For All Members:
- CAR MEMBER Privacy Notice
- General Guidelines Effective 11-1-24
- Qualifying Events
- Plan Administration and Fees
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.
2026 CAR Required Notices
Required Notices Include:
-
- HIPAA Notice of Special Enrollment Rights
- Newborns’ and Mothers’ Health Protection Act
- Women’s Health & Cancer Rights Act
- Patient Protections Notice
- No Surprises Act Notice
- Premium Assistance under Medicaid (CHIP) Notice
- Anthem Creditable Coverage Notice (2026)
- Anthem Non Creditable Coverage Notice (2026)
- Kaiser Creditable Coverage Notice (2026)
Medicare/CMS Creditable Coverage Notices
- 2025 Anthem Creditable Coverage Notice
- 2025 Anthem Non-Creditable Coverage Notice
- 2025 Kaiser Creditable Coverage Notice
- 2026 Anthem Creditable Coverage Notice
- 2026 Anthem Non Creditable Coverage Notice
- 2026 Kaiser Creditable Coverage Notice
2025 Anthem Evidence of Coverage Documents (2026 Documents Pending)
HSA Plans
- Anthem Bronze PPO 6700-0% HSA (8VE4) 2026
- Anthem Bronze PPO 6000-45% HSA (8VDP) 2026
- Anthem Silver PPO 2100-30% HSA (84S2) Self Only 2025
- Anthem Silver PPO 2300-30% HSA (8VC5) Family 2026
- Anthem Silver PPO 2600-35% HSA (8VCR) Self Only 2026
- Anthem Silver PPO 2600-35% HSA (8VCS) Family 2026
PPO Plans
- Anthem Bronze PPO 70-6600-35% (8VB9) 2026
- Anthem Bronze PPO 40-6200-40% (8VAN) 2026
- Anthem Silver PPO 55-2500-45% (8V9X) 2026
- Anthem Silver PPO 50-2200-40% (8V9F) 2026
- Anthem Silver PPO 55-1950-35% (8V91) 2026
- Anthem Silver PPO 45-1750-40% (8V87) 2026
- Anthem Gold PPO 35-1000-20% (8V7B) 2026
- Anthem Gold PPO 30-750-20% (8V70) 2026
- Anthem Gold PPO 30-500-20% (94JT) 2026
- Anthem Gold PPO 25-30% (94J8) 2026
- Anthem Platinum PPO 15-250-10% (8V6N) 2026
- Anthem Platinum PPO 15-40-10% (94HX) 2026
HMO Plans
2025 Kaiser Evidence of Coverage Documents (2026 Documents Pending)
HSA Plans
- Kaiser Bronze 60 HDHP HMO 6650/0% Northern CA
- Kaiser Bronze 60 HDHP HMO 6650/0% Southern CA
- Kaiser Silver 70 HDHP HMO 2850-25% Northern CA
- Kaiser Silver 70 HDHP HMO 2850-25% Southern CA
- Kaiser Gold 80 HDHP HMO 1750-15% Northern CA
- Kaiser Gold 80 HDHP HMO 1750-15% Southern CA
HMO Plans
- Kaiser Bronze 60 HMO 5800-60 Northern CA
- Kaiser Bronze 60 HMO 5800-60 Southern CA
- Kaiser Silver 70 HMO 2900-65 Northern CA
- Kaiser Silver 70 HMO 2900-65 Southern CA
- Kaiser Silver 70 HMO 2300-65 Northern CA
- Kaiser Silver 70 HMO 2300-65 Southern CA
- Kaiser Silver 70 HMO 2500-55 Northern CA
- Kaiser Silver 70 HMO 2500-55 Southern CA
- Kaiser Silver 70 HMO 1900-65 Northern CA
- Kaiser Silver 70 HMO 1900-65 Southern CA
- Kaiser Gold 80 HRA HMO 2250-35 Northern CA
- Kaiser Gold 80 HRA HMO 2250-35 Southern CA
- Kaiser Gold 80 HMO 1000-40 Northern CA
- Kaiser Gold 80 HMO 1000-40 Southern CA
- Kaiser Gold 80 HMO 250-35 Northern CA
- Kaiser Gold 80 HMO 250-35 Southern CA
- Kaiser Gold 80 HMO 0-35 Northern CA
- Kaiser Gold 80 HMO 0-35 Southern CA
- Kaiser Platinum 90 HMO 250-30 Northern CA
- Kaiser Platinum 90 HMO 250-30 Southern CA
- Kaiser Platinum 90 HMO 0-20 Northern CA
- Kaiser Platinum 90 HMO 0-20 Southern CA
- Kaiser Platinum 90 HMO 0-10 Northern CA
- Kaiser Platinum 90 HMO 0-10 Southern CA
MetLife Dental and Vision Evidence of Coverage
- MetLife VALUE Dental Plan
- MetLife SELECT Dental Plan
- MetLife CHOICE Dental Plan
- MetLife Enhanced Vision Plan
- MetLife Basic Vision Plan
MetLife Life and AD&D Insurance Certificates
2026 Summary of Benefits & Coverage (SBC)
Anthem Summary of Benefits & Coverage (SBC)
HSA Compatible SBCs – (Be sure to visit C.A.R.’s HSA partner – Bend HSA)
- Anthem Bronze PPO 6700_0% w_HSA PrevRx (8VE4) SBC
- Anthem Bronze PPO 6000_45% w_HSA PrevRx (8VDP) SBC
- Anthem Silver PPO HSA_H 2600_3400_5200 35% PrevRx (8VCS) SBC
- Anthem Silver PPO HSA_H 2600_3400_5200 35% PrevRx (8VCR) SBC
- Anthem Silver PPO HSA_H 2300_3400_4600 30% PrevRx (8VC5) SBC
- Anthem Silver PPO HSA_H 2300_3400_4600 30% PrevRx (8VC4) SBC
Bronze Plan SBCs
Silver Plan SBCs
- Anthem Silver PPO 55_1950_35% (8V91) SBC
- Anthem Silver PPO 50_2200_40% (8V9F) SBC
- Anthem Silver PPO 45_1750_40% (8V87) SBC
- Anthem Silver PPO 55_2500_45% (8V9X) SBC
Gold Plan SBCs
- Anthem Gold PPO 35_1000_20% (8V7B) SBC
- Anthem Gold PPO 30_750_20% (8V70) SBC
- Anthem Gold PPO 30_500_20% (94JT) SBC
- Anthem Gold PPO 25_30% (94J8) SBC
Platinum Plan SBCs
HMO Plan SBCs
Frozen Plan SBCs
- Anthem Bronze PPO 60_6850_40% (8VAZ)
- Anthem Bronze PPO 75_7300_40% (8VAC)
- Anthem Bronze PPO 4600_50% (8VDB)
- Anthem Gold HMO 30_CA (903C)
- Anthem Silver HMO 60_2500_45% (94KJ)
Kaiser Summary of Benefits & Coverage (SBC)
HSA Plans
- 2026 Kaiser BRONZE-7200-0-HDHP HMO SBC
- 2026 Kaiser SILVER-3200-25-HDHP-HMO SBC
- 2026 Kaiser GOLD-1900-15-HDHP-HMO SBC
HMO Plans
- 2026 Kaiser BRONZE-7200-0-HDHP HMO SBC
- 2026 Kaiser BRONZE-5800-60-HMO SBC
- 2026 Kaiser SILVER-3100-75-Deductible-HMO SBC
- 2026 Kaiser SILVER-2500-55-Deductible-HMO SBC
- 2026 Kaiser SILVER-2300-65-Deductible-HMO SBC
- 2026 Kaiser SILVER-2000-65-Deductible-HMO SBC
- 2026 Kaiser GOLD-2250-35-HRA-HMO SBC
- 2026 Kaiser GOLD-1900-15-HDHP-HMO SBC
- 2026 Kaiser GOLD-1000-40 Deductible HMO SBC
- 2026 Kaiser GOLD-500-35-Deductible HMO SBC
- 2026 Kaiser GOLD-250-35-Deductible HMO SBC
- 2026 Kaiser GOLD-0-40-Copay-HMO SBC
- 2026 Kaiser PLATINUM-250-30-Copay-HMO SBC
- 2026 Kaiser PLATINUM-0-20-Copay-HMO SBC
- 2026 Kaiser PLATINUM-0-10-Copay-HMO SBC
KP Plus Plans
2025 Summary of Benefits & Coverage (SBC)
2025 Anthem Summary of Benefits & Coverage (SBC)
HSA Compatible SBCs – (Be sure to visit C.A.R.’s HSA partner – Bend HSA)
- Anthem Bronze PPO 6700_0% w_HSA PrevRx_CA_PPO_Small Group_84VR
- Anthem Bronze PPO 6000_45% w_HSA PrevRx_CA_PPO_Small Group_84UR
- Anthem Silver PPO HSA_H 2600_3300_5200 35% PrevRx_CA_PPO_Small Group_84T7 SINGLE
- Anthem Silver PPO HSA_H 2600_3300_5200 35% PrevRx_CA_PPO_Small Group_84T6 FAMILY
- Anthem Silver PPO HSA_H 2100_3300_4200 30% PrevRx_CA_PPO_Small Group_84S2 SINGLE
- Anthem Silver PPO HSA_H 2100_3300_4200 30% PrevRx_CA_PPO_Small Group_84SD FAMILY
Bronze Plan SBCs
- Anthem Bronze PPO 70_6600_35%_CA_PPO_Small Group_84QG
- Anthem Bronze PPO 40_6200_40%_CA_PPO_Small Group_84PV
Silver Plan SBCs
- Anthem Silver PPO 55_2500_45%_CA_PPO_Small Group_84P5
- Anthem Silver PPO 50_2200_40%_CA_PPO_Small Group_84NR
- Anthem Silver PPO 55_1950_35%_CA_PPO_Small Group_84NG
- Anthem Silver PPO 45_1750_40%_CA_PPO_Small Group_84MX
Gold Plan SBCs
- Anthem Gold PPO 35_1000_20%_CA_PPO_Small Group_807B
- Anthem Gold PPO 30_750_20%_CA_PPO_Small Group_806Z
- Anthem Gold PPO 30_500_20%_CA_PPO_Small Group_805T
- Anthem Gold PPO 25_30%_CA_PPO_Small Group_8058
Platinum Plan SBCs
- Anthem Platinum PPO 15_250_10%_CA_PPO_Small Group_8047
- Anthem Platinum PPO 15_40_10%_CA_PPO_Small Group_803Z
HMO Plan SBCs
2025 Kaiser Summary of Benefits & Coverage (SBC)
- HSA Plans
- HMO Plans
- Kaiser Bronze 60 HMO 5800-60
- Kaiser Silver 70 HMO 2900-65
- Kaiser Silver 70 HMO 2500-55
- Kaiser Silver 70 HMO 2300-65
- Kaiser Silver 70 HMO 1900-65
- Kaiser Gold 80 HRA HMO 2250-35
- Kaiser Gold 80 HMO 1000-40
- Kaiser Gold 80 HMO 250-35
- Kaiser Gold 80 HMO 0-35
- Kaiser Platinum 90 HMO 250-30
- Kaiser Platinum 90 HMO 0-20
- Kaiser Platinum 90 HMO 0-10
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