COVERED EXPENSES

 

 

Present Coverage

 

Proposed Coverage

 

COORDINATION OF BENEFITS

 

Not eligible for Medicare

Maintenance of Benefits Rules apply.  The maximum benefit the ALLTEL Medical Plan would have paid in the absence of other group coverage will be reduced by amounts actually paid by the enrolled dependent spouse’s or child’s primary insurance carrier.

Same as Current Coverage

 

 

MEDICARE INTEGRATION

 

1) Active

1) The group plan is primary payor of benefits for active employees and spouses.

Same as Current Coverage

2) Non-Active

2) Maintenance of benefits provided for in-actives only while Medicare is primary.

Same as Current Coverage

 

 

 

CLAIM PAYMENTS

 

 

Hospital submits bills directly to insurance company for in network providers.  Employee submits all other bills and claim forms to insurance company for payment to physician or employee.

Same as Current Coverage

 

 

 

CONTRIBUTIONS

 

Medical Contributions

With respect to medical benefits available under and PPO, HMO, EPO or Prescription Drug Plan, premium costs are shared, 85% by the Company and 15% by the employee.

 

Effective July 1, 2006,  No Change

 

Effective January 1, 2007, No Change

 

Effective January 1, 2008, No Change

 

Effective January 1, 2009, with respect to medical benefits available under and PPO, HMO, EPO or Prescription Drug Plan, premium costs are shared, 80% by the Company and 20% by the employee.

 

 

 

 

COVERED EXPENSES

 

 

Present Coverage

 

Proposed Coverage

 

 

RETIREE  MEDICAL CONTINUATION

 

 

Eligibility   

Employees who retire from the company with a service pension.

Same as Current Coverage

Company Subsidy

The employer pays 75% of the gross medical cost for employees who retired in 2004, 65% of the gross medical cost for employees who retired in 2005 and 55% of the gross medical cost for employee who retire in 2006. 

Effective 07/01/2006, No Change

 

Effective 01/01/2007, No Change

 

Effective 01/01/2008, No Change

 

Effective 06/01/2009, the Company’s contribution for retiree only medical coverage for employees retiring on or after 06/01/09 is fixed at $80 per month for under age 65 retirees and $17 per month for over age 65 retirees.  Dependent coverage is fully contributory at 100% of monthly billed premium.  Pensioner and dependent contributions and benefits are subject to review and adjustment.