Plan Documents and Legal Notices

2026/2027

Medical Documents

2026–2027 Anthem Fee-for-Service PPO (Retirees Age 65 or Over) Summary of Benefits and Coverage

2026-2027 Anthem Fee-for-Service PPO (Retirees Age 65 or Over) Benefit Summary

2026–2027 Anthem Prudent Buyer PPO Summary of Benefits and Coverage

2026–2027 Anthem Prudent Buyer PPO Benefit Summary

2026–2027 Anthem Blue Card OOS Summary of Benefits and Coverage

2026–2027 Anthem Blue Card OOS Benefit Summary

2026–2027 Kaiser Traditional HMO Disclosure Form

2026–2027 Kaiser Permanente Senior Advantage HMO with Part D Summary of Benefits

2026–2027 UHC SignatureValue Harmony Benefit Summary

2026–2027 UHC SignatureValue Benefit Summary

EPIC Member Journey Flyer

Dental Documents

Delta Dental of California Evidence of Coverage & Disclosure Form

2026-2027 Delta Dental PPO Benefit Summary

2026–2027 Delta Dental PPO Retiree Benefit Summary

2026–2027 DeltaCare USA Benefit Summary

Vision Documents

2026–2027 VSP Vision Signature Plan Summary

Life Insurance Documents

Life Insurance Summary

Compliance Notices

2026–2027 Active Benefits Booklet

2026–2027 Retiree Benefits Booklet

2025/2026

Medical Documents

2025–2026 Anthem Fee-for-Service PPO + Prescription (Retirees Age 65 or Over) Summary of Benefits and Coverage

2025–2026 Anthem Custom Premier PPO Summary of Benefits and Coverage

2025–2026 Anthem Custom Premier PPO Benefit Summary

2025–2026 Anthem Custom Premier PPO + Prescription Summary of Benefits and Coverage

2025–2026 Anthem Custom Premier PPO + Prescription Benefit Summary

2025–2026 Anthem Custom BC Premier PPO Summary of Benefits and Coverage

2025–2026 Anthem Custom BC Premier PPO Benefit Summary

2025–2026 Anthem Custom BC Premier PPO + Prescription Summary of Benefits and Coverage

2025–2026 Anthem Custom BC Premier PPO + Prescription Benefit Summary

2025 Kaiser Senior Advantage HMO Plan + Medicare Part D Prescription Summary of Benefits

2025 Kaiser Traditional HMO, Deductible HMO and HSA-Qualified HDHP HMO Disclosure Form / Evidence of Coverage

2025 Kaiser Traditional HMO, Deductible HMO and HSA-Qualified HDHP HMO Benefit Summary