Northrop Grumman Corp /De/

Northrop Grumman Executive Health Plan Matrix

Northrop Grumman Executive Health Plan Matrix

Exhibit 10.6

 

Northrop Grumman Executive Health Plan Matrix

 

Plan Feature


 

Benefit


Eligibility

 

Employee + Spouse & Dependents

Medical Plan

 

Premium PPO Plan administered by Blue Cross Blue Shield of Illinois

Coverage

 

100% coverage, for all eligible plan expenses

Annual Deductible

 

No annual deductible

Co-payment/Co-insurance

 

No co-payment/No co-insurance

Preventive Care Coverage

 

$500 annual maximum per covered individual

Prescription Drug Coverage

 

Covered under Medical Plan

Annual Deductible

 

No annual deductible

Coverage – retail 30-day supply

 

100% coverage, when network pharmacy is utilized

Coverage – mail order 90-day supply

 

100% coverage, when network pharmacy is utilized

Vision and Hearing Coverage

 

$500 vision/ $500 per year per plan year per covered individual

Acupuncture and Acupressure

 

20 visits [combined] – per person, per plan year

Chiropractic Care

 

40 visits per benefit plan year

Physical Therapy

 

50 visits per benefit plan year (in and out-of-network combined)

Speech Therapy

 

50 visits per benefit plan year (in and out-of-network combined)

Occupational Therapy

 

50 visits per benefit plan year (in and out-of-network combined)

Mental Health Coverage

Inpatient treatment must be pre-authorized by Value Options

 

Mental health is 100% covered (in and out-of-network combined)

Unlimited office visits (in and out-of-network)

Mental Health Maximums

 

Combined Lifetime Limits - included in $2 million per person Medical lifetime maximum

Health Plan Lifetime Maximums

 

$2,000,000.00 per covered individual, including mental health benefits

Dental Plan

 

Premium PPO Plan administered by Delta Dental

Annual maximum

 

$4,000 per person – per benefit plan year

Coverage

 

100% coverage, for all eligible plan expenses up to annual maximum

Annual Deductible

 

No annual deductible

Co-payment/Co-insurance

 

No co-payment/No co-insurance

Plan Feature


 

Benefit


Eligibility

 

Employee

Life Insurance Coverage

 

Company-paid life insurance 3x Annual base salary up to a maximum of $2 million

Accidental Death & Dismemberment (AD&D) Coverage

 

Company-paid accidental death & dismemberment insurance – 6 x Annual base salary up to a maximum of $1 million

Long-Term Disability (LTD)

 

Company-paid basic LTD benefit of 75% of monthly base salary, up to a maximum monthly benefit of $25,000

Executive Physicals

 

$2,000/year allowance for executive physical

 

Effective July 1, 2006