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Table of Contents :

Eligibility for Benefits - Bargained Members

Eligibility for Benefits - NON-BARGAINED Members

Life Events

Continuation of Health Benefits

Comprehensive Major Medical Benefit
(Employees and Dependents)

Wellness Expense Benefit (Employee and Spouse Only)

Substance Abuse Employee Assistance Program (EAP) (Employee and Dependents)

Optical Benefits (Employees and Dependents)

Hearing Aid Benefit (Employees and Dependents)

Prescription Drug Benefits (Employees and Dependents)

Death Benefit (Active Employees Only)

Accidental Death and Dismemberment Benefits (Active Employees Only)

Weekly Accident and Sickness Disability Benefit

General Exclusions and Limitations

How to File a Claim

Coordination of Benefits

How Medicare Affects Medical Benefits Under the Plan

Reimbursement Policies and Procedures

Important Information About the Plan

Statement of Rights Under the Employee Retirement Income Security Act (ERISA)

Your Privacy Rights Under the Plan

Definitions

Appendix A: Durable Medical Equipment and Supplies