Sometimes you want the details.
In this section, you can find detailed plan documents and your annual notices.
MORE INFORMATION
Benefits Information
Annual Notices
2025 Annual Notification of Benefit Rights
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2025 Health Insurance Marketplace Coverage Options
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Children's Health Insurance Program (CHIP) Notice
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Women's Health and Cancer Rights Act (WHCRA) Notice​
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Summaries of Benefits and Coverage
UHC Select Plus PPO HRA 5000 (CQG2)
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UHC Select Plus PPO HRA 3500 (CQ18)
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UHC Select Plus Classic PPO 1000 (CUJB)
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UHC Select Plus Premier PPO 500 (CUI4)
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UHC Select Plus PPO HSA 4000 (EBKK)
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UHC HMO and PPO Prescription Drug List (updated March 1, 2024)
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UHC HMO and PPO Prescription Drug List (effective September 1, 2024)
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Summary of Benefits: Basic & Optional Group Term Life Insurance and Basic & Optional AD&D Insurance
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Evidence of Coverage Documents
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Evidence of Coverage: UHC Select Plus PPO HRA 5000 (CJKQ)
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Evidence of Coverage: UHC Select Plus Classic PPO 1000 (CUJB)
Evidence of Coverage: UHC Select Plus Premier PPO 500 (CI8A)
Evidence of Coverage: UHC Select Plus HSA 4000 (CJG7)
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Evidence of Coverage: Kaiser Permanente HMO 15
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Certificate of Coverage: Accidental Death & Dismemberment
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