Health Care Benefits
Health Care Benefits
Throughout this section, unless otherwise stated, reference to "Company" or "PG&E" means Pacific Gas and Electric Company. For plans sponsored by PG&E Corporation, reference to "Company" or "PG&E" means PG&E Corporation. The plans and benefits described in this section are also applicable to employees of designated subsidiaries and affiliates, but only to the extent that such entities are participating employers with respect to the described plans or programs and such employees meet the eligibility requirements of the plans or programs.
This section describes the available medical (including mental health and substance abuse and prescription drugs), dental and vision coverage provided pursuant to the Pacific Gas and Electric Company Health Care Plan for Active Employees (as used in this section, "the Plan.")
This section is organized into subsections and chapters, to help you find the information you want. These are:
- Dental coverage, and
In addition to the information in this section, there is also important information about your benefits in other parts of this Handbook. Be sure to review the About this Handbook section, the Benefits-at-a-Glance section, the What If… section, and the Rules, Regulations & Administrative Information section.
Responsibility for Your Health Care
While the Company has contracted with reputable health care plan administrators to provide health care services, neither the Company or any participating employer nor the Plan can ensure the quality of care you receive. The health care vendors contract with the providers in their networks; the Company does not contract with any of the network doctors, hospitals or other providers directly.
Health plan participants always have a choice in the services they receive and who provides those services, regardless of what the health care plan administrator covers or pays.
The plan document for The Pacific Gas and Electric Health Care Plan for Active Employees (the "Health Care Plan") incorporates the terms of this Summary of Benefits Handbook which pertain to the Health Care Plan, the documents that are Summaries of Material Modifications to the Health Care Plan, which may include Open Enrollment guides, and the Employee Assistance Program Evidences of Coverage. If a conflict exists between these Health Care Plan documents and any other communications or documents, the terms of these Health Care Plan documents shall govern the operation of the Health Care Plan.
The Employee Benefit Committee of PG&E Corporation is the Plan Administrator of the Health Care Plan and has the discretionary authority to interpret and construe the terms of the Health Care Plan, to resolve any conflicts or discrepancies between documents and to establish rules which are necessary or desirable for the administration of the Health Care Plan.