Forms & Resources

Summary Plan Documents

Summary of Benefits and Coverage

 

2024 Plans

 

 

2023 Plans

 

Embedded Benefits

 

Virtual Care
Embedded Insurance
Other

Supplemental Insurance Benefit Highlights

Forms

 

Automatic Bank Draft Forms
Forms
Claim Forms

 


Additional Resources

Partner Resources

 

  • SCMA MIT HIPAA Notice of Privacy Practices
  • Transparency in Coverage Rule
    • This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.