Northrop Grumman Executive Health Plan Matrix
Exhibit 10.6
Northrop Grumman Executive Health Plan Matrix
| Plan Feature | Benefit | |
| Eligibility | Employee + Spouse & Dependents | |
| Medical Plan | Premium PPO Plan administered by Blue Cross Blue Shield of Illinois | |
| Coverage | 100% coverage, for all eligible plan expenses | |
| Annual Deductible | No annual deductible | |
| Co-payment/Co-insurance | No co-payment/No co-insurance | |
| Preventive Care Coverage | $500 annual maximum per covered individual | |
| 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 | |
| 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 Inpatient treatment must be pre-authorized by Value Options | Mental health is 100% covered (in and out-of-network combined) Unlimited office visits (in and out-of-network) | |
| 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, 2006
