Health and Welfare Summary Plan Description

• Health and Welfare SPD / Article VI / Enrollment and Termination of Coverage >>

6.1 Benefit Options.

The Plan's medical benefits are offered through three options:

1. the Self-Funded PPO, where the Plan pays a fee to Blue Shield for the use of Blue Shield's Shared Advantage preferred provider network, which includes mental health through Magellan and substance abuse benefits as described in section 8.7(e) through Beat It and where the Plan contracts with OptumRx, for prescription drug benefits as described in Section 8.5.;
   
   
2. the Blue Shield HMO, where the Plan pays a premium to Blue Shield of California for coverage under HMO; and
   
   
3. the Kaiser HMO, where the Plan pays a premium to Kaiser Health Plan, Inc. for coverage under its HMO.
   
   The HMO benefits are explained in Article IX. Separately, the Plan offers benefits under a health reimbursement arrangement (HRA - Article X), supplemental dental benefits (Section 11.1), vision care benefits (Section 11.2), long-term disability benefits (Section 11.3), upplemental parental leave benefits (Section 11.4) and death benefits (Section 11.7).