Northrop Grumman Executive Health Plan Matrix (Effective July 1, 2008)

Summary

This document outlines the Northrop Grumman Executive Health Plan, which provides comprehensive medical, dental, vision, hearing, and mental health coverage for eligible employees and their families. The plan features 100% coverage for most medical and dental expenses, no deductibles or co-payments, and generous annual and lifetime maximums. Additional benefits include company-paid life and accidental death insurance, long-term disability coverage, and an annual allowance for executive physicals. The plan is administered by Anthem Blue Cross Blue Shield and Delta Dental, with specific limits and conditions for certain therapies and treatments.

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