Medical

These documents are intended to give a brief summary of the medical and prescription benefits of the Plan.  Please reference the SPD for more detail.

As required by the Affordable Care Act (ACA).

2024-2025

ICSVEBA Self Funded Plans

• Basic Medical Plan

• Comprehensive Medical Plan

• Coordination of Benefits (COB) Medical Plan

• Bronze Plan

• RxBenefits

SIMNSA Benefits

• SIMNSA P-5-5 (English)

Employee assistance PRogram (EAP) Benefits

• Carelon EAP Behavioral Health

  • EAP Core Flyer

2023-2024

ICSVEBA Self Funded Plans

• Basic Medical Plan

• Comprehensive Medical Plan

• Coordination of Benefits (COB) Medical Plan

• Bronze Plan

• RxBenefits

SIMNSA Benefits

• SIMNSA P-5-5 (English)

Employee assistance PRogram (EAP) Benefits

• Carelon EAP Behavioral Health