Medical Benefits
Summaries of Benefits and Coverage (SBC)
As part of the Affordable Care Act (ACA), the Federal Government has mandated that group health plans provide plan members a Summary of Benefits and Coverage (“SBC”). These summaries include a notice of modification of plan provisions and a Uniform Glossary of health insurance terms to assist employees with understanding their benefits and coverage options.
SBC-2026-HDHP 1 – UMR
SBC-2026-HDHP 2 – UMR
Medical ID cards can be ordered online here.
Medical and Rx Plan Documents are available online in the SEBT Employee Benefits portal by clicking the Resources tab in sebt-optimalhealth.benelogic.com
The Transparency in Coverage Final Rules issued under the Affordable Care Act require the plan to provide cost-sharing disclosures consisting of in-network provider negotiated rates and historical out-of-network allowed amounts for providers in a machine-readable file format that is available to the public. This data, which is updated monthly, is available at this link: transparency-in-coverage.uhc.com