EX-10.16 15 v59597exv10w16.htm EX-10.16 exv10w16
Exhibit 10.16
Northrop Grumman Legacy Officers Plan* Matrix — Plan Year July 1, 2011 — June 30, 2012
           
 
  Plan Features     Benefit  
 
Eligibility
    Employee + Spouse & Children and or Adult Children up to age 26  
 
Medical Plan
    Premium PPO Plan administered by Anthem Blue Cross  
 
Coverage
    100% coverage, for all eligible plan expenses  
 
Annual Deductible
    No annual deductible  
 
Co-payment/Co-Insurance
    No co-payment/co-Insurance  
 
Preventive Care Coverage
    No limits as long as procedures fall under Anthem’s Guidelines  
 
Prescription Drug Coverage
    Covered under Medical Plan  
 
Annual Deductible
    No annual deductible  
 
Coverage — retail 30 — day supply
    100% coverage, when network pharmacy utilized  
 
Coverage — mail order 90 —day supply
    100% coverage, when network pharmacy utilized  
 
Vision Coverage
    $500 maximum reimbursement per person, per plan year, for exams, glasses,
contact lenses
 
 
Hearing Coverage
    Up to two hearing aids per person, per plan year  
 
Acupuncture and Acupressure
    20 visits (combined) — per person, per plan year  
 
Chiropractic Care
    40 visits per person, per plan year (in and out of network)  
 
Physical Therapy
    50 visits per person, per plan year (in and out of network)  
 
Speech Therapy
    50 visits per person, per plan year (in and out of network)  
 
Occupational Therapy
    50 visits per person, per plan year (in and out of network)  
 
Mental Health Coverage
    Mental health is 100% covered (in and out of network); Office visits — unlimited. Inpatient treatment based on mental health, substance abuse or detox treatment will allow a combined total of 30 days coverage with pre-authorization or utilization review and includes out-of-network providers.  
 
Health Plan Lifetime Maximums
    No Lifetime Maximums for essential medical, prescription drug or mental health
benefits
 
 
Dental Plan
    Premium PPO Plan administered by Delta Dental  
 
Annual Maximum
    $4,000 per person — per plan year  
 
Coverage
    100% coverage, for all eligible plan expenses up to annual maximum, including Orthodontics  
 
Annual Deductible
    No annual deductible  
 
Co-payment/Co-Insurance
    No co-payment/co-Insurance  
 
Eligibility
    Employee only  
 
Life Insurance Coverage
    Company-paid basic life insurance 3x annual base salary up to a maximum of 2 million  
 
Accidental Death & Dismemberment Coverage
    Company-paid basic 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 $25,000  
 
 
* Executive Health Plan was frozen to new participants on July 1, 2009 and renamed Legacy Officers Plan effective July 1, 2010