For All Members:
For C.A.R. Group Insurance Program Members:
Thank you for your participation in the C.A.R. Insurance Plan. Below are important policy notices that you should read, print and retain for safekeeping.
Required Notices – Anthem (PDF)
Required Notices – Kaiser (PDF)
Required Notices – MetLife (PDF)
- Required Notices Include:
- HIPAA Notice of Special Enrollment Rights
- Newborns’ and Mothers’ Health Protection Act
- Women’s Health & Cancer Rights Act
- Patient Protections Notice
- CMS Creditable Coverage Notices
Important Kaiser Permanente Documents and Links
- Member Rights & Responsibilities
Medicare/CMS Creditable Coverage Notices
- 2018 Creditable Coverage Notice Kaiser
- 2018 Creditable Coverage Notice Anthem
- 2018 Non-Creditable Coverage Notice Anthem
- 2018 Non-Creditable Coverage Notice Kaiser
Evidence of Coverage Booklets (EOC) – 2018 Plans Coming Soon
2017 Kaiser and Anthem EOC documents
- 2017 Kaiser Permanente Plans
- Kaiser Bronze HDHP HMO 4800-40% North
- Kaiser Bronze HDHP HMO 4800-40% South
- Kaiser Bronze HMO 6300-75 North
- Kaiser Bronze HMO 6300-75 South
- Kaiser Silver HMO 1000-50 North
- Kaiser Silver HDHP HMO 1000-50 South
- Kaiser Silver HDHP HMO 2000-20% North
- Kaiser Silver HDHP HMO 2000-20% South
- Kaiser Silver HMO 2000-45 North
- Kaiser Silver HMO 2000-45 South
- Kaiser Gold HMO 0-30 North
- Kaiser Gold HMO 0-30 South
- Kaiser Gold HMO 500-35 North
- Kaiser Gold HMO 500-35 South
- Kaiser Gold HRA HMO 2000-30 North
- Kaiser Gold HRA HMO 2000-30 South
- Kaisr Platinum HMO 0-10 North
- Kaiser Platinum HMO 0-10 South
- Kaiser Platinum HMO 0-15 North
- Kaiser Chiro Acu North
- Kaiser Chiro Acu South
- 2017 Anthem Blue Cross Plans
- Anthem Bronze PPO 5000 2EVN
- Anthem Bronze PPO 5000 HSA 1ZQQ
- Anthem Bronze PPO 6000 2EWP
- Anthem Bronze PPO 6500 HSA 1ZR2
- Anthem Silver PPO 2000 2EY2
- Anthem Silver PPO 2000 HSA (Family) 999F
- Anthem Silver PPO 2000 HSA (Single) 9996
- Anthem Silver HMO 1500 2F9C
- Anthem Gold HMO 40 2EWB
- Anthem Gold PPO 20 2EXB
- Anthem Gold PPO 500 2EXF
- Anthem Gold PPO 1000 2EXU
- Anthem Gold PPO 2000 2EWH
- Anthem Platinum PPO 20 2F9Q
- Anthem Platinum PPO 200 2EXY
2017 MetLife Group Dental, Vision and Life Evidence of Coverage Documents
- Choice Dental Plans
- Select Dental Plans
- Value Dental Plans
- VSP Basic Plan
- VSP Enhanced Plan
- MetLife Voluntary AD&D
- MetLife Term Life and AD&D
Summary of Benefits & Coverage (SBC)
2018 Anthem Blue Cross Plans
- Anthem Bronze PPO 6500/0%/6500 HSA (2ZZW)
- Anthem Bronze PPO 5000/35%/6550 HSA (2ZZN)
- Anthem Bronze PPO 6000/35%/7350 (3028)
- Anthem Bronze PPO 5000/30%/7350 (301D)
- Silver PPO 2000/20%/6000 HSA (99A2 – Families)
- Silver PPO 2000/20%/6000 HSA (99AF – Singles)
- Silver PPO 1750/35%/7350 (304H)
- Silver PPO 2000/40%/7350 (303F)
- Gold PPO 2000/20%/4000 (3024)
- Gold PPO 1000/20%/6000 (303X)
- Gold PPO 500/20%/6500 (302Q)
- Gold PPO 20/30%/6500 (302G)
- Platinum PPO 200/10%/3000 (3037)
- Platinum PPO 20/10%/3000 (3057)
- Silver HMO 2000/40%/7350 (2ZZ2)
- Gold HMO 40/20%/4500 (301V)
- Gold HMO 500/20%/5000 (2ZYU)
2018 Kaiser Permanente Plans
- Bronze 60 HMO 6300/75
- Bronze 60 HDHP HMO 4800/40% (HSA)
- Silver 70 HMO 1000/50
- Silver 70 HMO 2000/45
- Silver 70 HDHP HMO 2000/20% (HSA)
- Gold 80 HMO 0/25
- Gold 80 HMO 500/30
- Gold 80 HRA HMO 2250/35
- Platinum 90 HMO 0/10
- Platinum 90 HMO 0/15
If you have any questions about your health plan or would like a copy of these documents mailed to you, please call RealCare at (800) 939-8088, Option 2