August 31, 2023
IU Health Plans reports security incident by third-party vendor’s law firm
IU Health Plans announced today that the law firm of its network vision manager, EyeMed, recently experienced a security incident. The law firm, Orrick, Herrington & Sutcliffe, LLC (Orrick), served as legal counsel to EyeMed during its 2020 security event.
In relation to this representation, Orrick detected that an unauthorized third party gained access to a portion of its network between February 28 and March 13, 2023, including a file used to store certain client files of EyeMed containing IU Health Plan vision benefit plan members’ information. IU Health Plans first learned of this incident on June 29, 2023, and promptly initiated a review at that time.
Orrick immediately took steps to block the unauthorized access and initiated its response process, including launching an investigation of the incident with the support of a third-party forensics firm. Orrick also notified law enforcement. In addition to these actions, Orrick deployed additional security measures and tools with the guidance of third-party experts to strengthen the ongoing security of its network.
IU Health Plans began notifying affected members on August 31, 2023. The information affected by the Orrick security incident may have included: member name, address, date of birth, phone number, email address, vision insurance account/ID number, health insurance account/ID number, health insurance account/ID number, and full or partial Social Security numbers. IU Health Plans wants to ensure that its information is protected, and Orrick will be offering free credit monitoring to those IU Health Plans members impacted.
If you have any questions, please call toll-free at 866-347-7897, Monday through Friday from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays. Callers who are deaf, hard-of-hearing, or speech-disabled may utilize their TeleTYpewriter (TTY) or Telecommunication Device (TDD) to access an operator at 866-347-7897, Monday through Friday, from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays.
August 31, 2023
IU Health Plans reports security incident by third-party vendor’s law firm
IU Health Plans announced today that the law firm of its network vision manager, EyeMed, recently experienced a security incident. The law firm, Orrick, Herrington & Sutcliffe, LLC (Orrick), served as legal counsel to EyeMed during its 2020 security event.
In relation to this representation, Orrick detected that an unauthorized third party gained access to a portion of its network between February 28 and March 13, 2023, including a file used to store certain client files of EyeMed containing IU Health Plan vision benefit plan members’ information. IU Health Plans first learned of this incident on June 29, 2023, and promptly initiated a review at that time.
Orrick immediately took steps to block the unauthorized access and initiated its response process, including launching an investigation of the incident with the support of a third-party forensics firm. Orrick also notified law enforcement. In addition to these actions, Orrick deployed additional security measures and tools with the guidance of third-party experts to strengthen the ongoing security of its network.
IU Health Plans began notifying affected members on August 31, 2023. The information affected by the Orrick security incident may have included: member name, address, date of birth, phone number, email address, vision insurance account/ID number, health insurance account/ID number, health insurance account/ID number, and full or partial Social Security numbers. IU Health Plans wants to ensure that its information is protected, and Orrick will be offering free credit monitoring to those IU Health Plans members impacted.
If you have any questions, please call toll-free at 866-347-7897, Monday through Friday from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays. Callers who are deaf, hard-of-hearing, or speech-disabled may utilize their TeleTYpewriter (TTY) or Telecommunication Device (TDD) to access an operator at 866-347-7897, Monday through Friday, from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays.
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| 2024 Non-HSA | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| Non-HSA 10001A | Download | Download |
| Non-HSA 10001AS | Download | Download |
| Non-HSA 10002A | Download | Download |
| Non-HSA 10002AS | Download | Download |
| Non-HSA 10003A | Download | Download |
| Non-HSA 10003AS | Download | Download |
| Non-HSA 10004A | Download | Download |
| Non-HSA 10004AS | Download | Download |
| Non-HSA 10005A | Download | Download |
| Non-HSA 10005AS | Download | Download |
| Non-HSA 10006A | Download | Download |
| Non-HSA 10006AS | Download | Download |
| Non-HSA 10007A | Download | Download |
| Non-HSA 10007AS | Download | Download |
| Non-HSA 10008A | Download | Download |
| Non-HSA 10008AS | Download | Download |
| Non-HSA 10009A | Download | Download |
| Non-HSA 10009AS | Download | Download |
| Non-HSA 10010A | Download | Download |
| Non-HSA 10010AS | Download | Download |
| Non-HSA 10011A | Download | Download |
| Non-HSA 10011AS | Download | Download |
| Non-HSA 10012A | Download | Download |
| Non-HSA 10012AS | Download | Download |
| Non-HSA 10013A | Download | Download |
| Non-HSA 10013AS | Download | Download |
| Non-HSA 10014A | Download | Download |
| Non-HSA 10014AS | Download | Download |
| Non-HSA 10015A | Download | Download |
| Non-HSA 10015AS | Download | Download |
| Non-HSA 12001 | Download | Download |
| Non-HSA 12001S | Download | Download |
| Non-HSA 12002 | Download | Download |
| Non-HSA 12002S | Download | Download |
| Non-HSA 12003 | Download | Download |
| Non-HSA 12003S | Download | Download |
| Non-HSA 12004 | Download | Download |
| Non-HSA 12004S | Download | Download |
| Non-HSA 12005 | Download | Download |
| Non-HSA 12005S | Download | Download |
| Non-HSA 12006 | Download | Download |
| Non-HSA 12006S | Download | Download |
| Non-HSA 12007 | Download | Download |
| Non-HSA 12007S | Download | Download |
| Non-HSA 12008 | Download | Download |
| Non-HSA 12008S | Download | Download |
| Non-HSA 12009 | Download | Download |
| Non-HSA 12009S | Download | Download |
| Non-HSA 12010 | Download | Download |
| Non-HSA 12010S | Download | Download |
| Non-HSA 12011 | Download | Download |
| Non-HSA 12011S | Download | Download |
| Non-HSA 12012 | Download | Download |
| Non-HSA 12012S | Download | Download |
| Non-HSA 12013 | Download | Download |
| Non-HSA 12013S | Download | Download |
| Non-HSA 12014 | Download | Download |
| Non-HSA 12014S | Download | Download |
| Non-HSA 12015 | Download | Download |
| Non-HSA 12015S | Download | Download |
| Non-HSA 13001 | Download | Download |
| Non-HSA 13001A | Download | Download |
| Non-HSA 13001AS | Download | Download |
| Non-HSA 13001S | Download | Download |
| Non-HSA 13003 | Download | Download |
| Non-HSA 13003A | Download | Download |
| Non-HSA 13003AS | Download | Download |
| Non-HSA 13003S | Download | Download |
| Non-HSA 13005 | Download | Download |
| Non-HSA 13005A | Download | Download |
| Non-HSA 13005AS | Download | Download |
| Non-HSA 13005S | Download | Download |
| Non-HSA 13007 | Download | Download |
| Non-HSA 13007A | Download | Download |
| Non-HSA 13007AS | Download | Download |
| Non-HSA 13007S | Download | Download |
| Non-HSA 13009 | Download | Download |
| Non-HSA 13009A | Download | Download |
| Non-HSA 13009AS | Download | Download |
| Non-HSA 13009S | Download | Download |
| Non-HSA 130011 | Download | Download |
| Non-HSA 130011A | Download | Download |
| Non-HSA 130011AS | Download | Download |
| Non-HSA 130011S | Download | Download |
| 2024 Non-HSA |
|---|
| Non-HSA 10001A |
| Non-HSA 10001AS |
| Non-HSA 10002A |
| Non-HSA 10002AS |
| Non-HSA 10003A |
| Non-HSA 10003AS |
| Non-HSA 10004A |
| Non-HSA 10004AS |
| Non-HSA 10005A |
| Non-HSA 10005AS |
| Non-HSA 10006A |
| Non-HSA 10006AS |
| Non-HSA 10007A |
| Non-HSA 10007AS |
| Non-HSA 10008A |
| Non-HSA 10008AS |
| Non-HSA 10009A |
| Non-HSA 10009AS |
| Non-HSA 10010A |
| Non-HSA 10010AS |
| Non-HSA 10011A |
| Non-HSA 10011AS |
| Non-HSA 10012A |
| Non-HSA 10012AS |
| Non-HSA 10013A |
| Non-HSA 10013AS |
| Non-HSA 10014A |
| Non-HSA 10014AS |
| Non-HSA 10015A |
| Non-HSA 10015AS |
| Non-HSA 12001 |
| Non-HSA 12001S |
| Non-HSA 12002 |
| Non-HSA 12002S |
| Non-HSA 12003 |
| Non-HSA 12003S |
| Non-HSA 12004 |
| Non-HSA 12004S |
| Non-HSA 12005 |
| Non-HSA 12005S |
| Non-HSA 12006 |
| Non-HSA 12006S |
| Non-HSA 12007 |
| Non-HSA 12007S |
| Non-HSA 12008 |
| Non-HSA 12008S |
| Non-HSA 12009 |
| Non-HSA 12009S |
| Non-HSA 12010 |
| Non-HSA 12010S |
| Non-HSA 12011 |
| Non-HSA 12011S |
| Non-HSA 12012 |
| Non-HSA 12012S |
| Non-HSA 12013 |
| Non-HSA 12013S |
| Non-HSA 12014 |
| Non-HSA 12014S |
| Non-HSA 12015 |
| Non-HSA 12015S |
| Non-HSA 13001 |
| Non-HSA 13001A |
| Non-HSA 13001AS |
| Non-HSA 13001S |
| Non-HSA 13003 |
| Non-HSA 13003A |
| Non-HSA 13003AS |
| Non-HSA 13003S |
| Non-HSA 13005 |
| Non-HSA 13005A |
| Non-HSA 13005AS |
| Non-HSA 13005S |
| Non-HSA 13007 |
| Non-HSA 13007A |
| Non-HSA 13007AS |
| Non-HSA 13007S |
| Non-HSA 13009 |
| Non-HSA 13009A |
| Non-HSA 13009AS |
| Non-HSA 13009S |
| Non-HSA 130011 |
| Non-HSA 130011A |
| Non-HSA 130011AS |
| Non-HSA 130011S |
| 2024 HSA |
|---|
| HSA 00001A |
| HSA 00001AS |
| HSA 00002A |
| HSA00002AS |
| HSA 00003A |
| HSA 00003AS |
| HSA 00006A |
| HSA 00006AS |
| HSA 00007A |
| HSA 00007AS |
| HSA 00008A |
| HSA 00008AS |
| HSA 00009A |
| HSA 00009AS |
| HSA 00010A |
| HSA 00010AS |
| HSA 00011A |
| HSA 00011AS |
| HSA 02001 |
| HSA 02001S |
| HSA 02002 |
| HSA 02002S |
| HSA 02003 |
| HSA 02003S |
| HSA 02006 |
| HSA 02006S |
| HSA 02007 |
| HSA 02007S |
| HSA 02008 |
| HSA 02008S |
| HSA 02009 |
| HSA 02009S |
| HSA 02010 |
| HSA 02010S |
| HSA 02011 |
| HSA 02011S |
| HSA 03003 |
| HSA 03003A |
| HSA 03003AS |
| HSA 03003S |
| HSA 03005A |
| HSA 03005AS |
| HSA 03007 |
| HSA 03007A |
| HSA 03007AS |
| HSA 03007S |
| HSA 03008 |
| HSA 03008S |
| 2023 Non-HSA | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| Non-HSA 10001A | Download | Download |
| Non-HSA 10001AS | Download | Download |
| Non-HSA 10002A | Download | Download |
| Non-HSA 10002AS | Download | Download |
| Non-HSA 10003A | Download | Download |
| Non-HSA 10003AS | Download | Download |
| Non-HSA 10004A | Download | Download |
| Non-HSA 10004AS | Download | Download |
| Non-HSA 10005A | Download | Download |
| Non-HSA 10005AS | Download | Download |
| Non-HSA 10006A | Download | Download |
| Non-HSA 10006AS | Download | Download |
| Non-HSA 10007A | Download | Download |
| Non-HSA 10007AS | Download | Download |
| Non-HSA 10008A | Download | Download |
| Non-HSA 10008AS | Download | Download |
| Non-HSA 10009A | Download | Download |
| Non-HSA 10009AS | Download | Download |
| Non-HSA 10010A | Download | Download |
| Non-HSA 10010AS | Download | Download |
| Non-HSA 10011A | Download | Download |
| Non-HSA 10011AS | Download | Download |
| Non-HSA 10012A | Download | Download |
| Non-HSA 10012AS | Download | Download |
| Non-HSA 10013A | Download | Download |
| Non-HSA 10013AS | Download | Download |
| Non-HSA 10014A | Download | Download |
| Non-HSA 10014AS | Download | Download |
| Non-HSA 10015A | Download | Download |
| Non-HSA 10015AS | Download | Download |
| Non-HSA 12001 | Download | Download |
| Non-HSA 12001S | Download | Download |
| Non-HSA 12002 | Download | Download |
| Non-HSA 12002S | Download | Download |
| Non-HSA 12003 | Download | Download |
| Non-HSA 12003S | Download | Download |
| Non-HSA 12004 | Download | Download |
| Non-HSA 12004S | Download | Download |
| Non-HSA 12005 | Download | Download |
| Non-HSA 12005S | Download | Download |
| Non-HSA 12006 | Download | Download |
| Non-HSA 12006S | Download | Download |
| Non-HSA 12007 | Download | Download |
| Non-HSA 12007S | Download | Download |
| Non-HSA 12008 | Download | Download |
| Non-HSA 12008S | Download | Download |
| Non-HSA 12009 | Download | Download |
| Non-HSA 12009S | Download | Download |
| Non-HSA 12010 | Download | Download |
| Non-HSA 12010S | Download | Download |
| Non-HSA 12011 | Download | Download |
| Non-HSA 12011S | Download | Download |
| Non-HSA 12012 | Download | Download |
| Non-HSA 12012S | Download | Download |
| Non-HSA 12013 | Download | Download |
| Non-HSA 12013S | Download | Download |
| Non-HSA 12014 | Download | Download |
| Non-HSA 12014S | Download | Download |
| Non-HSA 12015 | Download | Download |
| Non-HSA 12015S | Download | Download |
| Non-HSA 13001 | Download | Download |
| Non-HSA 13001A | Download | Download |
| Non-HSA 13001AS | Download | Download |
| Non-HSA 13001S | Download | Download |
| Non-HSA 13003 | Download | Download |
| Non-HSA 13003A | Download | Download |
| Non-HSA 13003AS | Download | Download |
| Non-HSA 13003S | Download | Download |
| Non-HSA 13005 | Download | Download |
| Non-HSA 13005A | Download | Download |
| Non-HSA 13005AS | Download | Download |
| Non-HSA 13005S | Download | Download |
| Non-HSA 13007 | Download | Download |
| Non-HSA 13007A | Download | Download |
| Non-HSA 13007AS | Download | Download |
| Non-HSA 13007S | Download | Download |
| Non-HSA 13009 | Download | Download |
| Non-HSA 13009A | Download | Download |
| Non-HSA 13009AS | Download | Download |
| Non-HSA 13009S | Download | Download |
| Non-HSA 130011 | Download | Download |
| Non-HSA 130011A | Download | Download |
| Non-HSA 130011AS | Download | Download |
| Non-HSA 130011S | Download | Download |
| 2023 Non-HSA |
|---|
| Non-HSA 10001A |
| Non-HSA 10001AS |
| Non-HSA 10002A |
| Non-HSA 10002AS |
| Non-HSA 10003A |
| Non-HSA 10003AS |
| Non-HSA 10004A |
| Non-HSA 10004AS |
| Non-HSA 10005A |
| Non-HSA 10005AS |
| Non-HSA 10006A |
| Non-HSA 10006AS |
| Non-HSA 10007A |
| Non-HSA 10007AS |
| Non-HSA 10008A |
| Non-HSA 10008AS |
| Non-HSA 10009A |
| Non-HSA 10009AS |
| Non-HSA 10010A |
| Non-HSA 10010AS |
| Non-HSA 10011A |
| Non-HSA 10011AS |
| Non-HSA 10012A |
| Non-HSA 10012AS |
| Non-HSA 10013A |
| Non-HSA 10013AS |
| Non-HSA 10014A |
| Non-HSA 10014AS |
| Non-HSA 10015A |
| Non-HSA 10015AS |
| Non-HSA 12001 |
| Non-HSA 12001S |
| Non-HSA 12002 |
| Non-HSA 12002S |
| Non-HSA 12003 |
| Non-HSA 12003S |
| Non-HSA 12004 |
| Non-HSA 12004S |
| Non-HSA 12005 |
| Non-HSA 12005S |
| Non-HSA 12006 |
| Non-HSA 12006S |
| Non-HSA 12007 |
| Non-HSA 12007S |
| Non-HSA 12008 |
| Non-HSA 12008S |
| Non-HSA 12009 |
| Non-HSA 12009S |
| Non-HSA 12010 |
| Non-HSA 12010S |
| Non-HSA 12011 |
| Non-HSA 12011S |
| Non-HSA 12012 |
| Non-HSA 12012S |
| Non-HSA 12013 |
| Non-HSA 12013S |
| Non-HSA 12014 |
| Non-HSA 12014S |
| Non-HSA 12015 |
| Non-HSA 12015S |
| Non-HSA 13001 |
| Non-HSA 13001A |
| Non-HSA 13001AS |
| Non-HSA 13001S |
| Non-HSA 13003 |
| Non-HSA 13003A |
| Non-HSA 13003AS |
| Non-HSA 13003S |
| Non-HSA 13005 |
| Non-HSA 13005A |
| Non-HSA 13005AS |
| Non-HSA 13005S |
| Non-HSA 13007 |
| Non-HSA 13007A |
| Non-HSA 13007AS |
| Non-HSA 13007S |
| Non-HSA 13009 |
| Non-HSA 13009A |
| Non-HSA 13009AS |
| Non-HSA 13009S |
| Non-HSA 130011 |
| Non-HSA 130011A |
| Non-HSA 130011AS |
| Non-HSA 130011S |
| 2023 HSA |
|---|
| HSA 00001A |
| HSA 00001AS |
| HSA 00002A |
| HSA 00002AS |
| HSA 00003A |
| HSA 00003AS |
| HSA 00006A |
| HSA 00006AS |
| HSA 00007A |
| HSA 00007AS |
| HSA 00008A |
| HSA 00008AS |
| HSA 00009A |
| HSA 00009AS |
| HSA 00010A |
| HSA 00010AS |
| HSA 00011A |
| HSA 00011AS |
| HSA 02001 |
| HSA 02001S |
| HSA 02002 |
| HSA 02002S |
| HSA 02003 |
| HSA 02003S |
| HSA 02006 |
| HSA 02006S |
| HSA 02007 |
| HSA 02007S |
| HSA 02008 |
| HSA 02008S |
| HSA 02009 |
| HSA 02009S |
| HSA 02010 |
| HSA 02010S |
| HSA 02011 |
| HSA 02011S |
| HSA 03003 |
| HSA 03003A |
| HSA 03003AS |
| HSA 03003S |
| HSA 03005A |
| HSA 03005AS |
| HSA 03007 |
| HSA 03007A |
| HSA 03007AS |
| HSA 03007S |
| HSA 03008 |
| HSA 03008S |
| 2022 Non-HSA | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| Non-HSA 10001A | Download | Download |
| Non-HSA 10001AS | Download | Download |
| Non-HSA 10002A | Download | Download |
| Non-HSA 10002AS | Download | Download |
| Non-HSA 10003A | Download | Download |
| Non-HSA 10003AS | Download | Download |
| Non-HSA 10004A | Download | Download |
| Non-HSA 10004AS | Download | Download |
| Non-HSA 10005A | Download | Download |
| Non-HSA 10005AS | Download | Download |
| Non-HSA 10006A | Download | Download |
| Non-HSA 10006AS | Download | Download |
| Non-HSA 10007A | Download | Download |
| Non-HSA 10007AS | Download | Download |
| Non-HSA 10008A | Download | Download |
| Non-HSA 10008AS | Download | Download |
| Non-HSA 10009A | Download | Download |
| Non-HSA 10009AS | Download | Download |
| Non-HSA 100010A | Download | Download |
| Non-HSA 100010AS | Download | Download |
| Non-HSA 100011A | Download | Download |
| Non-HSA 100011AS | Download | Download |
| Non-HSA 100012A | Download | Download |
| Non-HSA 100012AS | Download | Download |
| Non-HSA 100013A | Download | Download |
| Non-HSA 100013AS | Download | Download |
| Non-HSA 100014A | Download | Download |
| Non-HSA 100014AS | Download | Download |
| Non-HSA 100015A | Download | Download |
| Non-HSA 100015AS | Download | Download |
| Non-HSA 12001 | Download | Download |
| Non-HSA 12001S | Download | Download |
| Non-HSA 12002 | Download | Download |
| Non-HSA 12002S | Download | Download |
| Non-HSA 12003 | Download | Download |
| Non-HSA 12003S | Download | Download |
| Non-HSA 12004 | Download | Download |
| Non-HSA 12004S | Download | Download |
| Non-HSA 12005 | Download | Download |
| Non-HSA 12005S | Download | Download |
| Non-HSA 12006 | Download | Download |
| Non-HSA 12006S | Download | Download |
| Non-HSA 12007 | Download | Download |
| Non-HSA 12007S | Download | Download |
| Non-HSA 12008 | Download | Download |
| Non-HSA 12008S | Download | Download |
| Non-HSA 12009 | Download | Download |
| Non-HSA 12009S | Download | Download |
| Non-HSA 12010 | Download | Download |
| Non-HSA 12010S | Download | Download |
| Non-HSA 12011 | Download | Download |
| Non-HSA 12011S | Download | Download |
| Non-HSA 12012 | Download | Download |
| Non-HSA 12012S | Download | Download |
| Non-HSA 12013 | Download | Download |
| Non-HSA 12013S | Download | Download |
| Non-HSA 12014 | Download | Download |
| Non-HSA 12014S | Download | Download |
| Non-HSA 12015 | Download | Download |
| Non-HSA 12015S | Download | Download |
| Non-HSA 13001 | Download | Download |
| Non-HSA 13001A | Download | Download |
| Non-HSA 13001AS | Download | Download |
| Non-HSA 13001S | Download | Download |
| Non-HSA 13003 | Download | Download |
| Non-HSA 13003A | Download | Download |
| Non-HSA 13003AS | Download | Download |
| Non-HSA 13003S | Download | Download |
| Non-HSA 13005 | Download | Download |
| Non-HSA 13005A | Download | Download |
| Non-HSA 13005AS | Download | Download |
| Non-HSA 13005S | Download | Download |
| Non-HSA 13007 | Download | Download |
| Non-HSA 13007A | Download | Download |
| Non-HSA 13007AS | Download | Download |
| Non-HSA 13007S | Download | Download |
| Non-HSA 13009 | Download | Download |
| Non-HSA 13009A | Download | Download |
| Non-HSA 13009AS | Download | Download |
| Non-HSA 13009S | Download | Download |
| Non-HSA 130011 | Download | Download |
| Non-HSA 130011A | Download | Download |
| Non-HSA 130011AS | Download | Download |
| Non-HSA 130011S | Download | Download |
| 2022 Non-HSA |
|---|
| Non-HSA 10001A |
| Non-HSA 10001AS |
| Non-HSA 10002A |
| Non-HSA 10002AS |
| Non-HSA 10003A |
| Non-HSA 10003AS |
| Non-HSA 10004A |
| Non-HSA 10004AS |
| Non-HSA 10005A |
| Non-HSA 10005AS |
| Non-HSA 10006A |
| Non-HSA 10006AS |
| Non-HSA 10007A |
| Non-HSA 10007AS |
| Non-HSA 10008A |
| Non-HSA 10008AS |
| Non-HSA 10009A |
| Non-HSA 10009AS |
| Non-HSA 100010A |
| Non-HSA 100010AS |
| Non-HSA 100011A |
| Non-HSA 100011AS |
| Non-HSA 100012A |
| Non-HSA 100012AS |
| Non-HSA 100013A |
| Non-HSA 100013AS |
| Non-HSA 100014A |
| Non-HSA 100014AS |
| Non-HSA 100015A |
| Non-HSA 100015AS |
| Non-HSA 12001 |
| Non-HSA 12001S |
| Non-HSA 12002 |
| Non-HSA 12002S |
| Non-HSA 12003 |
| Non-HSA 12003S |
| Non-HSA 12004 |
| Non-HSA 12004S |
| Non-HSA 12005 |
| Non-HSA 12005S |
| Non-HSA 12006 |
| Non-HSA 12006S |
| Non-HSA 12007 |
| Non-HSA 12007S |
| Non-HSA 12008 |
| Non-HSA 12008S |
| Non-HSA 12009 |
| Non-HSA 12009S |
| Non-HSA 12010 |
| Non-HSA 12010S |
| Non-HSA 12011 |
| Non-HSA 12011S |
| Non-HSA 12012 |
| Non-HSA 12012S |
| Non-HSA 12013 |
| Non-HSA 12013S |
| Non-HSA 12014 |
| Non-HSA 12014S |
| Non-HSA 12015 |
| Non-HSA 12015S |
| Non-HSA 13001 |
| Non-HSA 13001A |
| Non-HSA 13001AS |
| Non-HSA 13001S |
| Non-HSA 13003 |
| Non-HSA 13003A |
| Non-HSA 13003AS |
| Non-HSA 13003S |
| Non-HSA 13005 |
| Non-HSA 13005A |
| Non-HSA 13005AS |
| Non-HSA 13005S |
| Non-HSA 13007 |
| Non-HSA 13007A |
| Non-HSA 13007AS |
| Non-HSA 13007S |
| Non-HSA 13009 |
| Non-HSA 13009A |
| Non-HSA 13009AS |
| Non-HSA 13009S |
| Non-HSA 130011 |
| Non-HSA 130011A |
| Non-HSA 130011AS |
| Non-HSA 130011S |
| 2022 HSA |
|---|
| HSA 00001A |
| HSA 00001AS |
| HSA 00002A |
| HSA 00002AS |
| HSA 00003A |
| HSA 00003AS |
| HSA 00006A |
| HSA 00006AS |
| HSA 00007A |
| HSA 00007AS |
| HSA 00008A |
| HSA 00008AS |
| HSA 00009A |
| HSA 00009AS |
| HSA 000010A |
| HSA 000010AS |
| HSA 000011A |
| HSA 000011AS |
| HSA 02001 |
| HSA 02001S |
| HSA 02002 |
| HSA 02002S |
| HSA 02003 |
| HSA 02003S |
| HSA 02006 |
| HSA 02006S |
| HSA 02007 |
| HSA 02007S |
| HSA 02008 |
| HSA 02008S |
| HSA 02009 |
| HSA 02009S |
| HSA 02010 |
| HSA 02010S |
| HSA 02011 |
| HSA 02011S |
| HSA 03003 |
| HSA 03003A |
| HSA 03003AS |
| HSA 03005A |
| HSA 03005AS |
| HSA 03007 |
| HSA 03007A |
| HSA 03007AS |
| HSA 03007S |
| HSA 03008 |
| HSA 03008S |
| Formulary | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| 2023 Large Group Formulary Guide | Download | N/A |
| 2023 Drugs Requiring Prior Authorization and Step Therapy | Download | N/A |
| Formulary | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
|
2023 Large Group Formulary Guide
Summary of Benefits & Coverage HEY N/A |
||
|
2023 Drugs Requiring Prior Authorization and Step Therapy
Summary of Benefits & Coverage HEY N/A |
