Benefit Contact Information
Higginbotham Public Sector (833) 453-1680 www.mybenefitshub.com/ cityofpleasanton
Eyetopia (800) 662-8264 www.eyetopia.org
Experian (855) 797-0052 www.experian.com
Texas Republic Life (512) 330-0099 www.texasrepubliclife.com
MASA (800) 423-3226 www.masamts.com
Clever RX (800) 974-3135 https://cleverrx.com/hpsgbc
Guardian Life Insurance www.guardianlife.com/
Chubb (888) 499-0425 mybenefitsconnect.chubb.com
Lincoln Financial Group (800) 423-2765 www.lfg.com/
Lincoln Financial Group (800) 423-2765 www.lfg.com/
Lincoln Financial Group (800) 423-2765 www.lfg.com/
Chubb (888) 499-0425 mybenefitsconnect.chubb.com
Lincoln Financial Group (800) 423-2765 www.lfg.com/
All Your BenefitsOne App
Employee benefits made easy through the Benefits App!
Get access to everything you need to complete your benefits enrollment:
• Benefit Resources
• Online Enrollment
• Interactive Tools
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• And more!
1 www.mybenefitshub.com/cityofpleasanton
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Enter your Information
• Last Name
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NOTE: THEbenefitsHUB uses this information to check behind the scenes to confirm your employment status.
Once confirmed, the Additional Security Verification page will list the contact options from your profile. Select either Text, Email, Call, or Ask Admin options to receive a code to complete the final verification step.
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Enter the code that you receive and click Verify. You can now complete your benefits enrollment!
Annual Benefit Enrollment
Annual Enrollment
During your annual enrollment period, you have the opportunity to review, change or continue benefit elections each year. Changes are not permitted during the plan year (outside of annual enrollment) unless a Section 125 qualifying event occurs.
• Changes, additions or drops may be made only during the annual enrollment period without a qualifying event.
• Employees must review their personal information and verify that dependents they wish to provide coverage for are included in the dependent profile. Additionally, you must notify your employer of any discrepancy in personal and/or benefit information.
• Employees must confirm on each benefit screen (medical, dental, vision, etc.) that each dependent to be covered is selected in order to be included in the coverage for that particular benefit.
New Hire Enrollment
All new hire enrollment elections must be completed in the online enrollment system within the first 30 days of benefit eligibility employment. Failure to complete elections during this timeframe will result in the forfeiture of coverage.
Q&A
Who do I contact with Questions?
For supplemental benefit questions, you can contact your Benefits Office or you can call Higginbotham Public Sector at (866) 914-5202 for assistance.
Where can I find forms?
For benefit summaries and claim forms, go to your benefit website: www.mybenefitshub.com/cityofpleasanton.
How can I find a Network Provider?
For benefit summaries and claim forms, go to the City of Pleasanton benefit website: www.mybenefitshub.com/ cityofpleasanton. Click on the benefit plan you need information on (i.e., Dental) and you can find provider search links under the Quick Links section.
When will I receive ID cards?
If the insurance carrier provides ID cards, you can expect to receive those 3-4 weeks after your effective date. For most dental and vision plans, you can login to the carrier website and print a temporary ID card or simply give your provider the insurance company’s phone number and they can call and verify your coverage if you do not have an ID card at that time. If you do not receive your ID card, you can call the carrier’s customer service number to request another card.
If the insurance carrier provides ID cards, but there are no changes to the plan, you typically will not receive a new ID card each year.
What is Guaranteed Coverage?
The amount of coverage you can elect without answering any medical questions or taking a health exam. Guaranteed coverage is only available during initial eligibility period. Actively-at-work and/or preexisting condition exclusion provisions do apply, as applicable by carrier.
What is a Pre-Existing Conditions?
Applies to any illness, injury or condition for which the participant has been under the care of a health care provider, taken prescriptions drugs or is under a health care provider’s orders to take drugs, or received medical care or services (including diagnostic and/or consultation services).
Annual Benefit Enrollment
Section 125 Cafeteria Plan Guidelines
A Cafeteria plan enables you to save money by using pre-tax dollars to pay for eligible group insurance premiums sponsored and offered by your employer. Enrollment is automatic unless you decline this benefit. Elections made during annual enrollment will become effective on the plan effective date and will remain in effect during the entire plan year.
CHANGES IN STATUS (CIS):
Marital Status
Change in Number of Tax Dependents
Change in Status of Employment Affecting Coverage Eligibility
Gain/Loss of Dependents’ Eligibility Status
Judgment/ Decree/Order
Eligibility for Government Programs
Changes in benefit elections can occur only if you experience a qualifying event. You must present proof of a qualifying event to your Benefits Office within 30 days of your qualifying event and meet with your Benefits Office to complete and sign the necessary paperwork in order to make a benefit election change. Benefit changes must be consistent with the qualifying event.
QUALIFYING EVENTS
A change in marital status includes marriage, death of a spouse, divorce or annulment (legal separation is not recognized in all states).
A change in number of dependents includes the following: birth, adoption and placement for adoption. You can add existing dependents not previously enrolled whenever a dependent gains eligibility as a result of a valid change in status event.
Change in employment status of the employee, or a spouse or dependent of the employee, that affects the individual’s eligibility under an employer’s plan includes commencement or termination of employment.
An event that causes an employee’s dependent to satisfy or cease to satisfy coverage requirements under an employer’s plan may include change in age, student, marital, employment or tax dependent status.
If a judgment, decree, or order from a divorce, annulment or change in legal custody requires that you provide accident or health coverage for your dependent child (including a foster child who is your dependent), you may change your election to provide coverage for the dependent child. If the order requires that another individual (including your spouse and former spouse) covers the dependent child and provides coverage under that individual’s plan, you may change your election to revoke coverage only for that dependent child and only if the other individual actually provides the coverage.
Gain or loss of Medicare/Medicaid coverage may trigger a permitted election change.
Annual Benefit Enrollment
Employee Eligibility Requirements
Medical and Supplemental Benefits: Eligible employees must work 30 or more regularly scheduled hours each work week.
Eligible employees must be actively at work on the plan effective date for new benefits to be effective, meaning you are physically capable of performing the functions of your job on the first day of work concurrent with the plan effective date. For example, if your benefits become effective on March 1st, you must be activelyat-work on March 1st to be eligible for your new benefits.
Dependent Eligibility Requirements
Dependent Eligibility: You can cover eligible dependent children under a benefit that offers dependent coverage, provided you participate in the same benefit, through the maximum age listed below. Dependents cannot be double covered by married spouses within the same employer as both employees and dependents.
Please note, limits and exclusions may apply when obtaining coverage as a married couple or when obtaining coverage for dependents.
Potential Spouse Coverage Limitations: When enrolling in coverage, please keep in mind that some benefits may not allow you to cover your spouse as a dependent if your spouse is enrolled for coverage as an employee under the same employer. Review the applicable plan documents, contact Higginbotham Public Sector, or contact the insurance carrier for additional information on spouse eligibility.
FSA/HSA Limitations: Please note, in general, per IRS regulations, married couples may not enroll in both a Flexible Spending Account (FSA) and a Health Savings Account (HSA). If your spouse is covered under an FSA that reimburses for medical expenses then you and your spouse are not HSA eligible, even if you would not use your spouse’s FSA to reimburse your expenses. However, there are some exceptions to the general limitation regarding specific types of FSAs. To obtain more information on whether you can enroll in a specific type of FSA or HSA as a married couple, please reach out to the FSA and/or HSA provider prior to enrolling or reach out to your tax advisor for further guidance.
Potential Dependent Coverage Limitations: When enrolling for dependent coverage, please keep in mind that some benefits may not allow you to cover your eligible dependents if they are enrolled for coverage as an employee under the same employer. Review the applicable plan documents, contact Higginbotham Public Sector, or contact the insurance carrier for additional information on dependent eligibility.
Disclaimer: You acknowledge that you have read the limitations and exclusions that may apply to obtaining spouse and dependent coverage, including limitations and exclusions that may apply to enrollment in Flexible Spending Accounts and Health Savings Accounts as a married couple. You, the enrollee, shall hold harmless, defend, and indemnify Higginbotham Public Sector from any and all claims, actions, suits, charges, and judgments whatsoever that arise out of the enrollee’s enrollment in spouse and/or dependent coverage, including enrollment in Flexible Spending Accounts and Health Savings Accounts.
If your dependent is disabled, coverage may be able to continue past the maximum age under certain plans. If you have a disabled dependent who is reaching an ineligible age, you must provide a physician’s statement confirming your dependent’s disability. Contact your Benefits Office to request a continuation of coverage.
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Dental Insurance Guardian Life Insurance
ABOUT DENTAL
Dental insurance is a coverage that helps defray the costs of dental care. It insures against the expense of routine care, dental treatment and disease. For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Vision Insurance Eyetopia
Vision insurance provides coverage for routine eye examinations and can help with covering some of the costs for eyeglass frames, lenses or contact lenses.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Cancer Insurance Chubb
ABOUT CANCER
Cancer insurance offers you and your family supplemental insurance protection in the event you or a covered family member is diagnosed with cancer. It pays a benefit directly to you to help with expenses associated with cancer treatment.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
First Occurrence Benefit
Radiation & Chemotherapy Benefit
Surgical Benefit
Transportation Benefit (Employee & Family)
Lodging Benefit (Employee & Family)
Hospital Confinement
Hospital Intensive Care Confinement
Wellness Benefit
ADDITIONAL PLAN FEATURES
Heart Attack & Stroke/Critical Illness Rider
Anesthesia
Hormone Therapy
Diagnosis of Cancer Benefit: $2,500 Employee or Spouse; $3,750 Child(ren) & First Cancer Benefit:
$100 paid upon receipt of first covered claim for Cancer; only 1 payment per certificate.
$10,000 per 12 month period / included Radiation Therapy, Chemotherapy & Immunotherapy Benefit
Up to $10,000
$100 per trip, maximum 12 trips per calendar year
Employee: $50 per day, maximum 100 days per calendar year; Family: $100 per day; maximum 100 days per calendar year
$100 per day - days 1 through 30; Additional days: $200; max days per confinement: 31
$600 per day - days 1 through 30; additional days: $600; max days per confinement: 31
$50 per covered person, per calendar year; Follow-up test benefit: $100
Employee or Spouse: $2,500; Child(ren): $3,750; Recurrence benefit: Employee or Spouse: $1,250; Child(ren): $1,875
General Anesthesia: 25% of Surgery Benefit; max benefits per calendar year: 2
$50 per Treatment; max treatments per calendar year: 12
Diagnosis of Cancer Benefit: $5,000 Employee or Spouse; $7,500 Child(ren) & First Cancer Benefit: $100 paid upon receipt of first covered claim for Cancer; only 1 payment per certificate.
$20,000 per 12 month period / included Radiation Therapy, Chemotherapy & Immunotherapy Benefit
Up to $10,000
$100 per trip, maximum 12 trips per calendar year
Employee: $50 per day, maximum 100 days per calendar year; Family: $100 per day; maximum 100 days per calendar year
$200 per day - days 1 through 30; Additional days: $400; max days per confinement: 31
$600 per day - days 1 through 30; additional days: $600; max days per confinement: 31
$50 per covered person, per calendar year; Follow-up test benefit: $100
Employee or Spouse: $2,500; Child(ren): $3,750; Recurrence benefit: Employee or Spouse: $1,250; Child(ren): $1,875
General Anesthesia: 25% of Surgery Benefit; max benefits per calendar year: 2
$50 per Treatment; max treatments per calendar year: 12
Ambulatory Surgical Facility Up to $10,000 Up to $10,000
Attending Physician
Donor Benefit
Home Health Care
Hospice
$30 per visit; max visits per calendar year: 4
$30 per visit; max visits per calendar year: 4
$100 per confinement, lifetime max donations: 2 $100 per confinement, lifetime max donations: 2
$100 per day not to exceed the number of days confined; max days per calendar year: 30
$100 per day
$100 per day not to exceed the number of days confined; max days per calendar year: 30
$100 per day
Cancer Insurance
ADDITIONAL
Reconstructive Surgery
Bone Marrow Transplant
Stem Cell Transplant
Drugs and MedicinesInpatient
Drugs and MedicinesOutpatient
Blood and Plasma
Ambulance - Ground
Ambulance - Air
Medical Equipment
Prosthesis
Hair Prosthesis
Experimental Treatment
PLAN PROVISIONS
Breast TRAM flap: $2,000; Breast Reconstruction: $500; Breast Symmetry: $500; Facial Reconstruction: $500
First transplant: $6,000 / Additional transplant: 50% / Lifetime Maximum Transplant(s): 2
First transplant: $600 / Additional transplant: 50% / Lifetime Maximum Transplant(s): 2
$150 per confinement, maximum confinements per calendar year: 6
$50 per treatment; max treatments per calendar year: 12
$300 per transfusion / maximum transfusions per calendar year: 2
$200 per trip, max trips per confinement: 2
$2,000 per trip, max trips per confinement: 2
$150 per piece of equipment, max pieces per calendar year: 2
Surgical: $1,000 per device; lifetime max benefit
$1,000; Non-Surgical Prosthesis Benefit: $100; lifetime maximum number of devices: 1
$150 per hair piece, lifetime max: 1
Alternative Care Benefit: $75 per visit; max visits per calendar year: 4
Pre-Existing Condition Limitation: 12/12
Continuity of Coverage Offered (Describe Requirements)
Breast TRAM flap: $2,000; Breast Reconstruction: $500; Breast Symmetry: $500; Facial Reconstruction: $500
First transplant: $9,000 / Additional transplant: 50% / Lifetime Maximum Transplant(s): 2
First transplant: $900 / Additional transplant: 50% / Lifetime Maximum Transplant(s): 2
$150 per confinement, maximum confinements per calendar year: 6
$50 per treatment; max treatments per calendar year: 12
$300 per transfusion / maximum transfusions per calendar year: 2
$200 per trip, max trips per confinement: 2
$2,000 per trip, max trips per confinement: 2
$150 per piece of equipment, max pieces per calendar year: 2
Surgical: $2,000 per device; lifetime max benefit
$2,000; Non-Surgical Prosthesis Benefit: $200; lifetime maximum number of devices: 1
$150 per hair piece, lifetime max: 1
Alternative Care Benefit: $75 per visit; max visits per calendar year: 4
If the Certificate replaced another Cancer Indemnity certificate or individual policy, Your coverage under the Certificate shall not limit or exclude coverage for a Pre-existing Condition or Waiting Period that would have been covered under the policy being replaced. Benefits payable for a Pre-existing Condition or during the Waiting Period will be the lesser of the benefits that would have been payable under the terms of the prior coverage if it had remained in force; or the benefits payable under the Certificate. Time periods applicable to Pre-existing Conditions and Waiting Periods will be waived to the extent that similar limitations or exclusions were satisfied under the coverage being replaced. Continuity of Coverage is only extended to the benefits provided under the Certificate. The Certificate may not include all the benefits provided under the prior coverage.
Policy Exclusions
No benefits will be paid for a date of diagnosis or treatment of cancer prior to the coverage effective date except where continuity of coverage applies. No benefits will be paid for services rendered by a member of the Immediate Family of a Covered Person. We will not pay benefits for other conditions or diseases, except losses due directly from Cancer. We will not pay Benefits for Cancer if the diagnosis or treatment of Cancer is received outside of the territorial limits of the United States and its possessions. Benefits will be payable if the Covered Person returns to the territorial limits of the United States and its possessions, and a Physician confirms the diagnosis or receives treatment. Refer to proposal.
Waiver of Premium: Included
Conversion/Portability: Portability included
Accident Insurance Lincoln Financial Group
ABOUT ACCIDENT
Do you have kids playing sports, are you a weekend warrior, or maybe you're accident prone? Accident plans are designed to help pay for medical costs associated with accidents and benefits are paid directly to you.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Accident Insurance Lincoln Financial Group
www.mybenefitshub.com/cityofpleasanton
Disability Insurance Lincoln Financial Group
ABOUT DISABILITY
Disability insurance protects one of your most valuable assets, your paycheck. This insurance will replace a portion of your income in the event that you become physically unable to work due to sickness or injury for an extended period of time.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Long-Term Disability PLAN FEATURES
Pre-Existing Condition Period
Survivor Benefit
Employee Assistance Plan
The disability coverage is subject to a 3/12 preexisting condition limitation, but we will apply credit toward the pre-x for existing participants who were on the prior carriers' plan.
Our partial disability benefit is one of the most generous in the industry, reflecting our commitment to returning employees to productive lives. Between our benefit and partial earnings, an insured employee can take home up to 100% of pre-disability earnings (often called a “work incentive benefit”). We have no limit on this benefit, and it is the only partial formula we use for the life of the claim. Most carriers eventually offset with return to work income after 12 or 24 months with a 50% offset or proportionate loss formula, but we never offset until the claimant has earned 100% of their pre-disability income.
3 months
5 face to face visits - do not need to elect LTD to get the EAP. Everyone gets the EAP.
Emergency Travel Assitance Included
Dependent Care Expense Benefit $250 for 12 months
Vocational
Long-Term
Disability Insurance
Lincoln Financial Group
Short-Term Disability
(Injury & Illness)
Elimination Period (Day Benefits Begin)
(Benefits Must be Weekly)
Pre-Existing Condition Benefit (Offered every Open Enrollment or Initial Open Enrollment Only)
Definition of Disability Loss of duties or time (you can do all your duties but you can only do them part time)
And or Or Defintion of Disability And Muscular Skeletal and/or Connective Tissue Disorder Limitation
Treated the same as any other illness.
Salary Continuation Impact on Claims Does not offset until reaches 100% of predisability incomebackdoor integration (do not offset with PTO or vacation)
Mental Illness Limitation
Substance Abuse Limitation
Treated the same as any other illness
Treated the same as any other illness
Work Related Sickness or Injury Not covered; these would fall to workers comp.
Self-Reported Symptoms Limitation Treated the same as any other illness Waiver of Premium
Life and AD&D
ABOUT LIFE AND AD&D
Group term life is the most inexpensive way to purchase life insurance. You have the freedom to select an amount of life insurance coverage you need to help protect the well-being of your family.
Accidental Death & Dismemberment is life insurance coverage that pays a death benefit to the beneficiary, should death occur due to a covered accident. Dismemberment benefits are paid to you, according to the benefit level you select, if accidentally dismembered.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
& SP working at the
Life benefits will not be paid when death is caused by, contributed to by, or results from suicide that occurs within 24 months after the initial effective date of insurance for the employee. See proposal for additional exclusions.
Included / disabled prior to age 60, 9 month elimination period, terminates at age 65
SPOUSE RATE CALCULATION
Permanent Life Insurance
Texas Republic Life Insurance Company
TRUEFLEX PERMANENT LIFE
The TrueFlex UL with L Living Benefits offers you protection if you encounter some hardship along life's journey, or simply would like to leave some resources to those close to you when your journey ends.
Employee, spouse, children and grandchildren are eligible. For less than a cup of coffee, a premium of $3.45 a week, a 35-year-old employee can purchase $25,000 of life insurance coverage, through Texas Republic Life’s, TrueFlex Universal life product.
For more details, please visit our website: www.texasrepubliclife.com
EMPLOYEES CAN EASILY QUALIFY
TrueFlex is guaranteed issue up to $100,000 in coverage and for more coverage only answer 3 questions (at right) covering the last six months: NO MEDICAL EXAM!
TRUEFLEX IS EASY TO ENROLL IN
TrueFlex is easy to enroll in, right at your place of employment. No one coming to your home.
TRUEFLEX IS EASY TO FUND
TrueFlex is easy to fund by payroll deduction.
TRUEFLEX IS EASY TO PORT
TrueFlex policies are easy to port, you keep the Tr same premium, your payment simply changes from a payroll deduction to a bank draft. No re-qualifying, no conversions and no decreasing face amounts.
TRUEFLEX IS EASY TO KEEP AND MAINTAIN
TrueFlex is easy to keep, (See form: TRLIC-WFUL1) you have permanent life insurance coverage to age 121 as long as you pay the required premiums. Texas Republic Life has a service desk to address any questions you may have, or policy services that you may need.
GUARANTEED ISSUE UP TO $100,000
QUALIFICATION QUESTIONS FROM $100,001 - $150,000
During the last six months, has the proposed insured:
1.
2. Been actively at work on a full-time basis, performing usual duties? Been absent from work due to illness or medical treatment for a period of more than five consecutive working days?
3. Been disabled or received tests, treatment or care of any kind in a hospital or nursing home or received chemotherapy, hormonal therapy for cancer, radiation therapy, dialysis treatment, or treatment for alcohol or drug abuse?
Hospital Indemnity Lincoln Financial Group
ABOUT HOSPITAL INDEMNITY
This is an affordable supplemental plan that pays you should you be inpatient hospital confined. This plan complements your health insurance by helping you pay for costs left unpaid by your health insurance.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Newborn Care Admission (One time admission)
Newborn Care Stay (Per Day)
$5000 + ($500 * # of days confined starting day 2); Example of 15 day NICU stay = $12,000 (applicable to NICU stays only; when there is a healthy baby stay see our newborn care benefit)
$500 up to 2 days (applicable to healthy baby stay; when child is admitted to NICU see Newborn Care admission)
$2500 + ($250 * # of days confined starting day 2); Example of 15 day NICU stay = $6,000 (applicable to NICU stays only; when there is a healthy baby stay see our newborn care benefit)
$500 up to 2 days (applicable to healthy baby stay; when child is admitted to NICU see Newborn Care admission)
attempted suicide, or any intentionally self-inflicted injury, voluntary intake or use by any means of any drugs, poison, gas, or fumes, except when: prescribed or administered by a physician; and taken in accordance with the physician’s instructions; committing or attempting to commit a felony; war or any act of war, declared or undeclared; participation in a riot, insurrection, or rebellion of any kind; driving a vehicle while intoxicated, as defined by the jurisdiction where the accident occurred; cosmetic surgery; bungee cord jumping, hang gliding, sail gliding, parasailing, parakiting, kitesurfing, base jumping, or any similar activities; or a loss sustained while residing outside the United States, U.S. Territories, Canada, or Mexico for more than 12 months. Benefits provided by the policy may be excluded or limited while the insured is incarcerated in any type penal or detention facility. Waiver of Premium Not applicable
Required number of hours confined for In-Patient 20 hours or more
Critical Illness Insurance
Lincoln Financial Group
ABOUT CRITICAL ILLNESS
Critical illness insurance can be used towards medical or other expenses. It provides a lump sum benefit payable directly to the insured upon diagnosis of a covered condition or event, like a heart attack or stroke. The money can also be used for non-medical costs related to the illness, including transportation, child care, etc.
For full plan details, please visit your benefit website: www.mybenefitshub.com/cityofpleasanton
Critical Illness Insurance
Lincoln Financial Group
Stay prepared with MASA® AccessSM
Comprehensive coverage and care for emergency transport.
Our Emergent Plus membership plan includes:
Emergency Ground Ambulance Coverage1
Your out-of-pocket expenses for your emergency ground transportation to a medical facility are covered with MASA.
Emergency Air Ambulance Coverage1
Your out-of-pocket expenses for your emergency air transportation to a medical facility are covered with MASA.
Hospital to Hospital Ambulance Coverage1
When specialized care is required but not available at the initial emergency facility, your out-of-pocket expenses for the ground or air ambulance transfer to the nearest appropriate medical facility are covered with MASA.
Repatriation Near Home Coverage1
Should you need continued care and your care provider has approved moving you to a hospital nearer to your home, MASA coordinates and covers the expense for ambulance transportation to the approved medical facility.
Did you know?
51.3 million emergency responses occur each year
MASA protects families against uncovered costs for emergency transportation and provides connections with care services.
Source: NEMSIS, National EMS Data Report, 2023
About MASA
MASA is coverage and care you can count on to protect you from the unexpected. With us, there is no “out-of-network” ambulance. Just send us the bill when it arrives and we’ll work to ensure charges are covered. Plus, we’ll be there for you beyond your initial ride, with expert coordination services on call to manage complex transport needs during or after your emergency — such as transferring you and your loved ones home safely.
Protect yourself, your family, and your family’s financial future with MASA.
2025 Plan Year
Enrollment Guide General Disclaimer: This summary of benefits for employees is meant only as a brief description of some of the programs for which employees may be eligible. This summary does not include specific plan details. You must refer to the specific plan documentation for specific plan details such as coverage expenses, limitations, exclusions, and other plan terms, which can be found at the City of Pleasanton Benefits Website. This summary does not replace or amend the underlying plan documentation. In the event of a discrepancy between this summary and the plan documentation the plan documentation governs. All plans and benefits described in this summary may be discontinued, increased, decreased, or altered at any time with or without notice.
Rate Sheet General Disclaimer: The rate information provided in this guide is subject to change at any time by your employer and/or the plan provider. The rate information included herein, does not guarantee coverage or change or otherwise interpret the terms of the specific plan documentation, available at the City of Pleasanton Benefits Website, which may include additional exclusions and limitations and may require an application for coverage to determine eligibility for the health benefit plan. To the extent the information provided in this summary is inconsistent with the specific plan documentation, the provisions of the specific plan documentation will govern in all cases.
