Table of Contents
SECTION
ONE:
Important Phone Numbers
SECTION
TWO:
Eligibility For Coverage
Continuing Your Coverage go
SECTION
FOUR:
Your Medical Benefits (Level I)
Summary of Benefits go
How Your Medical Plan Works go
Hospitalization and Surgery go
Wellness Benefits go
Extended Care Benefits go
Mental Health and Chemical Dependency go
Prescription Drug Benefits go
Other Covered Medical Expenses go
SECTION
FIVE:
Medical Benefits (Level II)
Summary of Benefits go
How Your Medical Plan Works go
Hospitalization and Surgery go
Wellness Benefits go
Extended Care Benefits go
Mental Health and Chemical Dependency go
Prescription Drug Benefits go
Other Covered Medical Expenses go
SECTION
SEVEN:
Vision and Hearing Benefits
Vision Care go
Hearing Care go
SECTION
EIGHT:
Life and Dismemberment Insurance and WA&S
Life Insurance go
Vested Death Benefit go
Accidental Death and Dismemberment Benefits go
Death and Dismemberment Benefits for Dependents go
Weekly Accident and Sickness Benefits go
SECTION
ELEVEN:
Members' Assistance Program
SECTION
TWELVE:
Filing Your Claims
Coordination of Benefits go
SECTION
THIRTEEN:
Important Information About Your Plan
Your ERISA Rights go
Privacy Requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
