Central PA Teamsters

Summary of Benefits and Coverage (SBC)

The Affordable Care Act requires that health plans like the Fund provide an SBC at important points in the enrollment process. The purpose of the SBC is: (1) to summarize the Fund's benefits and coverage; and (2) to summarize the Fund's benefits in a standard format that allows an "apples-to-apples" comparison. The Fund, like all health plans, must use the same standard SBC form to help you compare health plans.

Additional information is contained in the "Letter Accompanying Summary of Benefits and Coverage" below.

If you aren't clear about any of the underlined terms used in the SBC, click here to see the Glossary. 



2017 SBC's


Plan 13 SBC

Plan 13Y SBC

Plans 14-1; 14-15; 14-19; 14-26; 14-30, 14-34,14-P
Core Medical (A) plus Mental/Substance; Dental (A); Prescription (A); Vision/Hearing

Plans 14-2; 14-20; 14-23
Core Medical (A) plus Mental/Substance; Prescription (A); Vision/Hearing

Plan 14-3
Core Medical (A) plus Prescription (A); Vision/Hearing

Plan 14-4
Core Medical (A) plus Mental/Substance; Prescription (B)

Plan 14-5
Core Medical (A) plus Dental (A); Prescription (A)

Plans 14-6; 14-13

Core Medical (A) Plus Prescription (A)

Plans 14-7; 14-24

Core Medical (A) plus Prescription (A); Vision/Hearing

Plans 14-8; 14-9; 14-18; 14-25
Core Medical (A) plus Mental/Substance; Prescription (A)

Plans 14-10; 14-17; 14-27
Core Medical (A) plus Mental/Substance; Dental (B); Prescription (B); Vision/Hearing

Plans 14-11; 14-16
Core Medical (A) plus Mental/Substance; Dental (B); Prescription (A); Vision/Hearing

Plan 14-12
Core Medical (A) plus Mental/Substance; Dental (C); Prescription (B); Vision/Hearing

Plan 14-14
Core Medical (A) plus Prescription (B); Vision/Hearing

Plan 14-21
Core Medical (A) plus Mental/Substance; Dental (B); Prescription (B)

Plan 14-22
Core Medical (A) plus Prescription (B); Vision/Hearing

Plan 14-28 
Core Medical (B) plus Mental/Substance (B); Dental (A); Prescription (B); Vision/Hearing

Plan 14-29

Core Medical (A) plus Mental/Substance; Dental (A);  Prescription (B); Vision/Hearing

Plan 14-31,32
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing

Plan 14-31,32,35
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing

Plan 16-1, 16-4, 16-5, R6-2
Core Medical plus Mental/Substance; Dental (A); Prescription (A);  Vision/Hearing

Plan 16-2; R6-8

Core Medical plus Prescription (A)

Plan 16-3
Core Medical plus Dental (A); Prescription (A); Vision/Hearing

Plan 16-6
Core Medical plus Mental/Substance; Prescription (B)

Plan R6-5
Core Medical plus Mental/Substance; Dental (A); Prescription (A); Vision/Hearing

Plan R6-13
Core Medical plus Prescription (A)

Plan R-7

Plan R7-65


2018 SBC's


Plan 13 SBC

Plan 13Y SBC

Plans 14-1; 14-15; 14-19; 14-26; 14-30, 14-34,14-P
Core Medical (A) plus Mental/Substance; Dental (A); Prescription (A); Vision/Hearing

Plans 14-2; 14-20; 14-23; 14-33
Core Medical (A) plus Mental/Substance; Prescription (A); Vision/Hearing

Plan 14-3
Core Medical (A) plus Prescription (A); Vision/Hearing

Plan 14-4
Core Medical (A) plus Mental/Substance; Prescription (B)

Plan 14-5
Core Medical (A) plus Dental (A); Prescription (A)

Plans 14-6; 14-13
Core Medical (A) Plus Prescription (A

Plans 14-7; 14-24
Core Medical (A) plus Prescription (A); Vision/Hearing

Plans 14-8; 14-9; 14-18; 14-25
Core Medical (A) plus Mental/Substance; Prescription (A)

Plans 14-10; 14-17; 14-27
Core Medical (A) plus Mental/Substance; Dental (B); Prescription (B); Vision/Hearing

Plans 14-11; 14-16
Core Medical (A) plus Mental/Substance; Dental (B); Prescription (A); Vision/Hearing

Plan 14-12
Core Medical (A) plus Mental/Substance; Dental (C); Prescription (B); Vision/Hearing

Plan 14-14
Core Medical (A) plus Prescription (B); Vision/Hearing

Plan 14-21

Core Medical (A) plus Mental/Substance; Dental (B); Prescription (B)

Plan 14-22
Core Medical (A) plus Prescription (B); Vision/Hearing

Plan 14-28 
Core Medical (B) plus Mental/Substance (B); Dental (A); Prescription (B); Vision/Hearing

Plan 14-29                                                                                                                                                                  Core Medical (A) plus Mental/Substance; Dental (A); Prescription (B); Vision/Hearing

Plan 14-31; 14-35
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing

Plan 14-32
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing

Plan 16-1; 16-4; 16-5; R6-1; R6-2
Core Medical plus Mental/Substance; Dental (A); Prescription (A);  Vision/Hearing

Plan 16-2; R6-8
Core Medical plus Prescription (A)

Plan 16-3
Core Medical plus Dental (A); Prescription (A); Vision/Hearing

Plan 16-6
Core Medical plus Mental/Substance; Prescription (B)

Plan R6-5
Core Medical plus Mental/Substance; Dental (A); Prescription (A); Vision/Hearing

Plan R6-13
Core Medical plus Prescription (A)

Plan R-7

Plan R7-65

Central Pennsylvania Teamsters Pension Fund
P.O. Box 15223
Reading, PA 19612-5223
Toll Free in PA:
1-800-343-0136
Toll Free in USA:
1-800-331-0420

 

Central Pennsylvania Teamsters Health & Welfare Fund
P.O. Box 15224
Reading, PA 19612-5224
Toll Free in PA:
1-800-422-8330
Toll Free in USA:
1-800-331-0420

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