Individual & Family Benefit Plan Documents

See documentation related to member policies, Schedules of Benefits and Summaries of Benefits and Coverage (SBC). These documents detail specific benefits and benefit limitations for covered expenses provided under the terms of the policy.

Please complete all plan design attributes below to view a specific Individual Plan SBC or benefit plan documents
Metal Tier
* Disclaimer: The SBC document is only a summary. For more details about the costs and coverage under your policy, contact the Customer Care Center at (800) 279-1301 (TTY: 711)