Summary of Benefits and Coverage (SBC)
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.
Documents Related to Summary of Benefits and Coverage (SBC)
Our documents are in PDF. You may need to download the latest version of Adobe Reader.
2024 SBC’s
Plan 13 SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30; 14-34; 14-P; 16-1; 16-5; R6-2
Plans 14-4
Plans 14-8; 14-25
Plans 14-16
Plans 14-20
Plans 14-24
Plans 14-27
Plans 14-29
Plan 14-31
Plans 14-32
Plan 14-36
Plan R7
Plan R7-65
2023 SBC’s
Plan 13 SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30; 14-34; 14-P; 16-1; 16-5; R6-2
Plans 14-4
Plans 14-8; 14-25
Plans 14-16
Plans 14-20
Plans 14-24
Plans 14-27
Plans 14-29
Plan 14-31
Plans 14-32
Plan 14-36
Plan R7
Plan R7-65
2022 SBC’s
Plan 13, 13Y SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30; 14-34; 14-P; 16-1; 16-5; R6-2
Plans 14-2; 14-20; 14-23
Plans 14-4
Plans 14-8; 14-9; 14-13; 14-25
Plans 14-10; 14-17; 14-27
Plans 14-11; 14-16; 14-33
Plans 14-29
Plan 14-31; 14-35
Plans 14-32
Plan 14-36
Plan R7
Plan R7-65
2021 SBC’s
Plan 13 SBC
Plan 13Y SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30, 14-34,14-P
Plans 14-2; 14-20; 14-23
Plans 14-4
Plans 14-8; 14-9; 14-13; 14-25
Plans 14-10; 14-17; 14-27
Plans 14-11; 14-16
Plans 14-12
Plans 14-14
Plans 14-21
Plans 14-22
Plans 14-28
Core Medical (B) plus Mental/Substance (B); Dental (A); Prescription (B); Vision/Hearing
Plans 14-29
Plan 14-31; 14-35
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plans 14-32
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plan 14-33
Plan 14-36
Plan 16-1; 16-4; 16-5; R6-1; R6-2
Plan 16-2; R6-5; R6-13
Plan 16-6
Plan R7
Plan R7-65
2020 SBC’s
Plan 13 SBC
Plan 13Y SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30, 14-34,14-P
Plans 14-2; 14-20; 14-23
Plans 14-4
Plans 14-8; 14-9; 14-13; 14-25
Plans 14-10; 14-17; 14-27
Plans 14-11; 14-16
Plans 14-12
Plans 14-14
Plans 14-21
Plans 14-22
Plans 14-28
Core Medical (B) plus Mental/Substance (B); Dental (A); Prescription (B); Vision/Hearing
Plans 14-29
Plan 14-31; 14-35
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plans 14-32
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plan 14-33
Plan 14-36
Plan 16-1; 16-4; 16-5; R6-1; R6-2
Plan 16-2; R6-8
Plan 16-6
Plan R7
Plan R7-65
2019 SBC’s
Plan 13 SBC
Plan 13Y SBC
Plans 14-1; 14-15; 14-19; 14-26; 14-30, 14-34,14-P
Plans 14-2; 14-20; 14-23; 14-33
Plans 14-3
Plans 14-4
Plans 14-5
Plans 14-6; 14-13
Plans 14-7; 14-24
Plans 14-8; 14-9; 14-18; 14-25
Plans 14-10; 14-17; 14-27
Plans 14-11; 14-16
Plans 14-12
Plans 14-14
Plans 14-21
Plans 14-22
Plans 14-28
Core Medical (B) plus Mental/Substance (B); Dental (A); Prescription (B); Vision/Hearing
Plans 14-29
Plan 14-31; 14-35
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plans 14-32
Core Medical (C) plus Mental/Substance (C); Dental (B); Prescription (C); Vision/Hearing
Plan 14-33
Plan 16-1; 16-4; 16-5; R6-1; R6-2
Plan 16-2; R6-8
Plan 16-3
Plan 16-6
Plan R6-5
Plan R6-13
Plan R7
Plan R7-65
Questions? Contact Us!
Please note, If you are looking to apply for benefits please contact the Fund office by telephone.
In order to avoid a delay in responding to your question(s), please do not leave duplicate messages (e.g., via emails, website submissions or voicemails). We will do our best to respond to your message within 24 business hours. Thank you.
