Summary of Benefits
Please note: Only use 2025 applications for a 1/1/25 start date or later!
The Summary of Benefits and Coverage documents below describe what each plan covers and what it costs for coverage. Details contained within these summary pages are for the following plan: Individual | Plan Type: EPO.
The coverage period for the information contained within these documents is from January 1, 2024 through December 31, 2024.
For further information and assistance regarding the Summary of Benefits please contact Customer Service at 1-866-306-1882.