Benefit Description Sample Clauses

Benefit Description. The Human Resources Department administers the Leave Sharing Plan by communicating the needs of potential employee recipients to the Manager of the department in which the employee works and facilitates with the Payroll Department the transfer of employees' PTO donations to the recipients. Those who choose not to participate in the Plan will be respected in administering the Plan. Potential recipients may seek help without divulging their identities to other employees. The identities of donors (and non-donors) will not be released to others. An employee donor may donate accumulated PTO hours provided the donation is a minimum of four (4) hours. An employee donor's PTO is donated in hours which are converted to a dollar value using the donor's current hourly wage rate. The dollar value is then converted back to hours based on the employee recipient's hourly wage. For example: Donor Recipient Hours donated: (multiplied by) 8 hours Dollar value: (divided by) $100.00 Hourly wage: (equals) $12.50 Hourly wage: (equals) $10.00 Dollar value: $100.00 Hours received: 10 hours If an employee recipient returns to work prior to using all the donated hours, the unused donated time will not be returned to the employee donor(s) but will be retained in the employee recipient's PTO bank. In the event of the termination of employment or death of the employee recipient, the unused portion of the donated time will not be returned to the employee donor(s). The Unused time will be paid to the employee recipient upon termination of employment or his/her estate in the event of death. Payroll taxes on the value of donated hours are the responsibility of the employee recipient. Since the employee donor realizes no income, there are also no deductible expenses for IRS reporting purposes.

Benefit Description. LONG-TERM DISABILITY 75% of regular salary after 4 months of disability GROUP LIFE INSURANCE Coverage of two (2) times regular salary. ACCIDENTAL DEATH AND DISMEMBERMENT Coverage of two (2) times regular salary. DENTAL 100% - Basic Coverage; 50% - Restorative; current ODA VISIONCARE $250.00 per 24 months/per dependent EXTENDED HEALTH CARE 100% - Prescription drug coverage and ancillary hospital and medical coverage DEPENDENT GROUP LIFE INSURANCE Coverage of $2000 for spouse; $1000 each child

Benefit Description. Postretirement Medical Pre-65 Eligibility Age 60 & 10 years of service Benefits Same as active employees (including dental) Retiree Contributions Based on pay at retirement: Medical Benefits (Indemnity) • Retiree only: $27.26 to $53.34 per month • Retiree + family: $73.29 to $124.37 per month Health Care Preferred Benefits (POS) • Retiree only: $21.04 to $47.12 per month • Retiree + family: $50.38 to $101.46 per month Postretirement Medical Post-65 Eligibility for Company-Paid Same as pre-65 Benefits Prescription Drug Plan plus Medicare Supplement: Part A Partial Fill-in Plan Retiree Contributions None, 100% company-paid (retirees with 10-14 years of service pay 25% of plan cost) (medical credit if opt out of coverage) Eligibility for Optional Plans Same as pre-65 Benefits Medicare Supplement Part A and B Partial Fill-in Plans Retiree Contributions 100% retiree-paid ($8.50 and $81 per person per month) Postretirement Life Insurance Eligibility Age 60 & 10 years of service Benefit (Employer-Paid) • 60-6 2.5 × salary 62 2.0 × salary 63 1.5 × salary 64 1.0 × salary 65+ 0.5 × salary (maximum $50,000) • Employees with less than 15 years of service are eligible for 1/2 of the scheduled amount up to a maximum of $25,000 Benefit (Optional) 1, 2, or 3 × pay with reductions at ages 65, 70, and 75. Ultimate benefit 30% of initial amount Employee Contributions Age 60-64: $70; Age 65+: $1.31 per $1,000

Benefit Description. NAEP Conference Discount 10% discount on applicable member registration rate.

Benefit Description. Supplemental Nonqualified Pension Plans • Excess plan for benefits in excess of 415 benefit limit. Benefits vest after 5 years of service. • Supplemental plan (if E-band) provides richer formula (60% FAP-3 including 50% social security, pension, and PPA) and includes pay over pay limit. Benefits do not vest until age 60 Savings Eligibility Immediate Employee Contributions • NHCE: Up to 30% total pre-tax/after-tax • HCE: Up to 10% pre-tax; 12% total pre-tax/after-tax • ▇▇▇▇ contributions permitted Employer Contributions 50% of first 7% of pay Pay Definition Base, overtime, night-shift bonus, commissions, and certain other bonus (50% if E-band) Vesting Immediate Investments 10 choices—GE Stock; Stock Mutual Fund; International Equity Fund; Income Fund; Money Market; Short-Term Interest Fund; U.S. Savings Bonds; Vanguard Institutional Index Fund, Small-Cap Value Equity Fund; Strategic Investment Fund In-Service Withdrawals Non-hardships up to 7 per year of non-401 (k) amounts Investment Switches Up to 24 per year Loans May have 2 outstanding loans (one new loan per year) Post-Termination Withdrawals Up to 4 per year; minimum amount $500; or lump sum of entire account Profit Sharing Eligibility No plan Employee Contributions Employer Contributions Pay Definition Vesting Investments In-Service Withdrawals Investment Switches Loans Post-Termination Withdrawals ESOP Eligibility No plan Employee Contributions Employer Contributions Pay Definition Vesting Supplemental Nonqualified Savings Plans No plan Company-Paid Life Insurance Eligibility Immediate Coverage 2.5 × pay ($50,000 minimum) Covered Pay Definition Base, certain other bonus (50% if E-band), shift differential Other Living benefit for terminally ill Optional Life Insurance (A Plus) Eligibility Immediate Coverage 1, 2, or 3 × pay Covered Pay Definition Base certain other bonus (50% if E-band), shift differential Employee Contributions Age Monthly Rate Per $1,000 Age Monthly Rate Per $1,000 <25 $0.05 50-54 $0.26 25-29 0.06 55-59 0.43 30-34 0.08 60-64 0.68 35-39 0.09 65-69 1.27 40-44 0.10 70+ 2.06 45-49 0.16 Other Living benefit for terminally ill Optional Life Insurance (Security Life) Eligibility Immediate Coverage (decreasing term varying by age) • Option I: 6.00 × pay (<age 30) to 0.16 × pay (age 70+) • Option II: 12.00 × pay (<age 30) to 0.16 × pay (age 70+) Employee Contributions • Option I: 0.45% of pay • Option II: 0.90% of pay Other Living benefit for terminally ill Optional Dependent Life Benefit ...

Benefit Description. Medical Managed Care POS Eligibility Immediate Benefit • In-network: 100% after $150 ($300 family) copay per admission; $15 copay office visits ($25 specialists) • Out-of-network: 80% after deductible Limits $2,500,000 lifetime maximum per person Out-of-Pocket Limit • In-network: Not applicable • Out-of-network: Varies by pay from $1,250 to $2,750 per person; $2,500 to $5,500 per family (including deductible) Deductible • In-network: None • Out-of-network: Varies by pay from $250 to $850 per person; $500 to $1,700 per family Employee Contributions Varies by pay: • EE only: $21.04 to $71.95 per month ($22.69 to $90.29 eff. 1/1/2006) • EE + 1: $50.38 to $151.11 per month ($53.73 to $187.76 eff. 1/1/2006) • EE + family: $59.12 to $209.45 per month ($65.77 to $282.79 eff. 1/1/2006) • Additional: $0 to $86.67 if elect to cover working spouse (with employer-provided coverage) Mental Health/Chemical Dependency • Inpatient 30 days per year (in-network: 100%, out-of-network 80%) • Outpatient 30 visits per year (in-network: 100% after $15 copay, out-of-network: 50%) Preventive Care • In-network: $0 or $15 copay; • Out-of-network: 80% after deductible or not covered Prescription Drug • Retail Network: Generic: $12 to $60 copay (21-90 day supply) Brand: $16* to $80* copay (employee must file claim forms if out-of-network pharmacy used) • Mail: Generic: $20 copay (90-day supply) Brand: $36* copay • $2,000 / $4,000 out-of-pocket limit * Employee pays difference between brand and generic if generic available Dental Plan • Eligibility Immediate Benefit Standard Premium (2005 schedule) Diagnostic & Prev. 100% Target 100% Restorative 50% Target 80% Major 50% Target 50% Surgery 80% R & C 80% Orthodontia 50% 50% (children < 19 only) Deductible None None Maximums Annual $2,000 $2,000 (restorative and major only) biennial annual Orthodontia $2,000 $2,000 per person per lifetime Employee Contributions None $6, $12, $18 Vision Benefit Schedule amounts for exams, lenses, and frames (discounts available from network providers) Employee Contributions Included with medical Spending Accounts Health Care $5,000 maximum per year Dependent Care $5,000 maximum per year Long-Term Care Benefit $50 to $250 daily benefit for nursing home, assisted living, and respite care for employee, spouse, parents, or parents-in-law Employee Contributions Varies by age and benefit level; employee-pay-all Personal Excess Liability Eligibility Immediate Benefit $1, $2, $3, or $5 million liability insurance ...

Benefit Description. Job Security Benefits Eligibility 1 year of service Layoff Benefits (eligibility based on plan definition of Layoff Benefits) • < 15 years: 1week of pay for each full year of service plus 1 day of pay for each additional 11-week increment of a fractional year of continuous service (maximum 4 days of pay) • 15+ years: 1.5 weeks pay for each full year of service plus 1.5 days of pay for each additional 11-week increment of a fractional year of continuous service (maximum 6 days of pay) • Minimum 1 week of pay • Continuation of certain benefits (including medical/dental) for up to 1 year based on plan description Office Closing Benefits (eligibility based on plan definition of Office Closing Benefits) • Under 2 years of continuous service: 1 week per year of service plus 1 days pay for each additional 11 weeks of a fractional year of service (maximum 4 days of pay). The minimum each employee is eligible to receive is 1 week of pay

Benefit Description. You may need to pay for your care out-of-pocket, and then file a claim for reimbursement as described in Chapter 7: Filing Claims for Payment. Is the Care Covered? To receive benefits, the care you receive must be a covered Service or supply. See the Benefit Summary section in the front of this Guide, and Chapter 3: Benefit Description, for a listing of covered Services and supplies. Also see Chapter 4: Services Not Covered. What does Medically Necessary mean? All covered Services you receive must meet all the following Medically Necessary criteria:  Recommended by the treating PCP or KP licensed health care practitioner,  Is approved by the KP’s medical director or designee,  Is for the purpose of treating a medical condition,  Is the most appropriate delivery or level of Service, considering potential benefits and ▇▇▇▇▇ to the patient,  Is known to be effective in improving health outcomes/ provided that: o Effectiveness is determined first by scientific evidence; o If no scientific evidence exists, then by professional standards of care; and o If no professional standards of care exist or if they exist but are outdated or contradictory, then by expert opinion; and o Cost-effective for the medical condition being treated compared to alternative health interventions, including no intervention. For purposes of this paragraph, cost-effective shall not necessarily mean the lowest price.  And Services that are not known to be effective in improving health outcomes include, but are not limited to, Services that are experimental or investigational. All covered Services must be Medically Necessary, prescribed, and consistent with reasonable techniques specified under this EOC with respect to the frequency, method, treatment, or licensing or certification to the extent the provider is acting within the scope of the provider’s license or certification under applicable Hawaii State law. Did You Receive Care from Your PCP or ▇▇▇▇▇▇ Permanente Hawaii Care Team? Benefits are available only for care you receive from or arranged by ▇▇▇▇▇▇ Permanente Hawaii Care Team. To find a Medical Office near you, visit our website at ▇▇▇.▇▇.▇▇▇. For more information see Chapter 1: Important Information. Is the Service or Supply Subject to a Benefit Maximum? A Benefit maximum is the maximum benefit amount allowed for a covered Service or supply. A coverage maximum may limit the duration, or the number of visits. For information about benefit maximums, read Chapter 2: Payment D...

Benefit Description. Medical—Indemnity Plan Eligibility Immediate Benefit • Hospital: 100% after $150 ($300 family) copay per admission ($250 if non-preferred hospital) • Surgical: 80% (no deductible) • Other: 80% after deductible Limits $2,500,000 lifetime maximum per person Out-of-Pocket Limit Varies by pay: $1,100 to $2,350 per family (including deductible) Deductible Varies by pay: $150 to $600 per person; $300 to $1,200 per family Employee Contributions Varies by pay: • EE only: $30.21 to $81.08 per month ($33.95 to $101.51 eff. 1/1/2006) • EE + I: $79.16 to $179.85 per month ($86.68 to $220.67 eff. 1/1/2006) • EE + family: $93.68 to $244.01 per month ($108.68 to $325.70 eff. 1/1/2006) • Additional: $0 to $86.67 if elect to cover working spouse (with employer-provided coverage) Mental Health/Chemical Dependency • Inpatient 30 days per year (in-network: 100%, out-of-network: 80%) • Outpatient 30 visits per year (in-network: 80% after deductible, out-of-network: 50%) Preventive Care Scheduled amounts for specific screenings Prescription Drug • Retail Network: Generic: $12 to $60 copay (21-90 day supply) Brand: $16* to $80* copay (employee must file claim forms if out-of-network pharmacy used) • Mail: Generic: $20 copay (90-day supply) Brand: $36* copay • $2,000/$4,000 out-of-pocket limit • *Employee pays difference between brand and generic if generic available