Common use of Highlights Clause in Contracts

Highlights. Employees eligible for benefits on the first day of employment Dependent children covered to age 28 (must meet eligibility for coverage) (age 30 if eligible military personnel) No pre-existing clause for new employees $7,000 individual deductible and $14,000 family deductible for In-Network services, (Employee pays only $250 of the deductible for individual coverage/$500 for family coverage. Balance of the deductible is reimbursed to employee by LCCC through a 3rd party administrator) $25 doctor visit co-pay with In-Network primary care physicians and $50 co-pay for In- Network specialists Services rendered under the Out-of-Network option are paid at 80% - after deductible In-Network services are paid at 100% except Emergency Room Service For Emergency Room visits, patient pays $200 co-pay, thereafter paid at 100%, ($200 co-pay is waived if admitted) Prescriptions: $10.00 Generic 90 day mail order prescription plan $30.00 Brand available through PrimeMail. $50.00 Formulary CARRIER: Advantica (Formerly Essex) Dental PREMIUM: Employee coverage paid by ▇▇▇▇▇ & ▇▇▇▇▇ College Dependent coverage paid by employee ($59.40/Per Month) PLAN OFFERED: PPO Employees eligible for benefits on the first day of employment Dependent children covered to age 28 Plan has a $50 deductible per calendar year on Out-of-Network services. No deductible on In-Network Services. Preventive services are paid at 100%, for both in and out of network providers. Basic services are paid at 100% for in-network providers and at 85% for out-of-network providers. Major services are paid at 60% for in-network providers and at 50% for out of network providers. Benefit level varies depending on nature of treatment and the service provider.

Highlights. Employees eligible for benefits on the first day of employment Dependent children covered to age 28 (must meet eligibility for coverage) (age 30 if eligible military personnel) No pre-existing clause for new employees $7,000 individual deductible and $14,000 family deductible for In-Network services, (Employee pays only $250 of the deductible for individual coverage/$500 for family coverage. Balance of the deductible is reimbursed to employee by LCCC through a 3rd party administrator) $25 doctor visit co-pay with In-Network primary care physicians and $50 co-pay for In- Network specialists Services rendered under the Out-of-Network option are paid at 80% - after deductible In-Network services are paid at 100% except Emergency Room Service For Emergency Room visits, patient pays $200 co-pay, thereafter paid at 100%, ($200 co-pay is waived if admitted) Prescriptions: $10.00 Generic $30.00 Brand 90 day mail order prescription plan $30.00 Brand available through PrimeMail. $50.00 Formulary CARRIER: Advantica (Formerly Essex) Dental PREMIUM: Employee coverage paid by ▇▇▇▇▇ & ▇▇▇▇▇ College Dependent coverage paid by employee ($59.40/Per Month) PLAN OFFERED: PPO Employees eligible for benefits on the first day of employment Dependent children covered to age 28 Plan has a $50 deductible per calendar year on Out-of-Network services. No deductible on In-Network Services. Preventive services are paid at 100%, for both in and out of network providers. Basic services are paid at 100% for in-network providers and at 85% for out-of-network providers. Major services are paid at 60% for in-network providers and at 50% for out of network providers. Benefit level varies depending on nature of treatment and the service provider.