deductible* (Individual / Family) $100 / $300 $0

Preventive and Diagnostic $0 $0

Basic Restorative Care 20% after deductible 20% (deductible waived)

Major Restorative Care 30% after deductible 30% (deductible waived)

Out-of-Network Dental Options & Coverage**

Vision Service Plan (VSP)

Dental Employee-Only: $2.50 • Employee + Spouse/Partner: $6.25

Standard Progressive Lenses $0 $0

Premium and Custom Progressive Lenses $0-$175 copay $15-$25 copay

High Index Lenses Not covered $0

Out-of-Network Vision Options & Coverage**

Vision Service Plan (VSP)

Frames (per calendar year) Up to $70 allowance Up to $70 allowance

Standard Progressive Lenses Up to $45 allowance Up to $45 allowance

Elective Contact Lenses Up to $70 allowance Up to $70 allowance

Medical (Aetna and Kaiser)

Emergency Room (open 24/7) Average cost:

Generic Versus Brand-Name Drugs

Advantages of Using Mail-Order Services

Tesla Full-Time Employee Benefits Guide Other Health Benefits

Employee Assistance Program — Lyra Confidential Counseling