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Important Benefit Documents for Your Records
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Benefits
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Important Benefit Documents for Your Records
Medical: United Healthcare
Summary Plan Description (SPD) - refer to back of COC, Base, Buy-Up, or HDHP/HSA option below
Certificate of Coverage (COC) - Base Plan
Certificate of Coverage (COC) - Buy-Up Plan
Certificate of Coverage (COC) - HDHP/HSA Plan
Summary of Benefits Coverage (SBC) - Base Plan (2021 -2022 Plan Year)
Summary of Benefits Coverage (SBC) - Buy-Up Plan (2021 - 2022 Plan Year)
Summary of Benefits Coverage (SBC) - HDHP/HSA Plan (2021 - 2022 Plan Year)
Vision: United Healthcare
Certificate of Coverage (COC)
Summary of Benefits - Vision
Dental: United Healthcare
Certificate of Coverage (COC)
LTD/STD/Life/AD&D and Voluntary Life: UHC
Certificate of Coverage (COC) - Life
Certificate of Coverage (COC) - LTD
Certificate of Coverate (COC) - STD
Summary of Benefits - LTD
Flexible Benefit Plan: ProBenefits
Summary Plan Description (SPD)
401(k)
Summary Plan Description (SPD)
Annual Notices
2021-2022 Annual Notices
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