Skip to Main Content

Plan Details

Member Guide

Plan Benefit Summary

Important: Prior to enrollment, refer to the Summary of Benefits for specific plan benefits.

Seniority Plus (Medicare Advantage) Summary of Benefits – English (PDF)

Summary of Benefits and Coverage and Disclosure Forms

2023 HMO (Active Employees & Pre-Medicare Retirees) Summary of Benefits and Coverage – English (PDF)
2023 HMO (Active Employees & Pre-Medicare Retirees) Disclosure Form – English (PDF)