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UPS Union Issues
UPS part time plan vs Teamcare
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<blockquote data-quote="saintrick" data-source="post: 1139121" data-attributes="member: 29276"><p>The benefits listed in the Teamcare column are <strong>MY </strong>understanding of the current C6 plan document with the enhanced benefits given by the union and included in the memorandum of understanding in the TA page 43.</p><p></p><p>As per the memorandum, the enhanced benefits will only apply to those covered by the CS for the first time on 01/01/2014.</p><p></p><p>UPS will cover the differential between the CS and what the employee had as a benefit prior to 01/01/2014</p><p>for dental, short term disability and life insurance. </p><p> </p><p>If you notice any incorrect info in the chart let me know. </p><p></p><p></p><p></p><p></p><table style='width: 100%'><tr><td></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">UPS Part-Time</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">Teamcare C6</p> </span></td></tr><tr><td><span style="font-size: 12px">Medical Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Medical Basic Provisions</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Annual deductible</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">none</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$200 person/$400 family</p> </span></td></tr><tr><td><span style="font-size: 12px">Annual out-of-pocket (OOP)</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$1000 per person</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$1000 person / $2000 max(applies only to Major Medical)</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Physician Charges</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Office visit</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% $10 copay</p> </span></td></tr><tr><td><span style="font-size: 12px">Inpatient surgery</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% after deductible</p> </span></td></tr><tr><td><span style="font-size: 12px">Outpatient surgery</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% after deductible</p> </span></td></tr><tr><td><span style="font-size: 12px">Physician in-hospital services</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% after deductible</p> </span></td></tr><tr><td><span style="font-size: 12px">Allergy testing and treatment services</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">90%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% after deductible</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Hospital Facility Charges</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Hospital admission fee</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">none</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">none</p> </span></td></tr><tr><td><span style="font-size: 12px">Inpatient services</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Outpatient services</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Emergency room care</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% within 72 hours ofaccident or hospitalization;otherwise $25 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% day of <strong>accident</strong> onlyotherwise80% after deductible (200/400)</p> </span></td></tr><tr><td><span style="font-size: 12px">Ambulance related to an emergency</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Ambulance related to an non-emergency<br /> (if medically necessary)</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Maternity Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Physician charges</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copayinitial visit</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% after deductible</p> </span></td></tr><tr><td><span style="font-size: 12px">Facility charges</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% (no admission fee)</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after deductible</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Preventive Care Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Routine physical (standard guidelines)</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td></tr><tr><td><span style="font-size: 12px">OB-GYN exams</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after deductible</p> </span></td></tr><tr><td><span style="font-size: 12px">Well-child care(standard guidelines)</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay(Teamcare physician)</p> </span></td></tr><tr><td><span style="font-size: 12px">Routine mammograms(standard guidelines)</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after deductible</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Other Covered Expenses</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Chiropractic care</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">90% ($40 visit; max$1000 per year)</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% (after deductible)$1000 max</p> </span></td></tr><tr><td><span style="font-size: 12px">Diagnostic x-ray and laboratory</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">90%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% (100% only if US Imaging/Quest)</p> </span></td></tr><tr><td><span style="font-size: 12px">Hospice care inpatient</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Hospice care outpatient</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Skilled nursing facility</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Outpatient private duty nursing</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Home health care</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Rehabilitation and speech therapy</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">90%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td><span style="font-size: 12px">Durable medical equipment</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">90%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">unknown</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Behavioral Health Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Substance abuse treatment</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% no OOP max</p> </span></td></tr><tr><td><span style="font-size: 12px">Mental health - inpatient</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% no OOP max</p> </span></td></tr><tr><td><span style="font-size: 12px">Mental health - outpatient</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100% after $10 copay</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80% no OOP max</p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Dental Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Preventive</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Basic</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Major</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">80%</p> </span></td></tr><tr><td><span style="font-size: 12px">Orthodontia</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">50%</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">100%</p> </span></td></tr><tr><td><span style="font-size: 12px">Maximum benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Annual maximum per person</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">none</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">none</p> </span></td></tr><tr><td><span style="font-size: 12px">Orthodontia and TMJ</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$1500 each child</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$1,500 </p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Additional Basic Benefits</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Short term Disability</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">60% of average weekly basepay, max $500 for 26 weeks</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$300 first 10 weeks$350 weeks 11-16</p> </span></td></tr><tr><td><span style="font-size: 12px">Employee life</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">1040 times base bay$10,000 min$100,000 max</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$40,000 </p> </span></td></tr><tr><td><span style="font-size: 12px">Spouse life</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$5,000 </p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$4,000 </p> </span></td></tr><tr><td><span style="font-size: 12px">Children's life</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$2,500 </p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$2,000 </p> </span></td></tr><tr><td><span style="font-size: 12px">Employee AD&D</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">1040 times base bay$10,000 min$100,000 max</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">$40,000 </p> </span></td></tr><tr><td></td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Extras</span><br /> </td><td></td><td></td></tr><tr><td><span style="font-size: 12px">Adoption assistance</span><br /> </td><td><br /> <span style="font-size: 12px"><p style="text-align: center">UPS pay $3500 or $5,000</p> </span></td><td><br /> <span style="font-size: 12px"><p style="text-align: center">None</p> </span></td></tr></table></blockquote><p></p>
[QUOTE="saintrick, post: 1139121, member: 29276"] The benefits listed in the Teamcare column are [B]MY [/B]understanding of the current C6 plan document with the enhanced benefits given by the union and included in the memorandum of understanding in the TA page 43. As per the memorandum, the enhanced benefits will only apply to those covered by the CS for the first time on 01/01/2014. UPS will cover the differential between the CS and what the employee had as a benefit prior to 01/01/2014 for dental, short term disability and life insurance. If you notice any incorrect info in the chart let me know. [TABLE] [TR] [TD][/TD] [TD="bgcolor: #ccccff"] [SIZE=3][CENTER]UPS Part-Time[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]Teamcare C6[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Medical Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Medical Basic Provisions[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Annual deductible[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]none[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$200 person/$400 family[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Annual out-of-pocket (OOP)[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]$1000 per person[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$1000 person / $2000 max(applies only to Major Medical)[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Physician Charges[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Office visit[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% $10 copay[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Inpatient surgery[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Outpatient surgery[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Physician in-hospital services[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Allergy testing and treatment services[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]90%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Hospital Facility Charges[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Hospital admission fee[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]none[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]none[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Inpatient services[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Outpatient services[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Emergency room care[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% within 72 hours ofaccident or hospitalization;otherwise $25 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% day of [B]accident[/B] onlyotherwise80% after deductible (200/400)[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Ambulance related to an emergency[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Ambulance related to an non-emergency (if medically necessary)[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Maternity Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Physician charges[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copayinitial visit[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Facility charges[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% (no admission fee)[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Preventive Care Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Routine physical (standard guidelines)[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]OB-GYN exams[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Well-child care(standard guidelines)[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% after $10 copay(Teamcare physician)[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Routine mammograms(standard guidelines)[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100% after deductible[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Other Covered Expenses[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Chiropractic care[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]90% ($40 visit; max$1000 per year)[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% (after deductible)$1000 max[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Diagnostic x-ray and laboratory[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]90%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% (100% only if US Imaging/Quest)[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Hospice care inpatient[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Hospice care outpatient[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Skilled nursing facility[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Outpatient private duty nursing[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Home health care[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Rehabilitation and speech therapy[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]90%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Durable medical equipment[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]90%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]unknown[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Behavioral Health Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Substance abuse treatment[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% no OOP max[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Mental health - inpatient[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% no OOP max[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Mental health - outpatient[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100% after $10 copay[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80% no OOP max[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Dental Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Preventive[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Basic[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Major[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]80%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Orthodontia[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]50%[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]100%[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Maximum benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Annual maximum per person[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]none[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]none[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Orthodontia and TMJ[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]$1500 each child[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$1,500 [/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Additional Basic Benefits[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Short term Disability[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]60% of average weekly basepay, max $500 for 26 weeks[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$300 first 10 weeks$350 weeks 11-16[/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Employee life[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]1040 times base bay$10,000 min$100,000 max[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$40,000 [/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Spouse life[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]$5,000 [/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$4,000 [/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Children's life[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]$2,500 [/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$2,000 [/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Employee AD&D[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]1040 times base bay$10,000 min$100,000 max[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]$40,000 [/CENTER] [/SIZE][/TD] [/TR] [TR] [TD="width: 39%"][/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%, bgcolor: #c0c0c0"][SIZE=3]Extras[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"][/TD] [TD="width: 33%, bgcolor: #c0c0c0"][/TD] [/TR] [TR] [TD="width: 39%"][SIZE=3]Adoption assistance[/SIZE] [/TD] [TD="width: 28%, bgcolor: #ccccff"] [SIZE=3][CENTER]UPS pay $3500 or $5,000[/CENTER] [/SIZE][/TD] [TD="width: 33%, bgcolor: #c0c0c0"] [SIZE=3][CENTER]None[/CENTER] [/SIZE][/TD] [/TR] [/TABLE] [/QUOTE]
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