EUTF Active – Medical/Prescription Drug

July 1, 2018 - June 30, 2019

Preferred Provider Organization Plans (PPO)

Plan TypeDescriptionBenefits Summary
EUTF HMSA 90/10 PPO Plan and CVS Caremark Prescription Drug Plan
Preferred Provider Organization 90/10 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF HMSA 80/20 PPO Plan and CVS Caremark Prescription Drug Plan
Preferred Provider Organization 80/20 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF HMSA 75/25 PPO Plan and CVS Caremark Prescription Drug Plan
Preferred Provider Organization 75/25 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary

Health Maintenance Organization Plans (HMO)

Plan TypeDescriptionBenefits Summary
EUTF HMSA HMO Plan and CVS Caremark Prescription Drug Plan
Health Maintenance Organization Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF Kaiser HMO Comprehensive and Prescription Drug Plan
Health Maintenance Organization Comprehensive Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary
EUTF Kaiser HMO Standard and Prescription Drug Plan
Health Maintenance Organization Standard Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary

Supplemental Plan

Plan TypeDescriptionBenefits Summary
EUTF HMA Supplemental PlanSupplemental Plan Administered by HMAHMA Summary

HMA Site

July 1, 2017 - June 30, 2018

Preferred Provider Organization Plans (PPO)

Plan TypeDescriptionBenefits Summary
EUTF HMSA 90/10 PPO Plan and CVS Caremark Prescription Drug PlanPreferred Provider Organization 90/10 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF HMSA 80/20 PPO Plan and CVS Caremark Prescription Drug PlanPreferred Provider Organization 80/20 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF HMSA 75/25 PPO Plan and CVS Caremark Prescription Drug PlanPreferred Provider Organization 75/25 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary

Health Maintenance Organization Plans (HMO)

Plan TypeDescriptionBenefits Summary
EUTF HMSA HMO Plan and CVS Caremark Prescription Drug PlanHealth Maintenance Organization Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
EUTF Kaiser HMO Comprehensive and Prescription Drug PlanHealth Maintenance Organization Comprehensive Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary
EUTF Kaiser HMO Standard and Prescription Drug PlanHealth Maintenance Organization Standard Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary

Supplemental Plan (Co-Payment Plan)

Plan TypeDescriptionBenefits Summary
EUTF Royal State Supplemental PlanSupplemental Plan Administered by Royal StateRoyal State Summary

Royal State Site