
Sometimes you want the details.
In this section, you can find detailed plan documents and your annual notices.
MORE INFORMATION
Benefits Information
Annual Notices
2026 Medicare Part D Notice of Creditable Coverage
2025 Annual Notification of Benefit Rights
2025 Health Insurance Marketplace Coverage Options
Children's Health Insurance Program (CHIP) Notice
Women's Health and Cancer Rights Act (WHCRA) Notice
Summaries of Benefits and Coverage
UHC Select Plus PPO HRA 5000 (DKON)
UHC Select Plus Classic PPO 1000 (DKS8)
UHC Select Plus Premier PPO 500 (DKSZ)
UHC Select Plus PPO HSA 3400 (EP5P)
UHC HMO and PPO Prescription Drug List (updated March 1, 2024)
UHC HMO and PPO Prescription Drug List (effective September 1, 2024)
Summary of Benefits: Basic & Optional Group Term Life Insurance and Basic & Optional AD&D Insurance
Evidence of Coverage Documents
Evidence of Coverage: UHC Select Plus PPO HRA 5000 (CJKQ)
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)
Evidence of Coverage: Kaiser Permanente HMO 15
Certificate of Coverage: Accidental Death & Dismemberment