TriNet HR IV, LLC COBRA Open Enrollment

Carrier Documents Effective October 1, 2018 – September 30, 2019

Carrier Documents Effective October 1, 2019 – September 30, 2020 available here.

Kaiser

For the plan year 10/1/2018 - 9/30/2019

For Residents of Northern California Only

  • Kaiser Deductible HMO 1000 ( Summary | Certificate Pending )
  • Kaiser HMO 20 ( Summary | Certificate Pending )
  • Kaiser HMO 30 ( Summary | Certificate Pending )

For Residents of Southern California Only

  • Kaiser Deductible HMO 1000 ( Summary | Certificate Pending )
  • Kaiser HMO 20 ( Summary | Certificate Pending )
  • Kaiser HMO 30 ( Summary | Certificate Pending )

MetLife Dental

For the plan year 10/1/2018 - 9/30/2019

  • Standard Dental Plan ( Summary | Certificate Pending )
  • Enhanced Dental Plan ( Summary | Certificate Pending )
  • Premium Dental Plan ( Summary | Certificate Pending )
  • Voluntary Dental Plan ( Summary | Certificate Pending )

Delta Dental

For the plan year 10/1/2018 - 9/30/2019

  • Standard Dental Plan ( Summary | Certificate Pending )
  • Enhanced Dental Plan ( Summary | Certificate Pending )
  • Premium Dental Plan ( Summary | Certificate Pending )
  • Voluntary Dental Plan ( Summary | Certificate Pending )

Nevada

  • Standard Dental Plan for Residents of NV ( Summary | Certificate Pending )
  • Enhanced Dental Plan for Residents of NV ( Summary | Certificate Pending )
  • Premium Dental Plan for Residents of NV ( Summary | Certificate Pending )
  • Voluntary Dental Plan for Residents of NV ( Summary | Certificate Pending )

Virginia

  • Standard Dental Plan for Residents of VA ( Summary | Certificate Pending )
  • Enhanced Dental Plan for Residents of VA ( Summary | Certificate Pending )
  • Premium Dental Plan for Residents of VA ( Summary | Certificate Pending )
  • Voluntary Dental Plan for Residents of VA ( Summary | Certificate Pending )

UHC Medical

For the plan year 10/1/2018 - 9/30/2019

  • Basic ( Summary | Certificate Pending )
  • Basic EPO ( Summary | Certificate Pending )
  • Basic Plus ( Summary | Certificate Pending )
  • Basic HDHP ( Summary | Certificate Pending )
  • Enhanced ( Summary | Certificate Pending )
  • Essential ( Summary | Certificate Pending )
  • Premium ( Summary | Certificate Pending )
  • Standard ( Summary | Certificate Pending )
  • Standard EPO ( Summary | Certificate Pending )
  • Standard HDHP ( Summary | Certificate Pending )
  • HDHP 5500 ( Summary | Certificate Pending )
  • ChoicePlus 500 ( Summary | Certificate Pending )
  • ChoicePlus 1000 ( Summary | Certificate Pending )
  • ChoicePlus 2500 ( Summary | Certificate Pending )

Hawaii

  • HI PPO ( Summary | Certificate Pending )
  • B HI PPO ( Summary | Certificate Pending )

Nevada

  • NV Standard ( Summary | Certificate Pending )
  • B Nevada Standard ( Summary | Certificate Pending )

Puerto Rico

  • Puerto Rico ( Summary | Certificate Pending )
  • B Puerto Rico ( Summary | Certificate Pending )

Aetna Vision

For the plan year 10/1/2018 - 9/30/2019

  • Aetna Vision Plan ( Summary | Certificate Pending )
  • Aetna Vision Voluntary Plan ( Summary | Certificate Pending )
  • Aetna Vision Plus Plan ( Summary | Certificate Pending )
  • Aetna Vision Voluntary Plus Plan ( Summary | Certificate Pending )
  • Aetna Vision Premier Plan ( Summary | Certificate Pending )
  • Aetna Vision Voluntary Premier Plan ( Summary | Certificate Pending )

Nevada

  • Aetna Vision Plan for Residents of NV ( Summary | Certificate Pending )
  • Aetna Vision Voluntary Plan for Residents of NV ( Summary | Certificate Pending )
  • Aetna Vision Plus Plan for Residents of NV ( Summary | Certificate Pending )
  • Aetna Vision Plus Voluntary Plan for Residents of NV ( Summary | Certificate Pending )
  • Aetna Vision Premier Plan for Residents of NV ( Summary | Certificate Pending )
  • Aetna Vision Premier Voluntary Plan for Residents of NV ( Summary | Certificate Pending )

Virginia

  • Aetna Vision Plan for Residents of VA ( Summary | Certificate Pending )
  • Aetna Vision Voluntary Plan for Residents of VA ( Summary | Certificate Pending )
  • Aetna Vision Plus Plan for Residents of VA ( Summary | Certificate Pending )
  • Aetna Vision Plus Voluntary Plan for Residents of VA ( Summary | Certificate Pending )
  • Aetna Vision Premier Plan for Residents of VA ( Summary | Certificate Pending )
  • Aetna Vision Premier Voluntary Plan for Residents of VA ( Summary | Certificate Pending )

VSP Vision

For the plan year 10/1/2018 - 9/30/2019

  • VSP Vision Plan ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plan ( Summary | Certificate Pending )
  • VSP Vision Plus Plan ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plus Plan ( Summary | Certificate Pending )
  • VSP Vision Premier Plan ( Summary | Certificate Pending )
  • VSP Voluntary Vision Premier Plan ( Summary | Certificate Pending )

Nevada

  • VSP Vision Plan for Residents of Nevada ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plan For Residents of Nevada ( Summary | Certificate Pending )
  • VSP Vision Plus Plan For Residents of Nevada ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plus Plan For Residents of Nevada ( Summary | Certificate Pending )
  • VSP Vision Premier Plan For Residents of Nevada ( Summary | Certificate Pending )
  • VSP Voluntary Vision Premier Plan For Residents of Nevada ( Summary | Certificate Pending )

Virginia

  • VSP Vision Plan For Residents of Virginia ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plan For Residents of Virginia ( Summary | Certificate Pending )
  • VSP Vision Plus Plan For Residents of Virginia ( Summary | Certificate Pending )
  • VSP Voluntary Vision Plus Plan For Residents of Virginia ( Summary | Certificate Pending )
  • VSP Vision Premier Plan For Residents of Virginia ( Summary | Certificate Pending )
  • VSP Voluntary Vision Premier Plan For Residents of Virginia ( Summary | Certificate Pending )

Claim Forms

For the plan year 10/1/2018 - 9/30/2019