ACA SUMMARIES OF BENEFITS & COVERAGE (SBC) / BENEFITS AT A GLANCE (BAAG)
Blue Cross Community Blue PPO Plans |
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Active Employees of Legislative Branch Exempt (including Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
Pre-Medicare Retirees of Legislative Branch Exempt (including Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC
| BAAG |
Medicare-Eligible Retirees of POAM, Legislative Branch Exempt (including Elected Officials & Judges), 3rd Circuit GAA, JAA | Not Required | BAAG |
Blue Cross Simply Blue High Deductible Health Plans (HDHP) PPO |
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Active Employee of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
All Other Benefit-Eligible Active Employees | SBC | BAAG |
Pre-Medicare Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
Medicare-Eligible Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | Not Required | BAAG |
All Other Pre-Medicare-Eligible Retirees (EXCLUDES retirees eligible under Retiree Stipend Program) | SBC | BAAG |
All Other Medicare-Eligible Retirees (EXCLUDES retirees eligible under Retiree Stipend Program) | Not Required | BAAG |
Blue Care Network (BCN) Full Provider Network HMO Plans |
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Active Employees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
All Other Benefit-Eligible Active Employees | SBC | BAAG |
Pre-Medicare Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
Medicare-Eligible Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | Not Required | BAAG |
All Other Pre-Medicare Benefit-Eligible Retirees (EXCLUDES retirees eligible under Retiree Stipend Program) | SBC | BAAG |
All Other Medicare-Eligible Retirees (EXCLUDES retirees eligible under Retiree Stipend Program) | Not Required | BAAG |
Blue Care Network (BCN) PCP Focus HMO Plans+ |
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All Active Employees EXCLUDING Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA Employees | SBC | BAAG |
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Pre-Medicare Benefit-Eligible Retirees EXCLUDING Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA, and retirees eligible under Retiree Stipend Program) | SBC | BAAG |
Medicare-Eligible Retirees EXCLUDING Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA, and retirees eligible under Retiree Stipend Program | Not Required | BAAG |
Blue Care Network (BCN) PCP Focus Copay HMO Plans |
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Active Employees EXCLUDING Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | SBC | BAAG |
All Other Benefit-Eligible Active Employees | SBC | BAAG |
Pre-Medicare Benefit-Eligible Retirees EXCLUDING Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA and retirees eligible under Retiree Stipend Program) | SBC | BAAG |
Medicare-Eligible Retirees EXCLUDING Retirees of Legislative Branch Exempt (INCLUDING Elected Officials & Judges), 3rd Circuit GAA, JAA | Not Required | BAAG |
ACA Minimum Value Plan-Blue Cross Simply Blue HDHP |
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Plan for Employees Working 30 or More Hours Per Week on Average | SBC | BAAG |
DENCAP Dental Plans |
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DENCAP Dental Radiant DHMO Plan (Active Employees Only) | BAAG / Fee Schedule |
DENCAP Dental Smile Guard DHMO Plan (Active Employees Only) | BAAG / Fee Schedule |
DENCAP Dental DHMO Voluntary Retiree Dental Plan | BAAG / Fee Schedule |
DENCAP Dental Retiree Advantage Plan (Retirees Only) | BAAG / Fee Schedule |
Wayne County Optical Plan |
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Wayne County Optical Reimbursement Program | Program Summary |
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