Please Click Here to Read More About the No Surprises Act.

Medical
Plan Name Coverage Beginning
Plan Name SBC - Plan 1Coverage Beginning8/1/2022
Plan Name SBC - Plan 2Coverage Beginning8/1/2022
Plan Name SBC - Special RetireeCoverage Beginning8/1/2022
Plan Name SBC - Medicare RetireeCoverage Beginning8/1/2022
Plan Name Glossary of Health Coverage and Medical TermsCoverage Beginning
Prescription
Coverage Beginning
Formulary - ElixirCoverage Beginning1/1/2022
Member Notice Regarding Formulary Update 1/1/2022Coverage Beginning1/1/2022
2021 Prescription Summary of Benefits (Medicare Part D)Coverage Beginning1/1/2021