2021 Plan and Legal Documents
Prescription Drugs
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2021 RX SPD Consumer Plan - Open Access
2021 Rx SPD ConsumerPlan-OpenAccess FINAL 11-13-2020.pdf 610.37 KB (Last Modified on December 15, 2020) -
Express Scripts National Preferred Formulary
National Preferred Alpha with Exclusions List 10-15-2020.pdf 113.59 KB (Last Modified on November 4, 2020)
Aflac
Accident
Benefits Guide
Health Insurance Marketplace Coverage Options
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New Health Insurance Marketplace Coverage Options
model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees.pdf 162.55 KB (Last Modified on November 4, 2020) -
Nuevas opciones de cobertura en el mercado de seguros médicos
model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees-spanish.pdf 161.09 KB (Last Modified on November 4, 2020)
Legal Documents
Life Insurance
Medical Plan Summary
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2021 Kelsey Basic ACO Summary of Benefits and Coverage
Kelsey Basic ACO Summary of Benefits and Coverage 2021.pdf 796.89 KB (Last Modified on October 23, 2020) -
2021 Kelsey Plus ACO Summary of Benefits and Coverage
Kelsey Plus ACO Summary of Benefits and Coverage 2021.pdf 797.56 KB (Last Modified on October 23, 2020) -
2021 Kelsey Select ACO Summary of Benefits and Coverage
Kelsey Select ACO Summary of Benefits and Coverage 2021.pdf 779.3 KB (Last Modified on October 23, 2020) -
2021 Memorial Hermann Basic ACO Summary of Benefits and Coverage
Memorial Hermann Basic ACO Summary of Benefits and Coverage 2021.pdf 780.23 KB (Last Modified on October 23, 2020) -
2021 Memorial Hermann Plus ACO Summary of Benefits and Coverage
Memorial Hermann Plus ACO Summary of Benefits and Coverage 2021.pdf 780.98 KB (Last Modified on October 23, 2020)
Dental
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Cigna Dental Care (DHMO) plan
View this flyer for savings and coverage.
DHMO Product Customer Brochure - Access Plus Network.pdf 545.15 KB (Last Modified on September 4, 2020) -
Cigna Dental Care (DHMO) and (DPPO)
take the quiz to find the right dental plan.
DHMO DPPO Dual Option Decision Guide Access Plus Network.pdf 192.02 KB (Last Modified on September 4, 2020) -
Access Plus Network Dentist
How to find a dentist flyer
DHMO Access Plus Network Dentist How to Find a Dentist Customer Flyer.pdf 47.56 KB (Last Modified on September 4, 2020) -
DHMO - Access Plus Network - Español
DHMO Product Customer Brochure - Access Plus Network - Spanish.pdf 383.58 KB (Last Modified on October 23, 2020)