ELIGIBILITY

• Plan Eligibility
• Who is Eligible
• Termination of Employee Eligibility
• Eligibility and Enrollment After Retirement
• Continuation of Coverage

SUMMARIES OF BENEFITS AND DEDUCTIBLES

COMPREHENSIVE MEDICAL COVERAGE IN GENERAL - HOW IT WORKS

• Plan Requirements
• Covered Services
• Limitations and Exclusions

BENEFITS

• Comprehensive Medical Benefits
• Substance Abuse Treatment Benefit
• Dental and Vision Benefits

DEFINITIONS

COORDINATION OF BENEFITS

OTHER BENEFITS

HOW TO FILE A CLAIM

APPEALS PROCEDURE

GENERAL INFORMATION / ERISA RIGHTS