EX-101 INSTANCE DOCUMENT

EX-10.13 12 v59597exv10w13.htm EX-10.13 exv10w13

Exhibit 10.13

Northrop Grumman Legacy Officers Plan* Matrix — Plan Year July 1, 2010 — June 30, 2011


Plan Features		Benefit
Eligibility		Employee + Spouse & Children and or Adult Children up to age 26 (Effective 1-1-11)
Medical Plan		Premium PPO Plan administered by Anthem Blue Cross
Coverage		100% coverage, for all eligible plan expenses
Annual Deductible		No annual deductible
Co-payment/Co-Insurance		No co-payment/co-Insurance
Preventive Care Coverage		No limits as long as procedures fall under Anthem’s Guidelines
Prescription Drug Coverage		Covered under Medical Plan
Annual Deductible		No annual deductible
Coverage — retail 30 — day supply		100% coverage, when network pharmacy utilized
Coverage — mail order 90 —day supply		100% coverage, when network pharmacy utilized
Vision Coverage		$500 maximum reimbursement per person, per plan year, for exams, glasses, and contact lenses
Hearing Coverage		Up to $500 per ear, per person, per plan year
Acupuncture and Acupressure		20 visits (combined) — per person, per plan year
Chiropractic Care		40 visits per person, plan year (in and out of network)
Physical Therapy		50 visits per person, per plan year (in and out of network)
Speech Therapy		50 visits per person, per plan year (in and out of network)
Occupational Therapy		50 visits per person, per plan year (in and out of network)
Mental Health Coverage		Mental health is 100% covered (in and out of network); Office visits — unlimited. Inpatient treatment based on mental health, substance abuse or detox treatment will allow a combined total of 30 days coverage with pre-authorization or utilization review and includes out-of-network providers (Effective 2-1-11).
Health Plan Lifetime Maximums		$2,000,000 (Medical, Prescription Drug and Mental Health combined)
Dental Plan		Premium PPO Plan administered by Delta Dental
Annual Maximum		$4,000 per person — per 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/co-Insurance
Eligibility		Employee only
Life Insurance Coverage		Company-paid basic life insurance 3x annual base salary up to a maximum of $2 Million
Accidental Death & Dismemberment Coverage		Company-paid basic 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 $25,000


*		Executive Health Plan was frozen to new participants on July 1, 2009 and renamed Legacy Officers Plan effective July 1, 2010