The following chart contains the premium rates for 12-month employees for Fiscal Year 2002. The premium rates for dependents of eligible employees working anything other than 12 months will be pro-rated over eight months. Monthly rates for dependents are based on the spouse s age. Application must be made within 63 days of expiration of the previous coverage. The pharmacy network is available with both Deductible Plans and the Provider Network.
Employees using participating pharmacists have no annual deductible to meet.
Differences in cost between brand and generic drugs, and excess amounts paid at nonparticipating pharmacies do not apply. The American Chiropractic Network includes providers statewide. While employees may use chiropractors outside the network for services, they will receive a higher level of coverage with network providers. By notifying the managed care program during the first trimester of pregnancy, potential risk factors can be evaluated. For more information read the Summary Plan Description Booklet.