Summary of Coverage

ELIGIBILITY

The term “Participant: used in this descriptive booklet means:

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A.

Active: Any Employee for whom contributions are made to the Yonkers Police Benevolent Association pursuant to any collective bargaining agreement, individual contract of employment or Association policy.

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Retiree: Any Retired Employee of the Yonkers Police Benevolent Association Welfare Fund who contributes, in advance, the required premium. Benefits for retirees include, Dental (excluding orthodontic coverage), Vision (excluding Lasik surgical procedures) and Health Advocate services. Retirees who do not opt into the plan within 30 days of retirement are not eligible to enroll.

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B.

The eligible Employee’s/Retiree lawful spouse.

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C.

The eligible Employee’s/Retiree dependents:

(1)

Unmarried child who has attained the age of two weeks but has not attained the age of 26 years. Your eligible dependents are covered through the end of the month of their 26th birthday.

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(2)

Unmarried child who was handicapped before the age of nineteen years, and is dependent upon his or her parent or legal guardian for support. The plan may require written proof of such dependence.

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EFFECTIVE DATE OF COVERAGE

Coverage under this plan will begin 30 days from the date of your appointment to the Yonkers Police Department.