Plan Summaries

Medical & RX

• Summary of Benefits and Coverage (SBC)

  • VBA PPO 20 SBC 2018 v2 (1051 KB)

  • VBA PPO 25 SBC 2018 v2 (1048 KB)

  • VBA HK HMO 25 SBC 2018 v.5 (1145 KB)

  • VBA PPO HRA SBC 2018 v2 (1052 KB)

  • VBA PPO $2000 SBC 2018 v3 (1051 KB)

  • VBA HMO $3000 SBC 2018 v2 (1051 KB)

  • VBA PPO $3000 SBC 2018 v2 (1051 KB)

  • VBA PPO $4000 SBC 2018 v3 (1051 KB)

  • Preventive Plus eff 1-18 (418 KB)

• Booklets
  • No media download found.

  • KC25/50/500 Booklet (1047 KB)

  • HMO HK 25 OA Booklet (1133 KB)

  • HRA 1500 Booklet (1064 KB)

  • HSA 1500 90% Booklet (1068 KB)

  • HSA HMO 2600 OA Booklet (1124 KB)

  • HSA 3000 100% Booklet (1060 KB)

  • HSA 4000 70% Booklet (1068 KB)

  • Blue View Vision HK Booklet (396 KB)

  • Blue View Vision PPO Booklet (394 KB)

• HK HMO Directories

  • HealthKeepers Central Directory (2119 KB)

  • HealthKeepers Eastern Directory (2004 KB)

  • Health Keepers Northern Directory (3323 KB)

  • HealthKeepers Western Directory (2132 KB)

                 

   

Dental

• Summaries

  • VBA Benefits Corp-Basic 2018 (472 KB)

  • VBA Benefits Corp-Indemnity 2018 (481 KB)

  • VBA Benefits Corp-Comprehensive 2018 (481 KB)

• Booklets

  • Basic Booklet (301 KB)

  • Comprehensive Booklet (315 KB)

  • Enhanced Indemnity Booklet (309 KB)

• VBA 2014 Dental Plan Comparisons (27 KB)

• Dental Plan Frequently Asked Questions (FAQ) (45 KB)

Vision  

• Summaries

  • VBA Basic Plan MBS 2017 (594 KB)

  • VBA Enhanced Plan MBS 2017 (700 KB)

• VBA Benefits Corporation Evidence of Coverage 1-1-2017 (128 KB)

Life Insurance           

• Life Summary Booklet (867 KB)

Disability

• 2017 LTD Booklet (938 KB)

• 2017 STD Booklet (926 KB)

• ERISA Summary Plan Description Update 4-1-18 (113 KB)

• MyLiberty Assist EAP Program (182 KB)

• MLA EAP COBRA Instructions (55 KB)

Voluntary Benefits

• Accident Brochure (1618 KB)

• VBA Accident Rates (199 KB)

• Critical Illness Brochure (1083 KB)

• VBA Critical Illness Rates (223 KB)

• Hospital Indemnity Brochure (767 KB)

• VBA Hospital Indemity Rates (275 KB)