Summary of Benefits
2026 Plan Year
Summary of Benefits & Coverage (ACA Standard)
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms
of coverage, https://eoc.anthem.com/eocdps/aso. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary at www.healthcare.gov/sbc-glossary/ or call (833) 630-6742 to request a copy.
HMO 90/10 and PPO Plans are Grandfather Plans and not eligible for 2026 enrollment and will be removed from the 2027 plan year for retirees. Retiree members will need to select from one of the above plans (HDHP, POS 80/20, or POS 70/30) for plan year 2027.