Publications

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

Member Handbook with Open Enrollment Information - effective October 1, 2019

PEEHIP Summary Plan Description - Rev.6/2016

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

Summary of Benefits and Coverage (SBC)

• Summary of Benefits and Coverage (PPO Plan 10/01/2019-12/31/2019)
• Summary of Benefits and Coverage (PPO Plan 01/01/2020-09/30/2020)
• Summary of Benefits and Coverage (VIVA Health Plan 10/01/2019-09/30/2020)
• SBC Glossary

Hospital Medical Plan

• PEEHIP Hospital Medical Matrix of Benefits - Group #14000 effective October 1, 2019

Supplemental Medical Plan

• Supplemental Medical Plan Matrix - Group #61000 effective October 1, 2019

Flexible Spending Accounts

• Flex Summary Plan Description - effective October 1, 2018
• Flexible Spending Accounts (FSA) Brochure - effective October 1, 2019

Optional Plans

• Optional Plan Booklet - (cancer, dental, indemnity, vision) effective October 1, 2019
• Optional Plan Brochure - (cancer, dental, indemnity, vision) effective October 1, 2019

VIVA Health

• VIVA Health Plan Certificate of Coverage - effective October 1, 2019
• VIVA Health Plan Matrix of Benefits - effective October 1, 2018

UnitedHealthcare

• UnitedHealthcare Plan Guide (MAPD) - effective January 1, 2019
• UnitedHealthcare Plan Guide (MA Only) - effective January 1, 2019