As a sponsor of group health plans to its employees, Case Western Reserve University is required to provide you with an easy-to-understand summary of health plan benefits and coverage. This summary is designed to help you better understand and evaluate your health insurance choices.
Summary of Benefits and Coverage (SBC) and Uniform Glossary
|Health Insurance Option||Summary of Benefits and Coverage|
|Anthem Blue Access PPO Plan 1 (Non-exempt or base salary under $50,000 annually)||2018 AnthemPPO Plan 1|
|Anthem Blue Access PPO Plan 2 (base salary $50,000 to $99,999 annually)||2018 AnthemPPO Plan 2|
|Anthem Blue Access PPO Plan 3 (base salary $100,000 or more annually)||2018 AnthemPPO Plan 3|
|Anthem High Deductible Health Plan||2018 Anthem High Deductible Health Plan|
|MMO CLE-Care HMO||2018 MMO CLE-Care HMO|
|MMO Supermed Plus PPO Plan 1 (non-exempt or base salary under $50,000 annually)|
|MMO Supermed Plus PPO Plan 2 (base salary $50,000 to $99,999 annually)|
|MMO Supermed Plus PPO Plan 2 (base salary $100,000 or more annually)||2018 MMO Supermed Plus PPO Plan 3|
|SBC Uniform Glossary|
The new forms include a short, plain language Summary of Benefits and Coverage (SBC) and a uniform glossary of terms commonly used in health insurance coverage, such as "deductible" and "co-payment."
All insurance companies and group health plans must use the same standard SBC form to help you compare health plans. The SBC form also includes details, or coverage examples, which are comparison tools that allow you to see what the plan would generally cover in two common medical situations.
You have the right to receive the SBC when shopping for or enrolling in coverage or if you request a copy from your issuer or group health plan. You may also request a copy of the glossary of terms from your health insurance company or group health plan.
A paper copy of the SBC is also available, free of charge, by calling the HR Service Center at 216.368.6964.
What This Means for You
It’s not easy for consumers to know what they are buying when shopping for health insurance. The SBC's standardized and easy-to-understand information about health plan benefits and coverage allows you to easily make apples-to-apples comparisons among your insurance options.
Contact the HR Service Center at AskHR@case.edu or 216.368.6964.