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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Brubacher.
Summary of Benefits and Coverage - PPO 2000 Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_cb3314d6e8d34b51985877e3923c1f1a.pdf)
Summary of Benefits and Coverage - QHDHP 3500 Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_defd94f0764b49a3bceb56f21fec6235.pdf)
Summary Plan Description - PPO 2000 Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_132d62e4c4a8459ba4c202d60ea9db75.pdf)
Summary Plan Description - QHDHP 3500 Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_867cbfdc644e423688be3acab402825c.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_88b26b214a7749ad8c66bd534319acbf.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)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_2f2912d8dc034191aa695a01e298e254.pdf)
Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_151835eb48b94e08a48c91cad330396f.pdf)
Medicare creditable coverage disclosure notice (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_64b6d2ba661e474c8c2366e8c90b4e00.pdf)
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