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Acchroma, Inc. – 2023
Below are the Summary of Benefits and Coverage (SBC) for each of Acchroma, Inc.’s sponsored health plans for the plan year from January 1st 2023 – December 31st 2023 as well as additional documents for your review.
SBCs
Comfort $7900 OOPM GX
HSA $5750 Ded/ $5750 OOPM
Additional Documents
CHIP Notice
Employee Waiver Form
Medicare Part D
Privacy Notice
Release of Information
Special Enrollment Notice
SPDs
Final Comfort $7,900 OOPM GX SPD
Final HSA $5,750 Ded/ $5,750 OOPM SPD
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