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Premier Plus Plan
Premier Plus Plan Documents:
Notice of COBRA Continuation Coverage Rights
CHIP Notice
COBRA
HIPAA Privacy Notice
Medicare Part D Notice
Nondiscrimination Notice
Premier Plus - Summary of Benefits and Coverage
Premier Plus - Summary Plan Description and Plan Document
Summary of Material Modifications 3 2018
Summary of Material Modifications 7 2017
Summary of Material Modifications 12 2016
Schedule of Benefits
Summary Annual Report
Women’s Health and Cancer Rights Notice
Premier Plus Plan Forms:
Accident Form
Coordination of Benefits Form
Dependent Child Enrollment Form
HIPAA Release Form
HRA Reimbursement Form
Prescription Drug Reimbursement Form
Short-Term Disability Form
VSP Reimbursement Form