Document Library

General

Individual Creditable Coverage Disclosure Notice
New Hires: Important Info About the Health Insurance Marketplace
2024 Medical, Dental, Vision Bi-Weekly Premiums and Monthly COBRA Rates

Legal

Your Rights Regarding Discrimination
Notice of Automatic Contribution Arrangement
Annual Electronic Disclosure Notice – CMS
Notice of Privacy Practices
Notice of Privacy Practices (Spanish)
2023-24 Notice Regarding Wellness Programs
Premium Assistance Under Medicaid and CHIP
Annual Notice – Women’s Health & Cancer Rights Act
Your Rights and Protections Against Surprise Medical Bills
Illinois Essential Health Benefit Listing

2024 SBCs

2024 Vidant Health Medical Plan – Basic Option
2024 Vidant Health Medical Plan – Choice Option
2024 Vidant Health Medical Plan – Medical Savings Plan

2023 SBCs

2023 Vidant Health Medical Plan – Basic Option
2023 Vidant Health Medical Plan – Choice Option
2023 Vidant Health Medical Plan – Medical Savings Plan