TriNet HR IV, LLC COBRA Open Enrollment

Carrier Documents Effective October 1, 2019 – September 30, 2020

Carrier Documents Effective October 1, 2018 – September 30, 2019 available here.

Kaiser

For the plan year 10/1/2019 - 9/30/2020

For Residents of Northern California

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

For Residents of Southern California

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

UHC Medical

For the plan year 10/1/2019 - 9/30/2020

  • Basic ( Summary | Certificate Pending )
  • Basic EPO ( Summary | Certificate Pending )
  • Basic HDHP ( Summary | Certificate Pending )
  • Basic Plus ( Summary | Certificate Pending )
  • Choice EPO 0 ( Summary | Certificate Pending )
  • Choice EPO 500 ( Summary | Certificate Pending )
  • Choice Plus 0/20 ( Summary | Certificate Pending )
  • Choice Plus 0/25 ( Summary | Certificate Pending )
  • Choice Plus 1000/80 ( Summary | Certificate Pending )
  • Choice Plus 3000/80 ( Summary | Certificate Pending )
  • Choice Plus 500/90 ( Summary | Certificate Pending )
  • Enhanced ( Summary | Certificate Pending )
  • Essential ( Summary | Certificate Pending )
  • HDHP 2000 ( Summary | Certificate Pending )
  • HDHP 5500 ( Summary | Certificate Pending )
  • Premium ( Summary | Certificate Pending )
  • Standard ( Summary | Certificate Pending )
  • Standard EPO ( Summary | Certificate Pending )
  • Standard HDHP ( Summary | Certificate
    Pending )

Hawaii

  • Hawaii 100/90 ( Summary | Certificate Pending )
  • Hawaii PPO ( Summary | Certificate Pending )

Nevada

  • Nevada ( Summary | Certificate Pending )
  • Nevada 0/25 ( Summary | Certificate Pending )
  • Nevada HDHP ( Summary | Certificate Pending )

Puerto Rico

  • Puerto Rico ( Summary | Certificate Pending )
  • Puerto Rico 500/80 ( Summary | Certificate Pending )

MetLife Dental

For the plan year 10/1/2019 - 9/30/2020

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

For Residents of Nevada

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

For Residents of Virginia

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

Delta Dental

For the plan year 10/1/2019 - 9/30/2020

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

For Residents of Nevada

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

For Residents of Virginia

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

Aetna Vision

For the plan year 10/1/2019 - 9/30/2020

  • Aetna EyeMed ( Summary | Certificate Pending )
  • Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Aetna EyeMed Premium ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Premium ( Summary | Certificate Pending )

For Residents of Nevada

  • Aetna EyeMed ( Summary | Certificate Pending )
  • Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Aetna EyeMed Premium ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Premium ( Summary | Certificate Pending )

For Residents of Virginia

  • Aetna EyeMed ( Summary | Certificate Pending )
  • Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Aetna EyeMed Premium ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Plus ( Summary | Certificate Pending )
  • Voluntary Aetna EyeMed Premium ( Summary | Certificate Pending )

VSP Vision

For the plan year 10/1/2019 - 9/30/2020

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

For Residents of Nevada

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

For Residents of Virginia

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

Claim Forms

For the plan year 10/1/2019 - 9/30/2020