Plan Information

 
Master Benefit Plan Document

The HealthSelect Benefits Book is a summary of the Master Benefit Plan Document, statues, and administrative rules governing HealthSelect.  In case of conflict between the provisions of the benefits book and the plan document, statues or administrative rules, the plan document provision, statute, or administrative rule will control. 

Master Benefit Plan Documents from previous years are available in the Master Benefit Plan Document Archive.


Master Benefit Plan Document, Effective 09/01/08

Exhibit A (In-Area Benefits), Effective 09/01/08 (pdf)
Exhibit B (Out-of-Area Benefits), Effective 09/01/08 (pdf)

Amendment #1 (Medical), Effective 09/01/09

Following is an amendment to the 09/01/08 Master Benefit Plan Document, which should be used along with the 09/01/08 original documents.

Amendment #1, Exhibit A (In-Area Benefits) and Exhibit B (Out-of-Area Benefits), Effective 09/01/09

Exhibit C - Prescription Drug Program
The following is a restated Exhibit C of the Master Benefit Plan Document for your Prescription Drug Program. 

Restated Exhibit
Exhibit C (Prescription Drug Program), Effective 09/01/08 (pdf)

Original Document

Exhibit C (Prescription Drug Program), Effective 09/01/05 (pdf)

HRA HS




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