Plan Documents and Legal Notices
Plan Information
Plan Name: XXXX
Policy Number: #XXXX
Effective Date: XX/XX/XXXX
Network: XXXX
Medical Documents
2025 PIH Health Plan Summary of Benefits & Coverage
2025 PIH Health CDHP Summary of Benefits & Coverage
2025 PIH Health EPO Summary of Benefits & Coverage
Luminare Health – Access Your ID Online Flyer
Luminare Health Registering with myLuminareHealth Flyer
Understanding Your PIH Health Plan Flyer
Dental Documents
Vision Documents
HSA, FSA and Commuter Documents
WEX Health Savings Account Contribution Limits and Regulations Flyer
WEX Flexible Spending Account Contribution Limits and Regulations Flyer
WEX Medical and Dependent Care Flexible Spending Account Flyer
WEX – FSA Claim Reimbursement Form
WEX – Recurring Dependent Care FSA Reimbursement Request Form
Plan Information
Plan Name: XXXX
Policy Number: #XXXX
Effective Date: XX/XX/XXXX
Network: XXXX
Income Protection Documents
Retirement Documents
Mental Health Documents
Additional Benefit Documents
Compliance Notices
Required Notices
Plan Information
Plan Name: XXXX
Policy Number: #XXXX
Effective Date: XX/XX/XXXX
Network: XXXX
Medical Documents
Dental Documents
Vision Documents
HSA, FSA and Commuter Documents
Supplemental Medical Documents
Income Protection Documents
Retirement Documents
Year Carrier Plan Type Document Type
Mental Health Documents
Additional Benefit Documents
Compliance Notices
Required Notices