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Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services State of Connecticut Partnership PlanCoverage Period: 07/01/2017 06/30/2018 Coverage for: Individual/Family
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Form SBC shows you a summary of the benefits and coverage provided by your health insurance plan.
Health insurance companies and group health plans are required to provide the Form SBC to individuals who are eligible to enroll in the plan.
To fill out Form SBC, you need to provide information about the coverage offered by the health insurance plan, including details about costs, coverage limits, and other important information.
The purpose of Form SBC is to help individuals understand their health insurance coverage options and make informed decisions about which plan is best for their needs.
Form SBC must include information about the cost of the plan, coverage details, limitations and exceptions, and information about how to file a complaint or appeal.
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