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Summary Plan Description

The Summary Plan Description covers the following:

  • Eligibility in PEBB
  • Medical Benefits
  • Dental Benefits
  • Optional Benefits
  • Required Notices

Appendix A is a matrix on midyear (qualified status) plan changes

Click here to download the Summary Plan Description. (Click the bookmarks at the left of the document to move through the document by section.)

Click here to download Appendix A.