Benefits Summary

Emails

2015 Summary of Benefits

SOB PLAN A EFF 09-01-15 FINAL no sig page
SOB PLAN B EFF 09-01-15 FINAL no sig page
SOB PLAN C EFF 09-01-15 FINAL no sig page
SOB PLAN E-OPTION 1 EFF 09-01-15 FINAL no sig page (2)
SOB PLAN HDHP EFF 09-01-15 revised 01-06-16 (2)

Sent 8-8-16

Traditional Plans
SOB PLAN A EFF 09-01-16
SOB PLAN B EFF 09-01-16
SOB PLAN C EFF 09-01-16
SOB PLAN E1 EFF 09-01-16
SOB PLAN HDHP EFF 09-01-16

Mark to Market Plans
SOB PLAN A1 EFF 09-01-16 FINAL
SOB PLAN B1 EFF 09-01-16 FINAL
SOB PLAN C1 EFF 09-01-16 FINAL
SOB PLAN D1 09-01-16 FINAL
SOB PLAN E1M 09-01-16 FINAL
SOB PLAN AB1 09-01-16 FINAL

Sent 2-3-14

Plan Document for Plans A, B, C, and E coming soon Request your copies now
Supply Request Form 02-03-14

Sent 12-19-12

BRONZE PLAN CHANGES EFFECTIVE JANUARY 1 2013
BRONZE 1-1-13 SCHEDULE OF BENEFITS

Sent 9-27-11

Egyptian Trust – Plan Documents September 1 2011

Sent 5-27-11

Egyptian Trust Summer Newsletter 2011

Summer 2011 Newsletter
PGSB 09-01-11
PGS 09-01-11
PG 09-01-11
GS 09-01-11
SB 09-01-11
P 09-01-11
G 09-01-11
S 09-01-11
B 09-01-11

Sent 5-6-11

Egyptian Trust Approved Changes
2011 Board of Manager’s ACTIONS May 4 2011
2011 Executive Committee Membership approved 5-4-2011

Sent 11-30-10

Egyptian-UPDATED SUMMARY OF BENEFITS including Prescription Drug Changes Effective January 1, 2011

SOB Platinum Plan Effective 1-1-11 with rx changes 11-30-10
SOB Gold Plan Effective 1-1-11 with rx changes 11-30-10
SOB Silver Plan Effective 1-1-11 with rx changes 11-30-10
SOB Bronze Plan Effective 1-1-11 with rx changes 11-30-10

Sent 11-9-10

Egyptian Trust – Prescription Drug Program Changes Effective January 1 2011

2010 PBM changes approved 11-8-2010 final
2010 ESI Maintenance Medication List_20100806
2010 MDN Participating Providers as of 10-18-10
Egyptian Communication Guide Updated 11-10

Sent 6-22-10

Egyptian Trust � Schedule of Benefits Effective September 1, 2010 and January 1, 2011

BRONZE PLAN EFF 9-1-10BRONZE PLAN EFF 1-1-11GOLD PLAN EFF 9-1-10GOLD PLAN EFF 1-1-11PLATINUM PLAN EFF 9-1-10PLATINUM PLAN EFF 1-1-11SILVER PLAN EFF 9-1-10SILVER PLAN EFF 1-1-11