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MY PLAN DOCUMENTS

View your plan benefit and coverage documents below and log in to access your medical claim summaries.

View Your Medical Claim Statements

To view your Explanation of Benefits (EOB) summaries and ask Customer Service a question online, you can create an account to access our secure Member Login.

 

View Your Plan Documents 

Enter your Member Identification (ID) Number

Enter your ID number below (all 11 digits with no spaces, such as 91234567801) to get quick access to your benefit documents including your Evidence of Coverage and Summary of Benefits as well as others. If you have questions, please contact Customer Service.



Choose from all Plan Documents

Summary of Benefits 

This document provides a brief summary to compare the benefits for all plan options.

Evidence of Coverage (EOC)

These documents provide detailed descriptions of the benefits for each plan.

This webpage was updated on October 30, 2016.