Persons Covered
Need an ID card? Print this page as proof of insurance for your next visit or print an ID card.
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Medical78912345671111111106/01/2015Active Member
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Dental78912345671111111101/01/2016Active Member
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Vision
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Pharmacy
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Mental Health
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Medical7891234567-21111111106/01/2015Active Member
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Dental7891234567-21111111101/01/2016Active Member
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Vision
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Pharmacy
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Mental Health
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Medical7891234567-11111111106/01/2015Active Member
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Dental7891234567-11111111101/01/2016Active Member
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Vision
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Pharmacy
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Mental Health
Note: The plan information provided on this website is intended to give you general information. Please note that benefit plans vary so some information may not accurately reflect the specific benefits under your plan. Please refer to your certificate of coverage/benefits administrator for a complete listing of your coverage.
Common Questions
Contact your organization’s Benefit Administrator to add or remove a dependent from your coverage or change information about a dependent.
Contact the toll-free number on the back of your medical ID card.
The list shows who is covered by health care benefits. To see their coverage (medical, dental, etc.), click on a name or on “Expand All” above the list. For coverage details, click on the "Plan" name or use the links under Benefits & Coverage at the top of the screen.