Amended and Restated Change of Control Severance Plan



 EXHIBIT 10.20 
 BLUE NILE, INC. 
 AMENDED & RESTATED 

CHANGE OF CONTROL SEVERANCE PLAN 
 Section 1. INTRODUCTION. 
 The Blue Nile, Inc.
Amended & Restated Change of Control Severance Plan (the “Plan”) is established effective January 20, 2012. The Plan provides for the payment of severance benefits to eligible executives of Blue Nile, Inc. (the
“Company”). This Plan supersedes any severance plan, policy or practice with respect to Qualifying Terminations (as defined below), whether formal or informal, written or unwritten, previously announced or maintained by the
Company, including but not limited to the Blue Nile, Inc. Change of Control Severance Plan established on March 4, 2009 (the “Prior Plan”). This Plan document also is the Summary Plan Description for the Plan.

 Section 2. ELIGIBILITY FOR BENEFITS. 

(a) General Rules. Subject to the requirements of the Plan, the Company will provide the severance benefits described in
Section 3 to Eligible Employees. 
 (1) Definition of “Eligible Employee.” For purposes of
this Plan, Eligible Employees are those employees of the Company selected by the Plan Administrator, in its sole discretion, to be eligible for severance benefits under the Plan. The Plan Administrator will make the determination of whether an
employee is an Eligible Employee, and such determination will be binding and conclusive on all persons. The Plan Administrator will maintain a current schedule of Eligible Employees with the General Counsel of the Company or such other Company
officer as may be designated by the Plan Administrator. Temporary employees and independent contractors are not eligible for severance benefits under the Plan. 
 (2) Obligations of Eligible Employees. In order to receive any benefits under the Plan: 
 (i) the Eligible Employee must suffer a Qualifying Termination; 
 (ii) the Eligible Employee must remain on the job until the date of his or her Qualifying Termination; 

(iii) the Eligible Employee must execute and return to the Company a general waiver and release
in substantially the form attached hereto as Exhibit A, Exhibit B or Exhibit C, as applicable, within the time frame set forth therein (the “Release”) and such release must become effective in accordance with
its terms – but not later than the 60th day following
his or her Separation from Service – provided, however, the Plan Administrator has the authority, in its discretion, to modify the form of the release as necessary to comply with changes in applicable law and to incorporate the release into a
termination agreement with the Eligible Employee; and 







 (iv) the Eligible Employee must remain in compliance with his or her
continuing obligations to the Company, including obligations under his or her Employee Nondisclosure, Proprietary Information, Inventions, Nonsolicitation and Noncompetition Agreement (such form, or any similar form, the “Proprietary
Agreement”). 
 (b) Exceptions to Benefit Entitlement. An employee who otherwise is an Eligible Employee
will not receive benefits under the Plan (or will receive reduced benefits under the Plan) in the following circumstances, as determined by the Plan Administrator in its sole discretion: 

(1) The employee is covered by any other severance or separation pay plan, policy or practice of the Company or has
executed an individually negotiated employment contract or agreement with the Company relating to severance benefits, in either case with respect to severance benefits payable upon an event that constitutes a Qualifying Termination (used herein as
defined herein), and such agreement, plan, policy or practice is in effect on his or her termination date. In such case, the employee’s severance benefit upon a Qualifying Termination, if any, will be governed by the terms of such agreement,
plan, policy or practice. 
 (2) The employee’s employment terminates other than as a result of a
Qualifying Termination, including a termination for Cause prior to the effective date of a previously scheduled Qualifying Termination, a termination as a result of death or disability, or a voluntary termination initiated by the employee other than
as a Resignation for Good Reason. Voluntary terminations include, but are not limited to, resignation, retirement, failure to return from a leave of absence on the scheduled date and/or termination in order to accept employment with another entity
(including but not limited to any entity that is wholly or partly owned (directly or indirectly) by the Company or an affiliate of the Company). 
 (3) The employee has not signed an enforceable Proprietary Agreement covering the employee’s period of employment with the Company (and with any predecessor) and does not confirm in writing
that he or she is and will remain subject to the terms of that Proprietary Agreement. 
 (c) Definition of
“Cause”. “Cause” for termination includes one of the following events that has a material negative impact on the business or reputation of the Company: 

(1) indictment or conviction of any felony or any crime involving dishonesty or moral turpitude; 

(2) dishonesty which is not the result of an inadvertent or innocent mistake by employee with respect to the
Company; 
 (3) employee’s continued willful violation of his or her obligations to the Company after
there has been delivered to employee a written demand for performance from the Company’s Board of Directors (the “Board”) which describes the basis for the Board’s belief that employee has not substantially
satisfied his or her obligations to the Company; 
 (4) employee’s violation or breach of any
material written Company policy, agreement with the Company, or any statutory or fiduciary duty to the Company; or 
 (5) damaging or misappropriating or attempting to damage or misappropriate any property, including any confidential or proprietary information, of the Company. 







 (d) Definition of “Change of Control”. A “Change of
Control” means the occurrence, in a single transaction or in a series of related transactions, of any one or more of the following events: 
 (1) any Exchange Act Person becomes the Owner, directly or indirectly, of securities of the Company representing more than fifty percent (50%) of the combined voting power of the
Company’s then outstanding securities other than by virtue of a merger, consolidation or similar transaction. Notwithstanding the foregoing, a Change of Control will not be deemed to occur solely because the level of Ownership held by any
Exchange Act Person (the “Subject Person”) exceeds the designated percentage threshold of the outstanding voting securities as a result of a repurchase or other acquisition of voting securities by the Company reducing the
number of shares outstanding, provided that if a Change of Control would occur (but for the operation of this sentence) as a result of the acquisition of voting securities by the Company, and after such share acquisition, the Subject Person becomes
the Owner of any additional voting securities that, assuming the repurchase or other acquisition had not occurred, increases the percentage of the then outstanding voting securities Owned by the Subject Person over the designated percentage
threshold, then a Change of Control will be deemed to occur; 
 (2) there is consummated a merger,
consolidation or similar transaction involving (directly or indirectly) the Company and, immediately after the consummation of such merger, consolidation or similar transaction, the stockholders of the Company immediately prior thereto do not Own,
directly or indirectly, outstanding voting securities representing more than fifty percent (50%) of the combined outstanding voting power of the surviving Entity in such merger, consolidation or similar transaction or more than fifty percent
(50%) of the combined outstanding voting power of the parent of the surviving Entity in such merger, consolidation or similar transaction; 
 (3) there is consummated a sale, lease, license or other disposition of all or substantially all of the consolidated assets of the Company and its Subsidiaries, other than a sale, lease, license or
other disposition of all or substantially all of the consolidated assets of the Company and its Subsidiaries to an Entity, more than fifty percent (50%) of the combined voting power of the voting securities of which are Owned by stockholders of
the Company in substantially the same proportions as their Ownership of the Company immediately prior to such sale, lease, license or other disposition; or 
 (4) during any two (2) year period, individuals who, on the date this Plan is adopted by the Board, are members of the Board (the “Incumbent Board”) cease for any
reason to constitute at least a majority of the members of the Board; (provided, however, that if the appointment or election (or nomination for election) of any new Board member was approved or recommended by a majority vote of the members of the
Incumbent Board then still in office, such new member will, for purposes of this Plan, be considered as a member of the Incumbent Board). 
 Notwithstanding the foregoing, the term Change of Control will not include a sale of assets, merger or other transaction effected exclusively for the purpose of changing the domicile of the Company. To
the extent required for compliance with Section 409A of the Code, in no event will a Change of Control be deemed to have occurred if such transaction is not also a “change in the ownership or effective control of” the Company or
“a change in the ownership of a substantial portion of the assets of” the Company as determined under Treasury Regulations Section 1.409A-3(i)(5) (without regard to any alternative definition thereunder). In the case of a series of
related transactions, and of more than one of such transactions would constitute a Change of Control, the Change of Control will be deemed to have occurred on the closing of the first of such transactions that satisfies in full one of the prongs of
this definition. 







 (e) Definition of “Entity”. “Entity” means a
corporation, partnership, limited liability company or other entity. 
 (f) Definition of “Exchange Act Person”.
An “Exchange Act Person” means any natural person, entity or “group” (within the meaning of Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as amended), except that “Exchange Act
Person” will not include (1) the Company or any subsidiary of the Company, (2) any employee benefit plan of the Company or any subsidiary of the Company or any trustee or other fiduciary holding securities under an employee benefit
plan of the Company or any subsidiary of the Company, (3) an underwriter temporarily holding securities pursuant to an offering of such securities, (4) an entity owned, directly or indirectly, by the stockholders of the Company in
substantially the same proportions as their ownership of stock of the Company; or (5) any natural person, entity or “group” (within the meaning of Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as amended) that,
as of the effective date of this Plan, is the owner, directly or indirectly, of securities of the Company representing more than fifty percent (50%) of the combined voting power of the Company’s then outstanding securities. 

(g) Definition of “Own,” “Owned,” “Owner,” “Ownership”. A person or
Entity will be deemed to “Own,” to have “Owned,” to be the “Owner” of, or to have acquired “Ownership” of securities if such person or Entity, directly or indirectly, through any contract, arrangement,
understanding, relationship or otherwise, has or shares voting power, which includes the power to vote or to direct the voting, with respect to such securities. 
 (h) Definition of “Qualifying Termination”. A “Qualifying Termination” means the Eligible Employee suffers an involuntary termination without Cause or a
Resignation for Good Reason, in either case that (i) constitutes a Separation from Service, (ii) occurs other than as a result of death or disability, and (iii) occurs on or within twelve (12) months following the effective date
of the Change of Control. 
 (g) Definition of “Resignation for Good Reason”. A “Resignation for
Good Reason” means the Eligible Employee has resigned from all positions he or she then holds with the Company (or any successor thereto): 
 (1) because one of the following actions has been taken without his or her express written consent: 
 (i) there is a material reduction (where material is considered greater than 10%) of the Eligible Employee’s annual base salary; 

(ii) there is a material adverse change in the Eligible Employee’s position or responsibilities (including the person
or persons to whom the Eligible Employee has reporting responsibilities); 
 (iii) the Eligible Employee
is required to relocate his or her principal place of employment to a location that would increase his or her one way commute distance by more than twenty-five (25) miles; or 

(iv) the Company materially breaches its obligations under this Plan or any then-existing employment agreement with
the Eligible Employee; and 
 (2) the Eligible Employee provides written notice to the Company’s
Board within the 30-day period immediately following such action; and 







 (3) such action is not remedied by the Company within thirty
(30) days following the Company’s receipt of such written notice; and 
 (4) the Eligible
Employee’s resignation is effective not later than sixty (60) days after the expiration of such thirty (30) day cure period. 
 (h) Definition of “Separation from Service”. A “Separation from Service” means a “separation from service” within the meaning of Treasury Regulations
Section 1.409A-1(h), without regard to any alternative definition thereunder. 
 Section 3. AMOUNT OF
BENEFIT. 
 (a) Severance Benefits. Subject to the terms and conditions of the Plan, the Eligible
Employee will receive the severance benefits set forth on the Participation Notice provided to the Eligible Employee, in the substantially attached hereto as in Exhibit D, at the time such individual is designated an Eligible Employee, or as
may be amended thereafter by the Plan Administrator. The Eligible Employee must sign and return the Participation Notice to the Company within thirty (30) days after designation to agree to the terms and conditions of the Plan. 

(b) Additional Benefits. Notwithstanding the foregoing, the Plan Administrator may, in its sole discretion, authorize benefits in
an amount in addition to those benefits set forth in Section 3(a) to an Eligible Employee. The provision of any such benefits to an Eligible Employee will in no way obligate the Company to provide such benefits to any other Eligible Employee or
to any other employee, even if similarly situated. Receipt of benefits under this Plan pursuant to such exceptions may be subject to a covenant of confidentiality and non-disclosure. 

(c) Certain Reductions. The Company will reduce an Eligible Employee’s severance benefits under this Plan by any other
severance benefits, pay in lieu of notice, or other similar benefits payable to the Eligible Employee by the Company in connection with the Eligible Employee’s Qualifying Termination, including but not limited to any payments or benefits that
are due pursuant to (i) any other severance plan, policy or practice, or any individually negotiated employment contract or agreement with the Company relating to severance benefits, in each case, as is in effect on the Eligible Employee’s
Separation from Service, (ii) any applicable legal requirement, including, without limitation, the Worker Adjustment and Retraining Notification Act (the “WARN Act”), or (iii) any Company policy or practice
providing for the Eligible Employee to remain on the payroll without being in active service for a limited period of time after being given notice of the termination of the Eligible Employee’s employment. The benefits provided under this Plan
are intended to satisfy, to the greatest extent possible, any and all statutory obligations that may arise out of an Eligible Employee’s termination of employment, and the Plan Administrator will so construe and implement the terms of the Plan.
Such reductions will be applied on a retroactive basis, with severance benefits previously paid being recharacterized as payments pursuant to the Company’s statutory obligation. 

(d) Best After Tax. If any payment or benefit (including payments and benefits pursuant to this Plan) that an Eligible Employee
would receive in connection with a Change of Control from the Company or otherwise (“Payment”) would (i) constitute a “parachute payment” within the meaning of Section 280G of the Internal Revenue Code of
1986, as amended (the “Code”), and (ii) but for this sentence, be subject to the excise tax imposed by Section 4999 of the Code (the “Excise Tax”), then the Company will cause to be
determined, before any amounts of the Payment are paid to the Eligible Employee, which of the following two alternative forms of payment would maximize the Eligible Employee’s after-tax proceeds: (i) payment in full of the entire amount of
the Payment (a “Full Payment”), or (ii) payment of only a part of the Payment so that the Eligible Employee receives the largest 







 
payment possible without the imposition of the Excise Tax (a “Reduced Payment”), whichever amount results in the Participant’s receipt, on an after-tax basis, of the
greater amount of the Payment notwithstanding that all or some portion of the Payment may be subject to the Excise Tax. For purposes of determining whether to make a Full Payment or a Reduced Payment, the Company will cause to be taken into account
all applicable federal, state and local income and employment taxes and the Excise Tax (all computed at the highest applicable marginal rate, net of the maximum reduction in federal income taxes which could be obtained from a deduction of such state
and local taxes). If a Reduced Payment is made, (x) the Payment will be paid only to the extent permitted under the Reduced Payment alternative, and the Eligible Employee will have no rights to any additional payments and/or benefits
constituting the Payment, and (y) reduction in payments and/or benefits will occur in the following order: (1) reduction of cash payments; (2) cancellation of accelerated vesting of equity awards other than stock options;
(3) cancellation of accelerated vesting of stock options; and (4) reduction of other benefits paid to the Eligible Employee. Within any such category of Payments (that is, (1), (2), (3) or (4)), a reduction will occur first with
respect to amounts that are not “deferred compensation” within the meaning of Section 409A of the Code and then with respect to amounts that are. In the event that acceleration of compensation from the Eligible Employee’s equity
awards is to be reduced, such acceleration of vesting will be canceled in the reverse order of the date of grant. If Section 280G is not applicable by law to a Participant, the Company will determine whether any similar law in the
Participant’s jurisdiction applies and should be taken into account. 
 The independent professional firm
engaged by the Company for general tax audit purposes as of the day prior to the effective date of the Change of Control will make all determinations required to be made under this Section 3(d). If the firm so engaged by the Company is serving
as accountant or auditor for the individual, entity or group effecting the Change of Control, the Company will appoint a nationally recognized independent professional firm to make the determinations required hereunder. The Company will bear all
expenses with respect to the determinations by such firm required to be made hereunder. 
 The firm engaged to
make the determinations hereunder will provide its calculations, together with detailed supporting documentation, to the Company and the Eligible Employee within thirty (30) calendar days after the date on which the Eligible Employee’s
right to a Payment is triggered (if requested at that time by the Company or the Eligible Employee) or such other time as requested by the Company or the Eligible Employee. If the firm determines that no Excise Tax is payable with respect to a
Payment, either before or after the application of the Reduced Amount, it will furnish the Company and the Eligible Employee with a statement reasonably acceptable to the Eligible Employee that no Excise Tax will be imposed with respect to such
Payment. Any good faith determinations of the firm made hereunder will be final, binding and conclusive upon the Company and the Eligible Employee. 
 (e) Code Section 409A. It was the intention of the Company that all benefits provided under the Prior Plan were exempt from the application of Section 409A of the Code and the regulations
and other guidance thereunder and any state law of similar effect (collectively, “Section 409A”). It is similarly intended that all of the benefits provided under this Plan satisfy, to the greatest extent possible, the
exemptions from the application of Section 409A provided under Treasury Regulations Sections 1.409A-1(b)(4), 1.409A-1(b)(5), and 1.409A-1(b)(9), and the Plan will be construed to the greatest extent possible as consistent with those provisions.
To the extent not so exempt, the Plan (and any definitions in the Plan) will be construed in a manner that complies with Section 409A, and incorporates by reference all required definitions and payment terms. For purposes of Section 409A
(including, without limitation, for purposes of Treasury Regulations Section 1.409A-2(b)(2)(iii)), an Eligible Employee’s right to receive any installment payments under the Plan will be treated as a right to receive a series of separate
payments and, accordingly, each installment payment under the Plan will at all times be considered a separate and distinct payment. If the Plan Administrator determines that any of the payments upon a Separation from Service provided under the Plan
(or under any other arrangement with the Eligible Employee) constitute “deferred compensation” under Section 409A and if the Eligible Employee is a “specified employee” of the Company, as such term is defined








 
in Section 409A(a)(2)(B)(i), at the time of his or her Separation from Service, then, solely to the extent necessary to avoid the incurrence of the adverse personal tax consequences under
Section 409A, the timing of the payments upon a Separation from Service will be delayed as follows: on the earlier to occur of (i) the date that is six months and one day after the effective date of the Eligible Employee’s Separation
from Service, and (ii) the date of the Eligible Employee’s death (such earlier date, the “Delayed Initial Payment Date”), the Company will (A) pay to the Eligible Employee a lump sum amount equal to the sum of the payments
upon Separation from Service that the Eligible Employee would otherwise have received through the Delayed Initial Payment Date if the commencement of the payments had not been delayed pursuant to this paragraph, and (B) commence paying the
balance of the payments in accordance with the applicable payment schedules set forth above. No interest will be due on any amounts so deferred. If Section 409A is not applicable by law to an Eligible Employee, the Plan Administrator will
determine whether any similar law in the Eligible Employee’s jurisdiction applies and should be taken into account. 
 Section 4.
COMPANY PROPERTY. 
 (a) Return of Company Property. An Eligible Employee will not be
entitled to any severance under the Plan unless and until the Eligible Employee returns all Company Property, unless otherwise expressly permitted by the Company to retain one or more items of Company Property. For this purpose, “Company
Property” means all paper and electronic company documents (and all copies thereof) created and/or received by the Eligible Employee during his or her period of employment with the Company and other Company Property which the Eligible
Employee had in his or her possession or control at any time, including, but not limited to, Company and/or Employer files, notes, drawings records, plans, forecasts, reports, studies, analyses, proposals, agreements, financial information, research
and development information, sales and marketing information, operational and personnel information, specifications, code, software, databases, computer-recorded information, tangible property and equipment (including, but not limited to, leased
vehicles, computers, computer equipment, software programs, facsimile machines, mobile telephones, servers), credit and calling cards, entry cards, identification badges and keys; and any materials of any kind which contain or embody any proprietary
or confidential information of the Company and/or an Employer (and all reproductions thereof in whole or in part). As a condition to receiving benefits under the Plan, Eligible Employees must not make or retain copies, reproductions or summaries of
any such Company Property. However, an Eligible Employee is not required to return his or her personal copies of documents evidencing the Eligible Employee’s hire, termination, compensation, benefits and stock options and any other
documentation received as a shareholder of the Company. 
 (b) Transition of Work. An Eligible Employee will not be
entitled to any severance benefit under the Plan unless and until the Eligible Employee (1) has satisfactorily transitioned his or her work and information concerning his or her work to the Company to the extent reasonably requested in writing
by the Company and (2) has provided the Company with all logins, passwords, passcodes and similar information created by the Eligible Employee for documents, email and electronic files that the Eligible Employee created or used on Company
systems. 
 Section 5. WITHHOLDINGS AND DEDUCTIONS. 

All payments under the Plan will be subject to applicable withholding for federal, state and local taxes. If an Eligible Employee is
indebted to the Company at the time of his or her Qualifying Termination, the Company reserves the right to offset any Play Payments by the amount of such indebtedness. Additionally, if an Eligible Employee is subject to withholding for taxes
related to any non-Plan benefits, the Company may offset any Plan Payments by the amount of such withholding taxes. However, Plan Payments will not be subject to any deductions under employment benefit plans, such as, but not limited to, 401(k) plan
contributions and/or 401(k) loan repayments, except as otherwise required by law or the terms of those plans. 







 By accepting participation in the Plan, the Eligible Employee agrees to review with his or
her own tax advisors the federal, state, provincial, local, and foreign tax consequences of participation in the Plan. The Eligible Employee will rely solely on such advisors and not on any statements or representations of the Company or any of its
agents. The Eligible Employee understands that he or she (and not the Company) will be responsible for his or her own tax liability that may arise as a result of participating in the Plan. 
 Section 6. RIGHT TO INTERPRET PLAN; AMENDMENT AND TERMINATION. 

(a) Exclusive Discretion. The Plan Administrator is the Compensation Committee of the Board of Directors. As Plan Administrator,
the Compensation Committee is the named fiduciary charged with the responsibility for administering the Plan. The Plan Administrator will have the exclusive discretion and authority to establish rules, forms, and procedures for the administration of
the Plan and to construe and interpret the Plan and to decide any and all questions of fact, interpretation, definition, computation or administration arising in connection with the operation of the Plan, including, but not limited to, the
eligibility to participate in the Plan and amount of benefits paid under the Plan. The Plan Administrator may delegate any or all of its administrative duties to an officer of the Company and any such delegation will convey with it the full
discretionary authority of the Plan Administrator to carry out the delegated duties. The Company and the Plan Administrator will indemnify and hold harmless any person to whom it delegated its responsibilities to the greatest extent permitted by
law, provided such person does not act with gross negligence or willful misconduct. The rules, interpretations, computations and other actions of the Plan Administrator or its delegate will be final and binding and conclusive on all persons.

 (b) Termination; Amendment. 
 (1) This Plan will automatically terminate on the third anniversary of the adoption of the Plan if no Change of Control has occurred by that date. If a Change of Control has occurred by that date,
this Plan will terminate on the date that is twenty-four (24) months and one (1) day after the effective date of the Change of Control; provided, however, that no such termination will affect the right to any unpaid benefit of any
Eligible Employee whose Qualifying Termination date has occurred prior to such date, and such unpaid benefit rights will continue to be governed by the terms of this Plan. 

(2) The Company reserves the right to amend this Plan (including the exhibits hereto) and the benefits provided
hereunder at any time prior to a Change of Control of the Company; provided, however, that no such amendment will affect the right to any unpaid benefit of any Eligible Employee whose Qualifying Termination date has occurred prior to
amendment of the Plan. 
 (3) Any purported amendment or termination of this Plan (and the exhibits and
appendices hereto) upon or following a Change of Control of the Company will not be effective as to any Eligible Employee who has not consented, in writing, to such amendment or termination. Any action amending or terminating the Plan will be in
writing and executed by a duly authorized executive officer of the Company. 
 Section 7. NO IMPLIED
EMPLOYMENT CONTRACT. 
 The Plan will not be deemed (i) to give any employee or other
person any right to be retained as an employee of or other service provider to the Company or (ii) to interfere with the right of the Company to discharge any employee or other person at any time, with or without cause, which right is hereby
reserved. 







 Section 8. LEGAL CONSTRUCTION. 

This Plan is intended to be governed by and will be construed in accordance with the Employee Retirement Income Security Act of 1974
(“ERISA”) and, to the extent not preempted by ERISA, the laws of the State of Washington (without regard to principles of conflict of laws). 
 Section 9. CLAIMS, INQUIRIES AND APPEALS. 
 (a) Applications for Benefits and Inquiries. Any application for benefits, inquiries about the Plan or inquiries about present or future rights under the Plan must be submitted to the Plan
Administrator in writing by an applicant (or his or her authorized representative). The Plan Administrator is: 
 The
Compensation Committee of the Board of Directors 
 Blue Nile, Inc., 

Attn: General Counsel 
 411 First Avenue S., Suite 700 
 Seattle, WA 98104 

(b) Denial of Claims. In the event that any application for benefits is denied in whole or in part, the Plan Administrator must
provide the applicant with written or electronic notice of the denial of the application, and of the applicant’s right to review the denial. Any electronic notice will comply with the regulations of the U.S. Department of Labor. The notice of
denial will be set forth in a manner designed to be understood by the applicant and will include the following: 

(1) the specific reason or reasons for the denial; 

(2) references to the specific Plan provisions upon which the denial is based; 

(3) a description of any additional information or material that the Plan Administrator needs to complete the
review and an explanation of why such information or material is necessary; and 
 (4) an explanation of
the Plan’s review procedures and the time limits applicable to such procedures, including a statement of the applicant’s right to bring a civil action under Section 502(a) of ERISA following a denial on review of the claim, as
described in Section 10(d) below. 
 This notice of denial will be given to the applicant within ninety (90) days
after the Plan Administrator receives the application, unless special circumstances require an extension of time, in which case, the Plan Administrator has up to an additional ninety (90) days for processing the application. If an extension of
time for processing is required, written notice of the extension will be furnished to the applicant before the end of the initial ninety (90) day period. 
 This notice of extension will describe the special circumstances necessitating the additional time and the date by which the Plan Administrator is to render its decision on the application. 







 (c) Request for a Review. Any person (or that person’s authorized
representative) for whom an application for benefits is denied, in whole or in part, may appeal the denial by submitting a request for a review to the Plan Administrator within sixty (60) days after the application is denied. A request for a
review will be in writing and will be addressed to: 
 The Compensation Committee of the Board of Directors Blue Nile, Inc.

 Attn: General Counsel 
 411 First Avenue S., Suite 700 
 Seattle, WA 98104 

A request for review must set forth all of the grounds on which it is based, all facts in support of the request and any other matters
that the applicant feels are pertinent. The applicant (or his or her representative) will have the opportunity to submit (or the Plan Administrator may require the applicant to submit) written comments, documents, records, and other information
relating to his or her claim. The applicant (or his or her representative) will be provided, upon request and free of charge, reasonable access to, and copies of, all documents, records and other information relevant to his or her claim. The review
will take into account all comments, documents, records and other information submitted by the applicant (or his or her representative) relating to the claim, without regard to whether such information was submitted or considered in the initial
benefit determination. 
 (d) Decision on Review. The Plan Administrator will act on each request for review within sixty
(60) days after receipt of the request, unless special circumstances require an extension of time (not to exceed an additional sixty (60) days), for processing the request for a review. If an extension for review is required, written
notice of the extension will be furnished to the applicant within the initial sixty (60) day period. This notice of extension will describe the special circumstances necessitating the additional time and the date by which the Plan Administrator
is to render its decision on the review. The Plan Administrator will give prompt, written or electronic notice of its decision to the applicant. Any electronic notice will comply with the regulations of the U.S. Department of Labor. In the event
that the Plan Administrator confirms the denial of the application for benefits in whole or in part, the notice will set forth, in a manner calculated to be understood by the applicant, the following: 

(1) the specific reason or reasons for the denial; 

(2) references to the specific Plan provisions upon which the denial is based; 

(3) a statement that the applicant is entitled to receive, upon request and free of charge, reasonable access to,
and copies of, all documents, records and other information relevant to his or her claim; and 
 (4) a
statement of the applicant’s right to bring a civil action under Section 502(a) of ERISA. 
 (e) Rules and
Procedures. The Plan Administrator will establish rules and procedures, consistent with the Plan and with ERISA, as necessary and appropriate in carrying out its responsibilities in reviewing benefit claims. The Plan Administrator may require an
applicant who wishes to submit additional information in connection with an appeal from the denial of benefits to do so at the applicant’s own expense. 
 (f) Exhaustion of Remedies. No legal action for benefits under the Plan may be brought until the applicant (i) has submitted a written application for benefits in accordance with the
procedures described by Section 9(a) above, (ii) has been notified by the Plan Administrator that the application is denied, (iii) has filed a written request for a review of the application in accordance with the appeal procedure
described in Section 9(c) above, and (iv) has been notified that the Plan Administrator has denied the appeal. Notwithstanding the foregoing, if the Plan Administrator does not respond to an applicant’s claim or appeal within the
relevant time limits specified in this Section 9, the applicant may bring legal action for benefits under the Plan pursuant to Section 502(a) of ERISA. 
 Section 10. BASIS OF PAYMENTS TO AND FROM PLAN. 

The Plan will be unfunded, and all benefits under the Plan will be paid only from the general assets of the Company. An Eligible
Employee’s right to receive payments under the Plan is no greater than that of the Company’s unsecured general creditors. Therefore, if the Company were to become insolvent, the Eligible Employee might not receive benefits under the Plan.








 Section 11. OTHER PLAN INFORMATION. 

(a) Employer and Plan Identification Numbers. The Employer Identification Number assigned to the Company by the Internal Revenue
Service is 91-1963165. The Plan Number assigned to the Plan by the Plan Sponsor pursuant to the instructions of the Internal Revenue Service is 525. 
 (b) Ending Date for Plan’s Fiscal Year and Type of Plan. The date of the end of the fiscal year for the purpose of maintaining the Plan’s records is December 31. The Plan is a
welfare benefit plan. 
 (c) Agent for the Service of Legal Process. The agent for the service of legal process with
respect to the Plan is: 
 Blue Nile, Inc. 
 Attn: General Counsel 
 411 First Avenue S., Suite 700 

Seattle, WA 98104 
 (d) Plan Sponsor. The Plan Sponsor is: 
 The Compensation Committee of the
Board of Directors Blue Nile, Inc. 
 Attn: General Counsel 

411 First Avenue S., Suite 700 
 Seattle, WA 98104 
 The Plan Sponsor’s and Plan Administrator’s
telephone number is (206) 336-6700 and facsimile number is (206) 336-6809. 
 Section 12. STATEMENT OF
ERISA RIGHTS. 
 Participants in this Plan are entitled to certain rights and protections under ERISA. If you
are an Eligible Employee, you are considered a participant in the Plan and, under ERISA, you are entitled to: 
 (a) Receive
Information About Your Plan and Benefits 
 (1) Examine, without charge, at the Plan
Administrator’s office and at other specified locations, such as worksites, all documents governing the Plan and a copy of the latest annual report (Form 5500 Series), if applicable, filed by the Plan with the U.S. Department of Labor and
available at the Public Disclosure Room of the Employee Benefits Security Administration; 
 (2) Obtain,
upon written request to the Plan Administrator, copies of documents governing the operation of the Plan and copies of the latest annual report (Form 5500 Series), if applicable, and an updated (as necessary) Summary Plan Description. The
Administrator may make a reasonable charge for the copies; and 
 (3) Receive a summary of the Plan’s
annual financial report, if applicable. The Plan Administrator is required by law to furnish each participant with a copy of this summary annual report. 
 (b) Prudent Actions by Plan Fiduciaries. In addition to creating rights for Plan participants, ERISA imposes duties upon the people who are responsible for the operation of the employee benefit
plan. The people who operate the Plan, called “fiduciaries” of the Plan, have a duty to do so prudently and in the interest of you and other Plan participants and beneficiaries. No one, including your employer, your union or any other
person, may fire you or otherwise discriminate against you in any way to prevent you from obtaining a Plan benefit or exercising your rights under ERISA. 







 (c) Enforce Your Rights. If your claim for a Plan benefit is denied or ignored, in
whole or in part, you have a right to know why this was done, to obtain copies of documents relating to the decision without charge, and to appeal any denial, all within certain time schedules as set forth in detail in Section 10 herein.

 Under ERISA, there are steps you can take to enforce the above rights. For instance, if you request a copy of
Plan documents or the latest annual report from the Plan, if applicable, and do not receive them within 30 days, you may file suit in a Federal court and you are not required to follow the claims procedure set forth in Section 10 herein. In
such a case, the court may require the Plan Administrator to provide the materials and pay you up to $110 a day until you receive the materials, unless the materials were not sent because of reasons beyond the control of the Plan Administrator.

 If you have completed the claims and appeals procedure described in Section 10 and have a claim for
benefits which is denied or ignored, in whole or in part, you may file suit in a state or Federal court. 
 If
you are discriminated against for asserting your rights, you may seek assistance from the U.S. Department of Labor, or you may file suit in a Federal court. The court will decide who should pay court costs and legal fees. If you are successful, the
court may order the person you have sued to pay these costs and fees. If you lose, the court may order you to pay these costs and fees, for example, if it finds your claim is frivolous. 

(d) Assistance with Your Questions. If you have any questions about the Plan, you should contact the Plan Administrator. If you
have any questions about this statement or about your rights under ERISA, or if you need assistance in obtaining documents from the Plan Administrator, you should contact the nearest office of the Employee Benefits Security Administration, U.S.
Department of Labor, listed in your telephone directory or the Division of Technical Assistance and Inquiries, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue N.W., Washington, D.C. 20210. You may also
obtain certain publications about your rights and responsibilities under ERISA by calling the publications hotline of the Employee Benefits Security Administration or accessing its website at http://www.dol.gov/ebsa/. 

Section 13. GENERAL PROVISIONS. 
 (a) Notices. Any notice, demand or request required or permitted to be given by either the Company or an Eligible Employee pursuant to the terms of this Plan will be in writing and will be deemed
given when delivered personally, when received electronically (including email addressed to the Eligible Employee’s Company email account and to the Company email account of the Company’s General Counsel), or when deposited in the U.S.
mail, with postage prepaid, and addressed to the parties, in the case of the Company or the Plan Administrator, at the address set forth in Section 11(d) and, in the case of an Eligible Employee, at the address as set forth in the
Company’s employment file maintained for the Eligible Employee as previously furnished by the Eligible Employee or such other address as a party may request by notifying the other in writing. 

(b) Transfer and Assignment. The rights and obligations of an Eligible Employee under this Plan may not be transferred or assigned
without the prior written consent of the Company. This Plan will be binding upon any surviving entity resulting from a Change in Control and upon any other any person who is a successor by merger, acquisition, consolidation or otherwise to the
business formerly carried on by the Company without regard to whether or not such person or entity actively assumes the obligations hereunder. Following a Change of Control, any references to the “Company” in this Plan will be deemed to be
references also to any successor to the company. 







 (c) Waiver. Any party’s failure to enforce any provision or provisions of this
Plan will not in any way be construed as a waiver of any such provision or provisions, nor prevent any party from thereafter enforcing each and every other provision of this Plan. The rights granted the parties herein are cumulative and will not
constitute a waiver of any party’s right to assert all other legal remedies available to it under the circumstances. 

(d) Severability. Should any provision of this Plan be declared or determined to be invalid, illegal or unenforceable, the
validity, legality and enforceability of the remaining provisions will not in any way be affected or impaired. 
 (e) Section
Headings. Section headings in this Plan are included for convenience of reference only and will not be considered part of this Plan for any other purpose. 
 Section 14. CIRCULAR 230 DISCLAIMER. 

THE FOLLOWING DISCLAIMER IS PROVIDED IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE’S CIRCULAR 230 (31 CFR PART 10). ANY ADVICE IN
THIS PLAN IS NOT INTENDED OR WRITTEN TO BE USED, AND IT CANNOT BE USED BY YOU FOR THE PURPOSE OF AVOIDING ANY PENALTIES THAT MAY BE IMPOSED ON YOU. ANY ADVICE IN THIS PLAN WAS WRITTEN TO SUPPORT PARTICIPATION IN THIS CHANGE OF CONTROL SEVERANCE
PLAN. YOU SHOULD SEEK ADVICE BASED ON YOUR PARTICULAR CIRCUMSTANCES FROM AN INDEPENDENT TAX ADVISOR. 
 Section 15.
EXECUTION. 
 To record the adoption of the Plan as set forth herein, Blue Nile, Inc. has caused its duly
authorized officer to sign this Plan, effective as of January 20, 2012. 
  

			
	BLUE NILE, INC.
		
	By:	 	/s/ Vijay Talwar
	Title:	 	Chief Executive Officer









 For Employees Age 40 or Older 

Individual Termination 
 EXHIBIT A 
 RELEASE AGREEMENT 

I understand and agree completely to the terms set forth in the Blue Nile, Inc. Amended & Restated Change of Control
Severance Plan (the “Plan”). 
 I understand that this Release, together with the Plan and any termination
agreement into which this Release may be incorporated,, constitutes the complete, final and exclusive embodiment of the entire agreement between the Company, affiliates of the Company and me with regard to the subject matter hereof. I am not relying
on any promise or representation by the Company that is not expressly stated therein. Certain capitalized terms used in this Release are defined in the Plan. 
 I hereby confirm my obligations under my Proprietary Agreement with the Company. 

Except as otherwise set forth in this Release, I hereby generally and completely release the Company and their current and former
directors, officers, employees, stockholders, shareholders, partners, agents, attorneys, predecessors, successors, parent and subsidiary entities, insurers, affiliates, and assigns (collectively, the “Released Parties”) from
any and all claims, liabilities and obligations, both known and unknown, that arise out of or are in any way related to events, acts, conduct, or omissions occurring prior to my signing this Agreement (collectively, the “Released
Claims”). The Released Claims include, but are not limited to: (1) all claims arising out of or in any way related to my employment with the Company or its affiliates, or the termination of that employment; (2) all claims
related to my compensation or benefits, including salary, bonuses, commissions, vacation pay, expense reimbursements, severance pay, fringe benefits, stock, stock options, or any other ownership interests in the Company or its affiliates; claims
arising under the Plan; (3) all claims for breach of contract, wrongful termination, and breach of the implied covenant of good faith and fair dealing; (4) all tort claims, including claims for fraud, defamation, emotional distress, and
discharge in violation of public policy; and (5) all federal, state, and local statutory claims, including claims for discrimination, harassment, retaliation, attorneys’ fees, or other claims arising under the federal Civil Rights Act of
1964 (as amended), the federal Americans with Disabilities Act of 1990, the federal Age Discrimination in Employment Act of 1967 (as amended) (“ADEA”), the federal Employee Retirement Income Security Act of 1974 (as amended),
the Washington Law Against Discrimination, the Washington Family Leave Act, as amended, the Washington Minimum Wage Act, as amended, and Chapter 49.60 of the Revised Code of Washington. Notwithstanding the foregoing, the following are not included
in the Released Claims (the “Excluded Claims”): (1) any rights or claims for indemnification I may have pursuant to any written indemnification agreement with the Company to which I am a party, the charter, bylaws, or
operating agreements of the Company, or under applicable law; or (2) any rights which are not waivable as a matter of law. In addition, nothing in this Release prevents me from filing, cooperating with, or participating in any proceeding before
the Equal Employment Opportunity Commission or the Department of Labor, except that I hereby waive my right to any monetary benefits in connection with any such claim, charge or proceeding. I hereby represent and warrant that, other than the
Excluded Claims, I am not aware of any claims I have or might have against any of the Released Parties that are not included in the Released Claims. 
 I acknowledge that I am knowingly and voluntarily waiving and releasing any rights I may have under the ADEA (“ADEA Waiver”). I also acknowledge that the consideration given for
the ADEA Waiver is in addition to anything of value to which I was already entitled. I further acknowledge that I have been advised by this writing, as required by the ADEA, that: (a) the ADEA Waiver does not apply to any rights or claims that
arise after the date I sign this Release; (b) I should consult with an attorney prior to signing this Release (although I may choose voluntarily not to do so); (c) I have twenty-one (21) days to consider this Release (although I may
choose to voluntarily to sign it sooner); (d) I have seven (7) days following the date I sign this Release to revoke the ADEA Waiver by providing written notice to an officer of the Company; and (e) the ADEA Waiver will not be
effective until the date upon which the revocation period has expired unexercised, which will be the eighth day after I sign this Release. Nevertheless, my general release of claims, except for the ADEA Waiver, is effective immediately, and not
revocable. 








 For Employees Age 40 or Older 

Individual Termination 
  

 I hereby represent that I have been paid all compensation owed and for all hours
worked, I have received all the leave and leave benefits and protections for which I am eligible, and I have not suffered any on-the-job injury for which I have not already filed a workers’ compensation claim. 

I acknowledge that to become effective, I must sign and return this Release to the Company so that it is received not later than
twenty-one (21) days following the date it is provided to me, and I must not revoke the ADEA Waiver thereafter. This Release will become effective on the date upon which the revocation period has expired unexercised, which will be the eighth
day after I sign this Release. 
  

			
	EMPLOYEE
		
	Name:	 	 
		
	Date:	 	 










 For Employees Age 40 or Older 

Group Termination 
  

 EXHIBIT B 

RELEASE AGREEMENT 
 I understand and agree completely to the terms set forth in the Blue Nile, Inc. Amended & Restated Change of Control Severance Plan (the “Plan”). 

I understand that this Release, together with the Plan, and any termination agreement into which this Release may be
incorporated,constitutes the complete, final and exclusive embodiment of the entire agreement between the Company, affiliates of the Company and me with regard to the subject matter hereof. I am not relying on any promise or representation by the
Company that is not expressly stated therein. Certain capitalized terms used in this Release are defined in the Plan. 
 I
hereby confirm my obligations under my Proprietary Agreement with the Company. 
 Except as otherwise set forth in this Release,
I hereby generally and completely release the Company and their current and former directors, officers, employees, stockholders, shareholders, partners, agents, attorneys, predecessors, successors, parent and subsidiary entities, insurers,
affiliates, and assigns (collectively, the “Released Parties”) from any and all claims, liabilities and obligations, both known and unknown, that arise out of or are in any way related to events, acts, conduct, or omissions
occurring prior to my signing this Agreement (collectively, the “Released Claims”). The Released Claims include, but are not limited to: (1) all claims arising out of or in any way related to my employment with the
Company or its affiliates, or the termination of that employment; (2) all claims related to my compensation or benefits, including salary, bonuses, commissions, vacation pay, expense reimbursements, severance pay, fringe benefits, stock, stock
options, or any other ownership interests in the Company or its affiliates; claims arising under the Plan; (3) all claims for breach of contract, wrongful termination, and breach of the implied covenant of good faith and fair dealing;
(4) all tort claims, including claims for fraud, defamation, emotional distress, and discharge in violation of public policy; and (5) all federal, state, and local statutory claims, including claims for discrimination, harassment,
retaliation, attorneys’ fees, or other claims arising under the federal Civil Rights Act of 1964 (as amended), the federal Americans with Disabilities Act of 1990, the federal Age Discrimination in Employment Act of 1967 (as amended)
(“ADEA”), the federal Employee Retirement Income Security Act of 1974 (as amended), the Washington Law Against Discrimination, the Washington Family Leave Act, as amended, the Washington Minimum Wage Act, as amended, and
Chapter 49.60 of the Revised Code of Washington. Notwithstanding the foregoing, the following are not included in the Released Claims (the “Excluded Claims”): (1) any rights or claims for indemnification I may have
pursuant to any written indemnification agreement with the Company to which I am a party, the charter, bylaws, or operating agreements of the Company, or under applicable law; or (2) any rights which are not waivable as a matter of law. In
addition, nothing in this Release prevents me from filing, cooperating with, or participating in any proceeding before the Equal Employment Opportunity Commission or the Department of Labor, except that I hereby waive my right to any monetary
benefits in connection with any such claim, charge or proceeding. I hereby represent and warrant that, other than the Excluded Claims, I am not aware of any claims I have or might have against any of the Released Parties that are not included in the
Released Claims. 
 I acknowledge that I am knowingly and voluntarily waiving and releasing any rights I may have under the ADEA
(“ADEA Waiver”). I also acknowledge that the consideration given for the ADEA Waiver is in addition to anything of value to which I was already entitled. I further acknowledge that I have been advised by this writing, as
required by the ADEA, that: (a) the ADEA Waiver does not apply to any rights or claims that arise after the date I sign this Release; (b) I should consult with an attorney prior to signing this Release (although I may choose voluntarily
not to do so); (c) I have forty-five (45) days to consider this Release (although I may choose to voluntarily to sign it sooner); (d) I have seven (7) days following the date I sign this Release to revoke the ADEA Waiver by
providing written notice to an officer of the Company; and (e) the ADEA Waiver will not be effective until the date upon which the revocation period has expired unexercised, which will be the eighth day after I sign this Release. Nevertheless,
my general release of claims, except for the ADEA Waiver, is effective immediately, and not revocable. 








 For Employees Age 40 or Older 

Group Termination 
  

 I have received with this Release all of the information required by the ADEA,
including without limitation a detailed list of the job titles and ages of all employees who were terminated in this group termination and the ages of all employees of the Company in the same job classification or organizational unit who were not
terminated, along with information on the eligibility factors used to select employees for the group termination and any time limits applicable to this group termination program. 

I hereby represent that I have been paid all compensation owed and for all hours worked, I have received all the leave and leave benefits
and protections for which I am eligible, and I have not suffered any on-the-job injury for which I have not already filed a workers’ compensation claim. 
 I acknowledge that to become effective, I must sign and return this Release to the Company so that it is received not later than forty-five (45) days following the date it is provided to me, and I
must not revoke the ADEA Waiver thereafter. This Release will become effective on the date upon which the revocation period has expired unexercised, which will be the eighth day after I sign this Release. 

 

			
	EMPLOYEE
		
	Name:	 	 
		
	Date:	 	 










 For Employees Under Age 40 

Individual and Group Termination 
  

 EXHIBIT C 

RELEASE AGREEMENT 
 I understand and agree completely to the terms set forth in the Blue Nile, Inc. Amended & Restated Change of Control Severance Plan (the “Plan”). 

I understand that this Release, together with the Plan and any termination agreement into which this Release may be incorporated,,
constitutes the complete, final and exclusive embodiment of the entire agreement between the Company, affiliates of the Company and me with regard to the subject matter hereof. I am not relying on any promise or representation by the Company that is
not expressly stated therein. Certain capitalized terms used in this Release are defined in the Plan. 
 I hereby confirm my
obligations under my Proprietary Agreement with the Company. 
 Except as otherwise set forth in this Release, I hereby
generally and completely release the Company and their current and former directors, officers, employees, stockholders, shareholders, partners, agents, attorneys, predecessors, successors, parent and subsidiary entities, insurers, affiliates, and
assigns (collectively, the “Released Parties”) from any and all claims, liabilities and obligations, both known and unknown, that arise out of or are in any way related to events, acts, conduct, or omissions occurring prior
to my signing this Agreement (collectively, the “Released Claims”). The Released Claims include, but are not limited to: (1) all claims arising out of or in any way related to my employment with the Company or its
affiliates, or the termination of that employment; (2) all claims related to my compensation or benefits, including salary, bonuses, commissions, vacation pay, expense reimbursements, severance pay, fringe benefits, stock, stock options, or any
other ownership interests in the Company or its affiliates; claims arising under the Plan; (3) all claims for breach of contract, wrongful termination, and breach of the implied covenant of good faith and fair dealing; (4) all tort claims,
including claims for fraud, defamation, emotional distress, and discharge in violation of public policy; and (5) all federal, state, and local statutory claims, including claims for discrimination, harassment, retaliation, attorneys’ fees,
or other claims arising under the federal Civil Rights Act of 1964 (as amended), the federal Americans with Disabilities Act of 1990, the Washington Law Against Discrimination, the Washington Family Leave Act, as amended, the Washington Minimum Wage
Act, as amended, and Chapter 49.60 of the Revised Code of Washington. Notwithstanding the foregoing, the following are not included in the Released Claims (the “Excluded Claims”): (1) any rights or claims for
indemnification I may have pursuant to any written indemnification agreement with the Company to which I am a party, the charter, bylaws, or operating agreements of the Company, or under applicable law; or (2) any rights which are not waivable
as a matter of law. In addition, nothing in this Release prevents me from filing, cooperating with, or participating in any proceeding before the Equal Employment Opportunity Commission or the Department of Labor, except that I hereby waive my right
to any monetary benefits in connection with any such claim, charge or proceeding. I hereby represent and warrant that, other than the Excluded Claims, I am not aware of any claims I have or might have against any of the Released Parties that are not
included in the Released Claims. 
 I hereby represent that I have been paid all compensation owed and for all hours worked, I
have received all the leave and leave benefits and protections for which I am eligible, and I have not suffered any on-the-job injury for which I have not already filed a workers’ compensation claim. 

I acknowledge that to become effective, I must sign and return this Release to the Company so that it is received not later than fourteen
(14) days following the date it is provided to me. 
  

			
	EMPLOYEE
		
	Name:	 	 
		
	Date:	 	 










 For Employees Under Age 40 

Individual and Group Termination 
  

 EXHIBIT D 

BLUE NILE, INC. 

AMENDED & RESTATED 
 CHANGE OF CONTROL SEVERANCE PLAN 
 PARTICIPATION NOTICE 
 You,
                    , have been designated as an Eligible Employees under the Blue Nile, Inc. Amended & Restated Change of Control
Severance Plan (the “Plan”). You are eligible for the following severance benefits upon a Qualifying Termination, subject to the terms and conditions of the Plan: 
 1. Severance Benefits. 
 (a) Cash Severance. The
Company will make a lump sum payment of “Cash Severance” to the Eligible Employee in an amount equal to [        ] x (Base Salary + Target Bonus). The Cash Severance will be paid in a lump sum
on the 60th day after the date of the Separation from
Service. 
 (b) COBRA Premium Benefit. If the Eligible Employee was enrolled in a group health plan (i.e.,
medical, dental, or vision plan) sponsored by the Company or an affiliate of the Company immediately prior to the Qualifying Termination, the Eligible Employee may be eligible to continue coverage under such group health plan (or to convert to an
individual policy) at the time of the Eligible Employee’s termination of employment under the Consolidated Omnibus Budget Reconciliation Act of 1985 (together with any state law of similar effect, “COBRA”). The Company
will notify the Eligible Employee of any such right to continue such coverage at the time of termination pursuant to COBRA. No provision of this Plan will affect the continuation coverage rules under COBRA, except that the Company’s payment, if
any, of applicable insurance premiums, or waiver of any cost of coverage under any self-funded group health plan, will be credited as payment by the Eligible Employee for purposes of the Eligible Employee’s payment required under COBRA.
Therefore, the period during which an Eligible Employee may elect to continue the Company’s or its affiliate’s group health plan coverage at his or her own expense under COBRA, the length of time during which COBRA coverage will be made
available to the Eligible Employee, and all other rights and obligations of the Eligible Employee under COBRA (except the obligation to pay insurance premiums that the Company pays, if any, or, with respect to a self-funded plan, any obligation to
pay the cost of coverage to the Company that the Company waives, if any) will be applied in the same manner that such rules would apply in the absence of this Plan. 
 If an Eligible Employee timely elects continued coverage under COBRA, the Company will pay the full amount of the Eligible Employee’s COBRA premiums, or will provide coverage under any self-funded
plan, on behalf of the Eligible Employee for the Eligible Employee’s continued coverage under the Company’s group health plans, including coverage for the Eligible Employee’s eligible dependents, until the earliest of (i) the end
of the [        ] month period following the Eligible Employee’s Qualifying Termination, (ii) the expiration of the Eligible Employee’s eligibility for the continuation coverage under
COBRA, or (iii) the date when the Eligible Employee becomes eligible for substantially equivalent health insurance coverage in connection with new employment or self-employment (such period from the date of the Qualifying Termination through
the earliest of (i) through (iii), the “COBRA Payment Period”). Notwithstanding the foregoing, if at any time the Company determines, in its sole discretion, that the payment of the COBRA premiums would result in a violation of the
nondiscrimination rules of Section 105(h)(2) of the Code or any statute or regulation of similar effect (including, without limitation, the 2010 Patient Protection and Affordable Care Act, as amended by the 2010 Health Care and Education
Reconciliation Act), then in lieu of providing the COBRA premiums, the Company will instead pay the Eligible Employee, on the first day of each month of the remainder of the COBRA Payment Period, a fully taxable cash payment equal to the COBRA
premiums for that month, subject to applicable tax withholdings and deductions (such amount, the “Special Severance Payment”). On the 60th day following the Eligible Employee’s Separation from Service, the Company will make the first payment under this
clause (and, in the case of the Special Severance Payment, such payment will be made the Eligible Employee, in a lump sum) equal to the aggregate amount of payments that the Company would have paid through such date had such payments commenced on
the Separation from Service through such 60th day, with
the balance of the payments paid thereafter on the original schedule. 








 For Employees Under Age 40 

Individual and Group Termination 
  

 In all cases, if the Eligible Employee becomes eligible for coverage under another employer’s
group health plan or otherwise ceases to be eligible for COBRA during the COBRA Payment Period, the Eligible Employee must immediately notify the Company of such event, and all payments and obligations under paragraph will cease. For purposes of
this Section 1(b), any applicable insurance premiums that are paid by the Company will not include any amounts payable by the Eligible Employee under an Internal Revenue Code Section 125 health care reimbursement plan, which amounts, if
any, are the sole responsibility of the Eligible Employee. 
 (c) Accelerated Vesting. The vesting and exercisability of
all then-outstanding compensatory equity awards held by the Eligible Employee will be accelerated such that the awards are fully vested and exercisable as of the date of the Qualifying Termination. 

2. Timing of Payments: Notwithstanding the payment schedules set forth above, no benefits will be paid prior
to the 60th day following the Separation from Service, or,
if permitted under Section 409A, the effective date of the Release (as applicable, the “Initial Payment Date”). Instead, on the Initial Payment Date, the Company will pay the Eligible Employee the benefits the Eligible Employee would
otherwise have received on or prior to such date pursuant to the original schedule through the Initial Payment Date, with the balance of the benefits being paid as originally scheduled. With respect to COBRA payments, the Eligible Employee may be
required to pay the COBRA premiums directly until the Initial Payment Date. 
 3. Definitions: The following
definitions will apply for purposes of this Exhibit D: 
  

	 	(a)	“Base Salary” will mean the greater of the Eligible Employee’s base salary in effect immediately prior to (i) the Change of
Control or (ii) the date of the Qualifying Termination. Base Salary does not include variable forms of compensation such as bonuses, incentive compensation, commissions, expenses or expense allowances. 


 

	 	(b)	“Target Bonus” will mean the target annual incentive bonus, expressed in dollars, which the Eligible Employee is eligible to earn in the
fiscal year in which (A) the Change of Control occurs or (B) the Qualifying Termination occurs, whichever of (A) or (B) is greater. 

 The foregoing severance benefits are subject to all of the terms and conditions of the Plan, including reduction against any other severance owed to the Eligible Employee. 

I accept my designation as an Eligible Employee and agree to be bound by the terms and conditions of the Plan. I understand and agree that my
acceptance of participation in the Plan replaces my eligibility, if any, to participate in the Prior Plan. 
  

	
	  
	Signature
	
	  
	Print Name