ANTHEM BLUE CROSS AND BLUE SHIELD OF CONNECTICUT

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HEALTHNET

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CAREMARK

PRESCRIPTION DRUG PLAN / STIRLING BENEFITS
DENTAL PLAN
Century Preferred PPO / LUMENOS HSA Century Preferred COMP / Charter Platinum POS / Charter Platinum HMO

In- and out-of- network access

  • In-network is national
  • Office visits
  • Emergency room/urgent care
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High Deductible insurance

Deductible:$1,250 single/ $2,500 couple or family

Town contribution: $1,000 single/ $2,000 couple or family

  • In-network: 0% co-Insurance
  • Out-of-network: 20% coinsurance
  • No copay or deductible for in-network preventive care
  • Cannot elect FSA if enrolled in HSA
  • Includes prescription coverage
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In- and out-of-network access

  • In-network only in the tri-state area
  • Office visits
  • Emergency room/urgent care
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In-network only

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  • 3-tier-40 plan
  • Retail: $5/$25/$40
    (Up to a 30-day supply)
  • Mail Order: $10/$50/$80
    (Up to a 90-day supply)
  • Mandatory mail order required for maintenance medications after two refills at retail pharmacy
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  • Preventive Care Services
  • Calendar year deductibles: $50 per person/$150 per family unit
  • Calendar year maximum per person: $2,500
  • Life time orthodontia maximum per person (ages 8 to 19): $2,500

STIRLING BENEFITS FLEXIBLE SPENDING ACCCOUNT PLAN (125 PLAN)

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STIRLING BENEFITS DEDUCT–A–RIDE PLAN

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EYEGLASS HARDWARE REIMBURSEMENT

Maximum tax deferral limits for Calendar Year 2008

  • $5,200 for Health Care
  • $5,000 for Dependent Care
Not available with election of HSA
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Maximum tax deferral limits for Calendar Year 2008

  • $110 Per Month for Transit/Vanpool Fares
  • $215 Per Month for Qualified Station Parking
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The employee is entitled to reimbursement for eyeglass frames, lenses and contact lenses of up to $300. Reimbursement will continue once every 24 months thereafter.

This is a brief summary of your benefits. For more detailed information please see the Summary Plan Descriptions (SPDs) or your union contract. You have a choice between four medical plans as outlined below. When you enroll for Medical, you are also enrolled automatically in the Prescription Drug Plan and Dental Plan. Employee Cost Share for Medical Benefits is 12%.

METROPOLITAN LIFE LONG TERM DISABILITY /

METROPOLITAN LIFE, LIFE INSURANCE

  • Monthly income benefit up to 66 2/3% of base monthly earnings to a maximum of $6,000 per month
  • 90-day waiting period before benefits commence

Maximum covered salary: $108,000

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Basic Plan (Town Paid) Life and AD&D

2x annual salary upon natural or accidental death while in service with the Town.
Supplemental Plan (Employee Paid) Life and AD&D

1x base salary

  • Voluntary election. If election is not made at the time of employment, you will be required to complete a questionnaire of health to be reviewed by Metropolitan Life.

Life Insurance: Retired Life only (Town Paid)
$7,500 for 10 years from the date of retirement
RETIRED EMPLOYEE’S HEALTH CREDIT
$760 for Individual
$1,970 for Couple or Family coverage
NOTE: THIS CREDIT IS FOR THE TOWN EMPLOYEE AND DOES NOT EXTEND TO SURVIVING SPOUSES

DEFINED CONTRIBUTION PLAN: TOWN OF GREENWICH

Diversified Investment Advisors

Effective July 1, 2006 all newly hired M&C and Elected employees (Full Time) will have mandatory contributions of 5%

  • Town Contribution of 5%
  • Vesting of Town Contribution:
  • 20% after the completion of one year of service.
  • 40% after the completion of two years of service.
  • 60% after the completion of three years of service.
  • 80% after the completion of four years of service.
  • 100% after the completion of five years of service.

M & C and Elected Officials Benefits Summary