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Coverage Certificates & Documentation

Click the links below to view or download the listed PDFs.

2020 POS Plan Summary of Benefits

2020 High Option PPO Plan Summary of Benefits 

2020 Low Option PPO Plan Summary of Benefits

2020 HDHP HSA Plan Summary of Benefits

Prime 2020 Health Plan Notice Packet

CHIP Model Notice 10-8-19

2018 Summary Annual Report

2017 Prime SAR

2019 CMS Notice

763502 – High Plan – FINAL

763502 – Low Plan – FINAL

87F4GLUG Class 1

87F4GLUG Class 2

CHIP Notice

Evidence_Certificate_of_Coverage_January_1_2016

High PPO_2018 Draft V2

HSA Plan_2018 Draft V2

Low PPO_2018 Draft V2

POS Plan_2018 V2

Prime 2018 Health Plan Notice Packet

Wrap Doc + Amendments

Prime 2018 Company Drivers New Hire Guide

Prime 2018 In-House Associates New Hire Guide

2018 Open Enrollment Driver Guide

2018 Open Enrollment In-House Associate Guide

2019 Low Option PPO_

Final Employer Guide to SBC_12132017

Prime Inc – HSA Plan_Final

Prime Inc. – High Option PPO_Final

Prime Inc. – POS Plan_Final

High Plan 2019 Final Dental Certificate

Low Plan 2019 Final Dental Certificate

Marketplace Notice Prime Inc

Prime 2019 Health Plan Notice Packet

 

 

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