Financial Statements
EX-10.1 2 v42160exv10w1.htm EXHIBIT 10.1 exv10w1
Exhibit 10.1
Northrop Grumman Executive Health Plan Matrix
Plan Feature | Benefit | |
Eligibility | Employee + Spouse & Dependents | |
Medical Plan | Premium PPO Plan administered by Anthem Blue Cross Blue Shield | |
Coverage | 100% coverage, for all eligible plan expenses | |
Annual Deductible | No annual deductible | |
Co-payment/Co-insurance | No co-payments/No co-insurance | |
Preventive Care Coverage | 100% coverage for routine physicals, immunizations, and other eligible services as determined by the Plan. | |
Prescription Drug Coverage | Covered under Medical Plan | |
Annual Deductible | No annual deductible | |
Coverage retail 30-day supply | 100% coverage, when network pharmacy is utilized | |
Coverage mail order 90-day supply | 100% coverage, when network pharmacy is utilized | |
Vision and Hearing Coverage | $500 vision/ $500 per year per plan year per covered individual; hearing expenses are covered at 100% for exam, hearing aids and hearing aid repair | |
Acupuncture and Acupressure | 20 visits (combined) per person, per plan year | |
Chiropractic Care | 40 visits per benefit plan year | |
Physical Therapy | 50 visits per benefit plan year (in and out-of-network combined) | |
Speech Therapy | 50 visits per benefit plan year (in and out-of-network combined) | |
Occupational Therapy | 50 visits per benefit plan year (in and out-of-network combined) | |
Mental Health Coverage | Mental health is 100% covered (in and out-of-network combined) | |
Inpatient treatment must be pre-authorized by Value Options | Unlimited office visits (in and out-of-network); maximum for substance abuse is three courses of treatment (in- and out-of-network combined) | |
Mental Health Maximums | Combined Lifetime Limits included in $2 million per person Medical lifetime maximum | |
Health Plan Lifetime Maximums | $2,000,000.00 per covered individual, including mental health benefits | |
Dental Plan | Premium PPO Plan administered by Delta Dental | |
Annual maximum | $4,000 per person per benefit plan year | |
Coverage | 100% coverage, for all eligible plan expenses up to annual maximum | |
Annual Deductible | No annual deductible | |
Co-payment/Co-insurance | No co-payment/No co-insurance | |
Plan Feature | Benefit | |
Eligibility | Employee | |
Life Insurance Coverage | Company-paid life insurance 3x Annual base salary up to a maximum of $2 million | |
Accidental Death & Dismemberment (AD&D) Coverage | Company-paid accidental death & dismemberment insurance 6 x Annual base salary up to a maximum of $1 million | |
Long-Term Disability (LTD) | Company-paid basic LTD benefit of 75% of monthly base salary, up to a maximum monthly benefit of $25,000 | |
Executive Physicals | $2,000/year allowance for executive physical |
Effective July 1, 2008