Document:

Supplemental Executive Retirement Plan

 Exhibit 10.14A 
  
 TIDEWATER 
  
 INTERNATIONAL 
  
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
  
  
 INTERNATIONAL PENSION SERP 
  
  
 November 1, 2003 

 TABLE OF CONTENTS 
  

					
	ARTICLE 1:	 	PURPOSE OF THE PLAN	  	1
			
	ARTICLE 2:	 	THE PENSION PLAN	  	1
			
	ARTICLE 3:	 	ADMINISTRATION	  	1
			
	ARTICLE 4:	 	ELIGIBILITY	  	2
			
	ARTICLE 5:	 	AMOUNT OF SUPPLEMENTAL PENSION BENEFIT FOR ELIGIBLE EMPLOYEES OF TIDEWATER CREWING	  	2
			
	ARTICLE 6:	 	AMOUNT OF SUPPLEMENTAL PENSION BENEFIT FOR ELIGIBLE EMPLOYEES OF TIDEWATER NORTH SEA	  	3
			
	ARTICLE 7:	 	PAYMENT OF SUPPLEMENTAL PENSION BENEFIT	  	5
			
	ARTICLE 8:	 	PAYMENT ELECTION IN ANTICIPATION OF A CHANGE OF CONTROL	  	5
			
	ARTICLE 9:	 	EMPLOYEES' RIGHTS	  	6
			
	ARTICLE 10:	 	AMENDMENT AND DISCONTINUANCE	  	6
			
	ARTICLE 11:	 	CHANGE OF CONTROL	  	7
			
	ARTICLE 12:	 	GUARANTY BY THE COMPANY	  	9
			
	ARTICLE 13:	 	RESTRICTIONS ON ASSIGNMENT	  	10
			
	ARTICLE 14:	 	NATURE OF AGREEMENT	  	10
			
	ARTICLE 15:	 	CONTINUED EMPLOYMENT	  	10
			
	ARTICLE 16:	 	BINDING ON EMPLOYER, EMPLOYEES AND THEIR SUCCESSORS	  	11
			
	ARTICLE 17:	 	LAWS GOVERNING	  	11
			
	ARTICLE 18:	 	MISCELLANEOUS	  	11

  

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 TIDEWATER INTERNATIONAL PENSION 
  
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
  
 PREAMBLE 
  
 Tidewater Crewing Limited (“Tidewater Crewing” or “Employer” with respect to Eligible Employees of Tidewater Crewing)
sponsors the Tidewater Multi-National Pension Plan, a defined benefit plan for the benefit of its eligible employees who are non-U.S. citizens. 
  
 Tidewater Marine North Sea Limited (“Tidewater North Sea” or “Employer” with respect to Eligible Employees of Tidewater
North Sea) funds a private executive pension plan for the benefit of its eligible employees who are UK citizens. 
  
 Tidewater Inc. (the “Company”) is the sponsor of the Tidewater Pension Plan (“Pension Plan”). The Pension Plan is
qualified under Section 401(a) of the Internal Revenue Code of 1986 (“Code”). The Pension Plan is for the benefit of eligible U.S. citizens employed with Tidewater Inc. or related entities. 
  
 Tidewater Crewing and Tidewater North Sea adopt this nonqualified unfunded
plan known as the Tidewater International Supplemental Executive Retirement Plan (“Plan”), effective as of November 1, 2003 in order to provide benefits to a select group of management or highly compensated employees equal to the
benefits that such employees would have received if eligible for the Pension Plan determined without regard to Internal Revenue Code limitations reduced by benefits received from the Tidewater Multi-National Pension Plan or the UK private executive
pension plan (such Employer plans collectively referred to herein as the “Foreign Pension Plan”). 
  
 ARTICLE 1: PURPOSE OF THE PLAN 
  
 The Employers intend and desire by the adoption of this Plan to recognize the value to the Employers of past and present services of certain Eligible Employees and to encourage and assure their continued service with
the Employer by making more adequate provision for their future retirement security. 
  
 ARTICLE 2: THE PENSION PLAN 
  
 The Pension Plan, whenever referred to in this Plan, shall mean the Tidewater Pension Plan, as amended, as it exists as of the date any determination is made of benefits payable under this Plan. All terms used in this Plan shall have the
meanings assigned to them under the provisions of the Pension Plan, unless otherwise qualified by the context. Any ambiguities or gaps in this Plan shall be resolved by reference to the Pension Plan document. 
  
 ARTICLE 3: ADMINISTRATION 
  
 This Plan shall be administered by the Compensation Committee of the
Tidewater Inc. Board of Directors, the Pension Plan Employee Benefits Committee, and the Board of Directors of Tidewater Inc. which shall administer this Plan in a manner consistent with their duties of 

  

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administration of the Pension Plan. Each of these governing bodies shall have full power and authority to interpret, construe and administer this Plan in
accordance with their respective duties under the Pension Plan, and a governing body’s interpretations and constructions hereof and actions hereunder, including the timing, form, amount or recipient of any payment to be made hereunder, within
the scope of its authority, shall be binding and conclusive on all persons for all purposes. No member of a governing body shall be liable to any person for any action taken or omitted in connection with the interpretation and administration of this
Plan, unless attributable to his own willful misconduct or lack of good faith. Each administrator shall be fully indemnified as provided in the Pension Plan. A member of a governing body shall not participate in any action or determination regarding
his own benefits hereunder. 
  
 ARTICLE 4: ELIGIBILITY

  
 To be eligible to participate in this Plan, an Employee
who is employed by one of the Employers must serve as an officer of the Company (the “Eligible Employee”). 
  
 An Eligible Employee who ceases to be an Eligible Employee because of a change in his status as an officer shall have benefits under this Plan frozen as
of the date he ceases to be an officer, and his benefits shall be paid as provided in Articles 7 and 8. Notwithstanding the foregoing, the Company’s Board of Directors or the Compensation Committee of the Company’s Board of Directors may,
in its discretion, determine to increase benefits hereunder, credit an Eligible Employee with an additional period of service hereunder, accelerate the time or times of payment of benefits hereunder or change the date (but not retroactively) on
which benefits cease to accrue for an Employee or terminating Employee. 
  
 ARTICLE 5: AMOUNT OF SUPPLEMENTAL PENSION BENEFIT 
 FOR ELIGIBLE EMPLOYEES OF TIDEWATER CREWING 
  
 Unless otherwise determined by the Company’s Board of Directors or the
Company’s Compensation Committee under Article 4, the amount of supplemental pension benefit shall be: 
  
 (a) The supplemental pension benefit payable to an Eligible Employee or his Beneficiary or Beneficiaries under this Plan shall be the actuarial equivalent
(based on the definition of this term in Section 1.02 of the Pension Plan of the excess, if any, of (i) over (ii) as described below: 
  
 (i) the benefit which would have been payable to such Eligible Employee or on his behalf to his Beneficiary or Spouse, as the case may be, determined as
a monthly single life annuity under the Pension Plan, if such Eligible Employee had been eligible to participate in the Pension Plan as of the date hired by the Employer, treating compensation with Company and Employer as if earned within the United
States and subject to Social Security and determining such benefit without regard to either the maximum amount of retirement income limitations of Section 415 of the Code, or the maximum compensation limitation of Section 401(a)(17) of the Code,

  
 (ii) the benefit which is in fact payable to such Eligible
Employee or on his behalf to his Beneficiary or Spouse under the Tidewater Multi-National Pension Plan; 
  

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 (b) The computation in paragraph (i) above shall be made as though the factor, 0.85%, in Section
5.01(b)(1) of the Pension Plan were 1.35%. 
  
 (c) The computation
in paragraph (i) above shall be made as to take into account any change authorized by the Company’s Board of Directors or the Company’s Compensation Committee as permitted in Article 4 hereof. The computation shall also be made as though
the Employee’s service, determined under the service provisions of the Pension Plan, included the service prior to a break in service lost under such Pension Plan as a result of a break in service. After an Employee becomes an Eligible
Employee, he may request the Employer to provide him with a written statement of the number of years of service lost under the terms of the Pension Plan. If the Eligible Employee disagrees with the Employer’s determination, he immediately shall
contest it through the Plan’s Appeal Procedure referenced in Article 17, below. In the absence of the Eligible Employee’s timely request and objection, the Employer’s determination shall become fixed. 
  
 (d) Supplemental pension benefits payable under this Plan to any Eligible
Employee shall be computed in accordance with the foregoing, provided the Eligible Employee has met the vesting requirements of the Pension Plan, with the objective that such Eligible Employee should receive under this Plan and the Tidewater
Multi-National Pension Plan the total amount which would have been payable to that Eligible Employee solely under the Pension Plan (as enriched by (b) and (c)). This provision applies even if the Eligible Employee terminates employment before
becoming fully vested in the Tidewater Multi-National Pension Plan.  
  
 ARTICLE 6: AMOUNT OF SUPPLEMENTAL PENSION BENEFIT 
 FOR ELIGIBLE EMPLOYEES OF TIDEWATER NORTH SEA

  
 Unless otherwise determined by the Company’s Board of
Directors or Company’s Compensation Committee under Article 4, the amount of supplemental pension benefit shall be: 
  
 (a) The supplemental pension benefit payable to an Eligible Employee or his Beneficiary or Beneficiaries under this Plan shall be the actuarial equivalent
(based on the definition of this term in Section 1.02 of the Pension Plan) of the excess, if any, of (i) over (ii) as described below: 
  
 (i) the benefit which would have been payable to such Eligible Employee or on his behalf to his Beneficiary or Spouse, as the case may be, determined as
a monthly single life annuity under the Pension Plan, if such Eligible Employee had been eligible to participate in the Pension Plan as of the date hired by the Employer, treating compensation with Company and Employer as if earned within the United
States and subject to Social Security, and determining such benefit without regard to either the maximum amount of retirement income limitations of Section 415 of the Code, or the maximum compensation limitation of Section 401(a)(17) of the Code,

  
 (ii) the Eligible Employee’s hypothetical UK private
executive pension plan (the “UK Plan”) benefit based on a monthly single life annuity. In determining such benefit both the Code Section 401(a)(17) compensation limit and Code Section 415 

  

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maximum benefit limit apply. The amount is determined by starting with the Eligible Employee’s actual UK Plan account balance attributable to
contributions since employed with the Employer as of the date he becomes an officer with increases based upon the following assumption through the payment date: 
  

	 	(A)	contribution of 3% of compensation, as defined in the UK Plan, commencing no earlier than the first month following one year of employment; such contributions are assumed made to
the UK Plan at the end of the plan year; 

  

	 	(B)	contributions assumed to grow with interest at 6%, compounded annually; 

  

	 	(C)	in the year of termination or loss of eligibility for this Plan, the balance is assumed to grow using simple interest at 6% applied to the beginning of year balance. Additionally, a
partial year contribution is assumed made at the termination date or loss of eligibility for this Plan; 

  

	 	(D)	the balance is assumed to increase with simple interest at 6% through the end of the year of termination (or payment date, if earlier); 

  

	 	(E)	the balance is assumed to increase with simple interest at 6%, compounded annually, from the end of the year of termination to the end of the year preceding payment date;

  

	 	(F)	the balance is further assumed to increase with simple interest at 6% from the end of the year preceding the payment date through the payment date; and 

  

	 	(G)	the balance at payment date is converted to an annuity using the actuarial equivalence factors at Section 1.02 of the Pension Plan. 

  
 (b) The computation in paragraph (i) above shall be made as though the
factor, 0.85%, in Section 5.01(b)(1) of the Pension Plan were 1.35%. 
  
 (c) The computation in paragraph (i) above shall be made as to take into account any change authorized by the Company’s Board of Directors or the Company’s Compensation Committee as permitted in Article 4 hereof. The computation
shall also be made as though the Employee’s service, determined under the service provisions of the Pension Plan, included the service prior to a break in service lost under such Pension Plan as a result of a break in service. 
  
 (d) Supplemental pension benefits payable under this Plan to any Eligible
Employee who is not eligible for benefits under the Pension Plan shall be computed in accordance with the foregoing, provided the Eligible Employee has met the vesting requirements 

  

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of the Pension Plan, (with the objective that the Eligible Employee should receive under this Plan and the UK Plan the total amount which would have been
payable to that recipient solely under the Pension Plan (as enriched by (b) and (c)). 
  
 ARTICLE 7: PAYMENT OF SUPPLEMENTAL PENSION BENEFIT 
  
 Except as provided in Article 4, 10 or 11 or unless the Employee elects otherwise under this Article 7 or Article 8, the supplemental pension benefit under the Plan with respect to an Employee shall commence as of the
first of the month following the later of termination of employment and attaining Normal Retirement Age (as defined in the Pension Plan). An Employee can elect, on a form provided by the Committee, to receive a benefit commencing prior to his Normal
Retirement Age (as defined in the Pension Plan) following termination of employment and after attaining age 55 and completing 10 years of Vesting Service (as defined in the Pension Plan), but only if an election is made at least 13 months prior to
the benefit commencement date. The benefit will be paid in the form of a single life annuity or, if married, in the form of a 50% joint and survivor annuity unless a different form permitted under the Pension Plan is elected, but only if the
election is made at least 13 months prior to the benefit commencement date. The benefit paid earlier than Normal Retirement Age (as defined in the Pension Plan) shall be determined as if paid under the Pension Plan taking into account the early
payment adjustments. 
  
 If the Employee’s spouse is
surviving at the Employee’s death, the spouse will receive a 50% survivor spouse annuity. The benefit to the spouse shall commence as of the first of the month following the Employee’s death. If there is no spouse at the Employee’s
death, a benefit will not be paid. However, if the Employee’s death is after benefits have commenced, the benefits will continue based upon the applicable form. Further, if the Employee continues employment past age 65 he may elect to provide a
benefit for 5, 10, 15, or 20 years to a designated beneficiary. The beneficiary’s benefit is actuarially adjusted to reflect the length of the payment period. The spouse must consent to an alternate beneficiary. If (i) the beneficiary or
beneficiaries, should die before such total guaranteed number of payments have been made, the remaining payments will be made to the estate of such beneficiary, or beneficiaries (or, if designated by the payee, to a secondary beneficiary or
beneficiaries), or (ii) there is no surviving designated beneficiary upon the payee’s death, any remaining guaranteed payments will be made to the payee’s estate, provided that in either such event payment may be made either in an
Actuarially Equivalent (as defined in the Pension Plan) single sum, payable immediately, or as a continuation of the monthly payments, as selected by the Committee. 
  
 The foregoing notwithstanding, if the total value of the benefit payable under the Plan to the Employee, the Employee’s
Spouse, or designated beneficiary upon the Employee’s termination of employment (by retirement, death or otherwise) is less than $10,000, the recipient shall receive an immediate lump sum benefit. All benefits shall be paid in U.S. dollars.

  
 ARTICLE 8: PAYMENT ELECTION IN ANTICIPATION 

OF A CHANGE OF CONTROL 
  
 An Employee or a former Employee who has not yet satisfied the requirements to begin to receive payment of benefits under the Plan can elect at any time
prior to a Change of Control, 

  

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in a form and manner reasonably satisfactory to the Company, to have the supplemental pension benefit that becomes payable under this Plan (and, if
applicable, as increased under the Employee’s Change of Control Agreement) to such Employee or former Employee following a Change of Control paid in cash in the form of a lump sum as of the date payments to the Employee would otherwise commence
under the terms of the Plan, or if earlier, within five business days of the date of any termination of employment that would result in payments to the Employee under the Employee’s Change of Control Agreement, without regard to the form of
payment provisions otherwise provided in the Plan and any payment or distribution elections applicable to the payment of the Employee’s or former Employee’s benefit in the absence of a Change of Control. A former Employee who has satisfied
the requirements to begin to receive the payment of benefits under the Plan, whether or not payments have commenced, can elect at any time prior to a Change of Control, in a form and manner reasonably satisfactory to the Company, to have the full
value of the remaining supplemental pension benefits payable to such former Employee paid in a lump sum in cash within five business days of the Change of Control, without regard to the form of payment provisions otherwise provided in the Plan and
any payment or distribution elections applicable to the payment of the former Employee’s benefit in the absence of a Change of Control. The determination of the lump sum amount shall be made using the same assumptions as are used in the Pension
Plan to determine the amount of a lump sum benefit. 
  
 ARTICLE
9: EMPLOYEES’ RIGHTS 
  
 No Employee, Spouse or
Beneficiary shall have greater rights under this Plan than those of general creditors of the Employer that received services of the Eligible Employee. Benefits payable under this Plan shall be a mere promise to pay in the future and shall be a
general, unsecured obligation of the Employer that received services of the Eligible Employee. Notwithstanding, the benefits payable from this Plan shall be paid by the Employer of the respective Eligible Employee from its own funds. Such payments
shall not (i) impose any additional obligation upon the Employer under the Pension Plan or Foreign Pension Plan; (ii) be paid from the Pension Plan or Foreign Pension Plan; or (iii) have any effect whatsoever upon the Pension Plan or Foreign Pension
Plan. No Employee or his Beneficiary or Spouse shall have any title to or beneficial ownership in any assets which an Employer may use to pay benefits hereunder. Notwithstanding the foregoing provisions of this Article 9 and any other provision of
the Plan (including, without limitation, Article 13), an Employer may, in its discretion, establish a trust to pay amounts becoming payable pursuant to the Plan, which trust shall be subject to the claims of the general creditors of the applicable
Employer of the Employee in the event of its bankruptcy or insolvency. Notwithstanding any establishment of such a trust, the Employer shall remain responsible for the payment of any amounts so payable which are not so paid by such trust.

  
 ARTICLE 10: AMENDMENT AND DISCONTINUANCE 
  
 Each Employer expects to continue this Plan indefinitely but, except as
otherwise provided, reserves the right to amend or discontinue it if, in its sole judgment, such a change is deemed necessary or desirable. However, if the Company should amend or discontinue this Plan, the Employer shall continue to be liable to
pay all benefits accrued under this Plan (determined on the basis of each Employee’s presumed termination of employment as of the date 

  

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of such amendment or discontinuance), as of the date of such action. Such accrued benefits shall be calculated pursuant to the provisions of the Plan
immediately prior to any such amendment or discontinuance. Upon a discontinuance, all benefits shall be 100% vested, and a lump sum equal to the actuarial present value of each Employee’s unpaid accrued benefit under this Plan shall be
distributed to the Employee (or his Beneficiary or Spouse), and the Employer shall have no further obligation under this Plan. Such lump sum distributions shall be distributed within the thirty (30) days immediately following such discontinuance. No
amendment shall be deemed to cause a reduction in an Employee’s accrued benefit under this Plan if the reduction of the benefit under this Plan is paired with a corresponding increase in the accrued benefit under the Pension Plan or applicable
Foreign Pension Plan. 
  
 ARTICLE 11: CHANGE OF CONTROL

  
 11.1 Effect of Change of Control. 
  
 (a) Upon a Change of Control (as defined in Section 11.2 hereof) all
benefits which have accrued under the Plan shall immediately become fully vested. 
  
 (b) Additional fully vested benefits shall accrue under this Plan pursuant to an Eligible Employee’s Change of Control Agreement if after a Change of Control (as defined in Section 11.2 hereof) and during the
“Employment Term”, the Company terminates the Employee’s employment other than for “Cause”, death or “Disability”, or the Employee terminates employment for “Good Reason”. Each phrase within quotes in
this provision is defined in the Employee’s Change of Control Agreement. 
  
 (c) Upon or after a Change of Control, the Plan shall be deemed to have been discontinued (within the meaning of Article 10 hereof) upon the first to occur of the following: 
  
 (i) the date of the Change of Control if the successor to the Company or
Employer shall have failed to assume the obligations under the Plan prior to or upon such Change of Control, either by express agreement or by operation of law, 
  

(ii) the date of any amendment to the Plan which reduces or adversely affects either the benefit accrued with respect to any Employee or the future
benefit accrual of any Employee (unless paired with a corresponding increase in the benefit paid under the Pension Plan), or 
  
 (iii) if the Employer shall have established a trust as described in the last two sentences of Article 9 hereof, any failure of the Employer (or the
successor to the Employer) to make in a timely fashion any contribution to the trust with respect to benefits accrued under the Plan which may be required by the terms of such trust. 
  
 11.2 Definition of Change of Control. As used in this Section 11, ‘Change of Control’ shall mean:

  
 (a) the acquisition by any ‘Person’ (as defined in
Section 11.3 hereof) of ‘Beneficial Ownership’ (as defined in Section 11.3 hereof) of 30% or more of the outstanding Shares of the Company’s Common Stock, $0.10 par value per share (the ‘Common Stock’) or 

  

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30% or more of the combined voting power of the Company’s then outstanding securities; provided, however, that for purposes of this subsection 11.2(a),
the following shall not constitute a Change of Control: 
  
 (i) any acquisition (other than a ‘Business Combination’ (as defined in Section 11.2(c) hereof) which constitutes a Change of Control under Section 11.2(c) hereof) of Common Stock directly from the Company, 
  
 (ii) any acquisition of Common Stock by the Company or its subsidiaries,

  
 (iii) any acquisition of Common Stock by any employee benefit
plan (or related trust) sponsored or maintained by the Company or any corporation controlled by the Company, or 
  
 (iv) any acquisition of Common Stock by any corporation pursuant to a Business Combination which does not constitute a Change of Control under Section
11.2(c) hereof; or 
  
 (b) individuals who, as of the effective
date of the Amendment, constitute the Board (the ‘Incumbent Board’) cease for any reason to constitute at least a majority of the Board; provided, however, that any individual becoming a director subsequent to the effective date of the
Amendment whose election, or nomination for election by the Company’s shareholders, was approved by a vote of at least a majority of the directors then comprising the Incumbent Board shall be considered a member of the Incumbent Board, unless
such individual’s initial assumption of office occurs as a result of an actual or threatened election contest with respect to the election or removal of directors or other actual or threatened solicitation of proxies or consents by or on behalf
of a Person other than the Incumbent Board; or 
  
 (c)
consummation of a reorganization, merger or consolidation (including a merger or consolidation of the Company or any direct or indirect subsidiary of the Company), or sale or other disposition of all or substantially all of the assets of the Company
(a ‘Business Combination’), in each case, unless, immediately following such Business Combination, 
  
 (i) the individuals and entities who were the Beneficial Owners of the Company’s outstanding Common Stock and the Company’s voting securities
entitled to vote generally in the election of directors immediately prior to such Business Combination have direct or indirect Beneficial Ownership, respectively, of more than 50% of the then outstanding shares of common stock, and more than 50% of
the combined voting power of the then outstanding voting securities entitled to vote generally in the election of directors, of the Post-Transaction Corporation (as defined in Section 11.3 hereof), and 
  
 (ii) except to the extent that such ownership existed prior to the Business
Combination, no Person (excluding the Post-Transaction Corporation and any employee benefit plan or related trust of either the Company, the Post-Transaction Corporation or any subsidiary of either corporation) Beneficially Owns, directly or
indirectly, 30% or more of the then outstanding shares of common stock of the corporation resulting from such Business Combination or 30% or more of the combined voting power of the then outstanding voting securities of such corporation, and

  

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 (iii) at least a majority of the members of the board of directors of the Post-Transaction Corporation
were members of the Incumbent Board at the time of the execution of the initial agreement, or of the action of the Board, providing for such Business Combination; or 
  
 (d) approval by the shareholders of the Company of a complete liquidation or dissolution of the Company. 
  
 Notwithstanding any other provision hereof, a change of control of the Employer, as a result
of which the Employer is no longer a subsidiary of the Company or the Employer’s assets are no longer owned by a subsidiary of the Company, does not constitute a Change of Control of the Company, as defined herein, unless such transaction forms
a part of a transaction that meets the definition of a Change of Control of the Company. 
  
 11.3 Other Definitions. As used in Section 11.2 hereof, the following words or terms shall have the meanings indicated: 
  

(a) Affiliate: ‘Affiliate’ (and variants thereof) shall mean a Person that controls, or is controlled by, or is under common control with,
another specified Person, either directly or indirectly. 
  
 (b)
Beneficial Owner: ‘Beneficial Owner’ (and variants thereof), with respect to a security, shall mean a Person who, directly or indirectly (through any contract, understanding, relationship or otherwise), has or shares (i) the power to vote,
or direct the voting of, the security, and/or (ii) the power to dispose of, or to direct the disposition of, the security. 
  
 (c) Person: ‘Person’ shall mean a natural person or company, and shall also mean the group or syndicate created when two or more Persons act as
a syndicate or other group (including, without limitation, a partnership or limited partnership) for the purpose of acquiring, holding, or disposing of a security, except that ‘Person’ shall not include an underwriter temporarily holding a
security pursuant to an offering of the security. 
  
 (d)
Post-Transaction Corporation: Unless a Change of Control includes a Business Combination (as defined in Section 11.2(c) hereof), ‘Post-Transaction Corporation’ shall mean the Company after the Change of Control. If a Change of Control
includes a Business Combination, ‘Post-Transaction Corporation’ shall mean the corporation resulting from the Business Combination unless, as a result of such Business Combination, an ultimate parent corporation controls the Company or all
or substantially all of the Company’s assets either directly or indirectly, in which case, ‘Post-Transaction Corporation’ shall mean such ultimate parent corporation. 
  
 ARTICLE 12: GUARANTY BY THE COMPANY 
  
 The Company hereby binds itself, on a joint and several basis, with each Employer for the full performance by the Employer
of all obligations, and liabilities of the Employer to 

  

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Employee of every kind, character, and description whatsoever, direct or indirect, absolute or contingent, due or to become due, now existing or hereafter
incurred, liquidated or unliquidated, arising under the Plan, together with all costs of collection, including, without limitation, reasonable attorneys’ fees and court costs (the “Obligations”). 
  
 This is a continuing guaranty which may be enforced before or after
proceeding against the Employer for the Obligations and shall remain in effect until the Employer has performed all of its Obligations under the Agreement and the Agreement has terminated or expired. The Company waives all pleas of discussion and
division, presentment and demand for payment from the Employee, protests and notice of dishonor or default. 
  
 ARTICLE 13: RESTRICTIONS ON ASSIGNMENT 
  
 The interest of an Employee or his Beneficiary or Spouse may not be sold, transferred, assigned, or encumbered in any manner, either voluntarily or
involuntarily, and any attempt so to anticipate, alienate, sell, transfer, assign, pledge, encumber, or charge the same shall be null and void; neither shall the benefits hereunder be liable for or subject to the debts, contracts, liabilities,
engagement, or torts of any person to whom such benefits or funds are payable, nor shall they be subject to garnishment attachment, or other legal or equitable process nor shall they be an asset in bankruptcy, except that no amount shall be payable
hereunder until and unless any and all amounts representing debts or other obligations owed to the Company or Employer or any affiliate of the Company or Employer by the Employee with respect to whom such amount would otherwise be payable shall have
been fully paid and satisfied. The interest of any Employee, Beneficiary or Spouse shall be held subject to the maximum restraint on alienation permitted or required by applicable Louisiana law. 
  
 ARTICLE 14: NATURE OF AGREEMENT 
  
 Eligible Employees and their Beneficiaries by virtue of participating under
this Plan have only an unsecured right to receive benefits from their Employer as a general creditor of the Employer. The Plan constitutes a mere promise to make payments in the future. The adoption of the Plan and any setting aside of amounts by
the Employer with which to discharge its obligations hereunder shall not be deemed to create a trust for the benefit of Eligible Employees or their Beneficiaries; except as provided in any trust document, legal and equitable title to any funds so
set aside shall remain in the Employer, and any recipient of benefits hereunder shall have no security or other interest in such funds. Any and all funds so set aside shall remain subject to the claims of the general creditors of the Employer that
received services of the Eligible Employee, present and future, and no payment shall be made under this Plan unless the applicable Employer is then solvent. This provision shall not require the Employer to set aside any funds, but the Employer may
set aside such funds if it chooses to do so. 
  
 ARTICLE 15:
CONTINUED EMPLOYMENT 
  
 Nothing contained herein shall be
construed as conferring upon any Employee the right to continue in the employ of the Employer or Company in any capacity. 
  

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 ARTICLE 16: BINDING ON EMPLOYER, EMPLOYEES AND THEIR SUCCESSORS 
  
 This Plan shall be binding upon and inure to the benefit of the Employer, its
successors and assigns, and each Eligible Employee and his heirs, executors, administrators and legal representatives. 
  
 ARTICLE 17: LAWS GOVERNING 
  
 This Plan shall be construed in accordance with and governed by the laws of the State of Louisiana, except to the extent that the Plan is governed by the
Employee Retirement Income Security Act of 1974 (“ERISA”). It is the Employer’s intent that the Plan shall be exempt from ERISA’s provisions, to the maximum extent permitted by law. To the extent that the Plan is an excess
benefit plan (as defined in Section 3(36) of ERISA), it shall be exempt from coverage entirely, as provided in ERISA Section 4(b)(5). The Plan is intended to be unfunded for federal income tax purposes and for purposes of title I of ERISA and
intended to provide deferred compensation only for a select group of management or highly compensated employees and shall be exempt from Parts 2, 3, and 4 of ERISA, pursuant to Sections 201(2), 301(a)(3), and 401(a)(1) of ERISA. 
  
 ARTICLE 18: MISCELLANEOUS 
  
 18.1 Claims and Appeal Procedures. All disputes over benefits
allegedly due under this Plan shall be resolved through the procedures for making claims, and appealing from denials of claims, that are set forth in the Summary Plan Description of the Pension Plan. 
  
 18.2 Recovery of Payments Made by Mistake. Notwithstanding anything to
the contrary, an Eligible Employee or other person receiving amounts from the Plan is entitled only to those benefits provided by the Plan and promptly shall return any payment, or portion thereof, made by mistake of fact or law. The Committee may
offset the future benefits of any recipient who refuses to return an erroneous payment, in addition to pursuing any other remedies provided by law. 
  

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 EXECUTED effective this 1st day of November, 2003. 
  

			
	TIDEWATER CREWING LIMITED
		
	By:	 	 /s/ Dean E. Taylor

	 	 	Dean E. Taylor
	 	 	Director

  
 ATTEST: 
  

	
	 /s/ Michael L. Goldblatt

	Assistant Secretary
	(Corporate Seal)

  
 EXECUTED effective
this 1st day of November, 2003. 
  

			
	TIDEWATER MARINE NORTH SEA LIMITED
		
	By:	 	 /s/ Dean E. Taylor

	 	 	Dean E. Taylor
	 	 	Director

  
 ATTEST: 
  

	
	 /s/ Michael L. Goldblatt

	Joint Secretary
	(Corporate Seal)

  

 12Executive Medical Benefit Plan

 Exhibit 10.16 
  
 THE TIDEWATER HEALTH CARE PLAN CERTIFICATE 
  
 FOR 
  
 ACTIVELY EMPLOYED OFFICERS OF TIDEWATER INC. 
  
 EXECUTIVE HEALTH AND DENTAL BENEFITS 
  
 PROVIDED BY 
  
 BLUE CROSS AND BLUE SHIELD OF LOUISIANA 
 (Incorporated as Louisiana Health Service and
Indemnity Company) 
  
 This insurance coverage is being provided by Blue Cross
and Blue Shield of Louisiana and Your Employer, Tidewater Inc. It is a fully-insured Benefit Plan. It is the intent of the Group and the Company to provide Benefits in accordance with the laws of the state where the Group Benefit Plan is issued,
unless otherwise forbidden by the laws of the state where You live. If there is a conflict between any provision in this Certificate and the applicable state law, the state law will prevail. 
  
 This Certificate is a supplement to any other Group Employee Benefit Plan Certificate(s)
previously issued to You describing this insurance coverage and is intended to provide additional Benefits for some of the Eligible Expenses incurred by You and Your family that are not payable under the other Group Employee Benefit Plan. Benefits
will be paid at the Coinsurance Percentage, as shown in the Schedule of Benefits, for all Eligible Expenses. 
  
 This Certificate does not waive or alter any of the terms of the Benefit Plan. If coverage questions arise, the Benefit Plan will govern. 
  
 The Group referred to herein means Tidewater Inc. The Company referred to herein means Blue Cross and Blue Shield of Louisiana and/or
another Blue Cross and Blue Shield Plan that has entered into an agreement with Blue Cross and Blue Shield of Louisiana to provide Benefits to eligible Members under the Benefit Plan. A word used in the masculine gender applies also in the feminine
gender. 

 TABLE OF CONTENTS 
  

			
	 	  	PAGE

	 Definitions
	  	3
		
	 Expenses Not covered
	  	8
		
	 Coordination of Benefits
	  	9
		
	 Termination of Coverage
	  	13
		
	 Continuation of Insurance Upon Death of the Employee
	  	14
		
	 Continuation of Insurance
	  	15
		
	 COBRA Continuation of Coverage
	  	16
		
	 Right of Subrogation
	  	18
		
	 General Provisions
	  	18
		
	 ERISA Rights
	  	26

  

 2 

 DEFINITIONS 
  
 The following Definitions are applicable to the Benefit Plan in addition to the Definitions contained in the Group Employee Benefit Plan
Certificate previously issued to You which describes the Covered Services provided under the Benefit Plan. Please refer to that document also for a full description of Definitions. 
  
 Age - The age of the Covered Person at his or her last birthday. 
  
 Benefits - The amount provided by the Company, subject to any limitation specified in the Benefit Plan, for Covered Services in
accordance with the Coinsurance percentage shown in the Schedule of Benefits. 
  
 Benefits paid for Covered Services listed herein must be: 
  

	 	1.	For medical care as defined under Internal Revenue Service (IRS) Section 231(d); and 

  

	 	2.	Required for treatment; and 

  

	 	3.	Recommended and approved by the attending Physician. 

  
 The Company will provide Benefits, at the Coinsurance percentage shown in the Schedule of Benefits, for those Covered Services shown in the Schedule of Benefits, which
are not payable, in whole or in part, under the Group Employee Benefit Plan. All Eligible Expenses must be incurred after You become covered under the Plan. 
  
 The total Benefits paid will not exceed the Benefit Period Maximum Amount per family, as shown in the Schedule of Benefits. No Benefits will be paid for services,
supplies, or equipment listed under the Expenses Not Covered provision, unless otherwise stated in the Benefit Plan. 
  
 Benefit Period - A calendar year, January 1 through December 31. For new Members, the initial Benefit Period begins on the Enrollment Date and ends on December 31
of the same year.  
  
 Certificate - The agreement between the
Company and the Employee, including the original and/or amended Schedule of Benefits, the Employee’s individual application (if medically underwritten), and any amendments to the Certificate. 
  
 Claim - A claim is written or electronic proof, in a form acceptable to the Company,
of charges for Covered Services that have been incurred by a Member during the time period the Member was insured under the Benefit Plan. The provisions in effect at the time the service or treatment is received shall govern the processing of any
claim expense actually incurred as a result of the service or treatment rendered. 
  
 Company - Blue Cross and Blue Shield of Louisiana (incorporated as Louisiana Health Service & Indemnity Company), and/or another Blue Cross and Blue Shield Plan that has entered into an agreement with Blue Cross and Blue Shield
of Louisiana to provide Benefits to eligible Members under the Benefit Plan. 
  
 Covered Person - A person who is eligible for coverage as an Employee or a Dependent and for which applicable premiums have been paid. 
  
 Covered Service - A service or supply specified in the Benefit Plan for which Benefits are available when rendered by a Provider. A charge for a Covered Service is
considered to have been incurred on the date the service or supply was provided to the Member. 
  

 3 

 Creditable Coverage - A period of insurance coverage under an individual or group health plan (including Medicare,
Medicaid, governmental and church plans) that is not followed by a Significant Break in Coverage. Creditable Coverage does not include coverage for liability, dental, vision, specified disease and/or other supplemental type benefits, unless the
Member elects all lines of coverage. 
  
 Dependent - A person who is
designated by an Eligible Participant may become covered or is entitled to Benefits under the Benefit Plan if he/she is one of the following: 
  

	 	A.	An Eligible Participant’s spouse (if not legally separated or divorced from the Eligible Participant). 

  

	 	B.	An Eligible Participant’s unwed child from birth or placement for legal adoption (but not after the child is removed from placement prior to legal adoption), until the child
attains Age nineteen (19), provided the child is more than fifty percent (50%) dependent on the Eligible Participant for support and maintenance. An unwed child who is a student may be covered until Age twenty-five (25), provided such child is a
Full-Time Student attending an accredited college, vocational or high school and enrolled in sufficient courses to maintain such full-time status. Proof of the child’s enrollment as a Full-Time Student must be submitted to the Company.

  

	 	C.	An Eligible Participant’s handicapped child who has attained Age nineteen (19), provided such child is: 

  

	 	1.	Unwed; and 

  

	 	2.	Mentally incapable or physically incapable of earning his/her own living. Proof of such incapacity must be furnished to the Company within thirty-one (31) days of his/her attainment
of the limiting Age; and 

  

	 	3.	Dependent upon the Eligible Participant for support and maintenance; and 

  

	 	4.	A covered person on the day immediately prior to attaining the limiting Age. 

  

	 	D.	An Eligible Participant’s child who is recognized under a qualified medical child support order, as determined by federal law, as having a right to receive Benefits under the
Benefit Plan. 

  
 The term “child”
includes: 
  

	 	1.	A stepchild; 

  

	 	2.	A legally adopted child; 

  

	 	3.	With respect to Major Medical Benefits only, a child who has been placed in the Eligible Participant’s home for adoption; 

  
 and who is more than fifty percent (50%) dependent upon the Eligible
Participant for support and maintenance. 
  
 Eligible Expense(s) -
Treatment, services, and/or supplies, which must be: (1) Medically Necessary for the care or treatment of an Injury or Illness; and (2) Recommended and approved by a Physician or a Participating Provider. All Eligible Expenses must be incurred after
the person becomes covered under the Benefit Plan. 
  

 4 

 Eligible Participant - 
  

	 	A.	An Eligible Participant is defined as an Employee of the Group, who is a member of one of the classes of coverage described in the Classification Schedule shown in the Schedule of
Benefits of the Group Employee Benefit Plan Certificate, who is an Officer of Tidewater Inc. 

  

	 	B.	An Eligible Participant becomes a Covered Person when enrolled for coverage under the Benefit Plan. 

  

	 	C.	No person may be covered as both an Eligible Participant and a Dependent at the same time. 

  
 Employee - An Eligible Participant who qualifies for coverage in accordance with the class as determined by the Group and described
on the application for coverage. 
  
 Enrollment Date - The first day of
coverage under the Benefit Plan or if there is a Waiting Period, the first day of the Waiting Period. 
  
 Full-Time Student - 
  

	 	A.	A Dependent attending an accredited college, vocational or high school; and 

  

	 	B.	A Dependent enrolled in sufficient courses to maintain full-time status. 

  
 Full-Time Student status will continue during school vacation if: 
  

	 	A.	The Dependent was enrolled as a Full-Time Student immediately prior to the vacation; and 

  

	 	B.	Intends to return as a Full-Time Student; and 

  

	 	C.	Returns to school after vacation, if not prevented from doing so due to Illness or Injury. 

  
 The Company and the Group reserve the right to require proof of Full-Time Student status. 
  
 Group - Tidewater Inc., or other legal entity of Tidewater Inc., for
which Blue Cross and Blue Shield of Louisiana administers the Benefit Plan. 
  
 Illness - A disorder or disease of the mind or body or a pregnancy. 
  
 Injury - Accidental bodily injury sustained by a Covered Person while he is covered under the Benefit Plan. It must be independent of sickness, disease, bodily infirmity or other causes. 
  
 Investigational - The use of any treatment, procedure, facility, equipment, drug,
device or supply not accepted, as determined by the Company, as standard medical treatment of the condition being treated, or any such items requiring federal or other government agency approval not granted at the time services were rendered.

  
 Late Enrollee - A Participant who enrolls in the Benefit Plan after the
initial enrollment period and who does not make application during any special enrollment period. 
  

 5 

 Medically Necessary (or “Medical Necessity”) - Those services, treatments, procedures, equipment,
drugs, devices, items or supplies furnished by a covered Provider that are required to identify or treat a Member’s Illness or Injury, and which are determined by the Company to be covered under the Benefit Plan in that they are: 
  

	 	A.	consistent with symptoms, diagnosis and treatment of the Member’s condition, Illness, or Injury; and 

  

	 	B.	consistent with standards of good medical practice; and 

  

	 	C.	not primarily for the personal comfort or convenience of the Member, his or her family, or the Provider; and 

  

	 	D.	the most appropriate supply or level of care which can safely be provided to the Member. When applied to the care of an Inpatient, it further means that the Member’s medical
symptoms or condition require continuous twenty-four (24) hour a day Physician and nursing intervention and that the services cannot be safely provided to the Member as an Outpatient. 

  
 The fact that a Physician or other Provider prescribes, orders, recommends or approves a
service or supply, or that a court orders a service or supply to be rendered, does not make it Medically Necessary. 
  
 Member - An Eligible Participant or an enrolled Dependent. 
  
 Open Enrollment Period - Unless specified in the Schedule of Benefits, the Open Enrollment Period means the one (1) month period prior to the beginning of each
Plan Year. 
  
 Physician - A Doctor of Medicine or a Doctor of Osteopathy
legally qualified and licensed to practice medicine and practicing within the scope of his or her license at the time and place service is rendered. 
  
 Provider - A Hospital, Allied Health Facility, Physician, or Allied Health Professional, licensed where required, performing within the scope of license, and
approved by the Company. 
  

	 	A.	Participating Provider - A Provider that has a Provider Agreement with the Blue Cross and Blue Shield Plan pertaining to payment for Covered Services rendered to a Member.

  

	 	B.	Nonparticipating Provider - A Provider that does not have a Provider Agreement with the Blue Cross and Blue Shield Plan pertaining to payment for Covered Services rendered to
a Member. 

  
 Reimbursement Percentage - The percentage of
Eligible Expenses, which are payable under the Benefit Plan, as shown in the Schedule of Benefits. 
  
 Significant Break in Coverage - A period of sixty-three (63) or more days without Creditable Coverage. Periods of no coverage during a Waiting Period shall not be taken into account for purposes of determining
whether a Significant Break in Coverage has occurred. 
  
 Special Enrollee
- An Eligible Participant who is entitled to and who requests Special Enrollment (as described in the Schedule of Eligibility section of the Group Employee Benefit Plan Certificate) within thirty-one (31) days of losing other health coverage or for
a newly acquired Dependent within thirty-one (31) days of marriage, birth, adoption, or placement of adoption. 
  

 6 

 Waiting Period - The period that must pass before an individual is eligible to be covered for Benefits under the
Benefit Plan. If an individual enrolls as a Late Enrollee or as a Special Enrollee, any period before such Late or Special Enrollment is not a Waiting Period. 
  

You/Your - The Employee who is covered under the Benefit Plan. 
  
  

 7 

 EXPENSES NOT COVERED 
  
 The following Limitations and/or Exclusions are applicable to the Benefit Plan in addition to the Limitations and Exclusions contained in
the Group Employee Benefit Plan Certificate previously issued to You which describes the Covered Services provided under the Benefit Plan. Please refer to that document also for a full description of Limitations and/or Exclusions. 
  
 Benefits will not be provided for the following: 
  

	1.	Services, treatments, procedures, equipment, drugs, devices, items or supplies that are not Medically Necessary for an Illness or Injury and are not consistent as a medical
deduction under Internal Revenue Service (IRS) Section 213(a). 

  

	2.	Services covered in whole or in part by Workers’ Compensation laws, the Jones Act, and/or services rendered as a result of occupational disease or Injury.

  

	3.	Any Injury or Illness arising out of the commission of, or attempt to commit, an assault, battery, felony or act of aggression, insurrection, rebellion, or participation in a riot.

  

	4.	Services or expenses for which the Member has no obligation to pay, or for which no charge would be made if the Member had no health insurance coverage. 

  

	5.	Services or supplies rendered or furnished before the Member’s Enrollment Date or after the Member’s termination date. Benefits are not available for charges for services
or supplies rendered or furnished during an Admission in progress on the Member’s Enrollment Date. 

  

	6.	Charges for care or services furnished by any agency or program funded by federal, state, or local government. This exclusion does not apply to Medicaid or where prohibited by law.

  

	7.	Any Injury or Illness occurred while serving as a member of the Armed Forces. 

  

	8.	Any charges for services which are not related to and consistent with the treatment of any Injury or Illness of the Covered Person. 

  

	9.	Charges for medical care, services, or supplies which are not furnished or prescribed by a Physician, including non-prescription (over-the-counter) drugs. 

 

	10.	Services or supplies which are Investigational in nature, or for experimental treatment or procedures, or research purposes, or when not a generally recognized accepted medical
practice. 

  

	11.	Any charges for outpatient food, food supplements or vitamins. 

  

	12	Any charges for services or supplies which are cosmetic in nature and are not as a result of a previous Illness or Injury. 

  

 8 

 COORDINATION OF BENEFITS 
  

	1.	Applicability 

  

	 	a.	This Coordination of Benefits (“COB”) section applies to This Plan when the Member has health care coverage under more than one plan. “Plan” and “This
Plan” are defined below. 

  

	 	b.	If this COB section applies, the Order of Benefit Determination Rules should be looked at first. Those rules determine whether the benefits of This Plan are determined before or
after those of another plan. The benefits of This Plan: 

  

	 	(1)	will not be reduced when, under the Order of Benefit Determination Rules, This Plan determines its benefits before another plan. 

  

	 	(2)	may be reduced when under the Order of Benefit Determination Rules, another plan determines its benefits first. That reduction is described in Paragraph 4 of this COB section.

  

	2.	Definitions (Applicable only to this Section of the Benefit Plan) 

  

	 	a.	“Plan” means any group or blanket health plan which provides benefits for services, supplies, or equipment for hospital, surgical, medical, or dental care, including, but
not limited to coverage under: 

  

	 	•	 	insurance policies, non-profit health service plans, health maintenance organizations, subscriber contracts, self-insured, pre-payment, automobile, or homeowners medical payments
plans; 

  

	 	•	 	government programs, including compulsory no-fault automobile insurance, unless an applicable law forbids coordinating benefits with this type of program; 

 

	 	•	 	labor-management trusteed plans, union welfare plans, employer organization plans, employee benefit organization plans, and professional association plans; 

 

	 	•	 	any other employee welfare benefit plan as defined in the Employee Retirement Income Security Act of 1974, as amended; 

  

	 	•	 	Medicare as permitted by federal law; 

  

	 	•	 	group-type plans or policies which can be obtained only because of employment with or membership in a particular organization, corporation, or other business entity.

  
 This does not include school accident
insurance, Medicaid, hospital daily indemnity plans, specified diseases only policies, or limited occurrence policies which provide only for intensive care or coronary care in the hospital. 
  
 Each plan or other arrangement for coverage is a separate plan. If an
arrangement has two parts and COB rules apply only to one of the two, each of the parts is a separate plan. 
  

	 	b.	“This Plan” means the part of the Group’s Benefit Plan and any amendments/endorsements thereto that provides benefits for health care expenses.

  

	 	c.	“Primary Plan”/”Secondary Plan.” The Order of Benefit Determination Rules state whether This Plan is a Primary Plan or Secondary Plan as to another plan covering
the person. 

  

 9 

 When This Plan is a Primary Plan, its benefits are determined before those of the other plan and without
considering the other plan’s benefits. 
  
 When This Plan is
a Secondary Plan, its benefits are determined after those of the other plan and may be reduced because of the other plan’s benefits. 
  
 When there are more than two plans covering the person, This Plan may be a Primary Plan as to one or more other plans, and may be a Secondary Plan as to a
different plan or plans. 
  

	 	d.	“Allowable Expense” means a necessary, reasonable, and customary item of expense for health care, when the item of expense is covered at least in part by one or more plans
covering the person for whom the claim is made. 

  
 When a plan provides benefits in the form of services, the reasonable cash value of each service rendered will be considered both an Allowable Expense and a benefit paid. 
  
 When benefits are reduced under a Primary Plan because a covered person does not comply with the Primary Plan’s
provisions, the amount of such reduction will not be considered an Allowable Expense. Examples of such provisions are those related to second surgical opinions, pre-certification of admissions or services, and preferred provider arrangements.

  

	 	e.	“Claim Determination Period” means that part of the Benefit Period during which a person covered by This Plan is eligible to receive benefits under the provisions of This
Plan. 

  

	3.	Order of Benefit Determination Rules 

  

	 	a.	When there is a basis for a claim under This Plan and another plan, This Plan is a Secondary Plan which has its benefits determined after those of the other plan, unless:

  

	 	(1)	the other plan has rules coordinating its benefits with those of This Plan; and, 

  

	 	(2)	both those rules and This Plan’s rules, in subparagraph (b.) below, require that This Plan’s benefits be determined before those of the other plan.

  

	 	b.	This Plan determines its order of benefits using the first of the following rules which applies: 

  

	 	(1)	Non-dependent/Dependent: The benefits of the plan which covers the person as an employee, member or subscriber (that is, other than as a dependent) are determined before those of
the plan which covers the person as a dependent; except that if the person is also a Medicare beneficiary, and as a result of the rule established by Title XVIII of the Social Security Act and implementing regulations, Medicare is

  
 (a) Secondary to the plan covering the person
as a Dependent, and 
  
 (b) Primary to the plan covering the
person as other than a Dependent (e.g., a retired employee), then the benefits of the plan covering the person as a Dependent are determined before those of the plan covering that person as other than a Dependent. 
  

 10 

	 	(2)	Dependent Child/Parents Not Separated or Divorced: Except as stated in subparagraph b.(3) below, when This Plan and another plan cover the same child as a Dependent of different
persons, called “parents”: 

  

	 	(a)	the benefits of the plan of the parent whose birthday falls earlier in the Benefit Period are determined before those of the plan of the parent whose birthday falls later in the
Benefit Period; but 

  

	 	(b)	if both parents have the same birthday, the benefits of the plan which covered one parent longer are determined before those of the plan which covered the other parent for a shorter
period of time. 

  
 However, if the other plan
does not have the rule described in (a) immediately above, but instead has a rule based upon the gender of the parent, and if, as a result, the plans do not agree on the order of benefits, the rule in the other plan will determine the order of
benefits. 
  

	 	(3)	Dependent Child/Separated or Divorced Parents: If two or more plans cover a person who is a Dependent child of divorced or separated parents, benefits for the child are determined
in this order: 

  

	 	(a)	first, the plan of the parent with custody of the child; 

  

	 	(b)	then, the plan of the spouse of the parent with custody of the child; 

  

	 	(c)	finally, the plan of the parent not having custody of the child. 

  
 However, if the specific terms of a court decree state that one of the parents is responsible for the health care expenses of the child, and the entity
obligated to pay or provide the benefits of the plan of that parent has actual knowledge of those terms, the benefits of that plan are determined first. The plan of the other parent shall be the Secondary Plan. 
  
 This paragraph does not apply when any benefits are actually paid or
provided before the entity has that actual knowledge. 
  

	 	(4)	Joint Custody: If the specific terms of a court decree state that the parents will share joint custody, without stating that one of the parents is responsible for the health care
expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Paragraph 3.b.(2). 

  

	 	(5)	Active/Inactive Employee: The benefits of a plan which covers a person as an employee who is not terminated, laid off, or retired (or as that employee’s dependent) are
determined before those of a plan which covers that person as a terminated, laid off or retired employee (or as that employee’s dependent). If the other plan does not have this rule, and if, as a result, the plans do not agree on the order of
benefits, this rule is ignored. 

  

	 	(6)	Continuation Coverage: If a person whose coverage is provided under a right of continuation pursuant to federal or state law also is covered under another plan, the following will
be the order of benefit determination: 

  

	 	(a)	First, the benefits of a plan covering the person as an employee, member or subscriber (or as that person’s Dependent); 

  

 11 

	 	(b)	Second, the benefits under the continuation coverage. 

  
 If the other plan does not have the rule described above, and if, as a result, the plans do not agree on the order of benefits, this rule is ignored.

  

	 	(7)	Longer/Shorter Length of Coverage: If none of the above rules determines the order of benefits, the benefits of the plan which covered an employee, member or subscriber longer are
determined before those of the plan which covered that person for the shorter time. 

  

	4.	Effect on the Benefits of This Plan 

  

	 	a.	This Paragraph (4.) applies when, in accordance with Paragraph (3.), “Order of Benefit Determination Rules,” This Plan is a Secondary Plan as to one or more other plans.
In that event, the benefits of This Plan may be reduced, as described in this paragraph. Such other plan or plans are referred to as “the other plans” in (b.) immediately below. 

  

	 	b.	Reduction in This Plan’s Benefits 

  
 The benefits of This Plan will be reduced when the sum of: 
  

	 	(1)	the benefits that would be payable for the Allowable Expenses under This Plan in the absence of this COB section, and 

  

	 	(2)	the benefits that would be payable for the Allowable Expenses under the other plans in the absence of provisions with a purpose like that of this COB section, whether or not claims
are made, 

  
 would be more than those Allowable
Expenses in a Claim Determination Period. In that case, the benefits of This Plan will be reduced so that they and the benefits payable under the other plans do not total more than those Allowable Expenses. 
  
 When the benefits of This Plan are reduced as described above, each benefit
is reduced in proportion. It is then charged against any applicable benefit limit of This Plan. 
  

	5.	Right to Receive and Release Needed Information 

  
 Certain facts are needed to apply these COB rules. The Company has the right to decide which facts it needs. It may get needed facts from or give them to
any other organization or person. The Company need not tell, or get the consent of, any person to do this. Each person claiming benefits under This Plan must give the Company any facts it needs to pay the claim. 
  

	6.	Facility of Payment 

  
 A payment made under another plan may include an amount which should have been paid under This Plan. The Company may pay that amount to the organization
which made that payment. That amount will then be treated as though it were a benefit paid under This Plan. To the extent such payments are made, they 

  

 12 

 
discharge the Company and the Group from further liability. The term “payment made” includes providing benefits in the form of services, in which
case the payment made will be deemed to be the reasonable cash value of any benefits provided in the form of services. 
  

	7.	Right of Recovery 

  
 If the amount of the payments made by the Company and the Group is more than it should have paid under this COB section, it may recover the excess. It may
get such recovery or payment from one or more of: 
  

	 	a.	The persons it has paid or for whom it has paid; 

  

	 	b.	Insurance companies; or 

  

	 	c.	Other organizations. 

  
 The “amount of the payments made” includes the reasonable cash value of any benefits provided in the form of services. 
  
 If the excess amount is not received when requested, any benefits due under
This Plan will be reduced by the amount to be recovered until such amount has been satisfied. 
  
 TERMINATION OF COVERAGE 
  

	1.	The Member’s coverage may be terminated for fraud or material misrepresentations in connection with application for coverage or claim for Benefits. 

  
 Unless COBRA Continuation of Coverage is available and selected as provided
in the Benefit Plan, a Member’s coverage terminates as provided below: 
  

	 	a.	In the event an Employee ceases to be eligible for coverage under the Group, the coverage of such Employee and all of his/her Dependents automatically, and without notice,
terminates at midnight on the date the Employee ceases to be covered. 

  

	 	b.	The coverage of the Employee’s spouse will terminate automatically and without notice at midnight on the date upon which the entry of a final decree of divorce or other legal
termination of marriage is made. 

  

	 	c.	The coverage of a child as a Member will terminate automatically and without notice at midnight upon the date the child ceases to be an Eligible Dependent. 

 

	 	d.	Upon the death of an Employee, the coverage of all of his/her surviving Dependents will terminate automatically and without notice at midnight on the date of the Employee’s
death. However, a covered surviving spouse and Dependents may be eligible to continue coverage under the Continuation of Insurance Upon Death of the Employee provision set forth below. 

  

	2.	In the event the Group cancels the Benefit Plan, such cancellation or termination alone will operate to terminate all rights of the Member to Benefits under the terms of the Benefit
Plan as of the effective date of such cancellation or termination. 

  

 13 

	3.	In the event of termination, if the Eligible Participant or Dependent is a bed patient in a Hospital on the date of termination, all Benefits will terminate as described in a., b.,
c., and d. above. 

  

	4.	Except as otherwise provided in the Benefit Plan, no Benefits are available to a Member for Covered Services rendered after the date of termination of a Member’s coverage.

  
 CONTINUATION OF INSURANCE 
 UPON DEATH OF THE EMPLOYEE 
  
 If eligibility for group coverage ceases as a result of the death of the Employee, a surviving spouse covered as a Dependent who is fifty (50) years of age or older, will
be provided continuous coverage under the Benefit Plan for a period of ninety (90) days from the date of the Employee’s death. Continued coverage will also be provided for the deceased Employee’s Dependent children, if covered prior to the
Employee’s death. 
  
 Within the ninety (90) day period, the surviving spouse
will be given the option to further continue that same coverage (on a premium paying basis) without a physical exam. 
  
 If the continuation of coverage option is not chosen, Benefits will cease at the end of the ninety (90) day period. If the continuation of coverage option is chosen
within the ninety (90) day period, coverage will continue without interruption and premium is due from the surviving spouse from the last date for which premium has been paid. Such premium will not exceed the premium assessed for each Employee by
class of coverage under the group contract. 
  
 The Group will be responsible for
notifying the spouse of the right to continue and for billing and collection of premium. 
  
 However, if the Company has been furnished with the home address of the surviving spouse at the time of death and has been notified by the Group in a manner acceptable to the Company of the death of the Employee, the
Company will notify the surviving spouse of the right to continue. 
  
 Coverage
continued on a premium paying basis terminates on the earliest of 
  

	 	•	 	the date premium is due and is not paid on a timely basis; or 

  

	 	•	 	the date the surviving spouse or a Dependent child becomes eligible for Medicare; or 

  

	 	•	 	the date the surviving spouse or a Dependent child becomes eligible to participate in another group health plan; or 

  

	 	•	 	the date the surviving spouse remarries or dies; or 

  

	 	•	 	the date the group Benefit Plan ends; or 

  

	 	•	 	the date a Dependent child is no longer eligible. 

  

 14 

 CONTINUATION OF INSURANCE 
  
 An Employee whose coverage under the Benefit Plan ends because of termination of active employment or termination of membership in the
eligible class or classes under the Benefit Plan may be entitled to continue the coverage under the Benefit Plan for himself and his eligible Dependents who were covered on the date the coverage ended until the earliest of the following dates:

  

	 	•	 	Twelve (12) calendar months from the date the Employee’s coverage ended; or 

  

	 	•	 	The date ending the period for which the Employee last paid any required premium contribution; or 

  

	 	•	 	The date the Employee becomes eligible for similar group coverage; or 

  

	 	•	 	The date the Benefit Plan ends; or 

  

	 	•	 	The date the Employee legally resides outside the Company’s service area. 

  

Continuation of coverage for an Employee and his Dependents is not available if: 
  

	 	•	 	The Employee was not continuously covered under the Benefit Plan for three (3) consecutive months immediately preceding the date his coverage ended; or 

  

	 	•	 	The Employee becomes eligible for other group coverage within thirty-one (31) days after coverage under the Benefit Plan ends; or 

  

	 	•	 	The Employee’s coverage under the Benefit Plan terminated due to fraud; or 

  

	 	•	 	The Employee’s coverage under the Benefit Plan terminated due to his failure to pay his required contribution to premium; or 

  

	 	•	 	The Employee is eligible for continuation of coverage under COBRA. 

  
 The Employee must notify the Group in writing of his election to continue this group health coverage and must pay any required contribution to the Group no later than the
date on which coverage under the Benefit Plan would otherwise end. A form providing notification of the Employee’s election to continue his coverage is available from the Group. 
  
 COBRA CONTINUATION OF COVERAGE 
  
 In accordance with the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), and any amendments thereto, certain covered Employees
and Dependents who would otherwise lose coverage as a result of a Qualifying Event, will have the option of continuation of that coverage without evidence of insurability. 
  
 These Employees and Dependents (“Qualified Beneficiaries”) are those who are covered under the Benefit Plan on the day before a
Qualifying Event occurs. In addition, a child who is born or placed for adoption with the covered Employee during a period of COBRA coverage will be eligible to become a Qualified Beneficiary if 

  

 15 

 
notification of such birth or adoption is made within thirty (30) days of birth or adoption. A “Qualifying Event” is any of the following events:

  

	 	•	 	Termination of employment of an Employee for reasons other than gross misconduct; 

  

	 	•	 	Loss of eligibility by an Employee due to a reduction in the number of work hours of the Employee; 

  

	 	•	 	Death of an Employee; 

  

	 	•	 	Divorce or legal separation of an Employee; 

  

	 	•	 	The covered Employee becomes entitled to Medicare benefits resulting in the loss of coverage for Dependents; 

  

	 	•	 	A Dependent child ceases to be an Eligible Dependent under the terms of the Benefit Plan; or 

  

	 	•	 	The Group’s Title 11 Bankruptcy proceeding which commences on or after July 1, 1986, but only with respect to covered Employees who retired from the Group at any time.

  
 The Qualified Beneficiary must notify the Group if the
Qualifying Event is a divorce or legal separation or if a Dependent child loses eligibility for coverage, within sixty (60) days of the occurrence of the Qualifying Event. The Group will advise a Qualified Beneficiary of his rights under COBRA upon
the occurrence of any other Qualifying Event and following notice or occurrence of a Qualifying Event when such notice is required to be given by the beneficiary. 
  
 The Member may be required to pay the applicable premium for continued coverage plus an amount to cover administrative expenses. 

 
 The option to elect continuation will be offered during a period which: 
  

	 	•	 	begins no later than the date on which the Member otherwise would lose coverage under the group health plan (the termination date); and 

  

	 	•	 	ends no earlier than sixty (60) days after the termination date or if notice is given, sixty (60) days after the Member is notified of his or her right to continue coverage,
whichever is later. 

  
 If continuation of coverage is elected, the
Qualified Beneficiary then has forty-five (45) days within which to make the first premium payment. 
  
 Continuation of coverage begins on the termination date and ends no later than the earliest of: 
  

	 	•	 	eighteen (18) months after the termination date in the case of termination of employment or reduction in work hours. If a second Qualifying Event occurs during this eighteen (18)
month period, the eighteen (18) month period will be extended to thirty-six (36) months; 

  
 NOTE: The eighteen (18) months may be extended to twenty-nine (29) months for a Qualified Beneficiary who is determined to be disabled (as
determined by the Social Security Administration) at the time employment was terminated, becomes disabled during the first sixty (60) days of COBRA coverage, or eligibility ceased because work hours were reduced. The Qualified Beneficiary must
notify 

  

 16 

 
the Group of the disability determination within eighteen (18) months of the termination date and no later than sixty (60) days after the date of the Social
Security Administration determination. The Qualified Beneficiary must also notify the Group within thirty (30) days of any final determination that the Qualified Beneficiary is no longer disabled. In this case, coverage will end no later than the
first day of the month that begins more than thirty (30) days after a final determination that the Qualified Beneficiary is no longer disabled (as determined under the Social Security Act); or 
  

	 	•	 	thirty-six (36) months after the date of termination due to any other Qualifying Event; or 

  

	 	•	 	with respect to Dependent children, the date the Dependent children no longer meet the definition of Eligible Dependent; or 

  

	 	•	 	the date the Group ceases to maintain any group health plan; or 

  

	 	•	 	the date coverage ceases because of non-payment of required premiums; or 

  

	 	•	 	the date the Employee or Dependent becomes covered under another group health plan and benefits under that plan are not excluded or limited with respect to a Pre-Existing Condition;
or 

  

	 	•	 	the date the Qualified Beneficiary becomes entitled to Medicare. Where the Qualifying Event is entitlement of an Employee to Medicare, the period of coverage for Dependents shall
not terminate earlier than thirty-six (36) months from the date the Employee becomes entitled to Medicare. 

  
 NOTE: Special rules apply for the duration of coverage under COBRA for certain retirees and their Dependents who lose coverage as a result of an
employer’s bankruptcy which is a “Qualifying Event.” In this event, affected retirees and surviving spouses of deceased retirees may elect lifetime coverage as of the date of the bankruptcy proceeding. Spouses and Dependent children
of retirees may continue COBRA coverage until the retiree’s death. When the retiree dies, the surviving spouse and any Dependent children may elect and pay for an additional thirty-six (36) months of coverage from the date of the retiree’s
death. In all cases, these Qualified Beneficiaries must pay for the coverage elected. COBRA coverage under these circumstances will terminate if the employer ceases to provide any group health plan to any employees, or if the Qualified Beneficiaries
fail to pay the required premiums or become covered under another employer’s group health plan. 
  
 RIGHT OF SUBROGATION 
  

	1.	To the extent that Benefits for Covered Services are provided or paid under the Benefit Plan, the Company and the Group will be subrogated and will succeed to the right of the
Member for the recovery of the amount paid under the Benefit Plan against any person, organization or other carrier except where such carrier provides Benefits directly to a Member who is its insured. The acceptance of such Benefits hereunder will
constitute such subrogation. 

  

	2.	 The Member will reimburse the Company (on behalf of the Group) all amounts recovered by suit, settlement, or otherwise, from any third party or his insurer to the
extent of the Benefits provided or paid under the Benefit Plan. The right of reimbursement to the Company and the Group exists to the extent allowed by law 

  

 17 

	 	 
even if the payment received by the Member is for, or is described as for, his damages other than health care expenses and/or dental care expenses, or if the
Member recovering the money is a minor. All costs (including attorney fees) incurred by the Member in exercising any such right of recovery will be the responsibility of the Member. Any amount paid by the Company (on behalf of the Group) for which
any third party or insurer is responsible will not be reduced by the amount of the Member’s costs. 

  

	3.	The Member will take such action, furnish such information and assistance, and execute such papers as the Company or the Group may require to facilitate enforcement of its rights,
and will take no action prejudicing the rights and interest of the Company and the Group under the Benefit Plan. Nothing contained in this provision will be deemed to change, modify or vary the terms of the Coordination of Benefits section of the
Benefit Plan. 

  
 GENERAL PROVISIONS

  

	A.	The Benefit Plan 

  

	 	1.	Except as specifically provided herein, the Benefit Plan will not make the Company liable or responsible for any duty or obligation which is imposed on the Group by federal or state
law or regulations. To the extent that the Benefit Plan may be an employee welfare benefit plan as defined in the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended, The Group will be the administrator of such employee
welfare benefit plan and will be solely responsible for meeting any obligations imposed by law or regulation on the administrator of the plan, except those specifically undertaken by the Company herein. 

  

	 	2.	The Company will not be liable for or on account of any fault, act, omission, negligence, misfeasance, malfeasance or malpractice on the part of any Hospital, other institution, or
agent or Employee thereof, or on the part of any Physician, Allied Provider, nurse, technician or other person participating in or with the care or treatment of a Member. 

  

	B.	Benefit Plan Changes 

  
 The Company and the Group reserves the right to modify the terms of the Benefit Plan upon not less than thirty (30) days notice to the Member. No change
or waiver of any Benefit Plan provision will be effective until approved by the Company’s and/or the Group’s chief executive officer or other officer who is authorized to make such changes. 
  

	C.	Identification Cards and Certificates or Booklets 

  
 The Company will issue identification cards and certificates or booklets which describe the Benefit Plan’s Benefits and the procedures for obtaining
Benefits. In the event of a conflict between the Benefit Plan and the certificates or booklets, the terms of the Benefit Plan will prevail. 
  

	D.	Benefits to Which Members are Entitled 

  

	 	1.	The liability of the Company and the Group is limited to the Benefits specified in the Benefit Plan. 

  

	 	2.	Benefits for Covered Services specified in the Benefit Plan will be provided only for services and supplies rendered on and after the Member’s Enrollment Date by a Provider
specified in the Benefit Plan and regularly included in such Provider’s charges. 

  

 18 

	E.	Filing of Claims 

  
 A claim is a written or electronic proof of charges for Covered Services that have been incurred by a Member during the time period the Member was insured
under the Benefit Plan. Benefits will not be due under the Benefit Plan unless a claim in a form acceptable to the Company is filed with the Company within ninety (90) days from the date services are rendered. The claim must then be filed as soon as
possible, but not more than eighteen (18) months after the claim is incurred. Benefits will be denied for claims filed any later than eighteen (18) months from the date of service. The claim must contain the data necessary for the Company to
determine Benefits. A claim will be considered incurred on the date services or supplies are provided. Benefit Plan provisions in effect at the time the service or treatment is received shall govern the processing of any claim expense actually
incurred as a result of the service or treatment rendered. 
  
 When filing claims for Prescription Drugs, Members must use the Prescription Drug Claim Form. The Prescription Drug Claim Form, or an attachment acceptable to the Company, must be completed and signed by the dispensing pharmacist. The claim
form should then be sent to the Company. 
  

	F.	Review of Claims Denied in Whole or in Part 

  
 A Member has sixty (60) days, from the date of receipt of notification of the Company’s action on his or her claim, to request a review of any
Benefits denied in whole or in part. To request a review, the Member must write to Blue Cross and Blue Shield of Louisiana, NASCO Dedicated Unit, Post Office Box 98029, Baton Rouge, LA 70898-9029, stating the issue to be reviewed and attaching
pertinent medical records or other information that the Member offers in support of his or her claims. A copy should also be filed with the Manager of Employee Benefits of Tidewater Inc., 1440 Canal Street, New Orleans, LA 70112. The Member may also
request a description of any pertinent records that the Company relied on in making its original decision to deny the claim in whole or in part. 
  
 A disposition of the claim will not be deemed final until such time as a written decision is rendered. The decision will be rendered within sixty (60)
days after the request for review is received, unless medical records are requested from a Provider. In such case the decision will be rendered no later than one hundred twenty (120) days after the request for review is received. The Company has
full discretionary authority to determine eligibility for Benefits and/or to construe the terms of the Benefit Plan. The Member will receive a written decision stating the specific reasons for the final decision with specific references to
pertinent Benefit Plan provisions. 
  

	G.	Time Limit for Legal Action 

  
 No lawsuit may be filed: 
  

	 	•	 	any earlier than the first sixty (60) days after notice of claim has been given; or 

  

	 	•	 	any later than eighteen (18) months after the date services are rendered. 

  

	H.	Release of Information 

  
 Each Member receiving care under the Benefit Plan authorizes and directs any Provider to furnish to the Company, upon its request, all information,
records, copies of records or testimony relating to attendance, diagnosis, examination, or treatment. Such authorization and compliance by each Provider affected will be a 

  

 19 

 
condition precedent to rights to Benefits to each Member hereunder, and no Benefits will be provided in any case where such authorization is not given full
effect. The Company will hold such information, records, or copies of records, as confidential except where in its discretion the same should be disclosed. 
  

	I.	Applicable Law 

  
 The Benefit Plan will be governed and construed in accordance with the laws and regulations of the State of Louisiana except when preempted by federal
law. 
  

	J.	Payment of Benefits 

  
 Direct Payment to Member 
  

	 	1.	All Benefits payable under the Benefit Plan and any amendment hereto are personal to the Member and are not assignable in whole or in part by the Member. The Company has the right
to make payment to a Hospital, Physician, or other Provider (instead of to the Member) for Covered Services which they provide while there is in effect between the Company and any such Hospital, Physician, or other Provider an agreement calling for
the Company to make payment directly to them. In the absence of such an agreement for direct payment, the Company will pay to the Member and only the Member those Benefits called for herein and the Company will not recognize a Member’s
attempted assignment to, or direction to pay, another, except as required by law. 

  

	 	2.	The Company reserves the right to select Hospitals, Physicians, and other Providers with which it will make agreements for direct payment for Covered Services rendered to Members,
based on criteria which include the Company’s need in the locality, Utilization Management practices of the Hospital, Physician, or other Provider, quality of services, and the like. 

  

	K.	Member/Provider Relationship 

  

	 	1.	The choice of a Provider is solely the Member’s. 

  

	 	2.	Neither the Company nor the Group renders Covered Services, but only makes payment for Covered Services received by Members. Neither the Group nor the Company is liable for any act
or omission of any Provider. The Company nor the Group has no responsibility for a Provider’s failure or refusal to render Covered Services to a Member. 

  

	 	3.	The use or non-use of an adjective such as Participating, Key, Nonparticipating and Non-Key in referring to any Provider is not a statement as to the ability of the Provider.

  

	L.	The Benefit Plan and Medicare 

  

	 	1.	For employers having twenty (20) or more active Employees, federal law and regulations require that each active Employee Age sixty-five (65) or older, and each active
Employee’s spouse Age sixty-five (65) or older, may elect to have coverage under the Benefit Plan or under Medicare. 

  

	 	a.	Where such Employee or spouse elects coverage under the Benefit Plan, it will be the primary payor of Benefits with the Medicare program the secondary payor.

  

	 	b.	For an active Employee Age sixty-five (65) or older or for a spouse Age sixty-five (65) or older of an active Employee who elects to have Medicare as the primary payor, the Benefit
Plan will be considered as the secondary payor. 

  

 20 

	 	2.	Under federal law, if an active Employee under Age sixty-five (65) or an active Employee’s Dependent under Age sixty-five (65) is covered under a group Benefit Plan of an
employer with one hundred (100) or more Employees and also has coverage under the Medicare program by reason of Social Security disability, the group Benefit Plan is the primary payor and Medicare is the secondary payor. 

  

	 	3.	For persons under Age sixty-five (65) who are covered under the Benefit Plan and who also have coverage under the Medicare program by reason of end-stage renal disease, or if the
Member is determined to be disabled and has coverage under the Medicare program, the Medicare program will be the primary payor and the Benefit Plan the secondary payor, except that during the first eighteen (18) month period that such persons are
eligible for Medicare benefits by reason of end-stage renal disease or disability, the Benefit Plan will be the primary payor and Medicare the secondary payor. 

  

	 	4.	When the Benefit Plan is the primary payor, it will provide regular Benefits for Covered Services. When the Benefit Plan is the secondary payor, it will provide
Benefits not to exceed the difference between actual charges for services and the amount paid by Medicare (or the difference between the Medicare approved charge and the amount Medicare paid if assignment is accepted by the Physician).

  

	M.	Notice 

  
 Any notice required under the Benefit Plan must be in writing. Notice to the Group or to the Company will be sent to the address stated in the application
for group coverage. Required notices given will be considered delivered when deposited in the United States Mail, postage prepaid, addressed to the Member at the address as it appears on the records of the Company, or to the Group at the address as
it appears on the records of the Company. The Group, the Company, or a Member may, by written notice, indicate a new address for giving notice. 
  

	N.	Job-Related Injury or Illness 

  
 The Group must report to the appropriate governmental agency any job-related Injury or Illness of an Employee where so required under the provisions of
any legislation of any governmental unit. The Benefit Plan excludes Benefits for any services covered in whole or in part by Workers’ Compensation laws and/or rendered as a result of occupational disease or Injury. In the event Benefits are
initially extended and a compensation carrier or employer makes any type settlement with the Employee, with any person entitled to receive settlement where the Employee dies, or if the Employee’s Injury or Illness is found to be compensable
under law, the Employee must reimburse the Company and the Group for Benefits extended or direct the compensation carrier to make such reimbursement. The Company and the Group will be entitled to such reimbursement even if the settlement does not
mention or excludes payment for health care expenses. 
  

	O.	Right of Recovery 

  
 Whenever any payment for Covered Services has been made in an amount that exceeds the maximum Benefits available for such services under the Benefit Plan,
or whenever payment has been made in error for non-Covered Services, the Company will have the right to recover such payment from the Member or, if applicable, the Provider. As an alternative, the Company reserves the right to deduct from any
pending claim for payment under the Benefit Plan any amounts the Member or Provider owes. 
  

 21 

	P.	Coverage in a Department of Veterans Affairs or Military Hospital 

  
 In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non-service-connected disability, the United
States will have the right to recover or collect the reasonable cost of such care or services to the extent the veteran would be eligible for Benefits for such care or services if the care or services had not been furnished by a department or agency
of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible and Coinsurance amount. 
  
 The United States will have the right to collect the reasonable cost of health care services incurred by the United States on behalf of a military retiree
or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification if the retiree or Dependent were to incur such cost on his or her own
behalf. The amount the United States may recover will be reduced by the appropriate Deductible and Coinsurance amount. 
  

	Q.	Liability of Plan Affiliates 

  
 The Group, on behalf of itself and its participants, hereby expressly acknowledges its understanding that the Company is an independent corporation
operating under a license from the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, the “Association” permitting the Company to use the Blue Cross and Blue Shield Service Marks in the
State of Louisiana, and that the Company is not contracting as the agent of the Association. The Group, on behalf of itself and its participants, further acknowledges and agrees that it has not entered into another agreement based upon
representations by any person other than the Company and that no person, entity, or organization other than the Company shall be held accountable or liable to the Group for any of the Company’s obligations to the Group. This paragraph shall not
create any additional obligations whatsoever on the part of the Company other than those obligations created under other provisions of this agreement. 
  

	R.	Certificates of Creditable Coverage 

  
 The Company shall provide, without charge to Employees and/or Dependents who are or who were covered under the Benefit Plan, a written certification of
their coverage under the Benefit Plan (Certificate of Creditable Coverage) under the following circumstances: 
  

	 	A.	The Company will automatically issue a Certificate of Creditable Coverage to: 

  

	 	1.	An individual who is a Qualified Beneficiary entitled to elect COBRA Continuation coverage. 

  

	 	2.	An individual ceasing to be covered under the Benefit Plan. 

  

	 	3.	An individual who is a Qualified Beneficiary and has elected COBRA continuation coverage that has ended. 

  

	 	B.	A Certificate of Creditable Coverage will be given by the Company to an individual, at any time, upon request, for a period of up to twenty-four (24) months after coverage under the
Benefit Plan ceases. 

  

 22 

 SUMMARY PLAN DESCRIPTION INFORMATION 
  

			
	 Name of Plan:
	  	The Tidewater Executive Health and Dental Benefit Plan For Actively Employed Officers of Tidewater Inc.
		
	 Name and Address of
	  	Tidewater Inc.
	 Plan Sponsor:
	  	1440 Canal Street
	 	  	Suite 2100
	 	  	New Orleans, Louisiana 70112
	 	  	Telephone: 1-504-568-1010 (1-800-678-8433)
		
	 Employer Identification
 Number (EIN):
	  	72-0487776
		
	 Plan Number (PN):
	  	501
		
	 Type of Plan:
	  	Group Major Medical and Group Dental Benefit Plan
		
	 Type of Administration:
	  	The Plan(s medical and dental Benefits are administered, on behalf of the Plan Administrator, by Blue Cross and Blue Shield of Louisiana, pursuant to the terms of the Administration Services
Agreement and the terms and conditions of the Benefit Plan.
		
	 Name and Address of
	  	Tidewater Inc.
	 Plan Administrator:
	  	1440 Canal Street
	 	  	Suite 2100
	 	  	New Orleans, Louisiana 70112
	 	  	Telephone: 1-504-568-1010 (1-800-678-8433)
		
	 Agent for Service of
	  	Tidewater Inc.
	 Legal Process:
	  	1440 Canal Street
	 	  	Suite 2100
	 	  	New Orleans, Louisiana 70112
	 	  	Telephone: 1-504-568-1010 (1-800-678-8433)
		
	 Plan Year:
	  	The financial records of the Plan are kept on a Plan Year basis. The Plan Year ends on each December 31.
		
	 Plan Details:
	  	The eligibility requirements, termination provisions and a description of the circumstances which may result in disqualification, ineligibility, denial, or loss of any benefits are described
in the Benefit Plan.
		
	 Future of the Plan:
	  	Although the Plan Sponsor expects and intends to continue the Benefit Plan indefinitely, the Board of Directors of Tidewater Inc. reserves the right to modify, amend, suspend, or terminate
the Benefit Plan at any time.

  

 23 

			
	 Source of Contributions
 and Funding:
	  	 The cost of all coverage is paid in full by the Plan Sponsor.

		
	 Department of Labor:
	  	If You have any questions about Your rights under the Employee Retirement Income Security Act of 1974 (ERISA), You should contact the nearest office of the Pension and Welfare Benefits
Administration, U.S. Department of Labor, listed in Your telephone directory, or the Division of Technical Assistance and Inquiries, Pension and Welfare Benefits Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, DC
20210.

  

 24 

 ERISA RIGHTS 
  
 As a Participant in the Plan You are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974
(“ERISA”). ERISA provides that all Plan Participants shall be entitled to: 
  

	 	•	 	examine, without charge, at the Administrator’s office all Plan documents, insurance contracts and copies of all documents filed by the Plan with the U. S. Department of Labor,
such as detailed annual reports and this SPD; 

  

	 	•	 	obtain copies of all Plan documents and other Plan information upon written request to the Administrator, who may make a reasonable charge for the copies; 

 

	 	•	 	receive a summary of the Plan’s annual financial report. The Administrator is required by law to annually furnish each Participant with a copy of this summary annual report.

  
 In addition to creating rights for Plan Participants, ERISA
imposes duties upon the people who are responsible for the operation of the Plan. These people, called “fiduciaries” of the Plan, have a duty to act prudently and in the interest of You and other Plan Participants and beneficiaries. No
one, including the Group 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. If Your claim for a Plan benefit is denied in whole or in
part, You must receive a written explanation of the reason for the denial. You have the right to have the Plan’s Administrator review and reconsider Your claim. 
  
 Under ERISA, there are steps You can take to enforce the above rights. For instance, if You request materials from the Plan and do not
receive them within thirty (30) days, You may file suit in a federal court. In such a case, the court may require the Administrator to provide the materials and pay You up to one hundred dollars ($100.00) a day until You receive the materials,
unless the materials were not sent because of reasons beyond the control of the Administrator. If You 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 it should happen that
Plan fiduciaries misuse the Plan’s money, or 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; if, for example, it finds Your claim is frivolous. If You
have any questions about Your Plan, You should contact the Administrator. If You have any questions about this statement or about Your rights under ERISA, You should contact the Administrator or the nearest Area Office of the U.S. Labor-Management
Services Administration, Department of Labor. 
  

 25 

 AMENDMENT TO THE 
 MANAGED HEALTH CARE EXECUTIVE MEDICAL BENEFIT PLAN CERTIFICATE OF 
 TIDEWATER INC.
(“Group”) 
  
 This Amendment is issued to the Member and is
effective on the date as shown on the Group’s Benefit Plan Amendment. All of the provisions, definitions, procedures, conditions, limitations, and exclusions of the Benefit Plan are applicable to this Amendment, unless they conflict with
the provisions of this Amendment. If the provisions of the Benefit Plan or other Amendment or Endorsement heretofore issued conflict with those of this Amendment, the provisions of this Amendment will prevail. 
  
 HEALTH, DENTAL AND SHORT TERM DISABILITY SCHEDULE OF BENEFITS

  
 The section entitled “Prescription Drugs” is hereby amended to
read as follows: 
  
 Prescription Drugs (Benefits provided only through
Participating Pharmacies) 
  

			
	 Deductible Amount
	 	None
		
	 Copayment Amount (per prescription)
	 	 
		
	 Generic Drugs
	 	$10.00
		
	 Brand Drugs if Generic Drugs available
	 	$20.00 + Cost Difference for Brand
		
	 Brand Drugs if Generic Drugs not available
	 	$20.00

  
 Retail dispensing
increments and Copayment for Generic and/or Brand Drugs: 
  

			
	 34 day supply -
	 	1 Copayment
	 68 day supply -
	 	2 Copayments
	 102 day supply -
	 	3 Copayments

  
 Special Note:

  
 Contraceptive drugs are excluded unless determined to be
Medically Necessary and pre-authorization is obtained by calling the telephone number shown on the Member I.D. Card. 
  
 Weight reduction prescriptions are excluded unless determined to be Medically Necessary and pre-authorization is obtained by calling the telephone number
shown on the Member I.D. Card. 
  
 The Copayment includes
applicable sales tax. 
  
 All other provisions remain unchanged. 
  
 Blue Cross and Blue Shield of Louisiana, incorporated as Louisiana Health Service &
Indemnity Company (referred to as the “Company”), provides administrative claims payment services only for the Group and does not assume any financial risk or obligation with respect to claims liability. 
  
 40XX0958 5/99 

 EXECUTIVE MEDICAL BENEFIT PLAN CERTIFICATE 
 HEALTH AND DENTAL SCHEDULE OF BENEFITS 
  

			
	 GROUP NAME

	  	 GROUP NUMBER

	Tidewater Inc.	  	48347 and Departments

  

					
	 GROUP’S BENEFIT PLAN DATE

	 	 GROUP’S BENEFIT PLAN
 AMENDED DATE

	 	 GROUP’S ANNIVERSARY DATE

	 January 1, 1998
	 	January 1, 2001	 	January 1st
		
	 Benefit Period Maximum Amount (Per Family):
	 	$7,500.00

  
 DEDUCTIBLES and
OUT-OF-POCKET MAXIMUMS 
  

			
	 Individual Benefit Period Deductible
	 	Not Applicable
		
	 Family Benefit Period Aggregate Deductible Maximum
	 	Not Applicable
		
	 Individual Out-of-Pocket Maximum (Excludes Deductible)
	 	Not Applicable
		
	 Family Out-of-Pocket Aggregate Maximum (Excludes Deductible)
	 	Not Applicable

  
 EXECUTIVE MEDICAL
PLAN BENEFIT DESIGN 
  

					
	 	  	 Coinsurance
 Group

	 	 Coinsurance
 Member

	 Hospital
	  	 	 	 
			
	 Inpatient Hospital Copayment
	  	Not Applicable	 	Not Applicable
			
	 Inpatient Hospital Admission (Includes all Inpatient Services)
	  	100%	 	0%
			
	 Emergency Treatment
	  	100%	 	0%
			
	 Surgical and Medical Services
  
 Physician’s Office Visit and Consultations (Excludes Surgery)
	  	100%	 	0%
			
	 Physician Surgical Services (Inpatient or Outpatient)
	  	100%	 	0%

  
 40XX0842 R 01/01 

					
	 Assistant Surgeon Services
	  	100%	 	0%
			
	 Anesthesia Services
	  	100%	 	0%
			
	 Second Surgical Opinion (Optional)
	  	100%	 	0%
			
	 Chiropractor Visits
	  	100%	 	0%
			
	 Outpatient Diagnostic X-Ray
	  	100%	 	0%
			
	 Preventive or Wellness Care
	  	100%	 	0%
			
	 Pregnancy Care
	  	 	 	 
			
	 Maternity Delivery
 (Prenatal and Postnatal Care)
	  	100%	 	0%
			
	 Other Covered Services, Supplies, or Equipment
  
 Ambulance Services
	  	100%	 	0%
			
	 Durable Medical Equipment, Prosthetics and Orthotics
	  	100%	 	0%
			
	 Ambulatory Surgical Center (Outpatient Facility Charge)
	  	100%	 	0%
			
	 TMJ Disorders (Limited to non-surgical services each Benefit Period - Facility and Professional services combined)
	  	100%	 	0%
			
	 Outpatient Private Duty Nursing Services
	  	100%	 	0%
			
	 Outpatient Speech, Physical, Occupational and Cardiac Therapy
	  	100%	 	0%
			
	 Dental Services/Accidental Injury to Sound Natural Teeth (Dental and Medical Providers)
	  	100%	 	0%
			
	 Attention Deficit/Hyperactivity Disorders
	  	100%	 	0%

  

 2 

					
	 Mental Disorders
	  	 	 	 
			
	 Inpatient Services Maximum (30 Days per Benefit Period)
	  	100%	 	0%
			
	 Outpatient Services Maximum (20 Visits per Benefit Period)
	  	100%	 	0%
			
	 Alcohol & Drug Abuse
	  	 	 	 
			
	 Inpatient Services Maximum (30 Days per Benefit Period and Two confinements per Lifetime)
	  	100%	 	0%
			
	 Outpatient Services Maximum (20 Visits per Benefit Period)
	  	100%	 	0%
			
	 Prescription Drugs
	  	 	 	 
	 Generic Drugs or Brand Drugs
	  	100%	 	0%

  
 Pre-Authorization is required for the
following drugs and may be requested by calling: 1-800-973-7705. 
  

	 	•	 	Dexadrine (age nineteen (19) and over) 

  

	 	•	 	Adderall (age nineteen (19) and over) 

  

	 	•	 	Growth Hormones 

  

	 	•	 	Oral Contraceptives 

  

	 	•	 	Anorexiants 

  

	 	•	 	Prescription Vitamins and/or Minerals 

  
 THE FOLLOWING BENEFITS MUST BE AUTHORIZED 
 BY INDIVIDUAL CASE MANAGEMENT 
  

					
	 Special Benefits

	  	Coinsurance
Group

	 	Coinsurance
Member

	 Skilled Nursing Facility Services
	  	100%	 	0%
	 (Limited to 100 Days per Benefit Period)
	  	 	 	 
			
	 Home Health Care Services
	  	100%	 	0%
	 (Limited to 40 Visits per Benefit Period)
	  	 	 	 
			
	 Hospice Care Services
	  	100%	 	0%
	 (Limited to $5,000 Lifetime Maximum)
	  	 	 	 

  

 3 

 BENEFITS FOR THE FOLLOWING ARE AVAILABLE 
 ONLY IF A WRITTEN PRE-AUTHORIZATION IS OBTAINED 
 BY INDIVIDUAL CASE MANAGEMENT

  

					
	 Organ and Tissue
 Transplant
Benefits

	  	Coinsurance
Group

	 	Coinsurance
Member

	 (All Covered Services Subject to
 the overall Lifetime Maximum)
	  	100%	 	0%

  
 DENTAL CARE
BENEFITS 
 (Provider Network not applicable) 
  

			
	BENEFIT PERIOD DEDUCTIBLE:	  	 
		
	 Type I
	  	Not Applicable
		
	 Type II and III
	  	 
		
	 Per Participant
	  	Not Applicable
		
	 Per Family (Aggregate)
	  	Not Applicable
		
	 Type IV
	  	Not Applicable
		
	 BENEFIT PERIOD MAXIMUM:
	  	 
		
	 Type I, II, and III
	  	Not Applicable
		
	 TYPE IV ORTHODONTIC SERVICES:
	  	 
		
	 Lifetime Maximum
	  	Not Applicable
		
	 	  	Group /Member

		
	 ALLOWABLE CHARGE PAYMENT PERCENTAGES:
	  	 
		
	 Type I (Preventive) Dental Expenses
	  	100% / 0%
		
	 Type II (Basic) Dental Expenses
	  	100% / 0%
		
	 Type III (Major) Dental Expenses
	  	100% / 0%
		
	 Type IV (Orthodontic) Dental Expenses
	  	100% / 0%

  

 4 

 ELIGIBILITY ENROLLMENT AND WAITING PERIOD 
  
 Active Employees who are Officers of Tidewater Inc. - An initial Employee,
performing all of the main duties of his or her job with the Group and working a minimum of thirty (30) hours per week and who is not part-time or temporary, will be eligible for coverage on the Benefit Plan date. A subsequent Employee, hired or
promoted after the Benefit Plan date, will be eligible for coverage on the date of employment or promotion. 
  
 Coverage for an Active Employee will become effective on the date such Employee is eligible, provided he or she is Actively at Work on the effective date. If the Employee is not Actively at work on the effective date,
coverage will become effective on the date the Employee returns to Active Work. 
  
 Dependents of Employees who are Officers of Tidewater Inc. - A Dependent of an Active Employee, who is eligible for coverage under the Plan and who is not already covered as an Employee under the Plan and for whom the Employee has
made a written request for coverage, will be eligible: 
  

	•	 	On the date the Employee qualifies for coverage, if he or she has one (1) or more Dependents at that time; or 

  

	•	 	On the date the Employee acquires a first Dependent, if such Employee has no Dependents on the date the Employee becomes eligible for coverage. 

  
 Coverage for a Dependent of an Active Employee will become effective on the date such
Dependent qualifies for Dependent coverage. Coverage for a Dependent who is Hospital confined on the effective date will become effective on the day after such Dependent is discharged from the Hospital. 
  
 Former Plan Participants with extended Benefits under COBRA - A former Employee who
was an Officer of Tidewater Inc. and all covered Dependents will be eligible for coverage on the date following the loss of coverage due to a Qualifying Event. 
  

Coverage will become effective on the date established by the Company, pending timely application and receipt of applicable premium payments by the Company.

  
 TERMINATION OF MEDICAL AND DENTAL COVERAGES

  
 Medical and dental coverages for the Subscriber will end on the earliest
of: 
  

	 	A.	The date upon which membership as an Eligible Participant ceases; or 

  

	 	B.	The date upon which employment with the Group ceases; or 

  

	 	C.	The date upon which the Subscriber or the Group ceases premium payments for this coverage; or 

  

	 	D.	The date upon which the Plan ceases; or 

  

	 	E.	The date upon which the Subscriber is pensioned or retired, unless the Subscriber, otherwise, qualifies for retiree medical benefits. 

  
 Medical and dental coverages for the Dependent will end on the earliest of: 
  

	 	A.	The date upon which the Subscriber is no longer an Eligible Participant; or 

  

	 	B.	The date upon which the Dependent ceases to be an eligible Dependent; or 

  

	 	C.	The date upon which all Dependent coverage under the Plan is cancelled. 

  

 5 

 CHANGE IN AMOUNTS OF BENEFITS 
  
 Any change in the amount of Benefits due to a change in Your class will be effective on the date of the change, provided: 
  

	 	A.	You are Actively at Work; and 

  

	 	B.	You make any required premium payment for the change to become effective. 

  
 If You are not Actively at Work, such change will become effective on the first day on which You return to work. If You or the Group does not make the required premium
payment within thirty-one (31) days of the change, any increased Benefits will not become effective until You give proof of good health satisfactory to the Company. Such increased Benefits will become effective on the date established by the Group
and the Company. 
  
 Changes in amounts of Benefits due to an amendment to the
Plan will become effective: 
  

	 	A.	For You: 

  

	 	1.	On the amendment date if You are Actively at Work performing the normal duties of Your job for a full work day: 

  

	 	a.	While physically present at Your normal place of employment; or 

  

	 	b.	At some other place of business that the Group requires You to go. 

  

	 	B.	For Your Dependent (if applicable): 

  

	 	1.	On the amendment date if the Dependent is not confined to a Hospital; or 

  

	 	2.	On the day after the Dependent is released from a Hospital, if the Dependent is Hospital confined on the amendment date. 

  
 Payments will be based upon the Benefits in effect at the time the Covered Service is
rendered. 
  

 6

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