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Summary of Benefits Coverage

To all employees:

As part of the federal healthcare reform law (Affordable Care Act or “ACA”), the Department of Health and Human Services has established standard templates that health insurers must use to summarize their benefits. The intent of these documents is to make it easier for consumers to understand their benefits and compare coverage options. The Summary of Benefits and Coverage (SBC) must be supplied to all employees who are eligible for district group insurance not just those currently enrolled.

The SBCs for all of the district’s plans will be posted here and will also be provided via hard copy or email upon request.

Requests for hard copies of SBCs should be directed to Adrianne Wright in the business office at 872-0909 or AWright@bkwschools.org.

 

Summary of Benefits - Coverage of Medical Benefits Documents:

CDPHP HMO - Summary of Benefits Coverage - 2013-14 [PDF]

MVP HMO - Summary of Benefits Coverage - 2013-14 [PDF]

Empire BlueCross PPO - Summary of Benefits Coverage - 2013-14 [PDF]

Empire BlueCross Matrix Subgroups Plain and B - Summary of Benefits Coverage - 2013-14 [PDF]

Empire BlueCross Matrix Subgroup 1 - CSEA Only - Summary of Benefits Coverage - 2013-14 [PDF]

 

Summary of Benefits - Prescription Drug Plan Documents:

1-1-0 ESI Prescription Plan - Summary of Benefits Coverage - 2013-14 [PDF]

5-5-0 ESI Prescription Plan - Summary of Benefits Coverage - 2013-14 [PDF]

5-10-0 ESI Prescription Plan - Summary of Benefits Coverage - 2013-14 [PDF]

15-30-0 ESI Prescription Plan - Summary of Benefits Coverage - 2013-14 [PDF]

 

*The SBC is not a contract or guarantee of coverage, and is designed to provide a simplified overview of benefits supplied by your insurance plan. In all cases the contract is the governing document.