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SAMPLE Cigna Open Access Plus Plan

SAMPLE Cigna Open Access Plus Plan important Information THIS IS A SAMPLE DOCUMENT. NO BENEFITS ARE GUARANTEED. NO COVERAGE REPRESENTATION IS CONSIDERED TO BE ACTUAL MEDICAL BENEFITS PROVIDED TO YOU BY Cigna . Table of Contents important Information ..6 Special Plan Provisions ..8 important Notices ..9 How To File Your Claim ..11 Eligibility - Effective Date ..11 Employee Insurance .. 11 Waiting Period .. 11 Dependent Insurance .. 12 important Information About Your Medical Plan ..12 Open Access Plus Medical Benefits ..13 The Schedule.

Important Information Mental Health Parity and Addiction Equity Act The Certificate is amended as stated below: In the event of a conflict between the provisions of your plan documents and the provisions of this notice, the provisions that provide the better benefit shall apply. The Schedule and Mental Health and Substance Abuse Covered Expenses:

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