Summary of Benefits Coverage

The documents you are required by law to receive about your benefit plans are provided as PDF files below.  If you aren't clear about any of the underlined terms used in these files, see the glossary.  You can view the glossary at www.dol.gov/ebsa/healthreform or contact your local HR to request a copy.

2024 Benefit Plan Documents

The documents are displayed below by document type for the following groups:

Sisters of Charity of Cincinnati, Saint Joseph Home, Bayley Place, Sisters of Charity of Nazareth and Nazareth Home.

2024 Summary of Benefits and Coverage

• CommonSpirit Health Medical Plan Summary of Benefits Coverage - Standard Health Plan (BCBSIL)
• CommonSpirit Health Sisters of Charity of Cincinnati Medical Plan Summary of Benefits Coverage - Standard High Deductible Health Plan (BCBSIL)

2024 Medical and Dental Charts

• CommonSpirit Health 2024 Standard & HDHP Medical Plan Chart (BCBSIL)
• CommonSpirit Health 2024 Standard Medical Plan Chart (BCBSIL)
• Dental Benefit Overview
• Vision Benefit Overview

2024 Legal Notices and Market Exchange

• Legal Notice for Benefit Eligible
• Legal Notice for Non-benefit Eligible
• Exchange Notice for Benefit Eligible
• Exchange Notice for Non-benefit Eligible
• 2024 CSH NPP CHIHealthplan Privacy Practices

Long Term Disability (LTD) & Life Certificates

• CommonSpirit Health LTD Certificate - Sisters of Charity, Bayley Place
• CommonSpirit Health LTD Certificate - Sisters of Charity, Cincinnati
• CommonSpirit Health LTD Certificate - Sisters of Charity, Nazareth
• CommonSpirit Health Life Certificate - Sisters of Charity, Bayley Place
• CommonSpirit Health Life Certificate - Sisters of Charity, Nazareth & Pittsburgh
• CommonSpirit Health Life Certificate - St. Joseph Home of Cincinnati
• CommonSpirit Health Life Certificate - Nazareth Home
• CommonSpirit Health Life Certificate – Sisters of Charity, Cinicinnati
• CommonSpirit Health Life Certificate – Sisters of Charity, Nazareth – Executive
• CommonSpirit Health Life Certificate – Sisters of Charity, Nazareth

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