Documents

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Documents Library

Listed below is a list of important documents relating to all of the benefit plans offered through the UC Postdoctoral Scholar Benefit Plan. To view the documents, please click on each link:

Medical Insurance Plans

Vision Insurance Plan

Dental Insurance Plans

HMO SUMMARY OF BENEFITS

HN OF CA PROVIDER SEARCH 

HMO EVIDENCE OF COVERAGE 

PPO SUMMARY OF BENEFITS

PPO CA EVIDENCE OF INSURANCE 

PPO OOS EVIDENCE  OF INS 

PPO OOS FHN FAQ/FIND PROVIDER 

TRANSGENDER HEALTH BEN

FIND A PROVIDER 

BENEFIT SUMMARY

CERTIFICATE OF INSURANCE

OUT-OF-NETWORK CLAIM FORM 

FIND A PROVIDER 

 

DHMO BENEFIT SUMMARY 

DHMO CERTIFICATE OF INSURANCE 

DHMO COST CALCULATOR 

DPOS SUMMARY OF BENEFITS 

POS DENT OON EXAMPLE 

DPOS BENEFIT BOOKLET 

DPOS BENEFIT POLICY 

DPOS PERIODONTAL VOUCHER 

DPOS DENTAL VOUCHER FLYER 

FIND A PROVIDER 

Life/AD&D Insurance Plan

Travel Assist

Prescriptions

BENEFIT SUMMARY 

CERT AND SUMMARY PLAN DESC 

LIFE BENEFICIARY FORM 

MEDICAL STATEMENT FORM 

BASIC TRAVEL ASSISTANCE EMPLOYEE FLYER 

BASIC TRAVEL ASSISTANCE PROGRAM DESCRIPTION 

EXTENDED TRAVEL ASSISTANCE EMPLOYEE FLYER 

EXTENDED TRAVEL ASSISTANCE PROGRAM DESCRIPTION 

EXTENDED TRAVEL ASSIST WALLET CARD 

TRAVEL ASSISTANCE MOBILE APP 

ASSIST AMERICA SERVICES INTRODUCTION 

HMO PHARMACY BENEFITS 

HMO RX BENEFITS & MAIL ORDER 

PPO PHARMACY BENEFITS 

MAIL ORDER RX MAINT CHOICE 

UNDERSTANDING RX BENEFITS 

Additional Services Available

Short Term Disability

Long Term Disability

YOUR BEHAVIORAL HEALTH BENEFITS

BEHAVIORAL HEALTH PROVIDERS HMO

BEHAVIORAL HEALTH PROVIDERS PPO

HMO CHIROPRACTIC BENEFIT 

HEALTH & WELLNESS 

HEALTHY DISCOUNTS 

HEALTHY DISCOUNTS (SPANISH)

PERDER PESO 

SMART START FOR PREGNANCY 

THE BEST START FOR YOUR BABY 

TEXT4BABY 

NOTIFICATION OF PREGNANCY 

AVISO DE EMBARAZO 

QUIT SMOKING 

YEARS AHEAD 

SITTERCITY AND ADULT CARE 

MINUTECLINIC GUIDE 

HEALTHNET.COM REGISTRATION 

HEALTH COACHING 

MY STRENGTH 

WELLNESS REWARDS 

PREVENTIVE SCREENING 

COVID-19 PANDEMIC RELIEF TIMELINE 

COVID-19 RELIEF FAQS 

COVID-19 FAQ 

WHERE DO I ACCESS CARE?

FLEXIBLE SPENDING ACCOUNT

Health Care Flexible Spending Account Summary

Dependent Care Flexible Spending Account Summary

BENEFITS SUMMARY 

CERTIFICATE OF INSURANCE

CLAIM FORM 

MEDICAL HISTORY STATEMENT (EOI) Form

EFT Form

BENEFITS SUMMARY 

CERTIFICATE OF INSURANCE 

EMPLOYEE ASSISTANCE PROGRAM (EAP) 

LTD FORM