Part 1

1. General Information
   1. Enrollment Card
   2. Identification Card
   3. Participating Employees
   4. Participating Employers
   5. Unions or Participating Unions
   6. Eligible Employees
   7. Dependent
   8. Physically Handicapped or Mentally Retarded Childred
   9. Effective Date of Coverage
   10. Maintenance Coverage
   11. Change in Family Status
   12. Plan Description
   13. Trustees' Right to Ammend the Plan
2. General Claim and Appeal Procedures
   1. Filing Claims
   2. Claim Forms
   3. Proof of Loss
   4. Payment of Claims
   5. Errors in Benefit Payments
   6. Fraud
   7. File for Claims under the PPO Blue Program
3. Eligibility Rules
   1. Employees
   2. Early Retirees
   3. Retirees
   4. Qualifying Work Periods
   5. Benefit Period
   6. Lag Period
   7. 350 Hour Initial Eligibility Rule
   8. Basic 300 Hour Rule
   9. 1000 Hour Special Exemption
   10. Self Payment Provision
   11. Termination and Payment Requirements
   12. COBRA Regulations for Eligible Participants and Dependants
4. Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA)
   1. Definitions
   2. Employees
   3. Disabled Participants
   4. Spouse
   5. Divorced or Legally Separates Spouse
   6. Dependant Children
   7. Coverage for Child or Children
   8. Coverage for Widows and Dependent Children of Deceased Employee
   9. Notification and Payment Requirement
   10. Limitations
5. Death Benefits
6. Accidental Death and Dismemberment Benefit
7. Weekly Disability Benefits
8. Preferred Blue PPO Program
   1. Coinsurance
   2. Copayment
   3. Covered Service
   4. Deductible
   5. Network Provider or Supplier
   6. Self-Referred Care
   7. Schedule of Benefits
9. Vision Program by National Vision Administrator
10. Dental Program by Delta Dental
    1. Benefit
    2. Covered Dental Services
    3. Predetermination
    4. Dentists
    5. Limitations and Exclusions
    6. Claim Forms
11. Other ERISA Rights
    1. Rules and Procedurs for Processing Qualified Medical Child Support Orders
    2. Family and Medical Leave Act
    3. Women's Health and Cancer Rights Act of 1998
    4. Newborn's and Mother's Health Protection Act (NMHPA)
12. Subrogation
13. Coordination of Benefits
14. Denial and Appeal Claim Procedures
    1. Claim Administrators
    2. Initial Claim Determination
    3. Claim Denial Procedures
    4. Claim Appeal Procedures
    5. Claim Reviewers
    6. Adverse Appeal Determinations
15. Information Required by Employee Retirement Income Security Act of 1974
    1. Plan Information
    2. Plan Fiduciaries
    3. Administration of the Plan
    4. Employer Identification Number
    5. Legal Notice
    6. Plan Documents
    7. Plan Sponsors
    8. Collective Bargaining Agreements
    9. Plan Year
    10. Pension Benefit Guaranty Corporation
    11. Funding Medium
    12. Eligibility for Benefits
    13. Procedure for Filing Claims
    14. Denial or Loss Benefits
    15. Claim Appeals
16. Participants and Beneficiaries Rights Under ERISA