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Benefit Booklets

View and Search Current Benefit Booklets

Here you can find the details regarding your plan coverage. Please choose the plan you are interested in from the options below. After clicking on a link, use your browser's FIND menu item to search for specific words within the booklet.

Medical Summary of Benefits and Coverage (SBC) 
Medical Summary Plan Descriptions (SPD) 
EPO3 Medical Benefit PlanEPO4 Medical Benefit PlanEPO5 Medical Benefit PlanEPO6 Medical Benefit PlanEPO Select Medical Benefit PlanEPO COVID-19 Testing Plan Amendment

 

PPO2 Medical Benefit PlanPPO3 Medical Benefit PlanPPO4 Medical Benefit PlanPPO5 Medical Benefit PlanPPO6 Medical Benefit PlanPPO7 Medical Benefit PlanPPO8 Medical Benefit PlanPPO Select Medical Benefit PlanPPO COVID-19 Testing Plan Amendment

 

HDHP2 Single Medical Benefit PlanHDHP2 Family Medical Benefit PlanHDHP25 Single Medical Benefit PlanHDHP25 Family Medical Benefit PlanHD2800 Single Medical Benefit PlanHD2800 Family Medical Benefit PlanHDHP3 Single Medical Benefit PlanHDHP3 Family Medical Benefit PlanHD3500 Medical Benefit Plan HDHP4 Medical Benefit PlanHDHP5 Medical Benefit Plan

 

UHC Surest 5 Medical Benefit Plan UHC Surest 5 Amendment (Survivorship Benefit)UHC Surest 7 Medical Benefit PlanUHC Surest 7 Amendment (Survivorship Benefit)

 

CEBT Employee Assistance Program (EAP)SurgeryPlus Benefit PlanSurgeryPlus Plan Amendment (PPO)SurgeryPlus Plan Amendment (EPO)

 

KP-HMO 20 Medical Benefit PlanKP-HMO 40 Medical Benefit PlanKP-HMO 45 Medical Benefit PlanKP-DHMO 750 Medical Benefit PlanKP-DHMO 1000 Medical Benefit PlanKP-DHMO 1500 Medical Benefit PlanKP-DHMO 2500 Medical Benefit PlanKP-HDHP 1600 Medical Benefit PlanKP-HDHP 2500 Medical Benefit Plan
Dental Plan Documents 
Vision Plan Documents 
Prescription Information: CVS/Caremark & Kaiser Permanente 
CVS/Caremark Specialty MedicationsCommonly Prescribed Medications

Please note this drug list represents a summary of prescription coverage and is not an all-inclusive list to drugs covered by CEBT. Please contact CEBT customer service to confirm coverage.

For a list of covered drugs under your Kaiser plan, please access the Drug Formulary (Covered Drugs) on the kp.org website. Once you are directed to the page, click the Large Employer Group (50+ Employees) to access the drug lists.

Preventative Services Information 
The Standard Life Coverage Plan Documents 
The Standard Disability Plan Documents 
Hospital Reimbursement Plan (HRP)