Benefit Summaries

Anthem Medical Insurance Plans

• AnthemHSA2_Tier_HSA_5000RxHSA5000.pdf
• BlueCrossHMOClassicFullNetwork20_40_250Rx7-25.pdf
• BlueCrossHMOValuePrioritySelect30_40_500Rx7-25.pdf
• BlueCrossPPO80-J30Rx7-25.pdf

Kaiser Medical Insurance Plans

• OctKaiserHMODHMO1000.pdf
• OctKaiserHMO20OV10-30.pdf
• OctKaiserHMOHSA3400.pdf

Delta Dental Plans

• 2025DeltaDentalPPOLowPlanSummary.pdf
• 2025DeltaDentalPPOHighPlanSummary.pdf
• 2025DeltaDentalPPOPremiumPlanSummaryNewOrtho.pdf

VSP Vision Plans

• 2025VSPLowPlanBenefitSummary.pdf
• 2025VSPHighPlanBenefitSummary.pdf
• 2025VSPPremiumPlanBenefitSummary.pdf

Enrollment/Waiver Forms

• PlanElectionForm25-26.pdf (If you are participating in any Cambrian health plans at all)
• KaiserEnrollmentForm.pdf (If you are participating in a Kaiser medical plan)
• AnthemEnrollmentForm.pdf (If you are participating in a Anthem medical plan)
• DeltaDentalEnrollmentForm.pdf (If you are participating in a dental plan)
• VSPVisionEnrollmentForm.pdf (If you are participating in a vision plan)
• WaiverForm2025-2026.docx (If you are not participating in any Cambrian medical plan)