Summary of
Benefits

Calendar Year Deductible/Out-Of-Pocket Max
Annual Maximum
Co-Payment
Chiropractic Care
Restorative Speech Therapy
Mental Health
Alcohol and Chemical Dependency
Hearing Aid
Hospice Care
Durable Medical Equipment / Corrective Appliances
Organ Transplant
Prescriptions
Dental Benefits
Vision Benefits
Weekly Accident and Sickness
Death Benefit
Accidental Death & Dismemberment (AD&D)
Pension Plan