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CA North & South—Kaiser Foundation Health Plan
This section provides a summary of the CA North & South—Kaiser Foundation Health Plan Health Maintenance Organization Plan (the "Plan") as of January 1, 2012.
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.
A Health Maintenance Organization (HMO) Plan offers comprehensive health services from participating health care providers. Generally, your care is fully covered after you pay a set copayment per visit. You select a primary care physician (PCP) who will manage your care and refer you to a specialist or other provider in the network if necessary. Except in an emergency, you do not receive benefits if you receive care outside the network.
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.