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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Hiltz Propane Systems.​
Summary of Benefits & Coverage - PPO Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_e42437dda5a940eca755b8d52adfc912.pdf)
Summary of Benefits & Coverage - QDHDP Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5e2325752c3a44da803b0172678b65e5.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)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5547cbbca4d646b19e295ccbd6956d40.pdf)
Summary Plan Description coming soon
Dental Plan Summary Booklet (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_dca522434463483b9bf5376cadcba1b8.pdf)
Vision Plan Summary (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5dc8196529614fd9a0731f79c69e15bd.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Basic Life overview (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c7f917748d284aa1941bea8361ce2b95.pdf)
AD&D Overview (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4d6c13b1365b436d873fc0b92ce4f4d0.pdf)
Short-Term Disability Overview (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_589ab620518a45f88c02999f5ee2cee6.pdf)
Long-Term Disability Overview (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_38078711f81245f39722e6285c7915b6.pdf)
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