Summary of Benefits and Coverage, Summaries and Booklets (Effective Dates: July 1, 2017 - June 30, 2018)

 

 

Effective Plan Year: July 1, 2017 - June 30, 2018

 

Choice Plans
Plan Summary SBC
Choice Plan 1  Click Here Click Here
Choice Plan 2 Click Here Click Here
Choice Plan 3 Click Here Click Here
Choice Plan 4 Click Here Click Here
Good Faith (GF) Choice Plans
Plan Summary SBC
Good Faith (GF) Choice Plan 1 Click Here Click Here
Good Faith (GF) Choice Plan 2 Click Here Click Here
Good Faith (GF) Choice Plan 3A Click Here Click Here
Good Faith (GF) Choice Plan 3B Click Here Click Here
Good Faith (GF) Choice Plan 4 Click Here Click Here
Secure Plans
Plan Summary SBC
Secure 500 Click Here Click Here
Secure 750 Click Here Click Here
Secure 1000 Click Here Click Here
Secure 1500 Click Here Click Here
Secure 2000 Click Here Click Here
Good Faith (GF) Secure Plans
Plan Summary SBC
Good Faith (GF) Secure 1000 - $1000 / 80% / $3000 Click Here Click Here
Solutions Plans
Plan Summary SBC
Solutions 500 Click Here Click Here
Solutions 750 Click Here Click Here
Solutions 1000 Click Here Click Here
Solutions 1500 Click Here Click Here
Good Faith (GF) Solutions Plans
Plan Summary SBC
Good Faith (GF) Solutions 500 Click Here Click Here
Good Faith (GF) Solutions 750 Click Here Click Here
Good Faith (GF) Solutions 1000 Click Here Click Here
Good Faith (GF) Solutions 1500 Click Here Click Here
Good Faith (GF) Solutions 2000 Click Here Click Here
HSA Plans
Plan Summary SBC
HSA 2000 Click Here Click Here
HSA 3000 Click Here Click Here
Wellness Plans
Plan Summary SBC
Wellness Plan 1 Click Here Click Here
Wellness Plan 2 Click Here Click Here

 

Effective Plan Year: July 1, 2017 - June 30, 2018

 

Choice Plans
Plan Grandfathered
Choice Plan 1  Click Here
Choice Plan 2 Click Here
Choice Plan 3  Click Here
Choice Plan 4  Click Here
Good Faith (GF) Choice Plans
Plan Grandfathered
Good Faith (GF) Choice Plan 1  Click Here
Good Faith (GF) Choice Plan 2  Click Here
Good Faith (GF) Choice Plan 3A  Click Here
Good Faith (GF) Choice Plan 3B Click Here
Good Faith (GF) Choice Plan 4  Click Here
Secure Plans
Plan Grandfathered
Secure 500  Click Here
Secure 750  Click Here
Secure 1000 Click Here
Secure 1500  Click Here
Secure 2000  Click Here
Good Faith (GF) Secure Plans
Plan Grandfathered
Good Faith (GF) Secure 1000 Click Here
Solutions Plans
Plan Grandfathered
Solutions 500  Click Here
Solutions 750  Click Here
Solutions 1000 Click Here
Solutions 1500  Click Here
Good Faith (GF) Solutions Plans
Plan Grandfathered
Good Faith (GF) Solutions 500 Click Here
Good Faith (GF) Solutions 750  Click Here
Good Faith (GF) Solutions 1000 Click Here
Good Faith (GF) Solutions 1500  Click Here
Good Faith (GF) Solutions 2000  Click Here
HSA Plans
Plan Grandfathered
HSA 2000  Click Here
HSA 3000 Click Here
Good Faith (GF) HSA Plans
Plan Grandfathered
Good Faith (GF) HSA 2000  Click Here
Wellness Plans
Plan Grandfathered
Wellness Plan 1  Click Here
Wellness Plan 2  Click Here

 

Effective Plan Year: July 1, 2017 - June 30, 2018

 

Dental Plans
Plan Summary Booklet
  Dental Base Plan Click Here Click Here
  Dental Select Plan Click Here Click Here
  Dental PPO Plan Click Here Click Here
  Dental Plus Plan Click Here Click Here
  Dental Premier Plan Click Here Click Here

 

 Effective Plan Year: January 1, 2017 - December 31, 2017

 

Vision Plans
Plan Summary Certificate
  Base Vision Plan - 12 month exam; 24 month lenses and frames Coming Soon Click Here
  Vision Plus Plan - 12 month exam; 24 month frames; CVC Benefit Coming Soon Click Here

 

Effective Plan Year: July 1, 2017 - June 30, 2018

 

Basic Life and AD&D Plans
Plan Summary Booklet
  Basic Life and AD&D Coverage Side by Side Click Here  
  Basic Life and AD&D Coverage (Only available for Employees) Click Here Click Here
  Dependent Life Insurance Click Here Click Here
  Voluntary Life (Employee and Spouse) Click Here Click Here
  Voluntary AD&D (Employee and Spouse) Click Here Click Here

 

 

Effective Plan Year: July 1, 2017 - June 30, 2018

 

Nurseline, GuidanceResource EAP Plans
  ComPsych GuidanceResources Enrollment Flyer Click Here
  GuidanceResources - Feeling Unfocused? Click Here
  GuidanceResources Online - Easy as 1, 2, 3 Click Here

 

 

 

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