These Summary of Benefits documents explain the extent to which covered services are available to covered persons on your policy. Your copayments, coinsurance, and/or limits for covered services are shown below and are per covered person. These summaries are not a complete explanation of these benefits. To understand them, you must also read your Premium Explanation, your policy, and any endorsements.
Important: These Summary of Benefits documents are only a guide, not an official insurance policy. If there is any difference between these documents and the information in your policy, please understand that your policy overrides these documents.
