Represented Employees

Hired on the Effective Date of the 2002 Agreement

Pension Plan

Normal Retirement Benefit (NRB)

Accrued Benefit as of closing date under Boeing formula (rolled up with earnings escalator) plus future service benefit under Chem-tronics formula

Benefit Formula

.75% x FAE x SVC plus .60% x [FAE - CC] x SVC (Max 35 yrs)

Earnings Definition

Base Pay Only

Early Retirement (ER)

Accrued benefit under Boeing plan subject to Boeing ER factors.  Future service benefit -Chem-tronics plan payable at age 55 with 10 years of service, reduced 6% per year from age 65 to early retirement

Payout Options

Annuity only for Boeing benefit; lump sum or annuity for Chem-tronics benefit

Savings / 401(k) Plan

Employer Match

 

50% of employee deferrals (maximum 8%) for maximum match of 4% of salary

Medical (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

18% of the monthly premium

 

Contribution to FSA

$100 annual minimum / $5,000 annual maximum

 

 

PPO Plan Enrollees

%

Year one contribution for EE Only

 

$60.23

 

18%

Year one contribution for EE+Children

 

$114.44

 

18%

Year one contribution for EE+Spouse

 

$126.48

 

18%

 

PPO Plan Enrollees

%

Year one contribution for EE+Family

 

$186.71

 

18%

Dental (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

18% of the monthly premium

Vision (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

50% of the monthly premium (same as Chem-tronics percentage)

Ancillary Benefits

Company Paid Life Insurance

1 x Base Annual Earnings

Optional Life Insurance

Up to $1,000,000 (employee paid)

Company Paid Short Term Disability

66-2/3% Base Annual Earnings (w/offsets ie, workers’ compensation, federal/state disability)

Company Paid Long Term Disability

66-2/3% Base Annual Earnings (w/offsets ie, workers’ compensation, federal/state disability)

Represented Employees (Active)

Hired After the Effective Date of the 2002 Agreement

Savings / 401(k) Plan

Employer Match

 

50% of employee deferrals (maximum 8%) for maximum match of 4% of salary

Medical (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

18% of the monthly premium

 

Contribution to FSA

$100 annual minimum / $5,000 annual maximum

 

 

PPO Plan Enrollees

%

Year one contribution for EE Only

$60.23

18%

Year one contribution for EE+Children

$114.44

18%

Year one contribution for EE + Spouse

$126.48

18%

Year one contribution for EE + Family

$186.71

18%

Dental (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

18% of the monthly premium

Vision (Active and pre-65 Retirees)

Plan Design

Refer to Plan Summary

Employee Cost

50% of the monthly premium (same as Chem-tronics percentage)

Ancillary Benefits

Company Paid Life Insurance

1 x Base Annual Earnings

Optional Life Ins.

Up to $1,000,000 (employee paid)

Company Paid Short Term Disability

66-2/3% Base Annual Earnings (w/offsets ie, workers’ compensation, federal/state disability)

Company Paid Long Term Disability

66-2/3% Base Annual Earnings (w/offsets ie, workers’ compensation, federal/state disability)

 


PPO BENEFITS AT A GLANCE – HIGHMARK BC/BS

 

Plan Basics

 

In Network

Out-of-Network

Deductible

§     Individual

§     Family – maximum of 2 times individual deductible

 

$100

 

$250

Annual Out-of-Pocket (OOP) maximum (does not include deductible)

§     Individual

§     Family – maximum of 2 times individual deductible

 

$1,000

 

$2,000

Outpatient Care

 

 

Surgery/Diagnostics Tests/X-Rays

If treatment is sought at an in-network facility, benefits will be covered at the in-network level for radiologist/pathologist/ anesthesiologist.

90%*

70%*

Physician Office Visits

$15 copay

70%*

Inpatient Care

 

 

Hospital Room & Board

Physician Services

90%*

90%*

70%*

70%*

Emergency Care

 

 

Emergency Room (waived if admitted)

Benefits will be reduced if services are received for a non emergency

$50 copay

$50 copay

Ambulance or other emergency related charges

90%*

70%*

*After deductible

Mental Health/Chemical Dependency

 

 

Inpatient -30 day annual maximum, only 2 chemical dependency treatments per lifetime

·         Hospital Room & Board

·          Diagnostic Tests/X-Rays/Physician Services

·         Physician Services Outpatient

·         Physician Office Visit

 

90%*

90%*

90%*

 

$15 copay

 

70%*

70%*

70%*

 

70%*

Other

 

 

Home Health Care/Private Duty Nursing - $10,000 annual max

Hospice

90%*

90%*

70%*

70%*

TMJ - $5,000 lifetime maximum

90%*

70%*

Maternity

·          Initial Visit

·          Pre-Natal/Delivery/Post-Natal Visits/Hospital Services

 

$15 copay

90%*

 

70%*

70%*

Therapy 20 visit annual maximum

·          Occupational/Physical Therapy

·          Speech Therapy

·          Chiropractic Care (20 visit annual limit)

 

$15 copay

$15 copay

$15 copay

 

70%*

70%*

70%*

Pharmacy Benefits

 

 

Retail

Generic (mandatory generic)

Brand

 

$10 copay

$20 copay

 

70%

70%

Mail Order (30 day supply)

   Generic

   Brand

 

$20 copay

$40 copay

 

N/A

N/A

*After deductible


       DENTAL BENEFITS AT A GLANCE

 

Annual Deductible

·          Individual

·          Family

 

$  50

$150

Annual Benefit Maximum per Individual

$1,250

Coinsurance:

§     Preventive

§     Basic

§     Major

 

100%

  80%

  50%

Orthodontia:

§     Coinsurance

§     Lifetime Maximum

 

  50%

$1,250

    VISION BENEFITS AT A GLANCE

Plan Basics

In-Network

Out-of-Network

Eye Examination, Annually

100% after $15 copay

Up to $43 reimbursement

Eyeglass Lenses, Annually

 

 

 

100% after $10 copay

 

Up to $35/single vision

Up to $51/bifocal

Up to $68/trifocal

Up to $80/lenticular

 

Frames, once every two years

* Up to covered allowance, approx $120 retail

 

100% after $10 copay

 

 

Up to $45

Plan Basics

In-Network

Out-of-Network

Elective Contact Lenses

(In lieu of frames and lenses)

 

$20 copay; max benefit $105

 

 

 

Up to $105

Medically Necessary Contact Lenses

 

$20 copay; max benefit

 

Up to $210

Discounts

·         20% off of non-covered complete pairs of prescription glasses when provided by an in-network provider

·         15% Discount off the doctor’s professional services when buying contact lenses