Evidence of Coverage Booklets
Evidence of Coverage Booklets
This section provides links to the County’s Evidence of Coverage Booklets. These booklets provide comprehensive information on each plan’s rules and benefit coverage levels. Click a link below to download the corresponding booklet.
Medical
Kaiser Permanente
Kaiser $40 Plan
Kaiser $15 Plan
United HealthCare (UHC)
UHC Signature Value $15/$40 HMO Plan & UHC Advantage $15/$40 HMO Plan
UHC Signature Value and Signature Value Advantage $15 Chiropractic & Acupuncture EOC Rider
UHC Signature Value and Signature Value Advantage $40 Chiropractic & Acupuncture EOC Rider
UHC Select Plus PPO Plan
Dental
Life and Accident Insurance
New York Life Insurance
Management Basic & Supplemental Employee, Spouse & Dependent Life
Management Accidental Death & Dismemberment
Non-Management Basic & Supplemental Employee Life Insurance (SEIU 1021, PPOA and Teamsters)
Non-Management Basic Life Insurance IFPTE Local 21 (16, 60, 77)
Non-Management Basic & Supplemental Employee Life (BTC)
Non-Management Basic & Supplemental Employee Life (DSA)
Non-Management Basic & Supplemental Employee Life (UAPD)
Disability Plans
New York Life Insurance
Short-Term Disability
Long-Term Disability