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EXHIBIT E <br /> COMPRHENSIVE MAJOR MEDICAL PLAN <br /> Note: This provides oniy highlights of your current Heaith Plan. For specific details, please refer to your current benefit booklet. <br /> BENEFITS Coverage <br /> Lifetime Comprehensive Major Medical Coverage $2,000,000 <br /> Deductible per individual, per calendar year $100 <br /> (family deductible: a maximum of three individual deductibles) <br /> Transplant Coverage: Heart, heart/lung and liver transplants in approved facilities � <br /> paid as any other condition with prior approval by MSA Advisor. <br /> Out-of-pocket Expense Limitation: The amount of money individual pays toward $1,000 <br /> covered hospital and medical expenses during any one calendar year, including the �3 per family) <br /> deductible (maximum of three per family). <br /> Inpatient Hospital Services: Room allowance based on the Hospital's most common <br /> semi-private room rate. Pre-Admission testing, Skilled Nursing Facility and 80°/o <br /> Coordinated Home Care are paid on the same basis. <br /> Outpatient Surgery 8� Diagnostic Tests: (Hospital) 80% U&C <br /> Outpatient Emergency: Emergency Medical and Emergency Accident (first visit). If <br /> an inpatient admission occurs thereafter, the MSA must be contacted within two 100%** <br /> business days. <br /> Outpatient Hospital Services: Including Radiation & Chemotherapy. 80% <br /> Inpatient Mental and Substance Abuse: Maximum lifetime benefits of $50,000 for 800�0* <br /> inpatient and outpatient services. <br /> Outpatient Mental and Substance Abuse: Maximum lifetime benefits of$50,000 for 50%* <br /> inpatient and outpatient services. Outpatient Care limited to $1,300 per calendar year. <br /> Medical Surgical Care: For inpatient or intensive care, medical and surgical care; <br /> physician office visits; consultation; anesthetics. Payments are based on the Usual 80% <br /> and Customary Allowances. <br /> Chiropractic Services: Care limited to $1,000 per calendar year 80%* <br /> Other Covered Services: Prescription drugs, blood and blood components; leg, arm, <br /> back, and neck braces; services of a private duty nursing ($1,000" per month <br /> maximum); ambulance services; allergy shots; oxygen and its administration; surgical g0% <br /> dressings, casts and splints; durable medical equipment; prosthetic devices; services <br /> of a registered professional physical therapist, occupational therapy and speech <br /> therapy ($1,000* maximum per calendar year). <br /> TemporomandibularJoint Dysfunction & Related Disorders Lifetime Maximum: $1,000" <br /> BASIC PROVISIONS <br /> Medical Services Advisory: Notification required prior to all elective admissions. Emergency and <br /> Obstetric Admission Notification required within 2 working days of admittance. If employee elects not to <br /> notify MSA Advisor or follow advice given, hospital benefits reduced by$500*. <br /> Pre-Existing Conditions Waiting Period: 365 day waiting period. i <br /> Dependent Eligibility: To age 23. <br /> Coordination of Benefits: This program coordinates benefits with other group plans. <br /> ` Co-payments do not apply to any out-of-pocket expense limitation. <br /> `" Deductible does not apply. <br /> 38 <br />