BOISE CASCADE OFFICE PRODUCTS CORPORATION
SUPPLEMENTAL HEALTH CARE PLAN FOR EXECUTIVE OFFICERS
2
SUPPLEMENTAL HEALTH CARE PLAN FOR EXECUTIVE OFFICERS
INTRODUCTION
Boise Cascade Office Products Corporation (the "Company") has adopted a Supplemental Health Care Plan for Executive Officers (the "Plan") in addition to the Company's Preferred Provider Network Medical Plan, Dental Plan, Vision Plan, and Prescription Drug Plan. While you share in the cost of your medical care by paying a monthly contribution, a deductible, and a percentage of the remaining expenses, the combination of the plans pays most of the major charges for covered health care expenses for you and your dependents.
WHO IS ELIGIBLE
As an executive officer of the Company who also serves as an executive officer of Boise Cascade Corporation, you are automatically eligible for coverage under the Plan. Your dependents' coverage under the Plan will become effective on the same date that your own coverage begins.
Your dependents who are eligible for coverage under this Plan include your spouse plus any unmarried children under age 23, if they do not regularly work full-time and are dependent on you for support. Under certain circumstances, a child with disabilities may be covered beyond age 23.
HOW BENEFITS BECOME PAYABLE
Medical benefits become payable under this Plan after benefits for covered charges under the Preferred Provider Network Medical Plan have been applied to medical expenses incurred by you or your covered dependent. The Plan will pay 100% of the remaining charges for the treatment, services, and supplies listed under "What the Plan Covers." Amounts applied to the deductible and copayments under the Preferred Provider Network Medical Plan are not covered under this Plan.
Dental and vision benefits become payable under this Plan after benefits for scheduled amounts covered under the Dental Plan or the Vision Plan have been applied to dental or vision expenses incurred by you or your covered dependent. The Plan will pay 100% of the remaining charges for the services and supplies shown under "What the Plan Covers."
The deductible and copayment amounts under the Prescription Drug Plan are not covered under this Plan.
WHAT THE PLAN COVERS
Medical expenses incurred will be reduced by the amount considered as covered charges under the Preferred Provider Network Medical Plan. The Plan will pay 100% of the remaining charges for the following medical expenses:
2
3
- - Hospital room and board charges. - - Hospital intensive care (ICU) and cardiac care unit (CCU) charges. - - Hospital services and supplies (inpatient or outpatient). - - Medical treatment or surgery by a physician. - - Outpatient surgical facility services and supplies. - - Private-duty nursing by a registered nurse (R.N.), a licensed vocational
nurse (L.V.N.), or a licensed practical nurse (L.P.N.) upon the wr ...
*End of Preview*
Click the 'Add to Cart' button to download the complete and formatted agreement.