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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by CPC Integrated Health.​
Summary of Benefits & Coverage - Base Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_b68ff0cefde5407e8436b9c09d510714.pdf)
Summary of Benefits & Coverage - Premium Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_45054735dc314a209e1818342c1ddae7.pdf)
Plan Summary - Base Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6cb88290bcc94c0eaf8b356c3ad880f4.pdf)
Plan Summary - Premium Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4275e1bcf13244d29d5b952832cdac62.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)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_caa430daaf844695aa4e28e099a7b434.pdf)
Patient Protection Disclosure (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_cc0896f42c6f4e38a9a2824a113b95a4.pdf)
Summary Plan Description - Base Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_3a95c23b0b0e4889b9e7bcec5e6feab3.pdf)
Summary Plan Description - Premium Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_94f7dd8ca640485f8d2a4e8c3a3b5088.pdf)
Flagship plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_12015a2f7d9147b997f259a2228b8b94.pdf)
Premier plan Tier 1 and 2 (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9ed3390cc507488a9126ab194cbb6712.pdf)
Benefits Summary (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_68e2bf7f07224514b64d46453fa5c1ab.pdf)
Vision Evidence of Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7c1a995130d74a4787da6119898c037d.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Benefit overview for employees under three years (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7f2d9f451f7a408588e3f3b11bd7abc8.pdf)
Benefit overview for employees over three years (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c10026e4d932430fa06db0d70d5b377a.pdf)
Benefit overview for executives (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_40f6126910164de6a792a0b4b57e54cf.pdf)
Summary Annual Report (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_10f7de57f1cc401e8a43ff2d83cd1cf4.pdf)
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