Full Plan details and rules are available in the Summary Plan Description (SPD).

For benefits on and after January 1, 2023, please refer to the January 1, 2023, Summary Plan Description.

Health Benefits Summary

The 2026 Health Benefits Summary provides only a general overview.

• Benefits Summary starting January 1, 2026
• Benefits Summary for January 1, 2025 - December 31, 2025

Provider Networks

The Plan uses the following provider networks to serve your needs:

• Anthem (Enhanced access through Sydney's Health app)
• CVS Caremark
• Carelon Behavioral Health (Starting January 1, 2026, the provider will be Anthem)
• Delta Dental
• Vision Service Plan