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Summary of Benefits and Coverage (SBC) 2021

For plans with coverage beginning in 2021

If you aren't clear about any of the underlined terms used in these forms, see the Glossary. A paper copy of your SBC is also available, free of charge, by calling Customer Service toll-free at 1.855.443.4735 (TTY/TDD relay: 1.800.955.8771) weekdays from 8 a.m. to 6 p.m. If you call after hours, you can leave a message and we’ll return your call the next business day.