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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Derstine's.​
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_0857956d01894814a9963b1604d990de.pdf)
Medical Plan Option 1 - Summary of Benefits & Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_09eb4408023c405a880639d1605fcde5.pdf)
Medical Plan Option 2 - Summary of Benefits & Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d97a5a1701be4f2e8ac4e91ba8be8353.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)
Click here for the plan overview(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ddf8043e753c4b1b882d60312fcbbd77.pdf)
Click here for legal information(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_116cbfd5bcc24a0089d1b3d7c56ce65b.pdf)
Vision Benefit Summary (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ca1b0f6002f243b8bc4d7f9335f0e8e4.pdf)
Online Reference Guide (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d5dbbafddab04c1381ad42350f4ac830.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
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