JULY 1, 2014 - JUNE 30, 2015

Health & Welfare

~Shift Managers & Team Members~
2
CONTACT INFORMATION
E-MAIL OR WEBSITE PHONE NUMBER
ENROLLMENT AND GENERAL
QUESTIONS
benefts@noodles.com 720.214.1926
AlgunA PreguntAs? benefts@noodles.com 720.214.1901
ENROLLMENT SITE noodles.com/workday n/A
ADVOCACY SERVICES noodles@lockton.com 888.975.2133
DENTAL COVERAGE
#9077
Delta Dental of Colorado
www.deltadentalco.com
800.610.0201
eMPlOYee AssIstAnCe PrOgrAM
(eAP)
Care24 888.887.4114
eMPlOYee AssIstAnCe PrOgrAM
(eAP)Intermountain eAP
www.intermountainhealthcare.org/eap
or eap@imail.org
800.832.7733
eMPlOYee stOCK PurCHAse PlAn
UBS
htp://www.ubs.com/onesource/ndls
855.884.8287
FleXIBle sPenDIng ACCOunts
#704898
unitedHealthcare
www.myuhc.com
866.314.0335
Pet COVerAge
VPI
www.petnsurance.com
877.Pets.VPI
trAnsIt & PArKIng reIMBurseMent
P&A group
www.padmin.com
800.688.2611
VISION COVERAGE
#12187205
VsP
www.vsp.com
800.877.7195
VOLUNTARY COVERAGE
(CAnCer, ACCIDent, lIFe)
Allstate
noodles.myemployerbenefts.com
800.346.3620
401(k) PlAn
#456025
the Principal
www.principal.com
800.547.7754
3
Contact Informaton pg 2
Benefts Introducton pg 4
eligibility pg 4
Dependent eligibility pg 4
How to enroll for Benefts pg 5
What We Mean by life event pg 5
Dental Benefts pg 7
Vision Benefts pg 8
Flexible spending Accounts pg 9
Pet Insurance pg 10
Voluntary Cancer, Accident, and universal life pg 10
Insurance
transit & Parking reimbursement pg 10
Advocacy services pg 11
Care24 employee Assistance Program pg 11
scholarship Program pg 11
401(k) pg 12
employee stock Purchase Plan pg 12
glossary pg 13
TABLE OF CONTENTS
Whats inside this guide?
4
BENEFITS FOR SHIFT MANAGERS AND TEAM MEMBERS
this guide outlines the benefts that will be ofered to shif Managers and team Members from your date of eligibility, to
June 30, 2015. It explains the benefts provided, associated costs, how to enroll, as well as gives helpful tps on how to save
money and use resources that can help you lead a healthy life.
As you consider which benefts to enroll in, please read this guide carefully and contact the Benefts Department at
benefts@noodles.com or 720.214.1926 with any questons.
You will not be able to make changes to these electons (add/drop) untl July 2015 open enrollment unless you experience
a life event as described on page 5. If you do not elect coverage during open enrollment or within 31 days of your new-hire
eligibility date, you are voluntarily declining all coverages.
ELIGIBILITY
You are eligible for the benefts described in this guide if youre in one of the following positons:
shif Managers
team Members
NEW TEAM MEMBERS OR NEWLY ELIGIBLE FOR BENEFITS:
If you want benefts, you must enroll within 31 days of the date of eligibility.
Dental, Vision, Flexible Spending Accounts, Pet, and Voluntary
Cancer, Accident & Life Coverage
eligible the frst of the month following three months of service.
401(k) Plan
eligible the frst of the quarter following six months of service.
Keep in mind, if you enroll afer your benefts become efectve, you are stll responsible for your porton of the premium
as of the efectve date, not the date you enroll. Based on the tming of your enrollment, up to three pay periods of
premium deductons may be deducted from one check.
DEPENDENT ELIGIBILITY
If you enroll, you can enroll your eligible family members:
A spouse or domestc partner**
Children, stepchildren, legally adopted children, and children covered by a court order if they are:
under age 26.
Any age if disabled, live with you, and depend on you for support.
All team Members will be required to provide a Dependent eligibility Afdavit that confrms enrolled dependents meet
plan eligibility requirements. Failure to provide documentaton in a tmely manner will result in the terminaton of your
dependents benefts.
**If you enroll a domestc partner, you will need to submit a signed Afdavit of Domestc Partnership to the Benefts Department. the premium for domestc
partner coverage is deducted on an afer-tax basis, and you will be taxed on the Companys contributon toward his or her coverage. A qualifed event and
corresponding documentaton is required to remove a domestc partners coverage.
Read Carefully!
5
YOUR HEALTH INSURANCE OPTIONS
Private Marketplace
noodles & Company Marketplace Partner
www.locktonselectmarketplace.
sgbenefts.com or call 866-418-3990
Federal Marketplace
For more informaton about exchanges, tax
credits, and subsidies, please visit www.
healthcare.gov or call 800-318-2596
Government Options
Medicare, Medicaid, Childrens Health
Insurance Program (CHIP), tricare, or
Veterans Coverage
Your Parents Plan
If youre 26 or younger, ask your parents if you
can be added to their coverage
Your Colleges Plan
If you are currently a student at a college or
university, contact your student life center for
your available optons
Your Spouse or Domestic Partners
Employer Plan
Ask your spouse or domestc partner if you
can be added to their employer coverage
HOW TO ENROLL FOR BENEFITS
to enroll in your benefts follow these instructons:
1. go to noodles.com/workday
2. login using your current username and password or new users can
login using the following:
user nAMe: team Member ID number
PAssWOrD: four-digit year of birth and the last four digits of your
social security number (for example, 19706789)
***e-mail workday@noodles.com if you need assistance with your
login informaton.***
3. select the notfcaton, Change Benefts for life event in your
Workday inbox.
4. Click on each beneft to enroll or waive and select the Contnue
buton on the botom of each page.
5. repeat enrollment for each beneft category.
6. If you elect to cover dependents, be sure to include their ssn and
Date of Birth.
7. You must check the I Agree box and select submit on the
botom of the fnal page, Change Beneft electons: Beneft
electons review for new Hire.
8. Print a copy of your selectons for your records and e-mail your
afdavits for inital dependent enrollments to
benefts@noodles.com.
9. Double-check that your optons and deductons are correct on
your next paycheck. Contact the Benefts Department if you have
any issues!
WHAT WE MEAN BY LIFE EVENT
If you elect Medical, Dental, Vision, FsA, or life insurance benefts,
you cant change your electons untl the next annual Open
enrollment period (usually in June), unless you have a qualifying life
event. these include:
getng married or divorced
Adding a child by birth or adopton
A change in your (or your spouses employment) status that results
in the loss or gain of benefts eligibility; for example: your spouse
loses eligibility to contnue to partcipate in his/her employers
medical benefts, or you become eligible for salaried benefts
Your dependent loses benefts eligibility because he/she reached
the maximum age limit
Your spouse (or domestc partner) elects or drops coverage during
his/her own employers annual enrollment
to make a change mid-year, please contact the Benefts Department
within 31 days of the date of the event. You will be required to
provide proof of the event. Only changes consistent with the event
will be allowed (per Irs regulatons).
HEALTH INSURANCE FOR 2014
the health reform law is changing the healthcare landscape as we know it. You and your dependents were required to have
health insurance beginning January 1, 2014. If you do not have health insurance, you may pay a penalty.
Although noodles & Company does not ofer Medical insurance to team Members and shif Managers, we have provided
other optons below for you and your family to explore.
OPTIONS FOR 2014
6
Decline coverage and pay the penalty
If you do not enroll in and maintain health insurance for yourself and your dependents, you may be required to pay
an annual penalty (pro-rated for the number of months you and/or they dont have coverage).
Annual Penalty
(The penalty is the greater of the dollar amount or percentage of income)
Year Adult Child Family Maximum Penalty
2014 $95 per adult $47.50 per child $285
OR
1 percent of family income
2015 $325 per adult $162.50 per child $975 2 percent of family income
2016 $695 per adult $347.50 per child $2,085 2.5 percent of family income
You may be exempt from a penalty if any of the following apply:
You cannot aford coverage (i.e., would have to pay more than 8 percent of annual household income to purchase
health insurance afer taking into account any employer contributons and subsidies).
Your income is below the tax fling threshold.
You qualify for a hardship exempton.
You experience a gap in coverage of less than three consecutve months in one calendar year.
You are:
A member of a religious group that objects to coverage on religious principles.
A member of a nonproft religious organizaton that shares medical costs.
In prison.
A non-u.s. citzen.
A natve American tribe member.
If you think you qualify for an exempton, please visit www.healthcare.gov for more informaton.
If you have any questons relatng to fnding healthcare, you can contact the Benefts team or utlize our Advocacy services
on page 11.
7
DENTAL BENEFITS
You may enroll in Dental benefts separately from the Medical benefts. You may also cover dependents on the Dental Plan
but OnlY if you are also enrolled.
Our Dental Plan is administered by Delta Dental of Colorado, and when you use an in-network dentst, you save money
(99 percent of all noodles & Company team Members live within eight miles of at least two Delta Dental network
dentsts).
to fnd an in-network dentst and more informaton, visit www.deltadentalco.com or call 800.610.0201.
Note: You will NOT receive an ID card for Dental benefts. Just let your provider know you have Delta Dental of
Colorado.
the following chart summarizes the key features of the plan. refer to the summary Plan Descripton (sPD) for additonal
details about coverage and exclusions.
DENTAL
Preventve and Diagnostc services (teeth Cleaning and X-rays) 100%, no deductble
Basic services (Fillings, root Canal therapy, extractons) 80% afer deductble
Major services (Crowns, Implants, Dentures, Bridges) 50% afer deductble
Annual Deductble
$50 per individual,
$150 per family
Annual Maximum (basic and major services only) $1,500 per individual
Orthodonta services (children to age 19 only) 50% afer deductble
Orthodonta lifetme Maximum $1,500 per individual
JULY 2014-JUNE 2015
DENTAL PLAN COST PER PAYCHECK
Dental Plan Coverage Level Team Member Rate
team Member Only $6
team Member + Child(ren) $11
team Member + spouse/Domestc Partner $14
team Member + Family $21
Visit www.deltadentalco.com
to fnd In-network Dentsts
8
VISION BENEFITS
You may enroll in Vision benefts separate from the Medical benefts. You may also cover dependents on the Vision Plan
but OnlY if you are also enrolled.
HOW THE PLAN WORKS
VSP is the provider network. You will NOT receive an ID card. Simply provide your Social Security card as your ID
number.
You do not have to visit VSP network providers, however, you will receive discounts and higher benefts when you do.
Plus, network providers will fle the claim for you.
shop around. You do not need to obtain your exam, lenses, and frames from the same doctor. Once you get your lens
prescripton from your doctor, you may fnd your lenses and frames somewhere else.
VISION*
exam (once every 12 months) $20 co-pay
lenses (once every 12 months) $50$160 co-pay
Frames (once every 24 months) up to $150 covered
Contact lenses (once every 12 months) up to $150 allowance, $25 co-pay
laser Vision Correcton Discounts available
*In-network benefts shown
JULY 2014-JUNE 2015
VISION PLAN COST PER PAY PERIOD
Vision Plan Coverage Level Team Member Rate
team Member Only $1
team Member + Child(ren) $2
team Member + spouse/Domestc Partner $2
team Member + Family $4
Visit www.vsp.com
to fnd In-network Providers
9
FLEXIBLE SPENDING ACCOUNTS (FSAs)
If you have healthcare expenses or a dependent child in daycare, regardless if you enroll in noodles & Companys medical
plan, Flexible spending Accounts allow you to set aside pretax money to pay for such expenses. You can enroll in one or
both depending on your needs.
Healthcare FSA Dependent Care FSA
Who can partcipate? Any team Member Any team Member who has children up
to age 13 or a disabled dependent of
any age.
How much can I contribute? up to $2,500/year up to $5,000/year
How can I use the money? You can use it to pay for dental and
vision expenses, including deductbles,
coinsurance, prescriptons, and other
eligible expenses. Visit
www.myuhc.com for a complete
eligible listng.
You can use it for eligible expenses
at licensed day care centers, nursery
schools, day camps, and home care, with
valid tax ID numbers.
What happens if there is money lef at
the end of the year?
You can use dollars for expenses
incurred between July 1, 2014, and
september 15, 2015. unused dollars will
be forfeited.
You can use dollars for expenses
incurred between July 1, 2014, and
June 30, 2015. unused dollars will be
forfeited.
When can I use the money in my
account?
Your annual elected amount is available
for you to use on July 1.
You can only use funds that are currently
in your account, which increase each
pay period.
Do I need to keep my receipts? Yes Yes
this planning worksheet can help you estmate your qualifed healthcare expenses not covered under your health
insurance plan. remember, all qualifed healthcare expenses for you, your spouse/domestc partner, and your eligible
dependents are reimbursable from your Healthcare FsA. You will lose any unused funds by september 15, 2015, and you
may not carry over balances from one year to the next. this means planning carefully is important.
Medical Expenses
Estimated Plan
Year Expenses Vision Expenses
Estimated Plan
Year Expenses
Deductbles $____________ Contact lens supplies $____________
lab Fees $____________ Deductbles $____________
Physical exams $____________ eye examinatons $____________
Physician fees $____________ Prescripton Contact lenses $____________
Prescripton Drugs $____________ Prescripton eyeglasses or sunglasses $____________
X-ray Fees $____________ Other Medical expenses $____________
Dental Expenses Other Expenses
Deductbles $____________ Acupuncture or Chiropractc $____________
Dentures $____________ Hearing Aids $____________
Orthodonta $____________ Immunizaton Fees $____________
restoratve Work (crowns, caps, bridges) $____________ Psychiatrist, Psychologist, Counseling* $____________
teeth Cleanings $____________
Other Dental expenses $____________
Total Column 1 $____________ Total Column 2 $____________
Total Column 1 $____________ + Column 2 $____________ = Total Estimated Expenses $______________
*Allowed for treatment of physical or mental disorder (e.g., depression, alcohol, or drug treatment). A diagnosis is necessary for reimbursement.
10
OTHER VOLUNTARY BENEFITS
VOLUNTARY CANCER, ACCIDENT, AND
UNIVERSAL LIFE
noodles & Company has partnered with Allstate Workplace
Division to ofer the following additonal benefts. Visit
htp://noodles.myemployerbenefts.com or call
800.346.3620 for detailed informaton regarding coverage
and benefts or to enroll.
Cancer Coverage
Cancer coverage can help ofer you and your family
members fnancial support during a period of unexpected
illness.
TEAM MEMBER COST PER PAYCHECK
team Member Only $8.24
Family $13.98
Group Voluntary Accident Coverage
group Voluntary Accident coverage can help meet the
needs of you, your spouse, and your child(ren) should an
accident occur unexpectedly.
TEAM MEMBER COST PER PAYCHECK
team Member Only $7.18
Family $18.14
Group Universal Life
group universal life Insurance can also be purchased.
TEAM MEMBER COST PER PAYCHECK
Varies based on
approved coverage
Contact Allstate directly for costs.
Group Disability Coverage
group Disability coverage will pay you a beneft of $1,000
per month for up to 12 months for an injury or sickness that
results in total disability.
TEAM MEMBER COST PER PAYCHECK
team Member Only $40.10
Family $51.08
PET INSURANCE
VPI Pet Insurance provides you with coverage for your pets
at discounted group rates and through post-tax payroll
deductons. there are 4 policies to choose from, and almost
all pets can be covered. Please note that you may enroll
in pet insurance any tme of the year, and enrollment
is separate from the other plans ofered by noodles &
Company. to enroll, or for more informaton go to www.
petsvpi.com or call 877.Pets.VPI
TRANSIT & PARKING REIMBURSEMENT
noodles & Company has partnered with P&A Group to
enable you to avoid taxes on the money you use to pay for
work-related parking or transit. estmate the money you
expect to pay for parking or transit and have that dollar
amount withheld from your paychecks each month. the
money you elect to be withheld from your paycheck is
credited to an account in your name that is used to pay
for your parking or transit expense. the balance for each
account is separate and any funds remaining afer the plan
year will roll over into the next year. Your per pay period
electon will be deducted from the frst two paychecks of
each month. the maximum pre-tax parking deducton is
$250 per month and mass transit is $130 per month. If
your monthly expenses are greater than $250 or $130 you
can elect any amount to be deducted from your paycheck
so you only need to use one form of payment for your
expenses each month (your provided debit card) and your
pre and post-tax deductons will be allocated for you.
11
INFORMATION ABOUT OTHER NOODLES & COMPANY BENEFITS
ADVOCACY SERVICES
noodles & Company partners with lockton Companies to provide Advocacy Services for you and your family. this service
is designed to address escalated benefts-related issues and help partcipants with their healthcare concerns. Advocacy
services can be reached at 888.975.2133, and they can help with the following and much more:
A way for you to understand your benefts
timely resoluton of healthcare billing and insurance claims disputes
easy-to-read informaton about treatment optons, specialists, and prescripton drugs
A breakdown of any additonal coverage optons, such as Medicare
Facilitatng second opinions when needed
EMPLOYEE ASSISTANCE PROGRAMS (EAP)
Our EAP programs are free, confdental resources to obtain informaton, referrals and counseling for you and your
family. those enrolled in Medical benefts can call Care24 at 888.887.4114 and all team Members, regardless of beneft
enrollment, can call Intermountain EAP at 800.832.7733any tme, day or night, to get help with lifes challenges such as
parentng, divorce, stress management, depression, and fnancial worries.
SCHOLARSHIP PROGRAM
noodles & Company awards up to ten $3,000 scholarships annually to team Members or their children who are enrolled in
degree programs. Applicaton informaton can be found at noodles.com/scholarship.
12
401(K)
Its important to plan and invest for your retrement. that is why noodles automatcally enrolls you in the 401(k) at
3 percent the 1st of the quarter following 6 months of employment (provided you are at least 21 years of age). to change
your percentage, pick your investments, or opt out of the plan please contact The Principal at 800.547.7754.
401(k)
eligibility 1st day of quarter following 6 months of employment
Age restrictons Must be at least 21 years of age
Automatc enrollment Contributon Amount 3%
Contributons Allowed 3% to 100%
2014 Maximum Contributon $17,500
2014 Catch-up Contributon (age 50 and older) $5,500
EMPLOYEE STOCK PURCHASE PLAN
the employee stock Purchase Plan (esPP) gives individuals the ability to invest in the future of noodles & Company as
a public company by purchasing Class A company stock at a 15% discount from Fair Market Value through convenient
payroll deductons over a period of tme. enrollment is quarterly and cannot be changed untl the following quarter except
to 0% when all contributons will be refunded back to you! enrollment emails will be sent to eligible partcipants from UBS
quarterly.
EMPLOYEE STOCK PURCHSE PLAN
eligibility
Must average at least 20 hours/week, work more than fve
months in the calendar year, and earned less than $115,000
in 2013
enrollment 1st quarter following 30 days of employment
Contributon 1% - 15% (afer-tax deductons)
restrictons Cannot sell shares for one year from purchase date
13
A QUICK GUIDE TO INSURANCE TERMS
Balance BillingBalance billing is the practce of charging full fees in excess of covered amounts and billing the patent for
the porton of the bill that the insurance company or medical plan does not pay. In-network providers do not balance bill
for covered services. they must accept the amount paid by the plan (plus any member co-payment and/or coinsurance) as
stpulated in their contracts. non-network providers, however, are not under contract so they can balance bill.
Certfcate of Credible CoverageA writen certfcate issued by a group health plan or insurer that shows your prior
health coverage.
Coordinaton of Benefts (COB)A program that coordinates your health benefts when you have coverage under more
than one group health plan (i.e., a spouses plan).
Coinsurancethe designated porton of the approved amount you are required to pay for covered services. this amount
is typically a percentage of the service cost.
Covered Servicesservices, treatments or supplies identfed as payable in the summary Plan Documents. Covered
services must be medically necessary to be payable, unless otherwise specifed.
Explanaton of Benefts (EOB)A document sent by an insurer to a patent explaining what was covered for a medical
service, and how they arrived at the payment amount and patent responsibility amount.
Evidence of Insurability (EOI)the applicaton process in which you provide informaton on the conditon of your health
or your dependents health in order to be approved for coverage.
Flexible Spending Account (FSA)An FsA allows a team Member to set aside a
porton of his or her earnings to pay for qualifed expenses as established in the
healthcare plan, most commonly for medical expenses but ofen for dependent
care or other expenses. Money deducted from a team Members pay into an FsA
is not subject to payroll taxes, resultng in a substantal payroll tax savings.
Grace Periodthe Healthcare FsA grace Period is an extended period of coverage at the end of every beneft plan year
that allows you extra tme to incur expenses to use your remaining Flexible spending Account balance afer the close of
the beneft plan year. the grace Period is 2.5 months long (through september 15 of the following year).
Imputed Incomethe additon of the value of non-cash beneft compensaton to a team Members taxable wages in
order to properly withhold income and employment taxes from the wages. Imputed income is taxable to the assignee.
In-Network Providers/ServicesIn-network providers are doctors that are contracted with the insurance company.
In-network providers do not balance bill for covered services. they must accept the amount paid by the plan (plus any
member co-payment and/or coinsurance) as stpulated in their contracts. non-network providers, however, are not under
contracts so they can balance bill.
Out-of-Network Providers/ServicesOut-of-network providers are doctors that are not contracted with an insurance
company and may balance bill the member for covered services. If you choose to use an out-of-network doctor, services
will not be provided at a discounted rate.
ProviderA person (such as a physician) or a facility (such as a hospital) that provides services or supplies related to
healthcare.
Usual, Customary, and Reasonable (UCR)this is the rate paid within a range of common charges for a specifc
geographic region. the insurance company determines the uCr rates for all services ofered, and does not pay benefts or
charges that exceed the uCr level. In other words, this is a going rate for services or procedures.
Insurance terms
July 1, 2014 June 30, 2015
The descriptons of the beneft are not guarantees of current or future
employment or benefts.
If there is any confict between this Guide and the ofcial Plan Document, the
ofcial documents will govern.
This Guide contains highlights of the
benefts optons available to you
through Noodles & Company. They
are not complete descriptons of the
benefts.
Noodles & Company may terminate,
withdraw, or modify any beneft
described in this Guide, in whole or
in part, at any tme.
Images 2014 Thinkstock. All rights reserved.
g\noodles & co\2014\new hire guide\2014 New Hire Guide_Noodles & Co._Hourly:bew\jkc
N OOD L E S & C OMPA N Y
HEALTH & WELFARE
BENEFITS GUIDE
SHIFT MANAGERS AND
TEAM MEMBERS