Medical Plan Benefits. A Comprehensive Medical Benefit Plan with the following annual deductibles will be provided. Network Deductible Non-Network Deductible Single $200.00 $500.00 Family $400.00 $1,500.00 The deductible amounts indicated above will apply during a calendar year period and will apply separately to network and non-network services covered under the plan of benefits. For example, amounts paid by a plan participant toward satisfaction of the annual network deductible will not count against the annual non-network deductible, and amounts paid by a plan participant toward satisfaction of the annual non-network deductible will not count against the annual network deductible required under the plan. Following satisfaction of the deductible amounts shown above, generally, plan participants will be required to pay a portion of covered expenses; however, the portion of plan expenses payable by plan participants beyond the deductible will be subject to an annual out-of-pocket limit as shown in the following table: Network Out-of-Pocket Limit Non-Network Out-of-Pocket Limit Single $600.00 $1,500.00 Family $800.00 $3,000.00 The portion of covered plan expenses payable by participants beyond the deductible, except as noted below, will be 20% (subject to the annual network out-of-pocket limit) in the case of services rendered by a network provider. In the case of non-network care, the portion of covered plan expenses payable by participants beyond the deductible will equal 40% (subject to the annual non-network out-of pocket limit) of the reasonable and customary charge for such service. The annual out-of-pocket limits indicated above will apply during a calendar year period and will apply separately to network and non- network services covered under the plan of benefits. For example, amounts paid by a plan participant toward the satisfaction of the annual out-of-pocket limit, and amounts paid by a plan participant toward satisfaction of the annual non-network out-of pocket limit will not count against the annual network out-of-pocket limit. Certain services rendered by network providers will be payable at 100% under the plan. Charges for covered diagnostic testing performed by a network provider will be reimbursed at 100% by the plan not subject to the network deductible. Charges for qualifying home health care and hospice care services rendered by a network provider will be covered at 100% under the plan without a deductible requirement. No coverage will be available under the...
Medical Plan Benefits. If the termination of the Executive’s employment occurs in anticipation of, or on or after, a Change in Control, during the eighteen-month period following the termination of the Executive’s employment the Company will, subject to the next sentence, reimburse the Executive monthly for the costs of medical insurance for the Executive and the Executive’s family under COBRA less the then-applicable monthly associate contribution amount for comparable participation under the Company’s medical insurance plan. If prior to the end of the eighteen-month period and as a result of employment the Executive becomes eligible for medical insurance the coverage and the cost of which is comparable in all material respects to the coverage and the cost of participation in the Company’s medical insurance plan then in effect, the Company’s obligations in the preceding sentence will immediately terminate. Unless the Company’s obligations in the first sentence of this paragraph have terminated in accordance with the preceding sentence, at the end of the eighteen-month period the Company will pay to the Executive in a lump sum an amount sufficient to enable the Executive to obtain equivalent medical insurance plan coverage for six months, no amount of which the Executive will be obligated to return upon subsequent employment. If termination of the Executive’s employment occurs as described in clause (B) of the first sentence of paragraph (i) of this subsection (b), the Company’s obligation with respect to the Executive’s participation under the Company’s medical insurance plan will be limited to the Executive’s COBRA rights, which the Executive may exercise at the Executive’s expense.
Medical Plan Benefits. Through December 31, 2010, the Company will allow eligible bargaining unit employees to continue to participate in the following coverage options under the Entergy Corporation Companies‟ Benefits Plus Medical Plan:
Medical Plan Benefits. Medical benefits will continue for a 12 month period following the Termination Date (commencing September 1, 2007) at the same coverage levels and at the same premiums that exist at the Termination Date. Under the medical plan, your status will switch to an Eligible Retiree, meaning that you can maintain your health care coverage until age 65 after which time you will switch to the Company’s Medigap premium reimbursement program. At the end of the 12 month continuation period, your medical premiums to continue coverage as an Eligible Retiree will be increased to the same level as other Eligible Retirees.
Medical Plan Benefits. Choice of coverage between HMSA and Kaiser. · Prescription Drug, Vision Rider, Acupuncture and Chiropractor included. · Effective: First of the month following date of hire. · Dependent coverage includes spouse and/or eligible child up to age 19, or through age 24 if full-time student. · If your spouse is employed by Hawaiian Airlines, individual coverage if desired, will be provided to each but neither may be included on his or her spouse’s plan. Likewise, coverage for dependent children may be included under one employee’s plan only. HMSA-PPP Monthly Premiums:
