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Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services : Douglas County School District DHP 3000 EMB 20%Coverage Period: 07/01/2021 06/30/2022 Coverage for: Individual
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Gather all relevant information about the project or business that the SBC template is being used for.
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The SBC template standard format is a standardized template used for reporting on self-insured health plans.
Employers with self-insured health plans are required to file the SBC template standard format.
The SBC template standard format can be filled out by entering the required information in each section of the template.
The purpose of the SBC template standard format is to provide a clear and concise summary of the self-insured health plan to employees.
Information such as plan coverage, costs, and contact information must be reported on the SBC template standard format.
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