Summaries and Plan Booklets

Plan Benefit Summary (PDF) July 1, 2026
A detailed list of the level of coverage for covered services (e.g., copay, coinsurance)

Plan Benefit Summary (PDF) July 1, 2025
A detailed list of the level of coverage for covered services (e.g., copay, coinsurance)

 

Summary of Benefits & Coverage ("SBC") (PDF) July 1, 2026
A summary of the level of coverage for some services (e.g., copay, coinsurance)

Summary of Benefits & Coverage ("SBC") (PDF) July 1, 2025 
A summary of the level of coverage for some services (e.g., copay, coinsurance)

 

Plan Booklet - Health (PDF) July 1, 2026 (Coming Soon)
A detailed description of what medical services the plan covers 

Plan Booklet - Health (PDF) July 1, 2025
A detailed description of what medical services the plan covers

 

Plan Booklet - Prescription (PDF) July 1, 2026
A detailed description of what prescription services the plan covers

Plan Booklet - Prescription (PDF) July 1, 2025
A detailed description of what prescription services the plan covers