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Benefit Summaries and Evidence of Coverage

Health Plan Benefit Summary Evidence of Coverage
Aetna Aetna
Healthy Focus Basic
Healthy Focus Essential
Healthy Focus Advantage
Healthy Focus Premier

 

Fully-Insured Medical Plan Benefits Summary Evidence of Coverage
Cigna International
HMSA - HI - BC/BS
Kaiser - DC Area (Mid-Atlantic)
Kaiser - Hawaii
Kaiser - Northern California
Kaiser - Southern California
TRICARE Supplement Plan
  • N/A
Triple S (Puerto Rico)

 

Dental Plan Benefit Summary Evidence of Coverage
Aetna DMO Dental
Cigna International Dental
Delta Dental PPO - Low
Delta Dental PPO - High

 

Vision Plan Benefit Summary Evidence of Coverage
Vision Service Plan (VSP) Basic
Vision Service Plan (VSP) Plus