2016-2017 Benefits List Overview

Benefits Description Eligibl

-Bronze, silver and gold plans (you choose) Full time employ
- See a doctor of your choice without referral spouse and
- In-network preventive care (routine dependent
Medical Coverage physicals, immunization) is 100% covered **Must have m
Provider: Aetna coverage as fu
employee either
your job or a s
-Bronze, Silver, and Gold plans (you choose) Full time employ
- Preventive and Diagnostic Care are spouse, and dep
Dental included 100%
Provider: Aetna - Basic Care, Restoration, Prosthodontics,
Extraction of teeth, Gingivectomy, Osseous
Surgery, Orthodontic, and Lifetime
orthodontia
Vision -Basic plan covers most of the cost of eye Full time employ
Provider: Aetna exams, frames, and contact lens spouses, and
dependen
-Basic coverage for employee only Examples includ
Critical Illness (OR elect to purchase supplemental critical attack, stroke o
illness insurance for you, spouse, children)
-Provides a lump-sum cash benefit to help
cover out-of-pocket expenses
-Basic coverage for employee only Covers hosp
Off-the-job (OR elect to purchase supplemental critical confinement, dis
Accident illness insurance for spouse, children) fractures, burns
emergency r
ambulance se
-You contribute money to account- it pays for Full time emp
Dependent Care day care expenses for depends under 13 **If you do not
Flexible Spending years old or mental/physical disabled of any money in this ac
Account age the end of the c
year you LOS
Long-term -Benefits began 180 days of continuous Full time employ
Disability disability
Insurance - Two plans to choose from
Provider: EnPro
-Two options for life insurance (OPTION can Full time emp
Life and Accident pay supplemental insurance for spouse and receive options
Insurance children) coverage. Suppl
Provider: EnPro - Accidental Death and Dismemberment insurance avail
 insurance at no cost to you (OR purchase spouse and dep
additional AD&D coverage)
Wellness Programs EnPro provides EnBalance which partners https://EnPro.prov
with Provant to provide incentive for healthy .com
living.
EnPro automatically enrolls you! Free money Increase or ch
Retirement from the company, its convenient, your contribution r
Savings Plan money will increase with compound interest, www.schwab.com
it stays with you even if you change jobs, e
and it will help you be secured financially
Health Advocacy, Resources for living, Tuition
Other benefits reimbursement, employee discount
offered programs, business travel accident
insurance, travel assist program
https://enproindustries-
redcarpet.silkroad.com/RedCarpet/Onboarding/Uploads/Unplaced_Documents/2015_
New_Hire_Guide_-_EnPro_981314.pdf

2016-2017 Benefits List

Benefits Description Eligibl
Through Aetna, enroll in a CDHP with HSA. Full time employ
There are bronze, silver and gold plans (you spouse and
choose). With this you can see a doctor of dependent
Medical Coverage your choice without referral, in-network **Must have m
preventive care (routine physicals, coverage as fu
immunization) is 100% covered without employee either
needed to hit deductible, and you have HAS your job or a s
to help pay for your health care costs
Through Aetna, Bronze, Silver, and Gold Full time employ
plans options. Preventive and Diagnostic spouse, and dep
Dental Care are included 100%. Basic Care,
Restoration, Prosthodontics, Extraction of
teeth, Gingivectomy, Osseous Surgery,
Orthodontic, and Lifetime orthodontia max
partially covered depending on plan.
Vision Through Aetna, basic plan covers most of the Full time employ
cost of eye exams, frames, and contact lens spouses, and
 dependen
Basic coverage for employee only, or elect to Examples includ
Critical Illness purchase supplemental critical illness attack, stroke o
insurance for you, spouse, children. Provides
a lump-sum cash benefit to help cover out-
of-pocket expenses
Basic coverage for employee only, or elect to Covers hosp
Off-the-job purchase supplemental critical illness confinement, dis
Accident insurance for spouse, children. fractures, burns
emergency r
ambulance se
With FSA, you contribute money to account, Full time emp
Dependent Care it pays for day care expenses for depends **If you do not
Flexible Spending under 13 years old or mental/physical money in this ac
Account disabled of any age (day care or babysitter the end of the c
costs, nursery school, summer camp, or year you LOS
adult day care facility, senior center or elder
care center)
Long-term Through EnPro, benefits began 180 days of Full time employ
Disability continuous disability. You have two plans to
Insurance choose from
Enpro offers two options for life insurance, Full time emp
Life and Accident and you can pay supplemental insurance for receive options
Insurance spouse and children. Also offers Accidental coverage. Suppl
Death and Dismemberment insurance at no insurance avail
cost to you, or you can purchase additional spouse and dep
AD&D coverage
Wellness Programs EnPro provides EnBalance which partners https://EnPro.prov
with Provant to provide incentive for healthy .com
living.
EnPro automatically enrolls you! Free money Increase or ch
Retirement from the company, its convenient, your contribution r
Savings Plan money will increase with compound interest, www.schwab.com
it stays with you even if you change jobs, e
and it will help you be secured financially
Health Advocacy, Resources for living, Tuition
Other benefits reimbursement, employee discount
offered programs, business travel accident
insurance, travel assist program
 Medical Coverage Details
You can see the doctor of your choice without a referral, in-network preventive care
is covered at 100% without needing to meet deductible, and you have HAS (health
savings cost) to help pay for your health care costs
1. Your deductible: You pay a deductible for medical and prescription expenses.
The amount of your deductible is based on your medical plan and coverage
level. HAS can help you pay your deductible.
2. Your coinsurance: After meeting your deductible, your health plan pays a
percentage of medical and prescription expenses. The amount of coinsurance
the plan pays is based on the type of service and the provider. Seeing an in-
network provider costs less for you.
3. Your HSA: This is a bank account that works with your health plan. As money
is added, you can use it to cover the cost of eligible health care expenses
(medical, dental or vision) or save it. You keep the money left over at the end
of the year no matter what.
Plan Details: Bronze, Silver, and Gold CCDHP

1. Deductible- You need to meet your deductible for medical and prescription
expenses before coinsurance applies.
Bronze Silver Gold
Employee $2,750 $2,000 $1,500
Family $5,500 $4,000 $3,000
2. Coinsurance- After you meet deductible, plan covers 80% of your
expenses if you are in-network. You pay remaining amount up to out-of-
pocket maximum. The maximum includes the deductible youve already
met.
Bronze Silver Gold
Annual Out-of- Employee: $5,950 Employee: $5,400 Employee: $3,750
Pocket maximum Family: $11,900 Family: $9,800 Family: $7,500
(in-network)
Annual Out-of- Employee: Employee: Employee: $7,500
Pocket maximum $11,900 $10,800 Family: $15,000
(out-of-network) Family:$23,800 Family: $18,600
Lifetime maximum Unlimited
Preventive Care 100% covered and deductible waived in-network
In-network Out-of-Network
Office Visit 80% 60%
Emergency Care 80% 60%
Inpatient Surgery 80% 60%
Outpatient Surgery 80% 60%
Pharmacy- Retail 80% 60%
Pharmacy- Mail 80% Not covered
Order
Preventive Prescription drugs- prescription drugs that are considered
preventive can be purchased at the copay or coinsurance listed below regardless
of whether you have met your deductible. Eligible Preventive Medications are
determined by IRS and Aetna.
Retail (30-day supply) Mail order (90 days supply)
Generic (tier one) $0- no copay $0- no copay
Preferred brand 20% coinsurance ($25 min/ 20* coinsurance ($62.50 min/
(tier two) $40 max) $100 max)
Non-preferred 20% coinsurance ($60 min/ 20% coinsurance ($150 min/
brand (tier three) $100 max) $250 max)
3. HSA- You can use your HSA to help pay for eligible out of pocket expenses
as well as your deductible. Eligible plans receive a quarterly contribution
from EnPro and tax-free interest. You can add your own tax-free
contributions
Bronze Silver Gold
Employee $0 $187.50 per $187.50 per
quarter quarter
Family $0 $375 per quarter $375 per quarter

Dental Coverage
Plan feature Benefit
Bronze Silver Dental Gold Dental
Dental
Calendar-year $100 $50 employee $50 employee
deductible employee $100 family $100 family
$200 family
Calendar-year max.
(per covered person $1500 $1500 $1500
excluding orthodontia)
Preventive and 100% covered; no deductible
diagnostic care (oral -Two routine exams and cleanings per calendar year;
exams, x-rays, fluoride additional limits may apply to x-rays
treatments, sealants, -Fluoride treatments: One per calendar year for
routine cleanings) children under 16
Basic Care (fillings, tooth
extractions, root canals, 80% of covered charges; after deductible
periodontics, endodontics,
and simple restoration)
Restoration (crowns, 50% of covered charges; after deductible
bridges, inlays, dental
implants)
Prosthodontics 50% of covered charges; after deductible
(dentures, full and partial)
Extraction of teeth 80% of covered charges; after deductible
Gingivectomy 80% of covered charges; after deductible
Osseous Surgery 80% of covered charges; after deductible
Orthodontic Not covered 50% of covered 50% of covered
charges; after charges; after
deductible deductible
Lifetime orthodontia Not covered $1,500 $3,000
maximum

Vision Coverage
Plan Features In-network Out-of-Network Benefit
member cost reimbursement Frequency
Eye examination $10 copay Up to $40 Once per calendar
year
Lenses
(eyeglasses) $25 copay Up to $40
Standard single $25 copay Up to $60 Once per calendar
vision $25 copay Up to $80 year for each
Standard lined $25 copay Up to $60
bifocal
Standard line
trifocal
Standard
progressive
Frames 80% of frames Up to $45 Once every 2
over $150 calendar years
Contact Lenses
(in lieu of
eyeglasses) $0 Up to $210
Medically Once per calendar
necessary contact 85% of cost over Up to $150 year
lenses $150
Conventional Up to $150
contact lenses 100% of cost over
Disposable contact $150
lenses

Critical Illness, Off-the-Job Accident, and

Supplemental Critical Illness Insurance
Critical Illness and Off-the-Job Accident
Coverage Benefit Amount
Basic Critical Illness $3,000 (Employee Only)
Basic Accident Benefit varies by type of service
Supplemental Critical Illness
Coverage for Amount of coverage available
You (employee) Option 1: $10,000 Option 2: $20,000
Your spouse If you elect coverage, your spouse is
eligible for 50% of the supplemental
value you pick
Your child(ren) If you elect coverage, your child(ren)
each are eligible for 50% of the
supplemental value you pick

Dependent Care (FSA)

Plan Feature
You can contribute Up to $5,000 ($2,500 if married and
filing separate return)
To pay for Day care expenses for eligible
dependents under age 13 or
mentally/physically disable dependents
of any age:
-Day care center or babysitter costs
-Nursery school or before and after
school programs
-Summer day camp
-Adult day care facility, senior center, or
elder care center

Long-term Disability Insurance

 Plan Feature
Benefit begins After 180 days of continuous disability
Plan pays Option 1: 50% of your pay
Benefit is 50% of your pay minus any family Social
Security disability or other applicable disability benefits
youre eligible to receive. The min. monthly benefit is $50
per month, and the max. is $17,500

Option 2: 60% of your annual base pay with

periodic increases
Benefit is 60% of your pay minus any family Social
Security disability or other applicable disability benefits
youre eligible to receive. While collecting your benefit,
your payment will increase to adjust inflation- up to 5% a
year, based on the Consumer Price Index. The min.
monthly benefit is $50 per month, the max. is $17,500.

Life and Accident Insurance

Basic Term Life and AD&D Insurance
Coverage Benefit Amount
Basic term life insurance Option 1: One times your annual base
pay (min. benefit of $35,000)
Option 2: $50,000 (if base pay is
greater than or equal to $50,000)
Basic AD&D insurance One times your annual base pay (min.
benefit of $35,000)
Supplemental and Dependent Life Insurance
Coverage for Amount of coverage available
You (employee) One to four times your annual base
pay, rounded up to the next $1,000
(max. benefit equal to the lesser of five
times your annual base pay or $1
million for basic and supplemental
coverage)
Your spouse Option 1: $25,000 for your spouse
Option 2: $50,000 for your spouse
Option 3: $75,000 for your spouse
Option 4: $100,000 for your spouse
Your child(ren) Option 1: $5,000 for each eligible
dependent
Option 2: $10,000 for each eligible
dependent
Option 3: $15,000 for each eligible
dependent
Voluntary AD&D Coverage
Coverage for Amount of coverage available
You (Employee)
If you want coverage for yourself and
your family there are three options:
Spouse only
Dependent child(ren) only
Spouse AND child(ren)
One to four times your annual base
pay, rounded up to the next $1,000
(max. benefit equal to the lesser of five
times youre annual base pay or $1
million for basic and voluntary
coverage)
60% of your coverage amount
20% of your coverage amount per child
50% of your coverage amount for
spouse and 15% of coverage per child