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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Four Seasons Family of Companies.
2025 Summary of Benefits and Coverage - PPO Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_36caac9960eb4c3a9c0b74903237afdf.pdf)
2025 Summary of Benefits and Coverage - HSA Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_79d51bb7c57c42dd87dc84724319215a.pdf)
2025 Summary Plan Description - PPO Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_bc8ddf8b449f4606a9c7e68c39748070.pdf)
2025 Summary Plan Description - HSA Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_fe1f68a605654a6ca13a04546e1331c8.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_278fcfbb15574b0bb7563bd62b7ecbfe.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)
Dental Employee Booklet (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_f2f1f6f9a21b49f591bccae2e90c2e31.pdf)
Vision Coverage Sheet (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d1a7b5b26e134eaaa69bb245f2de4105.pdf)
Medicare creditable coverage disclosure notice (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
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