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UHC Exclusive Provider Organization
SPD and Plan Document
This section provides a summary of the Exclusive Provider Organization Plan (the "Plan") as of January 1, 2014.
This section, together with the Administrative Information section and the applicable section about participation, forms the Summary Plan Description and plan document of the Plan.
An Exclusive Provider Organization (EPO) Plan offers comprehensive health services from participating health care providers. Generally, your care is fully covered after you pay a copayment. You may select any participating provider in the network to manage your care. You may visit a specialist or other provider in the network without a referral. Except in an emergency, you do not receive benefits if you receive care outside the network.
This Summary Plan Description is for residents of Arkansas, Colorado, Florida, Iowa, Idaho, Louisiana, Minnesota, Missouri, Mississippi, Nebraska, New Hampshire, New Mexico, Oklahoma, Oregon, South Dakota, Utah and Wisconsin. Plan availability is based upon your residential zip code.
A Note about ERISA
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that governs many employer-sponsored plans including this one. Your ERISA rights in connection with this Plan are detailed in the Administrative Information section.