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Alaska Region

Alaska
Alaska SPD: English | Spanish
SBCs
SMMs

Atlantic City Region

Atlantic City - Casinos
Actives SPD
Actives SBC
Actives SMMs Retirees SPD
Retirees SMMs
Atlantic City - Non-Casinos
SPD
SBC
SMMs
Citizens Bank Park P/T Plan
Citizens Bank Park SPD
SBC
Evidence of coverage (EoC) files
Dental DHMO SMMs
Pittsburgh
SPD
SBC: Class I - Class II - Class III
2017 – Grandfathered Notice
SMMs

Boston Region

Boston Area
SPD
SBC
SMMs

Chicago Midwest Region

Chicago Hotels
SPD
SBC
SMMs
Chicago Sporting Events
SPD
SBC
SMMs
Chicago Restaurants
SPD
SBC
SMMs
Detroit
Actives SPD
Actives SMMs Retirees SPD
Retiree SMMs
Midwest Casino
SPD
SBC
SMMs

California Region

Long Beach/Orange County
SPD: English - Español
Wrap SPDs

SBCs

SBC 462
Kaiser HMO only
Kaiser HMO with Liberty dental benefits and/or UnitedHealthcare vision benefits

SMMs
Los Angeles
SPD: English - Spanish
Wrap SPDs
 Dental DHMO:
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SBC: Kaiser+ - Kaiser++ - Kaiser+++ - PPO
SMMs
Monterey Culinary Health Plan
SPD
SBC
SMM

New York Region

New York Plan
SPD: Plan A - Plan B
SBC: Plan A - Plan B
SMMs
Greater New York Regional Hotel Plan
SPD
SBC
SMMs

National Plans

Delaware North Companies - Base Plan
Base Plan SPD
SBC
Base Plan SMMs
Delaware North Companies - Alternate I and II
Alternate I & II SPD
SBC: Alternate I - Alternate II
Alternate I & II SMMs
Delaware North Companies - Alternate III
Alternate III SPD
SBC
Alternate III SMMs
Food Service Plan - BCBS (Plans A, B, and C)
Evidence of coverage (EoC) files for Plans A, B and C
Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
Plan A SPD
SBCs
  • Plan A SBC 73
    • Medical benefits with 24-month Basic Vision plan and no dental
    • Medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan A SBC 75
    • Medical benefits only
    • Medical benefits with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
Plan A SMMs Plan B SPD
SBCs
  • Plan B SBC 80
    • Medical benefits with 24-month Basic Vision plan and no dental
    • Medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan B SBC 137
    • Medical benefits only
    • Medical benefits with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
Plan B SMMs Plan C SPD
SBCs
  • Plan C SBC 86
    • Medical benefits with 24-month Basic Vision plan and no dental
    • Medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan C SBC 140
    • Medical benefits only
    • Medical benefits with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
Plan C SMMs
Food Service Plan - Kaiser (Plans D and E)
Plan D SPD
Evidence of Coverage (EoC) files
Medical Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SBCs
  • Plan D SBC 100
    • Kaiser Select High HMO with 24-month Basic Vision plan and no dental
    • Kaiser Select High HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan D SBC 102
    • Kaiser Select High HMO only
    • Kaiser Select High HMO with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • Plan D SBC 110
    • Kaiser Signature or Select Low HMO with 24-month Basic Vision plan and no dental
    • Kaiser Signature or Select Low HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan D SBC 111
    • Kaiser Signature or Select Low HMO only
    • Kaiser Signature or Select Low HMO with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
Plan D SMMs Plan E SPD
Evidence of Coverage (EoC) files
Medical Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SBCs
  • Plan E SBC 125
    • Kaiser++ HMO with 24-month Basic Vision plan and no dental
    • Kaiser++ HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
  • Plan E SBC 454
    • Kaiser++ HMO only
    • Kaiser++ HMO with Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
Plan E SMMs
Food Service Plan II (BCBS PPO)
SPD
Evidence of coverage (EoC) files
Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SMMs
Food Service Plan II (California Kaiser)
SPD
Wrap SPDs
Medical Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SMMs
Food Service Plan II (Colorado/Georgia Kaiser)
SPD
Evidence of Coverage Kaiser HMO Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SMMs
Food Service Plan II (DC/Baltimore Kaiser)
SPD
Evidence of coverage (EoC) files
Medical Delta Dental DHMO
  • Get your dental HMO EOC from Delta at www.deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SMMs
Food Service Plan II SBCs
Platinum+
  • SBC 468:
    • Platinum+ medical benefits only
    • Platinum+ medical benefits with VSP vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 469:
    • Platinum+ medical benefits with 24-month Basic Vision plan and no dental
    • Platinum+ medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Platinum
  • SBC 470:
    • Platinum medical benefits only
  • SBC 471:
    • Platinum medical benefits with 24-month Basic Vision plan and no dental
    • Platinum medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Gold+
  • SBC 472:
    • Gold+ medical benefits only
    • Gold+ medical benefits with VSP vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 473:
    • Gold+ medical benefits with 24-month Basic Vision plan and no dental
    • Gold+ medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Silver+
  • SBC 476:
    • Silver+ medical benefits only
    • Silver+ medical benefits with VSP vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 477:
    • Silver+ medical benefits with 24-month Basic Vision plan and no dental
    • Silver+ medical benefits with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Kaiser++
  • SBC 484:
    • Kaiser++ HMO only
    • Kaiser++ HMO with VSP vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 485:
    • Kaiser++ HMO with 24-month Basic Vision plan and no dental
    • Kaiser++ HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Kaiser Signature & Select Low
  • SBC 488:
    • Kaiser Signature or Select Low HMO only
    • Kaiser Signature or Select Low HMO with VSP or Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 489:
    • Kaiser Signature or Select Low HMO with 24-month Basic Vision plan and no dental
    • Kaiser Signature or Select Low HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Kaiser Select High
  • SBC 492:
    • Kaiser Select High HMO only
    • Kaiser Select High HMO with VSP or Davis Vision benefits and/or Delta Dental DPPO or DHMO dental benefits
  • SBC 493:
    • Kaiser Select High HMO with 24-month Basic Vision plan and no dental
    • Kaiser Select High HMO with 24-month Basic Vision plan and Delta Dental DPPO or DHMO dental benefits
Kaiser Colorado Kaiser Georgia
Hospitality Plan
SPD

Evidence of coverage (EoC) files
Dental DHMO

  • Get your dental HMO EOC from Delta at deltadentalins.com/deltacare or by calling (800) 422-4234.
    Please disregard the Eligibility and Termination sections in the EOC—the Fund determines who is eligible.
SBC: Gold+ - Silver+
SMMs
UNITE HERE Staff Plan
SBC: HMO - PPO/Vision - PPO/Dental/Vision - Rx/Dental
UNITE HERE Actives SPD
Wrap SPDs
 UNITE HERE Actives SMMs
UNITE HERE Retiree SPD
 UNITE HERE Retiree SMMs
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The mission of UNITE HERE HEALTH, a Taft-Hartley labor management trust fund, is to provide health benefits that offer high-quality, affordable health care to our participants at better value with better service than is otherwise available in the market. We believe our success depends on innovation and on engaging our participants.

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