Benefits

PLAN YEAR 2010
RETIREE

YEAR OF RETIREMENT

PREMIUMS
(INDIVIDUAL / FAMILY)

DEDUCTIBLE
INDIVIDUAL / FAMILY

CO-INSURANCE
COMPANY / INDIVIDUAL

MAX OUT OF POCKET
INDIVIDUAL / FAMILY

JAN 1, 1992
THRU
MAR 31, 1998

NON-MEDICARE
145.63 / 291.26

MEDICARE
127.12 / 254.24 / 272.75(ONLY 1 ON MEDICARE)

$300 / $600

90% / 10%

$750 / $1500

APR 1, 1998
THRU
JAN 1, 2005

NON-MEDICARE
145.63 / 291.26

MEDICARE
127.12 / 254.24 / 272.75(ONLY 1 ON MEDICARE)

$300 / $600

80% / 20%

$1000 / $2000

PLAN YEAR 2010
ACTIVE EMPLOYEES - MANUFACTURING & LOGISTICS

EMPLOYEE ONLY

EMPLOYEE & SPOUSE / w/SPOUSAL SURCHARGE

EMPLOYEE & DEPENDENT

FAMILY / w/SPOUSAL SURCHARGE

DEDUCTIBLE INDIVIDUAL / FAMILY

CO-INSURANCE COMPANY / INDIVIDUAL

MAX OUT OF POCKET IND/FAM

$45

$90 / $171

$72

$144 / $225

$500 / $1000

80% / 20%

$1500 / $3000

PLAN YEAR 2010
ACTIVE EMPLOYEE - COMPETITIVE WAGE LOGISTICS
(PRIOR TO ADDITION OF PRESCRIPTION DRUG & DENTAL - LESS THAN 3 YEARS)

EMPLOYEE ONLY

EMPLOYEE & SPOUSE / w/SPOUSAL SURCHARGE

EMPLOYEE & DEPENDENT

FAMILY / w/SPOUSAL SURCHARGE

DEDUCTIBLE INDIVIDUAL / FAMILY

CO-INSURANCE COMPANY / INDIVIDUAL

MAX OUT OF POCKET IND/FAM

$32

$63 / $121

$51

$101 / $159

$500 / $1000

80% / 20%

$1500 / $3000

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