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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by United Zion Retirement Community.​
HSA 4500 Plan - Medical Plan Summary of Benefits and Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_bade1912a830420e98a7da78f199170d.pdf)
PPO 3000 Plan - Medical Plan Summary of Benefits and Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_cc51e9cf4aaf4acf901458ae9fa33a6f.pdf)
Summary Plan Description(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_26fbdef3f49e47ceb7ff14367bf56a40.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, CHIP Notices, Newborns' Act Disclosure, and Privacy Practices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_e90fb33c36594579b650ad4296fdb94e.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)
Low(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5b872e42cbfa4e8b8da7626fd8438bbb.pdf)
Medium(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_03ca7deea0f24c83b5b52b3b84632077.pdf)
High(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_99c0a45da1d7420fa13e430037eb402f.pdf)
Plan M100D (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_399bba504a974b4bac2b2bbd2b8594af.pdf)
Plan M150A (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_bf3dbe565122467186d72e97b69db22a.pdf)
Other details (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_866a10cedb43468a95d2cad5d2a2d80b.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_1162d6a62006401a98715e24722007e9.pdf)to read a Privacy Notice.
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