Page 46 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat
P. 46

TABLE OF CONTENTS

            Name of Provision                                                              Page Number

            Schedule of Benefits                                                           Begins on 9040
                   Benefit Information, including Deductibles, Coinsurance, & Maximums

            Definitions
                   Dependent                                                                      9060

            Conditions for Insurance                                                              9070
                   Eligibility
                   Eligibility Period
                   Elimination Period
                   Contribution Requirement
                   Effective Date
                   Termination Date

            Eye Care Expense Benefits                                                             9270

            General Provisions                                                                    9310
                   Claim Forms
                   Proof of Loss
                   Payment of Benefits

            ERISA Information and Notice of Your Rights                                    ERISA Notice
















































            9035 Rev. 03-08
   41   42   43   44   45   46   47   48   49   50   51