All summary of benefits and coverage (SBC) documents

Note: Please review the COVID-19 Notice of Temporary Summary of Benefit Changes (PDF, 193KB).

2023 Summary of Benefits and Coverage (SBCs)

Faculty and staff

• Healthy Savings Plan SBC (PDF, 492KB)
• Custom Network Plan SBC (PDF, 500KB)
• PPO Plan (PDF, 498KB)
• Tiered PPO Plan (PDF, 504KB)

Retirees

• Medicare Advantage plans
  • Base Plan (#13797) (coming soon)
  • Enhanced Plan (#13796) (coming soon)
• Retiree Healthy Savings Plan SBC (PDF, 1.2MB)
• Retiree Health PPO Plan SBC (PDF, 388KB)

2022 Summary of Benefits and Coverage (SBCs)

Faculty and staff

• Healthy Savings Plan SBC (PDF, 1.2MB)
• Custom Network Plan SBC (PDF, 391KB)
• PPO Plan (PDF, 498KB)
• Tiered PPO Plan (PDF, 504KB)

Retirees

• Medicare Advantage plans
  • Base Plan (#13759) (PDF, 97KB)
  • Enhanced Plan (#13760) (PDF, 75KB)
• Retiree Healthy Savings Plan SBC (PDF, 1.2MB)
• Retiree Health PPO Plan SBC (PDF, 388KB)

If you have questions about terms used in the documents posted on this webpage, please visit the Glossary of Health Coverage and Medical Terms (PDF, 80KB) prepared by the U.S. Department of Labor.