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Plan Documents and Legal Notices

Medical Documents

2024-25 Blue Shield CDHP Benefit Summary

2024-25 Blue Shield CDHP Summary of Benefits & Coverage

Blue Shield CDHP Evidence of Coverage

2024-25 Blue Shield EPO Benefit Summary (Non-CA Only)

2024-25 Blue Shield EPO Summary of Benefits & Coverage (Non-CA Only)

Blue Shield EPO Evidence of Coverage

2024-25 Blue Shield HMO Benefit Summary

2024-25 Blue Shield HMO Summary of Benefits & Coverage

Blue Shield HMO Evidence of Coverage

2024-25 Blue Shield HMO TRIO Benefit Summary

2024-25 Blue Shield HMO TRIO Summary of Benefits & Coverage

Blue Shield HMO TRIO Evidence of Coverage

2024-25 Kaiser HMO Benefit Summary

2024-25 Kaiser HMO Summary of Benefits & Coverage

Kaiser HMO Evidence of Coverage

Dental Documents

Metlife DPPO Certificate of Coverage

MetLife DPPO Generic Dental ID Card

MetLife DPPO Implant Rider

Vision Documents

2025 VSP Vision Benefit Summary

Compliance Notices

Annual Notices

Notice of Exchange

Notice of Privacy Practices

Wrap Summary Plan Description

Supplemental Medical Documents

2024-25 Lincoln Financial Accident Plan Highlights

2024-25 Lincoln Financial Critical Illness Plan Highlights 

Lincoln Financial Accident Video Flyer

Lincoln Financial Critical Illness Video Flyer

Lincoln Financial How to File a Claim Flyer

Additional Benefit Documents

Norton LifeLock ID Theft Digital Health Flyer

Norton LifeLock ID Theft Flyer

Need Assistance?

Contact your Benefit Advocate for assistance
techsoup@alliant.com
(925) 287-7234

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