Benefit Booklets
View and Search Current Benefit Booklets
Here you can find the details regarding your plan coverage. Please choose the plan you are interested in from the options below. After clicking on a link, use your browser's FIND menu item to search for specific words within the booklet.
1/1/2024 - Current
UMR SBCs
EPO3EPO4EPO5EPO6EPO SelectPPO 2PPO 3PPO 4PPO 5PPO 6PPO 7PPO 8PPO SelectHDHP 2HDHP25HD2800HDHP3HD3500HDHP4HDHP5
UHC Surest SBCs
Surest 7Surest 5
Kaiser SBCs
KP-HMO 5KP-HMO 10KP-HMO 15KP-HMO 20KP-HMO 40KP-HMO 45KP-HMO 50KP-DHMO 750KP-DHMO 1000KP-DHMO 1500KP-DHMO 2500KP-HDHP 1600KP-HDHP 2500PPO2 Medical Benefit PlanPPO3 Medical Benefit PlanPPO4 Medical Benefit PlanPPO5 Medical Benefit PlanPPO6 Medical Benefit PlanPPO7 Medical Benefit PlanPPO8 Medical Benefit PlanPPO Select Medical Benefit PlanPPO COVID-19 Testing Plan Amendment
HDHP2 Single Medical Benefit PlanHDHP2 Family Medical Benefit PlanHDHP25 Single Medical Benefit PlanHDHP25 Family Medical Benefit PlanHD2800 Single Medical Benefit PlanHD2800 Family Medical Benefit PlanHDHP3 Single Medical Benefit PlanHDHP3 Family Medical Benefit PlanHD3500 Medical Benefit Plan HDHP4 Medical Benefit PlanHDHP5 Medical Benefit Plan
UHC Surest 5 Medical Benefit Plan UHC Surest 7 Medical Benefit Plan
CEBT Employee Assistance Program (EAP)SurgeryPlus Benefit PlanSurgeryPlus Plan Amendment (PPO)SurgeryPlus Plan Amendment (EPO)
KP-HMO 40 Medical Benefit PlanKP-HMO 45 Medical Benefit PlanKP-DHMO 750 Medical Benefit PlanKP-DHMO 1000 Medical Benefit PlanKP-DHMO 1500 Medical Benefit PlanKP-DHMO 2500 Medical Benefit PlanKP-HDHP 1500 Medical Benefit PlanKP-HDHP 2500 Medical Benefit Plan
Please note this drug list represents a summary of prescription coverage and is not an all-inclusive list to drugs covered by CEBT. Please contact CEBT customer service to confirm coverage.
For a list of covered drugs under your Kaiser plan, please access the Drug Formulary (Covered Drugs) on the kp.org website. Once you are directed to the page, click the Large Employer Group (50+ Employees) to access the drug lists.
Special District Association
SDA LTD1 Certificate (90 Day Waiting Period)SDA LTD1 Benefit Summary (90 Day Waiting Period)SDA LTD2 Certificate (180 Day Waiting Period)SDA LTD2 Benefit Summary (180 Day Waiting Period)SDA STD Certificate (All Other Classes)SDA STD Certificate (Firefighter, EMT & Paramedic Class) SDA STD Benefit Summary (180 Day Waiting Period)Small Group
Small Group LTD CertificateSmall Group LTD1 Benefit Summary (90 Day Waiting Period)Small Group LTD2 Benefit Summary (180 Day Waiting Period)Small Group STD CertificateSmall Group STD1 Benefit Summary (90 Day Waiting Period)Small Group STD2 Benefit Summary (180 Day Waiting Period)