BENEFIT	WHO RECEIVES	WHEN ELIGIBLE	BENEFITS	WHO PAYS
MEDICAL PLAN	Non-Contract, RN, LPN Full-time and Regular Part-time employees (24+ hours per week)	First of the month following receipt of enrollment form.	Major medical – 80%-100% after $500 for individual or $1,500 family deductible. Out-of-pocket limit $2,500 per person, $3,500 family aggregate. Lifetime maximum $1,000,000.	Hospital and employee co-pay.
HOSPITAL HEALTHCARE REIMBURSEMENT ACCOUNT (HRA)	Non-Contract, RN, LPN Full-time, Regular Part-time employees (24+ hours per week)	First of the month following receipt of enrollment form.	Single Participant - $400 Two participants - $550 Family - $700 Amount prorated based on hire date.	Hospital.
PRESCRIPTION PLAN	Non-Contract, RN, LPN Full-time, Regular Part-time employees (24+ hours per week)	First of the month following receipt of enrollment form.	$15 Most generic medications; $30 PREFERRED BRAND medications on the formulary with no generic available; $45 Non-preferred brands or brands with generic available.	Hospital and employee co-pay.
DENTAL PLAN	Non-Contract, RN, LPN Full-time and Regular Part-time employees (24+ hours per week)	First of the month following receipt of enrollment form.	Annual Deductible - $25 per participant Annual maximum benefit $1,000. Preventative & Restorative 1^st Year – 80% of UCR 2^nd Year – 90% of UCR 3^rd+ Year – 100% of UCR Orthodontia benefit at 70% of UCR ($1,500 lifetime).	Hospital and employee co-pay.
VISION PLAN	Non-Contract, RN, LPN Full-time and Regular Part-time (24+ hours per week)	First of the month following receipt of enrollment form.	Annual Exam - $20.00 co-pay, then paid at 100% Lenses & Frames every 24 months- $150.00	Hospital and employee co-pay.
SHORT-TERM DISABILITY	Non-Contract, RN, LPN Full-time and Regular Part-time employees (20+ hours per week)	First of month following eligibility.	70% of your weekly earnings to a maximum of $200. Minimum weekly benefit is $25 per week. Maximum benefit coverage is 25 weeks. Benefits begin on 8^th day of illness or injury.	Hospital.
LONG-TERM DISABILITY	All Full-time and Regular Part-time employees (20+hours per week)	First of month following eligibility.	66 2/3% of basic monthly earnings not to exceed maximum monthly benefit of $5,000. Minimum monthly benefit is the greater of $100 or 10% of the monthly benefit before deductions for other income benefits.	Hospital.
LIFE INSURANCE	All Full-time, Regular Part-time employees (20+ hours per week)	Full-time employees: First of month following eligibility and receipt of enrollment form.	Based on gross monthly income. $10,000 - $35,000 term life benefit.	Hospital.
ACCIDENTIAL DEATH & DISMEMBERMENT	All Full-time, Regular Part-time employees (20+ hours per week)	Full-time employees: First of month following eligibility and receipt of enrollment form.	Accidental Death is an amount equal to the in-force life benefit. Dismemberment benefit according to schedule. Seat Belt Rider equals $50,000 or the amount of Accidental Death and Dismemberment benefit, whichever is less.	Hospital
SUPPLEMENTAL LIFE INSURANCE	All Full-time and Regular Part- employees (20+ hours per week)	First of the month after one calendar month of continuous employment. Employee and spouse must apply for coverage.	Additional term insurance from a minimum of $10,000 to a maximum of $250,000 in increments of $10,000 for employee and spouse. During Open Enrollment employee may purchase $100,000 without physical. Employee may purchase $30,000 coverage for spouse without physical. Employee may purchase $10,000 for children.	Employee.
DEFINED CONTRIBUTION PENSION PLAN	Non-Contract, RN, LPN, Teamster Full-time and Regular Part-time employees hired after January 2001 (20+ hours per week)	First of month following eligibility.	100% vested after five years of service and working 1000 hours each of those years. Hospital contributes 4% annually. Employer will match employees contribution up to 50% employee contribution up to 2% maximum.	Employer and employee
EARNED LEAVE (PAID TIME OFF) ACCRUAL (PTO)	All Full-time and Regular Part-time employees (20+ hours per week)	Immediately.	Approximately 28-30 days per year based on years of service. Prorated based on hours paid.	Hospital.
EXTENDED SICK LEAVE ACCRUAL (ESL)	All Full-time and Regular Part-time employees. (20+ hours per week)	Immediately.	28 hours maximum per year. Accrual rate will be 0.01346 per straight time hour worked.	Hospital.
EMPLOYEE ASSISTANCE PROGRAM	All Employees.	Immediately.	Up to 3 counseling visits for employee and family members residing in home.	Hospital.
DISCOUNT	All employees.	Immediately.	Cafeteria discount - Twenty percent (20%).	Hospital.