Benefits

March 1, 2015 Schedule of Benefits

These summaries of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.

Pelican HRA 1000 | Pelican HSA 775

Magnolia Local | Magnolia Local Plus | Magnolia Open Access


March 1, 2015 Benefit Plans

This comprehensive document of your benefit plan goes into the details of your coverage.

Pelican HRA 1000 CDHP | Pelican HRA 1000 HRA | Pelican HSA 775

Magnolia Local | Magnolia Local Plus | Magnolia Open Access


Summary of Benefits and Coverage

View the Summary of Benefits and Coverage (SBC) below:

Pelican HRA 1000 (March 1-Dec. 31, 2015)

Active Employees | Medicare Retirees | Non-Medicare Retirees

Pelican HSA 775 (March 1-Dec. 31, 2015)

Active Employees

Magnolia Local (March 1-Dec. 31, 2015)

Medicare Retirees Prior to 3/1/2015 | Non-Medicare Retirees Prior to 3/1/2015

Active Employees & Non-Medicare Retirees on or after 3/1/2015

Medicare Retirees on or after 3/1/2015

Magnolia Local Plus (March 1-Dec. 31, 2015)

Medicare Retirees Prior to 3/1/2015 | Non-Medicare Retirees Prior to 3/1/2015

Active Employees & Non-Medicare Retirees on or after 3/1/2015

Medicare Retirees on or after 3/1/2015

Magnolia Open Access (March 1-Dec. 31, 2015)

Medicare Retirees Prior to 3/1/2015 | Non-Medicare Retirees Prior to 3/1/2015

Active Employees & Non-Medicare Retirees on or after 3/1/2015

Medicare Retirees on or after 3/1/2015

PPO (Sept. 30, 2014-Feb. 28, 2015)

Active Employees | Medicare Retirees | Non-Medicare Retirees

PPO (Jan. 1-Sept. 29, 2014)

Active Employees | Medicare Retirees | Non-Medicare Retirees

HMO (Sept. 30, 2014-Feb. 28, 2015)

Active Employees | Medicare Retirees | Non-Medicare Retirees

HMO (Jan. 1-Sept. 29, 2014)

Active Employees | Medicare Retirees | Non-Medicare Retirees

CDHP (Sept. 30, 2014-Feb. 28, 2015)

Consumer-driven Health Plan

CDHP (Jan. 1-Sept. 29, 2014)

Consumer-driven Health Plan


2014 OGB Plan Amendments

PPO | HMO | CDHP


2014 Schedule of Benefits

This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.

PPO | HMO | CHDP


2014 Benefit Plans

This comprehensive document of your benefit plan goes into the details of your coverage.

PPO | HMO | CHDP


CDHP HSA