Northrop Grumman Legacy Officers Plan Matrix (Plan Year July 1, 2011 – June 30, 2012)

Summary

This document outlines the Northrop Grumman Legacy Officers Plan for the plan year July 1, 2011 to June 30, 2012. It details comprehensive health, dental, vision, hearing, and disability benefits for eligible employees and their families, including 100% coverage for most medical and dental expenses, generous life and disability insurance, and specific limits for therapies and other services. The plan was closed to new participants as of July 1, 2009 and renamed in 2010. Coverage is administered by Anthem Blue Cross and Delta Dental.

EX-10.16 15 v59597exv10w16.htm EX-10.16 exv10w16

Exhibit 10.16

Northrop Grumman Legacy Officers Plan* Matrix — Plan Year July 1, 2011 — June 30, 2012



	Plan Features			Benefit
	Eligibility			Employee + Spouse & Children and or Adult Children up to age 26
	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, contact lenses
	Hearing Coverage			Up to two hearing aids per person, per plan year
	Acupuncture and Acupressure			20 visits (combined) — per person, per plan year
	Chiropractic Care			40 visits per person, per 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.
	Health Plan Lifetime Maximums			No Lifetime Maximums for essential medical, prescription drug or mental health benefits
	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, including Orthodontics
	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