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Ready to Plan for Financial Wellness? Let’s Work Together.Changes to the CHP 403(b) Retirement Plan

Dear Colleagues,

As announced earlier this summer, we are introducing updates to the CHP 403(b) Retirement Plan that make it easier for you to save for your financial future.

After a comprehensive review of the Mount Sinai Health System retirement plans, including presentations by several financial providers, we decided to choose TIAA as the sole recordkeeper of the plan. Having one recordkeeper allows us to offer a wide range of investment options on the same administrative platform. It also helps streamline plan administration and reduce fees for many of the investment options that are offered.

The upcoming changes provide an opportunity for you to revisit your retirement plan choices. As you consider some of the new investment options and services, please take advantage of the financial help and resources offered through the plan, including the one-on-one retirement plan investment advice service that’s available at no additional cost to you.

It is our goal to continue to work with you and provide the opportunities, information, and support you need as you plan ahead for retirement.

Sincerely,

Jane MaksoudSenior Vice President and Chief Human Resources OfficerMount Sinai Health System

Mount Sinai Health System

One Gustave L. Levy Place

New York, NY 10029-6574

Table of Contents

Helping You Plan for the Retirement You Want ......................................................4

Introducing New Plan Features ...................................................................................5

Key Dates ...............................................................................................................................6

Your Action Plan .........................................................................................................................7

New Investment Options ................................................................................................8

Plan Information for Participants with a:

Fidelity Account .........................................................................................................10

Prudential and/or Transamerica Account .......................................................12

TIAA Account..................................................................................................................13

Resources and Information to Help You

Manage Your Entire Account at TIAA ................................................................15

On-site Information Events ......................................................................................16

Retirement Plan Investment Advice .................................................................... 17

Professional Management of Your Retirement Account .........................18

Frequently Asked Questions .........................................................................................19

Questions? Call 888-210-3992 or visit TIAA.org/mountsinai 3

Helping You Plan for the Retirement You Want It has never been more important to plan ahead for retirement. At Mount Sinai Health System, we want to help you prepare for your financial future by introducing updates to the CHP 403(b) Retirement Plan, and provide you with the best plan possible.

What will change?

Beginning in late December and early January, we will introduce several updates to the CHP 403(b) Retirement Plan.

• New plan name While the basic design of the retirement plan will not change (contribution rates, eligibility, and vesting requirements will remain the same), the plan name will change from CHP 403(b) Retirement Plan to Mount Sinai Health System 403(b) Retirement Plan – CHP.

• One recordkeeper for easier account access and management The transition to a single recordkeeper requires some changes. If you are participating in the plan with Fidelity, your account balance will automatically transfer to TIAA. If you are participating with Prudential and/or Transamerica, your current account will remain with those financial providers unless you choose to transfer your account to TIAA. All future retirement plan contributions will be made to your plan account with TIAA. If you do not currently have an account with TIAA, a new one will be opened for you.

Having one recordkeeper, TIAA, streamlines administration of the plan, helps reduce investment costs, and makes it easier for you to get the information you need to manage your account. There will be one website, one participant services phone number, and one consolidated statement each quarter.

• New investment options and services New investments from several financial providers have been carefully selected to offer you a broad range of choices. The plan also provides an array of financial services, from help with basic budgeting to one-on-one advice sessions. Whether investing is new to you or you have been doing it for years, be assured you will have access to all of the financial information, education, and support you may need.

Working together for your financial well-being

As you participate in the plan, we will continue to support you on your path to and through retirement. Please take time now to carefully review this guide, and contact TIAA if you need assistance or have questions.

4 Mount Sinai Health System Retirement Program

Introducing New Plan Features

The plan updates will make it easier for you to manage your account and provide new tools, resources, and support to help you make important retirement planning decisions.

A single place to manage your account

Use the TIAA website to review your account, select investments, make account transfers, and update your beneficiary information. You can also find the latest performance information for each of your investment choices. Simply log in at TIAA.org/mountsinai, choose Plans and Investments, and then select your retirement plan.

360° Financial View

The 360° Financial View tool, online at TIAA.org/mountsinai, can help you consolidate your financial information in one place, so you can get a complete picture of your spending, savings, and investing. It is available to you at no cost and makes it convenient to view your accounts from more than 11,000 financial institutions, including accounts you may have with Prudential or Transamerica.

Online salary deferral

Starting January 4, 2018, you can visit TIAA.org/mountsinai to indicate how much you want to contribute to the plan using an online Salary Reduction Agreement form. This new feature will help streamline the process and make it easier if you wish to change your current salary deferral.

Helpful tools and calculators

You have access to online tools and calculators that can help you plan for retirement. Simply visit TIAA.org/tools for free, online resources that can provide advice on your retirement plan assets; can help you determine an asset allocation strategy; and will let you know if you’re on track to meet your retirement plan goals.

Financial advice and support

Whether you’ve just started saving or have been investing for years, you have access to financial advisors and consultants who can help you make informed decisions. You can get financial advice on the investment options available through the CHP 403(b) Retirement Plan at no additional cost to you, or take advantage of professional management of your account with the fee-based Retirement Plan Portfolio Manager service.

Date Event

Beginning November 6, 2017

On-site Seminars and Walk-up Information Desks begin (page 16).

December 18, 2017

Last day to change how much you contribute to the CHP 403(b) Retirement Plan with the current financial provider using a paper Salary Reduction Agreement form. Process update will allow you to make this change online beginning January 4, 2018.

December 19, 2017, at 4 pm (ET)

Fidelity plan participants: Blackout Period expected to begin. This is the last day to request paperwork to obtain a distribution, loan, or hardship withdrawal from your account.

December 20, 2017

Fidelity plan participants and currently contributing TIAA plan participants: You will be enrolled in a new TIAA account and receive a Welcome Kit with important information on making the most of your participation with TIAA.

Starting December 22, 2017

All future contributions will be directed to the new plan lineup options with TIAA.

December 26, 2017, at 4 pm (ET)

Last day to provide any investment or account changes. After this time, you will be unable to access or modify your Fidelity account(s).

January 4, 2018Salary Reduction Agreement form is now available online through your account at TIAA.org/mountsinai.

January 5, 2018The plan name changes to Mount Sinai Health System 403(b) Retirement Plan – CHP.

On or before January 10, 2018

Fidelity plan participants: Blackout Period expected to end. You can now access and update your retirement account at TIAA, including balances transferred from Fidelity.

Key Dates

Please note: The date of the retirement plan changes and the end of the Blackout Period depend on the accurate, timely transfer of data and receipt of assets from Fidelity to TIAA. If this does not occur, the end of the Blackout Period, as well as the retirement plan changes, could be delayed.

Your Action Plan While plan changes will not take effect until the end of December and early January, you can begin to take the following steps to ensure your retirement account accurately reflects your personal information and plan lineup choices.

Get ready

Beginning November 2017

c Review this guide. You will find information about the plan updates, a chart showing how certain investments will transfer to new replacement options, and details about retirement planning resources.

c Take a look at your current investments. Evaluate your investment strategy and consider any changes.

c Attend an on-site Seminar or visit a Walk-up Information Desk. TIAA financial consultants will be on-site and available to provide details on changes, as well as answer your questions.

Go!

Beginning December 20, 2017

c Manage your account at TIAA.org/mountsinai. Once you have an account set up with TIAA, you will be able to manage your secure account online, including:

• Updating beneficiary information.

• Any investment changes for current balances or future contributions.1

Beginning January 4, 2018

c Online Salary Reduction Agreement form will be available through your account at TIAA.org/mountsinai. You may conveniently change how much you want to contribute from each paycheck.

c Schedule an advice session with a TIAA financial consultant. Get personalized retirement plan advice (see page 17).

Instructions on how to access your new account and make changes are found on page 15.

1Participants with Fidelity accounts can make changes to their TIAA accounts after a brief Blackout Period ends (on or before January 10, 2018). See “Plan Information for Participants with a Fidelity Account” on page 10 for more details on the Blackout Period.


1 Target-date funds share the risks associated with the types of securities held by each of the underlying funds in which they invest. In addition to the fees and expenses associated with the target-date funds, there is exposure to the fees and expenses associated with the underlying mutual funds.2 TIAA Traditional Annuity and TIAA Stable Value are guaranteed insurance contracts and not investments for federal securities law purposes. Any guarantees under annuities issued by TIAA are subject to TIAA’s claims-paying ability. Interest credited includes a guaranteed rate, plus additional amounts as may be established by the TIAA Board of Trustees. Such additional amounts, when declared, remain in effect for the “declaration year,” which begins each March 1 for accumulating annuities and each January 1 for payout annuities. Additional amounts are not guaranteed for periods other than the period for which they were declared.3 TIAA Stable Value Equity Wash Restriction: In order to provide the performance, stability, and liquidity attributes of a stable value option, participant transfers from stable value options are subject to an industry-standard, 90-day equity wash rule. This means participants are prohibited from transferring from TIAA Stable Value directly to competing funds. Competing funds are plan investment options that exhibit a pattern of performance consistent with stability and include money market funds, short-term bond funds, and the TIAA Real Estate Account. Participants wishing to transfer amounts from TIAA Stable Value to competing funds must first transfer to noncompeting funds, where the amount originally transferred must remain for 90 days before the participant can then transfer the amount to one or more competing funds. In addition, to minimize the negative effects of frequent trading, transfers into TIAA Stable Value are restricted for 30 days following a transfer out.

Investment products may be subject to market and other risk factors. Diversification is a technique to help reduce risk. However, there is no guarantee that diversification will protect against loss. See the applicable product literature, or visit TIAA.org and enter a ticker symbol in the site’s search feature for details.

Annuity account options are available through annuity contracts issued by TIAA or CREF. These contracts are designed for retirement or other long-term goals, and offer a variety of income options, including lifetime income. Payments from the variable annuity accounts are not guaranteed and will rise or fall based on investment performance.

New Investment OptionsThe new investment choices offer you flexibility to create a retirement portfolio that matches your investment preferences and goals. While there are many different strategies for investing, here are three common approaches to consider. Remember, you have access to advice from a TIAA financial consultant if you want help deciding on a strategy, investment options, or both. To learn more about the new investment options, go to TIAA.org and enter the ticker symbol in the site’s search feature.

One-Step Investing: Target-Date FundsThe convenience of a complete retirement portfolio in a single fund. Target-date funds offer a diversified investment in a single fund. If you prefer a “hands-off” approach to investing, consider a target-date fund.

Each target-date fund is a “fund of funds,” primarily invested in shares of other mutual funds.1 Each fund’s investments become more conservative as the target date approaches. The target date indicates when you might begin making withdrawals; however, you are not required to make withdrawals at the stated target date. As with all mutual funds, the principal value of a target-date fund is not guaranteed at any time, even at the target date, and will fluctuate.

Asset Class Investment Option Ticker Symbol

Multi-Asset Vanguard Institutional Target Retirement Income Institutional VITRX

Multi-Asset Vanguard Institutional Target Retirement 2015 Institutional VITVX

Multi-Asset Vanguard Institutional Target Retirement 2020 Institutional VITWX

Multi-Asset Vanguard Institutional Target Retirement 2025 Institutional VRIVX

Multi-Asset Vanguard Institutional Target Retirement 2030 Institutional VTTWX

Multi-Asset Vanguard Institutional Target Retirement 2035 Institutional VITFX

Multi-Asset Vanguard Institutional Target Retirement 2040 Institutional VIRSX

Multi-Asset Vanguard Institutional Target Retirement 2045 Institutional VITLX

Multi-Asset Vanguard Institutional Target Retirement 2050 Institutional VTRLX

Multi-Asset Vanguard Institutional Target Retirement 2055 Institutional VIVLX

Multi-Asset Vanguard Institutional Target Retirement 2060 Institutional VILVX

Multi-Asset Vanguard Institutional Target Retirement 2065 Institutional VSXFX

Guaranteed Options: Stability with Flexible Income ChoicesA conservative approach to help meet long-term retirement goals.Guaranteed options help protect your principal, maintain a minimum guaranteed rate of return, and provide flexible income options designed to help you plan for long-term retirement income needs.2


Guaranteed TIAA Stable Value (Guaranteed Annuity)2,3 N/A

Guaranteed TIAA Traditional (Guaranteed Annuity)2, N/A


Active Investing: A Variety of Options from which to ChooseSelect the options that best suit your specific investment preferences and goals.Active investing allows you to tailor a strategy designed just for you. When making choices, keep in mind your tolerance and capacity for investment risk.

The lineup offers a wide range of options that cover several asset classes: money market—low risk, low return choices that help preserve assets while maintaining liquidity; fixed income—options that provide a set amount of interest on a predetermined basis, and are considered low risk, low return to help protect against portfolio volatility; multi-asset—typically a balanced approach to investing in a broad range of securities, including both stocks and bonds; real estate—a sector-specific choice invested in both foreign and domestic real estate and real-estate-related assets; and equities—invested in a variety of stocks.


Money Market CREF Money Market R3 (Variable Annuity)3 QCMMIX

Money Market Prudential Government Money Market Z3 PMZXX

Money Market Vanguard Federal Money Market Fund Investor3 VMFXX

Fixed Income American Funds Bond Fund of America R6 RBFGX

Fixed Income CREF Inflation-Linked Bond R3 (Variable Annuity) QCILIX

Fixed Income Loomis Sayles Bond N LSBNX

Fixed Income PIMCO Total Return Institutional4 PTTRX

Fixed Income Vanguard High Yield Corporate Admiral VWEAX

Fixed Income Vanguard Inflation-Protected Securities I VIPIX

Fixed Income Vanguard Total Bond Market Index Institutional VBTIX

Multi-Asset American Funds American Balanced R6 RLBGX

Multi-Asset CREF Social Choice R3 (Variable Annuity) QCSCIX

Real Estate TIAA Real Estate (Variable Annuity)3 QREARX

Equities American Funds EuroPacific Growth R6 RERGX

Equities American Funds Growth Fund of America R6 RGAGX

Equities American Funds New World R6 RNWGX

Equities Cohen & Steers Realty Shares CSRSX

Equities CREF Global Equities R3 (Variable Annuity) QCGLIX

Equities CREF Stock R3 (Variable Annuity) QCSTIX

Equities Eaton Vance Large Cap Value R6 ERLVX

Equities JHancock Disciplined Value Mid Cap R6 JVMRX

Equities Prudential Jennison Small Company Q PJSQX

Equities T. Rowe Price Mid Cap Growth I RPTIX

Equities Vanguard Developed Markets Index Institutional VTMNX

Equities Vanguard Emerging Markets Stock Index Institutional VEMIX

Equities Vanguard Explorer Admiral VEXRX

Equities Vanguard Extended Market Institutional VIEIX

Equities Vanguard Institutional Index Institutional Pl VIIIX

Equities Vanguard International Growth Admiral VWILX

Equities Vanguard International Value Investor VTRIX

Equities Vanguard PRIMECAP Admiral VPMAX

Equities Vanguard Windsor Admiral VWNEX

Equities Wells Fargo Special Small Cap Value R64 ESPRX

4A contractual, voluntary, and/or redemption fee waiver applies. See the prospectus for the fee waiver expiration date.


1 TIAA will use your “employer” asset allocation on file with Fidelity. If you had different asset allocations on file between your employer and employer match contributions, you are strongly encouraged to review your plan lineup choices once your new account is established to ensure they are still appropriate for your retirement savings goals.2 If you do not have a valid beneficiary on file with Fidelity, your beneficiary will default to “Estate.” If you have a spousal waiver on file with Fidelity, it will not transfer to TIAA and a new spousal waiver will need to be completed for your TIAA account for the designation to be effective. Please address this promptly by logging in to your TIAA account and updating your beneficiary information.

Plan Information for Participants with a Fidelity AccountYou will be enrolled in a new TIAA account on December 20, 2017, and an enrollment confirmation will be mailed to you. Fidelity plan participants will be enrolled in a Group Retirement Annuity account (for employer and employer match contributions)1 and/or a Group Supplemental Retirement Annuity account (for employee voluntary contributions and/or rollover accumulations). If you are enrolled solely with Fidelity, your Fidelity beneficiary information will transfer from Fidelity to your TIAA account.2 You will be able to access your new account, review or update your beneficiary designation, and make changes to your investment allocations. Other changes to your account can be made after the Blackout Period ends on or before January 10, 2018.

Starting December 22, 2017, your future contributions will be directed to your new TIAA account and allocated to the new investment options as shown in the transfer chart on page 11.

On or about December 27, 2017, your account balance(s) will transfer to your new TIAA account and the new investment options as shown in the transfer chart on page 11.

How your account balance(s) will transfer from Fidelity to TIAA

To help ensure the smooth transfer of account balance(s) from Fidelity, there will be a brief Blackout Period expected to begin on or around December 19, 2017, at 4 pm (ET). During this time, you will not be able to request a distribution, loan, or hardship withdrawal from your account. Starting on December 26, 2017, at 4 pm (ET), you will not be able make any investment or account changes. Payroll contributions to the CHP 403(b) Retirement Plan will continue to be withheld during the Blackout Period. See the enclosed Blackout Notice for more details. Please note: The date of the plan changes and the end of the Blackout Period depend on the accurate, timely transfer of data and receipt of assets from Fidelity to TIAA. If this does not occur, the end of the Blackout Period could be delayed.

Each investment option will transfer in one of two ways:

• Fund-to-fund transfer: Most account balances will move from Fidelity to the TIAA recordkeeping platform following a fund-to-fund transfer process. This process directs balances and contributions to a replacement fund on the TIAA lineup as shown in the transfer chart on page 11. Account balance(s) from Fidelity will be applied to the new investment option(s) as of 4 pm (ET) on the date the balance(s) and data are received in good order. Your account will not be invested in the new funds for at least one business day. You will receive two confirmations: one from Fidelity showing the transfer out of your account, and a second from TIAA showing the balance(s) applied to your new account.

• In-kind transfer: Balances for one investment option (PIMCO Total Return – Institutional), which is being retained on the new plan lineup, will transfer in-kind. An in-kind transfer means your holdings will not be sold and repurchased; your holdings will simply transfer, and remain fully invested during this period.

Some of your investment options may be directed to a lower-cost share class of the same fund and reduce your investment expenses. There is no investment strategy difference between various share classes of the same fund. Investing in a lower-cost share class means that less of your money goes toward fees. As a result, you keep a larger portion of the potential returns generated by each investment.


1 IMPORTANT NOTE: Any balances in MetLife Stable Value are subject to a market value adjustment at the time of the plan transfer. Balances in that account will be debited or credited with this adjustment when the account is transferred. This adjustment will be reported on your Fidelity account statement, and the net proceeds will be applied to your TIAA account.

Mount Sinai Health System has instructed TIAA to transfer account balances in any investment option not listed above to the Vanguard Institutional Target Retirement 2015 Institutional fund.

Additional information if you contribute to both Fidelity and TIAAYou will be enrolled in a new TIAA account on December 20, 2017, and sent an enrollment confirmation by email or ground mail based on the communication preferences indicated for your account. Your current TIAA beneficiary designation will be used for your new account. Starting on December 20, 2017, you can log in to your TIAA account to review and make any updates to your beneficiary designation(s).

If you contribute to plan accounts at both Fidelity and TIAA, the investment selections and allocations you have on file with TIAA will apply. Your investments will not transfer as indicated in the chart below. We strongly encourage you to review your investment choices once your new account is established to ensure they are still appropriate for your retirement savings goals.

Current Investment OptionTicker Symbol

New Investment Option Ticker Symbol

American Funds Capital World Bond R6 RCWGX Loomis Sayles Bond N LSBNX

BlackRock Equity Dividend Institutional MADVX Vanguard Windsor™ Admiral™ VWNEX

Calvert Balanced I CBAIX American Funds American Balanced R6 RLBGX

Fidelity® 500 Index Institutional FXSIX Vanguard Institutional Index Institutional Pl VIIIX

Fidelity® Diversified International K FDIKX Vanguard International Growth Admiral VWILX

Fidelity® Extended Market Index Premium FSEVX Vanguard Extended Market Institutional VIEIX

Fidelity® Government Money Market Premium FZCXX Vanguard Federal Money Market Fund Investor VMFXX

Fidelity® High Income SPHIX Vanguard High Yield Corporate VWEAX

Fidelity® International Index Premium FSIVX Vanguard Developed Markets Index Institutional VTMNX

Fidelity® US Bond Index Institutional FXSTX Vanguard Total Bond Market Index Institutional VBTIX

Lazard Emerging Markets Equity Institutional LZEMX American Funds New World R6 RNWGX

MetLife Stable Value (Employee Source)1 N/ATIAA Traditional (Guaranteed Annuity) (Group Supplemental Retirement Annuity Contract)

N/A

MetLife Stable Value (Employer Source)1 N/A TIAA Stable Value (Guaranteed Annuity) N/A

MFS Lifetime 2020 R4 MFLJX Vanguard Institutional Target Retirement 2020 Institutional VITWX

MFS Lifetime 2025 R4 LTTUX Vanguard Institutional Target Retirement 2025 Institutional VRIVX

MFS Lifetime 2030 R4 MLTJX Vanguard Institutional Target Retirement 2030 Institutional VTTWX

MFS Lifetime 2035 R4 LFEUX Vanguard Institutional Target Retirement 2035 Institutional VITFX

MFS Lifetime 2040 R4 MLFJX Vanguard Institutional Target Retirement 2040 Institutional VIRSX

MFS Lifetime 2045 R4 LTMUX Vanguard Institutional Target Retirement 2045 Institutional VITLX

MFS Lifetime 2050 R4 MFFPX Vanguard Institutional Target Retirement 2050 Institutional VTRLX

MFS Lifetime 2055 R4 LFIUX Vanguard Institutional Target Retirement 2055 Institutional VIVLX

MFS Lifetime 2060 R4 MFJUX Vanguard Institutional Target Retirement 2060 Institutional VILVX

MFS Lifetime Income R4 MLLJX Vanguard Institutional Target Retirement Income Institutional VITRX

MFS Massachusetts Investor Growth Stock R6 MIGNX Vanguard PRIMECAP Admiral VPMAX

Nuveen Real Estate Securities R6 FREGX Cohen & Steers Realty Shares CSRSX

PIMCO Total Return Institutional PTTRX Retain PIMCO Total Return Institutional PTTRX

Royce Pennsylvania Mutual Institutional RPMIX Vanguard Extended Market Index Institutional VIEIX

Transfer chart


Plan Information for Participants with a Prudential and/or Transamerica AccountAny balances you have in the CHP 403(b) Retirement Plan with Prudential and/or Transamerica will remain in your account. While the plan changes do not affect these balances, it is important that you review this guide to stay informed on all investment and service updates.

If you would like to take advantage of the new investment options and plan services, or transfer your balances from Prudential and/or Transamerica, you can:

• Call TIAA at 888-210-3992, weekdays, 8 am – 10 pm, and Saturday, 9 am – 6 pm (ET).

• Or, make an appointment with a TIAA financial consultant. Visit TIAA.org/schedulenow, or call 800-732-8353, weekdays, 8 am – 8 pm (ET).

Keep in mind, lower fees, continued investment oversight, and help when you need it, are just some of the benefits of the CHP 403(b) Retirement Plan.

Plan Information for Participants with a TIAA AccountMount Sinai will update the investment options available through the CHP 403(b) Retirement Plan. New investment options will be added, and several annuity options will be restricted.

Plan merger

Mount Sinai Health System is merging the CHP 403(b) Retirement Plan – St. Luke’s Roosevelt, the CHP 403(b) Retirement Plan – Beth Israel Medical Center, and the CHP 403(b) Retirement Plan – Long Island College Hospital into one plan. At the direction of Mount Sinai, TIAA will move your balances during the week of December 11, 2017. This change will not affect your account balances, and your contracts will remain the same. No action is required on your part. Once completed, you will be sent a confirmation statement with details of the activity.

If you are currently contributing to the plan

You will be enrolled in the new Group Retirement Annuity and/or Group Supplemental Retirement Annuity account(s) on December 20, 2017, and sent an enrollment confirmation by email or ground mail based on your indicated communication preferences. Your current beneficiary designation(s) will be applied to your new account(s). Starting December 22, 2017, your future contributions will be directed to your new account(s) and the new investment options as shown in the transfer chart below.

Beginning December 20, 2017, you can update your investment choices for future contributions.

The following investment options will remain on the new investment lineup.

Existing balances

Starting January 4, 2018, any annuity balance(s) you have with TIAA will remain in your existing account(s), although no new contributions, rollovers, or transfers may be made to the account(s). You can continue to transfer balances among the available annuity options and/or the new investment options.

Investment Option Ticker Symbol

CREF Global Equities R3 (Variable Annuity) QCGLIX

CREF Inflation-Linked Bond R3 (Variable Annuity) QCILIX

CREF Money Market R3 (Variable Annuity) QCMMIX

CREF Social Choice R3 (Variable Annuity) QCSCIX

Investment Option Ticker Symbol

CREF Stock R3 (Variable Annuity) QCSTIX

TIAA Real Estate Account (Variable Annuity) QREARX

TIAA Traditional (Guaranteed Annuity) N/A

Current Investment OptionTicker Symbol

New Investment Option Ticker Symbol

CREF Bond Market R3 (Variable Annuity) QCBMIX PIMCO Total Return Institutional PTTRX

CREF Equity Index R3 (Variable Annuity) QCEQIX Vanguard Institutional Index Institutional Pl VIIIX

CREF Growth R3 (Variable Annuity) QCGRIX Vanguard PRIMECAP Admiral VPMAX

The following investment options will be restricted, and future contributions will be directed to a new investment option. No new contributions, rollovers, or transfers may be made to these restricted annuity options, and future contributions will be directed to the designated replacement funds.


Resources and Information to Help You

Manage Your Entire Account at TIAAThe easiest way to manage your retirement account is by going online. This gives you 24/7 access to your account and the information you need.

OnlineAccess your account at TIAA for the first time

1. Go to TIAA.org/mountsinai and select Log In.

2. Choose Register for online access and follow the on-screen instructions to access your account.

3. You will have the option to update your beneficiary information and/or investment allocations.

Change investments for future contributions


2. Enter your TIAA user ID and password.

3. From the My Account drop-down menu, choose Change investments.

4. Select Change how future contributions are invested and choose each account/contract you would like to update. Enter your investment instructions. Change the amount you contribute to the plan.

Designate or change a beneficiary



3. From the My Account drop-down menu, select Add/edit beneficiaries.

Change the amount you contribute to the plan (available online starting January 4, 2018)



3. From the My Account drop-down menu, choose Change my contribution.

4. Update the dollar amount or percentage for your contributions and the date you want the change to take place.

Transfer balances within your Mount Sinai retirement plans



3. From the My Account drop-down menu, choose Change investments.

4. Select Change investments within an account and choose each account/contract you would like to update. Enter your investment instructions.

By phoneIf you have any questions or would like assistance selecting new investment options, you can call TIAA at 888-210-3992, weekdays, 8 am – 10 pm, and Saturday, 9 am – 6 pm (ET).


On-site Information EventsSeminarsTIAA financial consultants will provide the latest information about the CHP 403(b) Retirement Plan updates during the following one-hour seminars.

Hospital Date Time Location

Mount Sinai Beth Israel Tuesday, November 7 12 pm - 1 pm; 4 pm - 5 pm Podell Conference

Room AThursday, November 30 12 pm - 1 pm; 4 pm - 5 pm

Mount Sinai Brooklyn

Monday, November 6 12 pm - 1 pm; 4 pm - 5 pmConference Room A, Suite 144

Friday, November 10 1 pm - 2 pm; 4 pm - 5 pm

Monday, November 20 12 pm - 1 pm; 4 pm - 5 pm

Mount Sinai Downtown -Union Square Thursday, November 9 12 pm - 1 pm; 4 pm - 5 pm Auditorium

Mount Sinai St. Luke’sFriday, November 17 11 am - 12 pm; 4 pm - 5 pm Muhlenberg

AuditoriumTuesday, December 5 1 pm - 2 pm; 4 pm - 5 pm

Mount Sinai West Friday, November 10 1 pm - 2 pm; 4 pm - 5 pm

Conference Room BWednesday, December 6 11 am - 12 pm; 4 pm - 5 pm

Walk-up Information DesksYou’ll have opportunities to stop by an on-site Information Desk, where TIAA financial consultants will answer questions and provide information.


Mount Sinai Beth Israel

Tuesday, November 7 9 am - 5 pm

Linsky Lobby

Friday, November 10 8 am - 2 pm

Wednesday, November 15 10 am - 5 pm


Monday, November 20 8 am - 3 pm



Thursday, November 30 10 am - 5 pm

Thursday, December 7 9 am - 4 pm

Tuesday, December 12 10 am - 3 pm

Mount Sinai Brooklyn


House 1350Friday, November 10 10 am - 4 pm


Mount Sinai Downtown - Union Square

Thursday, November 9 9 am - 4 pm Friedman Conference Room



Mount Sinai St. Luke’s


Lobby








Tuesday, December 5 9 am - 4 pm

1 The projections and other information generated by the Retirement Advisor tool are hypothetical in nature, do not reflect actual investment results, and do not guarantee future performance. Results may vary with each use and over time.

Accessing TIAA advice servicesBy phone or in personWhen you schedule a one-on-one consultation, you can get answers to your financial questions or develop an action plan with clear steps that help address your retirement goals. Call 800-732-8353, weekdays, 8 am – 8 pm (ET) to schedule a consultation or visit TIAA.org/schedulenow.

It is helpful if you bring your financial account statements (including statements for retirement investments outside of the plan) and your most recent Social Security statement, if available.

Online

You can use TIAA’s Retirement Advisor to create your own action plan in four easy steps.1 Visit TIAA.org/retirementadvisor and log in to your account.

Retirement Plan Investment Advice You have access to personalized advice on all of the new Mount Sinai Health System 403(b) Retirement Plan – CHP options from a TIAA financial consultant at no additional cost to you. Investment advice is designed to help you answer key questions, including:

1 How much will I need to save to meet my retirement income needs?

2 What combination of investments may be right for me?

3 Am I on track to reach my savings goals?

Walk-up Information Desks, continued


Mount Sinai West


Lobby







Friday, December 1 10 am - 5 pm

Wednesday, December 6 9 am - 4 pm

WebinarsTo join the webinar at the scheduled start time, go to TIAA.org/mountsinai and click on See how your plan is changing. Then choose Event Schedule and select the webinar date you would like to join.

Date Time

Friday, November 17, 2017 12 pm - 1 pm

Tuesday, December 12, 2017 12 pm - 1 pm

A narrated presentation will also be available at TIAA.org/mountsinai. The presentation will be available 24/7 starting on November 6, 2017.


The Retirement Plan Portfolio Manager program is a discretionary, fee-based asset allocation advisory program provided by TIAA, FSB (Trust Company). Morningstar Investment Management, LLC (Morningstar) is an unaffiliated investment advisor that provides TIAA with independent, third-party asset allocation models and specific investment recommendations for purposes of the Retirement Plan Portfolio Manager program. Program recommendations are generated by Morningstar as an independent investment authority, retained by TIAA to provide independent advice.

IMPORTANT: Projections and other information generated through the Morningstar tool regarding the likelihood of various investment outcomes are hypothetical, do not reflect actual investment results and are not a guarantee of future results. The projections are dependent in part on subjective assumptions, including the rate of inflation and the rate of return for different asset classes. These rates are difficult to accurately predict. Changes to the law, financial markets, or individual personal circumstances can cause substantial deviation from the estimates. This could result in declines in an account’s value over short or even extended periods of time.

Professional Management of Your Retirement Account

Want help taking the guesswork out of retirement planning?TIAA’s Retirement Plan Portfolio Manager is a fee-based service that will offer professional management of your new Mount Sinai Health System 403(b) Retirement Plan – CHP account. It can complement TIAA’s advice service to help you decide how much to save and which investments to choose based on your retirement goals. Your account will be reviewed quarterly and automatically adjusted to help keep your savings on track for retirement.

Benefits of Retirement Plan Portfolio Manager

Personalized advice to help you decide how much to save and what investments are right for you.

Ongoing professional management that automatically adjusts your portfolio based on your goals and timeline.

A quarterly snapshot of how your portfolio looks.

24/7 online access so you can update your profile and preferences at any time.

How much will you pay for Retirement Plan Portfolio Manager?An annual asset-based fee of 0.30 percent will be deducted from your enrolled account on a quarterly basis. The fee is based on the average daily balance of your plan account during the quarter. See the following example on calculating the fee.

Calculating the Quarterly Fee

$10,000.00 Average daily balance

.0030.30

percent

$30.00Total annual fee

4 Four

quarters per year

$7.50Deducted

each quarter

This is a hypothetical example for illustrative purposes only.

How to enroll in Retirement Plan Portfolio Manager To enroll or learn more, please call 855-728-8422, weekdays, 8 am – 7 pm (ET). A TIAA financial consultant will be available to assist you.

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Frequently Asked QuestionsWhy is Mount Sinai making changes to the CHP 403(b) Retirement Plan?

Mount Sinai recently completed a comprehensive review of the retirement plans and identified opportunities to streamline and simplify plan participation, while maintaining a wide range of investment options from several financial companies. The updates are designed to provide financial tools and support, simplify management of your account, and lower some investment costs.

What if I would like help making investment choices?

You can get personalized advice on the plan’s investment options from a TIAA financial consultant. This service is available as part of your retirement program at no additional cost to you. To schedule an advice session, call TIAA at 800-732-8353, weekdays, 8 am – 8 pm (ET). You can also schedule online at TIAA.org/schedulenow.

Will I pay any fees to invest in the new Mount Sinai Health System 403(b) Retirement Plan – CHP?

All investment options have expenses and other fees that can be found in the prospectus and/or by entering the investment’s ticker symbol into the search feature at TIAA.org. Some investment options may also have redemption, accounting and legal fees, shareholder servicing fees, and marketing expenses. Refer to the fund prospectuses for additional information.

Do I need to provide a new Salary Reduction Agreement or will my current salary deferral transfer over?

As part of the transition, your current salary deferral information will transfer over. You do not need to take any action unless you want to change the amount you defer, either before or after the plan changes take place.

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How can I consolidate my account information with 360° Financial View?

Here is how to get started with 360° Financial View:

1. Log in to your account at TIAA.org/mountsinai.

2. At the top of the screen, select My Accounts, then 360° Financial View.

3. Review the terms and conditions, and to accept, check the box and select Continue.

4. On the Dashboard, choose Add Account on the right and begin to enter the name of your financial provider. Make your choice from the pop-up list.

5. Enter the username and password for your account with that provider and select Link Account.

What happens if I have an outstanding loan with Fidelity?

If you currently have a loan with Fidelity, there should be no change or interruption to your payments or payment schedule as administration of the plan moves to TIAA. You will receive separate communications if any actions are required on your part.

What happens to my current systematic withdrawal, transfer payout annuity, or required minimum distribution from Fidelity?

If you currently receive income or distribution payments from Fidelity, you will need to re-establish this process with TIAA. You will receive separate communications in mid-December. Please contact TIAA at 888-210-3992,weekdays, 8 am – 10 pm, and Saturday, 9 am – 6 pm (ET) with any questions.

What if I have a beneficiary spousal waiver, power of attorney, or in-progress Qualified Domestic Relations Order on file for my Fidelity account?

Beneficiary spousal waivers, powers of attorney, and in-progress Qualified Domestic Relations Orders will not transfer directly from Fidelity to TIAA. You must resubmit them. To do so, please contact TIAA at 888-210-3992, weekdays, 8 am – 10 pm, and Saturday, 9 am – 6 pm (ET).


Distributions from 403(b) plans before age 59½, severance from employment, death, or disability may be prohibited, limited, and/or subject to substantial tax penalties. Different restrictions may apply to other types of plans.

This material is for informational or educational purposes only and does not constitute a recommendation or investment advice in connection with a distribution, transfer or rollover, a purchase or sale of securities or other investment property, or the management of securities or other investments, including the development of an investment strategy or retention of an investment manager or advisor. This material does not take into account any specific objectives or circumstances of any particular investor, or suggest any specific course of action. Investment decisions should be made in consultation with an investor’s personal advisor based on the investor’s own objectives and circumstances.

Investment, insurance and annuity products are not FDIC insured, are not bank guaranteed, are not bank deposits, are not insured by any federal government agency, are not a condition to any banking service or activity, and may lose value.

You should consider the investment objectives, risks, charges, and expenses carefully before investing. Call 877-518-9161 or go to TIAA.org/mountsinai for current product and fund prospectuses that contain this and other information. Please read the prospectuses carefully before investing.TIAA-CREF Individual & Institutional Services, LLC, Teachers Personal Investors Services, Inc., and Nuveen Securities, LLC, Members FINRA and SIPC, distribute securities products. Annuity contracts and certificates are issued by Teachers Insurance and Annuity Association of America (TIAA) and College Retirement Equities Fund (CREF), New York, NY. Each is solely responsible for its own financial condition and contractual obligations.

©2017 Teachers Insurance and Annuity Association of America-College Retirement Equities Fund, 730 Third Avenue, New York, NY 10017

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Account InformationLog in to TIAA.org/mountsinai to view your account, see the latest performance information, make transactions, and access retirement planning tools.

If you are new to TIAA, select Register for Access and follow the on-screen instructions.

888-210-3992Weekdays, 8 am – 10 pm (ET) Saturday, 9 am – 6 pm (ET)

Schedule an Advice SessionTIAA.org/schedulenow

800-732-8353 Weekdays, 8 am – 8 pm (ET)

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