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2024 Summary of Benefits & Coverage (SBC) for Active Members

The Summary of Benefits & Coverage (SBC) is an easy to understand summary of your benefits and coverage under each plan option – PPO, HMO and Bronze Plan. It is meant as a summary only. For more detailed benefit information, see the PEBTF Summary Plan Description (SPD).

 Basic PPO

 Choice PPO

 PEBTF Custom HMO

 Bronze Plan  (for employees working an average of 30 hours per week)

 Glossary of Health Coverage & Medical Terms

To request a printed copy of the SBC, click here

*Adobe Acrobat Reader is required to view PDF files.