INSURANCE & BENEFIT
INFORMATION

New Hire Pension and Insurance Information has been added at the bottom ot this page.

Blue Cross/Blue Shield National PPO Plan (NPPO) is the carrier for your medical coverage.

It is very important that you select doctors and hospitals that are participating in our network.

The way to determine if a doctor or hospital is in our network is to call 1-800-810-2583 or on the web site www.bcbst.com. Network (P).

You may also acquire the directory of doctors and acute care centers by calling the BC/BS National PPO customer service number: 1-800-792-7484 and request one.

The weekly premium for the active employee is Single - $5.00, Employee/Spouse - 12.00,
Employee/Children - $12.00, Family - $18.00.

Prescription Drug Changes

- Retail: $10.00 - Generic / $25.00 - Preferred Brand / $40.00 - Non-preferred Brand; 30 day supply; Hard MAC applies.

- Mail Order: $20.00 - Generic / $50.00 - Preferred Brand /
$80.00 - Non-Preferred Brand; 90 day supply; Hard MAC applies.

Coordination of Benefits (C.O.B.)

Working Spouse Provision Effective January l, 2004

When a spouse or a dependent of an Employee is eligible to be covered by another employer sponsored group hospital, surgical, medical or prescription drug program, and the Employee is eligible for the Company’s healthcare coverage, the spouse or dependent must elect that company’s healthcare coverage. The Company will reimburse, on a quarterly basis, 50% of the spouse’s or dependent’s contribution for “single only” coverage from an employer-sponsored plan for the most comparable coverage as available under the Company’s healthcare program.

If the spouse or dependent elects not to enroll in their own employer-sponsored group healthcare coverage, coordination of benefits will apply. Like Goodyear, most employers that offer healthcare benefits have an open enrollment process each fall for the upcoming benefit year. Employees with working spouses or other dependents that have access to healthcare coverage elsewhere need to take action during the spouse’s/dependent’s open enrollment period. For further details contact your human resources department or your local union benefits representative. A new Coordination of Benefits (C.O.B). form must be filled out every year or when your spouse gains or loses coverage through their employer, as well as if your spouse’s premiums for coverage change.

In Case of Dependent Changes

It is very important that you notify the company of any changes within 30 days, including such things as:

The medical plan requires that you notify the company within 30days of any change in your spouse’s coverage or a change with your dependents.

It is also important that you notify the company if you have a change in address so that benefit communications are sure to reach you.

You may be requested to provide documentation of the change.

You may contact your Local Human Resources Department or call the Benefits Helpline at 1-800-334-9395.

New Hire Employee Benefits

After accumulating six months of continuous service, New Hire Employees will be eligible for the New Employee Benefit Program,
which includes the following two benefits:

Retail Mail Order
(30 day supply) (90 day supply)

4th tier: Co-pay of 50% if on Formulary, 100% Non Formulary for drugs to treat Gastro Esophageal Reflux Disease,
Erectile Dysfunction, Nail Fungus and Non-Sedating Antihistamines.

The employees premium (cost) for the New Hire Medical and Prescription Drug Plan is as follows:

Pension and Insurance information can be obtained by contacting Jerry Ivey (the Pension and Insurance Representative) at the Union Hall. You can come by and see him or call at: 1-731-885-6641 or fax to: 731-885-4522. He will be glad to assist you with any of the items listed above.