Resources

Plan Information

Medical Plan A Summary Plan Description
Detalles del Beneficio: Medical Plan A
Medical Plan B Summary Plan Description
Detalles del Beneficio: Medical Plan B
Medical Plan C Summary Plan Description
Detalles del Beneficio: Medical Plan C
Medical Plan Z Summary Plan Description
Medical Plan JC28XL Summary Plan Description
Medical Plan WT100 Summary
Dental Plan A Summary Plan Description
Dental Plan A Summary
Resumen de Benefcios – Dental Plan A
Dental Plan B Summary Plan Description
Resumen de Benefcios – Dental Plan B
Dental Plan C Summary Plan Description
Resumen de Benefcios – Dental Plan C
Vision EXT Plan Summary
Resumen de Benefcios del Plan de Visión EXT
Mail Order Pharmacy Form
MedImpact Pharmacies (pdf)
Drug lists – covered/specialty