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 Option 1 will cost your family $84.90 a week, $4414.80 a year.

 This is the Plan Presented:

 

UTC Build Your Own Health Care Options

 

For Medical In-Network and RX Drugs

 

Your Medical Deductible, Coinsurance and out-of-pocket Maximums

 

 

Option1

Option2

Option 3

Option 4

Option 5

Annual Deductible (Individual/Family)

 

In-network

$200/$500

$500/$1,250

$1,000/$2,500

$1,500/$3,750

$2,000/$5,000

Coinsurance (plan pays/ you pay)

 

In-Network

80%/ 20%

80%/ 20%

80%/ 20%

70%/ 30%

50%/ 50%

Annual Out of Pocket Maximum (Excludes deductible & out of network costs above R&C) (individual/ Family)

In-network

$1,200/$3,000

$2,000/$4,000

$2,500/$4,500

$2,750/$4,750

$3,000/$5,000

Co-Pay

$20 Co-Pay required for all routine office visits /$30 copay required for each specialist visit

 

copays do not apply toward deductibles or annual out-of-pocket maximum

       

Your Prescription Drug Coinsurance and Copayments

 

 

 

Option 1

Option 2

Option 3

Retail Coinsurance (up to 34 day supply when you shop at Pharmacy)

 

For Generic Drugs

 

 

 

Plan Pays

80%

75%

65%

You Pay

20%

25%

35%

 

subject to $8 min $16 max

subject to $10 min $20 max

subject to $12 min $24 max

Preferred Brand Name

 

 

 

Plan Pays

80%

75%

65%

You Pay

20%

25%

35%

 

$16 min and $40 max

$20 min and $50 max

$25 min and $60 max

Non-Preferred Brand Name

 

 

 

Plan pays

80%

75%

65%

You Pay

20%

25%

35%

 

$35 min and $100 max

$45 min and $115 max

$50 min and $125 max

Mail order Copayment (up to 90-days supply)

Generic Drugs

$15

$20

$24

Preferred Brand Name

$40

$55

$65

Non-Preferred Brand Name

$90

$125

$140

 

These are the health care and RX drugs options presented by the company. Option #1 in both is the safest choice but also the most costly (refer to flyer data). The higher options will cost you less each week out of your pay, however if you need to use the plan you will pay much higher out of pocket expenses.

 

 

Proposed Weekly Medical Contributions— Effective January 1, 2008

Current employees will be offered the company sponsored build your own plan and the vendor for that plan will be based upon the employee’s home zip code:

Connecticut (CIGNA) and Massachusetts (Anthem). The company will provide a summary plan description.

 

NOTE: In addition to the Build your own medical and prescription drug options referenced below, the company plans to offer a High Deductible Health Plan with a Health Savings Account ( HSA) beginning 1/1/08. Details of this additional Medical option will be presented in a timely manner to allow all bargaining unit employees time to consider this option during the open enrollment period.

2008 Employee Weekly Contributions:

 

Option

EE

EE+S

EE+C

EE+F

Medical

1

$14.20

$34.30

$26.80

$46.90

 

2

$11.30

$27.50

$21.60

$37.90

 

3

$7.30

$17.50

$13.50

$23.70

 

4

$3.10

$7.10

$5.50

$9.50

 

5

$-

$3.50

$2.60

$6.10

 

 

 

 

 

 

RX

1

$3.10

$6.90

$5.70

$9.50

 

2

$1.70

$3.60

$3.30

$5.20

 

3

$-

$2.30

$1.70

$4.00

Totals (1+1)

 

$17.30

$41.20

$32.50

$56.40

2009 Employee Weekly Contributions:

 

Option

EE

EE+S

EE+C

EE+F

Medical

1

$16.30

$39.40

$30.80

$53.90

 

2

$13.00

$31.60

$24.80

$43.60

 

3

$8.40

$20.10

$15.50

$27.30

 

4

$3.60

$8.20

$6.30

$10.90

 

5

$-