Legal Notices and Plan Documents

Option 1 - PPO Plan - Medical Plan Summary of Benefits and Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_070e5a6a41eb4ee0adab5d38206823a0.pdf) Option 2 - HSA Plan - Medical Plan Summary of Benefits and Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7535fab757144e29a7e4ab5791733752.pdf) ​ Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_f16bfafa87a948fc8cc8e1f127a383fe.pdf) HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf) Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf) Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9cdc47e78e2a494b8d4b74e39237a568.pdf) Organ Tissue Transplant Certificate (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6529eaf87a7b49fbb1bdc0680ec5cf54.pdf)

Prescription (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c979496313a04bf7983ef8c73e0b670f.pdf)program summary

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_3757e6db15394371ba6f6f6ae07bbe7d.pdf)

Base Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_8a77cdd7ff2a40689646ec0268df19d6.pdf) Buy-Up Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_889d1183539c4c598d73be616e3ff91b.pdf)

Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)