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Do Not Resuscitate Order For General Dynamics Employees

Healthcare Provider Update: For General Dynamics, the primary healthcare provider is UnitedHealthcare, which offers health insurance benefits to many employees and their families. Looking ahead to 2026, consumers are bracing for significant healthcare cost increases, particularly in the context of the Affordable Care Act (ACA). With insurers predicting record premium hikes, some states could see increases exceeding 60%, largely due to rising medical expenses and the potential expiration of enhanced federal subsidies that currently help millions of policyholders. Without these subsidies, it is projected that many individuals could experience a shocking 75% rise in out-of-pocket premiums, greatly impacting affordability and access to healthcare for millions across the nation. Click here to learn more

What Is It?

As a General Dynamics employee, you have the right to decline medical treatment, even if you die as a result of your decision. Depending on your medical condition, your prognosis, and your views on the quality of life, you may wish to refuse lifesaving measures, such as cardiopulmonary resuscitation (CPR). Executing a do not resuscitate (DNR) order is one way of doing this. A DNR is a doctor's order that tells all other medical personnel not to perform CPR if you go into cardiac arrest. Cardiac arrest occurs when your heart stops beating, blood flow to your brain stops, and you stop breathing. If the blood flow is not quickly restored, permanent damage to the brain and other organs can occur. CPR simulates heartbeat and breathing, while attempting to restart these functions.

The term CPR actually encompasses a variety of separate procedures, including cardiac compression, endotracheal intubation, assisted ventilation, defibrillation, and cardiac medications. Most states recognize two types of DNRs. One is effective only while you are hospitalized. The other is used by people outside the hospital--for example, nursing home residents, hospice patients, and even those who are not receiving medical treatment.

Typically, terminally ill patients and elderly individuals execute DNRs to avoid prolonging their final illnesses. However, some states allow healthy adults to execute the orders, as well. Depending on the laws of your state, a DNR used outside the hospital may be called a 'pre-hospital DNR,' 'out-of-hospital DNR,' 'outpatient DNR,' 'DNR for EMS,' or 'CPR directive.' As a result of your request, your doctor generally notes an in-hospital DNR order on your chart. Out-of-hospital DNRs take various forms, depending on the laws of your state. ID bracelets, MedicAlert necklaces, and wallet cards are some methods of noting DNR status.

When Can It Be Used?

Availability of DNRs Is Determined By State Law

Not all states have DNR laws. For General Dynamics employees, you may want to consider how your state's laws govern whether DNRs are permissible, who can execute a DNR, and what form the order must take. These laws may permit in-hospital DNRs, out-of-hospital DNRs, both of these, or neither of these. Some state laws allow any person of legal age to execute a DNR, while others permit DNRs only for individuals with terminally ill conditions. Some states allow children to participate in decisions regarding DNR in certain cases. Check the laws of your state and any other states where you spend a significant amount of time.

Strengths

Allows You to Exercise Choice In Medical Treatment

Cardiopulmonary resuscitation (CPR) has produced some miraculous results when used on normally healthy individuals in trauma situations. However, it can be a painful and even violent procedure. Its effectiveness is limited when used on terminally ill or hopelessly deteriorated patients. In some cases, CPR only delays the moment of death.

For example, CPR could restore your heartbeat, but if permanent brain or organ damage occurs during cardiac arrest, you may be dependent on life support machines. Executing a do not resuscitate (DNR) order allows you to choose a natural death.

Example(s): Hal is hospitalized with a terminally ill condition. He is on a respirator and knows he has only a short time to live. Hal consults his doctor and learns that the laws of his state permit in-hospital DNRs. This will allow him to forego CPR if his heart fails. Hal asks his doctor to execute a DNR as soon as possible. The following week, Hal's heart stops. Because of Hal's DNR, hospital personnel do not attempt CPR.

Specifically Intended for an Emergency Situation

If you go into cardiopulmonary arrest, your DNR lets medical personnel know that you don't want CPR. Because of the emergency nature of this situation, other types of advanced directives are usually not timely enough to accomplish this goal.

Tradeoffs

Extremely Limited Usefulness

Although a do not resuscitate (DNR) order is a very powerful instrument, it is only effective under specific conditions. Generally, a DNR comes into play only if you go into cardiac arrest, and it frequently only allows you to refuse cardiopulmonary resuscitation (CPR), although in some states it may allow you to decline other drastic medical treatment as well. A living will or durable power of attorney for health care may be needed to convey other medical treatment instructions, such as your wishes regarding life support and intravenous feeding.

Out-of-Hospital DNR May Not Be Effective In Other States

As a General Dynamics employee, it is beneficial to understand how an out-of-hospital DNR that is valid in your state may not be valid in other states. Therefore, if you spend a significant amount of time in another state, you should find out whether that state's laws recognize DNRs, whether you are eligible to have a DNR in that state, and what restrictions are placed on the form of the DNR.

Doctors May Be Hesitant to Broach This Topic or Reluctant to Write a DNR

If you are hospitalized with a serious illness, your doctor may not bring up the option of executing a DNR. If you don't want to be resuscitated, you should initiate this discussion with your doctor. Also, studies indicate that many doctors are slow to write DNRs, even when they are aware of their patients' preferences, although the reasons for this vary. If you are a General Dynamics employee and want to ensure your wishes are followed, you should touch base with your doctor to make sure the DNR is placed on your chart.

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How to Do It

Research Your State's Laws Regarding Dnrs

Not all states provide for these orders. Each state has its own eligibility requirements, particularly for out-of-hospital DNRs.

Discuss Your Wishes With Your Doctor

Your doctor should be able to provide information on your prognosis and counsel you on your options. If you are a General Dynamics employee, your doctor's signature will most likely be required on any DNR you execute.

Execute Your Out-of-Hospital DNR Properly And Keep It With You

If you are a General Dynamics employee interested in DNR, you must consider how if your state allows out-of-hospital DNRs, there is probably a required format for the order. Examples of state-required DNR formats include ID bracelets, necklaces, wallet cards, and letter-size forms. If your DNR is not in the required form, it may not be honored. If medical personnel can't find your DNR order, they are obligated to give full and immediate care. Thus, it is extremely important to execute your DNR order properly and keep it with you (or in an appropriate place) at all times.

Example(s): Hal is a resident of an assisted-living facility. Hal is 89 years old and feels he has lived a good life. He does not want to die in a hospital or be dependent on machines for his survival. Hal discusses his feelings with his doctor. Hal's doctor suggests executing an out-of-hospital DNR, which will instruct medical personnel not to perform cardiopulmonary resuscitation (CPR) if Hal goes into cardiac or respiratory arrest. Hal agrees and receives an ID bracelet noting his DNR status. Hal wears his bracelet faithfully. Six years later, Hal's heart fails as he jogs in the park. Medical personnel arrive on the scene, but immediately notice Hal's DNR ID bracelet. CPR is not attempted.

Tell People About Your Decision

In general, other people cannot reverse your decision once you execute a DNR. As a General Dynamics employee however, if your DNR is misplaced or for some reason is not followed, it would be important for your family and friends to understand your wishes. Although this topic may be difficult to discuss, those close to you are more likely to support and uphold your decision if they understand how you feel and why you feel that way. If you have appointed a representative in a durable power of attorney for health care (DPAHC) , it is especially important that this person be aware of your decision.

Coordinate All Advanced Directives

Since a DNR is so limited in scope, you may wish to establish a living will and/or DPAHC as well. If you do so, make sure your wishes are stated consistently throughout these documents. In some states, the most recent document will govern if there is a conflict, so you must make sure your wishes are clear.

Tax Considerations for General Dynamics Employees

Income Tax

None

Gift And Estate Tax

None

Questions & Answers for General Dynamics Employees

What If You Go Into a Coma Before Executing Your DNR, And You Can't Express Your Wishes?

Your healthcare representative, if you have appointed one, may be able to have a DNR executed on your behalf. As a General Dynamics employee, there must be evidence that this is what you would want. You might include these instructions in your durable power of attorney for health care , especially if the laws of your state do not allow out-of-hospital DNRs. Be aware, however, that this method of instruction is useless in an emergency if your representative is not present. In some states, with your family's consent, your doctor may be able to execute a DNR on your behalf. Again, it would be unwise to rely on this course of action in an emergency.

Can You Change Your Mind?

Yes, it is possible to revoke a DNR order. If you have an out-of-hospital DNR, you may be able to revoke it by simply removing the bracelet or the wallet card. However, some states also have a database of DNR patients. If this is true in your state, you may need to take additional steps to revoke your DNR. When your doctor writes the DNR, ask what steps are necessary to revoke the order.

Additionally, medical personnel must give emergency care to anyone who requests it. For example, Emergency Medical Service guidelines in Wisconsin instruct personnel to perform cardiopulmonary resuscitation (CPR) if a person rips off his or her DNR bracelet or asks for CPR during cardiac arrest.

How does General Dynamics Corporation ensure that employees understand their eligibility for retirement benefits under the General Dynamics retirement plan? What resources are available to help employees navigate the complexities of the plan, and how does the company assist employees in applying for these benefits?

General Dynamics Corporation ensures that employees understand their eligibility for retirement benefits under the General Dynamics retirement plan by providing detailed plan documents and resources such as the General Dynamics Service Center. This center assists employees in navigating the complexities of the retirement plan and in applying for benefits. Employees can contact the service center for further guidance through the phone number and website provided in the retirement plan documentation(General_Dynamics_Corpor…).

In what ways does the structure of the retirement plan at General Dynamics Corporation accommodate long-term employees who may be considering early retirement? Can you detail the benefits available to these employees and the processes they must follow to access these benefits?

The General Dynamics retirement plan accommodates long-term employees considering early retirement by allowing retirement after age 55 with 10 years of continuous service. These employees may receive reduced benefits to account for the extended payment period. The plan provides multiple benefit options, such as immediate commencement or deferral of payments until age 65. Employees must contact the service center to initiate the retirement process(General_Dynamics_Corpor…).

How does General Dynamics Corporation define Continuous Service, and what impact does this definition have on an employee's eligibility for retirement benefits? Discuss the scenarios in which service may be interrupted and the implications of such interruptions on the retirement plan.

Continuous Service is defined as uninterrupted employment with General Dynamics or its subsidiaries. This is crucial in determining eligibility for retirement benefits. Breaks in service, such as leaves of absence or layoffs, can impact an employee's service. However, certain periods, such as military service, may not interrupt Continuous Service if specific conditions are met(General_Dynamics_Corpor…).

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Financially, General Dynamics' retirement plan provides stability by incorporating a defined benefit structure that does not require employee contributions. The plan is designed to supplement other retirement income sources, such as Social Security and 401(k) plans. Employees should be mindful of the potential reduction of benefits if they opt for early retirement, as these reductions impact monthly payouts(General_Dynamics_Corpor…).

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Compared to industry standards, the General Dynamics retirement plan offers competitive benefit structures, including a defined benefit formula based on final average pay. The company maintains competitiveness while ensuring the sustainability of the plan by covering all associated costs and monitoring government regulations to avoid excessive liabilities(General_Dynamics_Corpor…).

What are the specific provisions of the General Dynamics retirement plan regarding death benefits for employees who pass away before retirement? Explain how beneficiaries are determined and what processes beneficiaries should follow to claim these benefits.

In the event of an employee’s death before retirement, the General Dynamics plan provides death benefits to surviving spouses. The benefit is typically structured as a lifetime monthly annuity, and the spouse may defer payments until the employee would have been eligible for retirement. Beneficiaries should contact the service center to initiate the claim process(General_Dynamics_Corpor…).

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If an employee experiences a total disability prior to retirement, the plan may suspend benefit accruals. The employee may still be eligible for retirement benefits once they recover, depending on their service history and the nature of the disability. The impact on their accrued benefits depends on the duration of the disability(General_Dynamics_Corpor…).

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General Dynamics adjusts its retirement plan offerings in response to changes in IRS limits and regulations to remain compliant. The company uses strategies such as modifying contribution and benefit limits and providing employees with updated information on how these changes affect their retirement planning(General_Dynamics_Corpor…).

What role does the General Dynamics Service Center play in the overall administration of retirement benefits? Evaluate the center's capacity to address employee inquiries and its effectiveness in communicating essential information regarding the retirement plan.

The General Dynamics Service Center plays a pivotal role in administering retirement benefits, answering employee inquiries, and guiding them through the process of applying for and receiving benefits. The center's resources, including online tools, help employees make informed decisions about their retirement(General_Dynamics_Corpor…).

How can employees at General Dynamics Corporation contact the company to learn more about their retirement benefits? Provide the various channels available, including direct contacts and online resources, along with a brief overview of what employees can expect when seeking assistance.

Employees can contact General Dynamics to learn more about their retirement benefits through the General Dynamics Service Center at 1-888-GD-BENEFITS (1-888-432-3633) or by visiting www.gdbenefits.com. These resources provide employees with comprehensive support, from understanding eligibility to selecting benefit options(General_Dynamics_Corpor…).

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