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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Dutch Valley Food Distributors.
PPO Plan - Summary of Benefits and Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a1cd3dce0aa84b33a8e1dfb7825f8aec.pdf)
QHDHP Plan - Summary of Benefits and Coverage(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_038dfb5ee26c4ac5b9a308697206ab45.pdf)
Summary Plan Description - coming soon
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_cf9fc3d3c3314127af14f09381775c8b.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)
Coming soon
Coming soon
Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_75e77d6b560444718a2adeb34174f477.pdf)
Overview(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ad8308fbe3bf4433bc1e045ba24b5d31.pdf)
Rate Info(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c1d22c28f6da48e1ab946dc50b5daca0.pdf)
Overview(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_12d75bfb608841c5bef2fd4f5fc90a4a.pdf)
Rate Info(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5d0e7f597d4740cbb4a6577860c01bdc.pdf)
Overview(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_054336e4eb324e439ed9eb79b864b7a8.pdf)
Rate Info(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a336aa6775c44238b2aafab25e11f167.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
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