Index of /webeci/203/plandocs/en

• Parent Directory
• 17_18_MUSHIP_SPD_030518.pdf
• 18_19_MUSHIP_SPD.pdf
• 2011FSAQualifyingExp.pdf
• 2011HSAFAQ.pdf
• 2013MRMCDentalSummary.pdf
• 2013MRMCMedicalSummary.pdf
• 2013MRMCVisionSummary.pdf
• 2013_Dental_Summary.docx
• 2013_Dental_Summary.pdf
• 2013_Medical_Summary.docx
• 2013_Medical_Summary.pdf
• 2014_MRMC_Dental_Summary_Plan.pdf
• 2014_MRMC_Vision_Summary_Plan.pdf
• 2015_MRMC_Pharmacy_Details.pdf
• 2017_2018_MUSHIP_SPD_022218.pdf
• 2018JDH_SPD_022218.pdf
• 2018_2019_MUSHIP_SPD.pdf
• 2018_Core_SBC.pdf
• 2018_DCH_SBC.pdf
• 2018_JDH_Bronze_SBC.pdf
• 2018_JDH_Gold_SBC.pdf
• 2018_JDH_SPD.pdf
• 2018_JDH_SPD_022818.pdf
• 2018_OE_Booklet_MRMC.pdf
• 2018_SBC_MRMC.pdf
• 2019_2020_MUSHIP_SPD_022720.pdf
• 2019_Core_SBC.pdf
• 2019_DCH_SBC.pdf
• 2019_JDH_Bronze_SBC.pdf
• 2019_JDH_Gold_SBC.pdf
• 2019_JDH_SPD.pdf
• 2019_SBC_MRMC.pdf
• 2019_SBC_Platinum.pdf
• 2019_SBC_Silver.pdf
• 2020 JDH_Bronze_SBC.pdf
• 2020_Core1_SBC.pdf
• 2020_Dental_Summary_CORE.pdf
• 2020_JDH1_Bronze_SBC.pdf
• 2020_JDH1_Gold_SBC.pdf
• 2020_JDH_Gold_SBC.pdf
• 2020_JDH_PlanA_Gold_SOB.pdf
• 2020_JDH_PlanE_Bronze_SOB.pdf
• 2020_JDH_SPD.pdf
• 2020_JDH_SPD_SBC.pdf
• 2020_LRMC1_SBC_PlanA_Platinum.pdf
• 2020_LRMC1_SBC_PlanC_Silver.pdf
• 2020_MRMC_DENTAL_SOB.pdf
• 2020_Meadows_Benefit_Booklet.pdf
• 2020_MedSummary_CORE.pdf
• 2020_Medical_Sum_CORE.pdf
• 2020_Medical_Summary1_CORE.pdf
• 2020_Medical_Summary_CORE.pdf
• 2020_PlanA_LRMC_ScheduleOfBenefits.pdf
• 2020_PlanC_LRMC_SceduleOfBenefits.pdf
• 2020_PlanC_LRMC_ScheduleOfBenefits.pdf
• 2020_SBC1_Meadows.pdf
• 2020_SBC_A1_Platinum.pdf
• 2020_SBC_MRMC.pdf
• 2020_SBC_PlanC_Silver.pdf
• 2020_SBC_Plan_CSilver.pdf
• 2020_SCH1_PlanII_SBC.pdf
• 2020_SCH1_PlanI_SBC.pdf
• 2020_SCH_PlanII_SBC.pdf
• 2020_SCH_PlanI_SBC.pdf
• 2021_Dental_SOB_rev_012022.pdf
• 2021_Dental_SOB_rev_Jan22.pdf
• 2021_JDH_SPD_SBC.pdf
• 2021_PlanAGold_Summary_of_Benefits.pdf
• 2021_PlanCSilver_SOB_031121.pdf
• 2021_PlanE_Bronze_Summary_of_Benefits.pdf
• 2021_Plan_A_Gold_Summary_of_Benefits.pdf
• 2021_Plan_E_Bronze_Summary_of_Benefits.pdf
• 2021_SOB_PlatinumA.pdf
• 2022_Dental_SOB.pdf
• 2022_Dental_SOB_Core.pdf
• 2022_EMH_SOB.pdf
• 2022_FHF_Dental_SOB.pdf
• 2022_FHF_Medical_SOB.pdf
• 2022_FHF_Medical_SOB2.pdf
• 2022_FHF_SPD.pdf
• 2022_FHF_SPD_072222.pdf
• 2022_FHF_SPD_07272022.pdf
• 2022_FHF_SPD_FINAL_CMRG.pdf
• 2022_LRMC_SPD_SBC.pdf
• 2022_Medical_Summary.pdf
• 2022_SOB_PlatinumA.pdf
• 2023_Core_DentalSPD.pdf
• 2023_Dental_SOB.pdf
• 2023_Medical_Summary.pdf
• 2023_PlanC_Silver_SOB.pdf
• 2023_SCH_SPD_SBC.pdf
• 2023_SOB_PlatinumA.pdf
• 2023_Summary_of_Benefits_A1_Platinum.pdf
• 2023_Summary_of_Benefits_Plan_CSilver.pdf
• 2024_2025_FHF_SPD_edited_09_23_24.pdf
• 2024_2025_MUSHIP_SPD.pdf
• 2024_Sch_of_Ben_PlatinumA.pdf
• 2024_Sch_of_Ben_SilverC.pdf
• 2025_Dental_SOB.pdf
• 2025_MLMC SPD_SOB_SBC_Signed AA.pdf
• 2025_MLMC SPD_SOB_SBC_SignedAA.pdf
• 2025_MLMC_SOB.pdf
• 2025_MLMC_SPD_SOB_SBC_SignedAACorrect.pdf
• 2025_Medical_Summary.pdf
• 20_21_MUSHIP_SPD_SBC.pdf
• 21_22_MUSHIP_SPD_SBC.pdf
• 22_23_MUSHIP_SPD_SBC.pdf
• 22_23_MUSHIP_SPD_SBC_eff_Jan2023.pdf
• 23_24_MUSHIP_SPD_SBC.pdf
• 23_SOB_PlatinumA.pdf
• AFLAC_ApplicationForPayrollDeductions_A76001GA.pdf
• AFLAC_CancerClaimForm.pdf
• AFLAC_CancerWellnessBenefitClaimForm.pdf
• AFLAC_MaximumDifferenceCancerBroc_A76175RGA.pdf
• AFLAC_OptionalCancerScreeningRider_A76077.pdf
• AFLAC_OptionalInitialDiagBenefitRider_A76076L.pdf
• BenefitsHandbook_2024_2025.pdf
• Benefits_Handbook19_20_09122017.pdf
• CAA_Model_Disclosure_Notice_Regarding_Patient_Protections_Against_Surprise_Billing2.pdf
• CARE_ACT_FSA_ACCOUNT.pdf
• CMRGAuthPHI.pdf
• CMRGAuthorization_Form.pdf
• CMRG_2011MedicalSPD.pdf
• CMRG_2012DENSum.pdf
• CMRG_2012DEN_SPD.pdf
• CMRG_2012MEDSPD.pdf
• CMRG_2012MEDSum.pdf
• CMRG_2013DentalSPD.pdf
• CMRG_2013MedicalSPD_v2.pdf
• CMRG_2014DentalSPD.pdf
• CMRG_2014MedicalSPD_v1.pdf
• CMRG_2015DentalSPD.pdf
• CMRG_2015MedicalSPD_v1.pdf
• CMRG_2016DentalSPD.pdf
• CMRG_2016MedicalSPDv2.pdf
• CMRG_2017_SPD.pdf
• CMRG_2018MedicalSPD.pdf
• CMRG_2018MedicalSPD_022218.pdf
• CMRG_2018MedicalSPD_022818.pdf
• CMRG_2021DentalSPD.pdf
• CMRG_2021DentalSPD_revised_Jan12022.pdf
• CMRG_2022_DentalSPD.pdf
• CMRG_MedicalSPD2019.pdf
• CMRG_MedicalSPD2019_032019.pdf
• CMRG_Medical_2020_SPD_SBC.pdf
• CMRG_Medical_SPD2019_032019.pdf
• CMRG_Medical_SPD_2020.pdf
• CMRG_Medical_SPD_SBC_2021.pdf
• CMRG_Medical_SPD_SBC_2022.pdf
• CMRG_Medical_SPD_SBC_2023.pdf
• CMRG_dental_claim_form.pdf
• CMRG_fsa_claim_form.pdf
• CMRG_vision_claim_form.pdf
• CORE_2014SBCandUniform_Glossary.pdf
• CORE_2015SBC.pdf
• CORE_2016SBC.pdf
• CORE_2017_SBC.pdf
• COS_2012DENSum.pdf
• COS_2012MEDSPD.pdf
• COS_2012MEDSum.pdf
• Caremark_DirectMemberReinsFAQ.pdf
• Caremark_DirectMemberReinsForm.pdf
• Caremark_MailOrderForm.pdf
• Claxton-2010SPD.pdf
• CoreLinkII_EmployerTrainingManual.pdf
• CoreLinkII_MemberGuide.pdf
• Core_2021_Dental_Summary.pdf
• Core_2021_Medical_Summary.pdf
• Core_Medical_SOB_2020.pdf
• Core_PreCert_List.pdf
• CorporateHQ_Empower_17_18_SBC.pdf
• CorporateHQ_Empower_17_18_revised_SBC.pdf
• DCH2011SPD.pdf
• DCH2011Schedule.pdf
• DCH2013DentalSummary.pdf
• DCH2013MedicalSummary.pdf
• DCH_2012DENSum.pdf
• DCH_2012MEDSum.pdf
• DCH_2013SBCUniformGlossary.pdf
• DCH_2014_Dental_Summary.pdf
• DCH_2015SBC_Bjt.pdf
• DCH_2015SBC_and_Glossary.pdf
• DCH_2016SBCv2.pdf
• DCH_2016_Dental_Sum.pdf
• DCH_2016_SBCandGlossary.pdf
• DCH_2018_OEbooklet.pdf
• DCH_2019OEbooklet.pdf
• DCH_SPD2012.pdf
• DCH_SPD2013.pdf
• DCH_SPD2013v.2.pdf
• DCH_SPD2013v3.pdf
• DCH_SPD2014.pdf
• DCH_SPD2015.pdf
• DCH_SPD2015_v2.pdf
• DCH_SPD2016v3.pdf
• DCH_SPD_2018.pdf
• DCH_SPD_2018_022218.pdf
• DCH_SPD_2018_022718.pdf
• DCH_SPD_2018_revised.pdf
• DCH_SPD_2019.pdf
• DCH_SPD_2019_032019.pdf
• DCH_SunLifeBeneficiaryDesignationForm.pdf
• DentalForm.pdf
• Dental_Care_Sched_of_Benefits_2024_2025.pdf
• Dental_Care_Schedule_of_Benefits_2024_2025.pdf
• EMH2_SPD_SBC_2021.pdf
• EMH_2021_PlanC_Silver_Summary_of_Benefits.pdf
• EMH_2024_SPD_SBC_SOB_AA SIGNED.pdf
• EMH_Booklet_2023.pdf
• EMH_Precert_List.pdf
• EMH_SPD_2021.pdf
• EMH_SPD_SBC_2021.pdf
• EMH_SPD_SBC_2022.pdf
• EMH_SPD_SBC_2023.pdf
• EMH_SPD_SBC_21.pdf
• EMH_SPD_SBC_22.pdf
• EmpowerHMS_2017_Dental_SchedOfBenefits.pdf
• EmpowerHMS_SPD_022218.pdf
• EmpowerHMS_SPD_022218_rev.pdf
• EmpowerHMS_SPD_17_18.pdf
• EmpowerHMS_SPD_2019.pdf
• Empower_17_18_SBC.pdf
• Empower_17_18_SBC_revised.pdf
• Empower_18_19_HSA_SBC.pdf
• Empower_Dental_SOB_18_19.pdf
• Eyemed_Vision_Benefit_Summary_LCBOC_20_21.pdf
• FHF_2022_Dental_SOB.pdf
• FHF_2023_24_Dental_SOB.pdf
• FHF_Medical_SOB.pdf
• FHF_Medical_SOB_2022.pdf
• FHF_Medical_SOB_22.pdf
• FHF_Medical_SOB_FINAL_2022.pdf
• FHF_PreCert.pdf
• FHF_PreCert_List.pdf
• FHF_PreCertification_Doc.pdf
• FHF_SBC_072021.pdf
• FHF_SBC_22_23.pdf
• FHF_SPD_071820.pdf
• FHF_SPD_Adoption_SOB_2025.pdf
• FSABrochure102610.pdf
• FSAForm.pdf
• FSA_Qualifying_Expenses.pdf
• GPhA-2010PlanDocument-B.pdf
• GPhA2011HSAbrochure.pdf
• GPhA_2011SPD-A.pdf
• GPhA_2011SPD-B.pdf
• GPhA_2011SPD-C.pdf
• GPhA_2011SPD-D.pdf
• GPhA_2011SPD-D.pdf-
• GPhA_2011Sum-A.pdf
• GPhA_2011Sum-B.pdf
• GPhA_2011Sum-C.pdf
• GPhA_2011Sum-D.pdf
• GPhA_2011Sum-D.pdf-
• General_Notice_of_PreExisting.pdf
• IABDModel.pdf
• JDH_2018_OEbooklet.pdf
• JDH_2019OEbooklet.pdf
• JDH_2020_OEbooklet.pdf
• JDH_PreCert_List.pdf
• JDH_details_for_SPD.pdf
• JHD_details_SPD2016v2.pdf
• Jeff_Davis_Hosp_PlanA_SBC.pdf
• Jeff_Davis_Hosp_PlanE_SBC.pdf
• LCBOC_Dental_SOB_2020_2021.pdf
• LCBOC_Dental_SOB_20_21.pdf
• LCBOC_Dental_SOB_21_22.pdf
• LCBOC_Dental_SOB_22_23.pdf
• LCBOC_Dental_SOB_23_24.pdf
• LCBOC_Dental_SOB_24_25.pdf
• LCBOC_Medical_SOB_2020_2021.pdf
• LCBOC_Medical_SOB_20_21.pdf
• LCBOC_Medical_SOB_21_22.pdf
• LCBOC_Medical_SOB_22_23.pdf
• LCBOC_PreCert_List.pdf
• LCBOC_SPD_SBC_2020_2021.pdf
• LCBOC_SPD_SBC_20_21.pdf
• LCBOC_SPD_SBC_21_22.pdf
• LCBOC_SPD_SBC_21_22_May2022.pdf
• LCBOC_SPD_SBC_22_23.pdf
• LCBOC_Vision_SOB_22_23.pdf
• LRMC_2018_SBC_Platinum.pdf
• LRMC_2018_SBC_Silver.pdf
• LRMC_Dental_SOB_2020.pdf
• LRMC_OE_Booklet_092823_Final.pdf
• LRMC_OE_Booklet_2018.pdf
• LRMC_OE_Booklet_2019.pdf
• LRMC_OE_Booklet_2020.pdf
• LRMC_OE_Booklet_2021_FINAL.pdf
• LRMC_OE_Booklet_2022.pdf
• LRMC_OE_Booklet_2023.pdf
• LRMC_PlanA1PlatnimSBC2017.pdf
• LRMC_PlanC_SilverSBC2017.pdf
• LRMC_PreCert_List.pdf
• LRMC_SPD_2017.pdf
• LRMC_SPD_2018.pdf
• LRMC_SPD_2018_022218.pdf
• LRMC_SPD_2018_022818.pdf
• LRMC_SPD_2019.pdf
• LRMC_SPD_2019rev032019.pdf
• LRMC_SPD_2020.pdf
• LRMC_SPD_2020_063020.pdf
• LRMC_SPD_2020_63020.pdf
• LRMC_SPD_SBC_2020.pdf
• LRMC_SPD_SBC_2021.pdf
• LRMC_SPD_SBC_2022.pdf
• LRMC_SPD_SBC_2023.pdf
• LRMC_SPD_SBC_2024.pdf
• LRMC_SPD_SBC_21.pdf
• LRMC_SPD_SBC_23.pdf
• LRM_AdoptionAgreement20161111_signed.pdf
• MERCER_FLEX_PORTAL_INSTRUCTIONS.pdf
• MLMC_2025_PlanC_Silver_wthMLMCcolumn_dfw120324.pdf
• MRMC2011VisionBrochure.pdf
• MRMCDentalPlan2015.pdf
• MRMC_2012DENSum.pdf
• MRMC_2012MEDSum.pdf
• MRMC_2012SPD.pdf
• MRMC_2012VISIONSum.pdf
• MRMC_2013SPD.pdf
• MRMC_2015SBC_9_17_14bjt_Final.pdf
• MRMC_2016SBC_v2.pdf
• MRMC_2020_ScheduleOfBenefits.pdf
• MRMC_HRA_Assessment_ Guide.pdf
• MRMC_HRAwebsite.pdf
• MRMC_Medical_2015.pdf
• MRMC_OEbook_2019.pdf
• MRMC_SPD2013_v4.pdf
• MRMC_SPD2014_v2.pdf
• MRMC_SPD2015_v2mdb.pdf
• MRMC_SPD2016_v2mdb.pdf
• MRMC_SPD2016v3mdb.pdf
• MRMC_SPD2018.pdf
• MRMC_SPD_2018.pdf
• MRMC_SPD_2018_022818.pdf
• MRMC_SPD_2018_Oct0818.pdf
• MRMC_SPD_2019.pdf
• MRMC_SPD_2019_032019.pdf
• MRMC_SPD_2019_053119.pdf
• MRMC_SPD_2020.pdf
• MRMC_SPD_SBC_2020.pdf
• MRMC_Vision_Plan_2015.pdf
• MUSHIP1_2019_2020_SBC.pdf
• MUSHIP_18_19_SBC.pdf
• MUSHIP_2017_2018_SPD.pdf
• MUSHIP_2018_2019_SBC.pdf
• MUSHIP_2024_2025_SBC.pdf
• MUSHIP_SBC_2017_2018.pdf
• MUSHIP_SOB_20_21.pdf
• MUSHIP_SOB_21_22.pdf
• MUSHIP_SOB_22_23.pdf
• MUSHIP_SOB_22_23_Jan2023.pdf
• MUSHIP_SOB_23_24.pdf
• MUSHIP_SOB_24_25.pdf
• MUSHIP_SOB_24_25_Edit.pdf
• MUSHiP_2014MedicalSPD.pdf
• MUSHiP_2014MedicalSPD_Updated_9.10.14.pdf
• MUSHiP_2014SBC_9_22_14_Final.pdf
• MU_SPD_17_18_031518.pdf
• MU_SPD_17_18_032818.pdf
• MU_SPD_2017_2018.pdf
• MU_SPD_2017_2018_022218.pdf
• MU_SPD_doc2016_2017v5.pdf
• MU_SPD_docx15-16_1.pdf
• Meadows_PreCert_List.pdf
• Meadows_SPD2018.pdf
• Meadows_VisionCoverageSummary_2020.pdf
• MedicalForm.pdf
• Medical_SOB_Mercer.pdf
• Medical_Schedule_of_Benefits_rev3_2_22.pdf
• Merce_SBC_with_Glossary.pdf
• Mercer1_SBC_20_21.pdf
• MercerBenefitsHandbook19_20_Dec0319.pdf
• MercerBenefitsHandbook_23_24.pdf
• MercerSPD_092012.pdf
• MercerSPD_18_19_GH.pdf
• MercerSPD_20_21_01012021.pdf
• MercerSPD_SBC_20_21.pdf
• Mercer_2013MEDSum.pdf
• Mercer_2013SPD.pdf
• Mercer_2017_2018_SBC.pdf
• Mercer_2020_2021_SPD_SBC.pdf
• Mercer_20_21_Medical_SOB.pdf
• Mercer_DENSum.pdf
• Mercer_FSA_PIN_Notice.pdf
• Mercer_MedicalSOB_22_23.pdf
• Mercer_PreCert_List.pdf
• Mercer_RxSum.pdf
• Mercer_SBC_18_19.pdf
• Mercer_SBC_2.0.pdf
• Mercer_SBC_2015_2016.pdf
• Mercer_SBC_2016_2017.pdf
• Mercer_SBC_2017_2018.pdf
• Mercer_SBC_2020_2021.pdf
• Mercer_SBC_2024_2025.pdf
• Mercer_SBC_and_Glossary2014_2015.pdf
• Mercer_SOB_22_23.pdf
• Mercer_SOB_24_25.pdf
• Mercer_SPD_2020_2021.pdf
• Mercer_SPD_2022_2023.pdf
• Mercer_SPD_22_23.pdf
• Mercer_SPD_SBC_21_22.pdf
• Mercer_SPD_SBC_21_22rev3_2_22.pdf
• Mercer_SPD_doc_13-14.2.pdf
• Mercer_SPD_docx2014_2015v2.pdf
• Mercer_Stu_Ins_ProgSBC_20150929.pdf
• Mercer_Stu_Ins_ProgSOB_20150929.pdf
• Mercer_Stu_Ins_ProgSPD_20151002.pdf
• Mercer_Student_Ins_Prg_SBC_20160801.pdf
• Mercer_Student_Ins_Prg_SPD_2016_2017.pdf
• Muship_PreCert_List.pdf
• NOPP_EMH.pdf
• NOPP_LCBOC.pdf
• NOPP_SCH.pdf
• PPO_Empower_18_19_SBC.pdf
• Plan1_SOB_2021.pdf
• PlanA_SOB_LRMC_2020.pdf
• Plan_A_Sum_Two_Pg_Desc_20160711Amdb.pdf
• Plan_A_Summary_Plan_JDH.pdf
• Plan_E_Sum_Two_Pg_Desc_20160711Emdb.pdf
• Plan_E_Summary_Plan_JDH.pdf
• Plan_I_SOB_2022_rev062322.pdf
• PreCert_List_20_21_Nov23_2020.pdf
• PreCert_List_updated_10_2021.pdf
• ProviderTrainingManual.pdf
• RxPA.pdf
• SBCGlossary_DCH_2014.pdf
• SBC_Glossary_MRMC_2014_FINAL.pdf
• SCH_2023_SOB.pdf
• SCH_2025_SPD_SOBI_SOBII_SBCI_SBCII_AASIGNEDUpdated02242025.pdf
• SCH_24_25_SPD_SOBI_SOBII_AA.pdf
• SCH_Benefits_Booklet_2023.pdf
• SCH_Benefits_Booklet_2024.pdf
• SCH_Plan1_SOB_2020.pdf
• SCH_Plan2_SOB_2020.pdf
• SCH_PlanI_SOB_20.pdf
• SCH_PlanI_SOB_2020.pdf
• SCH_PreCert_List.pdf
• SCH_Rx_claim_form.pdf
• SCH_Rx_claim_form2.pdf
• SCH_Rxclaim_form.pdf
• SCH_SBC_2022_rev062322.pdf
• SCH_SBC_2024.pdf
• SCH_SOBI_SOBII_24_25.pdf
• SCH_SOBI_SOBII_24_25_Updated02242025.pdf
• SCH_SOB_2022.pdf
• SCH_SOB_2023.pdf
• SCH_SOB_2024.pdf
• SCH_SOB_22.pdf
• SCH_SPD_2020.pdf
• SCH_SPD_2024.pdf
• SCH_SPD_SBC_2020.pdf
• SCH_SPD_SBC_2021.pdf
• SCH_SPD_SBC_2022.pdf
• SCH_SPD_SBC_2022_rev_062322.pdf
• SCH_SPD_SBC_2023.pdf
• SOB_2021_SilverC.pdf
• SOB_2022_SilverC.pdf
• SOB_2023_SilverC.pdf
• SOB_23_SilverC.pdf
• SOB_SilverC_2021.pdf
• Sylvania_2011DENSPD.pdf
• UHC_OONClaims.pdf
• Updated_SCH_PreCert_List_2020_2021.pdf
• VisionForm.pdf
• WHCRA_Mastectomy.pdf
• WebECI_Docs.zip
• chip_model_notice.pdf
• dodgectyhp_beneform.pdf
• npp_2018_CORE.pdf
• npp_health_plan-text_version_CORE.pdf
• npp_health_plan-text_version_Core_2016.pdf
• npp_health_plan-text_version_DCH.pdf
• npp_health_plan-text_version_DCH_2016.pdf
• npp_health_plan-text_version_JDH.pdf
• npp_health_plan-text_version_JDH_2016.pdf
• npp_health_plan-text_version_LRMC_2016.pdf
• npp_health_plan-text_version_MRMC.pdf
• npp_health_plan-text_version_MRMC_2016.pdf
• npp_health_plan-text_version_MUSHIP_2016.pdf
• npp_health_plan-text_version_Mercer.pdf
• npp_health_plan-text_version_Mercer_2016.pdf
• npp_health_planJDH2text_version.pdf
• npp_health_planMUSHIP.pdf
• uniform-glossary-final.pdf