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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Oliver.
Medical Plan A - Summary of Benefits & Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_54c9dae9f6f0420fbd869d4bbff07ad1.pdf)
Medical Plan B - Summary of Benefits & Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_0e0fe892270b454c99693bcb9b62e2fa.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_499858b0ea004a09a12270582ab60a9b.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)
Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c20b374af7a4416c8a7fdef8e2492963.pdf)
Summary Annual Report (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4f5765af95f540b7b15f1d07bb108a33.pdf)
PPO Provider: Delta Dental PPO (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9144a3d8e51148c3bc3dabf3e2541147.pdf)
DMO Provider for PA: Delta Care USA (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6d3cbfd5581144c3941ea359cc697231.pdf)
DMO Provider for DE: Delta Care USA (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9330f0c9b8e447c994713b9cf172c8c1.pdf)
Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_f4dd055dd90d47e6b5b74a667dc31457.pdf)
Enrollee Notices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ee16390877d44435aee42bd14ad66116.pdf)
Benefit Overview (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_1d3e580514244de4a194afb118d27b64.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Summary plan document (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4fe6e4147edf4f2ea537c3a04d7dc915.pdf)
Summary Plan Description (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_b791cf5b7f1a4483afeae23ad1edef19.pdf)
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