Chief Executive Officer Major Medical & Dental Benefits Plan Summary (March 10, 2005)

Contract Categories: Human Resources › Compensation Agreements
Summary

This document outlines the major medical and dental benefits provided to the Chief Executive Officer under the PCS US salaried/non-hourly employees plan as of March 10, 2005. It details coverage for medical and dental expenses incurred in the United States, with emergency coverage abroad. Key terms include individual and family deductibles, annual out-of-pocket maximums, reimbursement rates, and specific limits for services such as nursing, hospital stays, prescription drugs, and paramedical treatments. The plan also specifies maximums for dental care, eye exams, and other covered services.

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EX-10.JJ 3 o14773exv10wjj.htm EXHIBIT 10(JJ) exv10wjj  

Exhibit 10(jj)

March 10, 2005

CHIEF EXECUTIVE OFFICER

MAJOR MEDICAL & DENTAL BENEFITS

     Benefits include all medical and dental expenses covered under the PCS US salaried/non hourly employees Plan. Covered expenses include medical and dental expenses incurred for services rendered or supplies purchased in the United States. Coverage outside the United States is provided for emergency services.

     
Individual Deductible Amount
  $250
Family Deductible Amount
  $500
Annual Out of Pocket Maximum
  $1,250 individual
$2,500 family
Percentage Reimbursements
  90%
 
    
MEDICAL
 
    
Maximum Aggregate per Individual
  $1,000,000 per lifetime
Annual Reinstatement Amount
  $10,000
Maximum Medical Travel Amount (per Individual)
  None
 
    
DENTAL
 
    
Maximum Dental Amount per Individual
  $8,000 per calendar year
 
    
OTHER SPECIFIC LIMITS & MAXIMUMS ARE LISTED BELOW:
 
    
STANDARD COVERED EXPENSES
    
Maximum Nursing Services Amount
  180 day maximum per year
 
    
HOSPITAL COVERED EXPENSES
    
Hospital Daily Amount
  Reasonable and customary
 
    
PRESCRIPTION DRUG COVERED EXPENSES
    
In US
  $10/$20 copay
In Canada
  Only when traveling
Out of Country
  Only when traveling
Maximum Lifestyle Drugs Amount
   $500 per calendar year

 

 

     
PARAMEDICAL COVERED EXPENSES
    
 
    
Chiropractic Services
  Subject to medical necessity
Physiotherapist Services
  Subject to medical necessity
Acupuncturist Services
  Only when used for anesthesia
Podiatrist Services
  Subject to medical necessity
Speech Therapist Services
  Subject to medical necessity
 
    
EXTRACARE COVERED EXPENSES
    
Convalescent Hospital Daily Amount
  Reasonable and customary
Maximum Number of Days of Convalescent Hospital Confinement
  180 day maximum per year
Maximum Visits to Psychologist or Social Worker
  60 visits per year
Maximum Eye Examination Amount
  Reasonable and customary
Once every 12 months
Eyeglass, Frame or Contact Lens Amount
  $1,000 per 24 consecutive months