2021 Texas Benefit Forms and Plan Resources
The documents and resources below can help you better understand your coverage and benefits so you can better manage your plan.
Summary of Benefits
- 2021 Summary of Benefits North Texas
- 2021 Summary of Benefits North Texas (Spanish)
- 2021 Summary of Benefits South Texas
- 2021 Summary of Benefits South Texas (Spanish)
Evidence of Coverage — Prominence Plus
- 2021 North Texas Prominence Plus Evidence of Coverage
- 2021 North Texas Prominence Plus Evidence of Coverage (Spanish)
- 2021 South Texas Prominence Plus Evidence of Coverage
- 2021 South Texas Prominence Plus Evidence of Coverage (Spanish)
Annual Notice of Change
Y0109_WEBSITE21
Last update 9/26/2020