Legal Notices and Plan Documents

Base Plan - Medical Plan Summary of Benefits and Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_24609ce674ab40e39acf5bb451421978.pdf) Premium Plan - Medical Plan Summary of Benefits and Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d7db75ad5a224dd98a009ab935d1d846.pdf) ​ Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6d36277868b64600909162089e9e4b24.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) Base Plan Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_2072e06f1a524c6f80b8d41f0e4d8ffb.pdf) Premium Plan Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_e9f0041d88ae491ab05058c46b8dccbe.pdf) Employee Assistance Program SBC (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_f1b856d4c2944af9a72d6c9d3fd6388e.pdf) Employee Assistance Program SPD (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7cc8d92dc1344fffa9cc0bf57efbb0ce.pdf)

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_13f41cba46204ecca6efe92a0e24000d.pdf)

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

Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d53377c0ad5e4c8692713a1e8649550e.pdf)

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_07c04c7fffe4467c9eb3308b3fee19e8.pdf)to read a Privacy Notice.