PERSONAL CHARACTERS Sample Clauses

PERSONAL CHARACTERS. Emotional stability, moral character, ethical and professional practices. CHIEF AREAS OF STRENGTH: CHIEF AREAS THAT NEED IMPROVEMENT: OTHER COMMENTS OR SUGGESTIONS: Considering all factors, the professional performance of the above-named administrator is . Rating 1-5 Evaluator's Signature: Administrator's Signature: APPENDIX C Please see your MESSA packet for more detail on the coverage for each plan or call your MESSA representative. PAK A Health Super Care 1 XVA2 $50/100 deductible $5/10 Preferred Prescription Program (Includes $5,000 Basic Term Life with AD&D) PAK-Preventative Care Medical Rider Negotiated LTD 60% Maximum monthly salary $6,667 5% Minimum Payout $4,000 Maximum Monthly Income No Survivor Income Benefit 90 Calendar days modified fill Pre-Existing Condition Waiver Alcohol/Drug – 2 year limit COLA – No Mental/Nervous – 2 year limit No Education Supplement Program Family Social Security Offset Maternity Coverage, Rehab Benefits 2 Year Own Occupation Freeze on Offsets – YES Negotiated Life and AD&D Amount equal to 1 ½ times annual compensation rounded to nearest $1,000, subject to a $175,000 maximum. Vision VSP-3 Plan year July to July Vision Exam covered in full for panel provider Frames covered up to $65 for panel provider Lenses covered in full for panel provider Necessary contact lenses covered in full for panel provider Cosmetic contact lenses covered up to $115 and additional 20% of balance Delta Dental Maximum annual of $1,500 per person; $3,500 Class IV lifetime maximum per person. Class I @ 100%; Diagnostics: exams, prophylaxes, tropical fluoride, emergency palliative, radiographs. Cleanings covered 2 per plan year per insured Class II @ 90%; Basic Services: restoratives, crowns, oral surgery, endodontic and periodontic services; Sealants Rider Class III @ 90%; Procedures for construction of fixed bridgework, partial and complete dentures Class IV @ 90%; Orthodontics: necessary treatment and procedures required for the correction of malposed teeth to age 19 Health None Negotiated LTD Same as above Negotiated Life & AD&D Same as above Vision Same as above Delta Dental Same as Above PINCONNING AREA BOARD OF PINCONNING AREA ASSOCIATION EDUCATION OF SCHOOL ADMINISTRATORS Xxx Xxxxxx Xxxxx Xxxxxxxxxxx Xxx Xxxxxxxx Xxxxx Xxxxxxxx Xxxx Xxxxxxx