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Agreement#: AG-267765
Pages: 3 pages
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See other similar agreements:

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 p ...

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