Legal Notices and Plan Documents

Medical Plan A - Summary of Benefits & Coverage Medical Plan B - Summary of Benefits & Coverage​Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices HIPAA Privacy Notice Your Rights and Protections Against Surprise Medical BillsSummary Plan Description Summary Annual Report

PPO Provider: Delta Dental PPO DMO Provider for PA: Delta Care USA DMO Provider for DE: Delta Care USA Summary Plan Description Enrollee Notices

Benefit Overview

Medicare creditable coverage disclosure notice

Summary plan document

Summary Plan Description

Summary Annual Report