HEALTH AND INSURANCE, Retirement
and savings BENEFIT PROPOSAL SUMMARY
The Boeing Company Employees
Represented
By SPEEA
November 14, 2008
The Company proposes the following benefit changes, effective July 1,
2009, unless otherwise noted.
The Company will continue to pay the full cost of the Basic
Life Insurance Plan, AD&D Plan, and Short-Term Disability Plan.
The Company will continue the current dental plan options:
|
Active Employee Dental
Plans
|
All Locations
|
–
Preferred
Dental Plan
–
Scheduled
Dental Plan
–
Prepaid
Dental Plan
¡
DeltaCare (formerly Delta Dental) |
Preferred Dental Plan
The Preferred Dental
Plan will be revised as follows:
· 2
additional cleanings will be allowed per benefit year if periodontal disease is
present.
· Examinations
by a specialist will be covered (if the specialty is recognized by the American
Dental Association and if the patient is not receiving treatment from the
specialist), up to 3 times in a 6-month period (instead of the current twice in
each 1-year period).
Active Employee Medical Plan Offerings
The Company will revise the medical plan options as follows; the PPO+Account will be a new plan option in all
locations, the Kaiser Permanente coordinated care plan in Oregon
will change to Kaiser Permanente HMO, and the SelectHealth
HMO will be a new plan option in Utah.
|
Current
Active Employee Medical Plans
|
New
Active Employee Medical Plans
|
Washington
|
– Traditional
Medical Plan
– Select Network EPO
– Group Health HMO
|
– Traditional
Medical Plan
– Select Network EPO
– Group Health HMO
– PPO+Account with a Health Savings Account
|
Oregon
|
– Traditional
Medical Plan
– Kaiser Permanente coordinated care plan
– Selections Plus coordinated care plan
|
– Traditional
Medical Plan
– Kaiser Permanente HMO
– Selections Plus coordinated care plan
– PPO+Account with a Health Savings Account
|
Utah
|
– Traditional
Medical Plan
|
– Traditional
Medical Plan
– SelectHealth HMO
– PPO+Account
with a Health Savings Account
|
Other Locations
|
– Traditional
Medical Plan
– Kaiser
Permanente HMO (CA)
|
– Traditional
Medical Plan
– Kaiser
Permanente HMO (CA)
– PPO+Account with a Health Savings Account
|
Active Employee Medical
Plan Benefits
The Company will revise medical
plan benefits as described below.
Traditional Medical Plan
Annual Deductible
The annual
deductible (network and nonnetwork combined) will
increase from the greater of $200 or 0.2% of base annual salary per individual
($600 or 0.6% of base annual salary per family of 3 or more) to the greater of
$225 or 0.225% of base annual salary per individual ($675 or 0.675% of base
annual salary per family of 3 or more).
Lifetime Maximum Benefit
The lifetime maximum
benefit will increase from $1.5 million to $2 million per individual.
Mental Health Treatment
·
Network coinsurance for outpatient services will
increase from 80% to 100%.
·
Nonnetwork coinsurance
for inpatient services will increase from 50% to 60%. The nonnetwork
20‑day annual limit on inpatient services will be eliminated.
·
Nonnetwork coinsurance
for outpatient services will increase from 50% to 60%. The nonnetwork
20‑visit annual limit on outpatient services will be eliminated.
Hearing
Aids
The hearing aid benefit will increase from $600 to $800 per ear.
Neurodevelopmental
Therapy
The neurodevelopmental therapy benefit maximum will increase
from $1,000 to $1,500 each benefit year.
Prescription Drug Program
Retail pharmacy drug
purchases will be covered as follows:
· The
deductible no longer will apply to retail prescription drug purchases.
–
At a participating pharmacy, the employee will
be required to pay only his or her portion of the prescription cost at the time
of purchase.
· 90%
generic ($5 minimum; $25 maximum). [Currently 90% after the deductible]
· 80%
brand-name formulary ($15 minimum; $75 maximum). [Currently 80% after the
deductible]
· 70%
brand-name nonformulary ($30 minimum; no maximum).
[Currently 70% after the deductible]
· 34-day
supply. [No change from current]
Preventive Care and Routine Physicals
· For
network preventive care services and supplies, benefits will be paid as follows:
–
Routine physical examinations
for employees, spouses, and children age 2 and
older:
o 100%
(annual deductible
does not apply) up to $500 each year
per covered person, including related office visits, X-ray, and laboratory charges as well as childhood and adult immunizations
and vaccines, excluding travel vaccines, as recommended by the U.S. Preventive Services Task Force (USPSTF)
guidelines, including the applicable catch-up immunizations for children ages 2
to 18 years as recommended by the USPSTF.
o Limited to 1 examination
per child every benefit year age 2
through 18.
o Limited
to 1 examination per person every 3 benefit years for age 19 through age 34,
then 1 examination per person every benefit year.
–
Routine physical examinations for children to age 2:
o 100%
(annual deductible
does not apply).
o Limited to 8 examinations from birth to age 2.
o Includes immunizations and vaccines, excluding travel
vaccines, as recommended by the U.S. Preventive Services Task Force (USPSTF)
guidelines and the physician, including the catch-up immunization schedule for
children age 4 months to 2 years as recommended by the USPSTF guidelines.
–
Routine Pap tests, mammograms, prostate screenings, and colorectal
screenings (including colonoscopies) covered at 100% (annual deductible does not
apply) as recommended by the physician.
Substance Abuse Treatment
Nonnetwork coinsurance for
substance abuse treatment will increase from 50% to 60%.
Routine Vision Care
The frame allowance will increase from $70 to
$90.
The contact lens allowance will increase from
$105 to $120.
Wigs (new benefit)
Wigs (and hair prostheses) will be covered at 80%
coinsurance, after the annual deductible, up to $500 per year for hair loss
resulting from chemotherapy or radiation therapy.
New PPO+Account
Option
Effective January 1, 2010, the PPO+Account with a health savings account will be
introduced. The PPO+Account
meets Federal guidelines for a high-deductible health plan, which means it qualifies
for a health savings account feature. Plan provisions are highlighted in
Attachment A.
All EPO, CCP, and HMO Plans
· The
lifetime maximum benefit will increase from $1.5 million to $2 million per
individual.
Select Network EPO
· The
$2,000 ambulance annual maximum will be eliminated.
· The
130-visit annual limit for home health care will be eliminated.
· For
mental health treatment, the inpatient 30-day and outpatient 30-visit annual
limits will be eliminated.
· Routine
vision care allowances will increase as follows:
–
From $70 to $90 for frames.
–
From $105 to $120 for contact lenses.
· For
substance abuse treatment, detoxification and outpatient rehabilitation will be
covered at a lifetime maximum of 2 courses of treatment, up to $7,500 per
course of treatment (currently covered at 2 courses of treatment or $10,000 (if
greater) lifetime maximum).
· Therapies
will be revised as follows:
–
The neurodevelopmental therapy benefit maximum
will increase from $1,000 to $1,500 each benefit year.
–
The $1,000 outpatient maximum per year and
$30,000 inpatient maximum per condition no longer will apply to occupational,
physical, and speech therapies.
· For
transplants, the $200,000 lifetime maximum and $25,000 donor procurement limit
will be eliminated.
Selections Plus
CCP
· Mental
health treatment will be revised as follows:
–
For inpatient treatment, the network and nonnetwork 30-day annual limits will be eliminated; nonnetwork inpatient coinsurance will increase from 50% to
60%.
–
For outpatient treatment, the network and nonnetwork 30-visit annual limits will be eliminated; nonnetwork outpatient coinsurance will increase from 50% to
60%.
· Substance
abuse treatment will be revised as follows:
–
Nonnetwork inpatient and
outpatient coinsurance will increase from 50% to 60%.
–
Inpatient and outpatient combined maximum will
be 2 courses of treatment per lifetime, $7,500 per course of treatment, network
and nonnetwork combined (currently 2 courses of
treatment or $10,000 (if greater) per lifetime for network, with a $5,000
maximum per course of treatment for nonnetwork).
· Routine
vision care allowances will increase as follows:
–
From $70 to $90 for frames.
–
From $105 to $120 for contact lenses.
Kaiser Permanente HMO (California)
The emergency room
copayment will increase from $25 to $50.
Pharmacy Management
Generic Incentive Program
To encourage the use
of generic drugs, if a brand-name drug
is purchased when a chemically equivalent generic is
available (for both retail pharmacy and
mail service)—whether the individual or physician requests the brand-name drug—the
individual will pay the generic coinsurance/copayment plus the cost difference between the brand-name
drug and
generic drug. The service
representative will provide a review process for individual cases where a
generic alternative is not clinically appropriate for a patient.
Specialty Care Pharmacy
Specialty medications are typically injectable
medications administered by the individual or a health care professional,
and they often require special handling. Newly prescribed medications
may be purchased at any
participating retail pharmacy up to 2 times. After that, the plan will cover these
prescriptions only if they are purchased
through the service representative’s specialty care pharmacy. The specialty
care pharmacy program will not apply to medications ordered and billed through
a physician’s office.
Benefit Year Change
Effective January 1,
2010, the benefit year will change from July 1 through June 30 to a
calendar year, January 1 through December 31. For the 6-month plan
year from July 1, 2009 through December 31, 2009, highlights of the
transition plan will include:
· The
medical plan out-of-pocket maximum will be half the annual maximum.
· For
the medical and dental plans, the deductible will be half the annual deductible
amount.
Medical Plan Contributions
A no-contribution medical plan option will be offered in each area for the duration of the agreement as follows:
· Washington—Traditional
Medical Plan.
· Oregon—Kaiser Permanente
HMO.
· California—Kaiser
Permanente HMO.
· Utah—SelectHealth
HMO
·
All other locations—Traditional Medical Plan.
In addition, the PPO+Account will be offered as a no-contribution plan in all
areas as of January 1, 2010.
Medical plans not specified
above will continue to require an employee contribution of 12%.
Estimated contribution amounts for employee-only coverage for
the transition period July 1, 2009 through December 31, 2009 follow.
Contributions for employee plus spouse or child(ren) are 2 times the employee-only contribution and for
employee plus family are 3 times the employee-only contribution.
Estimated Active Employee Contributions Beginning July
1, 2009
|
Washington
|
|
|
|
|
Traditional Medical
Plan
|
Select Network
EPO
|
Group Health
HMO
|
Contribution Percentage
|
0%
|
12%
|
12%
|
Employee Only
|
$0
|
$49
|
$51
|
Oregon
|
|
|
|
|
Kaiser
HMO
|
Traditional
Medical Plan
|
Selections Plus
CCP
|
Contribution Percentage
|
0%
|
12%
|
12%
|
Employee Only
|
$0
|
$50
|
$52
|
California
|
|
|
|
Kaiser
HMO
|
Traditional
Medical Plan
|
Contribution Percentage
|
0%
|
12%
|
Employee Only
|
$0
|
$59
|
Utah
|
|
|
|
SelectHealth
HMO
|
Traditional
Medical Plan
|
Contribution Percentage
|
0%
|
12%
|
Employee Only
|
$0
|
$50
|
All Other Locations
|
|
|
Traditional
Medical Plan
|
Contribution Percentage
|
0%
|
Employee Only
|
$0
|
|
|
|
|
|
Estimated contribution amounts for employee-only
coverage for the plan year beginning January 1, 2010 through December 31,
2010 are in the table below. Contributions for employee plus
spouse or child(ren) are 2
times the employee-only contribution and for employee plus family are
3 times the employee-only contribution.
Estimated Active
Employee Contributions Beginning January 1, 2010
|
Washington
|
|
|
|
|
|
Traditional
Medical Plan
|
PPO+
Account
|
Select Network
EPO
|
Group Health
HMO
|
Contribution Percentage
|
0%
|
0%
|
12%
|
12%
|
Employee Only
|
$0
|
$0
|
$51
|
$54
|
Oregon
|
|
|
|
|
|
Kaiser
HMO
|
PPO+
Account
|
Traditional
Medical Plan
|
Selections Plus
CCP
|
Contribution Percentage
|
0%
|
0%
|
12%
|
12%
|
Employee Only
|
$0
|
$0
|
$53
|
$55
|
California
|
|
|
|
|
Kaiser
HMO
|
PPO+
Account
|
Traditional
Medical Plan
|
Contribution Percentage
|
0%
|
0%
|
12%
|
Employee Only
|
$0
|
$0
|
$61
|
Utah
|
|
|
|
|
SelectHealth
HMO
|
PPO+
Account
|
Traditional
Medical Plan
|
Contribution Percentage
|
0%
|
0%
|
12%
|
Employee Only
|
$0
|
$0
|
$52
|
All Other Locations
|
|
|
|
Traditional
Medical Plan
|
PPO+
Account
|
Contribution Percentage
|
0%
|
0%
|
Employee Only
|
$0
|
$0
|
|
|
|
|
|
|
|
|
The additional $100 monthly working spouse contribution will
continue to apply to all plans.
RETIREE MEDICAL PLAN Eligibility
The Company will revise the
provisions as described below.
Dependent Eligibility
The definition of covered dependents will be expanded to
include eligible same-gender domestic partners and their eligible children.
Retiree Medical
Plan Offerings for employees who retire during the term of this agreement
·
Retiree medical plan options will be revised as follows; the Kaiser Permanente coordinated care
plan in Oregon will change to Kaiser Permanente
HMO and the SelectHealth HMO will be a new plan
option in Utah.
|
Current
Retiree Medical Plans
|
Retiree Medical Plans
as of January 1, 2010
|
Washington
|
– Traditional
Medical Plan
– Select
Network EPO
– Group
Health HMO
– TRICARE
Supplement Plan
|
– Traditional
Medical Plan
– Select
Network EPO
– Group
Health HMO
– TRICARE
Supplement Plan
|
Oregon
|
– Traditional
Medical Plan
– Kaiser
Permanente coordinated care plan
– Selections
Plus coordinated care plan
– TRICARE
Supplement Plan
|
– Traditional
Medical Plan
– Kaiser
Permanente HMO
– Selections
Plus coordinated care plan
– TRICARE
Supplement Plan
|
All Other Locations
|
– Traditional
Medical Plan
– Kaiser
Permanente HMO (CA)
– TRICARE
Supplement Plan
|
– Traditional
Medical Plan
– Kaiser
Permanente HMO (CA)
– SelectHealth HMO (UT)
– TRICARE
Supplement Plan
|