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Plan Documents
Medical Plan Documents

Detailed Plan Summaries - Remember to check with your Employer or with the Division of Pensions and Benefits which plan you are eligible to enroll in:

  • HMO $10  (PDF , 30 KB) 
  • HMO $15  (PDF , 30 KB) 
  • (NEW!) Aetna 1525   (PDF , 30 KB) - An HMO Plan with a $15 copay for PCP visits and a $25 copay for Specialist visits
  • (NEW!) Aetna 2030   (PDF , 33 KB) - An HMO Plan with a $20 copay for PCP visits and a $30 copay for Specialist visits
  • (NEW!) HD 1500   (PDF , 29 KB) - A high deductible health plan which includes a $1500 deductible
  • (NEW!) HD 4000   (PDF , 29 KB) - A high deductible health plan which includes a $4000 deductible

You can access the Aetna Member Handbook for additional plan details and benefit coverage by clicking the link below. This will take you directly to the most up to date Handbook on the Division of Pensions and Benefits website.

> Aetna Member Handbook PDF (PDF , 351 KB)



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