Oral Agreement Regarding Health Insurance Coverage Between ADC Telecommunications, Inc. and Peter W. Hemp
This agreement is between ADC Telecommunications, Inc. and Peter W. Hemp, effective November 16, 2001. Upon Hemp's retirement, ADC agrees to pay the employer portion of his COBRA medical and dental insurance for one month, ending December 31, 2001. The total employer cost is $490.75. Hemp must submit his enrollment documents to ADC's third-party vendor as required by COBRA regulations to receive this benefit.
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Exhibit 10-x
Oral Agreement Regarding Health Insurance Coverage
Oral Agreement, effective as of November 16, 2001, between ADC Telecommunications, Inc. ("ADC") and Peter W. Hemp ("Hemp").
In connection with Hemp's retirement from ADC on November 16, 2001, ADC agreed to pay the employer portion of Hemp's COBRA medical and dental insurance coverage for one calendar month following his termination of employment, through December 31, 2001. ADC's total costs for such coverage total $490.75, as follows:
| COBRA Medical | | ||
|---|---|---|---|
Employer Cost | $ | 449.90 | |
| Employee Cost | $ | 109.72 | |
| Total Cost | $ | 559.62 | |
COBRA Dental | |||
Employer Cost | $ | 40.85 | |
| Employee Cost | $ | 20.32 | |
| Total | $ | 61.17 | |
In order to receive payment from ADC, Hemp is required to submit his enrollment documents to ADC's third-party vendor in accordance with COBRA regulations.
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- Exhibit 10-x
