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Summaries of Benefits and Coverage

2022
2022 Important Notices
FDAC EBA Card
Kaiser Deductible HMO SBC Northern Cal 2021
Kaiser Deductible HMO SBC Southern Cal 2022
Kaiser Traditional HMO SBC Northern Cal 2022
Basic EPO Plan SBC 2022
Basic PPO Plan SBC 2022
Premium EPO SBC 2022
Premium PPO SBC 2022
HSA 2000 PPO Plan SBC 2022
HRA 2000 PPO Plan SBC 2022

2021
2021 Important Notices
Kaiser Deductible HMO SBC Southern Cal 2021
Kaiser Deductible HMO SBC Northern Cal 2021
Kaiser Traditional HMO SBC Northern Cal 2021
Kaiser Traditional HMO SBC Southern Cal 2021
Basic EPO Plan SBC 2021
Basic PPO Plan SBC 2021
Premium EPO SBC 2021
Premium PPO SBC 2021
HSA 2000 PPO Plan SBC 2021
HRA 2000 PPO Plan SBC 2021
AFA Group Critical Illness Certificate

2020
HRA PPO Plan
HSA PPO Plan
Basic EPO Plan
Basic PPO Plan
Premium EPO Plan
Premium PPO Plan
Kaiser – California Subscriber Enrollment/Change Form
Kaiser – Deductible HMO Plan
Kaiser – Deductible Plan: Summary of Benefits and Coverage
Kaiser – Traditional HMO Plan
Kaiser – Traditional Plan: Summary of Benefits and Coverage
Kaiser – Chiropractic Benefits
EmpiRx Health – Prescription Benefit Plan
EmpiRx Health – Member Portal
EmpiRx Health – Patient Information and Order Form
Health Now- Enrollment Form
myHNAS Online Member Benefits
Important Notices

2019
HRA PPO Plan
Basic EPO Plan
Basic PPO Plan
Premium EPO Plan
Premium PPO Plan
Kaiser – Deductible Plan: Summary of Benefits and Coverage
Kaiser – Traditional Plan: Summary of Benefits and Coverage

benefits
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