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2025 Plan and Legal Documents

Machine-Readable Files (MRF)

Machine-Readable Files (MRF)

Effective January 1, 2025, UnitedHealthcare will create and publish the Machine-Readable Files on behalf of HISD. To link to the Machine-Readable Files, please click on the URL provided: https://transparency-in-coverage.uhc.com/

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Medical/Pharmacy Summary Plan Descriptions

2025 Charter Select Summary Plan Description (SPD)

2025 Charter Select SPD.pdf 1.53 MB (Last Modified Yesterday at 9:05 AM)

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2025 Charter Plus Basic Summary Plan Description (SPD)

2025 Charter Plus SPD.pdf 1.53 MB (Last Modified Yesterday at 9:04 AM)

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2025 Charter Basic Summary Plan Description (SPD)

2025 Charter Basic SPD.pdf 1.53 MB (Last Modified Yesterday at 9:03 AM)

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2025 Nexus Plus Summary Plan Description (SPD)

2025 Nexus Plus SPD.pdf 1.53 MB (Last Modified Yesterday at 9:02 AM)

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2025 Nexus Basic Summary Plan Description (SPD)

2025 Nexus Basic SPD.pdf 1.54 MB (Last Modified Yesterday at 9:02 AM)

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2025 Choice HDHP Summary Plan Description (SPD)

2025 Choice HDHP SPD.pdf 1.51 MB (Last Modified Yesterday at 9:00 AM)

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2025 Choice Summary Plan Description (SPD)

2025 Choice SPD.pdf 1.52 MB (Last Modified Yesterday at 8:59 AM)

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Benefits Guide

2025 Benefits Guide

2025_whats-new-booklet_spreads.pdf 2.59 MB (Last Modified on November 1, 2024)

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2024 Benefits Guide

HISD-Benefits-Guide-2024-10-5.pdf 32.87 MB (Last Modified on October 16, 2023)

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2023 Benefits Guide

2023_Benefits_Guide_Final_optimized.pdf 5.54 MB (Last Modified on May 24, 2023)

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2022 Benefits Guide

2022_Benefits guide _FINAL.pdf 15.77 MB (Last Modified on November 11, 2021)

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Medical Plan Summary

2025 Choice HDHP Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Choice_HDHP_PlanFINAL100224.pdf 691.25 KB (Last Modified on October 7, 2024)

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2025 Nexus ACO OA Plus Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Nexus_ACO_OA_Plus_PlanFINAL_100224.pdf 693.63 KB (Last Modified on October 7, 2024)

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2025 Nexus ACO Basic Plan SBC

SBC_935815_HISD_TX_ASO_01_01-2025_Nexus_ACO_OA_BasicPlanFINAL_100224.pdf 694.52 KB (Last Modified on October 7, 2024)

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2025 Choice Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Choice_PlanFINAL_100224.pdf 691.77 KB (Last Modified on October 7, 2024)

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2025 Charter Plus Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Charter_Plus_PlanFINAL_100224.pdf 701.42 KB (Last Modified on October 7, 2024)

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2025 Charter Basic Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Charter_Basic_PlanFINAL_100224.pdf 697.43 KB (Last Modified on October 7, 2024)

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2025 Charter Select Plan SBC

SBC_935815_HISD_TX_ASO_01-01-2025_Charter_Select_PlanFINAL_100224.pdf 699.53 KB (Last Modified on October 7, 2024)

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Legal Documents

2025 HISD Legal Notices Disclosure

HISD PY2025 AnnualNoticesDisclosures.pdf 1.23 MB (Last Modified on October 31, 2024)

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2024 HISD MetLife links

2024-MLP_Video_Links.pdf 72.43 KB (Last Modified on December 13, 2023)

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2024 TRS Compatibility Plan Year

2024-TRS_Compatability_09012022_Plan_Year.pdf 131.73 KB (Last Modified on December 13, 2023)

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Prescription Drugs

2025 Prescription Drug List

pharmacy-pdl-3t-adv-jan-2025.pdf 2.36 MB (Last Modified on October 16, 2024)

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2024 National Preferred Formulary Alpha

2024 National Preferred Formulary Alpha List recd 06-26-2024.pdf 320.17 KB (Last Modified on July 1, 2024)

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2024 High Performance Formulary Alpha

2024 High Performance Formulary Alpha recd 06-26-2024.pdf 132.9 KB (Last Modified on July 1, 2024)

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2024 Rx SPD Select Plan

2024 Rx SPD Select Plan FINAL 07-24-2023.PDF 840.75 KB (Last Modified on September 18, 2023)

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2024 Rx SPD Consumer Plan OA

2024 Rx SPD ConsumerPlan-OpenAccess FINAL 07-24-2023.PDF 612.48 KB (Last Modified on September 18, 2023)

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Dental

2025 Dental HMO Fee Schedule

2025 Dental HMO Fee Schedule.pdf 262.28 KB (Last Modified on November 1, 2024)

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2025 DPPO Benefits Summary

2025 DPPO Benefits Summary.pdf 236.92 KB (Last Modified on November 1, 2024)

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2025 DPPO BuyUp Benefits Summary

2025 DPPO BuyUp Benefits Summary.pdf 235.92 KB (Last Modified on November 1, 2024)

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Aflac

2025 AFLAC Benefits Summary

2025 AFLAC Benefits Summary.pdf 957.6 KB (Last Modified on November 1, 2024)

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