Publications

These publications may be either viewed online or requested from Member Services.

Member Handbook with Open Enrollment Information - effective October 1, 2022

PEEHIP Summary Plan Description - Rev. 5/2023

• Summary of Benefits and Coverage (SBC)
• Hospital Medical Plan
• Supplemental Medical Plan
• Flexible Spending Accounts
• Optional Plans
• VIVA Health
• Medicare Advantage Plan

Summary of Benefits and Coverage (SBC)

• Summary of Benefits and Coverage (PPO Plan 10/1/2022-12/31/2022)
• Summary of Benefits and Coverage (PPO Plan 1/1/2023-9/30/2023)
• Summary of Benefits and Coverage (VIVA Health Plan 10/1/2022-9/30/2023)
• SBC Glossary

Hospital Medical Plan

• PEEHIP Hospital Medical Matrix of Benefits - Group #14000 effective October 1, 2022
• Mental Health and Substance Abuse Benefits
• BCBS Preventative Services

Supplemental Medical Plan

• Supplemental Medical Plan Matrix - Group #61000 effective October 1, 2022

Flexible Spending Accounts

• Flex Summary Plan Description - effective October 1, 2019
• Flexible Spending Accounts (FSA) Brochure - effective October 1, 2022

Optional Plans

• Optional Plan Booklet - (cancer, dental, indemnity, vision) effective October 1, 2022
• Optional Plan Brochure - (cancer, dental, indemnity, vision) effective October 1, 2022

VIVA Health

• VIVA Health Plan Matrix of Benefits - effective October 1, 2022
• VIVA Health Plan Preventative Services

Medicare Advantage Plan

• UHC Plan Guide - Effective 1/1/2023
• UHC Quick Start Guide - Effective 1/1/2023