For All Members:
- RealCare Privacy Policy
- General Guidelines
- Qualifying Events
- C.A.R. Group Health 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.
2024 CAR Required Notices
- CAR Anthem Required Notices (Combined)
- CAR Kaiser Required Notices (Combined)
- CAR MetLife Required Notices (Combined)
Required Notices Include:
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- HIPAA Notice of Special Enrollment Rights
- Newborns’ and Mothers’ Health Protection Act
- Women’s Health & Cancer Rights Act
- Covered CA Notice
- Patient Protections Notice
- No Surprises Act Notice
- Anthem Creditable Coverage Notice
- Anthem Non Creditable Coverage Notice
- Kaiser Creditable Coverage Notice
2024 Medicare/CMS Creditable Coverage Notices
- 2024 Anthem Non Creditable Coverage Notice
- 2024 Anthem Creditable Coverage Notice
- 2024 Kaiser Creditable Coverage Notice
2023 Medicare/CMS Creditable Coverage Notices
- 2023 Anthem Non Creditable Coverage Notice – REVISED
- 2023 Anthem Creditable Coverage Notice – REVISED
- 2023 Kaiser Creditable Coverage Notice
2024 Anthem Evidence of Coverage Documents
HSA Plans
- Anthem Bronze PPO 6700-0% HSA 9KG9
- Anthem Bronze PPO 6000-45% HSA 9KGF
- Anthem Silver PPO 2100-30% HSA 9B29 Self Only
- Anthem Silver PPO 2100-30% HSA 9B35 Family
- Anthem Silver PPO 2600-35% HSA 9KGL Self Only
- Anthem Silver PPO 2600-35% HSA 9KFG Family
PPO Plans
- Anthem Bronze PPO 70-6600-35% 9B1W
- Anthem Bronze PPO 40-6200-40% 9KG2
- Anthem Silver PPO 55-2500-45% 9B1X
- Anthem Silver PPO 50-2200-40% 9B2Q
- Anthem Silver PPO 55-1950-35% 9KGQ
- Anthem Silver PPO 45-1750-40% 9KFJ
- Anthem Gold PPO 35-1000-20% 9KFU
- Anthem Gold PPO 30-750-20% 9KFK
- Anthem Gold PPO 30-500-20% 9KF1
- Anthem Gold PPO 25-30% 9B25
- Anthem Platinum PPO 15-250-10% 9B20
- Anthem Platinum PPO 15-40-10% 9B2V
HMO Plans
2024 Kaiser Evidence of Coverage Documents will be uploaded when received from the carrier ASAP.
2023 Kaiser Evidence of Coverage Documents
HSA Plans
- Kaiser Bronze HDHP 7000-0 Evidence of Coverage Northern CA
- Kaiser Bronze HDHP 7000-0 Evidence of Coverage Southern CA
- Kaiser Silver HDHP 2700-25% Evidence of Coverage Northern CA
- Kaiser Silver HDHP 2700-25% Evidence of Coverage Southern CA
- Kaiser Gold HDHP 1600-15% Evidence of Coverage Northern CA
- Kaiser Gold HDHP Gold 1600-15% Evidence of Coverage Southern CA
HMO Plans
- Kaiser Bronze 5400-60 Evidence of Coverage Northern CA
- Kaiser Bronze 5400-60 Evidence of Coverage Southern CA
- Kaiser Bronze 6300-65 Evidence of Coverage Northern CA
- Kaiser Bronze 6300-65 Evidence of Coverage Southern CA
- Kaiser Silver 2800-65 Evidence of Coverage Northern CA
- Kaiser Silver 2800-65 Evidence of Coverage Southern CA
- Kaiser Silver 2300-65 Evidence of Coverage Northern CA
- Kaiser Silver 2300-65 Evidence of Coverage Southern CA
- Kaiser Silver 2500-55 Evidence of Coverage Northern CA
- Kaiser Silver 2500-55 Evidence of Coverage Southern CA
- Kaiser Silver 1900-65 Evidence of Coverage Northern CA
- Kaiser Silver 1900-65 Evidence of Coverage Southern CA
- Kaiser Gold HRA 2250-35 Evidence of Coverage Northern CA
- Kaiser Gold HRA 2250-35 Evidence of Coverage Southern CA
- Kaiser Gold 1000-40 Evidence of Coverage Northern CA
- Kaiser Gold 1000-40 Evidence of Coverage Southern CA
- Kaiser Gold 250-35 Evidence of Coverage Northern CA
- Kaiser Gold 250-35 Evidence of Coverage Southern CA
- Kaiser Gold 0-30 Evidence of Coverage Northern CA
- Kaiser Gold 0-30 Evidence of Coverage Southern CA
- Kaiser Platinum 0-20 Evidence of Coverage Northern CA
- Kaiser Platinum 0-20 Evidence of Coverage Southern CA
- Kaiser Platinum 0-10 Evidence of Coverage Northern CA
- Kaiser Platinum 0-10 Evidence of Coverage 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
Summary of Benefits & Coverage (SBC)
2024 Anthem Blue Cross Plans
HSA Plans
- Anthem Bronze PPO 6000_45% w_HSA PrevRx SBC 9KGF
- Anthem Bronze PPO 6700_0% w_HSA PrevRx SBC 9KG9
- Anthem Silver PPO HSA_H 2100_3200_4200 30% PrevRx SBC 9B29
- Anthem Silver PPO HSA_H 2100_3200_4200 30% PrevRx SBC 9B35
- Anthem Silver PPO HSA_H 2600_3200_5200 35% PrevRx SBC 9KFG
- Anthem Silver PPO HSA_H 2600_3200_5200 35% PrevRx SBC 9KGL
PPO Plans
- Anthem Bronze PPO 40_6200_40% SBC 9KG2
- Anthem Bronze PPO 70_6600_35% SBC 9B1W
- Anthem Silver PPO 45_1750_40% SBC 9KFJ
- Anthem Silver PPO 50_2200_40% SBC 9B2Q
- Anthem Silver PPO 55_1950_35% SBC 9KGQ
- Anthem Silver PPO 55_2500_45% SBC 9B1X
- Anthem Gold PPO 25_30% SBC 9B25
- Anthem Gold PPO 30_500_20% SBC 9KF1
- Anthem Gold PPO 30_750_20% SBC 9KFK
- Anthem Gold PPO 35_1000_20% SBC 9KFU
- Anthem Platinum PPO 15_40_10% SBC 9B2V
- Anthem Platinum PPO 15_250_10% SBC 9B20
HMO Plans
2024 Kaiser Permanente Plans
HSA Plans
- 2024 Bronze 60 HDHP HMO 7050-0% SBC
- 2024 Silver 70 HDHP HMO 2850-25% SBC
- 2024 Gold 80 HDHP HMO 1750-15% SBC
HMO Plans
- 2024 Bronze 60 HMO 6300-60 SBC
- 2024 Bronze 60 HMO 5400-60 SBC
- 2024 Silver 70 HMO 2950-65 SBC
- 2024 Silver 70 HMO 2500-55 SBC
- 2024 Silver 70 HMO 2300-65 SBC
- 2024 Silver 70 HMO 1900-65 SBC
- 2024 Gold 80 HRA HMO 2250-35 SBC
- 2024 Gold 80 HMO 1000-40 SBC
- 2024 Gold 80 HMO 250-35 SBC
- 2024 Gold 80 HMO 0-35 SBC
- 2024 Platinum 90 HMO 250-30 SBC
- 2024 Platinum 90 HMO 0-20 SBC
- 2024 Platinum 90 HMO 0-10 SBC
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