Public Employees' Benefit Board Summary Plan Description

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Public Employees' Benefit Board

Department

Summary Plan Description

Summary Plan Description (SPD) You can print the SPD as a whole document or by section.
	Download: Full Summary Plan Description Linked Table of Contents
	Section 1: Eligibility, Enrollment and Dates of Coverage Who is Eligible Dependents Eligible for Coverage Domestic Partners and their Dependents Enrollment Periods and Effective Dates How to Enroll
	Section 2: Medical Benefits Medical Plan Options Premium Rates Medical and Prescription Drug Plan Comparisons
	Section 3: Dental Benefits Dental Plan Options Premium Rates Dental Plan Comparison
	Section 4: Optional Benefits Life Insurance Short Term Disability Insurance Long Term Disability Insurance Accidental Death and Dismemberment Insurance Flexible Spending Accounts Long Term Care Insurance
	Section 5: Required Notices Plan Administration Benefit Fraud and Abuse Appeals Continuation Coverage Rights Under COBRA Special Enrollment Rights Your Prescription Drug Coverage and Medicare Women's Health and Cancer Rights Notice of Privacy Practices
	Appendix A: Qualified Status Changes
	Appendix B: Flexible Spending Accounts: Administrator’s Description

Page updated: October 10, 2008

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