A Summary of Benefits and Coverage (SBC) explains things like what a health insurance plan covers, what it doesn’t cover, and what you share of costs will be. An SBC also shows estimated costs for sample medical events. The examples are meant to help you understand what you might pay, and compare that to other SBCs for the plans in which you are eligible to enroll in for medical coverage.
Applies to Benefits Code: 400, 403, 404, 408, A9H
In most locations, you have several national medical plans to choose from. Depending on where you live, you may be eligible for one or more regional medical plans. You can check the specific medical plans you can choose from when you enroll in your benefits using myACI Benefits Self-Service.
2024 SBCs
EPO High Performance Network Medical Plan SBC
HSA Plan SBC (single coverage)
HSA Plan SBC (family coverage)
Kaiser Permanente HDHP, CA SBC
2025 SBCs
2025 EPO Network Medical Plan SBC
2025 EPO High Performance Network Medical Plan SBC
2025 HSA Plan SBC (single coverage)
2025 HSA Plan SBC (family coverage)
2025 Kaiser Permanente HDHP, CA SBC
2025 Kaiser Permanente HMO CA SBC
2025 Kaiser Permanente HMO CO SBC
2025 Kaiser Permanente EPO OR SBC