Legal Notices and Plan Documents

Medical Plan Summary of Benefits & Coverage • Base Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a53b5fdcc4dc41dea4f326fadbb16c77.pdf) • Buy Up Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_772436f4e124482c9883e36166d4f2e9.pdf) ​ Dental Plan Summary(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_fb907986930a4f6b9695e3aff225e8cf.pdf) ​ Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_78f2084be96c47f0b33c7569a9a42394.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_f0555968732144eda1ca9ec7d09a6326.pdf) Wrap Document (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d12f59965b584f18a5d97e7a45b23b28.pdf)

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_92f04d9dea1846c5aaba21e02bf3ffc3.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_784e17ba4c4c42099e5340d5da6822a5.pdf)

Summary Annual Report (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_73a7bb99a95a4365ac2376235e553718.pdf)