Integrated Statistics Health Plans

1. The HMO plan is for residents of CT, MA, ME, NH, RI and VT.
2. The PPO plan is for residents of other states, or for anyone who prefers a PPO.

Notices and Forms for Both Plans

• Federal Notice: Marketplace Coverage Options
• Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP): Potential help with paying health insurance premiums for children.
• Section 125 Premium Only Plan Election Form Send in this form to comply with the Section 125 cafeteria plan regulations set forth by the IRS.
• Waiver of Coverage form: if you don't need coverage from Integrated Statistics.
• Receiving Care Outside of New England: Info for participating UnitedHealthcare providers not in CT, MA, ME, NH, RI and VT.
• Foodsmart: Healthy Eating for Employee Wellness
• Prescription Drug Coverage
• Over the Counter Medications
• Ovia Health Member
• Ovia Health Program FAQ
• ProgenyHealth Program FAQ
• Reduce My Costs
• Care Management Program

HMO Plan

• Summary of Benefits and Coverage for HMO
• Detailed Schedule of Benefits for HMO
• HMO Enrollment Form

PPO Plan

• Summary of Benefits and Coverage for PPO
• Detailed Schedule of Benefits and Coverage for PPO
• PPO Enrollment Form