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Northrop Grumman Federal
Credit Union is making these Voluntary Insurance offerings available to
you.
Credit Union membership is not required to enroll.
Coverage in
these insurance plans is totally voluntary and you should evaluate the
need for this coverage based on your specific circumstances. Northrop
Grumman Corporation does not endorse or recommend this coverage.
Northrop Grumman Corporation cannot assist with questions or disputes
regarding this coverage.

P.O. Box 3907
Gardena, CA 90247-7599
Call toll-free:
1-888-293-4903 |
Since 1995, Northrop Grumman Federal Credit Union has offered retirees
the opportunity to purchase dental coverage. In 2003, vision care
coverage was added as an option.
Retirees are
eligible to enroll in a dental and/or vision care
coverage program between April 15 and June 6, annually, for a full plan
year that starts on July 1, or not less than 15 days prior to the
beginning of each calendar quarter with coverage effective as of October
1 or January 1 for a partial plan year.
The plan year always ends on June 30. Call the Dental/Vision Call Center
toll-free for an Enrollment Kit or questions at
1-888-293-4903 Option 1.
Download and
Print an ENROLLMENT KIT
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Your spouse and dependent children up to age
19 (age 25, if a full-time student) are also eligible for dental
coverage under these programs.

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Minimize out-of-pocket expenses with the
CIGNA Dental HMO, a managed care dental program
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No deductible, no maximums, and no claim
forms to file.
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No charge for most diagnostic and
preventative services.
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For other services, the sample Patient
Charge Schedule in your enrollment kit lists your fixed co-payments
for covered procedures. The complete list is mailed upon enrollment
in the Dental HMO plan.
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Orthodontic coverage is available for
children up to age 19 and adults.
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Finding a CIGNA Dental HMO network
dentist near your home is easy. Visit the dental office locator at
www.cigna.com, or call a
representative at 1-800-244-6224.
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Out-of-network benefits are not
available with the CIGNA Dental HMO.
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There are
no CIGNA HMO offices in the following states:
AK, DE, HI, ID, ME, MT, ND, NH,
NM, NV, RI, SD, VT, WV, WY |
Payment
Options |
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Quarterly |
Annual |
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Member Only |
67.26 |
269.04 |
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Member + One |
128.91 |
515.64 |
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Member + Family |
181.59 |
726.36 |
These rates are in effect for the plan
year July 1, 2008 through June 30, 2009. Rates are subject to change
for each new plan year. If you enroll for coverage to begin on
October 1 or January 1, your annual rate will be reduced.

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Save on out-of-pocket expenses for
treatment when you visit general dentists or specialists in our
large national CIGNA Dental PPO network - more than 87,500 dentists
nationwide as of January 2007.
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Or use out-of-network benefits when you
visit any dentist you choose. Your out-of-pocket expenses will be
higher when you visit an out-of-network dentist.
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In-network or not, you'll be reimbursed
for all or part of the costs for covered procedures up to your
annual dollar maximum, after meeting your deductible.
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No referral is required to see a
specialist.
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Fast, accurate convenient claims
processing. Most CIGNA network dentists file claim forms for you;
you must file claims for out-of-network care.
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Finding a CIGNA Dental PPO network
dentist near your home is easy. Visit the dental office locator at
www.cigna.com, or call a
representative at 1-800-244-6224.
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Available
in All States |
Payment
Options |
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Quarterly |
Annual |
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Member Only |
121.92 |
487.68 |
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Member + One |
204.57 |
818.28 |
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Member + Family |
306.48 |
1225.92 |
These rates are in effect for the plan
year July 1, 2008 through June 30, 2009. Rates are subject to change
for each new plan year. If you enroll for coverage to begin on
October 1 or January 1, your annual rate will be reduced.

This coverage, provided by Vision Service Plan (VSP), the largest vision
care provider in the United States, has over 24,000 participating doctor
locations.
To locate a vision expert in the VSP
network, visit
www.vsp.com or call 1-800-877-7195.
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Eye exam once every 12 months
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Prescription glasses single visiion,
lined bifocal and lined trifocal lenses once every 12 months
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Frames covered up to $120.00 plus 20%
off any out-of-pocket cost once every 24 months
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Contacts in lieu of glasses your $105
allowance applies to the cost
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Your Coverage |
Your Co-pays |
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When visiting a VSP
network doctor, you'll receive: |
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Exam |
every 12 months |
$20.00 |
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Prescription
Glasses |
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$25.00 |
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Lenses |
every 12 months |
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Single vision, lined
bifocal and lined trifocal lenses |
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Frames |
every 24 months |
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Frame of your choice
covered up to $120, plus, 20% off any out-of-pocket costs |
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or |
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Contacts |
every 12 months |
No co-pay applies |
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Available
in
All States |
Payment
Options |
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Quarterly |
Annual |
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Member Only |
36.93 |
147.72 |
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Member + One |
58.53 |
234.12 |
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Member + Family |
85.59 |
342.36 |
These rates are in effect for the plan
year July 1, 2008 through June 30, 2009. Rates are subject to change
for each new plan year. If you enroll for coverage to begin on
October 1 or January 1, your annual rate will be reduced.
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