Forms & Documents
Summary Plan Descriptions
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Plan 42X Direct Access-90/60 $500/$1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 42XL Direct Access-90/60 $500/$1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 43X Direct Access-90/60- HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 43XL Direct Access-90/60- HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 44X Direct Access-80/60- HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 44XL Direct Access-80/60- HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 45X: Direct Access-100/60-R HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 45XL Direct Access-100/60-R HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 46X Direct Access-80/60- R HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 46XL Direct Access-80/60- R HSCP $1000 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 47X Direct Access-80/60 $1500 HIGH DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 47XL Direct Access-80/60 $1500 HIGH DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 48X Direct Access-80/60 $2500 HIGH DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 48XL Direct Access-80/60 $2500 HIGH DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 49X Direct Access-100/60-R HSCP $1500 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 49XL Direct Access-100/60-R HSCP $1500 DEDUCTIBLE
Last Updated: Feb 13, 2023
Plan 59X: Direct Access-50/50-R HSCP $2500 DEDUCTIBLE
Last Updated: Feb 13, 2023
Direct Access-100/70 HSA $1,500 DEDUCTIBLE (PLAN 618)
Last Updated: Feb 13, 2023